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HomeMy WebLinkAboutSWG2026-00008 - SWG Application / Design - 1/5/2026 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 J` 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: SWG2026-00002 (OU�� APPLICANT OLYMPIC PENINSULA TRS LLC Phone: Address: C/O ORBIS INC CHARLOTTE, NC 28273 APPLICANT Patricia and Jeffrey Hokenson Phone: Address: 130 E LANTERN LOOP SHELTON, WA 98584 OWNER OLYMPIC PENINSULA TRS LLC Phone: Address: CIO ORBIS INC CHARLOTTE, NC 28273 SEPTIC DESIGNER DALE TAHJA* Phone: 360-463-8023 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 Site Address: UNKNOWN Primary Parcel Number: 221283100000 Permit Description: New 3bd ATU to pressure trench Permit Submitted Date: 01/05/2026 Permit Issued Date: 01/27/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $1,015.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/13/2029 (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 MASON COU��� DATE RECEIVED:l' 5 --Q_cf-lp C cn AMOUNT RECEIVED: RECEIVED BY v m Public Health & Human Services Z\SS ° ' Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 C Cl) 415 N.6th Street-Shelton,WA 98584 S W G a-0 3(p p _to 004 o 5 71 Z CI) ON-SITE SEWAGE SYSTEM APPLICATION z xi APPLICANT PHONE 171 Patricia & Jeffrey Hokenson (360) 229-2022 z c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E 130 E. Lantern Loop Shelton WA 98584 °m° SITE ADDRESS-STREET,CITY,ZIP CODE • Shelton WA 98584 I NAME OF DESIGNER PHONE I N Dale L. Tahja (360) 463-8023 NAME OF INSTALLER PHONE -a v I PERMIT TYPE(select one) DRINKING WATER SOURCE I N (RESIDENTIAL OSS 51COMMUNITY OSS 51COMMERCIAL OSS KA PRIVATE INDIVIDUAL WELL 57 PRIVATE TWO-PARTY WELL Z I 00 TYPE OF WORK(select one) ?PUBLIC WATER SYSTEM t ff NEW CONSTRUCTION/UPGRADES 51REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I W SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE CO i l] DESIGN FORM(REQUIRED) 9 SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? 0 I - El WAIVER(S)(IF APPLICABLE) 3 40acre FIVES ®✓ NO n I DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I 0 North on Hwy 3, right on Krabbenholf Rd., right on Cottonwood, meet Jeffrey (360)229-2022 I o at the locked gate. I o I o Io SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I 0 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE El COMPLAINT ❑OTHER INSPECTOR SOIL LOGS COMMENTS I CONDITIONS 110 : 0 '3(o 4 C S / 36 -f- co'"p�- g --I -7/2 0 Ni 61 CC 39f— C 0 PAPC4(4-- . 4?*••7' 'sr'l v 1 tioi a � A u ' I1 vl ' - � v C o a_4 ra ve. � 1; ' ti<�/5° `I \r2. c o f a /7L5 04 . 6( Se Ci� RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: JJ 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 UrVA1(17 CD Alt I(3 l f ,312-'1 k (z7lz4 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:6/3/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 2 8 3 1 0 0 ' 0 0 ' 0 A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist. v Scaled plot plan,including all applicable items on checklist. v 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 raper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 2026-00002 Designer's Name: Dale L.Tahja Applicant's Name: Patricia&Jeffrey Hokenson Designer's Phone Number: (360)463-8023 Mailing Address: 130 E. Latern Loop Designer's Address: 2450 W.Deegan Rd.W. Shelton WA 98584 City State Zip Shelton WA 98584 City State Zip Designer's Email daletahla©smail.com DESIGN PARAMETERS Treatment Device O Glendon O Sand Filter O Mound O Sand Lined Drainfield O Recirculating em -u Filter U NuWater ❑Other Treatment Level(check all that apply): O A eF B ❑C O BLl PIrc BL2 'BL3 'E erN Drainfield Type ❑Gravity lePressure Trench O Bed O Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Sch.40 Daily Flow:Operating Capacity 270 gpd Length 60 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,000 gal Number 2 Receiving Soil Type(1-6) 1 Separation 10 ft Receiving Soil Appl. Rate 1.0 gpd/ft2 Orifices Required Primary Area 360 ft2 Total Number of Orifices 60 Designed Primary Area 360 ft2 Diameter 1/8 in Designed Reserve Area 360 ft2 Spacing 24 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 120 ft Schedule/Class Sch.40 Elevation Measurements Length 25 ft Original Drainfield Area Slope 7 % Diameter 1.25 in New Slope,If Altered 5 % Preferred manifold configuration used? O Yes airNo Depth of Excavation Up-slope 18 in Transport Pipe from Original Grade Down-slope 15 in Schedule/Class Sch.40 Designed Vertical Separation 18 in Length 10 ft Gravel-based Drainfield Required? O Yes Ei No Diameter 2 in Pump Required? E'Yes O No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 67.5 gal Drainfield Squirt Height/Selected Residual(head) 6 ft Chamber Capacity(flood) 1,200 gal Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 30 gpm l ' Timer li Elapse Meter ®' Event Counter Calculated Total Pressure Head 15 ft If Timer: Pump on 3.37 min. ,pump of 5 hrs.56.63 Comments APPROVED JAN 272026 ENVIAN.�F__NT�L HEALTH RET Revised:6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number 2 2 1 1 2 8 3 " 1 0 0 1 0 0 0 Permit Number: SWG 2026-00002 DESIGGN CHECI LISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Id Test hole locations V Drainfield orientation and layout Reference depth from original grade: Rf Soil logs V Trench/bed dimensions and ge Septic tank Er Property lines critical distances within layout ®' Drainfield cover 1r Existing and proposed wells lir D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0' Septic tank/pump chamber and restrictive strata: iV Measurements to cuts,banks,and locations It Laterals,trench/bed,top and surface water and critical areas iir Observation port location bottom Er Location and orientation of V Clean-out location O Curtain drain collector curtain drain and all absorption er Manifold placement O Sand augmentation components Er Orifice placement Other cross-section detail: le Location and dimension of er Lateral placement with distance Fr Observation ports/clean-outs primary system and reserve area to edge of bed Other Information Buildings V Audible/visual alarm referenced Yes No lie Direction of slope indicator l' Scale of drawing shown on scale er ❑Design staked out et Waterlines bar O O Recorded Notices attached PJ Roads, easements,driveways, V'Elevation benchmark and relative O O Waiver(s)attached parking elevations of system components I O Pump curve attached ✓ North arrow and scale drawing O O Evaluation of failure shown on scale bar Non-residential justification ❑ O Waste strength ❑ ❑Flow DESIGN APPROVAL The undersigned designer m notified in, r=at time of installation VYes O No \ &4!)•-.: '',----._ --\';1(le \---V\-- --- Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determi A 4 z compliance with state and local on-site regulations: tier,50/11 _Environmental HCD ealt Specialist (7;14 Date �\ ��S vi "'o co r '1i U b 1 CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDI \:�� o , ✓ The design is stamped"Approved"by Mason County Public Health.s( The 1 I r3�2� 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:6/11/2025 Mason County WA GIS Web Map r':L., ''''' ''74.-^° f, .� 1‘, I/ Z J'.....„.Y.---.,,,:w.?,',..,.:..,..,. ::: ::..„,;,,,,,,, //)///i/jiiiiirr-1/1/7 /;///...'''../ yam ;1;1 /Ir.,._s ,-,: fri 7 zl... . -— '-' -3 (I. ) � z S !llfff/// tr_- a ', Huh. . ' .I ' 3 d .t _. • tiJ _ l .. :J�ti{`. R w. ._ 1.JJ� _.:; �-_ ..4i1�A;: i! V ,, , -' '''',--V-: 6i '' filet '. . .:Lt ,44 :'.=-.Aih 41,-f-....".4.4'. i ;. .,1ft qtr 'i fit. 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P117.\\-1,C.\cx.4kgre..‘t �� � ; . .. . .._.._.___ _� ,APPROVED JAN 27 2026 . ] P, ?\.,::',Oc1 MASON COUNTY ENVIRONMENTAL HEALTH vt = ' ..-----r, RED \P C ( iii + f 4 , , x / H 1 4:‘ . • i , 4 1 - k i i.. .............. ...... ........ .... ` - - .t _ __ _ , ,14 i +4 - Lea (, , Mt ;l+ : s 0 Dal L.Tahia / I '� UCENSED DE R 4 e li, if -(- 41:), _ fri 0 or -ft 0 { I J. TAf� \�, ; ftif V i3 , Life "... ''' -.----- . i t i ii r-- • , , . g 50 , .,-. r 91) g : „, . 41.10'--- ' . A.,...... ...... g g„.... ; .--- 73-1':<,-0 k_ . " g (.)0‘ . . I —40 ' O r - ----------(-. - ,. , • , r c` I I i 1 i ' 1 1 r I fr-7 : 1 APPROVED►\ JAN 2 7 2026 K � r . 1 MASON COUNTY ENVIRONMENTAL.HEALT ' i RET i I 1 I I I 1 - 1 i I \ i i ` � 1 �(" �r I NI- �° 1 \\\ i I • , \ \ X • 1 % 1 i L _ -_ _ _ _ . _ _ .._..___ _ _ _____ __ _.__�_ __1 f h ‘i, In., C� IQ. /I 0 j.,--- . 4,- D gilt (N .40 - PI o • J ♦ .'% S *1.4. %,.41ii 4 . ' hi kis,• r � . Tr- 1 ♦ Z 5c a n s r9TArE `% 1 m Grp 4: ..l• \\‘` 121 Z ...s. JAN 2 7 2026 O MASON COUNTY ENVIRONMENTAL HEALTH O 0-- RET i o-g; -- -- ; G IPit I (--i:46, V;" . <I ---. I - . ... -4,--- -6 , ,._. . . ,... I 000000oa000aot\ r ' -h a - - i ?-- ......-0 O I \ OD ♦ri Asti;:.[ IA: I - :,----" -I: . • Y IF-2• WATERTIGHT LID VENT(typ) DUAL PORT AERATOR RISERS(TYP) • • Wr IMAL t Y PVC(TYP) --I o I 1 1} � so/7 A1RLl2i MA$T1c ii ;_ri ^^ r COUPLING—\ail8 REDUCER .z aa• r 144 _, r TEE-f 12" 1•PVC SLUDGE -� RETURNLINE1 , rPic -r', I V`` TRASH CHAMBER `S DIGESTER CHAMBER CLARIFIER OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS /e0 GALLONSsr sr r'— FLOOD:191 GAL84- sr PPRO d ED , o TEE JAN 2 7 2026 . ,.o'. M N COUNTY ENV1RONMENTAL HEALTHL.--4. j 12• DIFFUSER RS(2) RET BAPARALEL TO TANK WALL 4• SLUDGE RETURN li \ �, / 16•TAPER R t•Y STONE-FREE NATIVE SOIL OR COMPACTED SAND INSTALLATION INSTRUCTIONS OVER STONY SOIL 1)EXCevate tank hole with vertical walls to 1 foot larger than tank on aA sides. I y 2)If bottom of hole Is stony,Install 3'of compact sand&Level 'I W-2 4I out with screed. \ 8)Install tunicf- `in center of hole,keeping 1 ft void space on 1(" —___, ail sides. -- 24"OOeans 2 •4-RISERS IT VP) MG4)As tank is filling with water.till in void space with compact granular(sandy)soil free of large dumps of clay. I 5)waterproof adhesive.Install rest of system.b aaffixItsrisento adapters with i 6)Perform watertightness test In fleid as required by local 1 i 4 ,cp jurisdiction. I 7}Upon approval to backflil,carefully backfill with native I 12•RISER I aofls over top of tank. I DIRE TEB 1 i 6)Final grade the surface to avoid chaneiling surface L J L_ J __ water toward tank TOP VIEW 1"•284. , � AEROBIC TREATMENT TANK DETAIL FOR *= NuWATER BIER-500 TREATMENT UNIT aiiii 44, 4 ���i ENVIRO-FLO INC. v $ : : wastewater Treatment Technologies 3/01/12 .:: ,,.s P.O.BOX 321161,Rowood,MS 39232 (877)836-8476 (601)8454716 fax sr�u a� 1" = 1.4 ft. �� wt�ylr envirt .net Media Gallery X Liberty Pumps 280 - 1/2 HP Cast Iron Submersible Sump/Effluent Pump (Non- Automatic) Performance Curve: 28O Series r w 4 .--. 30 i.v. ,.�. .,. .f--- 4:�.$ --4--'--t-±-4-4-1,--4, 4 � +4 I � € G) 25 _ 4-- - - _ .-..., - 3 .. ! .� t .. I . 3 �� R sw t s ; { , 1 S —+ -r„- 4 f ± t k wnrs.+ee.anwsr I 1-46 1 f.- + - --- - - ' . I-: -1-1 , '-'"'t -f-f-4- g 15 —3 , . . : ' 4 ' ; I(' ; -i-4-4 10 , , Lti , , ' r. :IT--! ; 14, -t- --r-- t .. t 1 3 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 U.S. Gallons Per Minute APPROVED JAN 2 O 20V26 MASON COUNTY EN �R0NMENTAL HEALTH RET Installation/Maintenance Pressure Distribution/Trench Systems 1. Install trench bottom level and in contour with the ground. 2. Install drainfield during dry weather and soil conditions.Any soil smearing must be eliminated by hand raking any areas that get smeared. 3. Install audio/visual high water alarm. 4. Install check valve in pump outlet line to prevent back-flow into the pump chamber. 5. Install 1/8 inch orifices on 41 Centers. Install the orifices pointing straight down ( 6:00 o' clock). 6. Divert all storm water run-off away from septic system components. 7. No curtain (french) drains allowed within l Oft. of the up-slope edge of the drainfield and reserve area. 8. No curtain (french) drains allowed within 30ft. of the down-slope edge of the drainfield and reserve area. 9. Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. 10.Inspect and clean pump screen as needed. 11.Inspect floats and test high water alarm every 6 to 12 months or as needed. 12.All material and workmanship must meet County and State requirements. 13.Install risers on septic tank and pump chamber. 14.Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 15.The prepared Site Plan is not a survey, it is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the Designer immediately. 16. Locate all utilities prior to starting installation. 17. A Final Inspection and Record Drawing fee will be charged upon completion of the installation. 18. The installer will notfy the designer, Dale Tahja (360)463-8023, 48 hours prior to the start of the installation. 19. An additional re-design fee may be charged if changes are requested from the applicant after the original design is approved. APPROVED JAN 2 7 2026 MASON COUNTY ENVIRONMENTAL HEALTH • RET a 32 0, 5100214 t�, 0 Dale,L.Tahja .5 LICENSED DESIGNER