HomeMy WebLinkAboutSWG2025-00290 - SWG Application / Design - 7/24/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
M .: 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: SWG2025-00290
APPLICANT HOCH ET AL MATHEW J Phone: 360-689-4336
Address: PO BOX 366 BELFAIR, WA 98528
OWNER HOCH ET AL MATHEW J Phone: 360-689-4336
Address: PO BOX 366 BELFAIR, WA 98528
SEPTIC DESIGNER BRAD SMITH-septic designer Phone: 253-851-2178
Address: PO BOX 1444 GIG HARBOR, WA 98335
Site Address: 6151 NE Dewatto Holly Rd
Primary Parcel Number: 223064300010
Permit Description: New 4BR shallow pressure
Permit Submitted Date: 07/24/2025
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 date 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.
8 Must maintain 150'buffer from creek
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.
Its i
•
—OFFICIAL USE ONLY
ei„,,,. MASON COUNTY DATEREaw / --,Ps -
-'r >; Public Health & Human Services AMOUNT RECEIVED$65
IRECEr�Osr; C � '�—` w cn_o y
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 I
C
415 N.6th Street-Shelton,WA 98584 S /f, G ^/^ _ o c�90 O o
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ON-SITE SEWAGE SYSTEM APPLICATION > n
APPLICANT E m n
iwyrTHec-3Z I
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE C
`.::, cC:,...::: i :§ 3 1 1
'Po Lu-)i "L&6 E6-_k_m 12_, W A g52.s p m ;
SITE ADDRESS-STREET,CITY,ZIP CODI �j •0 X 1
(a I5 I NE- Dewor,40 ffdlt! d
I
�` I� i
NAME QE DESIGNER ( `�, I
NAME OF INSTALLER PHONE
i
PERMIT TYPE(select one) DRINKING WATER SOURCE f;/J
I i
RESIDENTIAL OSSnr-COMMUNITY OSS ,rCOMMERCIAL OSS 'PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z
TYPE OF WORK(select one) Cr PUBLIC WATER SYSTEM I i
a
K NEW CONSTRUCTION/UPGRADES ❑ REPAIR/REPLACEMENT OTHER DETAILS(select all(hat apply) I I
0 TABLE X REPAIR
SUBMI S 0 SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE
i
Eff'DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEOROO LOTS E WP=•^'CREATED AFTER 4/ 57 co
0 WAIVER(S)(IF APPLICABLE) I 1 I 0
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.f` °d gate) ` X 10 i
IQ 1
�—i QAW — — " • 60 -TO 6N0 1 cfrAD 1. --y- oK77 r I"
N.)G U F1 T7 2► si,c 4 XD ( 1v IL€ of\J Lcfr
SITE MUST BE FLAGGED FROM MAIN ROAD AND TES HOLES MUST BE FLAGGED TEST HOLE NUM S t.5--riv`w r- (V
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOMESALE ❑COMPLAINT DOTHER-
INSPECTOR SOIL LOGS
COMMENTS/CONDITIONS
/Voi -4- ''-k-2-1
3 els3 . L, ,
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SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT ;
V=VERY G=GRAVELLY S a SAND L a LOAM SI a SILT C=CLAY E e EXTREMELY R=ROOTS
REQUIRED FOR FINAL APPROVAL.
S OR SIGNA�lJ E DATE APPLICATION EXPIRATION DATE 1
` APPLI TON APPROVED/ISSUED BY DATE t0, 1„,,,, ,, .(0,_,z5
THIS J4L
Y BE SCAN Eb AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
Revised:6/3/2025
II
DESIGN FORM-PAGE ONE Assessor's Parcel Number: t - 3PJ(.0 j jQ]cf [�_.l
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dated. 'I Scaled layout sketch,including all applicable items on checklist.
'd 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 JDE.1%1TIVICATION
Permit Number: SWG U� -'OD O Designer's Name: r g-.Q rill
Applicant's Name: V_A-'tii- OC)rN Designer's Phone Number: 1_ � 0 5)-Z)-7 5
Mailing Address: 3a Designer's Address: l�3 , )4k
it
lifA- 9r5 City State Zip ,I a j 1)\AA 6-t93
Citl State Zip Designer's Email Xt-a Co i(MnAt/)'9 •1
DE ioN,PARR TERS. T .
Treatment Device
❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATTU 0 Other
Treatment Level(check all that apply): ❑ A ❑B ❑C ❑ BL 1 ❑BL2 ❑BL3 CAE ❑N
Drainfield Type
❑Gravity 0 Pressure ❑Trench 0 Bcd 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals Number of Bedrooms .4 Schedule/Class S C-Ll - 40
Daily Flow: Operating Capacity gpd Length 7O ft
Daily Flow: Design Flow 0 gpd Diameter ` i S k in
Septic Tank Capacity(working) ) 7 gal Number 4'
Receiving Soil Type(1-6) 4' Separation 7'( ft
Receiving Soil Appl. Rate gpd./112 Orifices
Required Primary Area 500 ft2 Total Number of Orifices S%
Designed Primary Area 4 C) c,z_..) ft' Diameter 3 & in
Designed Reserve Area 000 ft2 Spacing (c(-) in
Trench/Bed Width 1 30 ft Manifold
Trench/Bed Length ,ydC°/.,40-.1-4 'P ft Schedule/Class
Elevation Measurements Length Z ft
Original Drainfield Area Slope 0 % Diameter in
New Slope,If Altered % Preferred manifold configuration used ❑No
c of Excavation Up-slope Depth "
P �' �J in Transport P pe
ti
from Original Grade �L�,
P
Down-s►o c in Schedule/Class 40
Designed Vertical Separation,),.. 7J in Length 50 ft
Gravel-based Drainfield Required? 0 Yc_s E;11 Diameter 24 in
Pump Required? C9'Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 7,5 ft Dose quantity (CO gal
Drainfield Squirt Height/Selected�Re idual(head) 1")_S ft Chamber Capacity(flood) 126 0 gal
Uppermost Orifice 0 Higher fir ower than Pump Shutoff Pump contr. :Please Cbe ose required.
Capacity a Total Pressure Head "
P Y� 3�7 gpm �� �� t I. ea,' lapse Meter iJ Event Counte
Calculated Total Pressure Head .b1f i .p'on /) Pump off 0 t�
Comments • .., G i G •," r
. Au
Revised: 6/11/2025
DESIGN FORM-PAGE TWO Assessor's Parcel Number.�2 ,3[Olio� U 1 1Q 1
Permit Number: SWG
DESIGN CIIECKLISTS
Sca d Plot Plan Scaled Layout Sketch Cross-Section Sketch
est hole locations ainfield orientation and layout Reference th from original ade:
��p
oil logs el rench/bed dimensions and Q' Septic
tank
tical distances within layout p
rroperty lines � Y O�rainfield cover
xisting and proposed wells p Box/Valve box locations Reference depth from original grade
E;t/ithin 100 ft of property 2/Septic tank/pump chamber and restricts strata:
asurements to cuts,banks,and locations aterals trench bed topand
urface water and critical areas
G ylea -oui location port location bottom
Location and orientation of G�'�can-out ❑ Curtain drain collector
curtain drain and all absorption 9 Manifold placement ❑ Sand augmentation
components
ifice placement Other 9 -section detail:
ocation and dimension of Lateral placement with distance Observation ports/clean-outs
primary system and reserve area edge of bed
u�ldings Other Information
udible/visual alarm referenced Yes Noo
gi ireetion of slope indicator Scale of drawing shown on scale 0 ■ si staked out
aterlines 0 orded Notices attached
ads, easements,driveways, Elevation benchmark and relative ❑ aiver(s) attached
king
ar ielevations of system components ❑ 1' p curve attached
North arrow and scale drawing 0 valuation of failure
shown on scale bar Non-residential justification i
❑ ❑ Waste strength
❑ ❑Flow
i
D�.OPROVAL
The undersigned designer must be notified byinatalterat-time ' tal ation Yes 0 No
Signature of Designed Date
The undersigned has reviewedthib-design on behalf of Mason County Public Health and determined it to be in
compliance with state and local site regulations:
F vi mental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
V The design is stamped"Approved"by Mason County Public Health.
V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: - (2..- P,0
V 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:6/11/2025
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. ' (253)135 I-2178
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• DATE: ri-- VT - "td I i JOB# ti. I-7- 5--
'4— • RE SITE: \61 I-k. -1a-At-V-910 1-1 ail . 12i)
PRESSURE DISTRIBUTION DESIGN: Worksheet for sites where laterals will be at different
1 . elevations.
I.DESIGN DISTRIBUTION NETWORK
• A DAILY DESIGN FLOW.= 4ao gpd.
B. APPLICATION RATE,based on soil type= • tO D
-:------"--.:-'-__--_ C.REQUIRED-ABSORB-MON-AREA= SOO ft
ELEC LED TRENCH OR BED WIDTH= 3ft
Bu)OR TRENCH LENG-TH=. 7-4i'D ft.
CRIP"IlON OF PROPOSED DRAINFIELD CONFIGURATION:
/TOY:24,64-
,,
r;_„..----------- -------__-__
:4,•-•1.1- WMINIFOLD ASSY.
2 NETWORK CONFIGURATION:
A LATERAL LENGTH= 70 - ti
, 1-
" B.LATERAL SPACING= (0' ft.
C. TRANSPORT PIPE LENGTH-- 1 S fi..
IAND DIAMETER= _ 2"
D.MANIFOLD LENGTH= 2ft.
LATERAL RESIDUAL ORIFICE LATERAL 40: gc.CES ORIFICE
NUMBERS PRESSURE DIS. DIS. - -7 ,u• I§PACING
(Fr) ((3PM) ((3PM) LA f':' • (FT)
-4 7 ,B
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ititia,214.;X"fita6i.41;Tig.R:2•34g_a5'''A''E, 'OM
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I. SELCECT THE MANIFOLD DIAMETER,EEt,USE APPENDIX 4: 2"
1. WITH INFILTRATOR TRENCHS,ORIFICES TO BE FACING UP:
1. RECOMMENDED DOSING FREQUENCY/DAY= DOSES/DAY.
2. RECOMMENDED DOSE VOLUE= (pv GAL.
-3_ REQUIRED PUMP CAPACITY= col q{ (P TOTAL GAL.
(sum of all discharge rates from all laterals)
3.TOTAL FRICTION LOSSES IN THE NETWORK:
A. TRANSPORT PIPE LOSS= Ar 3 FT.
PIPE PIPE FLOW FRICTION LOSS PER PIPE FRICTION LOSS
MATERIAL IAL DIAMETER (GPM) 100 Fr.OF PIPE T•FNGTH LTi PIPE
B-CALCULATE THE TOTAL ELEVATION LI7~T= FT- .
•
4.DETERMINE THE TOTAL DYNAMIC HEAD: •
• SFJ.FC-a..1.)RESIDUAL PRESSURE + 2.5 FT.
• TRANSPORT P1P1y FRICTION LOSSES + 4 FT.
• MANIFOLD ASSY.LOSSES + 2` FT.
• MANIFOLD AND LATERAL FRICTION LOSSES + 1.0 FT.
• TOTAL FT FVATION LIFT + A 5 FT.
•
• TOTAL W Tc.PTAfL= 1 (Rq mac.
•
5.SELECT A PUMP:
•
REQUIRED CAPACITY 31 GPM TOTAL DYNAMIC BEAD v FT.
USE PUMP OR EQUIVALENT
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