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Home My WebLink AboutSWG2026-00237 - SWG Application / Design - 8/21/2026 MASON COUNTY 415N6SHELTON. 60427-O70,EXT 400 S HELFAIR 360-427-9670,E400 e ELFAIR. 360-275-4467,EXT 400 Public Health & Human Services ELMA.360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2026-00237 APPLICANT HARRIS RICHARD H JR & MARILYN Phone: 1.360.529.1508 Address 111 SE DAHMAN ROAD SHELTON, WA 98584 OWNER HARRIS RICHARD H JR &MARILYN Phone: 1.360.529.1508 Address: 111 SE DAHMAN ROAD SHELTON, WA 98584 SEPTIC DESIGNER DALE TAHJA* Phone: 360-463-8023 Address'. 2450 W DEEGAN ROAD WEST SHELTON,WA 98584 Site Address: 31 SE Engle Dr Primary Parcel Number: 319152102004 Permit Description: New SFR 4-bedroom OSCAR X02 with OS-50 coils Permit Submitted Date'. 07/28/2026 Permit Issued Date: 08/21/2026 Issued By: David Anderson Current Permit Fees Paid: $845.00 (addmmnal revs may be re LJo-ed upon'nstallaton of system) Permit Expiration Date: 08/06/2029 teased on dale or mspccimol Permit Conditions: 1 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 O55. 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: masoncounlywa.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY ERECERED o pr 2c > ♦MOUNTBECEM FE[£IVF➢9Y' Public Health & Human Services 5 �1Z P aGF o m 4 5 N. mentre t-Sh lton W 9620,ext.4BGor 361}Z2sme2,ert.aoB 415N.6th StrW-5he1B,TWA9B58 SING ' -e)-Uc — S O 'A 2 N ON-SITE SEWAGE SYSTEM APPLICATION a z m m � APPLICANT PHONE Rebecca Holmes 1 (360)529-1508 c MAILING ADDRESS-STREET,CITY STATE,ZIP CODE - P.O. Box 11850 o Olympia WA 98508 z $READDRESS-STREET.CRY ZIP CODE _ SE. Engle Dr. h Shelton WA 98584 I w NAME OF DESIGNER - PHONE Dale L. Tahja (360)463-8023 NAME OF INSTALLER - ? PHONE I GO 5 Is PERMRTYPE(selec,aw) DRINKING WATER SOURCE y Q i RESIDENTIAL ORS fl COMMUNITY OSS ❑COMMERCIAL OSS ! PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL = TYPE OFWORK(I.M.Dre) ❑ PUBLIC WATER SYSTEM ■ NEW CONSTRUCTION I UPGRADES 0 REPAIR/REPLACEMENT OTHER DETAILS(saanII IDSeppy) ❑ TABLE X REPAIR N SUBMITTALS ❑SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE w ■ DESIGN FORM REQUIRED 0 SEPTIC DESIGN REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4NI2025? I ❑ WAIVER(S)QFAPPLICABLE) 4 4,49acre YES IO DIRECTIONS TO SOEAND SITE CONDITIONS'.(ex:IxbOge,e) Hwy 101 south, Casino exit, left on Old Olympic Hwy, left on Bloomfield Rd., left on Engle I Dr., first driveway on the left. a IC CD SITEMUST BE FLAGGED FFON IYWROAD AND TEST HOLES MUST BE F4OBF01NTN LEST HOLENIIYBERS.. I a — --- OFFICIAL USE ONLY BELOW THIS LINE UPGPPDEI FNLURE SOURCE Ifoc rtemin9 WrPR) o VOLUNTARY ❑MAINTENANCE/PUMPING❑ BUILDING PERMIT O HOME SALE❑ COMPLAINT Q OTHER. INSPECTOR SOIL LOGE COMMENTS/CONDITIONS T(t1:d- 20 'SL (tyPC `) 1¢5F 4f 20'1 L-/ RT0f 5tv ll+t:u- ISI 5c k3:020 S/ A° �0 Iks{a w" yr mof N� RECORD DRAWING AND INSTALLATION REPORT SOILCODES: V=VERY G-GRAVELLY 5=SAND L•LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINALAPPROVAL. MS SIGNATURE DATE APPLIGATINEXP ATION DATE APPL ION APPPOVEDI ISSUED BY GATE PEA /6 ZO 6 Z0l v Z l THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VNiW ON THE MASON COUNTY WEBSITE Revised 01/0912026 DESIGN FORM—PAGE ONE Assessor's Parcel Number 13 19 1 5 2 1 012 , 0 , 0-I 4 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 mey be scanned and available for public view on the Mason County Web rite.Maximum paper size: II' X17" rkgca Wnn1nCAflON ` PertnitNnmber: ü37 Designer'sNamc: Date L.Tahja __ Applicant's Name: Rebecca Holmes Designer's Phone Number: (360)463-8023 Mailing Address: P.O.Box 11850 Designer's Address: 2450 W.Deegan Rd.W Olympe WA 98508 City State Zip Shelton WA 90584 City State Zip Designer's Email daktahjacgmall.com Treatment Device �/ ❑ Glendon ❑ Sand Filter O Mound ❑. Sand.Lined Drainfield ❑Recirculating Filter Q ATU Oscar OX2 Other Treatment Level(check all that apply): CJ/A p B pai C eBLI W'BL2 t'BL3 P'E ❑N Drainfield Type ❑Gravity O Pressure 0 Trench 0 Bed V'Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedtooa+s 4 Schedule/Class OS-50 coils Daily Flow: Operating Capacity 360 gpd Length 25 ft Daily Flow: Design Flow 480 gpd Diameter I Netafim Bioline N Septic Tank Capacity(working) 1,000 gal Number 8 Receiving Soil Type(1-6) 4 Separation 1 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices 400 emitters Designed Primary Area 800 ft2 Diameter Netfim Bioline In Designed Reserve Area 800 ft2 Spacing 6 in TrenchBed Width 17.1 ft Manifold Trench/Bed Length 47 ft ScheduleClass Sch.40 Elevation Measurements Length 100 ft Original Drainfield Area Slope 5 /o Diameter 1 in New Slope,If Altered % Preferred manifold configuration used? D Yes V No Depth of Excavation Up-slope 0 in Transport Pipe from Original Grade Do -sbpe 0 in Schedule/Class Sch.40 Designed Vertical Separation 16 in Length 5 ft Gravel-based Draintield Required? ❑Yes Ef No Diameter 1 in Pump Required? Pf Yes O No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 360 Diff.in Elevation Between Pump&Uppermost Orifice 6 it Dose quantity 1.03 gal Drainfield Squirt Height/Selected Residual(head) drip ft Chamber Capacity(flood) gal Uppermost Orifice 0 Higher D Lower them Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 30 gpm El Timer g Elapse Meter B Event Counter Calculated Total Pressure Head 50 It If Timer: Pump on 0.38 min pump off 3.62 min Comments Revised:6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number`3 ! i 5 2 1 0 2 -0__0 4 Permit Number: SWG ZG?G-a-d 737 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch V Test hole locations V Drainfield orientation and layout Reference depth from original grade: Soil logs Er Trench/bed dimensions and a Septic tank ig Property lines critical distances within layout V Drainfield cover er Existing and proposed wells Wr D-BoxNalve box locations Reference depth from original grade within 100 ft of property 0 Septic tank/ um chamber P P P and restrictive strata: ❑ Measurements to cuts,banks,and locations V Laterals,trench/bed,top and surface water and critical areas B Observation port location bottom e' Location and orientation of V Clean-out location O Curtain drain collector curtain drain and all absorption 9 Manifold placement v Sand augmentation components O Orifice placement Other cross-section detail: Er Location and dimension of F' Lateral placement with distance O Observation ports/clean-outs primary system and reserve area to edge of bed K Other Information 19 Buildings a Audible/visual alarm referenced Yes No Qf Direction of slope indicator V Scale of drawing shown on scale IK O Design staked out er Waterlines bar 0 O Recorded Notices attached Roads,easements,driveways, t Elevation benchmark and relative 0 O Waiver(s)attached parking elevations of system components V ❑ Pump curve attached e North arrow and scale drawing ❑ 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑Flow DESIGN APPROVAL The undersigned designer must otified bytinst 1 t time of installation OYES O No Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and deternv rE compliance with state and local on-sit egulations: t - 1PEP. Envi onmental Health Specialist CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CO IQ �? ✓ The design is stamped"Approved"by Mason County Public Health. �^ J •. ✓ 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 ap Please Note: The system must be installed by a cei ed itatlj , unless prior authorization is obtained from Mason Couiyzb}ic h. An Installation Fee is required. FyT This form may be scanned and available for public view on the Mason County Web site. Rev 6/11/2025 Ty Mason County WA GIS Web Map StE$ a > 2K 0 C ___ 7/, +l(bY 7/16/2026, 4:08:15 PM �fC- ' \cyc 5 �\`1\5 a\-n�1.�G1-t 11,538 o County Boundary S( a\ 1 0 0.02 0.04 No Filled XO= Tanks va (tao 1000 GaOon 1EM axon U9' Treatment tank Discharge tank • 16" As tiW n. F AUG 2 1 2025 I ? eloozal 0 O'dle L.Tehp TYEtiVRGA,1gENi HEALTH LICENSED DESIGNER DJA A / \ - / u�oJQ b �rW� LQ'c' 5100214 Dale L.Tah1a I".ENSED DESIGNER AUG t 1 2626 otirv`DJA "tM (NEAL U 2 I . - Afç ' -2 Kira- , iLl ' II Thermoplastic and �� steel top bearing and l motorcooPl coupling.bracket hese disthargeYflth assembled built-in with ugAYeMcDonald stainless Psteel motors.Two wire single phase models include pump,motor,and 10'lead. A This tour inch submersible is supplied with grounded leads meetingthe National Electrical Code(NEC)specifications. l The performance curve below will assist you in choosing the pump that meets your needs. i I MODELS I E-30 GPM E - 30 GPM -- - 12 NP t11fl. 51 PA.I. I� LL 0 100 1/2 NP•4 STAGES ' - 0 35 40 10 n LmPkx IU RO_ 30 ._—�- 11p 110 160 "3 FLOW GPM AUG 2 12026 Specifications �, 1 1D.9a 9s Q TYpcpi 112 1 Plasda 115 R0h7Jfhr, L0T-30 3 23 DJA ."�NL,LT, µfDOllild SUBMITTAL INFORMATION - Powered by A.Y.McDonald submersible motors 112 HP. - Stainless steel pump shell and pump shaft _ 1114"FNPT Discharge - Reinforced Thermoplastic diffusers and impellers - Thermoplastic intake screen and cable guard NO-LEAD:The weighted average of the wetted surface of this no-lead product contacted by consumable water contains less than one quarter of one percent 10.25%)lead. toll Free:1S77-476- OQ owridgt a Technologies,Ina. fax. 1-425-335 36228623 oscarroonst comet .cam PA.6ox1179 Lake Stevens,WA 99258 M.Moponald con$ibasthe information ondris assembly dmwing correctwhen published.hem antl oDliw availability.including spcIicafions,are subiedtc change without notice. Submitted by: Installation/Maintenance Oscar — II 1. Install audio/visual high water alarm. 2. Divert all storm water run-off away from septic system components. 3. No curtain(french) drains allowed within loft. of the up-slope edge of the drainfield and reserve area. 4. No curtain (french) drains allowed within 30ft. of the down-slope edge of the drainfield and reserve area. 5. Have the System maintained in accordance with manufacturer's requirements. 6. All material and workmanship must meet County and State requirements. 7. Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 8. The prepared Site Plan is not a survey, it is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the Designer immediately. 9. Locate all utilities prior to starting installation. 10. A Final Inspection and Record Drawing fee will be charged upon completion of the installation. 11. The installer will notfy the designer, Dale Tahja (360)463-8023, 48 hours prior to the start of the installation. 12. An additional re-design fee may be charged if changes are requested from the applicant after the original design is approved. 13. All water line and sewer line crossings or areas where required separations can not be met,the Washington State Pipeline Separation Design and Installation Standards must be followed. ppp� , �3P ry asoN UO? 7005 y s oazla � co ti < , C:aIe L.Tahie JA ��N�aG�y LICENSED 9ESIGNER _________ � IOD11�` _ (� I �� m ` \aarc1oAm mar�c0' °l`l'Lei l S�,\�_g3t � Ill r— —1 LJt\` d.� O�j�t \: `^rS i.'�`ti t 3P a 77j 510 24 g• O oe:e I Tank( UCENS6: =SIGNER -�-ASS 0 O c N J � • I ' ( i s' 3 I . c 1 r.l o I SI 5\00 çfl L