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HomeMy WebLinkAboutSWG2026-00195-APPLICATION/DESIGN - SWG Application / Design - 9/19/2026 MASON COUNTY 415N 6THSTREET, 0427-97WA98584 SHELTON:360-027-96]4 E%T 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: SWG2026-00195 APPLICANT Ehlert,Jacob Phone: 360-551-3963 Address. 538 SE Dogwood rd Port Orchardq, WA 98367 OWNER CLARK-GETZIN REVOCABLE LIVING Phone: 360-620-9960 TRUST Address: DANIEL L GETZIN &WENDY A CLARK CO-TRUSTEES PORT ANGELES, WA 98362 OWNER APPLICANT Cryder, Kyle Phone: 3606209960 Address. 12271 Orchard Ave SE Olalla,WA 98359 SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287 Address: 7178 windtlower pl nw Seabeck,WA 98380 Site Address: E Rasor Rd W Primary Parcel Number: 222237790021 Permit Description: New 3BR SIR -Gravity wl Class B Waiver Permit Submitted Date: 06/22/2026 Permit Issued Date: 08119/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $570.00 (odmmnal fees may be required upon,nsrallanan of system). Permit Expiration Date: 07/17/2029 (based on dale 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. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 055. 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. CIAIUONIY MASON COUNTY °"h`�� b l aoa� N AManr9E¢Nm REc°sm8. m0 m Public Health & Human Services Fm m BIw«mM a NsN,>fiG.,,�,0. PAM R„N fi,.� oR SWG a ca-0 col o ° A15 N.fiN Nriet-SMGRM'P 995& - ;L! Z ON-SITE SEWAGE SYSTEM APPLICATION y D m c, m r KC Home Services Inc 360-620-99609ITAI MAILIN3 ADD ESS-6TREFT CITY STATE 21C cOOE 12271 Orchard Ave SE. Olalla WA 98359erE A°ORE65.STREET CITY Z.P casexxxx E Rasor Rd West, Beltair WA 98528 'Jim Zimny 360-516-7287 RAMFOIINaTALLR PHOO£Final Vision Inc 360-801-5681 MITT EFlo s DRINRIN •RESIC NTUd OSS T,COMMUNITY0CC 11COMMLROAL OSS I PHIVATE INJNIDUAL VYELL ❑ PH IVAIF TRO PAHTY N*LL 2 iPE CF PUBLIC WATEP SYSFM HabmLlr.a 1s_1dlell.(connB5 NRR r=-<=1 EN ',UONSTft QF UPGRAUSC ❑ 12LI WI R/REILAcEMEIr O °"" ' ' O l AUCI x REFA H I` O suprAC'rc sENoL ❑ INC FAILURE ❑ HOREUNE ■ DES ON rORM iRFOU IP.ED •—E PT IC::)ESIC3ra REOL IHFI„ AED r _LO CR A PTFR apron+ O ■ AVERS, EAP CABLEI 3 1 .03 YE NO F 0PECTIONE TO SITE AND SITE CONDITIONS (e'b-'NJ 911N F. From hwy 3 in belt air turn onto WA-106 wand drive for several miles and turn left on E I I Trails Rd for 1.3 miles then turn left onto E Trails End Dr and at 0.4 miles turn left onto E r Rasor Rd and the property will be on the right about 7 miles down. See pink ribbon hanging on the trees off of road for trail into test holes (pink ribbon adjacent to mail boxes). This ribbon also leads to a second parcels test holes (both applications submitted together). Sat Must BE RA Gao FHCM MMN ROAD AN°TST HOLES MUST 9E FIAGf£D'MM 1EST HOLE NUYIBNS. — — — CF- IA: USTONHR I OWTFIS IN - — — - - -OURCE(I As A NAN(.'A R' ER' + QBUiL N6 PERM Cr HOME.SAF :JM AID OrHEU - ECT,.NSOI e_ / )v I_NL Ww.plm- ry W � H1 RE CORD ORANPNGAND.NSIALNTION REPORT 4� 1�T� OTWVELLY s=sM'° L•LOAM S-w TRE"I" R>ROOTS UIRED FOR FlNALAPPROVALFGN TwE DA'E PLIC ,IONFxPI Ar, mnT noN APPROVEalssuED ev DATE -IN 1 - Iq W aAYBE SCANNED AND AVAILABLE MR PUBLIC VIEW ON THE MASON COUNTY WEBSITE 7 Revised-.0110912026 DESIGN FORM—PAGE ONE Assessors Parcel Number 2 2 2 2 3 7 7 9 0 0 2 1 A design 11 he re jew ed hen 3 copies 0f each of the Intoning are h rtred: Completed design linii Unit ho,(iceti sgicdad dared I Scaled I Inil sketch tiiclL,diIlg all l l plicahle items on ciukh'i Scaled plot plan adudint_all applicable items in checklist Cr soon .sketch. inclutlna all t l pf -hle imnu on checklist_ This form may be scanned and available for public view on the Mason County Web site..1 fuxim,un pciper wz . 11 .1 17" n� o PARCEL IDENTIFICATION Ferro it Number: SW(i Uc'iend n Nom,_ Jim Zmny _ Applicant s Name. KC Home Services Inc Designer x Phone N,mlher 360-516-7287 12271 Orchard Ave SE Uustgn r 1ddm,.. n 76 Windflower PI NW Mailing Addtc-rs: WA 083 50 Cac vote /q, Seebeck WA 98380 apddee 9 stwidoud corn _... - Cnr State /i, Ua�tgn t'sFinail DESIGN PARAMETERS Treatment Unite C Glendon ❑ Sand I O Mound ❑ Sand I.1ned )II...eId O Rwmvlutme hdmr ❑.AI I. ❑Other Treatment Le cl(check all pmt aprb 1. O A ❑ h O C ❑ 131.1 ❑ 131? ❑ 1313 IL ❑ N Drainfield Type �e Ciroc it ❑ I'r,,¢ur, I i,ndt ❑ lied ❑ Suh Surface Drip Septic Tank/Drainfield Specifications Laterals '1 timber of Ikdrooms 3 Seliedulc/Clan, 3034 I)aiI floti_Operati n-C upacii 270 gpd Length 50 1't I)ailo I lo,' )csign I tote 360 gpd Diameter 4 in Septic'lank Capucitp torkinul 1250 gal Number 4 kseicinp Soil l'pe it-t,1 4 Sepurnuon 5' CtC 11 Ra,eh htg Soil Apps. Rate 0.6 gpd/IF Orifices L,rye d I riman Area 600 fr I of al Ntimber ex NA fr I)cigiiedl ` iw, Area 600 ft- )aiieter ? m / U n't d Resen'e Area 600 (f- SP IL m ' in fr ic I/I 3cc1U'idph 3 fl 12 � yy a7anifold I rench/13ed Length 200 CI Sche hz/e aw1{. ....%. NA V Elevation Measurements I cngdt It nnpinnl 1)rninlleld Area Slope 11 I nnmeler 4 in Nco Slope.11 Altc-ieN 11 I'rel cieaI ntauilhld coalieuralion sued O Ye' C No I),pal of I xeayaYen tp-aoa= 10 in Transport Pipe from Oricmal((rode u).a...... 16 in <ahadule/C'Ias, 3034 1)esuan d Vertical Sepazlion in Length 30 fl in,.cI-hed UuJnlidd Rc.pmed', ❑ Yes 16No U,ann.tm 4 in 1'wnp Requited p ❑ Yes No Dosing and Pump Chamber Pump/Siphon Specifications Nun i i of doses/day I)ifl 111 Elevation)3ebcur_PumpA ltllpcnnnsl Otilicc_t1 Uose gtumtii gal Drainfield Squirt I leiallu Selected Residual i head l _ _1i Chamber C'a1mcitc(tloodl gal 1pprnno_a Orifice O higher O laser plat l'untp Shutoff pump controls: please check those rapuircd C,,Vaal, ii 1'ondla::u¢l lead gp p it ,Mietn C I('eii Counwe, ( l ulaled'I'olol 1 r sure le"d li t p , Punip oil cmnm,nts AUG 1 9 2020 MASON C ! IRCI r JLSW Revised.,/II/2<I25 DESIGN FORM—PAGE TWO Assessors Parcel Number. 2 2 2 2 3 7 7 9 0 0 2 1 Permit Nurttber. SWG_________ DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch dl Test hole locations V Drainficld orientation and layout Reference depth from original grade: Soil logs ' Trench/bed dimensions and Q( Septic tank Property lines critical distances within layout Drainficld coyer Qf Existing and proposed icells D-Box/Vahe box locations Reference depth from original grade within IUII ft ofpropeny if Septic tank/pump chamber and restrictive strata Measurements to cuts, banks,and locations ' Laterals,trench/bed, top and surface voter and critical areas p Obse rcation port location bottom Location and orientation of $ C lean-out location O Curtain drain collector curtain drain and all absorption O Manifold placement O Sand augmentation components ❑1 Orifice placement Other cross-section detail- Q1 Location and dimension of IP Lateral placement ii all distance lr Obsen ation ports/clean-outs primar""stmt and reser,e area to edge of bed Other Information Buildings O Andiblets isual alarm referenced Yes Nc Direction of slope indicator O Design stoked out Scale of drawing shoe non scale ❑ O Recorded Notices attached Waterlines bar qfRoads_casements.driveways. / Elevation bench .hencl1S and(r9Yative ❑ O Waiver(s)attached parking cic at ions ofs i ni➢fmcn , ❑ O Pump curt e attached 9fNorth arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar . J. Nonresidential justification ❑ ❑ Waste strength .,� O O FlowF, IS\ The undersigned designer must be notified by nsta er at late of installation Yes ❑ No t Signature D let Date /' The undersigned has re'iowed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on- itc re ,ulations'. • h S kL ---- --------__ !1{_, F to : c sl Ilcalt' 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'.__ 7 / f(/✓ Drainficld site conditions hate not been altered to adverseh affect conditions of design approval. Please Note: The system mus be installed by a certified installer, W unless prior authorization is o A a county Public Health. AUG 1921171, An Installation Fee is require, ,fl, This form may be scanned and available for public view 419 Mason County Web site. Revise 1.ail 1/2(125 N IH ry £ $ v o w m n F a n Z n' m m m s It ro j A m N a a = o q AUG 19 2026 , e,_ _ F pp�pp� i"i-FLrJ IY 0.l VC E ti Q '- t c x? QC w I w 2 A a W - ® - " 3 Z • • • fl c w m c a w iarooa Punm6 _ • g _ „_...._..New.Tid drivewaY P Advantage Perc & Design Construction Notes for 3 Bedroom Gravity System Gravity with graveless chambers (Rock and pipe may be substituted). Install4ea 50 Laterals. Use a 6 hole d-box and speed levelers. Install laterals on 5' toot centers. Install 16" trench depth on low side of trench and maintain 18" of vertical separation Install level and along contours. Install in dry weather only. Use 1250-Gallon septic and add risers for pumping and maintenance System designed for typical residential waste strength sewage only. AROVE .y AUG 19 207.6 roN�It F.. • a I ! \ � � 2j ■ j \ _ y \ / |"I 4ri$ $ � � Y E 2 a Qz; Ø Jew ©«> | _ p —= { q § f i ljr I °\ }( is I SI . f < »» §| ■ L__ I. < � • �/ F~ auc Lb WITH wfllff SAL -11 VL Ii amoeu APPROVE , AUG 19 2!'76 %r