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HomeMy WebLinkAboutSWG2025-00140 - SWG Application / Design - 5/8/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 J L SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00140 APPLICANT Hunter,Adam Phone: 360 753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 OWNER HENSLEY MICHAEL B Phone: Address: 720 WASHINGTON AVE RAYMOND, WA 98577 SEPTIC DESIGNER ADAM HUNTER` Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 SEPTIC INSTALLER JOE HOUSE* Phone: 360-495-4156 Address: PO Box 1820 MCCLEARY, WA 98557 Site Address: 251 SE ARCADIA PL Primary Parcel Number: 220282002010 Permit Description: New 2bd Glendon for proposed ADU Permit Submitted Date: 04/18/2025 Permit Issued Date: 05/08/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/01/2028 (based on date of inspection) 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 Drain field installation not to exceed designed upslope 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 Designer/Engineer installation approval prior to backfill of system 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY M . MASON COUNTY DATE RECEIVED: 4/18/2025 C D Public Health & Human Services AMOUNT RECEIVED: $555 RECEIVED BY online COD v m "' Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 415 N.6th Street -Shelton,WA 98584 SWG 2025 -00140 0 00 Z 6 CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION z 77 APPLICANT PHONE m m HOUSE BROTHERS 3604701707 Z c MAILING ADDRESS-STREET CITY.STATE.ZIP CODE E PO BOX 1820 MCCLEARY WA 98557 m 73 SITE ADDRESS-STREET.CITY.ZIP CODE 251 SE ARCADIA PL SHELTON WA 98584 I NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE HOUSE BROTHERS 3604701707 PERMIT TYPE(select one) DRINKING WATER SOURCE 6 RESIDENTIAL OSS f COMMUNITY OSS In COMMERCIAL OSS E PRIVATE INDIVIDUAL WELL if PRIVATE TWO-PARTY WELL Z I m TYPE OF WORK(select one) Q PUBLIC WATER SYSTEM 00 6 NEW CONSTRUCTION/UPGRADES ff REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR SUBMITTALS CI SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE w Lv] DESIGN FORM(REQUIRED) Ifi SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER4/1/20257 I o EWAIVER(S)(IF APPLICABLE) 2 6.3 ❑ YES Q NO Z51 8 DIRECTIONS TO SITE AND SITE CONDITIONS.(ex.locked gate) LYNCH RD, CONTINUE ON LYNCH RD AT THE Y TO A RIGHT ON ARCADIA PL TO SECOND DRIVE ON THE LEFT AFTER THE END OF THE COUNTY ROAD. 0 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS TH1: 0-20 CL, 20+ mott TH2: similar SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE 9� 1J' f 50s-1/1. 5/1/25 5/1/28 EH APPROVED Rlcnda Thomown 05.14.2025 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 22028-20-02010 DESIGN FORM—PAGE ONE Assessor's Parcel Number: -- -- A design will be reviewed when 3 conies,of each of the following are submitted: Completed design form that has been signed and dated. 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 may be scanned and available for public view on the Mason County Web site.Maximum paper size: 1I"X 17" PARCEL IDENTIFICATION j Permit Number: SWG 2025-00140 Designer's Name: ADAM HUNTER Applicant's Name: HOUSE BROTHERS Designer's Phone Number: 3607531226 Mailing Address: PO BOX 1820 Designer's Address: PO BOX 162 MCCLEARY WA 98557 City State Zip OLYMPIA WA 98507 City State Zip Designer's Email JHANDASSOCIATES@HOTJ DESIGN PARAMETERS Treatment Device 0 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU ._ LI Other Treatment Level(check all that apply): O A ❑B 0 C 0 BL1 0 BL2 0 BL3 ❑E ❑N Drainfield Type 0 Gravity 63'Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class GLENDON Daily Flow:Operating Capacity 180 gpd Length GLENDON ft Daily Flow:Design Flow 240 gpd Diameter GLENDON in Septic Tank Capacity(working) 1000 gal Number 2 Receiving Soil Type(1-6) 5 Separation GLENDON ft Receiving Soil Appl.Rate 0.4 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices GLENDON Designed Primary Area 600 ft2 Diameter GLENDON in Designed Reserve Area 600 ft2 Spacing GLENDON in Trench/Bed Width PER GLENDON ft Manifold Trench/Bed Length PER GLENDON ft Schedule/Class 40 Elevation Measurements Length 24 ft Original Drainfield Area Slope 8 D/o Diameter 1 in New Slope,If Altered N/A % Preferred manifold configuration used? ®'Yes 0 No Depth of Excavation Up-slope GLENDON in Transport Pipe from Original Grade Down-slope GLENDON in Schedule/Class 40 Designed Vertical Separation >18 in Length 45 ft Gravel-based Drainfield Required? 0 Yes ErNo Diameter 1 in Pump Required? dYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 144 Diff, in Elevation Between Pump&Uppermost Orifice GLENOON ft Dose quantity 1.667 gal Drainfield Squirt Height/Selected Residual(head) GLENOON ft Chamber Capacity(flood) 1000 gal Uppermost Orifice EllHigher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head GLENDON gpm &(Timer 0 F//apse Meter ❑vent Counter Calculated Total Pressure Head GENDON ft If Timer: Pump on GLENDON ,Pump off GLENDON Comments EH APPROVED Rhonda Thompson 05/08/2025 Revised:4/14/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number:___ 2202g-20=020V Permit Number: SWG 2025-00140 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch El Test hole locations a Drainfield orientation and layout Reference depth from original grade: Er Soil logs Er Trench/bed dimensions and ' Septic tank g Property lines critical distances within layout Ea' Drainfield cover E� Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property E' Septic tank/pump chamber and restrictive strata: E3 Measurements to cuts, banks,and locations ® Laterals,trench bed,top and surface water and critical areas E' Observation port location bottom 0' Location and orientation of E' Clean-out location ®' Curtain drain collector curtain drain and all absorption Ei Manifold placement 0' Sand augmentation components E' Orifice placement Other cross-section detail: El Location and dimension of Er Lateral placement with distance 0' Observation ports/clean-outs primary system and reserve area to edge of bed E i Buildings Other Information 13 Audible/visual alarm referenced Yes No gi Direction of slope indicator ❑' Scale of drawing shown on scale Er 0 Design staked out ' Waterlines bar 0 0 Recorded Notices attached ' Roads, easements,driveways, El Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components 0 0 Pump curve attached ' North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must'be notifi y installer at time of installation l'Yes 0 No 4/17/25 S na re of Designer Date The undersigned has reviewed th's design on behalf of Mason County Public Health and determined it to be in compliance with state and loca n-site regulations: N 5/8/25 9. ,ktrovec Environmental Health Specialist 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: 5/1/28 ✓ 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. Revised:4/14/2025 PAGE 1 EH APPROVED Rhonda Thompson 05/08/2025 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 220282002010 DATE SUBMITTED: 4/17/2025 LEGAL/LOT#: PCL 2 OF BLA 95-40 SUBMITTED BY: ADAM HUNTER APPLICANT: HOUSE BROTHERS ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW = 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.4 GPD/FT2 REDUCTION =l:r, .=BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 600 FT2 TRENCH LENGTH OR BED CONFIG. = PER GLENDON II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1000 GAL-CONCRETE NEW OR EXISTING= NEW III. 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