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Home My WebLink AboutSWG2022-00223 - SWG Application / Design - 4/22/2022 (2) 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 1y ,,v Building,PLinning,Environmental Health,Community I ledth FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2022-00223 OWNER LOTTINVILLE RANE R& BETH A Phone: Address: 9610 SE 7TH ST BELLEVUE, WA 98004 APPLICANT LOTTINVILLE RANE R& BETH A Phone: Address: 9610 SE 7TH ST BELLEVUE, WA 98004 SEPTIC INSTALLER BILL BUMBALOUGH-BCS Phone: 360-434-0111 Development Address: 8830 ERIE AVE NW SILVERDALE, WA 98383 Site Address: 6793 NE NORTH SHORE RD Primary Parcel Number: 222095300009 Permit Description: Septic tank replacement Permit Submitted Date: 04/22/2022 Permit Issued Date: 05/04/2022 Issued By: Luke Cencula Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/04/2023 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Septic Tank Only Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 0 Drinking Water Source: Private Well/Spring Additional Details: Septic tank replacement 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: www.co.mason.wa.us/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED: MASON COUNTY '1. 0 D COMMUNITY SERVICES ^MQ�R D0 * • RECEIVE' ell, c 0 v_ m Public Health(Community Health/Environmental Health) C 415 N 6th Street et Sh40 it n,3 W 98584 eyt.400 S\( to l 60 223 (n O 415 N.6th Street•Shehon,WA 98584 Z 6 ON-SITE SEWAGE TANK ONLY APPLICATION g A m n APPLICANT PHONE m r g(,� aev� ([ mn 11c 360 �3�} oi�` c MAILING ADDRESS-STREET,CITY,STATE,2IP CODE g CO X SITE ADDRESS-STREET,CITY.ZIP CODE i 61i\ Ncarr\-,S;,,or rci bztc,,;c I NAME OF DESIGNER PHONE I / ) NAME OF INSTALLER PHONE v I b: Ii bvrn6,-,I�v<, h I Rcs 0-Qv • 3 o (in t 35 c17Z I b TYPE OF WORK(select one) J DRINKING WATER SOURCE O ❑ NEW CONSTRUCTION/UPGRADES [REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM 1 LMPO SEPTIC TANK ❑ PUMP TANK ❑ RV HOLDING TANK BEDROOMS LOT SIZE /�� ❑ OTHER �f.�-�/a-�/L� CI •G ZJ 1 ' ` - C-- ca OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECK T r _ I ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS C7 SUBMITTALS ❑ SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS ❑ PLOT PLAN(REQUIRED) ❑ TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS /...., PLOT PLAN CHECKLIST r I O ❑ PROPERTY LINES AND EASEMENTS ❑ EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES I ElWELLS 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) ;� ^ E;� I� Rrl (� Lj1 L APR 22 2022 1 BY OFFICIAL USE ONLY BELOW THIS LINE UPGR E I FAILURE SOURCE(for reporting purposes) VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER: COMMENTS/CONDITIONS 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 Y3 61411,f)YY THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC 4W ON THE MASON COUNTY WEBSI REVISED 12/I/2015 4 e N. SMo I SrrE RP/ta �� 6791 nl. Snu Pp 1_ I g�LF�!. ,wA l'��23 •, 0 I 11 • Fxts;w( s4€tL ,.ram To et etelovt o AxJ.0 ) 1) REPtAcfp u iT4 A. Kw — I Mimi T hood PdLy I�N� ►n► �aufL J11t SAr'E L6CA,>oJ I I s(ds.___47--. APPROVED , ,.,y ; 4 20'22 MASON COUNTY E VI C RONMENilkkAS7 INFILTRATOR® I M-1060 septic tanks Features&Benefits • Strong injection molded polypropylene construction 1 ! • Lightweight plastic construction and inboard lifting lugs allow for easy .i‘iir ,, //t + ,,,_1 delivery and handling �� 7,t*, .: ;, , I ' . ( I. f. Integral heavy-duty green lids that I i 1 1 i interconnect with TWTm risers and pipe riser solutions K✓rrKKrtK Wirt 4KtK'Ksr K K mt mai Ai 0 a. x t, t, • Structurally reinforced access ports eliminate distortion during installation f and pump-outs ' I • Reinforced structural ribbing and % fiberglass bulkheads offer additional 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 TW Riser -r' for guidance. System {"r Partition .-I baffle walli rili :1111.11111111111111111111)" HEAVY DUTY LID CUTAWAY - I Reinforced 24" structural %f access port Structural Jr = bulkheads MID-SEAM CUTAWAY Reinforced water tight mid-seam gasketed Appin •• . RIFt sli\ Pi vED Vi (r2022 Protecting the Environment with Innovative Wastewater Treatment Solutions NITL '` tam es ___ wateerr t tecechnologies IM-1060 General Specifications and Illustrations —LIFTING STRAP LIFTING LUG RISER CONNECTION (TYPICAL) (a TOTAL) r-(TYPICAL) The IM-1060 is an injection molded two piece mid-seam - • plastic tank. The IM-1060 injection molded plastic design /�al=� �ll �I ��irleopiaaii ili , A allows for a mid-seam joint that has precise dimensions A is1! ► ��II i „ n r� �' 1 for accepting an engineered EPDM gasket. Infiltrator's "��`•�o o ♦.� i� gasket design utilizes technology from the water industry II d ° o d b�� g= (, —` �° °0 r, 15601 to deliver proven means of maintaining a watertight seal. Nt>'.:+`_ �� r r I t; i� �`�.,,i E TERRIIOR The two-piece design is permanently fastened using a ;f�- u,E � f �..r�;�; TH series of non-corrosive plastic alignment dowels and MI VIPs' locking seam clips. The IM-1060 is assembled and sold through a network of certified Infiltrator distributors. 127.0132261 EXTERIOR LENGTH Must be backfilled and installed in accordance with TOP VIEW Infiltrator Water Technologies, Infiltrator IM-Series Septic OUTLET Tank General Installation Instructions and for shallow intground water conditions reference the Infiltrator IM-Series Tank Buoyancy Control Guidance. )III I 5< Please visit www.infiltratorwater.com/images/pdf/ - - . - (138) 11101111111111,�� I EXTERIOR ManualsGuides/TANK01.pdf for the latest information. HEIGHT SEAM CLIP , ITYPKALI IM-1060 LIFTING STRAP `' -...-. Working Capacity 1094 gal(4141 L) TY%GA`) Total Capacity 1287 gal(4872 L) END VIEW Airspace 16.5% Length 127"(3226 mm) 04f102) 02416101 ACC SS OPENINGS WITH LOCKING LIDS(2) PVC OR ABS 04(102)PVC OR Width 62.2"(1580 mm) INLET TEE 02(260)FREEBOARD ABS OUTLET TEE Length-to-Width Ratio 2.3 to 1 �� Illir � 16.5% OM ♦ AIR SPACE OUTLET Height 54.7"(1389 mm) PER I (761 PER I CODE CODE Liquid Level 44"(1118 mm) u.o � FIBERGLASS 1111B) FIBERGLASS Invert Drop 3"(76 mm) SUPPORT U UID —SUPPORT (TYPICAL) DEPTH (TYPICAL) WITH BAFFLE ` Fiberglass Supports 2 WALL WHERE � 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 APPROVED INTERIOR— SEAM CLIP ii.L. . ►1�Y t G %"� 1 ALIGNMENT !`, LO DOWEL TANK BOTTOM 4 Business Park Road ONM�°P� HALF P.O.Box 7�{�t(]�couNn EN��a(° Old Saybrotlk`e1-06475 tNC 860-577-7000•Fax 860-577-700t MID-HEIGHT SEAM SECTION INFILTRATOR' 1-800-221-4436 water technologies www.infiltratorswater.com U.S.Patents:4,759.661;5,017,041;5,156,488:5,336,017;5,401,116:5.401,459;5.511.903:5,716,163:5,580,778;5.839,844 Canadian Patents:1,329,959;2.004.564 Other patents pending.Infiltrator,Equal¢er, Quick4,and SideWinder 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,PolyTuff,ChamberSpacer,MultiPort,PosiLock.QuickCut,QuickPlay.SnapLock and StraightLock are trademarks of Infiltrator Water Technologies. PolyLok is a trademark of PolyLok,Inc.TUF-TITE is a registered trademark of TUF-TITE,INC.Ultra-Rib is a trademark of IPEX Inc. ®2016 Infiltrator Water Technologies,LLC.Au rights reserved.Printed in U.S.A. IM02 1116 Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436