Loading...
HomeMy WebLinkAboutSWG2024-00042 - SWG Application / Design - 2/7/2024 A MASON COUNTY 415 N 6TH STREET,SHELTON,967 , 98400 SHELTON:36 42 EXT, 5400 84 BELFAIR:360-275-4467,EXT 400 rT} r Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2024-00042 APPLICANT CARROUGHER LIVING TRUST Phone: Address: PO BOX 776 UNION, WA 98592 OWNER CARROUGHER LIVING TRUST Phone: Address: PO BOX 776 UNION, WA 98592 SEPTIC INSTALLER JOSH PETERSON` Phone: 253-255-6799 Address: 14198 COLONY AVE SOUTHEAST PORT ORCHARD, WA 98367 Site Address: 7611 E STATE ROUTE 106 Primary Parcel Number: 322334400010 Permit Description: Replace septic tank Permit Submitted Date: 02/07/2024 Permit Issued Date: 02/09/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $265.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/0712029 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Septic Tank Only Surfacing Sewage? No Existing Failure? Yes Shoreline? Yes Horizontal Setbacks Met? No Number of Bedrooms: 4 Drinking Water Source: Private Well/Spring Additional Details: Hagerman 1250 ST Permit Conditions: 1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 4 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 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/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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. r MASON COUNTY 415 N 6TH T,SHELTON,WA 98584 SHTREE 42 T 967 ,EXT 400 T; STREET, BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 5 Waterproof surface barrier applied to concrete tank consistent with Manual of Concrete Practice AC/ 515.1 R. Flexible rubber boots or compression seals meeting ASTM C 1644, or flexible couplings meeting ASTM C 1173 used for inlet and outlet connections to provide flexibility in case of tank settlement while still maintaining a watertight seal. An approved double-wall fiberglass tank may be used in lieu of a concrete tank. Concrete tank tested for water-tightness consistent with ASTM C 1227. Fiberglass tank tested for water-tightness consistent with IAPMO/ANSI Z1000-2007. Access openings at or above finished grade with lockable lids or secured to prevent unauthorized entry. 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/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/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY--- _ _ DATE RECEIVED: / MASON COUNTY o2 . 7 . Lt 11 1 COMMUNITY SERVICES /� � c c AMOUNT RECEIVED. RECEIVED BY CO (n <�f'70 v m 1�9P c `'i� �' Public Health(Community Health/Environmental Health) �� < (p �,,, 364gi79670,ext.400 of 360.275.4467,ext.400 SWG ^� Q :1i" 415N.6th Street Shelton,WA98584 SWG J � - OGYJ�I-/ o x ON-SITE SEWAGE TANK ONLY APPLICATION m m APPLICANT PHONE r John Gregory Carrougher 12535149133 z MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE K PO BOX 776, UNION WA 98592 co SITE ADDRESS-STREET.CITY.ZIP CODE 7611 E state route 106 NAME OF DESIGNER PHONE NAME OF INSTALLER PHONE 0 C Kat Trax 2532556799 R. TYPE OF WORK(select one) DRINKING WATER SOURCE O ❑ NEW CONSTRUCTION I UPGRADES © REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM , ❑O SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I. . ❑ OTHER /i` I W I— (L�TANK(S)SETBACK CHECKLIST OTHER DETAILS(select all That apply) 0 t ❑ SURFACING SEWAGE ©EXISTING FAILURE 0 SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS n �\ SUBMITTALS 0 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS I:: PLOT PLAN(REQUIRED) 0 TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES ❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST ❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING!PROPOSED OSS COMPONENTS AND LINES ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS!PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... ❑ DIRECTION OF SLOPE.'CONTOURS 0 PERIMETER!CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) — OFFICIAL USE ONLY BELOW THIS LINE-- — - UPGRADE I FAILURE SOU CE(for reporting purposes) ' ❑VOLUNTARY MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT 0 OTHER: COMMENTS/COND TIONS _hom . 3i jr:+iice_ vv.ra,..-- 1 e/rl'a-(e Seek)C il nt< . S-62 Vii\.Wi tri-ron SEWAGE TANKS MUST BE LISTED UNDER DOH-LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS.EQUIPPED WITH RISERS AND LIDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE ......-----. ( q fl 7---- Pi\M4)CV) qq(7j1 . THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 . MASON COUNTY , .GENERAL SERVICES DEPARTMENT P.O.BOX 188 • 426 WEST CEDAR • SHELTON,WA 98884 PHONE(206)427-9670 RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM pi 02 -0 .1 OWNER ADDRESS KEITH DOUGLAS E 7610 Hwy 106 THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER CITY ZIP Union, Washington 98592 WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS Loamy gravelly sand to 60" AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD X LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. SIZE FAULTY FIXTURES. DEPTH TO 6Un+ MONTH THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE iiii3E OF YEAR March TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND UNION SALVAGE THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SO PTIC TANK (S) 1200 ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH 168' FT. MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA SQ 504 LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE DEPTH 1814 ❑ CORRUGATED a RIGID ❑ CEMENT RECORD WHEN HE COMES. ROK DEPTH TOTAL ELOW HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. 22 68PIPE 12"+ DEPTH DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD:, 500 SQ. FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING NORTH ARE LATER CONTEMPLATED. AOUSC --i l a o SCrfl. En1*,,,A� SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO 14.5 alai Pwr`'"P l " THE SEPTIC TANK AS THEY WOULD INTERFERE WITH CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE JJ DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. ! N V1/ 4 A ,G _...�-.-� THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE SUCH THAT SURFACE WATER IS NOT POCKETED ON THE 1 DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT <— 'cS5e YE A pEA .> EQUAL TO ONE HALF INCH OF RAIN PER DAY. FOOTING DRAINAGE, DOWNSPOUTS AND WATER — Atzl SOFTENER RECHARGE WATER SHOULD NOT BE CON- _ _ T NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE F T1 + DRAINFIELD AREA. 7 THE TYPES Of BACTERIA NEEDED IN A SEPTIC TANK ARE I. — l — — ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD VAS,80X YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- f..-.14 '/ - - — — - JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK � HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE 4"` , ! — HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY CHANGING THE CHARACTERISTICS OF THE SOIL. THE NORMAL USE OF BOWL CLEANERS OR CLEANING COM- POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW iell SOUTH DOWN THE OPERATION OF THE SEPTIC TANK. Wilt a I . , 4.1 64-42-;/-'` HI IS AN IMPORTANT DOCU .ANT DATE ,/ /` �-1 'MIRE OF INSTALLER Printed Epo T4b�. pr aunty :.�''go : , , �� I�rinW1'�:315 ittg 1 trot 1 MS DAM / Act 9K3N NRE dF IN$f TOR Y 0 —] O N ►] 0 N .-i 0 N (nC Z - O CDo N s - O" cis n i Cn.. L.) fD^ON fi;IRN O 32, 1..) C• n ,b ova �vv �" y IV , I co i'da :; c c' S: � � cD a y = co - 0 7 c = co y X O 77 X 3 y :r _ + v y LA -, o c coo o el ii CD a d d d x tJ to - 5 - a a_ o 0 o a.o R NotNi. VNi d ? (p to ti a a 0 Oa Con N n, Cn ^ > .b a. C7 V.. < C7 M > "'d a. rn 0 > - -• r 5. 1 < - x m a a o_' ^xx O a cc a c� o p' x C e- o r� r^ ,..y .o., fD 7' d O H n C OS �' ^ O y G 'O P1 O N C C A� C v, ,,,, r, 'O H v, '0 B' v, ur 3 �' •p w N y'O 5 0 O C W O OQ O 5 C C co O A, O w C C A N A> n _ n O n O O ' O C 7 7• -,, , • 5 0 O •" ,v'.. C D �+, wB. 0 co n N ^+ ^ loo0 a n ao o on ^+ 0 w O y'00 ' a -, , CA w wC. X q eroa x CA 0 — A C W N o> 'o O -O a A C ca N N '0 O - ►+ C W N W -o 0 J' ►, 0 of c G.N. 7 .00 » 0 'O -, -, 71 y O y o to y to•C '+ -, -, to 7 so ,,,, to 'O -, �-, ., to u c� et, o > ao o ^. 2 zc > a. c) o •n• x �. 1 c > ano • x v /—Vf N $ - ? o c> p`^ 0 a 0 6 0 o 0 0 0 0 0 o c' o c Co° n o f D N 0 R _• 0 -, V' H N C. 0 0 >•.,3 n N v co a. fo a >-a N 'en' n a. f> f) > '„a' " g' ao A) o o x o no ° _ 0- o A) o o x ono 0- o n, o o x• oo - o v> C2 C O 'Y o n 'n , ? Q' C y O r> o' o '- CD O' 6 C y O (> ,,- A p- C tm O '0 < A n O �' ,a., 7 `i C O �. U w H C O 7 . 7 a ^"'�. U H 7 •�,,, 7 co - U v, O v,• °. y3 � •2o'rro• � � `< 5 ,c, 3 °, .„, rx - q 5 -'CX < 5 c a ay a' �.� c� cro 0- y ` 3.00 x) � CD '0 v� 0 0 m ova, Xw ay sy N � vol 7C) E a > n V -03 ur _ a. r• Oi, a. fNi, N v' b „, a. H o ',"1 w a. . n `1� a• r a) A 'C -6 O va A Po' n O' co O O (n ? o o 0- O H C (p O. C M.'� �' n O A Q1 '•'�, co X N ur H "', .+, (D f> N '•� -'� N O N OQ ^ coo W ° 3 co 00 0• 0. o cro O+, c �. a o `^ 0� �_otl �. 0 3 ^ UO �. O. y��y p N a , O a. 7 c> v, ?i v, pN7 > n� (7'• =a el �'. °'• y ppN > w- 17c<o v, °' <A o > y — v y"S ,:> H Q _'7 2 ^ Sa N '-I G''O O = .g7 -� y y— CD '3 Q-0 "t", ^ -^ N CA "A O"C a N co- va, o °+ = �.s a o n e 0. w 3 c7> �. s o o n - 0.. �• • o C� a Q. y "� N c a. �• 0 `G a - O O 0 co a. S n 'io> a - o o a. S `�< a - O O QQ ry to a cn �°'' "90 � Cr .7. ��' O o O �°�' >'UcNyi .7. wy o o'l .>dc> o "- Wes, > CD o s a 3 °c co, H � � a o c F c o c> CP y s y � � ~ n _ o o E O . o co o i> c0 £ O = o ' o o f 9 F O = o ' o 0 a 0 0 . a. -• a. o a. 3 0 r,• a. o a o o n. o 0- o •co a y 7 0 n a w X 0 0 ..-. N 3 y OW N. Co 7 y y ? c -7 cam, NF. " w ^ o c N - c ^ y. o d NF. c B 00. c C O oCN el) ~ O > d o = n on N '-1 o. c> O > O, A, a w ^y N O > oo ac H y' 0 Vf > �N', a. O .-3 3 a' o " 00-. S n' O •-•1 7 a' o v, ° �' O �--] . o vi a N �o O O n a o i d r? E. ,. i m a o •�• - n C oDC a s -• m o �y w — a g o 9. 57 coo — a a s s' > y 0� N v •--. 7 CMC nS. CD o C tJ d -Do 7 3 .1,. a N A' N 0 C < .orc-. p, v 0 CD io > a 0 a v P co a CD J X' o 00 a ,n., vJ C a a . 0 > C a. • R > C n a aoao CA cn y vg �. (J S 0 ry, v w O 'd (> yr 0 7 O rJ fi wax O a A n P% N ?� O n 0 00 c<', W •co a. O n C O n C 3. J CA rOi, 00 5'c' w > n CA > Q` .9 ^ v' > n O' 7 C a 7 41, (� 7 ?? N 0 7 • ? N W ^.' 7- O �. co 4. ry N _ 1 • • IS\r.)-.321.1 NVV H?)VH S1N 31dOs 699L-L99 (09£) :XV3 899L-L89 (09£) :3N0Hd 1-d 09Z L. $ d 09Z 1, N7J O 40996 VM'ONf1O2lO 3111V8 L60£XO3'O d Ili `1-6 09Z l- `S 09Z 6 A9 031AVa0 a s,a+aonmerro.,c rrvl l IZZl9 :31Va .0 N I JNIH NIJN >I3 _ • ct! a� 111' t , a ' g ` ? � 14d k T <L ( F, y1- f,'• O .. _ - en� s y co::G 'n1f <`� 2ilf 'v7 q:'P /fib A a. K 1.0 i 1.x�sno.e•�---r ?,xqx, §qff r y`A ei' __,w_ '! ! I M J I y 3 j 3. lVS .�j , -�_ .-. n i i 2. I ! < �y�,I t ,; ` ; x is + I 6.7� !. c.iLd �cI �d "cd cJ 1 �zc �. C ". K O '= 6J; tid,W L. . x Jl 4Nif -TJ C Q C i i= %A �.= \ \ ''. -00-71 . t25 ,7,:. , . 1. If x .14:-.d 4i:11: ,:5 — -- K 15 K _. ._ _ -S �0 ' .i C,2' r S()WI :;q ;C u d k ?: .1 8,. f V o O i. ° ic e' .jt, sk X. �t 11 M 0 Z .. .0 L h p // ! 15 Cp. n• 3S0K , 0: :9 pp ,,, C S tlz F i .y a .. .� N .•l M I ` O �y �( tt l 4 O 9.M11 ,y a ll + .'y F - .ti IAdl \ z I.' _00 G�' i+ 7 =^• J y.4 ` 44YY �L t .! ✓ c ig 'I I K? Eil}`ki8 ; off � I v, ,i,?i�i _<v-0 ^� _ iC7 , ] r :r a• ,�,�,. �r>. .Ts r�},wZ . t <& fib- ri„t OC x �+ YS "r'r. ti z') 0 0 ' J iV— .71 '- ti = < ja Ow lfi x2i, •4 i < ,d,.. t ^ I c 6yz. 9c3 ' • ,.., � .� , rc. T — C 1r7S7 Js ,-.0 !: r M . 2' . V a $ • � F ,' J d �tzm .)2 , .? IrW7f')oCy$ ;-, u =Y � dc . 1 - ? 7 } =�J V ..M[f 6 yv", t , ---- .I . m f_..__ ry c..�_. i di% • Asv:1 aaa NvwaaSV SIN1.0 :31VOS 699L-L89 (09£) ')&d 899L-L89 (09£) 3NONd Z-d O9Z 6 $ d OSZ 6 •N1f0 P0926 VM'ONIlOHJ 3lllV L60£XO9'O'd Ili / Z/9 ba0 .ONI JNI?�22NIJN2 >12 '1.-s o5Z I. `s o9Z I s sua3n ao,311MAKYYS NW-Mi c+muonaisvo:)Hnv_ l U£Z19 :31H0 a 11 it ff I a .. ,: _ a a a Y 1. Y r' Y d 1. . • ,:�,Q &wY . Y P l It 0 Y ep..n Lmo-=ma..r. 1d a V }Q} CCp� I i 4 ,I .� - ; „ ' M . , ,;LI.....zt . !,.. ! ,.• P 6 rid .�.. Sd lb i i Y is ?a £R ,� i N1 };, `�krar a Y I i I H Y i $ % f N Y ■ t I t ° ° a I I e ❑ 1 I ! ys .�mmaarr; • I ,t a�....r*...�� _ °ta,.a. a a.a . a t t o a Y e+ ' r # P Y a $ 1 I\ ` a I 9 .1 t R a I. t a P t Y t Y l 4 a a e Y n a ra AAA �..........i. r ,�. ° ° I I a t Y .aaa..�a '4.¢. e +....1. V,.;.' F. €�___..-.- . A p t, M .4....4:?1. ..srr. t....i1. 1. Y ° ;a,E i rr; VY„ Y + u e i •• Y i '-7 e ' k1 C.D� ! '� Y - .s ►. 'aa,...<-.a.• �i ?S 3C 'J+ l __J' [ .. .,...=mm:_4_=__#:rFa. •, . . i Q. N Q Y i a t N.v.R Y ° I II t CC C = t. ...aaa ar i .mmt z RY - Y Y t P a e ..a....:•......=.•ter..- .�.auwYva., V A Y Q C = - , .1...a,Y.....a..zzu.:aa+ti.4. .a.z—x •s r h— •3•