HomeMy WebLinkAboutSWG2025-00332 - SWG Application / Design - 8/19/2025 A MASON COUNTY 415 N 6TH LTON: SHELTON, EXT 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: SWG2025-00332
APPLICANT ANZALONE DIANA M Phone: 253-778-0409
Address: 2513 CASCADE PLACE W UNIVERSITY PLACE,WA 98466
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: 40 W QUINAULT TRL
Primary Parcel Number: 519175200048
Permit Description: PROPOSED SEPTIC FOR NEW SFR
Permit Submitted Date: 08/19/2025
Permit Issued Date: 05/18/2026
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/28/2028 (based on date of inspection)
Permit Conditions:
I 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
� ' • T MASON COUNTY DATE RECENED: O� o -
a5
C Cl)
AMOUNT RECEN RECEIVED BY:
Public Health & Human Services �j�5 v Cl)
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400
415 N.6th Street-Shelton,WA 98584 S\A/G Op ;,,z:5;,,z:5 _ S O
O �
Z N
ON-SITE SEWAGE SYSTEM APPLICATION
APPLICANT PHONE rn rn
DIANA ANZALONE 2537780409 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE C
7031 S LAWRENCE ST TACOMA WA 98409 m
SITE ADDRESS-STREET,CITY,ZIP CODE
40 W QUINAULT TR ® ELMA WA 98541
NAME OF DESIGNER � PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER 1 PHONE 21 MTBD
PERMIT TYPE(select one) DRINKING WATER SOURCE Cl)
JRESIDENTIAL OSS ]COMMUNITY OSS fa7,COMMERCIAL OSS LI)PRIVATE INDIVIDUAL WELL ILL;PRIVATE TWO-PARTY WELL O 100
TYPE OF WORK(select one) PUBLIC WATER SYSTEM
ILv1,''NEW CONSTRUCTION/UPGRADES ILI;!REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I
SUB
MITTALS ❑ SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE I�
1DESIGN FORM(REQUIRED) INJ_SEPTIC DESIGN(REQUIRED) BEDROOMS I LOT SIZE I WAS LOT CREATED AFTER 4/1!20257O1
5 vWAIVER(S)(IF APPLICABLE) 2 0.34 ❑ YES ❑ NO 0
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
SATSOP CLOQUALLUM RD TO A RIGHT ON QUINAULT TR TO SITE ON THE RIGHT. I
I
0
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 DCOMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
T -('
1Prz,: -IzESL
(2k- pak !
SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINALAPPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED!ISSUED BY DATE
c\ wvfbw1 Vf2 <' 31 ió1?4
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: 519175200048 -- --
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.Maximum paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 1 'i Designer's Name: ADAM HUNTER
Applicant's Name: DIANA ANZALONE Designer's Phone Number: 3607531226
Mailing Address:
7031 S LAWRENCE ST Designer's Address: PO BOX 162
TACOMA WA 98409 City State Zip OLYMPIA WA 98507
City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM
DESIGN PARAMETERS
Treatment Device
❑ Glendon ❑ Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter Q ATU XO2 ❑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 OSCAR XO2
❑Gravity O Pressure O Trench 0 Bed 6 'Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class OSCAR
Daily Flow: Operating Capacity 180 gpd Length OSCAR ft
Daily Flow:Design Flow 240 gpd Diameter 60 in
Septic Tank Capacity(working) 1000 gal Number 5
Receiving Soil Type(1-6) 5 Separation 0.5 ft
Receiving Soil Appl.Rate 0.4 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices OSCAR
Designed Primary Area 600 ft2 Diameter OSCAR in
Designed Reserve Area 600 ft2 Spacing OSCAR in
Trench/Bed Width 19.4 ft Manifold
Trench/Bed Length 31 ft Schedule/Class 40
Elevation Measurements Length 30 ft
Original Drainfield Area Slope 0 % Diameter 1 in
New Slope,If Altered 0 % Preferred manifold configuration used? t 'Yes O No
Depth of Excavation Up-slope 0 in Transport Pipe
from Original Grade Down-slope 0 in Schedule/Class 40
Designed Vertical Separation 12 in Length 20 ft
Gravel-based Drainfield Required? ❑Yes Ef No Diameter 1 in
Pump Required? 'Yes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 411
Diff. in Elevation Between Pump&Uppermost Orifice 5.5 ft Dose quantity 0.584 gal
Drainfield Squirt Height/Selected Residual(head) OSCAR ft Chamber Capacity(flood) 1000 gal
Uppermost Orifice M'Higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 12 gpm 6Z'Timer Q'Elapse Meter 'Z Event Counter
Calculated Total Pressure Head 8.602 ft If Timer: Pump on 30SEC pu- p off 3MIN
Comments A P U V
MAY 182026
u IT
UI Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 519175200048 -- --
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
E?( Test hole locations 6d Drainfield orientation and layout Reference depth from original grade:
Soil logs M' Trench/bed dimensions and ® Septic tank
Property lines critical distances within layout 6d' Drainfield cover
121 Existing and proposed wells Ed' D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Ed Septic tank/pump chamber and restrictive strata:
1Z Measurements to cuts,banks, and locations Ed' Laterals,trench/bed,top and
surface water and critical areas 9 Observation port location bottom
[Z Location and orientation of E' Clean-out location Curtain drain collector
curtain drain and all absorption 121 Manifold placement 6d" Sand augmentation
components 9 Orifice placement Other cross-section detail:
Location and dimension of ®' Lateral placement with distance Observation ports/clean-outs
primary system and reserve area to edge of bed
f� Buildings Other Information
Audible/visual alarm referenced Yes No
121 Direction of slope indicator [a' Scale of drawing shown on scale l2( ❑ Design staked out
9 Waterlines bar ❑ 0 Recorded Notices attached
F9 Roads, easements,driveways, Elevation benchmark and relative ❑ ❑ Waiver(s)attached
parking elevations of system components ❑ Pump curve attached
North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be ndid by installer at time of installation Yes O No
9/15/25
S
iure f Designer Date
The undersigned has reviewedgn on behalf of Mason County Public Health and determined it to be in
compliance with state and locregulations:
Environmental ealth S ecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ 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#:519175200048
DATE SUBMITTED:9/15/2025 LEGAULOT#:LAKE ARROWHEAD
#3 TR 47-48
SUBMITTED BY: ADAM HUNTER
APPLICANT: DIANA ANZALONE
ADDRESS: 7031 S LAWRENCE ST
TACOMA,WA 98409
I.CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW= 240
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= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 31'X19.4'
PER OSCAR
11.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1000GAL-X02 TANK
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
SAND DEPTH= 0 -6'
IV.PRESSURE CALCULATIONS
USING PIPE CLASS 40
ORIFICE NETAFIM DRIPLINE
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
SUPPLY 20.00 1.00 12.000 1.5509
RETURN 20.00 1.00 12.000 1.5509
TOTAL= 3.1017
**TOTAL HEAD LOSS `*
1)FRICTION LOSS THROUGH SYSTEM= 3.102
2)ELEVATION DIFFERENCE = 5.500
TOTAL= 8.602
. - 9/15/25
PdAS MAY 18 2026
ON COUNTY ENWRONh4ENTAL HEALTH
Ci[`.t'ii$F:i ISF'54S9t`k"" i 1
26
PAGE 2
V.CHECK THE PUMP CAPACITY.
PUMP: A.Y.MCDONALD 30GPM-1/2HP PUMP(MODEL#22050E2AJ) (PER OSCAR)
EXCESS TDH 50.00 (PER OSCAR)
TOTAL HEAD LOSS IN SYSTEM8.60
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
9/15/25
AOACY.i II LINTER
�.ZSS1��i�At�4
26
APPROVED
MAY 18 2026
MASON COUNTY ENVIRONMENTAL HEALTH
RET
a-
w
SCALE-1'=20'-0" CO NOTES
N
P� o -RESTRICTIVE LAYER BELOW 15°
-FIVE TIMES RULE MET
-NO WELLS WITHINIOD'OFORAINFIELD
TP519175200047 00 f- _. -ELAPSE TIME METER AND EVENT COUNTER REQUIRED
IJR -RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS
'- c
W SOIL LOGS
,_REM IS GROUND EL.@ CARPORTCORNER 2(k eM.=100.0) 1) SANDY LOAM(SILT LOAM AT BOTTOM)
-__ MOTTLED SAND ANO GRAVEL
LCD 2) SANDY LOAM(SILT LOAM AT BOTTOM) 0.13°
)2/A' (_) TL 7 MOTED SAND AND GRAVEL 13
PROPOSED OSCAR X02 °-
so': O O
EXIST1G CARP RT(REMOVE) I 19,, PROPOSED OSCAR X02 D INFIELD
1, TANK DETAIL-NO SCALE
f- 100 I 20'-1°SCH40 SUPP Y/RETURN LI ES /�...e'^�I�
.r� I I)EADWORKS(SEE DETAIL PG 2
Zw.m, w Q PROPOSED 1000GAL-2 COMP.PUMP TANK(SEE DETAIL)-PUMP EL.-95.0)
PROPOSED 1000GAL.X02 TR TMENT TANK m
(IN.EL-98.51 OUT.EL.-982)
DRIVE
PROPOSED STUBOUT I CLEANOUT(IE.-9 0) 9/15/25
004
IEROP OSED 2 BOHM-BUILOING ENVE TOPE NO'S
J,Ru.vi5R t �--
'wi11��
26
TP:519175200048
THIS IS NOTA SURVEY:
SITE FEATURES,TOPOGRAPHY,ELEVATIONS AND BENCHMARKS ARE BASED ON ASSUMED DATUM
PROVIDED BY THE OW ENERAND COUNTY PLANNING RECORDS AND ARE INTENDED ONLY FEB THE
REVIEW AND CONSTRUCTION OF THE PROPOSED SEPTIC SYSTEM DESIGN.JIM HUNTER 8 ASSOCIATES
RECDMMJNDS THAT A LICENSED PROFESSIONAL LAND SURVEYOR ALWAYS BE USED TO SET CORNER,
ESTABLISH LOTLINES,DETERMINE ELEVATIONS AND TOPOGRAPHY AND I OR PROVIDEA LEGAL SITE PLAN.
SAVORS IS UNKNOWN
A FEE MAYBE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION 8 RECORD DRAWING
SATSOP CLOQUALLUM RD TO A RIGHT ON QUINAULTT JIM HUNTER AND ASSOCIATES
TO SITE ON THE RIGHT. P.O.BOX 102 OLY,WA905o1 T511228 0000A000DITRUFBIIBLAOL
DESIGNER-ADAM HUNTER
SEPTIC SYSTEM DESIGN FOR-
T
DIANA ANZALONE
SITEADOR-
40 W OUINAULT TR
SATSDP CLO UALLUM LEA- LAKE ARROWHEAD p3 TR47-08 10F2
TP# 519175200047-08 BITER
OSX-240-5 HWN-.7-RF-AUTOMATIC HEADWORKS DETAIL-NO SCALE
OVERALL LENGTH=31 FT
MIN.SHOULDER LENGTH A+ 1 W W Z
J z Fa
t'SUPPLY
9/15/25
r
1 AI at ilii :< i u) O
m - iaittmVDmii:".r `:'::, VRETUN, `;n~• •'y.
A `^I,vA tiIV aieRr-. L.
nl\1111�V!
26
W
Plan View Z
J
Z
F—
csuPCAP W
pace Q 2
TUTsrrt
ASTM C-335AND INSPECTION PORT Z
PpERWEp Spa SURF
F�
BASAL WIDTH 19.4FT I Q
W
N Z
X02Tanks SectmonA
Poe-cast Concrete Poe-cast Diho ge Tech
Qf
Septic Tank Discharge Tank yyB.7_i
9 � �
y3 1 OSCAR HEADWORKS SETUP: �/ U
Place valve 152 toggle switch and pump 1 toggle switch to MAN position.
__ .___ Pump should dose end 00 licon pressure gauges should stabliiae about 50 psi.
Gauge 3 may read as low as 40 psi.No water should be lowing into septic lank.
Place valve 3&4 toggle switch to MAN end valves 1&2 toggle switch to OFF,
-- - pump#1 In MAN.Pump should run,pressures should change:gauge 2 highest
pressure,gauge 1 less Nan 2,and gauge 3 should indicate 0 psi,Water should
be flowing into sep5p lank very rapidly.
"'M°" Place valves 1 02 and valve Sin MAN position end valves 304 in OFF position,
and pump 1 in MAN.Pressure on gauge 1&2 should indicate about the same
pressure,end gauge three should indicate between 0-3 psi and water should be JIM HUNTER AND ASSOCIATES
flowing Into septic tank at a moderate rate. p0.SOX 162 OLY wo 9950, ice-ir0 ew.00csaai.udH0II mu
Position all toggle switches to AUTO. DESIGNER-ADAM HUNTER
•ict
r def minutes seconds0 secndsSREADDR-
seconds30 seconds 20F2
n=2 minutes
TPA 519175200047-0& sllEe