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HomeMy WebLinkAboutSWG2023-00258 - SWG Application / Design - 6/21/2023 415 N 6TH STREET,SHELTON,WA 98584 Cjiti MA50N C4UNTY SHELTON:360-427-9670, 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: SWG2023-00258 APPLICANT GRAHAM ROCKY & SHANNA Phone: Address: 1111 NORTHCLIFF RD SHELTON, WA 98584 OWNER GRAHAM ROCKY & SHANNA Phone: Address: 1111 NORTHCLIFF RD SHELTON, WA 98584 SEPTIC INSTALLER Shane Maples- MAPLES EXCAVATING Phone: 360-463-8474 Address: 911 SE Arcadia Road SHELTON, WA 98584 Site Address: 1111 NORTHCLIFF RD UNIT A Primary Parcel Number: 320184200030 Permit Description: Add lift station Permit Submitted Date: 06/21/2023 Permit Issued Date: 06/22/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/22/2024 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Other Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 3 Drinking Water Source: Public Water System Additional Details: Zoeller lift station Permit Conditions: 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. 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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. , OFFICIAL USE ONLY DATE RECEIVED: _1 l - �� MASON COUNTY i ` a COMMUNITY SERVICES S� 0) AMOUNIV RECEIVED BY: �� W (A Public Health(Community Health/Environmental Health)411;II/ �— C N 36P{27-7b7Q ext.{OO or 360Y275{467.mt.{00 S WG ? 6 �� — Op B O T 415 N.6th Street•Shelton,WA 98584 W /'+ Z cii ON-SITE SEWAGE TANK ONLY APPLICATION m n APPLICANT PHONE m 20('.k% i Sy)anna 6 ra 0 hturn 3( - 2 u/1- 5811 r Z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE C 3 CO 111I NO(th&Jif-1 IZd• Shelt ,wA °IgS iT M d 1 3I m SITE ADDRESS-STREET.CITY,ZIP CODE xi SITE � t (111 NorthGiiff [Ztl ShPjtt ')( vvPA °Igo JUN 0.2a23 NAME OF DESIGNER PHONE L ` NAME OF INSTALLER PHONE By __ 0 Maples excavatini 3UO-L-013 - qN ` f TYPE F WORK(select one) DRINKING WATER SOURCE 05 6NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT ❑ RIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z 100 r, COMPONENT(S)TO BE REPLACED!INSTALLED Ly PUBLIC WATER SYSTEM V til 1 El,SEPTIC TANK °PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE QOTHER 1,011fX Ii•f t Siat10�/1 }J Of•1I W FFF—���. OTHER DETAILS(select all that apply) TAN S)SETBACK CHECKLIST r 0 I CI SURFACING SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 100FT+PUBLIC/COMMUNITY WELLS C7 suaM ALs L1! 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS X IZ �LOT PLAN(REQUIRED) ANK CROSS SECTION(REQUIRED) d OFT+DRINKING WATER SUPPLY LINES I® UMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST r ❑ PROPERTY LINES AND EASEMENTS ❑ EXISTING/PROPOSED STRUCTURES 0 EXISTING!PROPOSED OSS COMPONENTS AND LINES --4 ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... IW ❑ DIRECTION OF SLOPE/CONTOURS ❑ PERIMETER/CURTAIN DRAINS ❑ NORTH ARROW 0 SCALE BAR I� DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) i'1s-tan 2oeitia 1if+ sfi-4-6-on ,we could do it With a 4" 1rt vit"f Ore OIM- We/ Thai-- v? TO GUI- �hvough t'ht, patio and 1Mt w +- V a vo OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 'AINTENANCE/PUMPING El BUILDING PERMIT El HOME SALE ❑COMPLAINT ❑OTHER: COMMENTS I CONDITIONS/ A-dd s1741-17/n 1 owt ..4-,6L d ,-►;vt► ;01 & 5-Ni _e_ral o Igati ivr7 .--S SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS". TANKS MUST MEET CU RENT 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 ,..- t I7 1 v-1 ern L hz/Z 3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 r �' ° MASON COUNTY �� -►- I G€NERAL SERVICES DEPARTMENT � P.O.BOX 188 • 428 WEST CEDAR • SHELTON,WA 98584 PHONE(208)427-8670 RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM 7 3 73-23g5" OWNER ADDRESS 2 eOO 4j i C. .44.2_ si/A� C°.4 o u� THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. CITY ZIP; p A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER _ / 5 �'g 7 WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION S . /g l�/ram _O 1WACK 3 WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- PF luw�'S�+ .�'/4�E.L ry0 3 a.O /g 11.100030 VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL p BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS •-+L�ti-4^" AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD SE P t/ SIZE /0 X /� LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. `,' FAULTY FIXTURES. DEPTH TO COt MONTH i�i 0 WATER TABLE 00 THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER �f� �� �GA+�N d A( FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SIZE I ( THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SEPTIC TANK (S) 1000F , 0,r"v'WO ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR DRAINFIELD LAp FEET ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS LENGTH CARRYING OVER INTO THE DRAINFIELD. CALL THE TRENCH AREA SQ. FT. MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF " LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE TILEpg.!! CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH ElCORRUGATED 1 RIGII5 ❑ CEMENT RECORD WHEN HE COMES. _ I TOTAL ROCK DEPTH �' d� PTH HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. /`-� - PIPE 6 DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SpAC D OR RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPL �'i +;l�VPEID: SQ. FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING NORTH ��! �/ C y ARE LATER CONTEMPLATED. JU 2023 C�/A.. SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO THE SEPTIC TANK AS THEY WOULD INTERFERE WITH MASON COUNTY ENVIRONMENTAL HEALTH I ST CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE /NZir..........„..„.d. DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE SUCH THAT SURFACE WATER IS NOT POCKETED ON THE DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE f / TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- ivy' CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. 1 WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT lir ' EQUAL TO ONE HALF INCH OF RAIN PER DAY. , tSir+'� + %""" / / FOOTING DRAINAGE, DOWNSPOUTS AND WATER /0 '•'• i lICVSOFTENER RECHARGE WATER SHOULD NOT BE CON- "; NC--- o ` NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE eld/eoo 1.1 IN exc aLL-EN1T G 1-------N �� i DRAINFIELD AREA. p I T t 0+d THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE 713 New ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD go' .j" p F pi PE 0/0 GRAVEL-J YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- 000 a TAN K. JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK ©sEW/0006AL TANK To REPLACE SittAiL HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE /yaAt TANK HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY ,�, CHANGING THE CHARACTERISTICS OF THE SOIL. THE C) S/BLE R E`SER`V I. ME.AS NORMAL USE OF BOWL CLEANERS OR CLEANING COM- 6Lp DRMFI L' FDA tIETRL TANK PI- 4 R ay POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW ®REOT AT NO 1 u E A 8 1Gl4-r ALL THIS, SOUTH DOWN THE OPERATION OF THE SEPTIC TANK. /� DAtttc2cig4C7Id/L:40f) k i, THIS IS AN IMPORTANT DOCUMENT. NATUR OF NSTALLER Pnif° ' ' KEEP IT WITH DEED OR OTHER -'�'Uf Y flprUQ. )t 'q iv c\J�.QQ1L ( ' ESSENTIAL PAPERS. K�I y� [JMS DATE SIG URE OF INSPECTOR .rr`nrr ...= . �? p SECTION:3.10.015 QLL4L/TY PLJIWPS 5NCE /�,Y " t` ' FM2164 Z 0208 '� ® v Supersedes Product information presented • here reflects conditions at time PUMP TO. 0507 of publication.Consult factory regarding discrepancies or inconsistencies. MAIL TO: P.O. BOX 16347•Louisville,KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road •Louisville,KY 40211-1961 www.zoeller.com (502)778-2731.1(800)928-PUMP•FAX(502)774-3624 912 - SIMPLEX SEWAGE PACKAGE SYSTEMS (JOB READY/ASSEMBLED) Zoeller Preassembled Sewage Systems i More Choices - Easier Installation Fast Delivery Saves Labor Reduces Installation Errors SOLUTIONS ri 4 - fir, .- ., ., •. i 111. , I' • • - 912-0017 912-0116 912-0056 (Top Discharge) Poly Molded Basin(Top Discharge) (Top Discharge) # , 1! 1 ( 912-0063 912-0082 Deluxe charge) �E D (Side Discharge) (Top Discharge) /� n �-y op is arge d •'M4� SYSTEMS INCLUDE: JUN 22 2023 m�2 • 2"solids handling pump. • 2"PVC discharge pipe,30"long(24"long on 24"X 24")a111d.�V COUNTY ENVIRONMENTAL H "� is long on 24"X 36"). RET • Basins-polyethylene, poly-foam or fiberglass construction with TOTAL DYNAMIC HEAD/FLOW PER MINUTE poly or solid steel covers and 4"pipe seal hub,4"PVC hub (Deluxe)or 4"cast iron hub on L.A.Code Systems. MODELS 211 264 266 , Check valve options-30-0151,30-0020, 30-0021,30-0101 or Feet Meters Gal. Liters Gal. Liters Gal. Liters 30-0103(Not Included). 5 1.5 82 310 90 341 128 484 Systems available with alarms and preinstalled alarm float. 10 3.0 53 201 so 227 89 337 4.6Premium indoor systems have a split cover for easy pump 10 20 .1 1 6,1 3z 1z1 z3 -8 0 189 0 38 inspection;torque stops and an anti-flotation device. Shut-off Head: 19.5ft.(5.9m) 18 ft.(5.5m) 21.5 ft.(6.6m) Side Discharge systems rated for outdoor burial-solid polyethyl- ene structural foam lid and basin with 2"discharge on side. 0099698 3/16"vent hole drilled. ©Copyright 2008 Zoeller Co.All rights reserved. r. .. . 2"vent 3"vent Weight Order by Item# Order by Item# Pump Basin Type Basin Size Each 912-0073 --- M211 Polyethylene Structural Foam-Standard '8"X 30" 39 912-0112' -- " Poly Molded 24"X 24" 50 912-1112" --- " Poly Molded with Alarm 24"X 24" 54 912-0007 3'2-302'' 11264 Polyethylene Structural Foam-Standard '8"X 30" 56 912.1007 ... Polyethylene Structural Foam-Standard with Alarm 18"X 30" 59 912-0006 -- " Poly-10'stack '8'X 30" 65 912-0061 -- " Polyethylene Structural Foam-Deluxe 18"X 30' 59 912-0069 --- " Poty-with Integral Side Vent 18'X 30' 50 912-0086 -.- " Premium Polyethylene Structural Foam wl AFD '8'X 30" 64 912.1086 -•- " Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 67 912-0114' .-- " Poly Molded 24'X 24" 73 912.1114' •- " Poly Molded with Alarm 24"X 24" 75 912.0078' -- " Polyethylene Structural Foam-Deluxe 24'X 36" 82 912-0074 --- BN211 with P.B.V.L.F.S. Polyethylene Structural Foam-Standard '8'X 30" 39 912-0113' --- Poly Molded 24'X 24" 50 912.1113' -- Poly Molded with Alarm 24"X 24" 54 912-0005 912-3029 BN264 with P.B. Polyethylene Structural Foam-Standard '8'X 30" 56 912-1005 --- Variable Level Polyethylene Structural Foam-Standard with Alarm 18"X 30" 59 912-0016" --- Float Switch Fiberglass-10'stack.LA code '8'X 30" 78 912-0055 --- " Poly with Integral Side Vent '8'X 30" 50 912.1055 --- " Poly with Integral Side Vent with Alarm 18"X 30" 53 912-0065 --- Polyethylene Structural Foam-Deluxe '8"X 30' 59 912-0087 -- Premium Polyethylene Structural Foam wl AFD '8"X 30" 64 912-1087 --- " Premium Polyethylene Structural Foam WI AFD&Alarm 18"X 30" 67 912-0115' --- Poly Molded 24'X 24" 73 912.1115* --- " Poly Molded with Alarm 24"X 24" 75 912-0080' --- " Polyethylene Structural Foam-Deluxe 24"X 36" 82 912.1080" --- " Polyethylene Structural Foam-Deluxe with Alarm 24"X 36" 85 912-0010 912-0025 M266 Polyethylene Structural Foam-Standard '8"X 30" 61 912.1010 •- " Polyethylene Structural Foam-Standard with Alarm 18"X 30" 64 912-0012 --- " Fiberglass-Standard 18"X 30" 74 912-0063 --- " Polyethylene Structural Foam-Deluxe 18"X 30" 64 912-0070 - Poly-with Integral Side Vent 18'X 30" 55 912-0088 --- Premium Polyethylene Structural Foam wl AFD '8"X 30" 69 912-1088 --- Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 72 912-0116' --- Poly Molded 24"X 24" 76 912.1116' - Poly Molded with Alarm 24"X 24" 78 912.0079* -- Polyethylene Structural Foam-Deluxe 24"X 36" 87 912-0017 912-0033 BN266 with P.B. Polyethylene Structural Foam-Standard '8"X 30" 61 • 912.1017 --- Variable Level Polyethylene Structural Foam-Standard with Alarm18"X 30" 64 912-0018 --- Float Switch Poly-10'stack '8"X 30" 67 912-0019 --- " Fiberglass-Standard '8"X 30" 75 912-0020-' --- Fiberglass-10'stack,LA code '8"X 30" 79 912-0056 --- Poly with Integral Side Vent '8"X 30" 55 912-1056 --- Poly with Integral Side Vent with Alarm 18"X 30" 58 912-0067 -- Polyethylene Structural Foam-Deluxe '8"X 30" 64 912-1067 --- - Poly Structural Foam-Deluxe wl Alarm 18"X 30" 67 912-0089 --- " Premium Polyethylene Structural Foam wlAFD '8'X 30" 69 912-1089 --- " Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 72 912-0117' -•- Poly Molded 24"X 24" 76 912.1117* --- Poly Molded with Alarm 24"X 24" 78 912-0081' --- Polyethylene Structural Foam-Deluxe 24"X 36" 87 912.1081' --- Polyethylene Structural Foam-Deluxe with Alarm 24"X 36" 90 Side Discharge Basins Weight Order by Item# Pump Basin Type Basin Size Each 912-0082 --- N1264 Polyethylene Structural Foam '8'X 30' 61 912-1082 --- Polyethylene Structural Foam with Alarm 18"X 30" 66 912-0090 --- Premium Polyethylene Structural Foam wf AFD 18'X 30' 72 912.1090 — Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 72 912-0083 --- BN264 wi P.B.VLFS Polyethylene Structural Foam 18"X 30' 62 912-1083 --- Polyethylene Structural Foam with Alarm 18"X 30" 67 912-0091 --- " Premium Polyethylene Structural Foam w/AFD 18'X 30' 72 912-1091 -•• " Premium Polyethylene Structural Foam w/AFD&Alarm 18"X 30" 76 912-0084 --- M266 Polyethylene Structural Foam '8"X 30" 62 912-1084 --• " Polyethylene Structural Foam with Alarm 18"X 30" 67 912-0092 --- " Premium Polyethylene Structural Foam wl AFD '8"X 30" 73 912-1092 Premium Polyeth lens Structural F wl F 18"X 30" 76 912-0085 --- BN266 w1 P.B.VLFS Pcl�thyler�l$tr r '8"X 30' 63 912-1085 --- Pol eth I t ctu i Fo m it 18"X 30" 68 912-0093 --- " Premium Polyethylene Structural Foam w/AFD '8"X 30" 73 912-1093 --- " Premium Polyethylenel9tttldkurr l?am2i0 &Alarm 18"X 30" 77 "24"X 24"and 24"X 36"shipped individually. "'4"Cast Iron Hub on L.A.Code SYf/ r sON COUNTY ENVIRONMENTAL HEALTH PACKAGING MM RET 16'X 30"Simplex Systems are shipped four units to a skid.24"X 36"are shipped individually.All units are properly secured OPTIONS: Zoeller recommends a High with a 2"PVC discharge pipe in the basins to avoid shifting or upsetting the pump and switch mechanism.Float switch is Water Alarm for added protection.Systems ' secured with tape that is easily removed through the inlet hub opening.Premium basins have torque stops for prevention of shown above in bold include Alarm. For shipping damage to the pump.All other systems are packaged with environment safe peanuts that are water soluble.-No other alarm options,see FM0732 need to remove. ©Copyright 2008 Zoeller Co.All rights reserved. 4