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Home My WebLink AboutSWG2025-00108 - SWG Application / Design - 3/31/2025 MASON COUNTY 475N6 SHELTON: ,SHELTON WA98584 SH STREET, ,SHEL ON, EXT 400 BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:3604a2-5269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2025-00108 APPLICANT Hunter,Adam Phone: 360753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 OWNER SCHWARTZ STANFORD L&DIANNE Phone: 360-821.4127 Address: 60 E EMERALD LAKE DR E GRAPEVIEW,WA 98548 SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 SEPTIC INSTALLER JOE HOUSE' Phone: 360-4954156 Address: PO Box 1820 MCCLEARY, WA 98557 Site Address: 60 E EMERALD LAKE DR Primary Parcel Number: 321246200003 Permit Description: Repair 2bd Oscar X02 Permit Submitted Date: 0313112025 Permit Issued Date: 04/0812025 Issued By: Rhonda Thompson - Current Permit Fees Paid: $825.00 (addnlonal fees maybe reymrea upon mstabbon otsycren,). Permit Expiration Date: 0410712026 (based on dale or lnspuoion) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed ups/ope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic DesigneNEngineer installation approval prior to backfill ofsystem components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-requwt.php or call: 360427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECENED, 3/25/2025 w D ONSITE SEWAGE SYSTEM APPLICATION M WH M EhFD: 625 B N DBY online o m 415N6th StmI ShellonWA,98584 G N Shellan:860417-9670 e1 Belfair.36D275-4967 eM 100 SWIG 2025-00108 p A Z N Z 9 APPLICANT PHONE 1. DIANNE SCHWARTZ 3608214127 3 m MNLINGADDRESS-MEET CT',STATE,ZIP CODE r 60 E EMERALD LAKE DR GRAPEVIEW WA 98546 c SIIEADDRESS-STREET CITY ZIP CODE m 60 E EMERALD LAKE DR GRAPEVIEW WA 98546 z NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE HOUSE BROTHERS CHECKALLAPPLICABLE ITEMS DRINMNGNWTER SORRCE 0 p NEWCONSTRUCTION p RV HOLDING TANK ONLY p PRNATEINDIVIDUALWELL < w p REPLACEMENT SYSTEM p INSTALIIITION PERMIT ONLY ❑ PRIVATETWO,PARTYWELL 2 W p TABLE 9 REPAIR p SINGLE FAMILY [Sr COMMUNFFYIPUSLIC WATER SYSTEM I N p TANK(S)ONLY p COMMERCIAL SYSTEMNAME'. FMNwnua A p UPGRADE TO EXISTING p OTHER'. BEDROOMS LOTSME I N p EXISTING FMLURE ^�/A�Fwlre nwlmH ro.wM,mlwMn.•• 3 DIRECTS TO SITE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(I-IuPJ 91 0 ION MASON LAKE RD TO A RIGHT ON EMERALD LAKE DR TO SITE ON THE RIGHT. I� 0 O SITE MUST/EFLAGGED FINAIR ROAD AND RSTM/ees M/ST/E FAGGED I DEST HOES MWtlLRS OFFICIAL USE ONLY BELOW THI5 LINE UPGRADE I FAILURE SOURCE Ia reFwMg PI p VOLUNTARY pMAINTENANCEIPUMPING pBUILDINGPERMIT pHOMESALE pCOMPLAINT POTHER INSPECTOR SOIL LOGS COMMENTSICONDIT1oNS TH1: 0-20 GSL, 20+ mott TH2: 0-34 GSL, 34+ mott SOIL CODES: V-VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C=CIAY E=EXTREMELY R=ROOTS INSPECTO( 7Ltt(y�R'RR SIGNATURE DATE APPLIWTKIN EXPIRATION WTI: MPLICAT DATE ♦<C Wt/V 4/7125 4/7/26 EH APPROVED RipnQq TM1omPgon OOgS121115 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE REVISED LWQDI5 DESIGN FORM—PAGE ONE Assessor's Parcel Number:___ 32124-52-00003 A design will be reviewed when 3 copies of each of the following are submitted: " Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist. °Cross-section sketch,including all applicable items on checklist. This form maybe seemed and available for public view on the Mason County Web site.Maximum paper size: //"X 67" PARCEL IDENTIFICATION Permit Number: SWG 2025-00108 Designer's Name: ADAM HUNTER Applicant's Name: DIANNE SCHWARTZ Designer's Phone Number: 360-753-1226 Mailing Address: 00 E EMERALD LAKE DR Designer's Address: PO BOX 162 GRAPEVIEW WA 98546 OLYMPIA WA 98507 city State Zip City State zip DESIGN PARAMETERS Treatment Device ❑Glendon Dionne, ❑Sand Filter ❑Mound ❑ Sand Lined Dminfleld ❑ Recirculating Filter,Type: EYAembic Unit MakelModel X02 0 Disinfection Unit Make/Model Other: Drainfield Type OSCAR X02 0 Gravity ❑Pressure [3 Trench ❑ Bed ❑ Sub Surface Drip Septic TanWDrainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class PER OSCAR Daily Flow: Operating Capacity 270 gpd Length PER OSCAR ft Daily Flow:Design Flow 360 gpd Diameter PER OSCAR in Septic Tank Capacity 1200 gal Number PER OSCAR Receiving Soil Type(1-6) 4 Separation PER OSCAR ft Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 600 ft, Total Number of Orifices PER OSCAR Designed Primary Area 600 f 2 Diameter PER OSCAR in Designed Reserve Area 600 ft2 Spacing PER OSCAR in Trench/Bed Width 15 ft Manifold Trench/Bed Length 40 ft Schedule/Class 40 Elevation Measurements Length 30 It Original Dminfield Area Slope 0 % Diameter 1 in New Slope, If Altered 0 / Preferred manifold configuration used? IYYes 0 No Depth of Excavation ut,AoN OSCAR in Transport Pipe from Original Grade Down,,, OSCAR in Schedule/Class 40 Designed Vertical Separation 18 in Length 150 ft Gravelless Chambers Required? ❑Yes 0 No 0 Optional Diameter 1 in Pump Required? ❑Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 411 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.676 gal Orifice 8 Chamber Capacity 1200 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 12 gpm OTimer RElapse Meter EYEvent Counter Calculated Total Pressure Head 29.063 ft If Timer: Pump on 30 SEC Pump off 3 MIN Comments EH APPROVED Rlwnda TM1wnPran 6M'0&]025 i DESIGN FORM—PAGE TWO Assessor's Parcel Number: 32124-52-00003 Permit Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch E� Test hole locations 17 Dminfield orientation and layout Reference depth from original grade: lZ Soil logs 19 Trench/bed dimensions and 121' Septic tank IZ Property lines critical distances within layout 13 Drainfield cover IZ Existing and proposed wells lig D-Box/Valve box locations Reference depth from original grade within 100 ft of property 9 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks,and locations ❑ Laterals,trench/bed,top and surface water and critical areas 17 Observation port location bottom ❑ Location and orientation of 11 Clean-out location ❑ Curtain drain collector curtain drain and all absorption E9 Manifold placement ❑ Sand augmentation components IZ Orifice placement Other cross-section detail: El Location and dimension of Lateral placement with distance 9 Observation ports/clean-outs primary system and reserve area to edge of bed Ed Buildings Other Information EZ Audible/visual alarm referenced Yes No 9 Direction of slope indicator Scale of drawing shown on scale Ed ❑ Design staked out E9 Waterlines bar ❑ ❑ Recorded Notices attached E9 Roads, easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached 19 North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must n t y installer at time of installation ❑ Yes ❑ No 3/31/25 gn ture of Designer Date The undersigned has reviewed design on behalf of Mason County Public Health and determined it to be in compliance with state and 1 n-site regulations: � yOpSIN/1. 4/6/25 Environmental Health,Specialist r Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 4/7/26 ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Updated Daze: 12/72015 MASON COUNTY HEALTH DEPARTMENT ONSRE SEWAGE DISPOSAL SYSTEM DESIGN SITE N: PARCEL M 321245MM03 DATE SUBMITTED:W3112025 LEGALILOT M.EMERALD IAKE D3 LOT 3 SUBMITTEDBY: ADAM HUNTER APPLICANT: DIANNE SCHWARTZ ADDRESS: SO E EMERALD LAKE OR GRAPEVIEW,WA 98W I.CALCULATIONS NUMBER OF BEDROOMS= 3 RESIDENTIAL GPD FLOW= 360 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPDIFT2 REDUCTION=LEAVES LANK IF NO REOUCVON TAKEN DRAINFIELD SIZING ABSORPTION AREA= mom TRENCH LENGTH OR BED CONFIG.= 40'X15' PER OSCAR X02 II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1WIJGAL-X02 TANK NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION SAND DEPTH= Y-F V.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPUNE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 150.00 1.00 12.000 11.6315 RETURN 150.00 1.00 12.000 11.6315 TOTAL= 23,2630 "TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 23.263 2)ELEVATION DIFFERENCE = 5800 TOTAL= 29,063 3/31/25 EH APPROVED i+- . Rhonda Thompson 04/08/2025 emui nexnK `klYiF i'S1Y '"' 6 V.CHECK THE PUMP CAPACITY. PUMP: AN,MCDGNND 30GPM-IOHP PUMP(MODEL N=50EW) (PER OSCAR) EXCESSTDH SoDO (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM 29.05 STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES EH APPROVED Rhonda Thompson 04/OS/2025 3/31/25 F �:f 1'iiOF:YI4'P'V.4tw � | � � \ \ \ k \ \\ | \ § .� •| � { /�\ > : \ �\ / � ( kff1 ( slJ ; I Iig ! = 0 | � ti t\ i ` } DOSING TANK RETURN LINE { { /2 z9 J LmE - m RETURN LINE ) \ / ! § ) § / \ !RDMmaG »* Cl) § I § 0 \ ■ ; � �7 0 � ! ( m > .02 2 ( m■ . ) ) § E \ | |`! / ( \ � � � } / ) ) / 0 i I / o \/ §n! < a . , � ( \ & ol \ \ � \ � \ moo p\/ G \ \ . \ / � ) ! f \ : ( ( z 0 ( ; ( ) ) ! [ \ ! ! } ! ) ) ° ; | | m y ( ! | ; ■ ! § 2 52 r . , | § § ` | \ \ ® ` � \ \� \ § § � ) ) ( ) \ § � % � « � �% �/