HomeMy WebLinkAboutSWG2025-00131 - SWG Application / Design - 4/11/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
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BELFAIR:360-275-4467,EXT 400
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Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00131
APPLICANT Hunter, Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia, WA 98512
OWNER OLD FARM LLC Phone:
Address: P 0 BOX 367 LILLIWAUP, WA 98555
SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 80 N AYOCK BEACH DR
Primary Parcel Number: 323035001027
Permit Description: New 2bd ATU to subsurface drip with Class A state waiver
Permit Submitted Date: 04/11/2025
Permit Issued Date: 10/10/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $720.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/23/2028 (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 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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLYrm
MASON S O N COUNTY DATE RECEIVED: /q U�Jf� - J q _ g h
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AMOUNT RECEIVE RECEIVED BY: Corn
i Public Health & Human Services 555 '� < Cl)
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 �� co
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415 N.6th Street- Shelton,WA 98584 SWG Q() J E. 2
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CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION
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PHONE 71
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APPLICANT
DOUG DEVLIN 3607904807 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g w
PO BOX 367 �.___ LILLIWAUP WA 98555 co
SITE ADDRESS-STREET,CITY,ZIP CODE `7
80 N AYOCK BEACH DR � /
, LILLIWAUP WA 98555 I N
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NAME OF DESIGNER PHONE tpADAM HUNTER r/ 3607531226
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NAME OF INSTALLER 8
TBD c. ` TBD
�"-•J .9 DRINKING WATER SOURCE O I 0
PERMIT TYPE(select one) _
RESIDENTIAL OSS 6COMMUNITY OSS EICOMMERCI F:PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z I
p"'PUBLIC WATER SYSTEM AYOCK BEACH
TYPE OF WORK(select one)
E"NEW CONSTRUCTION/UPGRADES FREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) El X REPAIR
0 SURFACING SEWAGE ❑ EXISTING FAILURE 0 SHORELINE DO
c ISUBMITTALS � r
�J DESIGN FORM(REQUIRED) INI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE 534 WAS LOT CREATED AFTER4l1I2025? 0
2 0.2 1)2. ❑ YES 0NO (7
FWAIVER(S)(IF APPLICABLE) 1
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
HWY 101 TO A RIGHT ON PEBBLE BEACH TO A RIGHT ON AYOCK BEACH TO SITE ON 1 I
THE RIGHT. o
I
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPIFI 5 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
7\-V\ 0
j2;Z COLS v,1 0,' '
7i7Z (i' S . 1 15 L 6 I
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52- 72 CClCS
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES: REQUIRED FOR FINAL APPROVAL.
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE
APPLICATION APPROVED/ISSUED BY DAT
01\14"'P W.I 91-51 1�1�� 011 61
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
DESIGN FORM—PACE ONE Assessor's Parcel Number: 323035001027 -- --
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: II"X 17"
ttP``A��RCCEL IDENTIFICATION
Permit Number: SWG 7-1 7 Designer's Name: ADAM HUNTER
Applicant's Name:
DOUG DEVLIN Designer's Phone Number: 3607531226
Mailing Address:
PO BOX 367 Designer's Address: PO BOX 162
LILLIWAUP WA 98555 City State Zip OLYMPIA WA 98507
CLEAR FORM JHANDASSOCIATES@HOTMAIL.COM
City State Zip Designer's Email
DESIGN PARAMETERS
Treatment Device
❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 11 ATU BNR600 L I Other
Treatment Level(check all that apply): IA JJ B J C J BLI J BL2 J BL3 J E {N
Drainfield Type
❑Gravity 0 Pressure 0 Trench 0 Bed Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class DRIP ✓
Daily Flow:Operating Capacity 180 gpd Length
150 ft
Daily Flow: Design Flow 240 gpd Diameter 1/2 in
Septic Tank Capacity(working) 1000 gal Number 2 ✓
Receiving Soil Type(1-6) 4 Separation 1.5 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 450 ft2 V Total Number of Orifices 300
Designed Primary Area 450 ft2 Diameter DRIP in
Designed Reserve Area 600 ft2 V Spacing 12 in
Trench/Bed Width DRIP ft Manifold
Trench/Bed Length DRIP ft Schedule/Class 40
Elevation Measurements Length 30 ft
Original Drainfield Area Slope 2 % Diameter 1 in
New Slope,If Altered 2 % Preferred manifold configuration used? 'Yes 0 No
Depth of Excavation Up-slope 28 in Transport Pipe
from Original Grade Down-slope 28 in _ / Schedule/Class 40
v
Designed Vertical Separation 24 in Length 20 ft
Gravel-based Drainfield Required? 0 Yes 6'No Diameter 1 in
Pump Required? 62'Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Diff. in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 20 gal
Drainfield Squirt Height/Selected Residual(head) 23.1 ft Chamber Capacity(flood) 1000 gal
Uppermost Orifice C 'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 6.1 gpm r21Timer Q'Elapse Meter NIZI Event Counter
Calculated Total Pressure Head 86.7 ft If Timer: Pump on 20GAL ,pump off 2HRS
Comments APPROVED
OCT 10 2025
MASON COUNTY ENV1RONM,ENIAL tltALTH Revised:4/14/2025
RET
r
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 323035001027 -- --
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
El Test hole locations ®' Drainfield orientation and layout Reference depth from original grade:
9' Soil logs 9' Trench/bed dimensions and El Septic tank
9' Property lines critical distances within layout 9' Drainfield cover
9' Existing and proposed wells 11 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 9' Septic tank/pump chamber and restrictive strata:
9' Measurements to cuts,banks,and locations ®' Laterals,trench/bed,top and
surface water and critical areas 9' Observation port location bottom
9' Location and orientation of 9' Clean-out location 9' Curtain drain collector
curtain drain and all absorption 9' Manifold placement 9' Sand augmentation
components 9' Orifice placement Other cross-section detail:
g Location and dimension of El Lateral placement with distance 9' Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
O Buildings 9' Audible/visual alarm referenced Yes No
El Direction of slope indicator 9' Scale of drawing shown on scale Ef 0 Design staked out
9' Waterlines bar 0 0 Recorded Notices attached
F Roads,easements,driveways, Q Elevation benchmark and relative 0 0 Waiver(s)attached
parking elevations of system components 1 0 Pump curve attached
9' 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 mu. •• • i-= ''Installer at time of installation l'Yes 0 No
,7 10/h/25
rure
of Designer Date
The undersigned has reviewedgn on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site+ulations: ( rO 1"/S---
is
Environmental Health S'ecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. t'z-5Jz--
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is:
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:4/14/2025
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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 ■■■. 400 i i
����t � -_ ,0.5-1.5 hp _PF10 Series,60 Hz,0.5-1.0 h PF20 Series,60 Hz
400 �■■�,� ®.� � 350 1PF2015�
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mill11111111111111MIIM IIIIIIII C 1PF2010
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Flow in gallons per minute(gpm) Flow in gallons per minute(gpm)
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APPROVED
P3050 _ PF30 Series,60 Hz,0.5-5.0 hp
800 I OCT 10 2025
cu 700 - I ` ~''- SON COUNTY ENVIRONMENTAL HEALTH
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Flow in gallons per minute(gpm)
NTD-PU-PF-5 Orenco Systems°•800-348-9843•+1 541-459-4449•www.orenco.com
Rev.3®01/21
Page 4 of 5
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