HomeMy WebLinkAboutSWG2026-00211 - SWG Application / Design - 8/3/2026 415 N 6Th SHELTON:360-427-96 0,EXT 400
MASON COUNTY BEE MA3502754467-42T787
FAX'.269,EXT 400
Public Health & Human Services
On-Site Sewage System Permit: SWG2026-00211 360 753-1226
Phone:
Hunter, Adam
APPLICANT 2201 93rd Ave SW Olympia,WA 98512 phone:
Address. PIQUETnE MELINDA
OWNER 5002 S 66TH ST TACOMA,WA 98409
Address.
100E LEFFLER LN
Site Address: 221212491040
Primary parcel Number:
2BR Mound NEW SFR
Permit Description: 0710312026
Permit Submitted Date: 0 810 312 0 2 6
Permit Issued Date: Jeff Wilmoth
Current Permit Fees Paid: ladaldnoal lees may be required upon,nsra11a0o"°r ryslem).
Issued By: $570.00
0712312029 (based oo dare or lnspec"o")
Permit Expiration Date:
Permit Conditions: approve the building location. Building location is
1 Approval of this septic fromall permit applicaoes ble departments and regulations, by the planning
subject to approval all app
2 Proposed development
subject
O j Couony Title 17 zoning quirements and app
department staff p
permit must be installed by a Mason County Certified Installer unless prior written
3
authorization from Mason County is obtained
4 Drain field installation not to exceed designed upslo p e and downsl°pe depth specified on
roval prior to backfill of
design form. Mason County installation approval y Installer is responsible for obtaining prior to
system components.
6 installer is responsible for obtaining
Septic DesignedEngineerinstallation approval
backfill of system compo ts
7 Mason County Asom Form, Record Drawing, and Installation fee must be submitted for bth1tfinal installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATION
S
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN a. ovlhealthlonvirOnment,llonsiteloss-inspection-request.phP APPROVEDr
al
360 427.9670
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES
,extension 400.
For Final Inspection visit: masoncountyw
OFFICIAL USE ONLY COUNTY OATENEEE ED o-7 1 o-z 1
MASON m m
o N
pMOI1Ni PEiENEf�
Human Services I I N z
Public Health & SWG a,_ i 0
415NEnv,ro IRIHAet Heath 3ltofl W9GTD,ert,eDomsw-ns>u,T,exi.+GD Z D
415N.ObstP t 51e11. .WIAIW 3 A
ON-SITE SEWAGE SYSTEM HAPPLICATION m c
2532252808 3 APPLICANZenith 98584 m
Zenith Homes"Derek NIA m
I Shelton I r,
66
MMLING ALync-STREET CITY srprE.ZIP CODE mac 98546
66 SE Lynch Rd �i o
Grapeview I ro
5READDRESS-STREET.C .ZIP LODE `}_ p
PHONE TO
100 East Leffler Lane 360,531226
NAME DE DESIGNER PHONE
ADAM HUNTER TED m
NAME OF INSTALLER O3 Z
TBD DRINKING WATER SOURCE
COMMERCIAL OSS ❑ PRIVATE INDIVIDUALWELL ❑ PRIVATE TWO-PARK WELL
PERMIT TYPE(.�lau �al 0 PUBLIC WATER SYSTEM LEFFL�
RESIDENTIAL OSB COMMUNITY 055SHORELINE
TYPE OFWDRTIAL BEE(5erecr one REPAIR I REPLACEMENT OTHER DETAILS(+elenellmat apply) ❑ TABLE%REPAIR
❑ SURFADING SEWAGE ❑ EXISTING FAILURE ❑ 0
LOT 912E WAS LOT CREATED PFTE0.011R0259
NEW CONSTRUCTION 1 UPGRADES NO
BEDROOMS 1 25 YES
SUBMITTALG • SEPTIC DESIGN(REQUIRED) 2
DESIGN FORM(REQUIRED) ❑
WAIVERS)(IF APPLICABLE?
DIRECT101S TO SIRE AND SITE CONDITIONS.(ev.Ixked gale)
ANTHONY RD NORTH ON CENTERLINE TO A LEFT ON LEFFLER TO SITE AT THE END
0
II
ERS
OFFICIAL USE ONLY BLLOW TIiIS LINE
SITE MUST 9E FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUM6
__-SOLL L ❑MAINTENANOEIPUMPING❑ O OTHER:
FAIL SOURCE forrep°nmg D°Ws°:
0VOW BUILDING PERMIT O HOME SALE COMPLAINT O COMMENTS IcoNOITIONs
INSPECTOR GDIL DG� 3 �
RECORD DRAWING AND INSTALLATION REPORT
REQUIRED FOR FINAL APPROVAL DI
EXTREMELY R=ROOT5
SOIL CODES:O SAND L=LOAM _ ALT C=CLAY E= A CATION APPROVED!ISSUED BY
y=VERY G=GMVELLY s' EXPIRATION
DATE APPLILPTION DAT t/I
,,SPED OR SIGNATURE 2Revised 0110912
// ✓✓ WEBSITE
BE AV BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY
DESIGN FORM—PAGE ONE:
A design will be reviewed when 3 Assessor's Parcel Number: 221212491040
Completed des, co its of each of the following Scaled design form that has be,,signed and dated, are sub
Plot plop includ,n PPmitred:
This form g all applicable items on checklist Scaled layout sketch including
may scanned and available for "Cross-section sketch,Web
site.
, all applicable items on c public view on the gall applicable items on chcckli,i.
Permit Number: PARCEL Mason County Web site.Mnximum u SWG IDENTIFICATION Cr size !]' y-/7..
2201 93RD AVE SW
Applicant's Name: Zenith Ho --_ Designer's Name:
Homes -Derek ADAM 1226
s'- 66 SE Lynch Rd --
Mailing Address. Designer's Phone Number. 36075312
Designer's Address: 26
Shelton WA ------
She
--- 98584 City Slate Zip , STEA ---
OLYMPIA
�i� Designers R' gg572
Email
_ DESIGN pAA ADAM@HUNTERSEPTICDESIG
O hat nn ��ERS N.COM
OSand Filter Q� naon��d Treatment Device
Treatment Level(check OSa,,d Lined Um,nfield ('�, —
all that apply . � r1r`cale,,9 Filter
IP7H IQ]C ❑ 9LI ❑ATU 0Othcr
812 BL3 ef
Gravity 121 H ❑N �---
Pressure Drainfield Type
Septic TanWDr T'onch
ainfieId S fled
Number ofBedrooms Pecificatlons 0 Sob Surface Drip
Daily Flow: O 2 Lateral,
Pembng Capacity 80 Schedule/Class
180
Daily Plow: Design Flow 240 gpd Length40
Septic Tank Capacity(working) 1125
� gpd Diameter R
Receiving Soil Type(1-6) al
Number 125
4 m
Receiving Soil App)- Rate gal
4
Separation
Required Primary Area
Designed Prima 400 flr Orifice,
p'Arca Total Number of Orifices
Desi tcd 4---:
g Reserve prey 400 he Diameter 40
8 Trench/Bed Width ftx Spacing 3/16
- in
'french/Bed Length ft 28
24
Elev ft Schedule/' anifold
atlon M easurements Class
Original Drainfield Area Slope 40
LcngOi
Vew Slope, IfAlter 4 7,5 ed 4 &uo Diameter � ft
)epdi of Excavation [uRsi, Preferred � 2
otn Original Grade MOUND Q.'cong4iaq �� in
D Ewa-,gape in ;�9 used? 'e,opq
esigned Vertical Se MOUND £'l nsport Pipe
Paranon >24 �n Sch V
/ ass QV
duel-based Dra,nfield Required? In Lengt ., N 40
mP Requiredy OYes ONo Diamett. 10
G)YesONo '_ ft
Pump/Siphon S 2
f. in Elevation Between Pump , Upperations Dosing to
Number ofdoses/da and Pump Chamber
$ UFlPennost Orifice 9.5 fty infield Squirt Height/Selected Residual(head)
Dose 6
2quan[iN
ennost OnBce e ft CapacityChamber 40GAL
re,[ eH,gher Lower than Pump — (flood) 0 gal
Y(a; final re,Pressure Head P Shutoff Pump 1000
Mated Total Pressure Head 23 45 P controls: Please check [hose required
gal
— gPm E( Timer
fleuts
12� ft Elapse Meter If Timer: Pump on 40GAL Event Counter
Pump off 4 HRS
221212491040
r.
DESIGNFORM_PACE TWO Assessor's Parcel NumbePemrit Number- SWG_
DESIGN CHECKLISTS
Scaled Layout Sketch
Cross-Section Sketch
Scaled Plot Plan Ur Drainfield orientation and layout Reference e depth from original grade
Test hole locations Trench/bed dimensions and
Drainfield cover
c tank
Still logs critical distances within layout _
Property lines Qf D-Box1ValVe box locations
Reference depth from original grade
wells chamber and restrictive strata: top and
Exist and proposed Septic tank/pump Laterals,trench 1b
of roperty looations bottom
within 1004 P rtlocation
Measurements W cuts,banks, and l Curtain drain collector
surface water and critical areas
Observation pelt
Clean-outlocation
Sand augmcnta io
[ion Manifold placement
Location and orientation of Other cross-section de�rtslclean-outs
fl
curtain drain and all absorp g Orifice placement Vr Ohservanon p
components is Lateral placement with distance formation
Other In
Location and m dimension of to edge of bed Yes No
prima,'system and reserve area pesign staked out
Buildings Vr Acale of drawisual alarm referenced O Recorded staked
attached
Scale drawing shown on scale notices a
pf Direction of slope indicator bar Cl waiver(s)z
❑ Pump curve attached
W a[erhnes g' e evatioo benchmark and rcnents f failure
driveways, system compo ❑ Evaluation o
Roads, casement, clevatioos of parking Non-residential jushficauon
jK North arrow and scale drawing ❑ O W rite strength
shown on scale bar o ❑ Flow
DESIGN APPROVAL O No
installer at time of installation Oyes
ed designer must be notified by 7/2126
The undersign __ —--- Date
Signatureo Designer
ulations.
The undersigned has reviewed this design on behalf of Mason County Public Heahh and detennvred it to be in
compliance with state and local on-Site(,' � �� ��� Qs —
l� Date
8nvi ie Health Spec alist
CAUTION: DESIGN
APPROVAL IS VALID ONLY UNDER THE FOLLOWING COND1 dboN:
Approved•by Mason County 1' Health.
✓ The Onsite Sewage Permit has not exp
✓ [he design is stamp� fired,the Permit Expiration
iration Date is:_ _?___ t
/
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval,
a certif T'
The system must be installed by � i Heab
Please Note: from
unless prior authorization is obtained aw 3
fee is TeC]U1Ted. n County site. Revised 6111/
An installation Fublic view on the
This form may be scanned and available for p
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
Site k
(county-assigned)
Date submincA Parcel J
7/2/2026 221212491040
Submitted by Legal Lot LOT:
4 SP #1538 11 #443293
Site 100 East '�Pp)icant
Leffler Lane, Zenith Homes
address G"a0eview, - Derek
WA 98546 Mailing 66 SE Lynch Rd, Shelton, WA
address
98584
I. Flow Calculations
Number of bedrooms
Residenfial GPD flow
Application rate 2
Absorption area 240 gpd
0.60 gpd/ft�
11. Waterproof Septic Tank 400 ft'
Composition&size
771. Drainfield Details 1125 GAL - CONCRETE
Distribution media
Rock depth below pipe
aratio Gravel
Sep n to restrictive layer a. v.
Trench/bd width -_ , 0• - 6"
e -
[` r� >1� _ 0.
IV Pump Requirement
Dosing volume
26
Doses per day
40.0 gal
V. Pressure Calculations
6
LATERAL #I
Squirt height
Orifice discharge rate
Lateral length 2.00 ft
Orifice spacin 0.586 gpm
g
Distance from 24 ft
end cap
Number 2' 4"
of orifices
1. 2..
5.86 pmLateral discharge rate
2.00 ft
LATERAL 02 0.586 8Pm
Squirt height 24 ft
orifice discharge rate 2• 4"
Lateral length 1•
orifice spacing 10
Distance from end cap 5.86 8Pm
Number of orifices
Lateral discharge rate
2,00 ft
LATERAL 03 0.586 9PO
squirt height / 24 ft
orifice discharge rate 2• t
102I2fi. 1. 2"
Lateral length
Orifice spacing 10
Distance from end cap 5.86 8Pm
Number of orifices fi
Lateral discharge rare
2.00 ft
LATERAL $4 0.586 9Pm
Orifice
24 ft
orifice discharge rate ¢¢�w 2• 4"
Lateral leng8r gpga q� 1• 2"
Orifice spacing 9" p� 10
end cap pUv 3 i13;�
Distance from _ - 5.86 8Pm
Number of orifices
Lateral discharge rate ���
FRICTION LOSS
papa nr hoard —. (,idinn le=,Ay ser tiou
FLOW (ET)
oIAHEi(IN) (GPM) 0.99
LENGTH(FT) 23.45
SECTION 2.00 0.00
100 11.72
AB 2.00 0.00
1 5.86
BC 2.00 0.13
3 5.86
CD
24
Total =
DE
:• total Head toss I)Friction loss through system=
2) Elevation difference=
1.12 ft
3)Residual=
9.50 ft
To(al=
2.00 ft
VL Mound Design — Fill & Basal
12.62 ft
Bed center(lj)
Bed edge(C)
Downslope depth (E) 18"
Endslope width(K) / 12"
Fill length (L) 1 ,1'/ 1.40 ft
U sle \ 10.35 ft
P pe width (J)
Downslope width (1) 44.70 ft
Fill width e p r 7.34 ft
Basal area re ° 10.77 ft
9uired ' 26
Slope basal area available 28.12 ft
Basal area adequate? 408.0 ft2
.
498.6 ft'
Mound Sketch
xxyE5xx
Abt fa.rol Diu¢'a+ia,�,'nn'tGu ndadatrd ZVI!,.S 6v'flog d jn.
TO Pu.F 70
MOUND PLAN
120.90' _
10.35'
MYERS ME3
Capacity liters per minute
0 SC 100
50 no 250
12
d0
4
30 °
I 6 �
=20
�f3rlI
10 2
°
0 10 20 30
4C 50 60 70
°
Capacity gallons per minute
APPROVES
0212fi
AUG 03 2B2o
Gt r.::
ro / / \ \ /\V//i -
/ JN J
O w
f b m
i
-- u,-
OC,000OOOGO
0 0 0 0 0 o
oo v o 0 0 m o
CD CD CD CD r 01
8 8 o 0 o m o
�
OO CPS D �C 3 ni
m
C j
az p m O
-- D , a -I ZC) aS
A < 2 p 3 0 - �^p N <O ?
= 0 33 m@
Z mp
=f y N O I
an�'^ Oy mr om' o D > Z- � of � C � lmii9 C Zmi
n3xo � '« A yn ym yi
a ° ¢ ° zN Fn F$ F Sm m Z _____ = D 2 3W, m
, ¢ aa3m 3 3 3 ` Mwmm
- ' Fc
oA 00
v r C p � m v - mm0
, n D oz0
a �
F .
o = m
F =F
> > n ,A,A c v, a o A o n f�fl o F o y m N a u N y O ZO ZO WO c c AD D m m]�
.,A 3 N O a z n O m O m Z < If7 m o c 3 zo ¢ �" 3 = Q a n O 5 Cm m —1 9 = < 0 'i O �D
3 A m 3 _ 0 > D 2 O H m
y c m A O O tl D 1 r D Z L] a s T L? y Z F fn O D D Z r
y ]pl S CI C N p y Z m O C N ➢ O O O 2 O _ 3 £ - y O ~ O
y m O O
o ➢ 3 c� D u n a p RI O n 1
y m m z y n m F O D s m o o Cn 3 3 0 3 vzi 7D7JJ z m _ C
m z i m c 0 vv y y O o o N Ea - N D OO y a 2 m m a UDi D
W x 0 3 0 ~ O
?
m A m
O K Z
_ (/ O > m u rO n Z
m a _ v N D
o f 0 m Dr 3 y �
Ll
- F o
u
C A O O O C O m p y OT C -I N O E¢. - - 3
a m N c n n vN+ c o m o - - m d m
m 2 D z s o ti m ti n A n � z - e ¢ z m O
Z C 2 4 > m _ �. Z _ W O K
- W ti C 2 : W W Z
o m N ? p o - y 3
O A z N ? o < A - - £" c
2 O
- O
Z O p H Z
_ � m_ RI O O [�� n o 3 r -
m i L a 3 - 3 3 a - m y m n p
p O N O O A;xTA 3 m K D K
E n O D Z mC L) C WC Cm _ 00 o O O O O 'c
ZrC - - Z O O `G Ay '9A E m D
t zx �
F - 3 m A b y
L O n O LI - CN RI
a - `�°- O 0 3 D D
� ¢ -� Z B U Z Z
O f% 4 D S .S
Z o A O o m0 - D A
O _
Z A O
➢ AC O - C� C A
- T CI 2 �A O -
➢ 0 m y Z w � O O L] N ➢p OA ¢
m O fn A 3 N Z 4]pS0 Op 3 m O
N n o Ayy o c o
O s n ➢ m A n o o yDm➢ - 4 W D y r o
D O 9 p N 2 y n y y n yNOOG O b _
I F p m p ti o m
m
> m i r O vZi 3 tsii z K mzi 3 v _ O m
mpm N o m p !➢iiAN� - r m W
S V Z D C D
y 2 OZ p O D 9 ➢ zp0 3 m Z
A y N - Z O ZI yyp0 m o ,2 y
O D O W
3 A Z - D DZOm
O
m I m n O D y D nAzn
_ O r-
m m OAST N �C C �
i ma
sD ® D nEI
Z£ S
_ _ � 3 �
oL
qm o
o ¢
mm csoa �m _ a
OD -
fl
N3 ¢D
III'
I
3ath
rtF O O m 7: i
�
oA 3m D n
I
Fa �v
r - [I jzm
3
NCa f
Nz
om om om
m p � m m
' I
m �Jry I u
w p I w T I o
i I