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HomeMy WebLinkAboutSWG2025-00417 - SWG Application / Design - 10/17/2025 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: SWG2025-00417 CbU l\f) ‘( APPLICANT Ben Phillips Phone: 360-951-1393 Address: 2311 E St Andrews Dr N SHELTON, WA 98584 SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA, WA 98507 Site Address: UNKNOWN Primary Parcel Number: 321225000187 Permit Description: New 2bd Glendon M31 Permit Submitted Date: 10/17/2025 Permit Issued Date: 01/29/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $725.00 (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 ea, MASON COUNTY DATE RECEIVED: 1 // 7/2 5 C ,:. N AMOUNT R IVED: RECEIVED BY: co w s Public Health & Human Services , i 5 DQop OFF 4/.0Q o y Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 415 N.6th Street-Shelton,WA 98584 S W G /Q - 0014O O 2 z V) CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION n APPLICANT r -=------t=_ HONE m m BEN PHILLIPS �] -1393 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE u"f2311E ST ANDREWS DR N � HELTON WA 98584 mSITE ADDRESS-STREET,CITY,ZIP CODE2311 E ST ANDREWS DR IJ HELTON WA 98584 NAME OF DESIGNER HONE JIM HUNTER 119� G.����� 360753-1226NAME OF INSTALLER ' HONE v I ` I PERMIT TYPE(select one) c ILJ DRINKING WATER SOURCE - VNJ E. RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS E"PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL z C E I , TYPE OF WORK(select one) I] PUBLIC WATER SYSTEMC'J' E-NEW CONSTRUCTION/UPGRADES EREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I I SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE CO ` DESIGN FORM(REQUIRED) INJ SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SI WAS LOT CREATED AFTER 4/1/2025? r I O I 6WAIVER(S)(IF APPLICABLE) � 6,x O YES ❑J NO z DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) C . a,( .-C G MASON LAKE RD, LEFT ON E ST ANDREWS DR N TO SITE ON RIGHT JUST PASTI I ADDRESS 2391. o J 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 1Wi '. b ., $b 4s L (ao 1---t-; 11 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 W1 t1 I\.7A1K << 17,171e'17,171e' ‘(Zit-i\kwyco/1 (1744 t THIS FORM MAYE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 0 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 32122-50-00187- -- ,S A design will be reviewed when 3 copies of each of the following are submitted: Q N. " 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.Maximum paper size: 1I"X 17" PARCEL IDENTIFICATION Permit Number: SWG C),I0 1i 0L (-1 Designer's Name: ADAM HUNTER Applicant's Name: BEN PHILLIPS Designer's Phone Number: 3607531226 Mailing Address: 2311 E ST ANDREWS DR N Designer's Address: PO BOX 162 SHELTON WA 98584 City State Zip OLYMPIA WA 98507 City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM DESIGN PARAMETERS Treatment Device It Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 4TU ❑Other Treatment Level (check all that apply): J A �J B J C J BL1 J BL2 J BL3 J E J N Drainfield Type 0 Gravity Ef Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class <SLk4- 4p Daily Flow:Operating Capacity 1, (S 0 gpd Length 14 A. ft Daily Flow:Design Flow 'Z.Lk 0 gpd Diameter N\,1j,., in Septic Tank Capacity(working) 1200 gal Number 1.t, L,. Receiving Soil Type(1-6) Lk Separation K I.A ft Receiving Soil Appl.Rate 0. (,Q gpd/ft2 Orifices Required Primary Area Opp ft2 Total Number of Orifices fs ( A Designed Primary Area 4-O 0 ft2 Diameter ).� b. in Designed Reserve Area 400 ft2 Spacing )y ia in Trench/Bed Width SEE GLENDON ft Manifold Trench/Bed Length SEE GLENDON ft Schedule/Class N. (A Elevation Measurements Length >`L C 1k ft Original Drainfield Area Slope (rL % Diameter ,A in New Slope,If Altered 1-4. LL % Preferred manifold configuration used? D'Yes O No Depth of Excavation Up-slope SEE GLENDON in Transport Pipe from Original Grade Down-slope SEE GLENDON in Schedule/Class 40 Designed Vertical Separation in Length 15 ft Gravel-based Drainfield Required? 0 Yes P1 No Diameter 1 in Pump Required? 'Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day t 44 Diff. in Elevation Between Pump&Uppermost OrificeRl/' ft Dose quantity l ,:1—S gal Drainfield Squirt Height/Selected Residual(head) tJ, ( p, ft Chamber Capacity(flood) 1 -O O gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head I'LL A gpm 63/ Timer D'Elapse Meter Event Counter Calculated Total Pressure Head 1 - (I% ft A ��,JJ �`//PPR- aty E b C I ,Pump off 1oCa. ,--1 Comments RR JAN 292026 MASON COUNTY ENVIRONMENTAL HEALTH RET Revised: 4/14/2025 DESIGN DORM—PAGE TWO Assessor's Parcel Number: 32122-50-00187-- Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ii Test hole locations O' Drainfield orientation and layout Reference depth from original grade: O Soil logs 9' Trench/bed dimensions and 9' Septic tank O Property lines critical distances within layout O' Drainfield cover 9' Existing and proposed wells 9' D-Box/Valve box locations Reference depth from original grade within 100 ft of property 9' Septic tank/pump chamber and restrictive strata: O' Measurements to cuts, banks,and locations Laterals,trench bed,top and surface water and critical areas l' Observation port location bottom O Location and orientation of Er Clean-out location 9' Curtain drain collector curtain drain and all absorption 9' Manifold placement El' Sand augmentation components l' Orifice placement Other cross-section detail: 0 Location and dimension of E' Lateral placement with distance 9' Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 9' Buildings g Audible/visual alarm referenced Yes No 0 Direction of slope indicator ❑' Scale of drawing shown on scale I2' 0 Design staked out 0 Waterlines bar 0 0 Recorded Notices attached 0 Roads,easements,driveways, E Elevation benchmark and relative 0 0 Waiver(s) attached parking elevations of system components l' 0 Pump curve attached 0 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 notified inst t' stallation Er Yes E t No Signature o esigner Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: c— f 17_4, Environmental Health Sp cialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. I. i'24-776 ✓ 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:4/14/2025 PAGE 1 ( • MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 32122-50-00187 DATE SUBMITTED:1/21/2026 LEGAL/LOT#: LAKE LIMERICK BLK 3 LOT 187 SUBMITTED BY: JIM HUNTER APPLICANT: BEN PHILLIPS ADDRESS: 2311 E ST ANDREWS DR N SHELTON,WA 98584 I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPD/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 400 FT2 TRENCH LENGTH OR BED CONFIG.= PER GLENDON II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200 GAL.CONCRETE NEW OR EXISTING NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= N/A ROCK DEPTH BELOW PIPE= N/A SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE - MATERIAL/SEASONAL SATURATION= N/A FILL DEPTH= N/A TRENCH WIDTH= N/A APPROVED JAN 292026 D `, MASON COUNTY ENVIRONMENTAL H JAN 21 2026 T 4.24 By —2 t - Jr w o Y NA)C7 .0026 — O !Amur 1.Hs,trr�a :�YY\. LcCFt"l r)ElfsIr,N E !mil S n;/2?/ •� _E�V11SE o 0\.\• I -- t • ' S '.• _CrC—_N - 1' .,s.4.1-111 ..,A*i ' — 'S L 1 : ( f. r•�. `• ?, >r b "C ,�c..--C`mot ```( " `S ea®t 11 f w —_.___—.— ---------- ‘,,,4X) E0 ffg .' r _.._�.- ._-_ - -. _ ..._._ -_ - _,rf ..�F' - — • - =f �. r '_ sue, :� T - '-- -,.-. �- a-- • i i I -- I -J7. 7,f••,- a (�JM (1 .i-6 s � � 1� tr _ 3 �C.F1 ^b •3 1rb-0 �JI _ f '- 1 jj e4PPROV� L� -z rl f P� ...��t � � JAN 2 9 20 6 t...„ — �P »� ffuy�O ✓ , i + [ z----"-' �1 7 MASON COUNTY ENVIRONMENTAL HEALTH y` :517'27;01R ' A. � I,/ - _• ` RET „ ' . ::::: S ii �,�•lF// ,✓ LI. ;)66-ic,!vLR jam` .gb cog7,rs- 07122f ` - ,yy ,.. / t J TocrcarftEtn . z7-7 r,!• / :' PRESSURE LATERALS iy O j 0 i 0 PLOW CONTROL VALVE __ _-L3esaTf. ` \ \o, _.=1 i. RISER WITH LOCKING LID lif TYPICAL CONSTRUCTION O t' -E '- _ _ DRAINFIELDCONTROLBOX NO SLALE A FEE WILL BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION &RECORD DRAWING -` S‹- 'V,O )., .,4 T �- MASON LAKE RD, LEFT ON E ST ANDREWS DR N TO JIM HUNTER AND ASSOCIATES • - ACCEuRIs RS ,a TM SITE ON RIGHT JUST PAST ADDRESS 2391. P.O.BOX 162,OLY,WA 98507 753-1226 IHANDASS0CIATES@H0TMAILC0M SERVICE FINISH GRACE _�� DESIGNER-JIM HUNTER • FROM SEPTIC TANK TO ._.ELC U ' •si�a SEPTIC SYSTEM DESIGN FOR- Ea D R�• -' R.ciATIHGM,T wG� ,ER . ,1 EMERGENCY�RAGE � �, BEN PHILLIPS MP FOR 0.0AT NORMAL MOS GF I� VTOIPaNS PT.. I�I�I SITE ADDR- JII 2311 E ST ANDREWS DRIVE N ,mMEH s I.; CE=T:LZ P LEGAL LAKE LIMERICK BLK 3 LOT 187 OF SEPTIC TANK(TYPICAL) PUMP CHAMBER(TYPICAL) TN 32122-50-00187 SITE