HomeMy WebLinkAboutSWG2023-00154 TANK ONLY - SWG Application / Design - 4/28/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
OM BELFAIR:360-275-4467, EXT 400
Public Health & Human Services ELMA:360-482-5269, EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2023-00154
APPLICANT BLACKWELL ET AL EVAN Phone:
Address: 270 SE OYSTER BEACH RD SHELTON, WA 98584
OWNER BLACKWELL ET AL EVAN Phone:
Address: 270 SE OYSTER BEACH RD SHELTON, WA 98584
SEPTIC INSTALLER Shane Maples- MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 270 SE OYSTER BEACH RD
Primary Parcel Number: 319217500080
Permit Description: Add septic tank with solids pump in second compartment
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? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Private Well/Spring
Additional Details: IM-1060
Permit Conditions:
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.
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.
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
MASON COUNTY DATE RECEIVED: Y i ^ ) /..;2023 cn D
c Cl,
.I I. COMMUNITY SERVICES A T �^ RECEIVED BY: CO )
�,.. I ) - (mi
Public Health(Community Health/Environmental Health) L cn
415N 70.S,reext t•a00 or hftn,WA9504 ex'.a00 SWG /) i. a- - 0C' \91 Cl) O
- a15 N.OW Street•Shelton, 9958a `//yJ1`tr�'_\/t .JV^7 1 \1\ N
z di
zON-SITE SEWAGE TANK ONLY APPLICATION >
APPLICANT PHONE m m
oi r
c
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE -� U n E
2.�O se oLste ' eta.r,�i t24 sh�um't,vAIA 9 g5 g 1 D, Cm
pa
SITE ADDRESS-STREE ,CITY,ZIP CODE
g to O14stvr Be cm pA Shelton , VIA oms-1-1R 2 s 2023 Icy
NAME OF DESIGNER PHONE
By_ - I—,�
NAME OF INSTALLER PHONE +0 I
Mapes Excovatino� -btg0- Li-(� -opt < I ���\l
TYPE OF WORK(select one) DRINKING WATER SOURCE
KNEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT X PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I
COMPONENT(S)PO TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM I
pE OTHER EPTICTLI��"��'/ANK 0 PUMP NK ❑RV HOLDING TANK BEDROOMS LOT SIZE
{� 5ages O 1
Wk'
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 100FT+PUBLIC/COMMUNITY WELLS n I I
SUBJM TTALS 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
ri. PLOT PLAN(REQUIRED) (!TANK CROSS SECTION(REQUIRED) 10FT+DRINKING WATER SUPPLY LINES (,!
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS l
PLOT PLAN CHECKLIST O 10
❑ PROPERTY LINES AND EASEMENTS ❑ 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 BELOWTHIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
VikVOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE ['COMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
q,.eild lC., iCOML "4 56\,(\1\5 p ip sin 2ruk c•"p
u al A. 4-Fvre OU'Ve (o
SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF FtEGISTERED SEWAGE TANKS. TANKS MUST MEET CURRENT MINIMUM SIR 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
_" Si 11 ( Q:imo•f(441 *S11 1- 3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
.3
_—
n�,Ster laec "� _ —
l ,
/lc,\orl , g
ex;S.,,A, Serk,c. 5-'0-er.
2-19A l is 402L I4
t Wto-e_ LAIGL3 \ ii
M
..% A ir
. os,
A ( 0bc iwc•1 LugEl,a-----› -.,.
+ . , ,
t,�: 5.1,`�>
i_o i: -A- ft'J _ t
1v\It4 of Stn- ; u
5
�S�
iA
\ ,
60'I'
°)
APpRl i iy ni Nmo �J'.z'
,\av - F f V'�D
MASONcouNTyr 0 1 2023
e ERET MENTAL H
5
RET EaLrf;
,°
P6 �p3.3t
wa
. . .
ir----ri FI LTRATO R ,qp IM-1060
septic tanks pRO
• i��
Features&Benefits
it �UN�EN�R�hlvjal H�i.Th Strong injection molded polypropylene
ii T ME construction
• Lightweight plastic construction and
'IP. c
inboard lifting lugs allow for easy
ig,fifr,*
' delivery and handling
/( / ( (7(1 \ - •
• Integral heavy-duty green lids that
j.
j interconnect with 1WTM risers and pipe
1 1 riser solutions
it swot ry atoll(KK lit if NE at It K K ilkill K K M k • Structurally reinforced access ports
eliminate distortion during installation
, and pump-outs
` 1' • Reinforced structural ribbing and
•V fiberglass bulkheads offer additional
v. strength
• Can be installed with 6"to 48"
of cover
The Infiltrator IM-1060 is a lightweight strong and durable septic tank. • Can be pumped dry during
This watertight tank design is offered with Infiltrator's line of custom-fit pump-outs
risers and heavy-duty lids. Infiltrator injection molded tanks provide a • Suitable for use as a septic tank, pump
revolutionary improvement in plastic septic tank design, offering long-term tank, or rainwater(non-potable)tank
exceptional strength and watertightness. • No special water filling requirements
Inlet Side are necessary
�/' • The tank may be backfilled with suitable
TANK CUTAWAY Infiltrator native soil. See installation instructions
W -
T Riser -
System --- ----_ - ,, for guidance.
•
Partition
baffle wall •
HEAVY DUTY LID
CUTAWAY
t. Reinforced
24" structural
I access port
101‘. 44*,..
Structural
*, bulkheads
. MID-SEAM CUTAWAY
Reinforced water tight mid-seam
gasketed connection
‘is tit,:::. or iiiiri
000-
r
*
Protecting the Environment with Innovative Wastewater Treatment Solutions I N F I LT R AT O water technologies
IM-1060 General Specifications and Illustrations
UFTING STRAP LIFTING LUG //��RISERCONNECTION
(TYPICAL) _(4 TOTAL) / (TYPICAL)
The IM-1060 is an injection molded two piece mid-seam — - - - - _/_`. :. � :. rii) Wit,
plastic tank. The IM-1060 injection molded plastic design it _ I I I I t l��j,allows for a mid-seam joint that has precise dimensions n o�_°;,v Ik ■F� '"�='=�e, n
(kW. I I, t I r� �n,
for accepting an engineered EPDM gasket. Infiltrator's I, 0% 0% '4 t
gasket design utilizes technology from the water industry °o� °o�111,._), 6g
C o nsaol
to deliverproven means of maintaininga watertight seal. giafeii ,' t f t I L. / �� I EXTERIOR
9 ��\ / i. /`iii WIDTH
The two-piece design is permanently fastened using a t,•..— 1jE ilia`�Eir'�i,
series of non-corrosive plastic alignment dowels and '\. . ►....�� 1 1 1 1 *AR %'
locking seam clips. The IM-1060 is assembled and sold
through a network of certified Infiltrator distributors. 127A(3226)EXTERIORLENGT„
Must be backfilled and installed in accordance w���]] ® \' TOP VIEW
EInfiltrator Water Technologies, Infiltrator IM-SeriQs�9�p R O V OUTLET
Tank General Installation Instructions and for shallow
11•,L
ground water conditions reference the Infiltrator IM- MAY O 1 2023 I
Series Tank Buoyancy Control Guidance. II��— �Hr
MASON COUNTY ENVIRONMENTAL HEA r
54.7
Please visit www.infiltratorwater.com/images/pdf/ RET __ - _ - " 1'389]
i FTC i� _ r 7 EXTERIOR
ManualsGuides/TANKO1.pdf for the latest information. HEIGHT
SEAM CLIP ��ip— i___ ii
pp n/�C� (TYPICAL) i J /
1111-1{IVO LIFTING STRAP `'I-...�,gin
—....-./
Working Capacity 1094 gal(4141 L) (TYPICAL)
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127"(3226 mm) 04(1021 0 24(610)ACCESS OPENINGS WITH LOCKING LIDS(2)
PVC OR ABS 0411021PVC OR
Width 62.2"(1580 WO INLET TEE 10_2[2601 FREEBOARD ABS OUTLET TEE
ammaimimmidiesmiuriiii
OUTLET
Length-to-Width Ratio 2.3 to 1
PER 761 - } I
Height 54.7"(1389 mm) I76j pER
CODE CODE
Liquid Level 44"(1118 mm) 1 44.0 ,
FIBERGLASS (I118] FIBERGLASS
Invert Drop 3"(76 mm) SUPPORT LIQUID SUPPORT
(TYPICAL) DEPTH (TYPICAL)
WITH BAFFLE
Fiberglass Supports 2 WALL WHERE I
REQUIRED
Compartments 1 or 2 `,
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 mm)
Maximum Pipe Diameter 6"(152 mm) TANK TOP CONTINUOUS
Weight 320 lbs(145 kg) HALF GASKET
TANK e'�
INTERIOR l I J— SEAM CLIP
ALIGNMENT
DOWEL TANK
HALF BOTTOM
4 Business Park Road
P.O.Box 768
Old Saybrook,CT 06475
INFILTRATOR" 860 577 7000•Fax 860-577-7001 MID-HEIGHT SEAM SECTION
1-800-221-4436
water technologies www.lnflltratorswater.com
U.S.Patents:4,759,661:5,017,041;5,156,488;5,336,017;5,401,116;5,401,459:5.511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329.959;2,004,564 Other patents pending.Infiltrator,Equalizer,
Quick4,and SideW nder are registered trademarks of Infiltrator Water Technologies.Infiltrator is a registered trademark in France.Infiltrator Water Technologies is a registered trademark in Mexico.
Contour,MicroLeaching,PoyTuft,Chamb rSpacer,MultlPort,PosiLock,QuickCut,QuickPlay,SnapLock and StraightLock are trademarks of Infiltrator Water Technologies.
PoiyLok Is a trademark of PolyLok,Inc.TUF-TfTE is a registered trademark of TUF-TITE.INC.Ultra-Rib Is a trademark of IPEX Inc.
02016 Infiltrator Water Technologies,LW.AI dghts reserved.Printed In USA IM02 1116
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436