HomeMy WebLinkAboutSWG2026-00098-APPLICATION/DESIGN - SWG Application / Design - 7/19/2026 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: SWG2026-00098
APPLICANT Hunter,Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia,WA 98512
OWNER AXEWOOD LLC Phone: 253-225-6915
Address: 1805 SE LUND AVE PORT ORCHARD,WA 98366
SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 340 E Phillips Lake Rd
Primary Parcel Number: 221337690112
Permit Description: New SFR 3-bedroom NuWater BNR500 ATU to OSCAR II OS-100 Coils
Permit Submitted Date: 04/08/2026
Permit Issued Date: 07/09/2026
Issued By: David Anderson
Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/13/2029 (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
MASON COUNTY DATE RECEIVED: D O? ^cço
• • • AMOUNT RECEN D: Y rECEIVEDI BY:
C Cl)
Public Health & Human Services ° Cl)
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400
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415 N.6th Street-Shelton,WA 98584 swG aW_(v -
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ON-SITE SEWAGE SYSTEM APPLICATION
APPLICANT PHONE m rn
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Ronald Lansing 3608744699 z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE / /7 71 E Dalkeith Rd Shelton WA 98584 m
SITE ADDRESS-STREET CITY,ZIP CODE
340 East Phillips Lake Road �s Shelton 98584 I Ni
NAME OF DESIGNER PHONE W
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ADAM HUNTER 3607531226 0)
NAME OF INSTALLER tee, / PHONE D
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PERMIT TYPE(select one) DRINKING WATER SOURCE 0 I
PRESIDENTIAL OSS b.ICOMMUNITY OSS fJCOMMERCIALOSS 'PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL z
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TYPE OF WORK(select one) ❑ PUBLIC WATER SYSTEM
21NEW CONSTRUCTION/UPGRADES ❑REPAIR 1 REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I
SUBMITTALS ❑ SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE U3
DESIGN FORM(REQUIRED) ❑i SEPTIC DESIGN(REQUIRED) BEDROOMS I LOT SIZE I WAS LOT CREATED AFTER 4/1/2025? r0
❑ WAIVER(S)(IFAPPLICABLE) 3 1 YES NO (7' 0
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
PICKERING TO A RIGHT ON PHILLIPS LAKE TO SITE ON THE RIGHT. I
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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(far reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING❑ BUILDING PERMIT❑HOME SALE❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS_L ����eL'� y(/�(1 �, COMMENTS/CONDITIONS
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Rest- aP zt " w( m,!
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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 APPROVE /ISSUED BY DATE W13/ 26 zqc
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:01/09/2026
DESIGP' FORM—PAGE ONE Assessor's Parcel Number: 221337690112
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"X17"
PARCEL IDENTIFICATION
Permit Number: SWG — C]C IC Designer's Name: ADAM HUNTER
Applicant's Name: Ronald Lansing Designer's Phone Number: 3607531226
Mailing Address:
71 E Dalkeith Rd Designer's Address: 2201 93RD AVE SW, STE A
Shelton WA 98584 City State Zip OLYMPIA WA 98512
City State Zip Designer's Email ADAM@HUNTERSEPTICDESIGN.COM
DESIGN PARAMETERS
Treatment Device
OGlendon OSand Filter OMound OSand Lined Drainfield Recirculating Filter Vf ATU BNR500 ❑Other
Treatment Level(check all that apply): l ,A ❑ B ❑C ❑BLI ❑BL2 ❑BL3 O E O N
Drainfield Type
❑ Gravity O Pressure O Trench O Bed O Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class OSCAR
Daily Flow: Operating Capacity 270 gpd Length OS100 ft
Daily Flow: Design Flow 360 - gpd Diameter 85 in
Septic Tank Capacity(working) BNR500 - gal Number 4 -
Receiving Soil Type(1-6) 4 Separation 0.5 ft
Receiving Soil Appl. Rate 0.6 - gpd/ft2 Orifices
Required Primary Area 600 - ft2 Total Number of Orifices OSCAR II
Designed Primary Area 600 - ft2 Diameter OSCAR II in
Designed Reserve Area 600 , ft2 Spacing OSCAR II in
Trench/Bed Width 15 _ ft Manifold
Trench/Bed Length 40 ft Schedule/Class 40
Elevation Measurements Length 40 ft
Original Drainfield Area Slope I % Diameter 1 in
New Slope,If Altered 1 - % Preferred manifold configuration used?®Yes ONo
Depth of Excavation Up-slope N/A in Transport Pipe
from Original Grade Down-slope N/A in Schedule/Class 40
Designed Vertical Separation >24 - in Length 100 ft
Gravel-based Drainfield Required? OYes®No 0 Diameter 1 in
Pump Required? ®Yes QNo Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 360
Diff.in Elevation Between Pump&Uppermost Orifice 5.7 ft Dose quantity 22SEC gal
Drainfield Squirt Height/Selected Residual(head) N/Aft Chamber Capacity(flood) V 1200 gal
Uppermost Orifice®Higher OLower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 12 gpm e Timer Pf Elapse Meter i ' Event Counter
Calculated Total Pressure Head 21.209 ft If Timer: Pump on 22SEC ,pump off 3MIN 38SEC
Comments
Revised: 6/11/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number:I221337690112 I
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
V Test hole locations Drainfield orientation and layout Reference depth from original grade:
V Soil logs V Trench/bed dimensions and V Septic tank
Ef Property lines critical distances within layout 9 Drainfield cover
V Existing and proposed wells V D-Box/Valve box locations
Reference depth from original grade
within 100 ft of property P1 Septic tank/pump chamber and restrictive strata:
9 Measurements to cuts,banks, and locations 0' Laterals,trench/bed,top and
surface water and critical areas ld Observation port location bottom
21' Location and orientation of Ed Clean-out location V Curtain drain collector
curtain drain and all absorption Manifold placement 0' Sand augmentation
components
0' Orifice placement Other cross-section detail:
Location and dimension of V Lateral placement with distance 2 Observation ports/clean-outs
primary system and reserve area to edge of bed
Other Information
V Buildings
Audible/visual alarm referenced Yes No
Direction of slope indicator Id Scale of drawing shown on scale ❑ Design staked out
V Waterlines bar 0 Recorded Notices attached
21' Roads, easements, driveways, 'Elevation benchmark and relative ❑ Waiver(s)attached
parking elevations of system components V' 0 Pump curve attached
North arrow and scale drawing 9 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation ®Yes O No
4/8/26
Signature o Designer Date Gt �
The undersigned has reviewed this design on behalf of Mason County Public Health nd determined it to i
compliance with state and local on-site regula
Environme Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: yF��Ty
✓ The design is stamped"Approved"by Mason County Public Health. )
'7The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 5
✓ 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
E 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN J�� O °�Q
SITE#: PARCEL#:221337690112 R� 202
DATE SUBMITTED:4/8/2026 LEGAULOT#: L'F��co
SUBMITTED BY: ADAM HUNTER
APPLICANT: RONALD LANSING
ADDRESS:
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 360
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= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 20'X40'
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= BNR500 ATU 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 100.00 1.00 12.000 7.7543
RETURN 100.00 1.00 12.000 7.7543
TOTAL= 15.5086
•*TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 15.509
2)ELEVATION DIFFERENCE = 5.700
TOTAL= 21.209
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PAGE 2
V.CHECK THE PUMP CAPACITY.
PUMP: A.Y.MCDONALD 30GPM-112HP PUMP(MODEL#22050E2AJ) (PER OSCAR) � V
EXCESS TDH 50.00 (PER OSCAR) RFC ®/
TOTAL HEAD LOSS IN SYSTEM21.21
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
AEEr.lJ.IlENTER.�°.,' ry
��ry
Headworks �O
OS-360-7 �� ,P HWN- .7-RF
40FT
A
MIN. SHOULDER LENGTH �P5°* FROM PUMP
SUP•,_ PLY Qo
m
R0PEcOON PORT RE1URN
L-wsurcnoo PORT
A • o
00100 4 Sup
IL CAP
r� �r
Mi9E
f ASTM C-33 INSPECTION PO
PREPARED SOIL SURFACE'_ ,/ SAND
BASAL WIDTH
15FT TO COIL TO TANK TO COIL
OSCAR HEADWORKS SETUP:
1. Place valve I&2 toggle switch and pump I toggle switch to MAN /07�
position.Pump should dose and all three pressure gauges should Qt
stabilize at about 50ps1.Gauge 3 may read as low as 40psi.No hI,n
water should be Oowing Into the septic tank +`-5
2. Place valve 3 8 4 toggle switch to MAN and valves 1 8 2 toggle
switch to OFF,Pump#1 In MAN.Pump should run,pressures Shout •"''
change,water should be Flowing beck into the septic tank very
rapidly.
2.1. Gauge 2-Highest Pressure •�',;•��;-•�!;YIN'YlJir:"
2.2. Gauge 1-Less than 2 Wn $'.
2.3. Gauge
3. Place valves182and valve5in MAN position and vaNes384in
OFF position,and Pump#1 in MAN.Pressure on Gauges 1&2 DESIGNER:
should indicate about the same pressure and Gauge 3 should HUNTER SEPTIC DESIGN ADAM HUNTER
indicate between 0-3pat and wafer should be flawing into the septic 2201 93rd Ave SW 1 OI m ta,WA 98507
tank al a moderate rate. Y P
PUN NEW 4. Position all switches to Auto. 360-890-27781 adomtWhuntersepticdeslon.com SITE ADDRESS:
SEPTIC SYSTEM DESIGN FOR 340E PHILLIPS LAKE RD
1000 Gallon 1200 Gallon Pre—cast Concrete V1OFF= 3 MINUTES 38 SECONDS RONALD LANSING
BNR500 Single Compartment Discharge VI ON= 22SECONDS SITE LEGAL:
Treatment Vessel Tank V2 OFF= 30 SECONDS LOT B OF SP#561
PAGE:
V2ON= 15SECONDS PARCEL NUMBER: SITE I PERMIT#: 2OF2
V1V3 OFF 30 SECONDS 221337690112
VIV3ON=2 MINUTES
%r4
ROPOSED:::
MRES(BUILDING ENVELOPE)SCALE: 111 = 40FT i FIVE TIMES ULLE MET ELOW: 22"
/ ROPOSED • ELAPSE TIME METER AND EVENT COUNTER REQUIRED
/
111 ,/ 1 �/ XISTING DRIVE • RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS
/ / 2 / ROPOSED STUBOUT/CLEANOUT(IE.-97.0) • OPERATION CAPACITY OF THE SYSTEM IS 270 GPD
I 1' 190.5 / PROPOSED NUWATER BNR500 IN ATU TANK(IN.EL.-96.5/OUT.EL.-96.2) SOIL LOGS:
/ 1) GRAVELLY SANDY LOAM 0-22'
/ O PROPOSED 1200GAL.PUMP CHAMBER(PUMP EL.-93.2) MOTTLING 22"+
l
HEADWORKS(SEE DETAIL PG2) 2) GRAVELLY
SANDY LOAM 0-22"
/ / MOTTLING
/ / 8 100'-1"SCH40 SUPPLY AND RETURN LINES
/ / O 3) GRAVELLY SANDY LOAM 0-18"
9 PROPOSED OSCAR II DRAINFIELD AND R/A(IE.-98.9) MOTTLING 18"+
'I, /7 �
/ , 10 EDGE OF SURFACE WATER 4)
/ / \ / / WATERLINE 5)
220.2 .4/,)' / / \ 12 RBM IS GROUND EL.@ TH 1(RBM=98.0) )
6
11
/ X /' / / 7)
ETLANDS ,
/,/ 1 ,/l
4 / \ 6
:' 10 7
/
i o O
5 / /
/j 100FT TO WETLANDS i / 8 266.1
,, / CONTOUR LINES PER GIS,REFER TO APPLICATION FOR PROPERTY ACREAGE.
NAVD88 ELEVATION IS UNKOWN
12 .�
Q THIS IS NOTA SURVEY:
/// site features,topography,elevations and benchmarks are based on assumed datum
/7 /' : provided by the owner and county planning records and are intended only for the review
/'c /� and construction of the proposed septic system design.Hunter Septic Design
recommends that a licensed professional land surveyor always be used to set corners,
15. 40.0 /O•7LZ. establish lot lines,determine elevations and topography and/or provide a legal site plan.
®- \ A fee may be charged for final inspection and record drawings
229.3 / "` REVISION LOG:
/ 40.0 / / 4i' ;` V2-7/7/26-UPDATED D.F.LOCATION BASED ON WETLANDS MAPPING
' 11pAf,1 J.IIlIN1ER
100FT TO SURFACE WATER /
PICKERING RD TO A RIGHT ON PHILLIPS LAKE RD TO SITE ON THE HUNTER SEPTIC DESIGN DESIGNER:
RIGHT. ADAM HUNTER
PO Box 162/Olympia,WA 98507
� P P�-1' '/ VE D 360-890-2778/adam@hunterse ticdesign.com
SITE ADDRESS:
SEPTIC SYSTEM DESIGN FOR: 340 E PHILLIPS LAKE RD
JUL U 9 2026 RONALD LANSING
SITE LEGAL:
LOT B OF SP#561
MASON COUNTY ENVIRONMENTAL HEALTH PARCEL NUMBER: SITE/PERMIT#: PAGE:
O J A 221337690112 1 OF 2