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SWG2022-00485 TANL ONLY - SWG Application / Design - 9/7/2022
I11.7 " MASON COUNTY415 N 6TH STREET,SHELTON,WA 98584 / SHELTON:360-427-9670,EXT 400 •t I. COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 1j1j4 ,�/ Building,Planning,E mnonmental Health Commun ity Heal th Yap FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2022-00485 APPLICANT BARBARA STEEL Phone: Address: 123 XXX XX, XX. 00000 OWNER J-BAR FAMILY TRUST Phone: Address: PO BOX 405 GRAPEVIEW, WA 98546 SEPTIC INSTALLER THAD BAMFORD-Bamford Septic Phone: 360-790-2364 Repair Address: 301 WALLACE KNEELAND BLVD STE 224-332 SHELTON, WA 98584 Site Address: 401 E STRETCH ISLAND RD SOUTH Primary Parcel Number: 121084190071 Permit Description: Septic tank for lot 1 (renewal SWG2019-00336) Permit Submitted Date: 09/07/2022 Permit Issued Date: 09/09/2022 Issued By: Luke Cencula Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system). Permit Expiration Date: 09/09/2025 (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: 2 Drinking Water Source: Private Well/Spring Additional Details: Septic tank Permit Conditions: 3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 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 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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. r -Nol/ OFFICIAL USE ONLY DATE RECEIVED: !� MASON COUNTY 1- n# COMMUNITY SERVICES iE CE VE RFCENt al Cn - �- v fil - Public Health(Community Health/Environmental Health) (/'�' C 0 4'54(A%)6.e:-700 ton.VA i1467,eal 400 SWG ^ �� Q6�©� (n 0 �'S`7.lth SUee:-51d:lM,VA VBiW1 (�/,j`, v�l `A Z C,) E MI ON-SITE SEWAGE TANK ONLY APPLICATION a > 3 73 m 0 APPUlea HONE..L-5-0-2..) Lica.-7707 m i(VavA Sk-6/ z ' ) STREET, ZIP ' D /G1305( fo j / ? ( cid 10 m S SITE Apo Sj-STREETC4çDE�i1j s ivicf 2 D J�`• - NAME OF DESIGNER PHONE 10 INSTALLE HONE 0 I.� E - ,�G�f/J��ti r 1 �-t-C 3/4 0 790 r Z 0 (selectTM( / DRINKI' 'ATFR SOURCE cli I TYPE OF WORKone) 1 ❑ NEW CONSTRUCTION/UPGRADES XREPAIR!REPLACEMENT PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I D y COMPONENT(S)TO BE REPLACED.INSTALLED CI PUBLIC WATER SYSTEM I�` SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS it, LOT SIZE F•-+—. ❑ OTHER _ OTHER DETAILS(select all that apply) TANKS)SETBACK CHECKLIST 0 ❑ SURFACING SEWAGE 0 EXISTING FAILURE SHORELINE Isr100FT+PUBLIC/COMMUNITY WELLS C) I SuBKITTALSSOFT+PRIVATE WELLS.SURFACE WATERS,STREAMS,RIVERS LOT PLAN{REQUIRED) TANK CROSS SECTION(REQUIRED) , 10FT+DRINKING WATER SUPPLY LINES ID ❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) rif 5FT+PROPERTY/EASEMENT LINES.FOUNDATIONS,FOOIINGS PLOT PLAN CHECKLIST r h 0 tePROPERTY LINES AND EASEMENTS IS EXISTING!PROPOSED STRUCTURES 14 EXISTING/PROPOSED OSS COMPONENTS AND LINES --I (2 WELLS WITHIN 100FT tid WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS.STREAMS,RIVERS,ETC... I4 (DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS KNORTH ARROW - :•R DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) SEP LI s��' 0 7 20?2 D By Vii% OFFICIAL USE ONLY BELOW PHIS LINE UPGRADE/FAILURE SOURCE(tot reporting purposes! 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT- ❑HOME SALE ❑COMPLAINT 0 OTHER. COMMENTS/CONDITIONS 12424484 5k1'r''. o033 co 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/GATT APPLICATION APPROVED! �ISSUED BY DATE ...., 4/11,0)..140 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW , V•IEW ON THE MASON COUNTY WEBS/ REVISED 12174015 I _m • 7. r7 <z a$ r- D Cl ,µ, �rl;•_ A �' rm -I f` �+i` '' i 4 r N p t r� 2 Mr Iv A 'fan s,_• %, mx L l'� iII"' 1 y r I� -d o vt I xi Dv)r �tjcn n> rA D70a = 07) z0 � � :UDX PI 3� fr1 D XGGI.-. ��W irn CX p ..MZ . X r Z r*i c Z U G1 U r'1 v1 H C MX) -o Mr20 1 -- D �Z £� �' �' � o Z 00n r8 PI i O :UM !40 1'l DM !° Gl . 2 N�7 -1 y (� :t7 -< 7< Grp <� .�< • i. or- _'r (4 DD 1-9d rDr*1 § r*IZ O 13 �n rn d 3m Z -0r OD �n X o zII, n p> C7r DO 3 rsr -'10 Z� I Do GU Z V !... ............ . 0 X _ .......1.---- APPROVED 1 g SEP 0 9 2022 ! COUNTY ENVIR�KMEt„, - . tASON Ore - J tim ^t7rU N. -IC') XpX N. r- -i fn .. \ N. r to tG--4 r'Tr-0 0 J-1 N Z o N ""rrl f*1 0 D.Z7 + .r r. -1-7 N 3 .1 td Z Z-, C Vl y CLl Z.-. M1 N. �O D rnfTl� N o .�. GI 1-- N. N. Nd-AXC ^Z 0 �dx - N N. r<ZIT7 — — -"� Z ODD \ �_ C r'1 r-ct-�t r v �D� N N r-0CCI) 1 SFT� 1 x a -o _ -. g \ N NN �` r n .>S ` ACK PAD M dMnry _ SEi q� Oy M mmoZZaaoa 7 \r-I---rm -� — -\ B No, \ !f/ \ <-co_td o Q�DX rT10X �� S�\ \ FR of rm<,-, ro a z - - N r' txim -I Z -. ` y� `nA m AI a---1m v ' r rm'TN1 D 0 z sF B4* �,M. WEB=' z� r , o cam 3>_o " t F). '`�R� 0 '_ _ ' °= n m 0X) \ tCG° or OMJ� n - zcA$d --.1 o 0-' a-4v — Cl, �HI'`M f r*r 'ru 3 44, 0d 73 --i 1 • ,'ii---e-----INFILTRATOR' iM- 106t� septic: tanks i Features&Benefits • Strong injection molded polypropylene construction I. • Lightweight plastic construction and _ _ i 4 ^�' inboard lifting lugs allow for easy `'°- / /o ._i delivery and handling /� �t f f r• �! 1 ! ''. • Integral heavy-duty green lids that f i interconnect with TW'm risers and pipe i riser solutions RP W itV at WWI(Kof a W IK li iF . ,,< rk IF. II • Structurally reinforced access ports eliminate distortion during installation and pump-outs • 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. inAp p R w Eirquirements / • The tank may be backfilled with suitable Infiltrator _ SEPnli�s2i�Liee installation instructions TANK CUTAWAY Tw Riser for,guidance, 1P �`4�•� System— • guidance 1. ON COUNTY ENV N C- Partition baffle wall',.. • HEAVY DUTY LID CUTAWAY Reinforced - 24"structural • access port • t• t: '' ' Structural : • bulkheads t . MID-SEAM CUTAWAY • i -- Reinforced water tight mid-seam gasketed connection ,, u., loii ot, ��of l` f INFILTRATOR" Protecting the Environment with Innovative Wastewater Treatment Solutions water technologies IM-1060 General Specifications and Illustrations l ;a 1INC.)TR P IJFTIVG LUG 'Byn( NLTtON \ 0,lnC. .H1UTAt) "YNCAAIuNF The IM-1060 is an injection molded two piece mid-seam \ .• ,�/ - - 1 ir- plastic tank. The IM-1060 injection molded plastic design \ , MI �1I) I I I iI I , allows for a mid-seam joint that has precise dimensions A ;►' 'I. 11r! I I I I !'� ` ie;. A for accepting an engineered EPDM gasket. Infiltrator's ,tr:,.- 0 1 o +t, B gasket design utilizes technologyfrom the water industry 11=, o �; ,— o —II� 62: 9 `' � oc oo ;;, IMOO to deliver proven means of maintaining a watertight seal. ,;:� � is i I / I iI r LX,EPIOP The two-piece design is permanentlyfastened usinga 'ri'-"'"f" i �L'r'� '*l;I WIDTH series of pan-corro9ive plastic alignment dowels and I iL ^ . 11^ 11k7 I locking seam clips. The IM-1060 is assembled and sold through a network of certified Infiltrator distributors. i ,,,0pr1a1 EMFAIOR I.FNGLI ��DOUTLETTOP VIEW Must be backfilled and installed in accordance. i Infiltrator Water Technologies,Infiltrator IM-S p C O„ Tank General Installation Instructions and for shallow _ . ground water conditions reference the infiltrator IM- SEP 0 9 2022 11 ','•'I 1 Series Tank Buoyancy Control Guidance. ��NMEN 1 E ,FBI _-4�I_ _1►I :13s1 Please visit www.infiltratorwater.com/images/p�#f01,jCOU Yc kill/pop --=, tXTERlo.i ManualsGuidesfTANK01.pdf for the latest information. 1" " i F.�GNTSEAU CUPIIYAf.At1 , 1111-1060 LIFTING STRAP t r AIM 1 Working Capacity 1094 gal{4141 L) Total Capacity 1287 gal(4872 L) END VIEW ___ Airspace 16.5% Length 127"(3226 rum) 04;t021 - r 024:6101 ACCE)Y(N':NINGS WITH LOCKING LIDS t2I wC OR ABS /JJ 0a,10)I% J"+ Width 62.2"(1580 mm) INLET TEE 10112601 FRE WARD /-A4s'0") ETTEr Length-to-Width Ratio 2.3 to 1 INI F' I 16.59E AR PACE OUTLCT I 30 Height 54.7"(1389 mm) coo, ;' ooE Liquid Level 44"(1118 mm) final• 4.0 .L...nsFRA Ass r1BERLi1ASS_- ••WtAD SUPPORT Invert Drop 3"(76 mm) suPPrx1T DE TH ("MICA; j (TYPICAL: I MEN BAFFLE Fiberglass Supports 2 i I WAU.Wr,LkL 1 L, I DF,OL.1REJ Lc, Compartments 1 or 2 Maximum Burial Depth 48"(1219 mm) SIDE VIEW Minimum Bural Depth 6"(152 mm) Maximum Pipe Diameter 6"(152 mm) TANK TOP CONTINUOUS GASKET Weight 320 lbs(145 kg) HALF _ /'� TANK INTERIOR ALAI, �— SEAM CUP ALIGNMENT DOWEL TANK BOTTOM (--- '' HALF 4 B:;Box 7 Park Roadr"Old Box?69 Old Saybrook.CI 06475 860-577-7000•Fax 860-577.7001 MID-HEIGHT SEAM SECTION I N F I LT RAT O R' 1-800-221-4436 water technologies www.lnflitratorsWatecoom U.S.Patents:4,759.661;5,017.041;5.156.488;5836.017;5.401.116;5.401.459;5.511.903;5.716.163:6.588.778:5.639.814 Canavan Paler to:1329,959:2.004.664 Otner patents penning.Infttrator.Equalizer, Oucke.and SdeWmder aro registered trademarks of Infiltrator Water Toehnologies. '8ltrator Is a registered tradornark r_Franco.Inliltrator Water Technologies is a rogiatored trademark to Mexxro. Contour.Mi roLmehing.PatyTLM.ChamberSpaeer•MrNPort.PosaLock.Ou,cKCut,CuickPFay SnapLock and SlralghtLoek arc trademarks of Infiltrator Wass Technologies. PolyLok is a trademark of PoyLok.Inc.T11F-T1TE is a registered trademark of TUF-TITE.INC.t.Alra-Rib is a trademark of IPEX Inc. ®20161n11uator Water TOdnd0gies,LLC.AI rights re50rved.Printed m U.S.A. 1.M32 1116 Contact infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436