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HomeMy WebLinkAboutSWG2025-00173 - SWG Application / Design - 5/9/2025 A ': MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 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: SWG2025-00173 APPLICANT Hunter, Adam Phone: 360 753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 OTHER PARADISE PATRICK C Phone: Address: 2150 E MASON LAKE RD SHELTON, WA 98584 OWNER Gary White Phone: Address: 5820 Kinny Rd OLYMPIA, WA 98512 Site Address: 100 E BLENHEIM PL Primary Parcel Number: 321225000377 Permit Description: New 3bd ATU to subsurface drip Permit Submitted Date: 05/09/2025 Permit Issued Date: 05/27/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/22/2028 (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 MASON COUNTY DATE RECEIVED: 5/9/2025 � Cl, 3,timIM c CA AMOUNT RECEIVED: 555 RECEIVED BY: CO CD Public Health & Human Services online v_ r Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 < Cl) 415 N.6th Street - Shelton,WA 98584 SWG 2025 - 00173 0 0 z U) CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION D 5. n APPLICANT PHONE m rn m GARY WHITE 3607640598 z c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g 5820 KINNEY RD SW OLYMPIA WA 98512 m 7) S100EITE EBLENHEIZM-STREET CITY, CODE PL SHELTON WA 98584 I N NAME OF DESIGNER PHONE N ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE a C) TBD TBD < o co PERMIT TYPE(select one) DRINKING WATER SOURCE O L�J RESIDENTIAL OSS COMMUNITY OSS In COMMERCIAL OSS E PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL z J C TYPE OFV�ORK(selectone) Q PUBLIC WATER SYSTEM LAKE LIMERICK I E-NEW CONSTRUCTION/UPGRADES ff REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR SUBMITTALS CISURFACING SEWAGE 0 EXISTING FAILURE ElSHORELINE toC Iy DESIGN FORM(REQUIRED) I l SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/12025? r 3 0.31 0 ' 6WAIVER(S)(IF APPLICABLE) YES NO 0 DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate) E ST ANDREWS DR TO A LEFT ON BLENHEIM TO SITE AT END ON THE RIGHT. r O --I 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 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS All test holes 0-20/22 GLMS, 20/22+ mott and compacted I RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: 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 APPLICATIONAPPROVFD/ISSI IFD RY DATE f -'414)11111\fS(wt 5/22/25 5/22/28 EH APPROVED Rhonoa Thompson 05,27,2025 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 A DESIGN FORM—PAGE ONE Assessor's Parcel Number: 321225000377 -- -- A design will be reviewed when 3 copies 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: 11"X I " PARCEL IDENTIFICATION Permit Number: SWG 2025-00173 Designer's Name: ADAM HUNTER Applicant's Name: GARY WHITE Designer's Phone Number: 3607531226 Mailing Address: 5820 KINNEY RD SW Designer's Address: PO BOX 162 OLYMPIA WA 98512 City State Zip OLYMPIA WA 98507 City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM DESIGN PARAMETERS Treatment Device ❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter Et ATU NUWATER BNR600 U Other Treatment Level(check all that apply): J A ,J B J C J BLI J BL2 J BL3 J E J N Drainfield Type ❑Gravity 0 Pressure 0 Trench 0 Bed EfSub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class DRIP Daily Flow:Operating Capacity 270 gpd Length 90 ft Daily Flow:Design Flow 360 gpd Diameter 1/2 in Septic Tank Capacity(working) BNR600 gal Number 5 Receiving Soil Type(1-6) 3 Separation 1 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 450 ft2 Total Number of Orifices 450 Designed Primary Area 450 ft2 Diameter DRIP in Designed Reserve Area 675 ft2 Spacing 12 in Trench/Bed Width 18 ft Manifold Trench/Bed Length 25 ft Schedule/Class 40 Elevation Measurements Length 25 ft Original Drainfield Area Slope 12 % Diameter 1 in New Slope,If Altered 12 % Preferred manifold configuration used? I1Yes 0 No Depth of Excavation Up-slope 8 in Transport Pipe from Original Grade Down-slope 8 in Schedule/Class 40 Designed Vertical Separation 12 in Length 50 ft Gravel-based Drainfield Required? 0 Yes RI No Diameter 1 in Pump Required? I 'Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 12 Diff. in Elevation Between Pump&Uppermost Orifice 7 ft Dose quantity 30 gal Drainfield Squirt Height/Selected Residual(head) N/A ft Chamber Capacity(flood) 1200 gal Uppermost Orifice @!'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 13.2 gpm 10'Timer Ei'Elapse Meter TA Event Counter Calculated Total Pressure Head 94.3 ft If Timer: Pump on 9.52MIN ,Pump off 2HRS Comments EH APPROVED Rhonda Thompson 05/27/2025 Revised:4/14/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 321225000377 -- Permit Number: SWG 2025-00173 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch g Test hole locations ®' Drainfield orientation and layout Reference depth from original grade: g Soil logs g Trench/bed dimensions and ' Septic tank g Property lines critical distances within layout o' Drainfield cover g Existingand proposed wells ' D-Box/Valve box locations P P Reference depth from original grade within 100 ft of property ' Septic tank/pump chamber and restrictive strata: 13 Measurements to cuts,banks,and locations ❑ Laterals,trench bed,top and surface water and critical areas ®' Observation port location bottom a Location and orientation of ®' Clean-out location ®' Curtain drain collector curtain drain and all absorption ' Manifold placement 9' Sand augmentation components 9' Orifice placement Other cross-section detail: 9' Location and dimension of Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 9' Buildings g Audible/visual alarm referenced Yes No El Direction of slope indicator ❑' Scale of drawing shown on scale E' 0 Design staked out 9' Waterlines bar 0 0 Recorded Notices attached 9' Roads,easements,driveways, ❑✓ Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components 9' 0 Pump curve attached 9' 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 not''ed b '- aller at time of installation Yes 0 No 5/S/25 !nature 'signer Date It° The undersigned has reviewed this • 1. on behalf of Mason County Public Health and determined it to be in compliance with state and local on-si regulations: > ,y, s W/L 5/27/25 Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved" by Mason County Public Health. 5/22/28 / The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ 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 r I in N 0 o N N x� M w r -,; s=r Q 2 41111 .,.-f, ``� v s c 110-1 3a _"sy N3 .1E.1 s1 If� IiA� ! IU I 111 DAM '' gl2o If g 3�yan°,, l s It g is 3 $slat al$2a aaa a gg �8;3e rcFa3 t_ 'S sF 3LL oogs 88 dLL< :S`oit.i Ili i.,13APILA '0ca H g E msaa{j a2 'd"t as flId i e.a i` '°g`,a syi3O,,4 3wi5 6 ?ii'tg-'24a3 €! !' Y Y W 3 as o5 b$ 1HI' ipel 4g 3 t o c"m ,-o3 cn g m L 3 m ? g`�g'a d$ g`- cz 2. mF n o i `$` _ " a 3 s 9 9 ,p 5 Qt188B€ -0 v y- o =s 9? ' ui F �a '2 $ p a iiisig yp°: 3 g i p 8 46 11 t$ o Y °s>F�c�yes � _ Il 'el;ba E E o U o E CD <~;! a e _ x a3 H6 - = o _ a x ^ a ^ ^ ^ t0 N c g8872 41 i g f.3li{a a ' T_ i gF i ` i ? 21 ,3 p c Ia i s g l 1 ., d d o Z R s d i F a % 1 E g a I; Q c e t : ft T .t: nN aw IT: c a l l P o°: .o mo s s^ 3 °A 9 .9 R € A 8 m i :hi! i5S iiin Y u IT ,s3i�se xs z 3 • Piliiiiiiiii _ .mt- "�€ u.. i$ts'8o 4 Orenco Technical Data Sheet SYSTEMS Using a Pump Curve A pump curve helps you determine the best pump for your system.Pump curves show the relationship between flow and pressure(total dynamic head or"TDH"),providing a graphical representation of a pump's optimal performance range.Pumps perform best at their nominal flow rate.These graphs show optimal pump operation ranges with a solid line and flow rates outside of these ranges with a dashed line.For the most accurate pump specification,use Orenco's PumpSelect'"software. Pump Curves 500 e� i� 400 i 1 •■■■® PF10 Series,60 Hz,0.5-1.0 hp, - -+PF20 Series,60 Hz,0.5-1.5 hp 400■■■■■ o��mJ 350 PF2015 1 ■■■■■■■■■■■■■ `co 350 PF101J■■■■■■■■■■■■■■■ ,Oa - �M■■■■■■■■■■■■■u 300 I ' C 300 PF1007 li•■■■■■■uuuu p 1PF2010� a 250 PF1005 ■■ �,■■■ ■■■ as 200 r 200 �1'8■�Q■■11■■■■ a '_ ■■■1.01■11 ►� ■■■■ 005J \...'• c 150 ■■■■■�E.�`\\..■■■■ c 150 PF2 -........ -lorniailimml a a 100 aloo ����� �i�i■■■■ o IMENELIIIII OM 0 2 4 6 8 10 12 14 16 18 0 5 10 15 20 25 30 35 40 Flow in gallons per minute(gpm) Flow in gallons per minute(gpm) 900 i I l PF3050 i - r PF30 Series,60 Hz,0.5-5.0 hp — 800 m -- 700 c soo 5025 500 PF3030) . �:. N.s: ces ti m o Oa 400 PF3020 "`�� co PF3015 •. ' 300 AMU!HUNTER •• a PF3010 — 1'—,...,•:ilv�iaii- ;t. 200 - 26 o PF3007� 100 PF3005 00 5 10 15 20 25 30 35 40 45 E H APPROVED Flow in gallons per minute(gpm) Rhonda Thompson 05/27/2025 NM-PO-PF-5 Orenco Systems°•800-348-9843•+1 541-459-4449•www.orenco.com Rev.3©01/21 Page 4 of 5 /7::" co IVCDir, co 1 Ul m 180't 1 1 0 6 C) co m m • \ ,\ u, 0 io _ m \ 1 D / > N r O `� V l 0 m m v 0 .•. q). 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