HomeMy WebLinkAboutSWG2022-00544 - SWG Application / Design - 10/26/2022 YRE,:, 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 400
COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
ELMA: 360-482-5269,EXT 400
3`� Building,Plann,ng,Environmental Flealth,Community IWith
•1lLT+ FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00544
OWNER ASMUS WILLIAM H & JOYCE E Phone:
Address: 410 E CEDAR ST BELFAIR, WA 98528
APPLICANT ASMUS WILLIAM H &JOYCE E Phone:
Address: 410 E CEDAR ST BELFAIR, WA 98528
SEPTIC INSTALLER SHAE OIEN-Oien Construction Inc Phone: 360-277-3163
Address: PO BOX 249 SEABECK, WA 98380
Site Address: 410 E CEDAR ST
Primary Parcel Number: 222127590071
Permit Description: Replace septic tank same location
Permit Submitted Date: 10/26/2022
Permit Issued Date: 11/01/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/01/2023 (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:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
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.
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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
•
MASON COUNTY DATERECENED ,� 6 .� U
COMMUNITY SERVICES AMOtaRECrEl� — RECEIVERseCO
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Public Health(Community Health/Environmental Health) CO C0
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ext.400 or 360.275-4467,ext.400
CO
415 N.6th Street-Shelton.WA 98584 `/,,( _ x
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ON-SITE SEWAGE TANK ONLY APPLICATION
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APPLICANT PHONE m
IN)';\\ 1aYlk ASVS,MS 30r 27;— L2:33 Z
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MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE &\ y� g
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73
SITE ADDRESS-STREET,CITY,ZIP CODE '•
`ilo E. Cea.- S f-, 8,C\C , WI t igsa I 5,;
NAME OF DESIGNER �/� PHONE I
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NAME OF INSTALLER PHONE I
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TYPE OF WORK(select one) DRINKING WATER SOURCE O I —
❑ NEW CONSTRUCTION/UPGRADES gr REPAIR/REPLACEMENT 0/PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z
COMPONENT(S)TO BE REPLACED!INSTALLED IJ PUBLIC WATER SYSTEM I 1
El SEPTIC TANK ❑ PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE` I
❑ OTHER 2. 202 x Ns-
-1
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r I
PPY) p
❑ SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE bA I
100FT+PUBLIC/COMMUNITY WELLS � I
SUBMITTALS Ell SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
li-PLOT PLAN(REQUIRED) TANK CROSS SECTION(REQUIRED) 1S. 10FT+DRINKING WATER SUPPLY LINES I
❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) LR 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST r I
❑ PROPERTY LINES AND EASEMENTS ❑ EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES r
0 WELLS WITHIN 100FT CI WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I •+-J
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR
II DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) /
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t,Jts� �,�, Soti�N, SLY- H�y y�r0b /`2, 3 .�/;�I�/ (� chit-� s�.n� S
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-tor 4Y �SC t -TA,,.... (v1 tl 0`, y�'ltif Yii 1,
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes) �7 �
0 VOLUNTARY MAINTENANCE/PUMPING El BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: rE T 1E 0 1 117 L
COMMENTS)CONDITIONS :j h y
11Th O C T 2 6 2022
\(44)\,CLUL S(AT:\:)C_ -\\-C\f\\L_ i
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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
..---- k \ ( \ '1;S tnt\UN CcW\ 1 \ V-n.,
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
P.1,EASE COMPLETE IN DETA7 L-RETURN TO OUR OFFICE-WE WILL MAIL YOUR COPIES
. MASON COUNTY
GENERµ SERVICES DEPARTMENT 17 O fD
P.O.BOX 188•303 NORTH 4th STREET•SHELTON,WA 98584
PHONE(206)428-5561
RECORD OF FINAL INSPECTION OF YOUR SEWAGE,„DISPOSAL SYSTEM
OWNER William H. Asmus ADDRESS 3280 SE Carmae Drive
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. CITY Pt Orchard ZIP 98366
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER
WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- A of S/P 1176 of 2-22-12
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS loamy sand with roots/med
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE 12546 a an wi IgSIZE ess X
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. _
FAULTY FIXTURES. DEPTH TO MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE OF YEAR
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER
SELF
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK (S) 1 j Do •:::› .-�A
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET
LENGTH y O
CARRYING OVER INTO THE DRAINFIELD. CALL THEFT.
_
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA SQ•
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THETILE •
'Z a CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH 2,, �'' n CORRUGATED RIGID n CEMENT
RECORD WHEN HE COMES. ROCK DEPTH TOTAL HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. c.� `-� 7 BELOW e"
PIPE DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING NORTH
ARE LATER CONTEMPLATED. y,�
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO 1 A 6
R qDTHE SEPTIC TANK AS THEY WOULD INTERFERE WITH 4 CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE 6i°1/ - 1
i/
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. / /8 `
0 THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE J tf) )- _L_�._-,
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE .i;<
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX-
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA.
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT P •
EQUAL TO ONE HALF INCH OF RAIN PER DAY. /�
FOOTING DRAINAGE, DOWNSPOUTS AND WATER L I
SOFTENER RECHARGE WATER SHOULD NOT BE CON-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE \(t
DRAINFIELD AREA. / - �•
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE / )'
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- RP
p '
06
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK A r R
4 HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BEN. t�
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY NOV O:ZO !
CHANGING THE CHARACTERISTICS OF THE SOIL. THE MASON COUNTY ENVIRON!ttTAL H l '�
NORMAL USE OF BOWL CLEANERS OR CLEANING COM-
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW L RET ` SOUTH 4
DOWN THE OPERATION OF THE SEPTIC TANK. y Q Q(j
V SIGN I ALLE
I PrintedHr eiZsA i:iT., ,,,' ,=un D r'k v --Pr
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[`: W.1E.°P. R&c'unty DMS DATE SIGNATURE OF INS CTOR
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SEWAGE SYSTEM PERMIT APPLICATION Permit Expires 0 qk /
MASON COUNTY DEPARTMENT OF GENERAL SERVICES FOR DEPARTMENT USE ONLY
ENVIRONMENTAL HEALTH DATE BASIS PQ FEE .. AMOUNT RECEIPT#
303 NORTH 4TH/P.O. BOX 1861(SHELTON, WA 98584 ' % y/_
PHONE(206)426-5561 I.* /A AIL. JdI . !1 i mil - i l a.
APPLICANT y� Y SIT : XApprovedd Not Approved
Wt I,iAYI 1� . 113MV �7�v: S �i lw{ \o- � �`�
ADDRESS PHONE BY: J
32 G G.: A •s."q,--7.-. i
CITY ZIP DESIGN SYSTEM REQUIRED 00
Pe, -�+ C.‘z`t-0,c,.. L1/4-) A . el e 3 fr. t.. �»
PROPERTY OWNER {{ //�� -7 -1 .' INSTALLATION:,
Approved 0 Not Approved
ADDRESS` ( I (- _w� \-1. 1"I St"1 v S - -- L/ j W J `--
PHONE BY: . ' �/
L- _•_...7 3 7 C' .c a cZ_� DE/H TO WATER TABLE
CITY ZIP _ i il
3 .ram c1 " •`-- 8 C)`, ��`S ` VJ I_`SEWAGE c- SEWAGE SOIL TYPE:
CONTLEGAL
OR w l \\ ///'Ol1
LEGAL ------ e . \� - l�l \��� . �N��
Tcz a c-t A O 4. S � �T r�t r�"T 'sK t I A s �;�n �:`\-kc\ G� 1\ ( �c\ -\r,c'S .
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,V c:.c.\t��.ST� '✓J�ti�c.�� I�iSL A1.:','7:IOQJ ^5�7.'FI
TYPE Of NO.Of LOT l
ByILDING 1 4 c,—, S_ -- -__ BEDROOMST Si_S.:i__SIZE ZOZ_X tS
L.0 c,rc h7 r•IWATE Oiy' 1*'1"- '
SINGLE R IDENCE X71 P�BUC WATER
WATER SYSTEM �l SYSTEM NAME_-.- - l COMMERCIAL ONLY SEPTIC TANK (S)\ '^
� XO GAL. PUMP REQ. V�J
LIQUID WASTE G.P D.
DISTRIBUTION TILE TOTAL O FEET
DIRECTIONS TO SITE:
i�at T GNP. �.�:z.� 1/4-1w { FILTRATION AREA TOTAL 710 SQUARE FEET
c� G.J 2. M: 1 ,= z �czro .ti. FINAL INSPECTION REQUIRED BEFORE BACKFILLING
73 �. . y /Sn. 'L.CIcir . . �
• F `� Q1i DE
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`--, 4,3- ‘ G L T`•s \ v 2 N CDC c . ;�. -` 4" 2"STRAW OR PAPER
PU C G-...�5 \V 3'ea....f AN./TO i'1 l ..'7 1 c.i \.L.';::'.4:y!••'• !. i,4 E- STONE
is • .
In , aO •. ,0•L ':
• VERTILE
k. % : FIC ,. �
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PIPE SIZE E
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c- ` ` L._-- .ti•'• •.1. ;, a' Nay;l;. 1-----441-7 STONE
SITE PLAN AND SPECIAL STIPULATIONS I/ =_-__--) I UNDER TILE
(INDICATE DIRECTION OF DRAINAGE) CROSS SECTION OF TRENCH
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I,f tea+''1 -1-N.6 ie.r. foA /$6 o
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t14‘....r"? ‘ /$10 1 % 1 V A P ngz --
45.6
�� 0NOV 0 1 2022
o , ,. .,ik �y V.!;.N COUNTY ENVIRONMENTAL HEALT'Printed Fro` if ::. .,on
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OFFICE Printed from Meson County DMS
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Infiltrator IM-1060 CAddto...
1/
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C •
rNdFLTRATOR' Qv:
tanks
Features & Benefits
• Strong injection molded
polypropylene construction
AhL • Lightweight plastic constructio•-,
r ` and inboard lifting lugs allow for
(i (/(
( easy delivery and handling
1 + • Integral Heavy-duty g•een lids that
r ; r I interconnect with WV'''.iisels and
pipe riser solutions
,iterrr[rrrritor. ei If r r_ • S2rueturally leinfotced access
ports eliminate dis'orton during
installation ano ou:np-outs
• Reinforced structural liobing
and fiberclass ouikneads offer
additional strength
• Can be installed with 8"to 48"
of cove:
The Infiltrator IM-1060 is a lightweight strong and durable septic tank. • Can be pumped dry d:ring
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.
revolutionary improvement in plastic septic tank design, offering long-term pump tank.or rainwater
exceptional strength and watertightness. (non-potable)tank
inlet Ode • No special installation.backf ill or
water filling procedures are requi,ed
TANK CUTAWAY Infiltrator
rJU Riser r
System • HEAVY DUTY LID
CUTAWAY
Re.r.;c'c ed
Patton + \ port
baffle r.a
_ 1\
SSlr'pcturai
hulkhesos
a J MID-SEAM CUTAWAY AY
• gaSiwfted dO nrec riOon n ud-Scar
ADVERTISEMENT APPROVED
NOV 0 1 2022
MASON COUNTY ENVIRONMENTAL HEALT`
RET
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