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HomeMy WebLinkAboutSWG2023-00160 - SWG Application / Design - 4/28/2023 frA, % MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 ti , BELFAIR:360-275-4467,EXT 400 ' IP Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2023-00160 OWNER RINGSETH VIRGINIA Phone: Address: 16822 SE 26TH ST BELLEVUE, WA 98008 APPLICANT RINGSETH VIRGINIA Phone: Address: 16822 SE 26TH ST BELLEVUE, WA 98008 SEPTIC DESIGNER JUSTIN RUSSELL-JIM HENRY SEPTIC Phone: 360-956-7242 DESIGN LLC Address: PO BOX 14531 TUMWATER, WA 98511 Site Address: 25710 N US HIGHWAY 101 Primary Parcel Number: 422015200017 Permit Description: Adding Nuwater BNR 600 TLB for upcoming replacement 1bd SFR Permit Submitted Date: 04/28/2023 Permit Issued Date: 05/01/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/01/2026 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: Septic Tank Only Surfacing Sewage? No Existing Failure? No Shoreline? Yes Horizontal Setbacks Met? No Number of Bedrooms: 1 Drinking Water Source: Public Water System Additional Details: Infiltrator trash and BNR 600 Permit Conditions: 5 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 4 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 1 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY (___ __Qo_____ DATE RECEIVED: MASON COUNTY I,P-6 D • co AMOUN CE RECEIVED COMMUNITY SERVICES5� vW m Public Health(Community Health/Environmental Health) C to 360-427.9670.ext.400 or 360.275.4467,ext.400 SWG /� ^1 /� 00U,0 :� N 415 N.60h Street-Shelton,WA 98584 " 1O ) 3 — ( `0I ,1 ` N z fn ON-SITE SEWAGE TANK ONLY APPLICATION E Ai APPLICANT PHONE m Cm) VIRGINIA RINGSETH 206-310-9204 z C MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g 16822 SE 26TH ST BELLEVUE WA 98008 m SITE ADDRESS-STREET,CITY,ZIP CODE D I flD 51 '??' 25710 N HWY 101 HOODSPORT WA 98548 l( U IELThi NAME OF DESIGNER PHONE APR 2 8 2023 I JUSTIN RUSSELL 360-956-7242 NAME OF INSTALLER PHONE By v I N`\ TYPE OF WORK(select one) DRINKING WATER SOURCE N ® NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I COMPONENT(S)TO BE REPLACED/INSTALLED ElPUBLIC WATER SYSTEM 1 ® SEPTIC TANK 0 PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE I< x ill OTHER BNR 600 TREATMENT UNIT 1 °'`` �„ O v\ N'V n lA\ OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST O \v ❑ SURFACING SEWAGE ElEXISTING FAILURE I!1 SHORELINE Iil 100FT+PUBLIC/COMMUNITY WELLS n 1 SUBMITTALS ❑ SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS IG ® PLOT PLAN(REQUIRED) ®TANK CROSS SECTION(REQUIRED) ❑ 10FT+DRINKING WATER SUPPLY LINES I V ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) ® SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST S 16 IN PROPERTY LINES AND EASEMENTS IN EXISTING/PROPOSED STRUCTURES ® EXISTING/PROPOSED OSS COMPONENTS AND LINES -I ® WELLS WITHIN 100FT ® WATER SUPPLY LINES IN DRIVEWAYS/PARKING ©SURFACE WATERS,STREAMS,RIVERS,ETC... I ® DIRECTION OF SLOPE/CONTOURS IIIII PERIMETER!CURTAIN DRAINS III NORTH ARROW IN SCALE BAR I �\r` DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) - From Shelton, north on hwy 101 through hoodsport to site address on right. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING'UILDING PERMIT 0 HOME SALE 0 COMPLAINT El OTHER: COMMENTS(CONDITIONS / tiQ‘A) IN AAA.- ell9AKSI WV'•51.v ,....e l b AY- 46rda k%`J Tus -r-w- kAr--0 (Itoot ripkActifturf--‘,Pf<. 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 DRAIMNG AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE S(i f z63 Yffn-3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 CATCH DRAIN FOR ASPHALT PROPOSED 1 BDRM REBUILD FOOTPRINT 66.22' ' f II I. ee _/ EXISTING w _....„-------AWNING —II" /G O� pS � P� > Io Lill I EXISTING ; p �p o LEAN-TOO I �O ►4 0 X ',�• >- Z - -I Op � 1 ). . RJ-' - oI I Nf I 1 X Z /Z I iI• 33.8'" ' ••-- DE/N ° 20' w I,_ ° Di - �- p0 , yI 66.7 _� WATER METER WATER RBM IS GROUND ELEVATION AT WATER METER. RBM EL=10 NO FOUNDA 1 PROPOSED STUBOUT/CLEANOUT EL :9.5 30'DOWN G N F PROPOSED IM 540-GAL 1-COMPARTMENT SEPTIC TANK TO BE PR1M0'DOWN 'sirr iii; OF INLET EL=9 OUTLET EL=8.7 E w Co INFILTRATOR BNR 600-TANK WITH TREATMENT UNIT INLET EL=8.5 OUTLET EL=8.2 �i/ TO GRAVITY FLOW INTO THE EXISTING SYSTEM ® EXISTING SEPTIC TANK TO BE PUMPED AND REMOVED THE PROPOSAL IS TO ADD A NUWATER BNR 600 TREATMENT UNIT TO BRING THE EXISTING SYSTEM UP TO TREATMENT LEVEL B FOR THE PROPOSED REMODEL.THE REPAIR/RESERVE WILL BE A TABLE 9. THE PROPOSED RESERVE AREA IS SIZED FOR 240 GPD,THE HOME IS A 1 BDRM. THE NEW WATER LINE SHALL BE DOUBLE SLEEVED AND GROUTED WITH BENTONITE. A BOTH PROPOSED TANKS SHALL BE PLACES IN A 30-MIL LINER DUE TO PROXIMITY TO SURFACE f WATER. :' �1le, NO WELLS WITHIN 200 FT OF PROPOSED DRAINFIELD KNOWN TO DESIGNER. �! 4 246-272A 0210(1) 3P (I_. 2<I ifa Table IV Sewage tank 50 feet from surface water down to 25 feet -. . i P i O 22030834 ,;:p 1) Extra protection of integrity of tank and joints „` lonri �SEN 2) Performance testing of tank ,p 3)Accessibility of tank for ease of X' 07,191 Z3 operation and maintenance la) Waterproof surface barrier applied to concrete tank consistent with Manual of Concrete Practice ACI 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 2a) Concrete tank tested for water-tightness consistent with ASTM C 1227. Fiberglass tank tested for water-tightness consistent with IAPMO/ANSI Z1000-2007. 3a)Access openings at or above finished grade with lockable lids or secured to prevent unauthorized entry. A FEE WILL BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION AND RECORD DRAWING SHEET 1 OF 1 DIRECTIONS: ALPHA SEPTIC SOLUTION, LLC. FROM SHELTON,NORTH ON HWY 101 THROUGH HOODSPORT TO SITE ON RIGHT. PO BOX 14531 TUMWATER WA 98511-4531 360-956-7242 CUSTOMER: VIRGINIA RINGSETH 1PROJECTNUMBE /\ SITE TP#' 42201-520017 R: SITE ADDRESS: 25710 N HWY 101, HOODSPORT PORT LEGAL: APPROVED MAY 0 1 2023 MASON COUNTY ENVIRONMENTAL HEALTH RWT watedi5nt lid vent finished grade—\ r I I -I riser to surface FROM HOME r' r �_ _ 9 TO DRAIN FIELD inlet el=9 p inlet el=8.5 II In— _ ,I•outlet ie 8.2 r t I <WYE: TRASH CHAMBER DIGESTER CHAMBER E17 GAL E21 GAt 1_ J . ... 1 IM-540 TANK NUWATER BNR-60 TREATMENT UNIT rlilr ,.., . . , ..ps itivz3 4... ..„ , .., A. 1..1,, ,, 2241110634 t.‘ 1C1•u-5§'N {k. • ICI•N2g?�;Fs TANKS ALPHA SEPTIC SOLUTION, LLC. PO BOX 14531 TUMWATER WA 98511-4531 360-956-7242 CUSTOMER: VIRGINIA RINGSETH TP#: 4220 1-52-000 1 7 PROJECT NUMBER: SITE ADDRESS: 25710 N HWY 101, HOODSPORT LEGAL: