HomeMy WebLinkAboutSWG2023-00008 - SWG Application / Design - 1/12/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON: 360-427-9670,EXT 400
M .: BELFAIR:360-275-4467,EXT 400
i Public Health & Human Services ELMA:360-482-5269, EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2023-00008
APPLICANT CARPMAIL DONNA LYNNE Phone:
Address: 34 W HAMMA HAMMA DR ELMA, WA 98541
OWNER CARPMAIL DONNA LYNNE Phone:
Address: 34 W HAMMA HAMMA DR ELMA, WA 98541
SEPTIC DESIGNER CHRIS ELSTROTT-Advanced Phone: 360-561-5000
Engineering
Address: 128 NORTH RIVER STREET MONTESANO, WA 98563
SEPTIC INSTALLER DAVE YOUNG-D.B & R Inc Phone: 360-269-3877
Address: 1149 RUSH RD CHEHALIS, WA 98532
Site Address: 34 W HAMMA HAMMA DR
Primary Parcel Number: 519175300037
Adding new septic (transfer) tank with pump in 2nd comp. for future
Permit Description: SFR
Permit Submitted Date: 01/12/2023
Permit Issued Date: 01/17/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 01/17/2026 (based on date of inspection)
Type of Work OSS New Construction
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: 1200 g 2 compartment
Permit Conditions:
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
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 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.
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ON-SITE SEWAGE TANK ONLY APPLICATION
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE •; C
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SITE ADDRESS-STREET,CITY,ZIP CODE
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NAME OF DESIGNER PHONE N.
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NAME OF INSTALLER PHONE v I11'
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TYPE OF WORK(select one) DRINKING WATER SOURCE I\
EW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT ❑ PRIV TE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z I. 1
COMPONENT(S)TO BE REPLACED/INSTALLED UBLIC WATER SYSTEM L/� �'2 II✓ /,4 ZD
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SE TIC TANK CI PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I
CI OTHER 77 /VS .c-.E;2 TRyv/C 2 /ZU ,� /Zv ' W �
OTHER DETAILS(select all that apply) TANK(S)SE CK CHECKLIST I— I kl
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❑ SURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINE 100FT+PUBLIC/COMMUNITY WELLS 0 I�
SUBMITTALS L-T SSl/FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
LOT PLAN(REQUIRED) ❑TANK CROSS SECTION(REQUIRED) t^1/t``OFTr DRINKING WATER SUPPLY LINES I
LF'r AMP DETAILS(IF APPLICABLE) AIVER(S)(IF APPLICABLE) LA"bFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS `^
PLOT PLAN CHECKLIST r I }
PRO TY LINES AND EASEMENTS (STING/PROPOSED STRUCTURES XISTING/PROPOSED OSS COMPONENTS AND LINES ( ,
E WITHIN 100FT LY WATER SUPPLY LINES 0 DRIVEWAYS!PARKING SURFACE WATERS, EAMS,RIVERS,ETC... y� I w
IRECTION OF SLOPE/CONTOURS PERIMETER/CURTAIN DRAINS NORTH ARROW CALE BAR R`
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DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
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UPGRADE RE SOURCE(tor reporting purposes)
OLUNTARY 0 MAINTENANCE/PUMPING rif BUILDING PERMIT 0 HOME SALE ['COMPLAINT ❑OTHER: _
COMMENTS I CONDITIONS 07 1 _ U 1
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C'I'tiq i s-I<-t/✓) c- - -I'L S'
SEWAGE TANKS MUST BE LISTED UNDER DOH-LIST OF REGISTERED SEWAGE TANKS'.TANKS MUST MEET CURRENT MINIMUM S�REQUI NTS EQUIPP RS
ED WITH RICE
AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED F APPROVAL.
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INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
(l 1 (2.6 c Y14 (r--717-'5
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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I GINEERING ► MIL D25/.33 - •
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. :.., --: .1. Performance Data
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Pump Characteristics
Pump/Motor Unit Submersible
Pump Models SD25A I SD33A1 k 2, �� � -
Horsepower 1/4 1/3 m �� 1/3 HP
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Full Load Amps 8.0. 10.0
16 / �
Motor Type Shaded Pole(4 pole) i ti�H:�
R.P.M. 1550
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Phase 0 1 0 13
Voltage 115
Hertz 60
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Operation Intermittent 0 to 20 30 40 50 60
CAPACfTY-U.S.G.P.M.
Temperature 120°F Ambient
NEMA Design A Total Head(feet) 4 6 8 10 12 14 16 18 20 22 24
Insulation Class A (4 H44 41 36 33 29 26 23 18 12 6 0 i
Discharge Size 1-1/2"Nil GPM 1/3 HP 47 45 43 40 37 34 30 26 22 16 10
Solids Handling 1/2"
Unit Weight 301bs. Dimensional Data
Power Cord 18/3,SJTW,10'std. I.411 etmniorsilInfik,
(20'optional) 3•1/2 5.718—'- 2.[ompreenl de,eraws my •
4.1/2 eery}I/E inch
'r� 3.Col to ree,irurn,1 prrposr
.0',p•�y 1.1/2 NPT mkv«rtifed
Materials of Constructionopperncle
3-1R ,�i -- 1.D'amnkm Deed wife*ere
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Handle Steel '.:-. r4 ` IWerew,tlw40tio
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Lubricating Oil Dielectric Oil 3 1rz .4.,:. mcle reeisen k our pedu odder
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Motor Housing Cast Iron ..'.n� I
Pump Casing Cast Iron (--ears-
Shaft Steel
Mechanical Seal Faces:Carbon/Ceramic
Shalt Seal Seal Body:Anodized Steel
Spring:Stainless Steel 107 ) i 11 1/8
Bellows:Buno-H
Impeller Thermoplastic 70'1� 7.78 .
r .-` vas•- PUMP
Upper Bearing Bronze Sleeve Bearing DISCHARGE ON
_ - HEIGHT
Lower Bearing Single Row Boll Bearing . '
Strainer/Bose Plastic '`= ,,c 3 PUMP a
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Fasteners Stainless Steel z
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AURORA/RYDROMATIC Pumps, Ins. g
1840 Berney Road,Ashland,Ohio 44805 0
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(419)289-3042 .
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APPROVED
JAN 17 2023
MASON COUNTY ENVIRONMENTAL HEALTH
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SECURED LID WITH GASTIGHT SEAL
THREADED UNION
i 24"DiA1TER
ACCESS RISER NN SERVICE
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FROM SEWAGE /
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MOUNTING
J0 CHECK VALVE'
SEDIMENTS -
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CENTRIFUGAL
PUMP
SEPTIC TANK C/moo G.qL�
TRANFER TANK
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