HomeMy WebLinkAboutSWG2022-00444 - SWG Application / Design - 8/10/2022 �---
y j4^' 415 N 6TH STREET,SHELTON,WA 98584
• \� MASON COUNTY SHELTON:360 427-9670,EXT 400
13 t I' r `J COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
o`.-' Building,Planning.Environmental Health.Community Health ELMA:360-482-5269,EXT 400
• FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00444
APPLICANT LAMB ET UX JERRY Phone:
Address: ALISON DEIBEL KENMORE, WA 98028
OWNER LAMB ET UX JERRY Phone:
Address: ALISON DEIBEL KENMORE, WA 98028
SEPTIC INSTALLER Shane Maples- MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 5540 E GRAPEVIEW LOOP RD
Primary Parcel Number: 121055018004
Permit Description: Replace septic and pump tanks for BLD permit with local waiver to 2
ft
Permit Submitted Date: 08/10/2022
Permit Issued Date: 08/12/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/12/2025 (based on date of inspection)
Type of Work OSS New Construction
Components being Replaced: Septic and Pump Tanks
Surfacing Sewage? No Existing Failure? No
4 Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring
Additional Details: septic and pump tank replacement
Permit Conditions:
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.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL- USE ONLY
$
DATE RECEIVED: 1 - law
MASON COUNTY y n
04171, COMMUNITY SERVICES AMOUt I 6 e
cn RECEI Cn
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Public Health(Community Health/Environmental Heahh) (p
415 N.7-96 Street
-Shelton,
or n,WA 5 d467.ext.400 S - I G �� Q
415 N.6M Strtet-Shehon.WA 98584 V\Y/ -a164444. �
ON-SITE SEWAGE TANK ONLY APPLICATION di
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APPLICANT PHONE m
r
Ttrry Lamb Z
c
MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE 3
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UM Nt 201- t1 St• U,nnnore,, WA 01902g xi
SITE ADDRESS-STREET,CITY,ZIP CODE
60140 g• c-lrap2,0fw t,00' lad. Attyn,v\lA
NAME OF DESIGNER PHONE
NAME OF INSTALLER PHONE 0 I—
Mgptes 6xccvq-fin (Chant Maas) i.eo-q-i -g(-1-1y
TYPE OF WORK(select one) 1 DRINKING WATER SOURCE O IQ)
NEW CONSTRUCTION/UPGRADES ® REPAIR 1 REPLACEMENT 0 PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL Z ` -
�
COMPONENT(S)TO BE REP
CED!INSTALLED 0 PUBLIC WATER SYSTEM 1
® SEPTIC TANK d PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZEf,
❑ OTHER r J I •e) W
SETBACK CHECKLIST r
OTHER DETAILS(select all that apply) TANK(S) O
CI SURFACING
SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE I�.`d/100FT+PUBLIC/COMMUNITY WELLS 0 I 1
SUB ITTALS Ei 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
EAU PLOT PLAN(REQUIRED) ‘TANK CROSS SECTION(REQUIRED) 13 10FT+DRINKING WATER SUPPLY LINES Ic.°
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 4//5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
r
PLOT PLAN CHECKLIST 1 IB
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES CIEXISTING/PROPOSED OSS COMPONENTS AND LINES
" ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I1Q°
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR
r7(� (�
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) \-_.\p l� ' '{ `U' L \\
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l�L AUG 11 2022 ilil
u
By
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(1or reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
Re.A(Aa ce_,I rn-OW_ 5e.,0h c co4 NpLAYT, A 1-0 c ‹.k— Yo o wt
rrks I l . '(Y\ twin 2 ` SeA.fxcto-V-, --(iom P►ur I1)-e wkol
SEWAGE TANKS MUST BE LISTED UNDER DOH-LIST OF REGISTERED SEWAGE TAKS MUST M E CURRENT MIN UM 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
i VI--1 1 -1S . /IZIZZ
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
100"
I
._
■ ■
■ "It
FILTER
• • ACCESS
IN L OUT CENTRELINE
(1
.(1
•
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\— SLOT FOR
PLAN VIEW PARTITION WALL
Ce
83' �h.
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ili
1 '.441*
WATER LINE r
I \
411
41 �
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AP ® ROVED
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AUG 12 2022
MASON COUNTY ENVIRONMENTAL HEA,
RET W & 1 1
END ELEVATION
NOTE: DIMENSIONS AND VOLUMES ARE NOMINAL
I" = 25.44MM
R.EMiER
SEPTIC 'SUPERTANK' DATE: FEB 2017
SCALE: N
DOUBLE CHAMBER
DRAWN: NTS
JZ
T
P LEA 5_E;.> I C S SHEET. No. I OF 2
_�' US. MODEL STSUI300EH - 1300US GAL REV. FEB 2019
www.premierplastics.com 1-800-661-4473
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22' 22'
ei
100"
1 v 0 1
y y t t
I s
SS SS
4' DEEP RIBS 1 TRIANGULAR RIB CONSTRUCTION I Ip•
ACROSS BASE ELIMINATES "ACCORDIAN" EFFECT ��
UNDER PRESSURE C---:'
ELEVATION
RIBBED ACCESS
COVER 24"
4' SPIGOT NOM. OPENING 4' SPIGOT
FOR RUBBER INSPECTION PORT LIFTING EYE FILTER ACCESS FOR RUBBER
CONNECTOR CONNECTOR
1 : V : T
s L I• LIQUID E t.
IN �' LEVEL Ip
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r . _ ;—...11
FRICTION FIT I cc
PIPE CONNECTION w
4) w CONNECTION 4'0 PVC �
> MAY VARY H
I- I }' RIGID PLASTIC 0 s
C. i — DIVIDING WALL
ID i
rIllk e A
_....
PPROVED
too'
39' AUG 12 2022
SECTION
NOTE: DIMENSIONS AND VOLUMES ARE NOMINAL MASON COUNTY ENVIRONMENTAL HEALTH
I" = 25.44MM RET
SEPTIC 'SUPERTANK' DATE: JUNE 2010
r , SCALE: NTS
ARE JEit DOUBLE CHAMBER
DRAWN: SGM
P L(A S I C S USA MODEL STSUI300EH - 1300 US GAL SHEET. No. 2 OF 2
www.premierplastics.com 1-800-661-4473 REV. FEB 2019
ii
Y
INFILTRATOR IM-1060
septic tanks
Features&Benefits
11 • Strong injection molded polypropylene
construction
1 1 1 ' • Lightweight plastic construction and
inboard lifting lugs allow for easy
delivery and handling
i/, � ���7/ 1/ // i h (( /7( • heavy-duty Integral green lids that
9 vY ty
interconnect with TWTM risers and pipe
riser solutions
N.a K 6 k rt it of or . - r III It , ` Structurally reinforced access ports
r •� t
eliminate distortion during installation
and pump-outs
1'` • 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
System - for guidance.
Partition - 'I'`y •
baffle wall'' .i. •
I. HEAVY DUTY LID
rfl CUTAWAY
• iv'
i Reinforced
24" structural
• access port
ROVE ®
A, Structural AUG 1 2
bulkheads
' MASON COUNTY Eh'V1RON,M2Q22ENTAI HEALTH
i MID-SEAM CUTAWAY p
M - Reinforced water tight mid-se ar
gasketed connection
Protecting •
the Environment with Innovative Wastewater Treatment Solutions INFILTRATOR'
es____ __.._.__ water technologies
. . YO VY\ r 1A-Ny-----
IM-1060 General Specifications and Illustrations
LIFTING STRAP LIFTING LUG JJ��--�-RISER CONNECTION
(TYPICAL) (4 TOTAL) J (TYPICAL)
The IM-1060 is an injection molded two piece mid-seam �J ,"1 Ir
/plastic tank. The IM-1060 injection molded plastic designallows for a mid-seam joint that has precise dimensions A ;f+ ; 4� tA
for acce tin an en ineered EPDM asket. Infiltrator'stP 9 g 9 gasket design utilizes technology from the water industry _Ii. °onseol
.\ °to deliver proven means of maintaining a watertight seal. Ir` t r a ,r Ex RIOThe two-piece design is permanently fastened using a rr>i'- '' —series of non-corrosive plastic alignment dowels and '
locking seam clips. The IM-1060 is assembled and sold
through a network of certified Infiltrator distributors. - 127.0 13226)EXTERIOR LEN 3T4
TOP VIEW
Must be backfilled and installed in accordance with
Infiltrator Water Technologies, Infiltrator IM-Series Septic OUTLET
Tank General Installation Instructions and for shallow
ground water conditions reference the Infiltrator IM-
Series Tank Buoyancy Control Guidance. 111:
1111111111
II11
Please visit www.infiltratorwater.com/images/pdf/ ��-��� I'38')
1111111191
.: i� ` ., EXTERIOR
ManualsGuides/TANK01.pdf for the latest information. HEIGHT
SEAM CLIP LII 1�I II(TYPICAL) `�
IM-1060 `4L1._.
LIFTING STRAP —.,•—, •
Working Capacity 1094 gal(4141 L) TVPcu1
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127"(3226 mm) 0411021 0241610)ACCESS OPENINGS WITH LOCKING LIDS(2)
PVC OR ABS 0 411021 PVC OR
INLET TEE 10.2(260j FREEBOARD
Width 62.2"(1580 mm) ABS OUTLET TEE
Length-to-Width Ratio 2.3 to 1 ���� ' ���
16.59E
aii
♦ AIR SPACE OUTLET
Height 54.7"(1389 mm) cD I
(761 PER
CODE
Liquid Level 44"(1118 mm) I 44.0 ,
FIBERGLASS untoFIBERGLASS
Invert Drop 3"(76 mm) SUPPORT LIQUID SUPPORT
(TYPICAL) DEPTH (TYPICAL)
WITH BAFFLE
Fiberglass Supports 2 I WALL WHERE
1 REQUIRED
Compartments 1 or 2
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 mm)
1
Maximum Pipe Diameter 6"(152 mm) TANK TOP CONTINUOUS
Weight 320 lbs(145 kg) HALF j GASKET
A• PRO V E D1NK
TERIOR � 1i *���111 SEAM CLIP
AUG 12 2022 ALIGNMENT(1(-------- t
DOWEL ` TANK BOTTOM
MASON COUNTY ENVIRONMENTAL HEALTH HALF
4 a Park Road R E T
P.O.Box 768
Okild Say Saybrook,CT 06475
INFILTRATOR` 860-577-7000•Fax 860-577-7001 MID-HEIGHT SEAM SECTION
1400-221-4436
water technologies www.infittratorswater,com
U.S.Patents:4.759.661:5,017,041;5,156,488;5.338,017;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 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,Po(yTuff,ChamberSpacer,MUltiPort,PoslL ock,QulckCut,QuickP(ay,SnapLock and StraightLock are trademarks of Infiltrator Water Technologes.
PolyLok Is a trademark of PolyLok,Inc.TUF-TfTE is a registered trademark of TUF-TITE,INC.Ultra-Rib is a trademark of IPEX Inc.
0 2018 Infiltrator Water Technologies,LLC.All rights reserved.Printed in U.SA IM02 1116
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436
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