HomeMy WebLinkAboutSWG2023-00482 - SWG Application / Design - 11/13/2023 4
A 415 N fil H SrREET,SHELTON,W 9858
MASONCOUNTY SHELTON:360-4275
A ?L BELFAIR.360-275-4467,EXT 400
Public Health & Human Services ELMA: 360-482-5269,EXT 400
FAX.360-427-7787
On-Site Sewage System Tank Only Permit: SWG2023-00482
OWNER ELMA COUNTRY CLUB Phone: 707-362-0467
Address: PO BOX 3037 ELMA, WA 98541
APPLICANT ELMA COUNTRY CLUB Phone: 707-362-0467
Address: PO BOX 3037 ELMA, WA 98541
SEPTIC INSTALLER Shane Maples- MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 519121000000
Permit Description: Replace septic tank
Permit Submitted Date: 11/13/2023
Permit Issued Date: 11/20/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $255.00 (additional ees may be required upon installation of system)
Permit Expiration Date: 11/20/2024 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: IM-1060
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 05$.
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/OR 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 USC ONLY
MASON COUNTY AIEBECEV ( (I I, i2 3 cn y
II COMMUNITY SERVICES AND � RECEIVLDm LO
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ON-SITE SEWAGE TANK ONLY APPLICATION z p
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APPLICANT YY((/--/�L}y]�.- /- PHONE D- �G _ ` �E�`\ m z
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MAILING DRESS-S ITY..SIXTFZICOD J m
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SIT EADDRESS-STREET.CITY,z( P CODE __---�
NAME OF DESIGNER PHONE .�NAME GE INSTALLER PHONE q
Shone, �S 20— qc 3-s O1-0'A < I____,TYPE OF WORK Ise one) DRINKING WATER SOURCE
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❑ NEW CONSTRUCTION/UPGRADES //W REPAIR/REPLACEMENT I
Y❑� PRIVATE INDIVIDUAL WELL ❑ PRIVATE N✓0-PARTY WELL Z
COMPONENTS)TO BE REPLACED/INSTALLED F�� �r PUBLIC WATER SYSI EM ,_
SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK III LOT SIZE
OTHER Z 4-1-'Z.3 a I C
OTHER DFTAILS(lect all ma,appy TANK(S)SETBACK CHECKI DST Q
ID I)_/ d
❑ SURFACING SEWAGE }p EXISTING FAILURE 0 SHORELINE IUOFTE PUBLIC/COMMUNITY WELLS n (1
SURM'ETAI a ��//'' SOFT+PRIVATE WEI L S.SURFACE WATERS.STREAMS.RIVERS
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r[��LOT PLAN(REQUIRED) .TANK CROSS SECTION(REQUIRED) /OFT/ DRINKING WATER SUPPLY LINES I O
❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) M EFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST E I )�O
❑ PROPERTY LINES AND EASEMENTS ❑ EXISTING/PROPOSED STRUCTURES ❑ EXISTING,'PROPOSED OSS COMPONENTS AND LINES
❑ WELLS WITHIN 100FT ❑ WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING 0 SURFACE WATERS.STREAMS,RIVERS,ETC I d
❑ DIRECTION OF SLOPE CONTOURS ❑ PERIMETER,'CURTAIN DRAINS 0 NORTHARROW ❑SCALE BAR I
DIRECTIONS TO SITE AND SITE CONE/DONS {eh /oGea gate)
PSa04c. 4'/ pnl: S 9f - (t- k01/-0
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SCCRR�,I,CF(for repnhn,y nucDoyes)
❑VOLUNTARY Dy MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT OOTHER.
COMMENTS/CORDITIIONS �p�
r/LCe, J ' C.- W rt lc--
SEWAGE TANKS MUST BE LISTED UNJFR DOH"LIST OF REGISTERED SEWAGE TANKS TANKS MUST MEET CURRENI MINIMUM SIZE REQUIREMENTS.EQUIPPED tMTH RISERS
AND LIDS TO SURFACE.AND INCLUDE AN FEEL DENT FILTER(IF APPLICABLE(. RECORD DRAWING AND INSTAL I AnnON REPORT REQUIRED F OR F NAL APPROVAL
INSPECTOR SIGNATURE DATE APPLIAI ION EXPIRATION DATE APPLICATION APPROVED:
DISSUED BY DATE
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Y REVISED 12am015
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Features&Benefits
. • Strong injection molded polypropylene
struction
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� , - 'i I \I Ifg6ypldlght plastic construction and
/1 I I l� NO�/ O Zn.t,y�board lifting lugs allow for easy
( I ' elivery and handling
k C 1ntar .navy duty green lids that
interconnect with TWT^'risers and pipe
riser solutions
R ItV it !Y rr StlIN NI It Q I, • Structurally reinforced access ports
eliminate distortion during installation
and pump-outs
• Reinforced structural ribbing and
' fiberglass bulkheads offer additional
strength
• Can be installed with 6"to 48"
of cover
The Infiltrator IM-1060 is a lightweight strong and durable septic tank. • Can be pumped dry during
This watertight tank design is offered with Infiltrator's line of custom-fit pump-outs
risers and heavy-duty lids. Infiltrator injection molded tanks provide a • Suitable for use as a septic tank, pump
revolutionary improvement in plastic septic tank design, offering long-term tank, or rainwater(non-potable)tank
exceptional strength and watertightness. • No special water filling requirements
Inlet Side are necessary
TANK CUTAWAY Infiltrator -
• The tank may be backfilled with suitable
native soil.See installation instructions
TW Riser -K for guidance.
System •
Partition
baffle wall
HEAVY DUTY LID
CUTAWAY
Reinforced
24"structural
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bulkheads
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MID-SEAM CUTAWAY
41 Reinforced water tight mid-seam
gasketed connection
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Solutions INFILTRATOR`
Protecting the Environment with Innovative Wastewater Treatmentwater technologies
IM-1060 General Specifications and Illustrations
LIFTING
ALL 1aTm.,I ITYPIa°)„, i�
The IM-1060 is an injection molded two piece mid-seam '. r:.. u r,
plastic tank.The IM-1060 injection molded plastic design Mill 1 li 11 I I iC—/,l1I�II'��.
allows for a mid-seam joint that has precise dimensions A ;i �� , u 1 1 v * Cc', A
for accepting an engineered EPDM gasket. Infiltrator's f t •,/o '' e
gasket design utilizes technology fromthe water industry I,.ii4 j x o�`C III=al
to deliver proven means of maintaininga watertight seal. r_t" l n 1 1 ,. 1
The two-piece design is permanently fastened using a es.v�mo� I+ +I i��"='r�
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series of non-corrosive plastic alignment dowels and �.����[O II !. .1. .. .ic.hull wl
locking seam clips.The IM-1060 is assembled and sold
through a network of certified Infiltrator distributors. ,,,,m„I,„,E.,„
Must be bacMilled and installed in accordance with TOP VIEW
Infiltrator Water Technologies, Infiltrator IM-Series Septic OUTLET
Tank General Installation Instructions and for shallow •,.-.
ground water conditions reference the Infiltrator IM-
Series Tank Buoyancy Control Guidance.
Please visit www.infiltratorwater.com/images/pdf/ _ _ _„ „ _ , I,g zle oa
ManualsGuides/TANK01.pdf for the latest information. SEAM CUP „'����" ��,. HELGHT
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IM-1060 6 STRAP
Working Capacity 1094 gal(4141 L) `TNtnPeul --
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127"(3226 mm) wN04411011 DI41a1011 AC,Ess oPEenasam LOOCHGUD5 SI
a]ddW1F L0DwD 0Anon PVC
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Width fi22"(1580 mm) INLET TEE ^ss
Length-to-Width Ratio 2.3 to 1 na�tlr' . ANT
Height 54.7"(1389 mm) AEA I om I PER I
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Liquid Level 44"(1118 mm) c J-
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FIBERGLASS_
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Invert Drop 3"(76 mm) UPP°Wr ' LIQUID
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Fiberglass Supports 2 WALL
REQUIRED
Compartments 1 or 2
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 mm) ITI-1111.]
Maximum Pipe Diameter 6"(152 mm) CONTINUOUS
gNNTOPWeight 320 lbs(145 kg) HALF GASKET
TANKy�t� pr^¢5' 1/-�1 pr^ !rvINTERIOR SEAM CLIP
` PP ` OVED ALIGNMENT '
DOWEL TANK BOTTOM
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4 Business 20 21123
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INFILTRATOR,. MO-577-moo Fax Fax 6FA sn .
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water technologies www.inllamtnrsweteccom
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Contours a aotn0.PotyTUX Cllamhrspam'is MUMP't.Pmilttkark W,culckPlyCSrapl-ck and 6rademacckare 4aIMYW of Infiltrator Water Tallnokgltl.
Pd01nk is a trademark of hnotogk,Inc.TUF-TITS a erecters]trademark OITUF-TITE,INC.ultra-n1015 a trademark of IPEX Inc.
®2016 IrEtaWWaterTa 1Okpin,LW,Al lights rEeved.HMaI in U5a IMW Ill6
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436