HomeMy WebLinkAboutSWG2026-00245 - SWG Application / Design - 8/21/2026 4
MASON COUNTY 415 N STH STREET,SHELTON,WA 98584
Public Health & Human Services SHELTON,360-427-9170,EXT 400
BELFAIR:360-2754467, EXT400
ELMS:360-482-5269,EXT 400
FAX.36042-7767
On-Site Sewage System Permit: SWG2026-00245
APPLICANT Hunter, Adam
Address: 2201 93rd Ave SW Olympia, WA 98512 Phone: 360 753-1226
OWNER WALKER KIMBERLY C
Address: 1403 SW 166TH ST BURIEN, WA 98166 Phone
SEPTIC DESIGNER
Address: ADAM HUNTER"
PO Box 162 OLYMPIA, WA 98507 Phone: 360-753-1226
SEPTIC INSTALLER
Address: SCOTT JOHNSON
"8639
8639 SALTY DR NW OLYMPIA, WA 98502 Phone: 360-763-fi577
Site Address:
Primary Parcel Number: 340 E BAYVIEW DR
320024390020
Permit Description:
Permit Submitted Date: New 4bd OscarX02 (3bd main home+ 1
Permit Issued Date: 08/05/2026 bd ADU Proposed)
Issued By: 08/21/2026
Current Permit Fees Paid: Rhonda Thompson
$570.00 (additions]fees i"ay de�e
Permit Expiration Date: v°"°°°I'°"'"a'a"°II°"of aysla°�(.
08/14/2029 (bosed°"date oinspection)
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 Grainfield 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 USE.
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.
OFFICIAL USE ONLY
MASON COUNTY �E1kENE /aX)4D
JJ N D
FMOUMRELEMD. FCENED SY, C U1
Public Health & Human Services DN_ / o y
Environmental Hearth 360-0]]-96IO,ext.400 or 360-275-4467 eN.400 Q w
415 N 6th Street- Shelton,WA 96514 S AI' \ y O
cñ
ON-SITE SEWAGE SYSTEM APPLICATION z
APPLICANT 3 A
PHONE
Scott Johnson Ir—_ m m
C—�-- 3604905408
z
MAILwGACCREss-srREET CITY STATE ZIP LODE j ,rl • '--- C
8639 Salty Drive NW I _ z
co Olympia WA 98502 m
SITEADDREss-STREET.CITY ZIP CODE T
East Bayvlew Drive /,q- F 1 Shelton 98584
I
NAME OF DESIGNER O
PHONE
O
ADAM HUNTER 1 �1=-
3607531226 I w
NAME OF INSTALLER I -
PHONE
AFFORDABLE SEPTIC O I CS
rj 3604905408 0
PERMIT TYPE(select one) DRINKING WATER SOURCE
RM U1
1 RESIDENTIALOSS ECOMMUNITYOSS UCOMMERCIALOSS ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATETWO-PARTY WELL O
z
TYPE OF WORK I$eleclonn. E3 PUBLIC WATER SYSTEM
I]NEW CONSTRUCTION/UPGRADES I]REPAIR I REPLACEMENT OTHER DETALS(selecl all mat apply) ❑ TABLE X REPAIR I r
SUBMITTALS ❑ SURFACING SEWAGE ❑ EXISTING FAILURE O SHORELINE
D DESIGN FORM REQUIRED( ) EJ SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 41C2Wsl r
❑ WAIVER(S) IF APPLICABLE) 4 4.92 YES No O
DIREC110NS TO SITE AND SITE CONDITIONS.(er.bckedgale)
AGATE SOUTH TO A RIGHT ON BAWIEW TO SITE ON THE RIGHT. I I
0I
H
SITE MUST BE FUGGEG FROM MAIN ROAD AND TEST HOLES MUSTBE FLAGGED µ1TH TEST NOLE NUMBERS.
OFFICIAL USE ONLY BELOW TH I5 LINE
UPGRADE FAILURE SOURCE(for repoNng purses)
❑VOLUNTARY ❑MAINTENANCEIPUMPING Q BUILDING PERMIT Q HOME SALE❑ COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
Ail -ntt) S & M-
SOIL CODES RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY 5=SAND L=LOAM Sl=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVEDI ISSUED BY DATE binTHIS FORM MAY E SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised.01/09/2026
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 320024390020
A design will be reviewed when 3 copies of each of the following are submitted:
v Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist.
v 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. M1faxinnnrh pajct cisc: II' k 17
PARCEL IDENTIFICATION
Designer's Name: ADAM HUNTER
Permit Number: SWG o DO 3607531226
Scott Johnson Designer's Phone Number.
Applicants Name: 2201 93RD AVE SW, STE A
8639 Salty Drive NW Designer's Address:
Mailing Address. OLYMPIA WA 98512
Olympia WA 98502 City State Zip
Desi mcr's Email ADAM@HUNTERSEPTICDESIGN.COM
City Slate Zip b
DESIGN PARAMETERS -
Treatment Device
OGlendon OSand Filar OMound QSavd lined Drain Geld Qlicdmulnung Filter AlU
OSC. X02 0 Or,
Treatment Level check n11 that apply) A n C HI-l 14 111.2_ 19 BL3 O F ❑ N
Drainfield Type
0 Gravity
Pressure 0 Trench ❑ Bed 0 Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals
Number of Bedrooms
4 Schedule/Clas9 OSCAR
Daily Flow: Operating Capacity 360 gpd Length
OS-100 It
Daily Flow: Design Flow
480 gpd Diameter OS-100 in
Septic]a' Capacity(working)
1200 gal Number 4
Receiving Soil Type(1-6)
5 Separation 0.5 ft
Receiving Soil Appl. Rate 0.4 gpd/fit Orifices
Required Primary Area
1200 ftc Total Number of Orifices OSCAR OS-100
Designed Primacy Area
1215 ff2 Diameter DRIP in
Designed Reserve Area 1215 ft, Spacing OSCAR OS-100 in
Trench/Bed Width 27 ft Manifold
TrenchBcd length
45 ft Schedule/Class 40
en th 45 ft
Elevation Measurements g
Original Drainficld Area Slope
0 % Diameter I in
Preferred manifold con Figuration used'?®YesQNc
New Slope, It Altered 0
Depth of Excavation Up-slope N/A in 'transport Pipe
from Original Grade p„tii,rlopr. N/A in Schedule/Clans 40
Designed Vertical Separation
18 in length 100 ft
• Diameter 1 in
Gravel-based Drainficld Rcyuired^, Q QYes NoO
Pump Required? ®Yes ONo Dosing and Pump Chamber
'da 411
Pump/Siphon Specifications Number ofdoses y
Diff. in Elevation Between Pump&Uppermost Orifice 5.3_itt Dose quantity 1168GAL gat
OSCA Chamber Capacity(flood) 1200 gal
Drainficld Squirt Height Selected Residual(head) _ ft
Cppermos[Orifice®Higher QLowert Shutoff p Pump controls: Please check those required.
OSCAfi Er Timer l� Elapse Meter Event Counter
Capacity;a,Total Pressure Head put i t L Q MIN
Calculated Total Pressure I lead OSCAR ft If Timer: Pump o
Comments
Revised: 6/11/201
DESIGN FORM —PAGE TWO
Assessor's Parcel Numher:320024390020
Permit Numher. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
ef 'rest hole locations Ed Drainfield orientation and layout Reference depth from original grade:
er Soil logs Trench/bed dimensions and S' Septic tank
critical distances within layout V Drainfield cover
Ef Existing lines
ExD-Box/Valve box locations Reference depth from original grade
within 00 ft of properly rig and proposed rtyw Septic tank/pump chamber and restrictive strata:
withi 1
Measurements to cuts,banks,and
locations Laterals,trenchftted, top and
surface water and critical areas Observation port location bottom
Clean-out location LY Curtain dram collector
Location and orientation of {� Sand augmentation
curtain drain and all absorption e Manifold placement
components 19 Orifice placement Other cross-section detail:
V Location and dimension of Lateral placement with distance V Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
• Buildings e Audible/visual alarm referenced Yes No
V Direction of slope indicator e O Design staked out
Scale of drawing shown on scale V 0 Recorded Notices attached
er Waterlines bar
❑ Waiver(s)attached
Er Roads, casements, driveways, elevation benchmark and relative V O Pump curve attached
parking elevations of system components V ❑ Evaluation of failure
Er North arrow and scale drawing Non-residential justification
shown on scale bar
❑ ❑ Waste strength
❑ O Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation eYcs O No
8/3/26
Signature o Designer Date
The undersigned has reviewed this design on behalf of Mason County Public I Iealth and determined it to he in
compliance with state and local on-site regulatio ns:
Environmental Health sp cialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLV 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 e:—
✓ 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
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
320024390020
Site =` (county-assigned) ParceL;
8/3/2026 Legal/ Lot LOT 2 SP# 3172 AF# 2218223 S
Date submin,d 4/129
Submitted by
Applicant Scott Johnson
Mailing 8639 Salty Drive NW, Olympia,
Site 240 East Bayview Drive, Shelton, M g WA 98502
WA 98584 address
address
I. Flow Calculations
4
Number of bedrooms
480 gpd
Residential GPD Flaw
0.46 gpd/ft'
Application rate I
09/03 fj 1200 ft1
Absorption area _ 't'
11. Waterproof Septic Tank
7 1200GAL - X02 TANK
Composition&size /
Ill. Drainfield Details
0' - 6"
Sand Depth /�
IV. Pressure Calculations A I P ROVED
40
Using pipe class AUG 21 2026
Distribution I? SJS C:.. , E .�S4e'J"L-t4L r Netafim dripline (per Oscar)
RC7
5tpply rcnrtv —ncHoi trey
DIAMETER FLOW FRICTION LOSS
LENGTH (FT)
IN (WM)
SECTION (FT) (TN)
100 1.00
12 7.75
Supply
Return
100 1.00 12 7.75
Total = 15.51
Total Head Loss
15.51 ft
1)Friction loss through system=
5.30 ft
2)Elevation difference
20.81 ft
Total=
V. Check the Pump Capacity
Pump(per Oscar) A.V. McDonald 30 GPM — X HP
Excess TDH rating 50.00 ft
Total head loss in system 20.81 ft
Standard pump configuration sufficient? YES
/03 2f
4 '.
APPROVED
AUG 2 1 2326
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