HomeMy WebLinkAboutSWG2025-00418 - SWG Application / Design - 10/23/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
611.1,
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: SWG2025-00418 `
APPLICANT MICHAEL A & LAYCE JOANEN Phone: 360-764-3437
Address: 5761 SE ARCADIA RD SHELTON, WA 98584
OWNER MARTINELL DALE M &ARICA J Phone:
Address: 161 E JOHNS CREEK DR SHELTON, WA 98584
SEPTIC DESIGNER Hunter, Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia, WA 98512
Site Address: UNKNOWN
Primary Parcel Number: 220185000117
Permit Description: New 3bd ATU to subsurface drip
Permit Submitted Date: 10/18/2025
Permit Issued Date: 10/23/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/22/2028 (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 Drainfield 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.
OFFICIAL USE ONLY
AJ� • MASON COUNTY DATE RECEIVED: O`/,ED: 16 / 2)1 p.,0 C
AMOUNT ECEI`.'EU RECE` CNEDBV: co v,
Public Health & Human Services 55 Oki NE < m
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400
415 N.6th Street -Shelton,WA 98584 S W G 0D-5 - 0044184
04418 8 z
CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION z
m n
APPLICANT PHONE mr
APA HOMES - MIKEY JOANEN 3607643437 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g
301 E WALLACE KNEELAND BLVD - STE 2 4 SHELTON WA 98584 co
SITE ADDRESS-STREET,CITY,ZIP CODE TiltXX MCLANE DR ' I SHELTON WA 98584 I INN
NAME OF DESIGNER \\r i.,,t 111) PHONE 1 C)
ADAM HUNTER OCT 20 20LJ 36N07531226 co
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PHONE
NAME OF INSTALLER IQ
TBD < o
PERMIT TYPE(select one) �� DRINKING WATER SOURCE —
RM C
L� RESIDENTIAL OSS L I COMMUNITY OSS Iii COMMERCIAL OSS 6 PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z 1
a PUBLIC WATER SYSTEM TP.IBERLAKE
TYPE OF WORK(select one) I
PE e
p� NEW CONSTRUCTION/UPGRADES LJ REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I
SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE co
c I�
1f DESIGN FORM(REQUIRED) I l SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? r
6WAIVER(S)(IF APPLICABLE) 3 0.28 ❑ YES ❑J NO 0 I I
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
AGATE TO A LEFT ON TIMBERLAKE TO A LEFT ON MCLANE TO SITE ON THE RIGHT. 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 repoling purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
0 /7/5 �c L ,pi( l/06
z'- -r,
%. 0 .7v-7 6SL / i--7 1- 1-7\( (
3 _ o " ZZ (7$1-, 1 -f-----j-' t (
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
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
1004/1yc \�1-1/1//1/ T'i \6\71-5I7�
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 220185000117 -- --
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"
PARCEL` IDENTIFICATION
Permit Number: SWG �oa6- 00L4 tg Designer's Name: ADAM HUNTER
Applicant's Name: APA HOMES-MIKEY JOANEN Designer's Phone Number: 3607531226
Mailing Address:
301 E WALLACE KNEELAND BIN Designer's Address: PO BOX 162
SHELTON WA 98584 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 lSf ATU BNR500 ❑Other
Treatment Level(check all that apply): J A J B I C J BM .I1 BL2 J BL3 I E J N
Drainfield Type
❑Gravity 0 Pressure 0 Trench 0 Bed I 'Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class DRIP
Daily Flow: Operating Capacity 270 gpd Length 150 ft
Daily Flow: Design Flow 360 gpd Diameter DRIP in
Septic Tank Capacity(working) BNR500 gal Number 3 ✓
Receiving Soil Type(1-6) 4 ✓ Separation 1.636 ft
Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices
Required Primary Area 675 ft2 s/.." Total Number of Orifices 450 `--
Designed Primary Area 675 ft2 Diameter DRIP in
Designed Reserve Area 600 ft2 Spacing 12 in .
Trench/Bed Width 18 ft Manifold
Trench/Bed Length 37.5 ft I" Schedule/Class 40
Length 18 ft
Elevation Measurements Len g
Original Drainfield Area Slope 2 % Diameter 1 in
New Slope,If Altered 2 % Preferred manifold configuration used? d Y c s 0 No
Depth of Excavation Up-slope 9 in Transport Pipe
from Original Grade Down-slope 9 in % Schedule/Class 40
Designed Vertical Separation 12 in Length 92 ft
Gravel-based Drainfield Required? 0 Yes E'No Diameter 1 in
Pump Required? I 'Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12 t✓
Diff.in Elevation Between Pump&Uppermost Orifice 7 ft Dose quantity 30 gal ✓'
Drainfield Squirt Height/Selected Residual(head) DRIP ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice Si/Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 9.2 gpm I&(Timer IV Elapse Meter gl Event Counter
Calculated Total Pressure Head 93 ftf]I (lam awn n 30GAL ,Pump off 2 HRS
Comments >N1 r R
OCT 2 3 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 220185000117 --, I --
Permit Number: SWG c O 5 - O o`-L le
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
l' Test hole locations l' Drainfield orientation and layout Reference depth from original grade:
9' Soil logs 9' Trench/bed dimensions and EC Septic tank
9' Property lines critical distances within layout ®' Drainfield cover
9' Existing and proposed wells 9' D-BoxNalve box locations Reference depth from original grade
within 100 ft of property l' Septic tank/pump chamber and restrictive strata:
1 Measurements to cuts,banks, and locations ®' Laterals,trench/bed, top and
surface water and critical areas a Observation port location bottom
9' Location and orientation of 9' Clean-out location l' Curtain drain collector
curtain drain and all absorption 9' Manifold placement a Sand augmentation
components 9' Orifice placement Other cross-section detail:
• Location and dimension of El Lateral placement with distance EX Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
a Buildings 9' Audible/visual alarm referenced Yes No
g Direction of slope indicator 0' Scale of drawing shown on scale l' 0 Design staked out
9' Waterlines bar 0 0 Recorded Notices attached
12i Roads, easements,driveways, Q Elevation benchmark and relative 0 0 Waiver(s)attached
parking elevations of system components Er 0 Pump curve attached
9' North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
O 0 Waste strength
O ❑ Flow
DESIGN APPROVAL
The undersigned designer mus se notify',, by in ller at time of installation l'Yes 0 No
10;18/25
Signs, 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:
SAO t°(ilvI1/C
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. tO
t1Vv'
✓ 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
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-�,"',. 3'` OCT'���j<;:� a4 - 2 3 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'7,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 l I I I I I 1
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Flow in gallons per minute(gpm) Flow in gallons per minute(gpm)
900 < 1 IIIIIIII APPROVED
JPI PF30 Series,60 Hz,0.5-5.0 hp I-
800 OCT O C T 23 2025
700 MASON COUNTY ENVIRONMENTAL HEALTH
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NTD-P0-PF-5 Orenco Systems®•800-348-9843•+1 541-459-4449•www.orenco.com
Rev.3 0 01/21
Page 4 of 5
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