HomeMy WebLinkAboutSWG2022-00314 - SWG Application / Design - 6/2/2022 :00,33 7� 415 N 6TH STREET,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 400 �" i COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ,- ' ELMA:360-482-5269,EXT 400 Budding,Planning,Emir amncntal liealih,Community Health FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2022-00314 APPLICANT RUGG DAVID M Phone: Address: 40 W LOLO PL ELMA, WA 98541 OWNER RUGG DAVID M Phone: Address: 40 W LOLO PL ELMA, WA 98541 SEPTIC DESIGNER CHRIS ELSTROTT-Advanced Phone: 360-561-5000 Engineering Address: 128 NORTH RIVER STREET MONTESANO, WA 98563 SEPTIC INSTALLER BRUMFIELD CONSTRUCTION Phone: (360) 268-9231 Address: PO BOX 1768 WESTPORT, WA 98595 Site Address: 40 W LOLO PL Primary Parcel Number: 519175700014 Permit Description: Holding tank application Permit Submitted Date: 06/02/2022 Permit Issued Date: 06/24/2022 Issued By: Rhonda Thompson Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/24/2025 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: RV Holding Tank Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 0 Drinking Water Source: Public Water System Additional Details: Holding tank Permit Conditions: 3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 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. 1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 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: www.co.mason.wa.us/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. Mason County WA GIS Web Map \1 \,\ a, I 1_____. V \-\ ' I V--. .-,_,,. , 7.1 ___ _If \34. I / _,.... - ilivi— i- 1-- • I-- ,,,•;. ‘T. , _ ''' psi^I — !— l I sYn — _ _ roI. c yr —I — --i t r-- g "T."- ''.° - ---- (14-----H Fi ---4--- T_Trc ,-. • , ..1,-..-\:.,A.--s)---AV....... k i \ - , \.. - / A - 4, 5 .-,4,.,..." -27.7-y ,,,, ,....,f , \ \ )„,_ ......„ L....„..) ,.._ ) r''' ).. - Y-'j151 ,.' ' ."7/ '''' / 7 Lax `''7 ahlk\-zi\V . „,,,i.„ I / -r- r � �` ` _ y r ., ,,../\:::.\\.1;-7 - - <c‹..<.'",>-<`\ . . . \ ....-,-- \ cr 1 ( } ( I - * west Thunderbird t7riY!! li 4A // iv k/4, 1 ry / 4/27/2022, 7:50:30 AM 1:6,153 0 0.05 0.1 0.2 mi --, r I t t l La County Boundary 0 0.07 0.15 0.3 km No Filled Tax Parcels (Zoom in to 1:30,000) ©OpenStreetMap rand)contributors.CC-BXSA 1 Mason County WA GIS Web Map Application Map data a OpenStreetMap contributors.CC-BY-SA 1 RV HOLDING TANK SITE PLAN: —/ ❑ PROPERTY LINES&EASEMENTS [3' ISTING&PROPOSED STRUCTURES ❑ DRIVEWAYS&ACCESS ROADS STING WATERLINES ❑ EXISTING&PROPOSED WELLS it OSED HOLDING TANK LOCATION ❑ SURFACE WATER SOURCES(LAKES,SALT WATER) D4 ROXIMATE RV LOCACTION ❑ CRITICAL AREAS(STEEP SLOPES,CREEKS,WETLANDS) ORTH ARROW&SCALE BAR (O, GoGo ti i `'S N30 '3`?0 44%p ., ,*r-', In," .. 1 ` �� ''2�"'r`bfc.Q G� o 1 \ h40to,,,�G #7 Vk Gd Le,r ft.„- + J VP' --- to v I''v • I it, VI ) ' I ,6, 1kfv P 1- I 33' 6.0, J J .5-c4 ' / = 30 REFERENCED SETBACKS PER WAC246-272A-0210: TANK TO SURFACE WATER AND/OR PRIVATE WELL-50FT TANK TO BUILDING FOUNDATION-5FT TANK TO COMMUNITY WELL- 100FT TANK TO PROPERTY OR EASEMENT LINE-SET TANK TO CRITICAL AREA-CONTACT PLANNING DEPT. TANK TO WATERLINES-10FT Holding Tank Sewage Systems-Recommended Standards and Guidance Effective Date:July 1,2021 Introduction A Holding Tank Sewage System (HTSS) is an alternative to a conventional on-site sewage system with very special and limited applications. Simply, the HTSS provides a means to collect and temporarily store sewage from a facility or dwelling, for subsequent removal and transport to an approved treatment and disposal site. Depending upon the facility served or the particular set of circumstances surrounding the use of a HTSS, the expense of sewage pumping, hauling, and disposal at an approved facility can be very costly, especially on a long-term basis. In addition, the potential for operational/management problems with resulting public exposure to raw sewage is significant. For this reason, use of a HTSS must be closely regulated by the local health agency. A HTSS is an on-site sewage system that incorporates a holding tank, the services of a sewage pumper/hauler, and the off-site treatment and disposal of the sewage generated at the site served by the HTSS. Figure 1. Longitudinal-Section of Typical Holding Tank Sewage System. • • Warning Light and Audible Alarm Access Riser with secured Pumping Access Port with gas tight lid y sloped concrete pad 1 _ - I Inlet from÷ *— structureInlet pipe Reserve Storage Volume Normal Operating Volume *Septic tanks with plugged outlets are not allowed.Tank must not have an outlet. DOH 337-006 Page 6 of 17 il=ME V M� OFFICIAL USE ONLY v DATE REOWED: 4 .tL1 MASON CO �U�V 0 2 2022 L •c)'- `za co a h ` COMMUNITY SERVICES AMOUNT RECEIVED: RECEIVED BY. 0 m Public Health(Community Health/Latbnmewte4MealsW CDL 1O l ` 360-427-9670,ext.400 or 360-275-4467.ext.400• 0 '�------ 415 N.6th Street-Shelton,WA 98584 J Y Y V c- 1 A 1 Z xi xi ON-SITE SEWAGE TANK ONLY APPLICATION g m n PHONE ' 9 3 q APPLICANT 2_3.� `7. 1— .0,4via /?v4G :?{d -Y1- �'Bz G c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE * 3' rl co a a a. .Lo Go /3L • ,�L.ni 7, 4,4 98S 4-// \ Imo SITE ADDRESS-STREET,CITY,ZIP CODE v Va GtJ LaLo /�� . /zGry , A✓/9 9fS 4// ` 1 NAME OF DESIGNER PHONE G/,L2i s z--s ,,- 34-v— S•-6 / - 5-0 o a NAME OF INSTALLER PHONE o I NQ ,17e v.-.�=i�e Gvti.S7 'i o - 7c e 2-‘ TYPE OF WO (select one) DRINKING WATER SOURCE O I� W CONSTRUCTION I UPGRADES 0 REPAIR I REPLACEMENT 0 PRIV TE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z INI UBLIC WATER SYSTEM «1 4/V4 40/45422 COMPONENT(S)TO BE REPLACED/INSTALLED t ❑ SEPTIC TANK 0 PUMP TANK RV HdLDING TANK BEDROOMS ,p LOT SIZE I ❑ OTHER /I//i/ O•3/ GsG-• co TANK(S)SET CK CHECKLIST r I� OTHER DETAILS(select all that apply) 0 t CI SURFACING SEWAGE 0 EXISTING FAILURE HORELINE 100FT+PUBLIC/COMMUNITY WELLS n OFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS 7 I SUBMITTALS [AFC T PLAN(REQUIRED) ANK CROSS CTION(REQUIRED) OFT+ RINKING WATER SUPPLY LINES IO UMP DETAILS(IF APPLICABLE) AIVER(S)(IF APPLICABLE) T+PROPERTY!EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLA CKLIST to PROPERTY LINES AND EASEM XISTING/PROPOSED STRUCTURES XISTING/PROPOSED OSS COMPONENTS AND LINES I` WELLS WITHIN 100FT ATER SUPPLY LINES ❑ iVEWAYSI PARKING SURFACE WATER TREWS,RIVERS,ETC... gDIRECTION OF SLOPE/CONTOURS PERIMETER/CURTAIN DRAINS NORTH ARROW SCALE BAR I N. DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) /� A / Se e.- f/G//!✓'��(/JJJy,J /'h i ,4x4 A./1S /,o n/ �i1/0/1Syll 9 /�✓ . 44. : ./ R 7" e A p/ Gj/ 4/ ZT/ A Ge/�,� 4.4 � !mod //�/" V • V . 4/ . Got.-v /L. Ca4irri 3o Z.,0 4-0 ,G, /,etc ) OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE 0 COMPLAINT El OTHER: COMMENTS I CONDITIONS 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 (0 171/4'1 1—1/C J1J-?-Z THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 07/09/2019