HomeMy WebLinkAboutSWG2022-00285 TANK ONLY - SWG Application / Design - 5/13/2022 - ¢' MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
- OI `gi COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
�`v; s ELMA:360-482-5269,EXT 400
4 - Building. Fnvvon mental Health,Community Health sc,., FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00285
APPLICANT Henry Morley Phone:
Address: 2251 E Timberlake West Dr SHELTON, WA 98584
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 2251 E TIMBERLAKE WEST DR
Primary Parcel Number: 220185300030
Permit Description: Replace septic tank, add pump tank to gravity DF
Permit Submitted Date: 05/13/2022
Permit Issued Date: 05/18/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/18/2023 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced:
Surfacing Sewage? Existing Failure?
Shoreline? Horizontal Setbacks Met?
Number of Bedrooms: Drinking Water Source:
Additional Details:
Permit Conditions:
3 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
5 Installer is responsible for obtaining Septic Designer/Engineer 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.
4 Installer is responsible for obtaining Mason County 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.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
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.
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OFFICIAL USE ONLY
MASON COUNTY DATE RECEIVED. % '
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Public Health(Community Health/Environmental Health) ��— C
al>N(tom Street-Shelton,WA 98584
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ON-SITE SEWAGE TANK ONLY APPLICATION D
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iAPPLICANT PHONE m xi r
HENRY MORLEY 360-620-7035 z
MAILING ADDRESS-STREET,CITY.STATE.ZIP CODE g
2251 E TIMBERLAKE WEST DR, SHELTON, WA 98584 m
SITE ADDRESS-STREET.CITY.ZIP CODE
2251 E TIMBERLAKE WEST DR, SHELTON, WA 98584Jj
NAME OF DESIGNER PHONE
ADAM HUNTER 360-753-1226
1 NAME OF INSTALLER PHONE CI I9
TBD TBD <
TYPE OF WORK(select one) DRINKING WATER SOURCE
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0 NEW CONSTRUCTION/UPGRADES III REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z pc,
COMPONENT(S)TO BE REPLACED/INSTALLED ElPUBLIC WATER SYSTEM TIMBER LAKES
IE SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE
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❑OTHER 2 0.29 W
OTHER DETAILS(select all drat apply) TANK(S)SETBACK CHECKLIST r
O SURFACING SEWAGE CI EXISTING FAILURE 0 SHORELINE 100FT+PUBLIC!COMMUNITY WELLS IW
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SUBMITTALS 0 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
-
® PLOT PLAN(REQUIRED) 0 TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES r
® PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST r Sr
0
O PROPERTY LINES AND EASEMENTS IIIII EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES —1 r,'
❑ WELLS WITHIN 100FT DI WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... �N►I-/
0 DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS III NORTH ARROW ID SCALE BAR y�
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) __ .- v�-�J
AGATE RD EAST TO A LEFT ON E TIMBERLAKE DR TO A LEFT f N E.T1kRL'AI \ ;
DR W FOR 0.7 MILES TO SITE ADDRESS ON THE RIGHT.
[ MAY 1 3 2022
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By 1
-
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING ['BUILDING PERMIT ['HOME SALE OCOMPLAINT ['OTHER:
COMMENTS I CONDITIONS
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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
11 o)17 v TYY\ Vital 1-7 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
—TIMBER LAKE
BULKHEAD
SCALE-1"=30'-0"
t
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PUMP CHAMBER(PUMP EL.-95.0
W/MYERS ME3F PUMP DOSING 2T 40GAL.INTERVALS
TANK DETAIL-NO SCALE
SEPTIC TANN (IN.EL.-98.5/OUT.EL.-98.2) ..CY.•.,•.IT • S...a "M l re
1 • • EXIST NG DECK • Q
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1 f�ROPOSED BTUBOUT/CLEANOUT(IE.-99.0) V_ (7
XISTING 2 BDRM RES �'`� `�
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W rtr.rxl
' 2"PVC TIGHTLIN: (SCI-40) � •�
BOSS 18'BELO WATER LINE
* • ,• •A RE•UCEP,WITHIN 5FT OF"D"BOX _. -- ""•`�'�"
PATIO 1-,
`�_11 'a • "° 00(7
EXISTING TANK �• \I,�(—N
■ (ABANDON),., .....�•. 1 •••v..,.A,.> �I�Ik�" \'
"D"BOX---2----N-•__ (/) .•..."a.. _ .� .q. HIM �00 --
' EXISTING b AINFIELD _Hi V/
(CAMERA LOCATE ON 9/1/21) ®, r�l, i` A
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`/ NOTES:
-SEWER TO CROSS PERPENDICULAR AND MIN OF 18"BELOW WATERLINE
-EFFLUENT FILTER REQUIRED AT SEPTIC TANK OUTLET
-RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS
XISTING GARAG- -EFFLUENT PUMP TO BE A MYERS ME3F OR EQUIVALENT
DOSING TO GRAVITY DRAINFIELD
1
DRIVE
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POWER POLE
1 TIMBERLAKE
j �p ��� r-- JIM HUNTER AND ASSOCIATES
9 P.O.BOX 162,OLv,WA 98507 753-1226 1DASSOCUTES®HOTMNLCOM
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. 5/13/22 DESIGNER-ADAM HUNTER
MAY 18 2022 • '•, 1 SITE PLAN FOR-
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MASON COUNTY ENVIRONMENTAL HEALTH ��a w•„ v' !1 HENRY MORLEY
R /�. tt..0 SITE ADDR-
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