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Home My WebLink AboutSWG2026-00229-APPLICATION/DESIGN - SWG Application / Design - 8/10/2026 j4 WA MASON COUNTY 415 N 6TH STREET,SHELTON,0 98584 SHELTON: -O 7 EXT EXT584 BELFAIR 380-275-4467, EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX 360-427-7787 On-Site Sewage System Permit: SWG2026-00229 APPLICANT Hunter, Adam Phone: 360753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 OWNER GUFFANTI TRSE JENNIFER Phone: Address: L&J GUFFANTI SURVIVOR TRS SHELTON, WA 98584-7953 SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226 Address', PO Box 162 OLYMPIA, WA 98507 Site Address: 4030 SE Kamilche Point Rd Primary Parcel Number: 319115200018 Repair: SFR 3-bedroom pressure to Glendon (pump tank and Permit Description. drainfield only) Permit Submitted Date: 0712212026 Permit Issued Date: 0811012026 Issued By: David Anderson Current Permit Fees Paid: $845.00 (additional fees may be required use,installation of systam) Permit Expiration Date: 0810612027 (based on dam of'msoection) 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 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.govthealth/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY COUNTY DAIE9L[ELLD i , to MASON y AADGNTPr[E 9 EA D�" 01 m Public Health & Human Services 0 m N ti EnahonmentI Health 360427-4670.eR.400 Cr 16O -0a51.e%Laoo SWG J I.v - c •• 1 I O 415 N-6th Street-Shelton,WA 905S4 f Z 01 ON-SITE SEWAGE SYSTEM APPLICATION M C) PHONE r APPLICANT (360) 764-6210 C Mike Ashford j -" - -' MAILING ADDRESS-STREET,III STELE DID DOEC SHELTON WA 98584 Ed 4030 SE KAMILCHE POINT RD �_ SITE ADDRESS-STREET,CITY ZIP CODE - T Shelton WA 98584 4030 SE Kamilche Point Rd _ PHONE L�l NAME IF DESIGNER _ So - 11 3607531226 I o o ADAM HUNTER / ' o PHONE NAME OF IS rnuEn TBD COMMUNITY 055 Iff COMMERCIAL -- -_.__..... _... DRINKING WATER SOURCE O TBD PERMIT TYPE(selacl cod l � PRIVATE INDIVIDUAL WELL PRIVATE NJO-PARTY WFLL Z LN RESIDENTIAL 055 MMERCIAL CSSOINT PUBLIC WATER SYSTEM KAMILCHE P I I TYPE OF WORK(se�nol one) NEW CONSTRUCTION I UPGRADES❑✓ REPAIR I KEPI AGEMENT OTHER DETAILS(telacrell Niel apply) O TABLE X RE AIR I SURFACING SEWAGE U EXISTING FAILURE ❑ SHORELINE � SUBMITTALS SIZEDESIGN FORM(REQUIRED) ASEPTIC DESIGN(REOWRED) BEDROOMS '_OT 0,6 MYE9Re^TED AMNOrzOss O 3 0.62 ❑ WAIVER(S)(IF APPLICABLE DIRECTIONS TO 5'-E AND SITE CO DD IONS In.mckea gale) SEE DESIGN r O SITE MUST BE FLAGGED FROM MAIN ROADAND TEST HOLES MUSTSE FLAGGED WITH TEST HOLE NUMBERS — OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I LAlLURE SOURCE Ilor epanln9 p`^Poe') VOLUNTARY Q MAINTENANCEIPUMPING Q BUILDING PERMIT Q HOME SALE COMPLAINT 0 o OENTSRI CONDITIONS COMMSPEC FOR SOIL Loos bf{fIM. TNitf: 0- fb" 5, 1 to II (TyPi 5 +i., p. I5 5/ Is to 6ofiom RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: REQUIRED FOR FINAL.APPROVAL.. V=VERY o=GRAVELLY s=SAND L=LOAM si=SILT C=oUY E=ERREMELY R=RC015 APPLICATION APPROVEOLIESUEC SO INSPECTOR SIGNATURE DATE APPLICARON EXPIRATION DATE �� 01202c 11/G/lole 7i lzOZt� THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY W EBSITE Revisetl.01!0912026 DESIGN FORM—PAGE ONE Assessur's Parcel Number: 319115200018 A design will he reviewed when 3 en ies of each of the following Sare ubmitted layout emh,including all appf able items on checklist v Scaled to dean. form that has been signed and dated v Cass section sketch, including all applicable items on checklist v Scaled plot plan. including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site..Naximum paper lice' 11 X IT' PARCEL IDENTIFICATION Designer's Name: ADAM HUNTER_ _-- PemutNumber: SWG— Desio er's phone Number: 360753122 -6 _ Mike Ashford 2201 93RD AVE SW, STE A Applicant's Name: Mailing Address: 4030 SE KAMILCHE POINT RI Designer's Address: OLYMPIA_ WA 98512 SHELTON WA 98584 City State Zip _ _ ADAM@HUNTERSEPTICDESIGN.COM Zin Designers Email — �— Ctry State — DESIGN PARAMETERS ---- Treatment Device eGle ®lteurculating Filter ❑ ATII ❑Otter odon Sand li0 er ®Mowed Sand Lined Drvinlidd Treatment Level (check all Iha apply): V A B V6 C BL I BL2 UI 3 E 0 N GLENDON M-31 llnch eld Type 0 Sub Surface Drip rk 0 Pressure O Trench ❑ Bed Laterals eptic Tank/Drainfield Specifications GLENDON 3 Schedule/Class Bedrooms d 70 gp GLENDON it f.ength:Operating Cepaeiry 2 GLENDON in 360 gpd Diameter: Design Plow GLENDON Numher CapaciA (working) 1200 gal ate R 0 GLENDON ft 5 SeparationSoil Type 4 d/ftz Orifices Receiving Soil Appl. Rate `� GLENDON 900 it Total Number of Orifices Required Primary Area GLENDON in 1276.8 ftc Diameter Designed Primary Ara Designed Reserve GLENDON in 900 111 Spacing Reserve Area Manifold TrcnchBed Width 22.4 ft 40 57 ft Schedule/Class Trench/Bed Length 50 ft Length Elevation Measurements 1 in Original e, if Alic Area Slope 5 % Diameter 1 ntield5 n Preferred manifold mnfigurntion used'?®YcS No New Slope,Excavation Transport Pipe Depth of Excavation ��- l°n` GLENDON in from Original Ch-de Do EXISTING nm_zlope GLENDON in Schedule/Class Length EXISTING ft Designed Vertical Separation in Uiaumter EXISTING in _� Gravel-based Drainfietd Required? ®Yes®No Dosing and Pump Chamber Pump Required? OYcs®N°pump/Siphon Specifications 144 Number of dos'ce/day �� 25 gal 7.5 ft Dose uanti Duff in Elevation Between Pump&Uppermost Orifice__ q " �' 1200 gal NIA R Chamber Capacity(flood) Draimficld Squirt Heigh/,'Selected Residual(head) pump controls: please check thov_c equircd. than Event Counter Uppac,ty( Ontrl Press gC H®LowerGLEN OPNShumff n Timer P1 Elapse Meter 10MIN Capacity(2'Iola/Pressmc Head gP 2.5 pump off Calculated Total Pressure Head GLENDON g If Timer: Pump on Comments Revised:6/11/2025 .319115200018 Assessor's Parcel Number. DESIGN FORM— PAGE TWO Pcmrit Number: S�}tO S(L DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch � Drai nfield orientation and layout Reference depth from original grade. Test hole locations Septic tank cTritical distances dim within and rainlield cover Soil logs critical layout V D ef property lines D-Box/Valve box locations Reference depth from original grade Existing and proposed wellstop and Septic tank'pump chamber and restrictive strata:within 100 ft of property locations Laterals,trenchlbed, Measurements to cuts,banks, and _ bottom Lf Observation port location Curtain drain collector surface water and critical areas 19 Clean-out location Sand augmentation colle Locaton and orientation of Manifold placement curtain drain and all absorptlon Other cross'-seetimt detail: components V Orifice placement V Observation ports/clean-outs Pf Location and dimension of V Lateral placement with distance Other Information primary system and reserve area to edge of bed yc, No Wr Buildings Audibleivisual alarm referenced Design staked out (9 Direction of slope indicator Scale of drawing shown on scale Recorded Notices attached 6K Waterlines bar Er ❑ waiver(s) attached pf Roads, casements, driveways, Elevation benchmark and relative g O Pump curve attached parking elevations of 4ystom components failure fl (] Lvahratio n of f Non-residentlal justifailure North arrow and scale drawing W rite strength shown on scale bar o ❑ Flow DESIGN .APPROVAL, -1 he underlie ed designer must be notified by installer at time of installation ®Yes Q No 711012026 _ Date Signature o Designer �'-1 The undersignedpas reviewed this design on behalf of Mason County Public health and determmeb ttto'7? vE compliance with state and local on-site r lati0nst Date Environmental H ealth . pecialtst _ CAUTION: DESIGN APPROVAL IbS VALID ONLYn y PUNDER HeaTHE FOLLOWING COND1 R1N' °�=F'fq�rIf th. ✓ '[he design is stamped Approved" ✓ The Onsite Sewage permit has not expired,the Permit Expiration Date ✓ Drainfrcld site conditions have not been altered to adversely affect conditions of design approval.by a Please Nooe authorization is obtained from Mason certified Mason County installer, rPublicHealth.rir unless p An Installation Fee is required. '.6/11/2025 This form may be scanned and available for public view on the Mason County Web site. Revised MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN Site F (county-assigned) Parcel ft 319115200018 Date submitted 7/10/2026 Legal / KAMILCHE POINT REPLAT LOTS: 18 & lot- iSA (18A Drainfield) Submitted by - Applicant Nikki Beets Site 4030 SE Kamilche Point Rd, Mailing address + WA address Shelton, WA 98584 1. Flow Calculations Number of bedrooms 3 Residential GPD flow 360 gpd Application rate 0.40 gpd/ft° Absorption area 900 ft' II. Waterproof Septic Tank Composition&size 1200 GAL - CONCRETE (EXISTING) III. Drainfield Details , z . 1 /10/�fi_ MgSp,l;Ld4q .�� 02626 Lam- � � OOC�C00 0000 � D KA&CHE4oINTRD � m o m � N � � W � • m O nP m tl F 3 n _ ° z v z o _ r _ m 0 -- $ n: s'Th3 V m A m A O DI A 1 D O _ ! � A D m w � N o y o p o No OHWM—. 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