HomeMy WebLinkAboutSWG2025-00404 - SWG Application / Design - 10/3/2025 A .: MASON COUNTY 415 N 6TH STREET,SHELT967 ,E 98400
SHSTREE ,S 42 TON, ,EXT 584
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: SWG2025-00404 W0
EQUITY TRUST COMPANY CUSTODIAN ," ' )
APPLICANT FBO CHRISTOPHER FARNSWORTH Phone: 801-867-4695
IRA
Address: 2047 ARAB DR SE TUMWATER, WA 98501
EQUITY TRUST COMPANY CUSTODIAN
OWNER FBO CHRISTOPHER FARNSWORTH Phone: 801-867-4695
IRA
Address: 2047 ARAB DR SE TUMWATER, WA 98501
SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 120 E OLD FARM RD
Primary Parcel Number: 220192290011
Permit Description: New 4bd pressure bed
Permit Submitted Date: 10/03/2025
Permit Issued Date: 10/13/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/08/2028 (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.
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 ONLY
MASON COUNTY DATE RECEIVED `�'�/t�� /�� C >
J AMOUNT REC VED U S RECEIVED BY CJ CO Cl)
f Public Health & Human Services 555 �>r2oe of v_
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 /�r� ^G ,1 00
415 N.6th Street- Shelton,WA 98584 S W G /V,'l - DO q(A5 xi
oS�J z U)
CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION D -0
APPLICANT �`\ PHONE M
CHRIS FARNSWORTH ��`.�� 801 867-4695
MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE
2047 ARAB DR SE 0`,,.. .' UMWATER WA 98501 m
SITE ADDRESS-STREET.CITY ZIP CODE
\1,0 E.L OLD FARM RD e o SHELTON WA 98584 I N
� NAME OF DESIGNER PHONE
0,,,,V
JIM HUNTER7 360 753-1226
ON',
t
PHONEINNAME OF INSTALLER J 0 N)
T� C I eD
- i (/) O
PERMIT TYPE(select one) DRINKING WATER SOURCE O Q
RESIDENTIAL OSS EcommuNiTyOSS F COMMERCIAL OSS E-PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z I -
TYPE OF WORK(select one) PUBLIC WATER SYSTEM I
R.-NEW CONSTRUCTION/UPGRADES EREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I
SUBMITTALS
0 SURFACING SEWAGE ❑ EXISTING FAILURE ❑ SHORELINE
� �
C
Lf DESIGN FORM(REQUIRED) IM SEPTIC DESIGN(REQUIRED) BEDROOMS IZE GL`-` WAS LOT CREATED AFTER 4/1f2025? O I
E WAIVER(S)(IF APPLICABLE) 4 ES L-4 ❑ YES Q NO n
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
HWY 3, SOUTH ON AGATE, EAST AT STOP SIGN, SOUTH ON E OLD FARM RD TO I
FIRST DRIVEWAY ON RIGHT. I- I
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/PUMPING
0 BUILDING PERMIT� ['HOME SALE ['COMPLAINT 0 OTHER
INSPECTOR SOIL LOGS �� C� �tJ�'L� � `III ah„�j� COMMENTNDI� quiticl— ,,,,r � tiJ v r_l "`"-...fff�GCS \ ` . .
40= (0-. '; k-1,S I ?-kioi'i- cw > V Vic.
0 ...3* .,,�,
81.12e{
Kik
A ‘A)DTI �'"� c
5-41
0_0 1,*K . -A 1^1-
V RECORD) 5'0 d utA chu-e-(
R AND INSTALLATION REPORT
SOIL CODES: J`'VJJ
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOT REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
pv mkt* \pkbIvc llbIvr). `°I -S---
THIS FORM MAY BH SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
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' DESIGN FORM—PAGE ONE Assessor's Parcel Number: 22019-22-90011•- --
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 ac 5- co 440 Designer's Name: JIM HUNTER
Applicant's Name: CHRIS FARNSWORTH Designer's Phone Number: 3607531226
Mailing Address:
2047 ARAB DR SE Designer's Address: PO BOX 162
TUMWATER WA 98501 City State Zip OLYMPIA WA 98507
City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM
DESIGN PARAMETERS
Treatment Device
❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU U Other
Treatment Level(check all that apply): J A J B J C J BL1 J BL2 I BL3 J N
Drainfield Type
❑Gravity li['Pressure 'Trench Ii21"Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class SCH40
Daily Flow:Operating Capacity '2(4 0 gpd Length 80 ft
Daily Flow:Design Flow zoo gpd Diameter C ) in
Septic Tank Capacity(working) 1200 gal Number
Receiving Soil Type(1-6) 4 Separation 44) • • f
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area eLi 0 ft2 Total Number of Orifices 135
Designed Primary Area 600 ft2 Diameter lam. " in
Designed Reserve Area B d`'3 ft2 Spacing d"- 21 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 80 ft Schedule/Class SCH40
Elevation Measurements Length 1 ft
Original Drainfield Area Slope C`) % Diameter 2 in
New Slope,If Altered O % Preferred manifold configuration used? l 'Yes 0 No
Depth of Excavation Up-slope 2 t( in Transport Pipe
from Original Grade Do -slope 2 4 in Schedule/Class SCH40
Designed Vertical Separation 24 in Length 200 ft
Gravel-based Drainfield Required? 0 Yes d No Diameter 2 in
Pump Required? dYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 5•5 ft Dose quantity 80 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice 12'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 55.610 gpm 'Timer Elapse Meter IQ Event Counter
Calculated Total Pressure Head 20.836 ft If Timer: Pump on N/A ,Pump off N/A
Comments
APPROVED
OCT 13 2025 Revised:4/14/2025
MASON COUNTY ENVIRONMENTAL HEALTH
P1 rT
•
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 22019-22-90011--o --
Permit Number: SWG o 5 - 6 Q Lior '
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
til Test hole locations ®' Drainfield orientation and layout Reference depth from original grade:
12f Soil logs ' Trench/bed dimensions and ' Septic tank
121 Property lines critical distances within layout ®' Drainfield cover
121 Existing and proposed wells 12f D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 1i Septic tank/pump chamber and restrictive strata:
62f Measurements to cuts,banks,and locations ®' Laterals,trench/bed,top and
surface water and critical areas 9' Observation port location bottom
6' Location and orientation of 9 Clean-out location 9' Curtain drain collector
curtain drain and all absorption 1 ' Manifold placement 9' Sand augmentation
components 9' Orifice placement Other cross-section detail:
g Location and dimension of Er Lateral placement with distance 9' Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
9 Buildings Et Audible/visual alarm referenced Yes No
ig Direction of slope indicator 9 Scale of drawing shown on scale 1r 0 Design staked out
121 Waterlines bar 0 ❑ Recorded Notices attached
9 Roads,easements,driveways, 0 Elevation benchmark and relative 0 0 Waiver(s)attached
parking elevations of system components 11 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 must be notified : ,,, /•t
. - i,e of installation 0 Yes 1i( No
.��IPIP1f f 0 `3-zS'
Signatu • o-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 on-site regulations:
(CI (1 )zC
Environmental Health ecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. O l�V I��
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: `
✓ 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
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 22019-22-90011
DATE SUBMITTE 10/03/25 LEGAL/LOT#: LOT 1
BLA 2204
SUBMITTED BY: JIM HUNTER
APPLICANT: CHRIS FARNSWORTH
ADDRESS: 2047 ARAB DR SE
TUMWATER,WA 98501
I. CALCULATIONS
NUMBER OF BEDROOMS = 4
RESIDENTIAL GPD FLOW= 480
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 800 FT2
TRENCH LENGTH OR BED CONFIG. = 10 FT X 80 FT
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE = 1200 GAL.CONCRETE
NEW OR EXISTING= NEW
III. DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= GRAVELLESS CHAMBERS
ROCK DEPTH BELOW PIPE= GRAVELLESS CHAMBERS
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION = >2'-0"
FILL DEPTH = 1'-0"
TRENCH WIDTH = N/A
IV. PUMP REQUIREMENT
DOSING VOLUME IN GALLONS = 80
NUMBER OF DOSES PER DAY= 6
co -3—zs-
V. PRESSURE CALCULATIONS r�%
USING PIPE CLASS 40
ORIFICE 1/8 1‘
1,,k
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APPROVEDt►CFriisko fveSc,,►,r
OCT 13 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
PAGE 2
LATERAL#1 =
SQUIRT HEIGHT(FT) 5.00
(NOTE(2):ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)SQ2 X
SQ ROOT OF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 80.00
ORIFICE SPACING= 1'9"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES = 45
LATERAL DISCHARGE RATE= 18.537
LATERAL#2=
SQUIRT HEIGHT(FT) 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 80.00
ORIFICE SPACING= 1'9"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES = 45
LATERAL DISCHARGE RATE= 18.537
LATERAL#3=
SQUIRT HEIGHT(FT) 5.00
ORIFICE DISCHARGE RATE = 0.41193
LATERAL LENGTH IN FEET= 80.00
ORIFICE SPACING= 1'9"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 45
LATERAL DISCHARGE RATE= 18.537
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 200.00 2.00 55.610 9.761
BC 1.80 2.00 37.073 0.041
CD 3.40 2.00 18.537 0.022
DE 80.00 2.00 18.537 0.512
TOTAL= 10.336
"TOTAL HEAD LOSS
ti ( � -3-zs
1)FRICTION LOSS THROUGH SYSTEM= 10.336
" �✓ �
2)ELEVATION DIFFERENCE = 5.500
�
" fit. 3)RESIDUAL 5.000=J�F
R c TOTAL= 20.836
iu!+F. R.rR tJi_ CR
92.
,� APPROVED
O C T 13 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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. OCT 13 2025 -
MASON COUNTY ENVIRONMENTAL HEALTH
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