HomeMy WebLinkAboutSWG2022-00586 TANK ONLY - SWG Application / Design - 11/23/2022 MASON COUNTY 415 N 6TH STREET,SHELTON, 98584
SHELTON:360 427-9679670,EXT 400
BELFAIR: 360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00586
OWNER HOUSE SHIRLEY J Phone:
Address: 33 E DANA DR SHELTON, WA 98584
APPLICANT HOUSE SHIRLEY J Phone:
Address: 33 E DANA DR SHELTON, WA 98584
SEPTIC INSTALLER Shane Maples-MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 33 E DANA DR
Primary Parcel Number: 219015000020
Permit Description: Replace septic tank
Permit Submitted Date: 11/23/2022
Permit Issued Date: 11/30/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/30/2023 (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: 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: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
(9
OFFICIAL USE ONLY
DATE RECEIVED.
MASON COUNTY 11 l - \ -o-�. y D
COMMUNITYSERVICES AMOUNT RECEIVED. ^tk 0 RECEIVED BY (h' 0 m
1 Public Health (Community Health/Environmental Health) "'l� R
360-427-9670,ext.400 or 360-27S�467.eat.400 VV O
415 N.6th Street-Shelton,WA 98584 SWG
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ON-SITE SEWAGE TANK ONLY APPLICATION 3. 73
APPLICANT PHONE m m
ShilrIN hIllicQ, elf el t oLce- 2.'2)-33) -5S)I T
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE p` �,^ A /� q f ^: 3
-?3 E. Dan& Dr. Cr lei ►r VvA -1g5O-1 .. W
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SITE ADDRESS-STREET.CITY,ZIP CODE ��.
33 - - DAyla, Dr. chelt't, 1rJA 6185q ' IN
NAME OF DESIGNER PHONE i
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NAME OF INSTALLER PHONE v'
MOM( EXCavatInei I sha.r)e H apitc 33L0- . -- 1y z
TYPE OF WORK(select one) DRINKING WATER SOURCE
❑ NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT 0 yRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z
COMP NENT(S)TO BE REPLACED/INSTALLED L-7/PUBLIC WATER SYSTEM
SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE ILI\
❑ OTHER 2 .140 CO
OTHER DETAILS(select all that apply) TAN S)SETBACK CHECKLIST I—
rst
0 t
❑ SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE 4100FT+PUBLIC/COMMUNITY WELLS
id
SUBA'NTTALS , SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS 1
d PLOT PLAN(REQUIRED) EiTANK CROSS SECTION(REQUIRED) 10FT+DRINKING WATER SUPPLY LINES
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST - 0 0
❑ PROPERTY LINES AND EASEMENTS ❑ EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES —I
❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC...
❑ DIRECTION OF SLOPE/CONTOURS ❑ PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) 71 ( ./....tlES
DeCOYYliTIIY7ltx- cad failed taa1 ,repec1(,c. tubt-vi low i► i Itratu�� Rii
5 ept� c; to.fl .I4 fl1 c i Dub t1 a s
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NO C -VtAilttUWillclOW UTat'lfr tflL -RAIf u3iLn dare.. 4 1
OFFICIAL USE ONLY BELOW THIS LINE l l ,.l
UPGRADE/FAILURE SOURCE(tor reporting purposes)
❑VOLUNTARY MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER:
COMMENTS/CONDITIONS I_. ' F,
PRAA(A-te- Seel C 'VA 11\\L S ilk rk \0Cle)On _
t _ Fri, r
SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WI*RISERS C C7-7-3
AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL. C. {
I:- 1
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE'
.� N�
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12 7/2015
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APPROVED
NOV 3 0 2022
MASON COUNTY ENVIRONMENTAL HEAL'
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E. Dana Dr .
APPROVED
NOV 3 0 2022
MASON COUNTY ENVIRONMENTAL HEALTH
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11---- IM-1060
INFILTRATOR
septic tanks
Features&Benefits
Strong injection molded polypropylene
construction
• Lightweight plastic construction and
inboard lifting lugs allow for easy
j ; % ! 1 delivery and handling
• Integral heavy-duty green lids that
e Fr . tr .-2. 1 l interconnect with Win" risers and pipe
I' riser solutions
rrrr[arritifKIffit III iii If Ilt K K StMN0 • NV II Y it • Structurally reinforced access ports
eliminate distortion during installation
and pump-outs
8 it (� • Reinforced structural ribbing and
. C..
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
Infiltrator
TANK CUTAWAY native soil. See installation instructions
TW Riser for guidance.
System - -- --- `''
•
Partition
baffle wall •
HEAVY DUTY LID
- CUTAWAY
Reinforced
24"structural
access port
I) . , � P P R O V n
Structural
{ ; ;� bulkheads
NOV 3 0 2022
MID-SEAM CUZ�A�(yi�1�Ep,JhnEhVjRON:ME2NTAL HEALTH Reinforced water tight mid-seam RET
gasketed connection
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INFILTRATOR'
Protecting the Environment with Innovative Wastewater Treatment Solutions
water technologies
•
IM-1060 General Specifications and Illustrations
UFTING STRAP LIFTING RUG —RISER CONNECTION
ITYPICAL) 14 TOTAL) / (TYPICAL)
The IM-1060 is an injection molded two piece mid-seam ', :. 1 r;,i `, r
plastic tank. The IM-1060 injection molded plastic design 'ii n= 1 ��A01I ik
allows for a mid-seam joint that has precise dimensions A ;ram-�►' ��� �I� ' R;1 A
INT% 0 1 t 1 i t r�o •ice"�
for accepting an engineered EPDM gasket. Infiltrators t ,. o o —• t Et
gasket design utilizes technology from the water industry �_I d °o�: .;. °o���,;, 62�
r� IIS801
to deliver proven means of maintaining a watertight seal. kb.!!=5 °.� u t t t L. ° "ilt`; EXTERIOR
TH
The two-piece design is permanently fastened using a ` '—vvida I I I I aL�� ` WIDTH
series of non corrosive plastic alignment dowels and �. .lJ . I,.„
locking seam clips. The IM-1060 is assembled and sold
through a network of certified Infiltrator distributors. 1270132261EXTEAKA LENGTH
Must be backfilled and installed in accordance with TOP VIEW
Infiltrator Water Technologies, Infiltrator IM-Series Septic
Tank General Installation Instructions and for shallow )
ground water conditions reference the Infiltrator IM- //
Series Tank Buoyancy Control Guidance. c
54.7
Please visit www.infiltratorwater.com/images/pdf/ 113891
EXTERIOR
ManualsGuides/TANK01.pdf for the latest information. HEIGHT
SEAM CLIP—f
(TYPICAL)
IM-1060
LIFTING STRAP
Working Capacity 1094 gal(4141 L) (TYPICAL)
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127"(3226 mm) 04[1021 0 24[610)ACCESS OPENINGS WITH LOCKING LIDS(2)
u 62.2"(1580 mm) PVC OR ABS 0 4 1102)PVC OR
INLET TEE f0212601 FREEBOARD
Width ABS OUTLET TEE
Length-to-Width Ratio 2.3 to 1 ? INLET I 16.5%
AIRSPACE OUTLET S
Height 54.7"(1389 mm) L a CO_ff OPER L 1 -1
Liquid Level 44"(1118 mm) 44.0
FIBERGLASS 11118] FIBERGLASS 11111
Invert Drop 3"(76 mm) SUPPORT LIQUID _—SUPPORT
1TYPICAL) DEPTH (TYPICAL)
1 LiWRH BAFFLE -1Fiberglass Supports 2 WALL WHERE
REQUIRED
Compartments 1 or 2 1� '�T 1 T I!r`TI )..e4
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 GASKET
TANK II
APPROVED INTERIOR pity"' +j SEAM CLIP
ALIGNMENT a�aaa////
NOV 3 0 2022 DOWEL gTANK BOTTOM
s, HALF
P.O.Box? Road MASON COUNTY ENVIRONMENTAL HEALTF, I
Old68
Saybrook,CT 06475
N F I LT R AT O R� 860-577-7000•Fax 860-577-7001 RET MID-HEIGHT SEAM SECTION
I 1-e00-221-4436
water technologies www.InflItratorswater.com
U.S.Patents:4,759,681;5,017,041;5,156,488;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,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,PotyTuff,ChamberSpacer,MultiPort,PosiLodt,QuickCut,QutckPlay,SnapLock and StraightLock are trademarks of Infiltrator Water Technologies.
PolyLok Is a trademark of Polyl.ok,Inc.TUF-TITE Is a registered trademark of TUF-TITE,INC.Ultra-RID Is a trademark of IPS(Inc.
Cn 2016 Infiltrator Water Technologies,LLC.All rights reserved.Printed In U.S.A. 1M021116
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436