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HomeMy WebLinkAboutSWG2025-00388 - SWG Application / Design - 12/9/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 J I. 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: SWG2025-00388 APPLICANT Nate Ireland Phone: Address: 1547 101st Ave SW OLYMPIA, WA 98512 OWNER Nate Ireland Phone: Address: 1547 101st Ave SW OLYMPIA, WA 98512 SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 Site Address: XX SE Wellswood Way Primary Parcel Number: 319024100040 Permit Description: New SFR 3-bedroom pressure system with Glendon M-31 Permit Submitted Date: 09/26/2025 Permit Issued Date: 12/09/2025 Issued By: David Anderson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/30/2028 (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 ien, •••• MASON COUNTY DATE RECEIVED: / tl/I RECEIVED cn D l/ C Cl) AMOUNT RECEIV W y Public Health & Human Services �j �YtoPa a y Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 C 415 N.6th Street- Shelton,WA 98584 S W G a oa 5- - p 3 '8 o xi Z V) CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT PHONE m r NATE IRELAND 3608882973 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g c,� 1547 101 ST AVE SW 1J� OLYMPIA WA 98512 m z - \ SITE ADDRESS-STREET,CITY,ZIP CODE XX LYNCH RD Q SHELTON WA 98584 I tiO NAME OF DESIGNER PHONE 't ADAM HUNTER /�`\� ' 3607531226 I QM \ NAME OF INSTALLER CO PHONE PHONE 0 I O TBD O < o I CD ~�c PERMIT TYPE(select ono) DRINKING WATER SOURCE a .A RESIDENTIAL OSS 6COMMUNITY OSS IECOM -it;A OSS 1Z PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z TYPE OF WORK(select one) M PUBLIC WATER SYSTEM 1 PE EREPAIR NEW CONSTRUCTION/UPGRADES 1J REPAIR I REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I SUBMITTALS CI SURFACING SEWAGE 0 EXISTING FAILURE CI SHORELINE coC c 1� DESIGN FORM(REQUIRED) I�SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? r EJ WAIVER(S)(IF APPLICABLE) 3 4.95 ❑ YES © NO 0 1 XI DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate) LYNCH RD TO A LEFT ON WELLSWOOD TO SITE ON THE LEFT. I O rI 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) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS T11=C9 -16 " S:j1C. WA- t6" '-I eirt Ttivo— 12, 5i( 11, tky-4f l ` L.,/ niv( tl t i -+-? 0- 16`' 5,' c1 L 1- 41- Wt.,/ ►t,f. e vitkv‘ 4RECORD DRAWING AND INSTALLATION REPORT +. SOILV 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 APPLIC PPROVED/ISSUED BY DATE Ia/ / a zr 10 (3O/?o2 ' 1 2( /XJ z5 . ...\- THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 a DESIGN FORM-PAGE ONE Assessor's Parcel Number: 319024100040 -- -- 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. '1 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.Maximum paper size: 1I"X 17" PARCEL IDENTIFICATION Permit Number: SWG a1 5- 00 ye Designer's Name: ADAM HUNTER Applicant's Name: NATE IRELAND Designer's Phone Number: 3607531226 Mailing Address: 1547101ST AVE SW Designer's Address: PO BOX 162 OLYMPIA WA 98512 City .State Zip OLYMPIA WA 98507 City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM DESIGN PARAMETERS Treatment Device L21 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter ❑'ATU 0 Other Treatment Level(check all that apply): J A J B J C J BL1 J BL2 J BL3 J E I N Drainfield Type M-31 GLENDON 0 Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 / Schedule/Class 40 Daily Flow: Operating Capacity 270 gpd Length GLENDON ft Daily Flow:Design Flow 360 i gpd Diameter GLENDON in Septic Tank Capacity(working) 1200 - gal Number GLENDON Receiving Soil Type(1-6) 5 - Separation GLENDON ft Receiving Soil Appl. Rate 0.4 4 gpd/ft2 Orifices Required Primary Area 900 - ft2 Total Number of Orifices GLENDON Designed Primary Area 900 . ft2 Diameter GLENDON in Designed Reserve Area 900 ft2 Spacing GLENDON in Trench/Bed Width PER GLENDON ft Manifold Trench/Bed Length PER GLENDON ft Schedule/Class 40 Length 30 ft Elevation Measurements Len g Original Drainfield Area Slope 4 % Diameter 1 in New Slope,If Altered 4 % Preferred manifold configuration used? Yes 0 No Depth of Excavation Up-slope GLENDON in Transport Pipe from Original Grade Down-slope GLENDON in Schedule/Class 40 Designed Vertical Separation 12 in Length 30 ft Gravel-based Drainfield Required? 0 Yes Er No Diameter 1 in Pump Required? 12(Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day GLENDON Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity GLENDON gal Drainfield Squirt Height/Selected Residual(head) GLENDON ft Chamber Capacity(flood) GLENDON gal Uppermost Orifice I2'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. it Capacity @ Total Pressure Head GLENDON gpm i 'Timer Se Elapse Meter 471 Event Counter Calculated Total Pressure Head GLENDON ft If Timer: Pump on GLENDON ,Pump off GLENDON Comments Revised:4/14/2025 • DESIGN FORM—PAGE TWO Assessor's Parcel Number: 319024100040 -- -- Permit Number: SWG oZOa...5'_O03a DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch VI Test hole locations Eli Drainfield orientation and layout Reference depth from original grade: 1 Soil logs 61 Trench/bed dimensions and 9' Septic tank 1 Property lines critical distances within layout a Drainfield cover a Existing and proposed wells 0' D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0' Septic tank/pump chamber and restrictive strata: a Measurements to cuts,banks, and locations a Laterals,trench/bed,top and surface water and critical areas 0' Observation port location bottom a Location and orientation of Ea Clean-out location EX Curtain drain collector curtain drain and all absorption 9' Manifold placement a Sand augmentation components 9' Orifice placement Other cross-section detail: 12 Location and dimension of 9' Lateral placement with distance Ed Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information 0' Buildings 9' Audible/visual alarm referenced Yes No Direction of slope indicator 12 Scale of drawing shown on scale el 0 Design staked out 1 Waterlines bar 0 ❑ Recorded Notices attached 1 Roads, easements,driveways, 0 Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components l' 0 Pump curve attached R( North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be n a tified b, installer at time of installation RI Yes 0 No 9/18/25 of )esigner Date � The undersigned has reviewed thi•Ifign on behalf of Mason County Public Health and determin .incompliance with state and local onegulations: 4 , I ,4SaN ��N Environmental Health Specialist Date —eivi„ 2025 CAUTION: DESIGN APPROVAL IS Mason ONLYUNDER R THE FOLLOWING CONDI ION`TQ!yFq�Ty • The design is stamped"Approved"by County /0/ ��r1 ✓ 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 M PAGE • MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 319024100040 DATE SUBMITTED: 9/18/2025 LEGAL/LOT#: LOT 4 SS 14/93 SUBMITTED BY: ADAM HUNTER APPLICANT: NATE IRELAND ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 3 RESIDENTIAL GPD FLOW = 360 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.4 GPD/FT2 REDUCTION =LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 900 FT2 TRENCH LENGTH OR BED CONFIG. = PER GLENDON I II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200 GAL-CONCRETE NEW OR EXISTING= NEW III. 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