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SWG2023-00236 TANK ONLY - SWG Application / Design - 6/9/2023
A MASON COUNTY 415 N 6TH STREET,SHELTON, ,, 98584 SHELTON: 42 T EXT967 400 1t 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: SWG2023-00236 OWNER REICH LIVING TRUST JENNIFER LEIGH Phone: Address: 1402 LAKE TAPPS PKWY E 104-281 AUBURN, WA 98092 APPLICANT Jennifer Dumo Phone: Address: 1400 Lake Tapps Parkway E 104-281 AUBURN, WA 98092 SEPTIC INSTALLER Shane Maples- MAPLES EXCAVATING Phone: 360-463-8474 Address: 911 SE Arcadia Road SHELTON, WA 98584 Site Address: 180 N FINCH CREEK RD Primary Parcel Number: 422125011012 Permit Description: Replace septic tank Permit Submitted Date: 06/09/2023 Permit Issued Date: 06/13/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/13/2024 (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. 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. 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. OFFICIAL USE ONLY DATE RECEIVED. ' . MASON COUNTY - q ' n 0) x. COMMUNITY SERVICES AMO RECEIVE B v m • _ co Public Health(Community Health/EnvironmentalHealth) C 31.z6th Street Shelton, or 275 7 ext.� S W G a6 �� G y 415 N.6[h 5[reet-Shelton,WA 96584 - x Z ON-SITE SEWAGE TANK ONLY APPLICATION 3 APPLICANT PHONE m r 1einnif&r Dumo a53-a°In -;I lfri MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E iy& L,AKe/ Taps PKw4 E 109-781 Aubvtt n,wA �l8'012 CO SITE ADDRESS-STREET.CITY,ZIP ODE I BD N- f inch (r e e4 Rd Hoods port,w A °' 854 g NAME OF DESIGNER PHONE NAME OF INSTALLER PHONE 0 1 MapIfS txCeivttin1 3Li0- 4(1'3 - 8L-1 9 Li s 1.. . TYPE OF WORK(select one) DRINKING WATER SOURCE ❑ NEW CONSTRUCTION/UPGRADES IIREPAIR/REPLACEMENT PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I)3 COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM 1 Ltl/SEPTIC TANK ❑ PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZEkn ❑ OTHER a l• 31 CO OTHER DETAILS(select all that apply) i TANK(S)SETBACK CHECKLIST r 11 0 1 ❑ SURFACING SEWAGE l]►EXISTING FAILURE 0 SHORELINE 100FT+PUBLIC/COMMUNITY WELLS SUBM TTALS 1 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS PLOT PLAN(REQUIRED) YJ TANK CROSS SECTION(REQUIRED) Eli;1OFT+DRINKING WATER SUPPLY LINES ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) Cli5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST ❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES -r b - ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS!PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I— ❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR I\-3 DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) pecommmssion 'Ailed Tan KrreFiaui with new leVe infiltrAtor septictan k wile/ wCanon- OFFICIAL USE ONLY BELOWTHIS LINE UPGRADE I FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT 0 OTHER: COMMENTS/CONDITIONS \12-UeVUG2, %etc5\--i C-__ ACAI\A'4( 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 ( [ i' I p`6''`'t- CI cs(?--c THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED t2/7/2015 4 Swa AwnoO uoseW wail pa}uud 20917,�9�32 MASON CO WA AF w �9 p- a �'�L 3u 'J uOse� WOJ J pO�.u!Jd iiiiiiiiiiiiiipi , illill 111, pill . fling IP li 1 1 X i i ii i :I •,...t.,„ I i APPROVED --7-- JUN 13 2023 tv2, ,ii PI MASON COUNTY ENVIRONMENTAL HEALTH cn c y y ,, $ III RET ° ! Jo ,r,a C N y47 C ill 0 y g y 4„ 'C li1 • i : 0 N kyCpo , 1 i F 1 11 V tH1L f - +na .c O .4 _ 1 p� 00 1,00 b L t 6, y Rte .. a it tq y ,.. oLl 1 i N 1.03 4 t —ti i nK aouE »- ��» / • Nil � ~ YVLLMD AVEMIE ,x. I O �iT »_.._ — 7ws' e,1nrw 1 espp N7—..—..�.4 I1I el —1Ixili magi e . ,e!ix il �1 i : Iw QSSSS YYY 1 R IL I "l $ i. I wd 8 1� x I'5 IL._._._._ !• 50 i gi i -, t i ss 0 u s l� e N .•+ �" C d 7.1 r -,�111 i1 s S M X Zi L 0 1'• C:, 110111 ► �_ 3 y 1 1 T C E3oGaN5z.- 8SSS9 8'88E88888$88: ""4 CD CD A V" f V b "f • A 411 . 31 s to' M 7 50.5‘ APPROVED JUN 13 2023 MASON COUNTY ENVIRONMENTAL HEALTH RET 35.5% IOr Port ItOUSG NA acd-tank,nw 10Ft�ito infi I{►7ttOre septic; o -tank same, location 3 NI a 98.1N Parccl t* yaata-5e-tlOIz N.Finch Greg IZCI M INFILTRATOR' I � septic tanks Features&Benefits • Strong injection molded polypropylene construction i + ), ' lio 1 • Lightweight plastic construction and inboard lifting lugs allow for easy 7. 7( / delivery and handling f . /! % /( /' ! / ti 7/f • Integral heavy-duty green lids that interconnect with TWTM risers and pipe riser solutions ''°f " i(111( li:. PI 0 NI IN _1k, i• • 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. • 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 •i :3s for guidance. System-- ---_ Partition _ baffle wall .:111.11 I - I HEAVY DUTY LID _ • CUTAWAY f. • j Reinforced- 24" structural - access port `,. Structural APPROVED . — - -bulkheads rell)n-fc!rEcALCaiUTtaiiiiWitNiEmoll3 2023 be 6104�ENTAL HEALTH y' gasketed connection RE t= Protectingthe Environment with Innovative Wastewater Treatment Solutions INFILTRATOR' water technologies ♦ 1 IM-1060 General Specifications and Illustrations LIFTING STRAP LII TING LUC, ---RISER CONNECTION (TYPICAL) (4TC)TA'.I (TYPICAL) The IM-1060 is an injection molded two piece mid-seam i�� ���,•��s plastic tank. The IM-1060 injection molded plastic design IL-1��lri�ll�l IM M NI I�ICi ��I�I� allows for a mid-seam joint that has precise dimensions A ys ' 11�! lr r f Irlf F. ` e.� A for accepting an engineered EPDM gasket. Infiltrator's , 7. °o +. �` °o Irair� 6 gasket design utilizes technologyfrom the water industry =11 d b 1.1 ■"— ° d III= 622 �tra—T' O ■ ■ i' (15801 to deliver proven means of maintaining a watertight seal. `fir*i" Al ra r r rl `L. I EXTERIOR ►i���t� f��l■ 1 II �D� vi.,4e,:_irlig-iiiii.......!„ ► WIDTH • The two-piece design is permanentlyfastened usinga a- j series of non corrosive plastic alignment dowels and I311111�14111 II I 111 �I_11111P1 locking seam clips. The IM-1060 is assembled and sold Ithrough a network of certified Infiltrator distributors. ,27 0(3226i 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. rlll� —hI— �I',I C 54.7 Please visit www.infiltratorwater.com/images/pdf/ --- ----° [1389i Ing ,r EXTERIRManualsGuides/TANK01.pdf for the latest information. I�I I� HEIGTSEAM CLIP (TYPICAL) k1IIM-1 LIFTING STRAP `,-..1[ Imo....--/ 1111 Working Capacity 1094 gal(4141 L) TYPICAL) Total Capacity 1287 gal(4872 L) END VIEW Airspace 16.5% Length 127"(3226 mm) 1 OR PVC OR ABSA85 0 24(6101 ACCESS OPENINGS WITH LOCKING LIDS(2) 04[1021 PVC OR Width 62.2"(1580 mm) INLET TEE 102[260)F REEBOARD ABS OUTLET TEE ITV - ■■I�-- - Length-to-Width Ratio 2.3 to 1 ��I 1SPAC l � AIi SPACE OUTLET Height 54.7"(1389 mm) PER ' f761 PER CO_ CODE Liquid Level 44"(1118 mm) 44.0 1 , 1 : FIBERGLASS (11181 FIBERGLASS Invert Drop 3"(76 mm) SUPPORT LIQUID DEPTH SUPPORT (TYPICAL) (TYPICAL) WITH BAFFLE Fiberglass Supports 2 WALL WHERE REQUIRED Compartments 1 or 2 Maximum Burial Depth 48"(1219 mm) SIDE VIEW Minimum Burial Depth 6"(152 mm) i ss Maximum Pipe Diameter 6"(152 mm) TANK TOP CONTINUOUS Weight 320 lbs(145 kg) HALF GASKET APPROVED TANK INTERIOR 4 �'+. SEAM CLIP • aaaJJJ JUN 13 2023 ALIGNMENT DOWEL7 fr— TANK BOTTOM MASON COUNTY ENVIRONMENTAL HEALTH HALF 4 Business Park Road P.O.Box o R E T Old Saybrook,CT 06475 N 1=I LT R AT O R`� 860-577-7000•Fax 860-577-7001 MID-HEIGHT SEAM SECTION 1-800-221-4436 water technologies www.lnflltratorawater.com U.S.Patents:4,759,661;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 SideWnder 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,Po'Tuff,ChamberSpacer,MuttiPort,PoslLock,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-T(TE,INC.Ultra-Rib is a trademark of IPEX Inc. ©2018 Infiltrator Water Technologies,LW.All rights reserved.Printed In U.SA IM02 1116 Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436