HomeMy WebLinkAboutSWG2021-00576 TANK ONLY - SWG Application / Design - 10/15/2021 ° \ 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 400
n, COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
s i Budding,Planning,Epuntal Health,Community Health 360-482-5269,EXT 400
\o, / �wu mi FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2021-00576
SEPTIC INSTALLER Royal Flush Phone: 3607903021
Address: P.o.box 1336 Hoodsport, WA 98548
OWNER VIKRAM GOPAL Phone:
Address: 2324 242nd PL SW BOTHELL, WA 98021
APPLICANT VIKRAM GOPAL Phone:
Address: 2324 242nd PL SW BOTHELL, WA 98021
Site Address: 23860 N US HIGHWAY 101
Primary Parcel Number: 422135000001
Permit Description: Septic Tank replacement
Permit Submitted Date: 10/15/2021
Permit Issued Date: 10/18/2021
Issued By: Rhonda Thompson
Current Permit Fees Paid: $230.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/18/2022 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? No
Shoreline? Yes Horizontal Setbacks Met? No
Number of Bedrooms: 2 Drinking Water Source: Private Well/Spring
Additional Details: Sound Placement 2250
Permit Conditions:
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
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.
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.
•
/4 :,\ MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
<; COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
ELMA:360-482-5269,EXT 400
v Building,Planning,Environmental 11.11th,Community I1valUi
t,a,rN/ FAX:360-427-7787
5 Extra protection of integrity of tank
and joints: 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.
6 Performance testing of tank: Concrete tank tested for water-tightness consistent with
ASTM C 1227. Fiberglass tank
tested for water-tightness consistent with IAPMO/ANSI Z1000-2007.
7 Accessibility of tank for ease of
operation and maintenance:Access openings at or above finished grade with lockable lids
or secured to prevent
unauthorized entry
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.
OFFICIAL USE ONLY
MASON COUNTY DATE RECEIVED: IC)- IS- )
to D
COMMUNITY SERVICES3D. CO
AMOUNT RECEIVED: RECEN CO rn
v_ ,
Public Health(Community Health/Environmental Health) C
360-421-9670.ext.400 or 360•275-4467.ext.400 (7 O
415 N.6th Street-Shelton,WA 98584 SwG a k - bos--)L0 z th
ON-SITE SEWAGE TANK ONLY APPLICATION
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APPLICANT PHONE 6�_3�'//- rnV I K]�M M iI-- �pi l6d2- S-)0_ /573ta
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E
,' 32ti e2Na24 ( I SW— t3. o-rit c-c_ , w A c1&D 1 Co
73
SITE ADDRESS-STREET,CITY.ZIP CODE
.22 3860 N uS Hwy /° ( f DoD5P/2T 1,,'A 9 s's y g F
NAME OF DESIGNER PHONE
NAME OF INSTALLER PHONE O I N
oy� f-L1i3N - /.7i i,J o �-6" D 7 90— 3o 2 I <
TYPE OF WORK(select one) DRINKING� WATER SOURCE - I`
❑ NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT ,�.,PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I Vv
COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM r
SEPTIC TANK 0 PUMP TANK ❑ RV HOLDING TANK BEDROOMS LOT SIZE �7 I fl I
❑ OTHER c9 BL�c1✓( m), 3 77 ? S$.f i . �/ 1
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST -- REP/a- I— I
O I
❑ SURFACING SEWAGE El EXISTING FAILURE SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS 0
SUBMITTALS 0 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
,)6 PLOT PLAN(REQUIRED) 4,TANK CROSS SECTION(REQUIRED) ❑ 10FT+DRINKING WATER SUPPLY LINES I C
yff PUMP DETAILS(IF APPLICABLE) iiil WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS f�
PLOT PLAN CHECKLIST L,/J-7CJ PSI"- ,,20)-Z) 6 I c
PROPERTY LINES AND EASEMENTS )EI EXISTING/PROPOSED STRUCTURES )6 EXISTING/PROPOSED OSS COMPONENTS AND LINES
la WELLS WITHIN 100FT WATER SUPPLY LINES )1 DRIVEWAYS!PARKING 10 SURFACE WATERS,STREAMS,RIVERS,ETC... I D
DIRECTION OF SLOPE/CONTOURS ill PERIMETER!CURTAIN DRAINS )NORTH ARROW SCALE BAR — f . /!'
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
0 \-Aoo a S P3R-f — IN-l.!_FrIL+D S > T2 I S •2 R/cz !)
o NI 0 y ty Url ,vt o 51 let U St. c-'t 1`-- t ey sot 5 -V/C t ,O4.,C .
9 N OTC. : j Ytr S '5 o, J5 UA w� C �taa'i .I V�c�AsFC L,—.
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OFFICIAL USE ONLY BELOW THIS LINE ! s 4�
UPGRADE FAILURE SOURCE(forreporting purposes)re rtin o '�
OLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: I IV '
COMMENTS'CONDITIONS } r_
C cx\d mdr
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 EXPIRATIO DATE APPLICATION APPROVED/ISSUED BY DATE
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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APPROX. WEIGHT 16,500 LBS.
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SEWAGE >�R'STEM PERMIT APPLICATION No,
MASON COUNTY DEPARTMENT OF GENERAL SERVICES FOR DEPARTMENT Ins= '�.�� t
ENVIRONMENTAL HEALTH •eASIS FOR FEE. *• "
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303 NORTH 4TH / P.O. BOX 186/SHELTON.WA 98584 `__1J �;` �� - p:r ��`�'�
PHONE(206)427.9670 tO l� 7
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CEONATRACTOR klGkj 2.•a_-� DESIGNE.R — — —— DEPT a !x ,.. .,.s a..,`i "WATE- ;7A6>k�
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DIRECTIONS TO SITE: SEPTIC TANK (S► GAL ' PUMP°R ,.. .. •- .w '`','
DISTRIBUTION TILE TOTAL • , 4; *; r.*_, tOte•a * F. r
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RAL SERVICES DEPARTMENT �� J O 0
P.O.BOX 188 • 428 WEST CEDAR • SHELTON,WA 98584
PHONE(206)427-9870
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
OwNEja,
r9 h el l t 5 0IR ADDRESS Rol. a y s i'/OJc po•-1
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THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. / ZIP
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER CITY 0 IC1f?o`5 f�orA
WITH PROPER MAINTENANCE AND CAREFUL USE OF -LEGAL
DESCRIPTION ) J ' n I^� �]
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- / 41"j ` `o 6I 0,0
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL P,S Q,1� � G>cv�t)
i /o„M
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTSFIELD
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE SIZE X
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO.
FAULTY FIXTURES. DEPTH TO MONTH
WATER TABLE OF YEAR
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY INSTALLER
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE �)�� �JG�
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SIZE ,Ji I +
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SEPTIC TANK (S) !a DO hit t 1,-Q 5
LNG AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR DRAINFIELD ' FEET
LNG OR DESTROYING THE DRAINFIELD DUE TO SOLIDS LENGTH G Y 4(/ 0
CARRYING OVER INTO THE DRAINFIELD. CALL THE TRENCH AREA SQ. FT.
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF d' V °
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE TILE CEMENT
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH /p� it
CORRUGATED Q RIGID �J
RECORD WHEN HE COMES. ROCK DEPTH t TOTAL
t BELOW DEPTH
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. j PIPE
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING4 NORTH
ARE LATER CONTEMPLATED.
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH ..
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE 4----
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. 1--1c),r Q
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE (01
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE el�'"7
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX-
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA.
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT vG I►
EQUAL TO ONE HALF INCH OF RAIN PER DAY. ________v_ _ _ ___ r ____ _ ,.._
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CON- _,_��
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE
DRAINFIELD AREA. 2 - ti 0 ' I
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THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD � )G m P U m
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- 5 go
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY
CHANGING THE CHARACTERISTICS Of THE SOIL. THE
NORMAL USE OF BOWL CLEANERS OR CLEANING COM- SOUTH
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW
DOWN THE OPERATION OF THE SEPTIC TANK. l l • /
DATEJ / /a f �.-,,, tGNA U E OF INSTALLER
THIS I Aid ►MPOb D R OTHER NT / ��
KEEPRPf I DEED OR`OTHER
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S A RE OF INSPECTOR
€SSIENTli is iPAPERS.> DATE