Loading...
HomeMy WebLinkAboutSWG2026-00022 - SWG Application / Design - 1/26/2026 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 ` 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: SWG2026-00022 APPLICANT YANTZER STEVEN & LYNN Phone: Address: 12002 209TH AVE COURT E BONNEY LAKE, WA 98391 OWNER YANTZER STEVEN & LYNN Phone: Address: 12002 209TH AVE COURT E BONNEY LAKE, WA 98391 SEPTIC DESIGNER DALE TAHJA* Phone: 360-463-8023 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 Site Address: 690 E Saint Andrews Dr Primary Parcel Number: 321275100284 Permit Description: 2BR SFR -open bottom sand filter Permit Submitted Date: 01/26/2026 Permit Issued Date: 02/03/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/28/2029 (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. 8 Proposed addition must obtain a building permit. Common line must be depicted on building site plan. 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. 4 t, OFFICIAL USE ONLY ^ MASON COUNTY DATE RECEIVED:... v, I 2( _ I o / C > 101,1,- ,%,. AMOWI+TRECENED: `RREECEf!kDDS,: O` W0 Public Health & Human Services 4 ,- �` a m Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 SWG 2� - Q0O ( CO 0 2__la O Cn 415 N.6th Street-Shelton,WA 98584ako Z 6 ON-SITE SEWAGE SYSTEM APPLICATION 3 A' APPLICANT PHONE m m Steve D. Yantzer 4stS---;-:-..:•::---..„ ` (253)355-9830 z MAILING ADDRESS-STREET,CITY,STATE:ZIP CODE v 3 12002 209th Ave. CT E ,&..... o Bonney Lake WA 98391-7767 m m SITE ADDRESS-STREET,CITY,ZIP CODE r- 690 E. St. Andrews Dr. / ti Shelton WA 98584 3 I co NAME OF DESIGNER 4Zil,t. f I PHONE C) N Dale L. Tahja ,/ ! (360)463-8023 � NAME OF INSTALLER ✓ 1 / PHONE C PERMIT TYPE(select one) - DRINKING WATER SOURCE I N •RESIDENTIAL OSS 0 COMMUNITY OSS 0 COMMERCIAL OSS 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I TYPE OF WORK(select one) ® PUBLIC WATER SYSTEM Lace Limerick Water Ca. I ❑ NEW CONSTRUCTION/UPGRADES a REPAIR!REPLACEMENT OTHER DETAILS(select ail mat apply) ❑ TABLE X REPAIR NI (Ti SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ■SHORELINE 1:12 i ElDESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS ( LCT SIZE WAS LOT CREATED AFTER 411.2025? G I -1 ❑ WAIVER(S)(1F APPLICABLE) 2 1! 0.37 i YES NO 0 I DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I O Turn left into Lake Limerick development just past Fire Station. Go to 690 E. St, Andrews Dr I O on the right hand side. o IN NIo co SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I 'p OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) O VOLUNTARY O MAINTENANCE/PUMPING O BUILDING PERMIT O HOME SALE O COMPLAINT O OTHER: INSPECTOR SOIL LOGS COMMENTS I CONDITIONS -A-0 -1-4 q 3 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. i INSPE R SIGNATUR /� t_ A GATE APPLICATION EXPIRATION DATE APP {CAT a N APPROVED/ISSUED BY DATE t ij I THI FO AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:01/09/2026 ' r _ DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 2 7 5 1 0 1 0 2 8 1 4 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.Maximumfaper,size: 11"X 17' y� i =a PerrmtN3umber: SWG 2026-00022 Designer's Name: Dale L.Tahja Steve Yantzer Designer's Phone Number: (360)463-8023 Applicant's Name: 12002 209th Ave.CT E Designer's Address: 2450 W. Deegan Rd.W. Mailing Address: Boomey Lake WA 98391 City State Zip Shelton WA 98584 City State Zip, Designer's Email daletahla@gmail com y v (3e-F4oM,I45 5 Treatment Device O Glendon O Sand Filter O Mound Sand Lined Drainfield 0 Recirculating Filter O ATU O Other Treatment Level(check all that apply): ❑A P(B p C O BLl eBL2 'BL3 'E O N Drainfield Type ❑Gravity ('Pressure O Trench =�� O Sub Surface Drip Septic Tank/Drainfield Specifications �/ Latey i s Number of Bedrooms 2 Schedule/ € Sch.40 \\� cam, 30 ft Daily Flow: Operating Capacity 180 gpd Length ...:/ p Daily Flow:Design Flow 240 gpd DiameF7(!. .. 125 in Septic Tank Capacity(working) 1,200 gal Num Q ij 4 Receiving Soil Type(1-6) 3 Sep 2.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 rt Orifices Required Primary Area 300 ft2 Total Number of Orific 52 Designed Primary Area 300 ft2 Diameter 1/8 in Designed Reserve Area 300 ft2 Spacing 27 in Trench/Bed Width 10 ft Manifold Trench/Bed Length 30 ft Schedule/Class Sch.40 Elevation Measurements Length 7.5 ft Original Drainfield Area Slope 0 % Diameter 2 in New Slope,If Altered 0 % Preferred manifold configuration used? O Yes lli'No Depth of Excavation Up-slope 8 in Transport Pipe from Original Grade Down-slope 6 in Schedule/Class Sch.40 Designed Vertical Separation 12 in Length 40 ft Gravel-based Drainfield Required? O Yes !s No Diameter 2 in Pump Required? i 'Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 30 gal Drainfield Squirt Height/Selected Residual(head) 6 ft Chamber Capacity(flood) 1,000 gal Pump controls:Please check those required. Uppermost Orifice O Higher O Lower than Pump Shutoff Capacity @ Total Pressure Head 26 gpm !If Timer Fr Elapse Meter f Event Counter Calculated Total Pressure Head 20 ft If Timer: Pump on 1.15 min. ,Pomp off 3 hrs.58.85 min. Comments V E a F ;-< LI i 2Q26 MAS0t,r u . r :,)NMENTAL HEAL- Revised: 6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 12 1 1 2 7 5 1 1 0 1 0 , 2 8 x 4 Permit Number: SWG 20264)0022 DESIGN CIIECICLISTS s Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ✓ Test hole locations V Drainfield orientation and layout Reference depth from original grade: ✓ Soil logs V Trench/bed dimensions and V Septic tank it Property lines critical distances within layout V Drainfield cover ✓ Existing and proposed wells O D-Box/Valve box locations Reference depth from original grade within 100 ft of property V Septic tank/pump chamber and restrictive strata: Or Measurements to cuts,banks,and locations iir Laterals,trench bed,top and surface water and critical areas V Observation port location bottom ✓ Location and orientation of V Clean-out location O Curtain drain collector curtain drain and all absorption a Manifold placement lir Sand augmentation components fd Orifice placement Other cross-section detail: ✓ Location and dimension of Q{ Lateral placement with distance V Observation ports/clean-outs primary system and reserve area to edge of bed Other Information e Buildings V Audible/visual alarm referenced Yes No 1?f Direction of slope indicator V Scale of drawing shown on scale er O Design staked out V Waterlines bar O O Recorded Notices attached ✓ Roads, easements,driveways, ia' A 0 , I. e i O O Waiver(s)attached parking eoiogy ,I.' ,no n ::^- % O Pump curve attached irk North arrow and scale drawing ` ■ O Evaluation of failure shown on scale bar MASON COUNTY ENVIRONMENTAL HEAL FEB O 3 2026 on-residential justification I ❑ O Waste strength JaW ❑ ❑Flow T1ESIGN APPROVAL The undersigned designer must be notified by ins ller at time of installation II Yes O No --- --M----C-\'N _Signature of Designer ° N Date The undersigned has reviewed this ign on behalf of Mason County Public Health and dete z compliance with state and local -sit re lations: , pia',„ oN ^ '( 4" N F-WO F r' k AllikJ 2-' co 0.;11'6 ve: '''. , 41)° . 0 1 Health Specialist _ Date �.(sb,�, +'j a E CAUTION: DESIGN APPR VAL IS VALID ONLY UNDER THE FOLLOWING CONDI -‘,/,sG, J ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: (^6 vZ7 ✓ 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 , Se, ` cz \(-1,-c--,1 \>c'c\ --`p'?ti t?pr -c===== -cvc-;\s\r, ''s-,,,,-.\-c:\,% r c 1 °4ki-s', 41 e o k p • e O Uol: /21' \'� II e ° r'f1) V:C. \\.. . PPROVE ` F 0 3 ` f MASON COUNTYEE ENVIRONMEN2026TAL HEALTH f o ,y ° 5100214 O Dale L.Tahia C a--t 9` .. . c7,\(-,8 '\ Y.. LICENSED DESIGNER S\.& \'L� �. r \ _ • Ges", v\ .'. 11 \ , O.l r },.: \'t y�0. ,,^ �p . ,� ».+; air ° �� 'v . . o x'. N., „,►: \: ,,,,: • 1 ° ‘• \\\ \ -.?O,,,„\ \„,(4- cc.,)i.‘;\ p c , ,. . 1 f'\5--T C�..:3:' ` \(:\. ...... \ . ,, i �, ::,4. or\T 2' care c>�czra 1 , \ sQc\c Or 'i)\\X- l ` --� orenco p... 4) hitps.thwnv.F.aashingtoncrawispaces.corr,.s'rnp-pump;irtsi Tripte$afer4 Sump Pump-Serving WA Far Over 30 Years Before&After Piro!.,-"s `bosh Us d.v.. p c `\t\(C� Service Area Free Est rnele �,iTi J `I Test,-ncniais Row in linen per second flAseci 063 126 10 262 315 3.79 442 140 43 .. r a. .gym. r 29 -_ 37 c .. E 'm ii iii 3o q i s.) z{ • a c II SOQSi1 a i r 1? I,: F.. a ;." 0 \ 6 10 iP `I cg 60 70 p iri, IN , i Flow in gallons per minute(gpm) MASON COON I F i 'I Ur r:.tFNjAI HEALTH ii q• __ ' a .. �a ._ : __ Home Products Applications Distributor Locator Document Library% ,•re in About Us SYSTEMS EasyPakTM Pump Packages * Home / Products / Gravity & Pump Produ international 4r' Packages t � � ! �� 11 J. 641 4) R 0 V e 0 3 2026 J. MASON r,,,i„I y pPi! IRnnittnznl--al lTe EasyPak Pump Packages (BEP) Biotube® EasyPak Pump Packages are designed to filter and pump effluent from pump tanks to gravity or pressurized dispersal systems. They're the first complete pump packages Installation/Maintenance Pressure Distribution/Bed Systems 1. Install bed 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 effluent filter in septic tank outlet or pump vault with 1/16-inch maximum filtration mesh size. 5. Install check valve in pump outlet line to prevent back-flow into the pump chamber. 6. Install 1/8-inch orifices on 27-inch centers. Install the orifices pointing straight up(12:00 o' clock) with orifice shields . 7. Divert all storm water run-off away from septic system components. 8. No curtain (french) drains allowed within 10ft. of the up-slope edge of the drainfield and reserve area. 9. No curtain (french) drains allowed within 30ft. of the down-slope edge of the drainfield and reserve area. 10.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. 11.Inspect and clean pump screen as needed. 12.Inspect floats and test high water alarm every 6 to 12 months or as needed. 13.All material and workmanship must meet County and State requirements. 14.Install risers on septic tank and pump chamber. 15.Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 16.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. 17. Locate all utilities prior to starting installation. 18. The installer must notify the designer at least 48 hours prior to starting installation. 19. The Designer may have additional charges for redesign work and final inspection. 1 48 4 Pp R vED � 4PA SAS Eeo3 20 26 ; 5100214 .�1 J RONM&tA� a Dale L.Tahja �* NFALty r LICENSED DESIGNER � �Qi gyp ` V� �iN`� �� �r{�• 1,;,as , '! R� Gorr S 7/ N"liL V‘ '9 !A-671 f-- ' 5100214 F� 050,- A ,.,""I Dale L.Tahiti p t".LENSED DESIGNER ---7(3 \(\ .`'d ' \.) ' t Rk , �� . \\,der w bi 6" ,0-\9l C„t;1C_c-Qts!. ``J0.,\ \/ ' X\ -'c- 'vc ." CI 1. 1 . 7— \ 1 SI * 9.7-1 HY y 1 ` , . 1 ,'�x Y3/©r\ c..p......Cap \osttiah Qt 1 \:('30 (0 ,,,...„ " \ Ge.c. Cr\t `fi `cam -..-..--a----- __ ._-- G- _ -- 11 +� .._...... ._. _ _ er ® -0 l6„ 1!_ X `• • s She— 3C Q\,( \ <floh\ i 1 *, " , � • ., � �, demo/ v �..e# o ///,/. ' ,,'y,1 Air,7 510(414 1. r O Daie°.L.Tahja• - •�, \ \ LICENSED DESIGNER 1 ' .\ ` a • 09) t .E.x\ -t\t-4;?3,'Se... ....Sfr_cry\_ o \?/- � o - -Nr\ 5°\\4 Ne_ AirCNt \A,...INCI;-iki%‘‘,\\.: 7-11 �AsoN o FEE 3 ?026 1SE'r (46 )- 9C) AD:k sc.O5)-- Nt\\e.A, 0(1NTY�NVIRp� JB MEN"I-yE,lL Jaw