HomeMy WebLinkAboutswg2025-00434 - SWG Application / Design - 11/25/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
rn. , SHELTON:360-427-9670,EXT 400
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: SWG2025-00434
APPLICANT RADIN HALEY Phone:
Address: 456 FIRESTATION AVE NW SEABECK, WA 98380
SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
SEPTIC DESIGNER Hunter, Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia, WA 98512
SEPTIC INSTALLER JOE HOUSE* Phone: 360-495-4156
Address: PO Box 1820 MCCLEARY, WA 98557
Site Address: UNKNOWN
Primary Parcel Number: 619184290001
Permit Description: New 4bd pressure sandlined bed
Permit Submitted Date: 10/29/2025
Permit Issued Date: 11/25/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/24/2028 (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.
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
(04,111 MASON COUNTY DATE RECEIVED: 1 o 0.sci [2..001:5
C (n
AMOUNT REC ED: RECEIVED BY W (I)
f Public Health & Human Services ( 45 p��,I K� m
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 415 N.6th Street-Shelton,WA 98584 SW`]r
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CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION > z
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APPLICANT Is."�1` PHONE I-
HALEY RADIN ` - --� 3604701707 C
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g
PO BOX 1820 --d i / MCCLEARY WA 98557 co
SITE ADDRESS-STREET,CITY,ZIP CODE 2 . 4 73
8178 N y ThOCI -BRADY Q-:. ELMA WA 98541 a'
NAME OF DESIGNE PHONE
ADAK : l• ER Q4', ‘ .1. 3607531226
p 11 N
NAME F . ' 1-ER J PHONEa co
HO , BROTHERS 3604701707 < o
PERMIT TYPE(select one) DRINKINGIN WATER SOURCE O
RM o
LvJ RESIDENTIAL OSS b COMMUNITY OSS IO COMMERCIAL OSS L- PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z
TYPE OF WORK(se/ect one) a PUBLIC WATER SYSTEM i
c
ff NEW CONSTRUCTION/UPGRADES LJ REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR
SUBMITTALS 0 SURFACING SEWAGE CIEXISTING FAILURE 0 SHORELINEco
C
L�7 DESIGN FORM(REQUIRED) FEI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/20257 r I
0
6 nWAIVER(s)(IFAPPLICABLE) 15.1 ❑ YES /❑ NO X
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
r
0
SITE MUSS •."S '!*ROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS.
�, OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(tor reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT CI OTHER:
i 3.' INSPECTOR SOIL LOGS
COMMENTS/CONDITIONS
iV I C`1 5 Li (5-2
.4 " 4, .
Cel 4--S- ' .
iikv..
��� 6
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
Iei
' lqclAlft\r\glAN "1V11( I 1 IV(7)C6
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: 619184290001 -- --
A design will be reviewed when 3 copies of each of the following are submitted:
'1 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. '1 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.Maxim&m paper size: 11"X 17"
1 PARCEL IDENTIFICATION
Permit Number: SWG aw." - p�{3y Designer's Name: ADAM HUNTER
Applicant's Name: HALEY RADIN Designer's Phone Number: 3607531226
Mailing Address: PO BOX 1820 Designer's Address: PO BOX 162
MCCLEARY WA 98557 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 Ig Sand Lin*,d Drainfield 0 Recirculating Filter 11 ATU ❑Other
Treatment Level (check all that apply): J A �J B .J C J BLl J BL2 J BL3 I E I N
Drainfield Type
❑Gravity 0 Pressure 0 Trench I 'Bed 'Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class 40
Daily Flow:Operating Capacity 360 gpd Length 48 ft
Daily Flow: Design Flow 480 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1200 gal ✓ Number 4
Receiving Soil Type(1-6) 1 Separation 2.5 ft
Receiving Soil Appl.Rate 1.0 gpd/ft2 Orifices
Required Primary Area 480 ft2 Total Number of Orifices 80 1/
Designed Primary Area 480 ft2 / Diameter 3/16 in
Designed Reserve Area 480 ft2 V Spacing 28 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 48 ft Schedule/Class 40
Length 7.5 ft
Elevation Measurements Len g
Original Drainfield Area Slope 0 % Diameter 2 in
New Slope,If Altered N/A % Preferred manifold configuration used? 'Yes 0 No
Depth of Excavation Up-slope 38 in Transport Pipe
from Original Grade Down-slope 38 in Schedule/Class 40
Designed Vertical Separation 18 '" in Length 50 ft
Gravel-based Drainfield Required? 0 Yes 0 No J Diameter 2 Eh
Pump Required? dYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 5.1 ft Dose quantity 80 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice I 'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 46.894 gpm Timer ls7'Elapse Meter Event Counter
Calculated Total Pressure Head 9.839 ft ,A PPROVIED
GAL Pump off 4 HRS
Comments
NOV 25 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 619184290001�,-- --
. Permit Number: SWG aOx5 aY-T�4
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
FA Test hole locations E' Drainfield orientation and layout Reference depth from original grade:
121 Soil logs M' Trench/bed dimensions and l ' Septic tank
a Property lines critical distances within layout Drainfield cover
✓ Existing and proposed wells ' D-Box/Valve box locations Reference depth from original grade
within 100 ft of property ' Septic tank/pump chamber and restrictive strata:
a Measurements to cuts,banks, and locations g Laterals, trench bed, top and
surface water and critical areas a Observation port location bottom
1 Location and orientation of a Clean-out location 11 Curtain drain collector
curtain drain and all absorption 121 Manifold placement l' Sand augmentation
components 9' Orifice placement Other cross-section detail:
V Location and dimension of ' Lateral placement with distance l' Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
Buildings l' Audible/visual alarm referenced Ycs No
62( Direction of slope indicator l' Scale of drawing shown on scale l ' 0 Design staked out
0' Waterlines bar 0 0 Recorded Notices attached
Er Roads, easements,driveways, 0 Elevation benchmark and relative 0 0 Waiver(s) attached
parking elevations of system components a 0 Pump curve attached
0' North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ 0 Flow
DESIGN APPROVAL
The undersigned designer m st be ,. 'feed by ii staller at time of installation I 'Yes 0 No
10/28/25
'.ig iiii'e o 4 esigner Date
The undersigned has reviewed th s de..ign on behalf of Mason County Public Health and determined it to be in
compliance with state and local o 'te regulations:
Rdi-NtiVil
Environmental Health Spe ialist C( if
Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. t ` fz—
v'✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 1�
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#: 619184290001
DATE SUBMITTED: 10/28/25 LEGAL/LOT#: LOT 1 OF
SP#3050
SUBMITTED BY: ADAM HUNTER
APPLICANT: HOUSE BROTHERS
ADDRESS:
I.CALCULATIONS
NUMBER OF BEDROOMS= 4
RESIDENTIAL GPD FLOW= 480
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 1 GPD/FT2
REDUCTION=LEAVE BLANK IF NOT USED
DRAINFIELD SIZING
ABSORPTION AREA= 480 FT2
TRENCH LENGTH OR BED CONFIG.= 10FTX48FT SAND LINED BED
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= 1'-2"
ROCK DEPTH BELOW PIPE= 0'-6"
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION= >1'-6"
FILL DEPTH= 1'-0"
TRENCH WIDTH= 10'-0"
IV.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 80
NUMBER OF DOSES PER DAY= 6
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 3/16
APPROVED
10/28,25 NOV 25 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
•
i1V4:1'1 ••'�;�
ADM J.HUNTER
xxxsa�xst�t .;
26
14.
PAGE 2
LATERAL#1=
SQUIRT HEIGHT(FT)= 2.00
(NOTE(1):ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)SQ2 X
SO ROOT OF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 48.00
ORIFICE SPACING= 2'4"
DISTANCE FROM END CAP= 1'2"
NUMBER OF HOLES= 20
LATERAL DISCHARGE RATE= 11.724
LATERAL#2=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 48.00
ORIFICE SPACING= 2'4"
DISTANCE FROM END CAP= 1'2"
NUMBER OF HOLES= 20
LATERAL DISCHARGE RATE= 11.724
LATERAL#3=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 48.00
ORIFICE SPACING= 2'4"
DISTANCE FROM END CAP= 1'2"
NUMBER OF HOLES= 20
LATERAL DISCHARGE RATE= 11.724
LATERAL#4=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 48.00
ORIFICE SPACING= 2'4"
DISTANCE FROM END CAP= 1'2"
NUMBER OF HOLES= 20
{ LATERAL DISCHARGE RATE= 11.724
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 50.00 2.00 46.894 1.780
BC 1.25 2.00 23.447 0.012
CD 2.50 2.00 11.724 0.007
DE 48.00 1.25 11.724 0.939
TOTAL= 2.739
TOTAL HEAD LOSS **
1)FRICTION LOSS THROUGH SYSTEM= 2.739
2)ELEVATION DIFFERENCE = 5.100
3)RESIDUAL = 2.000
10/28/25 TOTAL= 9.839
• �: va�,, APPROVED
NOV 2 5 2025
•4
MASON COUNTY ENVIRONMENTAL HEALTH
26
MYERS ME3
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NOV 2 5 2025
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MASON COUNTY ENVIRONMENTAL HEALTH
RET
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