HomeMy WebLinkAboutSWG2022-00481 - SWG Application / Design - 9/6/2022 A 1�T
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON: 0-427-9670,EXT 400
l COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
ELMA:360-482-5269,EXT 400
Potl ding,Planning,Environmental Health,Community Health
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00481
OWNER ERICKSON EUGENE W& DEBORA J Phone:
Address: PO BOX 913 ORTING, WA 98360
APPLICANT ERICKSON EUGENE W & DEBORA J Phone:
Address: PO BOX 913 ORTING, WA 98360
SEPTIC INSTALLER Shane Maples-MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 830 N COLONY SURF DR
Primary Parcel Number: 323095109025
Permit Description: Replace septic tank
Permit Submitted Date: 09/06/2022
Permit Issued Date: 09/09/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 09/09/2023 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: IM-1060
Permit Conditions:
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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
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 RECEIVED9 C N
COMMUNITYSERVICES AMOUNj RECEIVED RECEIVE (n
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Public Health (Community Health/Environmental Health)0
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360-177-9670,e.t.400 or n,WA 5-a467.ext.100 S\� as)�� - ^ ��( O
415 N.6th Street-Shelton,WA 98SBA (wln
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ON-SITE SEWAGE TANK ONLY APPLICATION 3.
APPLICANT PHONE iShowtirk Way1-A/ ill-)
Euo�ene 1Jebor �K ESov g31- may- 3��� o
Z
MAILING DRESS-STREET,CITY,STATE,ZIP CODE .� m
PO box �113 Orting1 wA 983�p�113 �/� 73
SITE ADDRESS-STREET,CITY,ZIP CODE ]L- ""
930 N COl one Sure pY• Lit v J g -�-
c Up, WA � 555 }} Iw
NAME OF DESIGNER PHONE 1
NAME OF INSTALLER PHONE Iw
M( les tgovatillg Cciha,nt NIapt c) 31,�6- 4(p3-q�I1� `— ��
DRINKING WATER SOURCE -
TYPE O WORK(select aneJ O
❑ NEW CONSTRUCTION/UPGRADES U REPAIR/REPLACEMENT PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z I�
COMP NENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM
SEPTIC TANK ❑ PUMP TANK ❑RV HOLDING TANK BEDROOMS �� T SIZE W I�
❑ OTHER � 111`"``"'"'/
OTHER DETAILS(select al/that apply) TAN (S)SETBACK CHECKLIST r I�
O
❑ SURFACING SEWAGE L7EXISTING FAILURE 0 SHORELINE 100FT+PUBLIC/COMMUNITY WELLS n
SUBMITTALS SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
yJ PLOT PLAN(REQUIRED) TANK CROSS SECTION(REQUIRED) 1 OFT+DRINKING WATER SUPPLY LINES .� I
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) d 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST r I ll
❑ PROPERTY LINES AND EASEMENTS 0 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...El
Iw
1r�'
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW SCALE BAR V‘ IT
`
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
•tDecomrniffi►or1 of d -icon K- and repI a c 6 v`'Ith 090 it/NIT/ow S2,176Gtaq.
srn& IOC11'\-
OFFICIAL USE ONLY BELOW THIS LINE -
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE OCOMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
Qe/V1\CLCL S Sa0e- \oCC� c)n C
I SFp
P46ZR� s
SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUI MENTS,EQUIPPED I
AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED F NAI:.APPROVA`1�/� L-_..-''
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUEb15Y `/�TE/
-f- Ct v` `6vv\ a Iel Iw
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
I
•
MASON COUNTY
•r GENERAL SERVICES DEPARTMENT
P.O.BOX 186 • 428 WEST CEDAR • SHELTON,WA 98584
PHONE(208)427-9670
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
nl p ADDRESS py3Ox1.-,), # 11
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. CITY/y� . ZIP
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER MCA IL.L,IN (J�7`f}�. 913 _
WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION
i WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- D1�' .2 itileci Lorii,..xs C -ot.J1{ ,..J F
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS ..__
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD X
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. SIZE
FAULTY FIXTURES. DEPTH TO MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE OF YEAR rnvy
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER _ /�_I �.�
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND B-,-- =fi r
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK (S) `IUC)(
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD i FEET
CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA SQ. FT.
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE c)-tib
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS T_ILED H EPT ❑ CORRUGATED RIGID ❑ CEMENT
RECORD WHEN HE COMES. } 0.-`m
DEPTH TOTAL
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE ROCK CU. YDS. ILI YBELOW A DEPTH
YDS PIPE G DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS iSPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, 1 REPLACEMENT DISTRIBUTION FIELD: SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING
ARE LATER CONTEMPLATED.
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO • i .. ' ��
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH .
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. A ' PROVED
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE SEP 0 9 2022
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- MASON , OUNTY ENVIRONMENTAL NEALT� `,�` `�
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. RET �t6' Qr4'-\'
EQUALWATE TO ONOERHALLFFN FROM INCHH OFTHE RAINRPEIR DAD IS ABOUT k�Y. ,,.-'\U O\1/4Q j
FOOTING DRAINAGE, DOWNSPOUTS AND WATER re"SOFTENER RECHARGE WATER SHOULD NOT BE CON-NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THEi :iiii'
DRAINFIELD AREA.
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK AREALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- - - .
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE 31
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-
•
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW I R7 L)ig
sew +
DOWN THE OPERATION OF THE SEPTIC TANK.
THIS IS AN IMPORTANT DOCUMENT o /9/`,l ATE/4/ sl ATURE OF INSTALLER
Printed IT DEE THER _junty DF. / W •- ,)-,) lio
PrinteSSENIAL ror -on L,bunty DMS DATE
�n SIG A URE INSPECTOR
r '
INFILTRATOR® IM-1060
septic tanks
Features&Benefits
I . Strong injection molded polypropylene
construction
f 1 1 \ • Lightweight plastic construction and
inboard lifting lugs allow for easy
- / delivery and handling
f' y ' /! - 1 . •
i • Integral heavy-duty green lids that
�° ((( interconnect with TWTm risers and pipe
ff � 1
t' • riser solutions
sa[KitKrKttoll[sf at IN It If Nit 0 y a •■ M o > • Structurally reinforced access ports
eliminate distortion during installation
and pump-outs
• a'l k
• 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 --- -- - -1 ; for guidance.
..
Partition
baffle wall •
I, HEAVY DUTY LID
CUTAWAY
'� _ }, Reinforced
• 24" structural
. i I access port
Structural
3, --_-_—_` bulkheads grEgROVED'° MID-SEAM
Reinforced water tigl�Ed-��rrrr2022
gasketed connection
1,
MASON COUNTY ENVIRONMENTAL HEALTH
RE
INFILTRATOR'
Protectin the Environment with Innovative Wastewater Treatment Solutions water technologies
Jim. ...-.7
IM-1060 General Specifications and Illustrations
LIFTING STRAP LIFTING LUG RISER CONNECTION
ITYPICAU 14 TOTAL) (TYPICAL)
The IM-1060 is an injection molded two piece mid-seam WIWI
plastic tank.The IM-1060 injection molded plastic design ,j,��I l i i i t rfr
allows for a mid-seam joint that has precise dimensions A gir ' 4r , ?;re'i A
�,Vie,. .for accepting an engineered EPDM gasket. Infiltrator's 1 �, ° e
gasket design utilizes technology from the water industry Ile1_e °oc>; _C �2
•to deliver proven means of maintaining a watertight sealI I ETWIDTH
The two-piece design is permanently fastened using aseries 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 02261 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 ground water conditions reference the Infiltrator IM-
Series Tank Buoyancy Control Guidance. ,rl11111116
— � — I,I C
54.7
Please visit www.infiltratorwater.com/images/pdf/ �— -- —--� °389J
110111111111111
i I EEIRIOManualsGuides/TANK01.pdf for the latest information. IICLIP
(TYPICAL) t Will
IM-1060
LIFTING STRAP
(TYPICAL)Working Capacity 1094 gal(4141 L)
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127"(3226 mm) 0411021 0 2416101 ACCESS OPENINGS WITH LOCKING LIDS(2)
PVC OR ASS 04[1021 PVC OR
Width 62.2"(1580 mm) INLET TEE 10.2[2601 FREEBOARD /—ABSWTLETTEE
agar - �\��
Length-to-Width Ratio 2.3 to 1 ��1 11�� OUTLET
Height 54.7"(1389 mm) PER I [;61 PER '
at CODE
Liquid Level 44"(1118 mm) 44.0 I I :
FIBERGLASS (1118) FIBERGLASS
Invert Drop 3"(76 mm) SUPPORTDEPTH
LIQUID S(FPICAAi)
(TYPICAL) WITH BAFFLE
11 Fiberglass Supports 2 WALL
IIRE ERE
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 TANK
/�-� �I GASKET
4 ''i
I APPROVED INTERIOR ;�� SEAM CLIP
SEP 0 9 2022 ALIGNMENT
DOWTANK BOTTOM
ir 4 Business Park Road MASON COUNTY ENVIRONMENTAL HEALTH HALF
P.O.Box 768
Old Saybrook,CT 06475 RET
N F I LT R AT O R� 860-577-7000•Fax 860-577-7001 MID-HEIGHT SEAM SECTION
1-800-221-4436
water technologies www.Inflltratorswater.com
U.S.Patents:4,759,661;5,017,041:5,156,468;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,end SideWinder ere registered trademarks of infiltrator Water Technologies.Infiltrator is a registered trademark in France.Infiltrator Water Technologies is a registered trademark in Mexico.
Contour,MlcroLeaching,Po'Tuff,Chamber-Spacer,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.
O 2016 Infiltrator Water Technologies,U-C.All rights reserved.Printed in USA IM02 1116
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436