HomeMy WebLinkAboutSWG2022-00548 TANK ONLY - SWG Application / Design - 11/1/2022 415 N 6TH STREET,SHELTON,WA 98584
��" •i MASON COUNTY SHELTON: 360-427-9670,EXT 400
t t' ' i COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
\Y� ELMA:360-482-5269,EXT 400
4v Budding.Planning,Environmental Health,Community Health
•1111,- , FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00548
APPLICANT SCOTT JOHNSON Phone:
Address: 865 SE PINE ROAD PORT ORCHARD, WA 98366
OWNER LAMB ET AL SAVANNAH N Phone:
Address: 2127 BEVERLY BLVD SHELTON, WA 98584
SEPTIC INSTALLER SCOTT JOHNSON-Weather Tight Phone: 360-763-6577
Construction
Address: 8639 Salty DR NW OLYMPIA, WA 98502
Site Address: 2127 BEVERLY BLVD
Primary Parcel Number: 320305106018
Permit Description: Replace septic tank
Permit Submitted Date: 11/01/2022
Permit Issued Date: 11/04/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/04/2023 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? Yes Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Public Water System
Additional Details: IM-1530
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/onsiiteloss-inspection-request.php or call:
360-427-9670, extension 400.
•
- OFFICIAL USE ONLY
___ DATE RECEIVED:
t: .. MASON COUNTY `' I°r COMMUNITY SERVICES AMDX I RECEIVED: . Co
Public Health(Community Health/Environmental Health) • 1 (�/)
, y 360-427-9670,ext.400 or 360-27S-4467.ext.400 E
415 N.6th Street-Shelton,WA 98584 SWG _ 3:1 - a r „� '7a
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• ON-SITE SEWAGE TANK ONLY APPLICATION > I
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PHONE m
APPLICANT S(01L_ 10 h ASji s 60 ii 90 — S�/JG r'
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MAILING ADDRESS-STREET,CITY STATE,ZIP CODE
c3 6-5 1 S Pcc_T`1 Nt.."/ C L_,-1 r^-\=>t A- \/l-A q Z co
SITE ADDRESS STREET,CITY,ZIP CODE ^ w
2i --7 $everiy B,'Vd She h� W4 98,ci?
NAME OF DESIGNER PHONEI t
PHONE
NAM
(A/ea heft-r9h-- Gdnst 0r4,04 , 6O— 99v -S 4? z li1'i
TYPE OF WORK(select one) DRINKING WATER SOURCE ETTj 0
0 NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z
COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM
P(SEPTIC TANK ❑ PUMP TANK ❑ RV HOLDING TANK BEDROOMS LOT SIZE i
Li
❑ OTHER . 0 - CO
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST 0
❑ SURFACING SEWAGE itrEXISTING FAILURE 0 SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS R 1 0
SUBMITTALS ❑ SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS I
PLOT PLAN(REQUIRED) IXTANK CROSS SECTION(REQUIRED) ❑ 10FT+DRINKING WATER SUPPLY LINES
1 0 5FT+PROPERTY/EASEMENT LINES.FOUNDATIONS,FOOTINGS } I t
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) I
....
PLOT PLAN CHECKLIST r l
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES --1 i
0 WELLS WITHIN 100FT El WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC...
I ❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW ❑ SCALE BAR
DIRECTIONS T3 SITE AND SITE CONDITIONS.(ex.locked gate) 1 !
ii
I.
ifiEE 121 -V---1 E i} Y ,
NOV 01, 2022
By
":�15 LINE
UPGRADE l FAILURE SO RCE(cr reportirg purposes)
❑VOLUNTARY MAINTENANCE/PUMPING IDBUILDING PERMIT ❑HOME SALE ['COMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
C--uiAaciz_ 66s\'iYN- C"_ c ArAnV— u\-4 VI I — I'S 0
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
(1I L( I I( A--iN^,c)bil\2 � I1 Li.- 7—
THIS FORM t2:'.Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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HD Fowler Company Submittal - INIM1530P200P1 73720
APPROVED
1-ri-T-N F I LT R AT O R NOV 0 4 2022 I M-1530
tanks MASON COUNTY ENVIRONMENTAL HEALTH
immiiiimmillilitirMlimmiiiimimmilimmIN
Features & Benefits
The Infiltrator IM-1530 is a lightweight strong and • Strong injection molded
durable septic tank. This watertight tank design is polypropylene construction
offered with Infiltrator's line of custom fit risers Lightweight plastic construction
and heavy-duty lids. Infiltrator injection and inboard lifting lugs allow for
molded tanks provide a revolutionary easy delivery and handling
improvement in plastic septic . '' • Integral heavy-duty green lids that
tank design, offering long-term interconnect with TW"" risers and
A
exceptional strength and . • - '� pipe riser solutions
watertightness. ,' .. • •• • Structurally reinforced access
• ••••
ports eliminate distortion during
bk. . ` 411k '; *• installation and pump outs
'� . `� ••• • Reinforced structural ribbing
•' and fiberglass bulkheads offer
• • additional strength
•••
• Can be installed with 6" to 48"
`r . • of cover
. •, • •••• • Can be pumped dry during
iik •
ilk... • • pump-outs
• Suitable for use as a septic tank,
pump tank, or rainwater
(non-potable)tank
In et Side • No special water filling
�! requirements are necessary
TANK CUTAWAY Infiltrator -
TW Miser • The tank may be backfilled with
system - suitable native soil. See installation
EZSnap instructions for guidance.
Riser .
Partition ,� •
baffle wall - .
t.4.
HEAVY DUTY LID
CUTAWAY
IRS p" Reinforced
t. r \ 24"structural
access port
Structural
bulkheads
•-- — v. , -- - MID-SEAM CUTAWAY
Re:nforced water tight mid-seam
V• , . . .�_;• ,-- gasketed connection
1
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Protecting g the Environment with Innovative Wastewater Treatment Solutions INFILTRATOR
water technologies
HD Fowler Company Submittal - INIM1530P200P1 73720
IM-15?,O General Specifications
and Illustrations
LUG rTYP, RISER CONNECTION ITyP.;
The IM-1530 is an injection molded two piece mid- LIFTING STRAP(TYR)
seam plastic tank. The IM-1530 injection molded ,, ;,• • l
plastic design allows for a mid-seam joint that has i i • I 11 1+ 1 II .
11 - , >i •
�1 .I�
precise dimensions for accepting an engineered ��11�� I i1
EPDM gasket. Intiitrator's gasket design utilizes `. ; t/r \. " i..1,-t t07.7
technology from the water industry to deliver = EXTERXV2
< r r•
I) 1 - WtOTN
proven means of maintaining a watertight sea:. r: `VI
� 1r iIl I era.
)I1 ilf. isIf ��
The two-piece design is permanently fastenedr { . i i
using a series of non-corrosive plastic alignment
dowels and locking seam clips. The IM-1530 is i7 5 6 14.4601 EXTERIOR LENGTH -.
assembled and sold through a network of certified
Infiltrator distributors.
TOP VIEW 44:".; . 'atri i• ;x
Must be backfilled and installed in accordance
with Infiltrator Water Technologies, Infiltrator CuTLET TEE
mPt `�
IM-Series Septic Tank General Installation _ti
Instructions and for shallow ground water •conditions reference the Infiltrator IM-SeriesI+JITank Buoyancy Control Guidance. hIs II, I. 1 u I 41
T . EXTERIOR
Please visit www.infiltratorvvater.com/images/ SEAM CLIP II II1 7, "�K"T
r l 11
pdf/ManualsGuides/TANK01.pdf for the latest LIFTINGsr P { ,I , i' -I'
information. NW)
IM-1530 END VIEW •
Working Capacity 1537 gal(5818 L)
Total Capacity 1787 gal(6765 L) 024.0161c;ACCESS PORT
, 04(102) i• well LOCANGU013)
{Airspace 16.9°/d PVC CRABS f
t ..._.._ ... _ ..-.._ \ INLETTI3= 10.112571FREEEBOORD , 04110Z
/ PS PVC°RA
/ OUTLET TEE
Length 176"(4460 min) .- 7r'1' Nvi; ,v -TT7►--�•rT1
PACEI
._ Y .. i-_._�_.._-. 44ti
Width 62"(1567 min) j i r
` I PER r
(VI
• Length-to-;Vidth Ratio 2.8 to 1 io l' ' OoloE l °T'"
__-._-..- ..—--""-------- ------'--------... ....-'-- +4I PER MIN)
Height 55"(1384 min) CODE uGu,o j k. 21511 X 2 tt111
DEPTH iI FeERGLA55
- .. . -. ; i I SUPPORT(4)
Liquid Lei 44"(1118 mm) (TIP)
LJ.eN: . . ... 1.mPm 1./Mt...4 . . .
Invert Drop 3"(76 mm)
Fiberglass Supports 4 SIDE VIEW
Compartments 1 or 2
Maximum Burial Depth 48"(1219 mm) P `r' rK'pp\/�y�J�/ CONTINUOUS
p ._.._..._... . . _.—__— A 1 , 1 \ \/ Y E L./ GASKET
ELASTOMERIC
Minimum Burial Depth 6"(152 mm)
Maximum Pipe Diameter 4"(100 mm) T')q�A�I(��)� t
Weight ! 501 lbs(228 kg) ,� ¢ � SEAM CLIP
MASON COUNTY E,�' iMPITA, HEALP,.
//////---- I TANK BOTTOM HALF
ir 4 Business Park Road _
P.O,Boo 768
Od Saybrook,CT 06475 �L
860 577 7000.as o 66 57 70X MID HEIGHT SEAM SECTION
INFILTRATOR
• :ink_ . www.iMaftratorwater.com
V.S.Patents 4,759,661.5,017.041:5.156.488;5.336,017;5,40-,116;5,401.459.5.511.903:5./16.163;5.568,778:5,839,8,14 Canadian Patents:1.329,959:2,004,564 Other patents pending,infiltrator,
E,Aralirer.0o.,c14.and Sidewinder are regstered traders arcs of Infiltrator Water Technologies.Infiltrator is a registered trademak in France Ir'Brator Water Technologies is a,egecerod traderrk in Metece.
Contour.Mlcr°LeachIng.PoyTuff.ChamberSp.ldx,MultiPort.Posrlock.Ou,cACit,OteekPlay,Simplot.*and Straighttook are tnaornarlcs of Infiltrator Water Tectne4ogtes.
PoyLok is a rraryznak of Poll,Lok-Inc.TUF-TITS is a ragistaed trademark or no-TITS.INC tiara-Rib is a trademark of IPEX Inc.
G 2014 interwar Water Technnbgies.LLC.All styes raweed.Pnntee in USA. IM21 1116
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436
HD Fowler Company Submittal - INIM1530P200P1 73720
iisir
EZSNAP1111111111 CLICK and
INFILTRATOR
'-� LOCK RISER
TECHNOLOGY
The EZsnap riser is designed to create an
easy-to-assemble watertight riser system
for septic tanks, pump tanks, and cisterns. „.,4.,
The EZsnap Riser features click and
lock technology eliminating the need for �U
assembly tools. sealant/caulk and hardware.
The 24" diameter EZsnap Riser is availabe
in 2", 6' and 12" tall sections that nest
together making for efficient storage and .
shipping. f ►s —
111( III tat
2, 6& 12 Inch Riser System ---
Available in Green and Black A.24'x 2" Risers
B.24"x 6"Risers
C.24"x 12"Risers
D.24" Lids
E.24"Adapter Rings
F.24" Safety StarmmillIllrgllhll.W.
A. II
(2)
D. PRO VECTITIGHT GASKET TO
NOV 0 4 2022 GASKET CONNECTION
N COUNTY ENVIRONMENTAL HEALTH
B. gEeTn
efits
E. • Easy to Assemble
• No Tools or Adhesive
Nam.."�. • Watertight- Gasketed Connection
..•• � � '•
• Nest Together for Efficient Shipping
r �i b` �\ • Available in 2, 6 and 12 Inch Heights
F. • Strong, Durable, Polypropylene Construction
C. • Available in Green or Black
Contact Infiltrator Water Technologies'Technical Services Department for assistance at 1-800-221-4436
HD Fowler Company Submittal - INIM1530P200P1 73720
EZSnap Riser System Sizes and Specifications
EZSnap Riser Specifications EZSnap Safety Star Specifications
!1
'\' `1I h
• ,
y:a � tip d •. / ♦
`►�% s11 �s
- 8.5• -
- 2E 7' I
2'EFFECTIVE - 24^
- -• . .):. STACK HEIGHT i
SECTIONA-A litri 3 4.1"
i'
EZSnap 24" Lid Specificatic:I:> __ Y
6•'EFFECTIVE
i\.1: ._ 'STACK HEIGHT
.."0,„Lisio---='-'""Kt........\\H-.
SECTION A•A i i
,•
Tt2'EFECTIVE • + i
AFIGHT \� 1 ��
Y rat
SECTION A-A - 29.7"
2.4•-•
INFILTRATOR WATER TECHNOLOGIES,LLC t-'nettrato.")EZsnoo by InIBtraWr LIMITED WARRANTY
ONE(I)YE.IR MATERIALS AND WORKMANSHIP LIMITED WARRANTY
ia)Ths IemhL-.warranty.s ox,endco tc too oral Jaen of an EZanap oy Irf,rrator riser and lid system and other accessories.
An EZsl'ap :ratan rtnrufac!ured by Infdlratar.wtwn installed end ope•akx it accordance with Intitratoi s instaaatior•iriet•uclions and local regulation by a licensed YI*Bee,is warranted to you:))agek st defective
materials and wnrkendr'Snp br inn!')year ale,instatlltson.tnfllrate(will at Its option,11)repair the oetective product or(n;replace the detectne mammas.Infiltrator**Ifepnty Specifl„^alty exCudes the cost of rerr-.vai
anofor tlsta8aton d the EZSnap system.
(b)In order to exercise its warranty rights.you roust notify edllirato•in writing at its corporate headquarters in Old Saybrook,Corneebcut mean fifteen 15 of
I 1 dais the aYeged defect.
(c)YOUR EXCLUSIVE REMEDY WITH RESPECT TO ANY AND ALL LOSSES OP DAMAGES RESULTING TRDM ANY CAUSE WHATSOEVER SHALL BE SPECIFIED IN SUBPARAGRAPH(a)ABOVE. INFILTRATOR
SHALL W NO EVENT BE LIABLE FOR ANY CONSEQCENTIAL OR INCDENTAL DAMAGES OF ANY KIND HOWEVER OCCASIONED,WHETHER BY NEGLIGENCE OR OTHERWISE. SOME STATES DO NOT ALLOW
DIE EXCLUSION OR_IMITATION or INCIDENTAL OR CONSEQUENTIAL DAMAGES.SO TI IIS LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU.TICS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS AND
YOU MAY A_SO HAVE OTHER RIGHTS WHICH VARY FROM STATE TO STATE.Id)THIS LIMITED WARRANTY IS THE EXCLUSIVE WARRANTY GIVEN BY INFILTRATOR AND SUPERSEDES ANY PRICR,CONTRARY.ADUTIOTJAL,OR SUBSEDUENT REPRESENTATIONS.WHETHER ORAL
OR WRITTEN. INFI-TRATOFi DISCLAIMS AND EXCLUDES TO THE GREATEST EXTENT ALLOWED BY LAW ALL OTHER WARRANTIES,WHETHER EXPRESS OR I.MPUED,OR STATUTORY.INCLUDING ANY
WARRANTY Cr MERCT ANIYOI Urr.FINESSE FOR A PARTICULAR PURPOSE AND ANY IMPLIED WARRANTIES OTHERWISE ARISING FROM COURSE OF DEALING-COURSE OF PERFORMANCE.OR USAGE
OF TRADE NO PERSON INCLUDING ANY EMPLOYEE AGENT.DEA ER,OR REPRESENTATIVE)IS AUTHORIZED TO MAKE ANY REPRESENTATION Oft WARRANTY CONCERNING THIS PROCUCT,EXCEPT
TO REFER YOU 10 THIS LIMITED WARRANTY EXCEPT AS EXPRESSLY SET FORTH HEREIN,THIS WAHFAN TY IS NOT A WARRANT OF FUTURE PERFORMANCE,BUT ONLY A'WARRANTY TO REPAIR OR
REPLACE
let YOU MAY ASSIGN THIS LIMITED WARRANTY TO A SUBSEQUENT PURCHASER OF YOUR HOME. •
IF)NO REPRESENTATIVE OF INFILTRATOR IlAS THE AUTHORITY TO CHANGE THIS LIMITED WARRANTY iN ANY MANNER WHATSOEVER,OR'C EXTEND THIS MIMED WARRANTY.
CONDITIONS AND EXCLUSIONS
There are crat.'ln ixnonfons or appnc:aeens ode'which infiltrator has no control.Detects or problems as a rotut 01 such conditions or apple atcns are not the responsbllty of Ir1lnrat0r and are NOT Covered under
P.S warranty.TF.ey ndude Rae we to install the EZSnap system in accordance with Iva/Jostens or applicable•oqulatory requirements a guidance,altering Ire EZSnap system contrary to the,rstaxatwn rnstruct:otc and
disposing of clam:ca s or other materials taardsory to normal EZJ'nap system usage
The;inc.,represents tel:Slardan..ImdWt'Warra'ily altered by IMdtrator A horned number at states are co,auem Are di•I n ''. . I At'. I, snap system should contact IiiNlrA•p e
cargo ate rr gcanots n a.Saybrook.Correct:nt prior to such ow/chase to obtain a eooy of the applicable warranty,a.d Jd_at I/r , an i otl pµ cflase of an EZSnap system.
fr 4 Busine Pad:Road N O V 0 4 2022
ss
P.O.
Saybrook MASON COUNTY ENVIRONMENT
3d 5.n7703 CT 860- AL HEALTh
36C-5??7030•Fat 660.577.7C0P
INFILTRATOR 1-eoo.221-443e RET
.. www-ktflbtratoiwater.com
U.S.Pata•-is-•t.75S.661;5.017.041.5.156488:5,336.017..5.401.'16:5.401.459:5,511.933:5.716,163.5.588.778.5,830,844 Camden Patents:1.329,95S;2,004.584.Ofhee patents pending.Infiltrator.Equuizer,
Quck4 eon SdeWl der we registered tradexrarks of Infiltrator Water Technologies.Infiltrator is a registered trademark in France.Infiltrator Water Technologies Is a registered badenaec it Mexico Contour.
MkroLeaci'srg,Poyfutf,CbariberSpaver MerIPon.Pos&ocn,CockCut.QuicoPtay,Sriaplock and Straigntlock are trademarks o1 Inf rtrator Water Teclnologws PofyLok is a trademark of PolyLoi,Inc.TUF-TITE
is a regesterer:iraoemurk of TIJF-TITE,INC Uttra-WE rs a trademark of IPEX Inc.
O 2018 Infira•.or Water Tochnoiogies U.C.Ali rypnts reserver!.Premed:n USA
EZSNAP01 0218
Contact Infiltrator Water Technologies'Technical Services Department for assistance at 1-800-221-4436