HomeMy WebLinkAboutSWG2023-00237 TANK ONLY - SWG Application / Design - 6/9/2023 MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 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: SWG2023-00237
APPLICANT PERRY SHAUN WATCHIE &TIMOTHY R Phone: 1.206.524.8258
Address: 1415 6TH AVE N #501 SEATTLE, WA 98109
OWNER PERRY SHAUN WATCHIE &TIMOTHY R Phone: 1.206.524.8258
Address: 1415 6TH AVE N #501 SEATTLE, WA 98109
SEPTIC INSTALLER B-LINE CONSTRUCTION Phone: (360)426-4221
Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584
Site Address: 611 E Rauschert Rd
Primary Parcel Number: 121185000008
Permit Description: Replace pump basin
Permit Submitted Date: 06/09/2023
Permit Issued Date: 06/23/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/23/2024 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Pump 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: Pump basin
Permit Conditions:
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
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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 N
I COMMUNITY SERVICES AMOU 5 RECEIVEC-1
Public Health(Community Health/Environmental Health) < cn
415 N.6th 70,Street-Sh or Shelton.
WA 98584 ext.400 S W G �U - 3 C)C 1-� J'o
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ON-SITE SEWAGE TANK ONLY APPLICATION n
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APPLICANT PHONE m
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B-LINE CONSTRUCTION/TIM PERRY 360-426-4221 z
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MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE
2971 E PHILLIPS LAKE LOOP, SHELTON, WA. 98584 m
SITE ADDRESS-STREET.CITY,ZIP CODE
611 E RAUSCHERT ROAD, ALLYN, WA. I
NAME OF DESIGNER PHONE IN
NAME OF INSTALLER PHONE
B-LINE CONSTRUCTION 360-426-4221 <
TYPE OF WORK(select one) DRINKING WATER SOURCE I"
❑ NEW CONSTRUCTION/UPGRADES Ill REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I-
COMPONENT(S)TO BE REPLACED/INSTALLED O PUBLIC WATER SYSTEM
❑ SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE
MI OTHER 2 60'X168'
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST I""'
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❑ SURFACING SEWAGE ®EXISTING FAILURE 0 SHORELINE ® 100FT+PUBLIC/COMMUNITY WELLS
SUBMITTALS ,,�� 0 SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
Iu PLOT PLAN(REQUIRED) STANK CROSS SECTION(REQUIRED) IN 10FT+DRINKING WATER SUPPLY LINES
❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) 5FT+PROPERTY!EASEMENT LINES,FOUNDATIONS,FOOTINGS I-
PLOT PLAN CHECKLIST O I--,
IN PROPERTY LINES AND EASEMENTS RI
EXISTING/PROPOSED STRUCTURES ® EXISTING/PROPOSED OSS COMPONENTS AND LINES
1.1 0.AELLS WITHIN 100FT ® WATER SUPPLY LINES I] DRIVEWAYS/PARKING IN SURFACE WATERS,STREAMS.RIVERS,ETC...
® DIRECTION OF SLOPE/CONTOURS 1 OERIMETER/CURTAIN DRAINS IN NORTH ARROW ® SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gale)
GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO GRAPEVIEW LOOP RD, TURN
RIGHT ONTO RAUSCHERT ROAD, GO TO ADDRESS, RIGHT SIDE OF ROAD ON THE
WATER.
OFFICIAL USE ONLY BELOW THIS LINE •
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER:
COMMENTS/CONDITIONS
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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 DATEu APPLICATION APPROVED/ISSUED BY DATE
Co (2S' � I ` Z(0� 5 1/23
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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APPROVED
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MASON COUNTY ENVIRONMENTAL HEALTH
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OrenCo Technical Data Sheet
W A T ER
PVC Pump Basins
Applications Standard Models
Orenco PVC Pump Basins are designed to house effluent pumps, PB1854,PB2454
sewage pumps,or grinder pumps in wastewater pumping applications. (Custom basins are available for specific configurations.)
They are not IAPM0 listed.
General Materials of Construction
Orenco PVC Pump Basins come in 18 and 24in (450 and 600mm) Ribbed pipe PVC
nominal diameters.Bases are fiberglass-reinforced polymer(FRP), Base FRP
attached with epoxy.EPDM grommets seal all piping penetrations.A Grommets EPDM
4in (100mm) inlet elbow and holes to accommodate splice boxes and
discharge piping are located and sized to specific need.Fiberglass
access lids and stainless steel fasteners are sold separately.
Specifications
Optional equipment is available.
Model 0.D.,including rib I.D. Liquid capacity
in(mm) in(mm) gal/in(Umm)
7"s __ P618XX 19.44(494) 17.50(445) 1.06(0.16)
_ ... PB24XX 25.63(651) 23.50(597) 1.88(0.28)
t Product Code Diagram
PB + + +
I Discharge assembly or grommet optirsi.
AD =Pre-drilled for NOA125
. - .A. _ ... NO2 = Pre-dnNed for HDA200
r Y 10 - tin(25mm)gramme)
-,< — _ 12 = 114In(32mm)grommet
•1. 15 = t Yz t(38mm)grommet
• -------- 20 = 2in(51mm)grommet
.. �,�_...._.. Connecta/splice box option:
CLK = Pre-drilled to CbckTight'M
S l n(25mm)grommet installed
L = 1Y,in(32mm)grommet installed
_____--- - - S1 = ;81 attached
..::rn_` ,Fr ___._.__._...__._ .. S2 = 5B2 attached
S3 = 583 anachcd
•.. ,. _-- -_.-. S4 = SB4 attached
L5 = S85 attached
L6 = S86 attached
1 -- -.-- SX = Pre-Installed hub for external splice box'
XS = Explosion-proof splze box for simplex pumps)
XD = ErpbSron-proof splice box for duplex pumps
.__.___._ XT = FAllosion-proof splice box for triplex pumps'
ldeanout vent option:
wank _ No ckanout
COV = Cleanoul vent included
Row inducer option:
._'......_ Blank = No flow inducer
A Flow inducer included
•
F _ ~— Basin height.
--_.r': a_.__.. _._. - 54= 54in(1372mm)
60= no10(1 524mm)
-��-� - 66= 66in(1676rnm)
4 .V.' _.- 72= 72in(1820mm)
•- Basin diameter.nominal:
.......----
18= 181n(4bommt