HomeMy WebLinkAboutSWG2025-00145 - SWG Application / Design - 4/22/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
I. 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: SWG2025-00145 (A U
rViY
APPLICANT KAMIN PROPERTIES LLC Phone: 360-239-6788
Address: 500 SE COLE ROAD SHELTON, WA 98584
OWNER KAMIN PROPERTIES LLC Phone: 360-239-6788
Address: 500 SE COLE ROAD SHELTON, WA 98584
SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 700 E JOHNS PRAIRIE RD
Primary Parcel Number: 320071490011
Permit Description: New commercial 270GPD Pressure sandlined bed
Permit Submitted Date: 04/22/2025
Permit Issued Date: 07/07/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $1,285.00 (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 Drainfield 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
DATE RECEIVED:
MASON COUNTY (� �{ ' 22 - 2 �2 cn
•I�. COMMUNITY SERVICES AMOUNT RECEIVED I 2? RECEIVED BY:
1✓1 COm
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Publk Health(Community Health/Environmental Health) C ro
415 N.6th S,,et•Sault n3 WA 98584 ,ext.400 S • 'G n On C — C)0 f q 5 O
415 N.6th Street•Shelton,WA 98584 V\V/ 'F/+ L_✓l Po
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ON-SITE SEWAGE SYSTEM APPLICATION z xi
APPLICANT PHONE m 1u
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KAMIN PROPERTIES 360-239-6769 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g
500SE CROLE RDODE 4 SHELTON WA 98584 co
SITE ADDRESS
700 JOHNS PRAIRIE RI �y %t, •HELTON WA 98584 I o'
NAME OF DESIGNER ��1
P ONE I N
CINDY WAITE PQ �' 360-701-0205
NAME OF INSTALLER PHONE a I CI
TBD <
PERMIT TYPE(select one) Rii DRINKING WATER SOURCE O I CD
ff RESIDENTIAL OSS COMMUNITY OSS gCSMMERCIAL OSS h PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z I
7 PUBLIC WATER SYSTEM SHELTON WATER SYSTEM
TYPE OF WORK(select one) I
I-NEW CONSTRUCTION/UPGRADES ft REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I
SUBMITTALS 0 SURFACING SEWAGE ElEXISTING FAILURE 0 SHORELINE
DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS (210(#0 LOT SIZE W I 4 .
6WAIVER(S)(IF APPLICABLE) C egh 114441AaA. 1.87 ACERS o
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gale)
GO OUT JOHNS PRAIRIE, SITE IS RIGHT ACROSS FROM CONTINENTAL FLORAL ON I o
THE RIGHT SIDE OF THE ROAD. DRIVE BEHIND THE FOOD TRAILER AND THERE 5 I 0
ARE FIVE SOIL LOGS ON TWO SEPARATE PARCELS. -
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 ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT CI HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
4\- :
0-10 -C-; II I I °I6?) Pr6 CS�b $11761
i - Sawt aS Tit /
-1%---- 0 , 6 us / (Ibi---170-ift-rvi
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 APPLICATION APPROVED/ISSUED BYh DATE
5i1ifW 51 I fr6 VA-Ninvoi hhr
THIS FORM MAY B SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 0 7 — 1 4 — 9 0 0 1 1
A design will be reviewed when 3 copies of each of the following are submitted:
v Completed design form that has been signed and dated. v Scaled layout sketch, including all applicable items on checklist
'I Scaled plot plan, including all applicable items on checklist. v 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: II"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 2025-00145 Designer's Name: CINDY WAITE
Applicant's Name: KAMIN PROPERTIES LLC Designer's Phone Number: 360-701-0205
Mailing Address: 500 SE COLE RD Designer's Address: 80 E PICKERING LANE
SHELTON WA 98584 2025
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound G 'Sand Lined Draintield 0 Recirculating Filter,Type:
❑ Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity S 'Pressure 0 Trench 5fBed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 15 EMPOYEES(PAGE 3) Schedule/Class SCHEDULE 40
Daily Flow: Operating Capacity 202 gpd Length 27 ft
Daily Flow: Design Flow 270 gpd Diameter f 1.25 in
Septic Tank Capacity(working) 1200 gal Number � �`a 4
ReceivingSoil Type(1-6) 1 �,� JP A4)
Separatio Ar Q. 2
ReceivingSoil Appl. Rate 1 z !s' o x+e?titi��le ft
PP $P�ft ,14 44-4 Fy I Orifices
Required Primary Area 270 ft- Tota;;;r be"rd itices+ ,.�l 48
Designed Primary Area 270 2 .'``' 5100418 , `�'k Q,
ft` D er c DY E W I 3/16 in
Designed Reserve Area 270 ft2 r LI E SED• NE i
.:i�..:`Ab.Nw.....-...'4a.. �J1 24 in
Trench/Bed Width 10 ft EX ES e 1 / Manifold
i
Trench/Bed Length 27 ft Schedule/Class
Elevation Measurements Length ft
Original Drainfield Area Slope 0 % Diameter in
New Slope, If Altered % Preferred manifold configuration used? 0 Yes RiNo
Depth of Excavation Up-slope 42(BOTTOM OF SAND) in Transport Pipe
from Original Grade Down-slope 42(BOTTOM OF SAND) in Schedule/Class SCHEDULE 40
Designed Vertical Separation 36 in Length 15 ft
_._._.:-., __._.....___ , ,_ . — ., _ . _ }ptional Diameter 2
Pump Required? Sff Yes 0 No Dosing and Pump Chamber in
Pump/Siphon Specifications Number of doses/day 4
Diff. in Elevation Between Pump& Uppermost Orifice 6 ft Dose quantity 50 gal
Drainfield Squirt Height/Selected Residual (head) 2 ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice I 'Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 28.32 gpm It 'Timer
C>IElapse Meter gEvent Counter
Calculated Total Pressure Head 8.21 ft If Timer: Pump on ,Pump off
Comments
CONCRETE TANKS REQUIRED, GRAVEL BASE DRAINFIELD REQUIRED, PUMP CONTROLS TO
BE SET AT TIME OF INSTALLATION. CONTROLS TO BE SET AT 202 GPD
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 0 7 — 1 4 -- 9 0 0 1 1
Permit Number: SWG
DESIGN CHECKLISTS
4 Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
titl Test hole locations 6l Drainfield orientation and layout Reference depth from original grade:
1 Pi Soil logs t� Trench/bed dimensions and Septic tank
0Property lines
4 critical distances within layout Qj Drainfield cover
fisting and proposed wells l '� alve box locations Reference depth from original grade
within 100 ft of property Septicptic to tank/pump chamber and restrictive strata:
,411easurements to cuts, banks,and locations p ( .i. ,yt 44,
6d Laterals,trench/bed,top and
surface water and critical areas RI Observation port location bottom
gYlko ation and orientation of 1Z Clean-out location 0 Curtain drain collector
curtain drain and all absorption Qf Manifold placement rif Sand augmentation
components
Gil Orifice placement Other cross-section detail:
ig Location and dimension of
lif
primary system and reserve area Lateral placement with distance lif Observation ports/clean-outs
to edge of bed
F21 Buildings Other Information
lid Audible/visual alarm referenced Yes No
0 Direction of slope indicator IZ Scale of drawingshown on scale
RI Waterlines 0 Design staked out
bar 0 0 Recorded Notices attached
0 Roads, easements, driveways, ffrElevation benchmark and relative 0 ❑ Waiver(s) attached
parking elevations of system components 1' ❑ Pump curve attached
II 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 notifed by inst ller at time of installation ef Yes 0 No 2-1
/ I U �-
2 7
Signatur� of Designer Dale
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations: ��
c�, / '117 (Zj7—
Environmental Health pecialist 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: S I I2
✓ 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 Date:4/3/2025
Cindy Waite
80 E Pickering Lane
Shelton, Wa. 98584
360-426-2113
360-701-0205
cindyewaite(c�msn.corn
5/27/2025
RE: Kamin Properties LLC
XXX E JOHNS PRAIRIE RD
Parcels #32047-14-90011
Applicant is building a 45'x 65' building to be used mainly as storage for Kamin
Properties LLC. Building will consist of one bathroom and a break room with a sink. It
may have 10 employees using 18GPD(per EPA manual) for a total of 180 GPD. I am
sizing the system to accommodate 15 employees.
Respectfully submitted
4/ L) GA)/
Cindy Waite
APPROVED
JUL 07 20MEN�ALHEAI.TH
MASON COUNTY E RET N
Cindy Waite
80 E Pickering Lane
Shelton, Wa. 98584
360-426-2113
360-701-0205
cindyewaite(amsn.com
6/9/2025
RE: Kamin Properties
500 SE Cole Rd
Shelton, Wa. 98584
SWG2025-00146 and SWG 2025-00145
The proposed buildings use will not be manufacturing or producing any products that
will be introduced to the on-site system. Bathrooms and kitchen break rooms waste will
be the only thing introduced to the on-site system. I used 18 GPD which is 3.5 GPD
higher than the EPA manual. I feel this will meet residential waste strength.
Respectfully submitted
Cindy Waite
•
APPROVED
JUL 0 7 2025
MASON COUNTY ENVIRONMENTAL.HEALTH
RET
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ORIFICE SPACING 2
Lateral# Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 27 324 60 12 2.5 2.5 27
2 27 324 60 12 2.5 2.5 27
3 27 324 60 12 2.5 2.5 27
4 27 324 60 12 2.5 2.5 27
108 48 94
TRANS LENGTH 15
GPM 28.32
K (2" SCHEDULEN 40) 284.5
FRICTION LOSS 0.210093
Squirt 2
Elevation difference 6'
TDH 8.210093
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LICENSED DESIGNER
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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EXPIRES 05 10,
X1=CLEANOUT/OBS PORTS(4)
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X3=Check Valves CO _TA., Pi<nip ila
X4=Flow Control Valves `t.i ) i,V p ii- YQ` /�
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SEDIMENTS •
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ACCESS RISER
FINISH GRADE SERVICE
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FROM SEPTIC Z �� ��
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EMERGENCY STORAGE 11
ANTI SIPHON
HIGH WATER ALARM LEVEL VALVE'
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WORKING VOLUME INDEPENDENT
NORMAL TIMER OFF LEVEL FLOAT STEM
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Specifications
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250-Series Submersible ``_ �)1\
Sump / Effluent PumpIs -W.t
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LITERS PER MINUTE
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Installation Notes
Sand Augmented Pressure Distribution System:
32907-14-90011 XXX E Johns Prairie Rd
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. Pump controls to be set at time of installation 202 GPD
3. Install system during dry weather with acceptable soil conditions
4. Gravel based drainfield required.
5. Clean C-33 or course sand to be used.
6. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
7. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
8. All ground, surface water and roof drains must be diverted away from the septic tanks
and drainfield. Ensure the final grade slopes away from these areas and water doesn't
collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains,
etc. to divert all waters.
9. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
10. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
11. Install access risers on the septic tanks, valve box and ends of laterals.
12. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
13. Lids must form a water and gas tight seal with the access risers
14. Install effluent filter specified in this design at the septic tank outlet.
15. This system must be installed by a Mason County Certified installer.
16. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
17. This design was sized per Washington Administrative CodeWAC246-272A-0230. The
operating capacity is based on 45 gallons per day per capita with two persons per
bedroom. The minimum design flow per bedroom per day is the operating capacity of
ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred
twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety
gallons per bedroom per day.
18. Install laterals with contour of the ground
19. Install trench bottoms level and always maintain a minimum of six inches into native soil
20. Install locator tape on top of all drainfield laterals.
21. Install threaded clean outs at the ends of all laterals (caps must extend t•,''rttiin six
inches of finish grade and be in a valve box as shown on diagram. Jr t
22. Install audio/visual alarm �� ,
23. Filter fabric required over drain rock prior to backfilling. If the drain r ;e4t� .1zove
the original grade, run the filter fabric at least 2 inches down the tr` A. N 'I-7 6 �y
.APPROVEf° •/IFo(.. .0 5t0 LITE +III :10
JU �� LIESIGNER •Amor-No. wookiiimoi.
MASON COUNTY EW1RONMENTAL HEALTH EXPIRES 05/101
RET
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12. Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
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JUL 0 7 2025 IU
MASON COUNTY ENVIRONMENTAL HEALTH
RET