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Home My WebLink AboutSWG2022-00109 TANK ONLY - SWG Application / Design - 3/4/2022 'PIA ti�c,� 415 N 6TH STREET,SHELTON,WA 98584 010117 MASON COUNTY SHELTON:360-427-9670,EXT 400 ' 1. COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 fluitd ng,Planning,Environment l Health,Community I4 aIth FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2022-00109 OWNER DAVIS EMILY J Phone: 1.360.801.4375 Address: 297 NE KISSIN TREE LANE TAHUYA, WA 98588 APPLICANT DAVIS EMILY J Phone: 1.360.801.4375 Address: 297 NE KISSIN TREE LANE TAHUYA, WA 98588 SEPTIC INSTALLER Shumaker Construction Inc Phone: 3605091222 Address: PO Box 3378 Belfair, WA 98528 Site Address: 371 E ORCHID LN Primary Parcel Number: 221231100020 Permit Description: Add tank and solids pump Permit Submitted Date: 03/04/2022 Permit Issued Date: 03/07/2022 Issued By: Luke Cencula Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/07/2023 (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: 4 Drinking Water Source: Private Two-Party Well Additional Details: Add septic tank and solids pump Permit Conditions: 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. 3 Mason County Asbuilt Form and Record Drawing must be submitted for final installation approval. 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. i� OFFICIAL USE ONLY-- ---- DATE RECEIVED: ,c��;,,. (A �;� UNITY • ' am .,ll \�, �J NI1 1 SERVICES AMOUNT RECEIVED: 1 RECEIVED BY CO; h 0 m t•3A''- ' Mk Health(Corn•- Health/Environmentzl-.,,;.Ith — ' R. ' 360<27.9670.r t.4•• 60-:75.4467.enL 400 Fil41SN..6 0 hellos,WA98584 SWG c -'( C) LC 1 o xl ic3`.° Z (n ON-SITE SEWAGE TANK ONLY APPLICATION z D 73 m n APPLICANT P'.ONL m i- Emily Davis 360 801 4375 z MAILING ADDRESS-STREET,CITY.STATE.ZIP CODE g 297 Ne. Kissin tree lane Tahuya Wa. 98588 r SITE ADDRESS-STREET,CITY,ZIP CODE 371 E. Orchid In. Grapeview Wa. 98584 I NAME OF DESIGNER PHONE I N NAME OF INSTALLER PHONE 0 I' Shumaker construction 360 509 1222 < I N TYPE OF WORK(select one) DRINKING WATER SOURCE x ® NEW CONSTRUCTION I UPGRADES ❑ REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL El PRIVATE TWO-PARTY WELL Z I W COMPONENT(S)TO BE REPLACED!INSTALLED 0 PUBLIC WATER SYSTEM 1 ii SEPTIC TANK 0 PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE ❑ OTHER 4 5.3 acres W _ OTHER DETAILS(select all that apply/ TANK(S)SETBACK CHECKLIST r O I 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE U 100FT+PUBLIC!COMMUNITY WELLS n I c, SUBMITTALS __ 0 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS 0 PLOT PLAN(REQUIRED) III TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES I O 0 PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST 0 10 Ili PROPERTY LINES AND EASEMENTS ® EXISTING/PROPOSED STRUCTURES U EXISTING!PROPOSED OSS COMPONENTS AND LINES -' gi WELLS WITHIN 100FT 1. WATER SUPPLY LINES II DRIVEWAYS/PARKING U SURFACE WATERS,STREAMS,RIVERS,ETC... I N II DIRECTION OF SLOPE/CONTOURS MI PERIMETER/CURTAIN DRAINS III NORTH ARROW ®SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I{///111J1 Hwy 3 North from Shelton, turn on to Grapview loop rd. Turn South to E. Stadium Beach west, Tun Rt onto Orchid. follow to end drivway on left. OFFICIAL USE ONLY BELOW THIS LINE---- UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING UILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER: COMMENTS/CONDITIONS 5u, (n).-0tj -0033r 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 �____ _ c+"�`�` 'y" 3 311 �Y� THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 f `117 .,i5 f., - ?sfP✓tc(# 221L3-11•Goc)2c, il c `, 1� 3 7/ Ore lied LIN. \ 3. (,�t�� . .tvit..a tJ4, ts5b'4 (°° �� 5 2a 00 3 3 Z .. v� /� •k Erg , cl,,. �1 .K-Z, ..� larS4t-x) S tLd t /k / C*p/.1- ,, I II/ /Z r \ Cl/ fil c / I 114kri -to a r L ,e.,,a n's ------------ I Ea1 -�T *14 / . / / Q 8b APPROVED toR / 2022 AASON COUNTY ENVIRONMENTALH"'t' LYC ,IIIIIIIIIIIIIIIII0.- mi. K . n 6 ;i > _ A C = 8'o � i.6So " R� $ F Qp • 000077770 w j „ ro J _ r rl 8 N y4�tFPBqzz �o.' R e z � x m 71 f1A -.m 2 x;, S D 81• FgP OD \ / Q q ; N f�. Z a 3 a � °xtgzwsi . D n s l'^w'' i i 2 (. 65'.000 5 4 1000 P a __ , hL s� o � 7 R e 'I --55';MIT.1E4M—--* n ? :'-,:or: :-,:o : I , 6 c :11: N e C t NQ A"2' z< z r, A r-. ,'u na Ste. 1 . elaCoo � 3 .mo o T, ? -mac G �, c_` s1 N< C C i 7- G ) a LL r _ III"= QC,> o> T 2 � 0fi F \ � I 9§ " I` ! a \ ,o , l ¢¢ AR �6 6 4. /— 30 ,� QIcip, z” -rH. 1 y µ a€ h .N \ ' , i st Fail": Rig • y f� v4Vg2“0:^ $; wS. ,I' 53'(AMC'nCIGMT— fff 'I " "•' rl. ,C. o ro, , afr, .° ' PROVE • g .. it toy �o � px -:r� rn Yy d o a o v -v, N- • N _ • MAR n ..n ,y3� .i L ° F�R y�S'a tA54N COUNTY ENVIEtJNMENTAI.H�'�' EK ENGINEERING INC. DATE: 6/13l11 !Am DUN roa+axis DRAFTED BY: 1 OOO S, 1000 S-T, 'Pl P.O.BOX 3097 BATTLE GROUND.WA 98604 D R N 1000 P & 1000 P-T PHONE (360) 687-7668 FAX (360) 687-7669 SCALE: 41 NTS HAGERMAN PRE-CAST II • iit%k qi:;511 €gg i8 68 i -rKCI 'f w � 3 a r n¢• 1' ? T . + # r r i ts) c CZ Fir y i L .." ,-- l'' 5. . yet ao x e ; u ; 4 i N C�7 Z 0 r N2i4 I , 1 -1 a r.) T : ol--ilk i i : ; 1 ! f!,e -t : ; r x N S j i R :----:- :.x .4 IV. to.=_.. . ....: 4 i- .....1-k-T : ----t.. • 1 y A 1 A:k. . it ` n• i. ki 1 i i,i — - .rH-4.„ s .s ` ,I., 54$ - Y teali . 11 4 7.8 §5 R; ' ::.i I SC I r �yE��i R V it Q .6„ F V i I IR x R P il L_ ? 1 1 `\J _ • • . R in ,s . ill *A 314 e 01 LAPPROVED 1 - -- --------------- ------ AR 0 7 ?.(l'2 1ASON COUNTY EN' ROPMENTALN�� LYC EK ENGINEERING INC. DATE' 6/13/11 IN*CONS alN:1q A A RF LWt 9C+!EOW F e07 MODEL$ DRAFTED BY: 1000 S, 1000 S-T, n P O.BOX 3097 BATTLE GROUND,WA 98604 D R.N. 1000 P & 1000 P-T PHONE: (360) 687-7668 FAX: (360) 687-7669 SCALE Ut NTS HAC,ERMAN PRE-CAST LE5O 'SERIES IiberiPunips Sewage Pumps `--.00' A Family and Employee Owned Company 1/2 hp 2" Solids Handling 118 GPM at 10' TDH 25' Maximum Head t Features POWDER COATED •Heavy cast iron construction z. TOUl3H" 3 E,„ti •Oil filled,thermally protected motor " el' •Permanently lubricated ball bearings - ,_,) •2 Vane:corrosion resistant engineered ; )` _� thermoplastic elastomer impeller i ; ;, Year Ularranty L •All stainless-steel fasteners and rotor shaft •Quick-connect 10'standard power cord allows replacement of cord in seconds I .. without breaking seals to motor. ;` i _ (25'length optional.35'and 50'bare lead + '` . . ,itir �' cords available.) HIP ; lli $f 7�,?:4 l 6- I 4rt i ; ,-• :� S t ,t 4 fl l� �' T1 '�, •4 (e,...„:_ ___.....„.:.6, , . lir If ,1 i i • Vertical float _` , switch models I s : available in 115V APPROVED �N COUNN ENVIRONMENtA�H ,AS LYG [Ct.P.14,9 a C US LE50-Series Impeller Shaft 2 Vane semi-open capable of passing a 2" Stainless spherical solid Hardware Paint Stainless Powder coat Mechanical Shaft Seal Max Fluid Temperature Carbon ceramic 104°F (40°C) Continuous duty 140°F (60°C) Intermittent Bearings Motor Upper and lower ball bearings Submersible type,oil-filled,hermetically sealed,thermally protected m[automatic Float Switch [automodels] u...oat is ,�•._�•._..� Wide-angle and vertical float switch available Power Cord Type SJ I W, Quick-connect 10' standard length (25'cord option) Performance Curve SJOCW, bare lead 35' and 50'cords available 60 Hz, 1725 RPM Motor Housing Liters Per Minute 0 75.7 151.4 227.1 302.8 378.5 454.2 530.0 605.7 Class 25 cast iron 28 - -- 8.5 Volute 24 7.3 Class 25 cast iron 20 - 6.145 15 LL 4.9 t Dimensional Data pPROV37 Weight: _r51M:421bs o Height: := � ~ 8 2.4 Major Width: 11.5"(manual models) MAR 0 1 �L�7` 1 1.2 ONMENtP` Ot COUNr E"` c ° 20 40 60 80 100 120 140 160 ° US Gallons Per Minute All Models MODELS HP VOLTS PHASE AMPS DISCHARGE SIZE AUTOMATIC IMPELLER l_E51M 1/2 115 1 12 2" FNPT No 2 Vane Semi-Open LE51A 1/2 115 1 12 2" FNPT Wide-Angle Float Switch 2 Vane Semi-Open LE51AV 1/2 115 1 12 2" FNPT Vertical Float Switch 2 Vane Semi-Open LE52M 1/2 208-230 1 6.8 2" FNPT No 2 Vane Semi-Open LE52A 1/2 208-230 1 6.8 2" FNPT Wide-Angle Float Switch 2 Vane Semi-Open 10'cord standard on above models. For 25'cord options,add a"-2'suffix to model number.Example:LE51A-2 For 35'bare lead cords on manual models.add a'-3'suffix to model number.Example:LE51M-3 For 50'bare lead cords on manual models,add a'-5'suffix to model number.Example:LE51M-5 Specifications subject to change vvlhout notice. Liberty Pumps-7000 Apple Tree Avenue-Bergen,New York 14416 Copyright®Liberty Purnps.Inc.2021 Al:rights reserved.LLIT001500-R12/21 Phone 800-543-2550-Fax 585-494-1839-www.LibertyPumps.com