HomeMy WebLinkAboutSWG2024-00389 - SWG Application / Design - 9/18/2024 MASON COUNTY 415 N 6TH STREET,SHELTON,97 ,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: SWG2024-00389
APPLICANT Hunter,Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia, WA 98512
OTHER Covert, Sue Phone: 360-622-1454
Address: 270 SE Spring PI Shelton;WA 98584
OWNER Covert, Sue Phone: 360-622-1454
Address: 270 SE Spring PI Shelton,WA 98584
SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 71 W THUNDERBIRD DR
Primary Parcel Number: 519175100019
Permit Description: New 2bd Oscar XO2
Permit Submitted Date: 09/18/2024
Permit Issued Date: 06/24/2026
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 09/20/2027 (based on date of inspection)
Permit Conditions:
I Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Drain field installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
6 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.
a
OFFICIAL++ USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: (/I [� I
`
ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVE RECEIVED BY:
415 N 6th Street,(Bldg 8) Shelton WA,98584 6
Shelton:360 427 9670 ext 400 Belfair:360 275 4467 ext 400 5\/'VG �-7 003'S 2 O
V V (� — Z Cn
APPLICANT PHONE a a
SUE COVERT 3606221454 m m
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
270 SE SPRING PL SHELTON WA 98584
SITE ADDRESS-STREET,CITY,ZIP CODE
71 W THUNDERBIRD DR ELMA WA 98541 X
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE I•'
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE G I�
if NEW CONSTRUCTION 0 RV HOLDING TANK ONLY O PRIVATE INDIVIDUAL WELL N ^^
❑ REPLACEMENT SYSTEM O INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z
❑ TABLE 9 REPAIR ❑ SINGLE FAMILY LEI COMMUNITY/PUBLIC WATER SYSTEM I J
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: LAKE ARROWHEAD
❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOT SIZE I l
❑ EXISTING FAILURE "Record Drawing required 2 0.1 7 W
for all Installations" r I_
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) n I
CLOQUALLUM TOWARD LAKE ARROWHEAD TO A LEFT ON ARROWHEAD DR TO A I Q
LEFT ON THUNDERBIRD DR TO SITE ON THE LEFT. I®
r IO
• O
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS
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
z+- X4-/4 L
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
vi -(f�kj °t [Wf ) U I,A h-�
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: -- --
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"
� y pPARCEL IDENTIFICATION
Permit Number: SWG _'2'O D Designer's Name: ADAM HUNTER
Applicant's Name: SUE COVERT Designer's Phone Number: 360-753-1226
Mailing Address: 270 SE SPRING PL Designer's Address: PO BOX 162
SHELTON WA 98584 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑ Glendon Biofilter ❑ Sand Filter ❑ Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,Type:
'Aerobic Unit Make/Model XO2 ❑Disinfection Unit Make/Model Other:
Drainfield Type OSCAR XO2
❑ Gravity 0 Pressure 0 Trench 0 Bed 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 OS-100 in
Septic Tank Capacity 1000 gal Number 4
Receiving Soil Type(1-6) 5 Separation OSCAR ft
Receiving Soil Appl.Rate 0.4 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices PER OSCAR
Designed Primary Area 600 ft2 Diameter PER OSCAR in
Designed Reserve Area 600 ft2 Spacing PER OSCAR in
Trench/Bed Width 24 ft Manifold
Trench/Bed Length 25 ft Schedule/Class 40
Elevation Measurements Length 18 ft
Original Drainfield Area Slope 1 % Diameter 1 in
New Slope,If Altered 1 % Preferred manifold configuration used? ®'Yes O No
Depth of Excavation Up-slope N/A-OSCAR in Transport Pipe
from Original Grade Down-slope /A-OSCAR in Schedule/Class 40
Designed Vertical Separatio 24 in Length 50 ft
Gravelless Chambers Required? ❑ Yes 1 'No ❑ Optional Diameter 1 in
Pump Required? M'Yes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 360
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.667 gal
Orifice 5.5 ft Chamber Capacity 1000 gal
Uppermost Orifice l 'Higher ❑Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 12 gpm ®'Timer Gd'Elapse Meter 'Event Counter
Calculated Total Pressure Head 13.254 ft If Timer: Pump on 22 SEC ,Pump off 3MIN 38SEC
Comments A I� G(U V I U
JUN 242026
RA r H I Airvr1I 1161x11 6 rn i
1111 1 vvvIYI I I.IY YII I11I1 ,II\6 k_jii.iiI
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number: -- --
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
if Test hole locations D' Drainfield orientation and layout Reference depth from original grade:
9 Soil logs E21 Trench/bed dimensions and ' Septic tank
E21 Property lines critical distances within layout E ' Drainfield cover
EZ Existing and proposed wells 6d D-Box/Valve box locations
Reference depth from original grade
within 100 ft of property E21' Septic tank/pump chamber and restrictive strata:
®' Measurements to cuts, banks, and locations ❑ Laterals,trench/bed,top and
surface water and critical areas Ed Observation port location bottom
lZ Location and orientation of E2' Clean-out location 0 Curtain drain collector
curtain drain and all absorption 9 Manifold placement 0 Sand augmentation
components ®' Orifice placement Other cross-section detail:
iZ Location and dimension of 9 Lateral placement with distance Ed Observation ports/clean-outs
primary system and reserve area to edge of bed
� Buildings Other Information
121 Audible/visual alarm referenced Yes No
1Z Direction of slope indicator 9 Scale of drawing shown on scale L� O Design staked out
121 Waterlines bar ❑ 0 Recorded Notices attached
Roads, easements, driveways, ❑ ❑ Waiver(s)attached
parking 0 ❑ Pump curve attached
North arrow and scale drawing O 0 Evaluation of failure
shown on scale bar Non-residential justification
0 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must of fi aller at time of installation Yes 0 No
10/14/24
i ature of Designer 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:
Environmental Health Spe ialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: �t ___�
✓ 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.
Updated Date: 12/7/2015
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#:519175100019
DATE SUBMITTED:10/14/2024 LEGAL/LOT#:LAKE ARROWHEAD
#2 TR 19
SUBMITTED BY: ADAM HUNTER
APPLICANT: SUE COVERT
ADDRESS: 270 SE SPRING PL
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= 0.4 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 25'X24'
PER OSCAR
It.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1000GAL.-XO2 TREATMENT
NEW OR EXISTING= TANK
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 50.00 1.00 12.000 3.8772
RETURN 50.00 1.00 12.000 3.8772
TOTAL= 7.7543
**TOTAL HEAD LOSS **
1)FRICTION LOSS THROUGH SYSTEM= 7.754
2)ELEVATION DIFFERENCE = 5.500
TOTAL= 13.254
10/13/24 APPROVED
JUN 2 4 2026
l MASON COUNTY ENVIRONMENTAL HEALTH
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• 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 SYSTEM 13.25
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
10/13/24
�.: ADAld J.IIUYTEH •, 4PROV
JUN 2 4 2026
MASON COUNTY ENVIRONMENTAL HEALTH
RET
SCALE-1"=20'-0"
}0° / \
' 102 103 NOTES:
RBM IS GRUND EL @ PROPERTY CORNER(RBM=100. ) -RESTRICTIVE LAYER BELOW 26"-SEVEN TIMES RULE
T4' -NO WELLS WITHIN E OE OF DRAINFIELD
ELAPSE TIME METER AND EVENT COUNTER REQUIRED
10/13/24 -RISERS TO SURFACE REQUIRED OVERALL TANK LIDS
SOIL LOGS
25 OSCAR O2 DRAINFIELD(NP RET EATMENT) 1) SILT LOAM 0-12"
:..�
;�.•;. 5.1 TILL 12"+
`v. � ?a 2) SILT LOAM 0-12"
f `3 swu:z fS TILL 12"+
AD:.f.l J,HUNTER ';'
50'-1"SC 40 SUPPL AND RETURN LINES s o zx� x �t''
OSCAR XO2 RA
2
I PR POSED 10006 L XO2 PUMP CHAMBER(PUMP EL-96.0)(SEE DETAIL)
I- �4' J PROPOSED 2 BDR RES
O
N {{
ei O
ON
.-t
O O VENTED UD
--P POSE STUBOUT/CLEANOUT(IE.-100.0)
___ __ ___ :cJ
PR POSED 10006 L X�2 ANK(IN.EL-99.5/OUT.EL-992)
HEADWORKS(SEE DETAIL 2 ""' -
__ f
uns 3
•b o
PROPOSED RI E\ a4
60't Illustration 2
THUNDERBIRD DR
REVISION-10/14/24-UPDATED TO XO2
THIS IS NOT A SURVEY:
SITE FEATURES,TOPOGRAPHY,ELEVATIONS AND BENCHMARKS ARE BASED ON ASSUMED DATUM
PROVIDED BY THE OWENER AND COUNTY PLANNING RECORDS AND ARE INTENDED ONLY FOR THE
REVIEW AND CONSTRUCTION OF THE PROPOSED SEPTIC SYSTEM DESIGN.JIM HUNTER&ASSOCIATES
RECOMMENDS THAT A LICENSED PROFESSIONAL LAND SURVEYOR ALWAYS BE USED TO SET CORNER,
® ESTABLISH LOT LINES,DETERMINE ELEVATIONS AND TOPOGRAPHY AND/OR PROVIDE A LEGAL SITE PLAN.VED��4 ❑❑❑tl A FEE MAY BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION&RECORD DRAWING
JUN 2 4 zozs
�ASONCOU 0E W CLOQUALLUM RD TO LAKE ARROWHEAD TO A LEFT ON JIM HUNTER AND ASSOCIATES
NTH L HEALTH OWHEAD DRTO A LEFT ON THUNDERBIRD TO SITE ON THE LE DESIGNER ADAM HUNTER
0 753-1226 JHANDA55OCETE5@HOTMAILCOM
RET
SEPTIC SYSTEM DESIGN FOR-
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SUE COVERT
O ev SITE ADDR-
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LEGAL- LAKEARROWHEAD#2 TR 19 1 OF2
THUNDERBIRD TP# 519175100019 SITE#
OSX-240-5 HWN-.7-RF -AUTOMATIC HEADWORKS DETAIL - NO SCALE
OVERALL LENGTH-25FT 10/13/24
MIN. SHOULDER LENGTH
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Plan View Z
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OS-50 4 SLIP CAP Z
COIL Q
FLAT SITE U)
f ASTh%C-33 SAND INSPECTION PORT O
PREPARED SOIL SURFACE-/
BASAL WIDTH 24FT
Section A
TS
APPROVED
OSCAR HEADWORKS SETUP:
Place valve 1&2 toggle switch and pump 1 toggle switch to MAN position.
Pump should dose and all three pressure gauges should stabilize about 50 psi. MASON
COUNTY
Gauge 3 may read as low as 40 psi.No water should be flowing into septic tank. MASON COUN I I ENIVIRONMENTAL
Place valve 3&4 toggle switch to MAN and valves 1&2 toggle switch to OFF, NFJ?L�M
pump#1 in MAN.Pump should run,pressures should change:gauge 2 highest RET
pressure,gauge 1 less than 2,and gauge 3 should indicate 0 psi.Water should
be flowing into septic tank very rapidly.
Place valves 1&2 and valve 5 in MAN position and valves 3&4 in OFF position,
and pump 1 in MAN.Pressure on gauge 1 &2 should indicate about the same
pressure,and gauge three should indicate between 0-3 psi and water should be JIM HUNTER AND ASSOCIATES
flowing into septic tank at a moderate rate. P.O.BOX 162,OLY,WA 98507 753-1226 JHANDASSOCIATES@HOTMAILCOM
Position all toggle switches to AUTO. DESIGNER-ADAM HUNTER
c.Check timer default settings:
V1 OFF=3 minutes 38 seconds SEPTIC SYSTEM DESIGN FOR-
V1 ON=22 seconds SUE COVERT
V2 OFF=30 seconds SITEADDR-
V2 ON=15 seconds 71 W THUNDERBIRD DR
V1V3 OFF=30 seconds LEGAL-
V1V3 On=2 minutes LAKE ARROWHEAD TR 19 2 oF2
TP# SIT E#
#
519175100019