HomeMy WebLinkAboutSWG2025-00146 - SWG Application / Design - 4/22/2025 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: SWG2025-00146 COOXI
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: UNKNOWN
Primary Parcel Number: 320071490012
Permit Description: New Commercial 450 GPD 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 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: U 1 - 2 2025.
D
.11. COMMUNITY SERVICES L DB G C Cn
AMOUNT RECEIVE(f? RECEIVED BY: co m
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r Public Health(Community Health/Environmental Health) • w C CO
415N360-4 BIN Strl.et 400 n 178584 PYt 400 S\w 2 jZ-6 - 00 I 5 O
41 S N.6th Street Shelton.WA 98584 (v-
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z ON-SITE SEWAGE SYSTEM APPLICATION > L
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APPLICANT — I PHONE m
\!- UN pip PO g) L- --Cr- 360-239-6769 2
MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE .\1 \ C
500 SE COLE RD �O \ SHELTON WA 98584 co
SITE ADDRESS-STREET.CITY,ZIP CODE �� 0
XXX JOHNS PRAIRIE 0 -�" HELTON WA 98584 I c'
NAME OF DESIGNER PHONE I N.)
CINDY WAITE n 360-701-0205
NAME OF INSTALLER Vi PHONE a
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TBD <
c Io
PERMIT TYPE(select one) DRINKING WATER SOURCE O
RESIDENTIAL OSS ff COMMUNITY OSS V COMMERCIAL OSS ft PRIVATE INDIVIDUAL WELL 6-PRIVATE TWO-PARTY WELL Z I ~
TYPE OF WORK(select one) 7 PUBLIC WATER SYSTEM SHELTON WATER SYSTEM
iir NEW CONSTRUCTION I UPGRADES fff REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I —
SUBMITTALS 0 SURFACING SEWAGE 121 EXISTING FAILURE 0 SHORELINE
Fir DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE W 14"
b WAIVER(S)(IFAPPLICABLE) 1.87 ACERS a CO
DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate)
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 ARE FIVE SOIL LOGS ON TWO SEPARATE PARCELS. o 0
I —,
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I N
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER: _
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
-13: D- 9 \ 11_ 62 "C'S , LT+
12° 1 'n
V' , O-Z'I-r�il1 17A-i-' e C S�.
,is --s--m-ft"
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
( iNflY\f/(0/1 ci i Imo- S/ ' fr Q g Xi 7 - 7hhss
THIS FORM MAY BE 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 2
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 17"
PARCEL IDENTIFICATION
Permit Number: SWG 2025-00146 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 gSand Lined Drainfield Cl Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity 6 'Pressure 0 Trench l 'Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 24 EMPOYEES(PAGE 3) Schedule/Class SCHEDULE 40
Daily Flow: Operating Capacity 337 gpd Length 45 ft
Daily Flow: Design Flow 450 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1500 gal Number - 4
Receiving Soil Type(1-6) 1 Separation 2 ft
Receiving Soil Appl. Rate 1 gpd/ft2 A43' Orifices
Required PrimaryArea 450
q ft2 Total Nu °����� Pr
i.Designed Primary Area 450 ft2 Diamet 5 J- 2:) :j/IL in
Designed Reserve Area 14J-b ft2 Spaci qd.:1
N� 24 in
AIT
Trench/Bed Width 10 ft ui ED D I E Ma Id
Trench/Bed Length Lis- ft S fate,, ,;, 2 ,SL f t r.4 e ,Z,, qV
Elevation Measurements Length • /l / 40 ' ft
Original Drainfield Area Slope 0 % Diameter 2` in
New Slope,If Altered % Preferred manifold configuration used? 0 Yes gNo
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 ( jam' ft
Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 2 in
Pump Required? 1111 Yes 0 No Dosing and Pump Chamber ,1
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 6 ft Dose quantity 56 gal
Drainfield Squirt Height/Selected Residual (head) 2 ft Chamber Capacity(flood) 1500 gal
Uppermost Orifice 6 'Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 51.92 gpm G'Timer G 'Elapse Meter gEvent Counter
Calculated Total Pressure Head 18.87 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 337 GPD
F
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 0 7 — 1 4 -- 9 0 0 1 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
it Test hole locations Gd Drainfield orientation and layout Reference depth from original grade:
6g Soil logs Di Trench/bed dimensions and 1311 Septic tank
It Property lines critical distances within layout 6g Drainfield cover
( ,Existing and proposed wells alt(Dox/Valve box locations Reference depth from original grade
within 100 ft of property lif ;Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts, banks,and locations 1_711/ „yly, ,� Laterals,trench bed,top and
surface water and critical areas Ig Observation port location bottom
14ll-,Location and orientation of 6g Clean-out location 0 Curtain drain collector
curtain drain and all absorption I/I Manifold placement 12i Sand augmentation
components lig Orifice placement Other cross-section detail:
Ft Location and dimension of l� Observation
primary system and reserve area RI Lateral placement with distance ports/clean-outs
to edge of bed
lig Buildings Other Information
Eif Audible/visual alarm referenced Yes No
ig Direction of slope indicator l Scale of drawingshownron scale
i� Waterlines El 0 Design staked out
bar 0 0 Recorded Notices attached
id Roads, easements,driveways, p Elevation benchmark and relative 0 0 Waiver(s) attached
parking elevations of system components RI '❑ Pump curve attached
gi North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be no ' ed by ins aller at time of installation El Yes 0 No
Signature f Designer ✓)ate
7 i —2-/ 2e 2i'
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 reg ations:
NAT Srn 1j7j -
cialistEnviro H Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. O�
The Onsite Sewage Permit has not expired,the Permit Expiration Date is: I I J-
( iCJ
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. I'
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
cindvewaite(a�msn.com
5/27/2025
RE: Kamin Properties LLC
690 E JOHNS PRAIRIE RD
Parcels #32W7-14-90012
Applicant is building two 50'x120' buildings. Kamin Properties wish to lease this property
to four separate businesses at a itime. The buildings will consist of two employee
bathrooms and one break room With a sink. Each business would have six employees
for a total of 24 employees at 18GPD(per EPA manual) for a total of 432GPD..
Respectfully submitted
C-.11
Cindy Waite
APPROVED
JUL 0 7 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
I
Cindy Waite
80 E Pickering Lane
Shelton, Wa. 98584
360-426-2113
360-701-0205
cindyewaitemsn.com
6/9/2025
RE: Kamin Properties
500 SE Cole Rd
4 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 COUN i Y 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 45 540 24 22 1.5 1.5 45
2 45 540 24 22 1.5 1.5 45
3 45 540 24 22 1.5 1.5 45
4 45 540 24 22 1.5 1.5 45
180 88 174
TRANS LENGTH 160
GPM 51.92
K (2" SCHEDULEN 40) 284.5
FRICTION LOSS 6.8776005
Squirt 2
Elevation difference SI
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X2=D BOXNALVE BOX rv/4„
X3=Check Valve/)
X4=Flow Control Valves ( )
X5=Soil Logs ,4,
X6-Cleanout installed in sand and original soil interface (2 )
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P YIGLu + 6"PVC
LAST ORIFICE;WITH
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ELBOW \ � �' �\\\/ \\ DRAIN ROCK; 6"MIN.
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APPROVED
JUL 07 2(0
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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WORKING VOLUME INDEPENDENT
NORMAL TIMER OFF LEVEL FLOAT STEM
FOR FLOAT
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JUL 0 7 2025
MASON COUNTY M1RO MENTAL HEALTH
RET
libSTYPUMPS _®_��.
Pump Specifications
290 Series 3/4 hp ,,-
Submersible Effluent Pump
UTERS PER MINUTE
0 50 i00 150 200 250 300
50 - I N f I I I
45 - •• - 14
40 ,
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0 0 10 20 1 30 40 50 60 70 80♦ 90
GALLONS PER MINUTE 0 JUL. 0 7 �025
!MASON CGUNTY E:NVIRQ,yy�ENTAI HEALTH
RET
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290_PI R010/IJ2015 LCopyright 2015 Liberty Pumps Inc. All rights reserved. Specifications subject to change without notice. t :1 y
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Installation Notes
Sand Augmented Pressure Distribution System:
32907-14-90012 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 337 GPD
3. Install system during dry weather with acceptable soil conditions
4. Gravel based drainfield required.
5. Clean C-33 or coarse 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 risersiare 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 (c s must extend to within six
inches of finish grade and be in a valve box as show iagram.
22. Install audio/visual alarm
23. Filter fabric required over drain rock prior to bac . If drain rock extends above
the original grade, run the filter fabric at least 2 ' _ i e trench wall.
APPROVED .w N�"� �N� I n "
J U L 0 7 2025 oY E WA
C�ENS,E�
MASON COUNTY ENVIRONMENTAL HEAL:, =•,.� .,a
RE .
T
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.
4
2
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LICENSED DESIGNER
APPROVED
JUL 0 7 2025 l l 1)/
MASON COUNTY ENVIRONMENTAL HEALTH
RET