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Home My WebLink AboutSWG2025-00299 - SWG Application / Design - 7/29/2025 LTON,WA 584 MASON COUNTY 415N6THELTON: ,S"E7-987 .EXT 400 L BELFAIR:360-275-4467,EXT 400 f Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00299 APPLICANT Hunter,Adam Phone: 360 753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 CONTRACTOR BAYSHORE CONSTRUCTION Phone: 360-866-9200 Address: 2103 Harrison Ave NW Suite 2774 OLYMPIA, WA 98502 OWNER SANDBERG JAMES A Phone: Address: 14911 E ST ROUTE 106 BELFAIR,WA 98528 Site Address: 14911 E State Route 106 Primary Parcel Number: 222222100300 Permit Description: REPAIR TO FAILING OSS (ACROSS STREET FROM 14911 E SR 106) Permit Submitted Date: 07/29/2025 Permit Issued Date: 08/19/2025 Issued By: Jeff Wilmoth Current Permit Fees Paid. $555.00 (additional fees may be required upon installation of system(. Permit Expiration Date: 08/12/2028 (based on dale of inspection] Permit Conditions: 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 2 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 5 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 7 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. ONLINE OFFICIAL USE ONLY - = MASON COUNTY DmREc Di a9 a A . w y MOUNT PLUM. PLUMOSE:: --� Public Health & Human Services i 560 o y Environmental Health 360J27-9670,ext.400 or 360-275-4467,eet 400 N ('' 4y//�� 415 N.6M Street -5Helton.WA 98584 SWG a - - 1 A z W CLEAR FORM 1 ON-SITE SEWAGE SYSTEM APPLICATION 3 z A APPLICANT PHONE m r BAYSHORE CONSTRUCTION r`E� N R ----1 3608669200 z MAILING ADDRESS-STREET CITY STATE.ZIP CODE mu? 3 2103 HARRISON AVE STE 2704 o OLYMPIA WA 98502 a SITE ADDRESS-STREET.CITY ZIP CODE I= i •O • 14900 WA 106 ((�j [Y N BELFAIR 98528 IN) NAME OF DESIGNER PHONE N iv ADAM HUNTER Lam] --/ I 3607531226 I N LLE c NAME OF INSTALLER r T m PHONE O I O BAYSHORE CONSTRUCTION 3608669200 < o w PERNR TYPE(select one) DRINKING WATER SOURCE NCD ff RESIDENTIAL OSS LI COMMUNITY 055 !!)COMMERCIAL OSS 5-PRIVATE INDIVIDUAL WELL W PRIVATE TWO-PARTY WELL Z I0 C II.� C TYPE' C OF WORK(sekc1 one) PUBLIC WATER SYSTEM E.NEW CONSTRUCTION!UPGRADES LM REPAIR/REPLACEMENT OTHER DETAILS(Select all Dutao0N) 0 TABLE X REPAIR I1 PE SUBMITTALSC E 0 SURFACING SEWAGE U EXISTING FAILURE 0 SHORELINE alH DESIGN FORM(REQUIRED) Ig SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTa1Q8g? r C M 0 I ,, cN 2 1.1 ❑ LI WA ER(5)IIF APPLICABLE! YES 0 NO x DIRECTIONS TO SITE AND SITE CONDITIONS(es.locked gale) STATE ROUTE 106 TO SITE ACROSS FROM 14911 o SITE MUST BE RAGGED FROM NAM ROAD AND TEST HOLES MIST BE RAGGED MIN TEST HOLE MAIRFRS OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FALL/RE SOURCE Oar'oWg Puwrul 0 VOLUNTARY 0 MAINTENANCEJPUMPING 0 BUILDING PERMIT °HOME SALE °COMPLAINT °OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS yt, l � RECORD DRAWING AND INSTAL ATION REPORT SOIL CODES: V-VERY G=GRAVELLY S=SAND L=LOAM S=SLT C=CLAY EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL I CTOR SIGNATURE DATE APPLICATION EXPIRATION DATE TI NAPPROVED/55VED BY DATE T9 ysvisi MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COITNTYWEBSITE Revised:4I142025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 222222100300 -- _ -- A design will be reviewed when 3 copies of each of the following are submitted: e Completed design form that has been signed and dated. e Sealed 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. pdar/mum paper size: II"A'/7" PARCEL IDENTIFICATION Permit Number SWG Q02.0 — r'Tigner's Name: ADAM HUNTER Applicant's Name: BAYSHORE CONSTRUCTION Designer's Phone Number: 3607531226 Mailing Address: 2103 HARRISON AVE STE 2704 Designer's Address: PO BOX 162 OLYMPIA WA 98502 City State Zip OLYMPIA WA 98507 City State Lip Designer's Email JHANDASSOCIATES@HOTMAILCOM DESIGN PARAMETERS Treatment Device ❑ Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU _ L'J OthePSCAR II Treatment Level (check all That apply)' J A I P .J F U RI.I — HL2 _I P1.3 I E I N Drainfield Type OSCAR II ❑ Gravity ❑ Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class DRIP Daily Flow:Operating Capacity 180 gpd Length 0S-100 ft Daily Flow:Design Flow 240 gpd Diameter 84 in Septic Tank Capacity(working) 1500 gal Number 4 Receiving Soil Type l l-6) 3 Separation 0.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft: Orifices Required Primary Area 300 ft' Total Number of Orifices OSCAR Designed Primary Area 301.5 ft' Diameter OSCAR in Designed Reserve Area 300 ft2 Spacing OSCAR in Trench/Bed Width 33.5 ft Manifold Trench/Bed Length 9 ft Schedule/Class 40 Elevation Measurements Length 28 ft Original Drainficld Area Slope 2 n/o Diameter 1 in New Slope, If Altered 2 he Preferred manifold configuration used? Yes 0 No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade 13mm,-4npe 8 in Schedule/Class 40 Designed Vertical Separation 24 in Length 20 ft Gravel-based Drain field Required? ❑Yes P1 No Diameter 1 in Pump Required? EtYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 360 Diff. in Elevation Between Pump& Uppermost Orifice 53 ft Dose quantity 0.667 gal Drainfield Squirt Height/Selected Residual (head) OSCAR ft Chamber Capacity(flood) 1200 gal Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. ' Capacity Co Total Pressure Head 50 gpm 121 Tint p��/�L et8y Event Counter Calculated Total Pressure Head 8.402 ft If Timer: P n �` ,}i?ut MIN 38SEC Comments AUG 1 9 2025 jaw Revised:4/14/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 222222100300 -- -- Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ✓ Test hole locations 6 ' Drainfield orientation and layout Reference depth from original grade: ✓ Soil logs Er Trench/bed dimensions and V Septic tank [21 Property lines critical distances within layout a Drainfield cover ▪ Existing and proposed wells V D-Box,/Valve box locations Reference depth from original grade within 100 ft of property 1f Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks, and locations a Laterals, trench/bed, top and surface water and critical areas V Observation port location bottom ❑ Location and orientation of IV Clean-out location V Curtain drain collector curtain drain and all absorption Manifold placement IV Sand augmentation components V Orifice placement Other cross-section detail: 12( Location and dimension of g Lateral placement with distance 2' Observation ports/clean-outs primary system and reserve area to edge of bed Buildings Other Information lif Audible/visual alarm referenced Yes No • Direction of slope indicator 12 Scale of drawing shown on scale g 0 Design staked out ✓ Waterlines bar 0 0 Recorded Notices attached ✓ Roads, easements,driveways, ❑ Elevation benchmark and relative ❑ 0 Waiver(s) attached parking APPffQ oLL�� nts V ❑ Pump curve attached • North arrow and scale drawing s k- ❑ 0 Evaluation of failure shown on scale bar - Non-residential justification AUG 9 2025 � - ❑ ❑ Waste strength S n.. ,-. tP,s4,; t` 0 ❑ Flow j-.. Wild_ DESIGN 48101tIVAL The undersigned designer must be notified;by installer at time of installation M Yes 0 No T - • - 7129125 ,Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local o e regulations: G / L•hLe g -�g-ems L -ill tat Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved" by Mason County Public health. v. The Onsite Sewage Permit has not expired, the Permit Expiration Date is: 8 - j2-.21,0 ✓ 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:4.142025 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#. PARCEL#.222222100300 DATE SUBMITTED.]29/2025 LEGAL/LOT#'. SUBMITTED BY: ADAM HUNTER APPLICANT. BAYSHORE CONSTRUCTION ADDRESS I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS. GPD= APPLICATION RATE= L 8 GPDIFT2 REDUCTION=. DRAINFIELD SIZING ABSORPTION AREA= 301.5 FT2 TRENCH LENGTH OR BED CONFIG.= 9FTX33.5FT PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1500 GAL-CONCRETE NEW OR EXISTING= TWO COMPARTMENT SEPTIC TANK III.DRAINFIELD CROSS SECTION SAND DEPTH= IV.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 20.00 1 00 12.000 15509 RETURN 20 00 1.00 12 000 1.5509 TOTAL= 3.1017 "TOTAL HEAD LOSS " 11 FRICTION LOSS THROUGH SYSTEM= 3.102 2)ELEVATION DIFFERENCE = 5300 /7$ '\ TOTAL= 8402 I/ II/1 • 7,29,25 APHOVE e� AUG i 9 2925 4�' I,1, V.CHECK THE PUMP CAPACITY. PUMP. AY.MOOONAL03DCPM-L1HP PUMP IMOOEL D 2£050 NJ) (PER OSCAR) EXCESS TDH 50 00 (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM 8.40 STANDARD PUMP CONFIGURATION IS SUFFICIENT' YES ) I 7/29/25 JC yl. PPROVE 1 AUG 19 2025r,I' r- ,F 14AlU 7n 0 11 I l o 325 O Oz 'n ' PP V AUG 9 9 212, ;> � ,� ��r• O. ; .._ . 4. 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