HomeMy WebLinkAboutSWG2025-00435 - SWG Application / Design - 11/14/2025 MASON COUNTY 415 N 6TH STREET,SHELTON, E,E 400 98584
SHELTON:360 427-967XT
J 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: SWG2025-00435
APPLICANT YOUNG MICHAEL&JACLYN Phone:
Address: PO BOX 955 BELFAIR, WA 98528
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
Site Address: 90 E QUAIL HILL RD
Primary Parcel Number: 122093490090
Permit Description: New 3bd pressure subsurface drip for proposed ADU
Permit Submitted Date: 10/31/2025
Permit Issued Date: 11/14/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/12/2028 (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 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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
J L
MASON COUNTY DATERECENED: I ,`U _ 3 I a./l"I11)5 C
AMOUNT RECEq/ED: RECEIVED BY. Cl)
Public Health & Human Services (k]J' murk-- a14Q..- _
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 N
415 N.6th Street-Shelton,WA 98584 S W G �O s — c -4 o O
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CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION
m n
APPLICANT PHONE m
r
MIKE YOUNG 3602654944 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE
PO BOX 955 C'Z� BELFAIR WA 98528 r
SITE ADDRESS-STREET,CITY,ZIP CODE ••
90 E QUAIL HILL RD ?› p`h BELFAIR WA 98528 I N
NAME OF DESIGNER t� PHONE I N
ADAM HUNTER S J 3607531256 CO
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' PHONE I t
NAME OF INSTALLER 'N ' a
TBD `' ' / TBD < o0
\ '�� -/ DRINKING WATER SOURCE ui I
PERMITG TYPE(soled one) C �' .� C 0 CO
R RESIDENTIAL OSS h COMMUNITY OSS ILl COMA 1IAL OSS LJ PRIVATE INDIVIDUAL WELL 5-PRIVATE TWO-PARTY WELL Z I O
TYPE OF WORK(select one) a PUBLIC WATER SYSTEM
I
E C NEW CONSTRUCTION/UPGRADES LJ REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE alC
L�1 DESIGN FORM(REQUIRED) ILv1 SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1 20257 0
C3 L l WAIVERS)(IF APPLICABLE) 2.67 El YES ❑✓ NO 0 I
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
HWY 302 TO A LEFT ON E QUAIL HILL RD TO SITE ON THE RIGHT. I
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0
I
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT El HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS ^ ,/► COMMENTS/CONDITIONS
- -�: 0-3� SLr 'vL tbt 1y K(�14�91�
l‘ ' S49 / (IrF "4471te TY4
Th : 0-3°v Lam, 3(6
-- ,( ‘ 0Am c.,.F-- , Attpti- e Li,k4
LH 9. _________J
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
( ,L,n,,,,li/Lit""` t;LI NV( ‘ik Ir.I tb iblVWYTC011
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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: 122093490090 -- --
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dated. '1 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 a[g's- 03435 Designer's Name: ADAM HUNTER
Applicant's Name: MIKE YOUNG Designer's Phone Number: 3607531226
Mailing Address: PO BOX 955 Designer's Address: PO BOX 162
BELFAIR WA 98528 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 D Other
Treatment Level(check all that apply): I A J B .J C J BL1 J BL2 I BL3 "I E I N
Drainfield Type
❑ Gravity 0 Pressure 0 Trench 0 Bed g'Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class DRIP
Daily Flow: Operating Capacity 270 gpd Length 150 ft 4.--
Daily Flow: Design Flow 360 gpd 1 Diameter 1/2 in
Septic Tank Capacity(working) 1200 gal Number 3 c/
Receiving Soil Type(1-6) 4 Separation 2.11 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 900 ft2 v Total Number of Orifices 450 �/
Designed Primary Area 900 ft2 V
Diameter DRIP in
Designed Reserve Area 900 ft2 Spacing 12 in
Trench/Bed Width 25 ft ✓ Manifold
Trench/Bed Length 36 ft Schedule/Class 40
Length 36 ft
Elevation Measurements Len g
Original Drainfield Area Slope 5 % Diameter 1 in
New Slope,If Altered N/A % Preferred manifold configuration used? IS'Yes 0 No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade Down-slope 12 in I/ Schedule/Class 40
Designed Vertical Separation 24 in Length 34 ft
Gravel-based Drainfield Required? 0 Yes Ef No Diameter 1 in
Pump Required? RI Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Diff. in Elevation Between Pump&Uppermost Orifice 12.0 ft Dose quantity 30 gal
Drainfield Squirt Height/Selected Residual(head) DRIP ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice IiiHigher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 9.2 gpm 'Timer Q'Elapse Meter iZI Event Counter
Calculated Total Pressure Head 96.1 ft If Timer: Pump on 30GAL ,Pump off 2 HRS
Comments
Revised:4/14/2025
•
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 122093490090 --
Permit Number: SWG a0(9.6 - d t L(35
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
121 Test hole locations ' Drainfield orientation and layout Reference depth from original grade:
g Soil logs Ef Trench/bed dimensions and 1 ' Septic tank
Ef Property lines critical distances within layout Er Drainfield cover
Existing and proposed wells E' D-Box/Valve box locations Reference depth from original grade
within 100 ft of property E Septic tank/pump chamber and restrictive strata:
a Measurements to cuts,banks,and locations 9' Laterals,trench/bed, top and
surface water and critical areas 9' Observation port location bottom
9' Location and orientation of 9' Clean-out location 1' Curtain drain collector
curtain drain and all absorption M' Manifold placement 9' Sand augmentation
components 0' Orifice placement Other cross-section detail:
E2i Location and dimension of ' Lateral placement with distance Observation ports/clean-outs
primary system and reserve area to edge of bed
Buildingsg Other Information
RI
Audible/visual alarm referenced Yes No
ig Direction of slope indicator 9' Scale of drawing shown on scale rif 0 Design staked out
9' Waterlines bar 0 0 Recorded Notices attached
liti Roads, easements,driveways, El Elevation benchmark and relative 0 0 Waiver(s)attached
parking elevations of system components 9' 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 m t be notified b staller at time of installation 'Yes 0 No
10;31'25
.� � re o' Designer Date
The undersigned has reviewe . '.n on behalf of Mason County Public Health and determined it to be in
compliance with state and loch - ite regulations:
hiNQA/N/C6/41 (k I U(,(Zc
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. tl I
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 74
✓ 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 PumpSelecf' software.
Pump Curves
500 1 i i 1 1 i 1 1 400 f 1 1 1 1 I 1 I I
-- PF10 Series,60 Hz,0.5-1.0 hp - PF20 Series,60 Hz,0.5-1.5 hp 1--
400 ' 350 1PF2015
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PF1010� _eu
350 a 300 •
= 300 .'" , = PF2010
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as
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ti
50 50 i
0
0 2 4 6 8 10 12 14 16 18 0 5 10 15 20 25 30 35 40
Flow in_gallons per minute(gpm) Flow in gallons per minute(gpm)
900 i i i 1 i 1 i I l 1 I I
_IPF3050 - PF30 Series,60 Hz,0.5-5.0 hp —
800
I; •, '
e 700
10/31/25
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500
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200 .f. .C. . .
100 •P L .......mam ..... APPROVED
00 5 10 15 20 25 30 35 40 45 MASONNOV 14 2025
Flow in gallons per minute (gpm) COUNTY ENVIRON�E ti T q�HEALTH
RET
NTD-PU-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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