Loading...
HomeMy WebLinkAboutSWG2023-00268 - SWG Application / Design - 6/14/2023 rr MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON: 360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269, EXT400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2023-00268 APPLICANT DIETER JODY MARIE Phone: Address: 120 E PILEATED PL SHELTON, WA 98584 OWNER DIETER JODY MARIE Phone: Address: 120 E PILEATED PL SHELTON, WA 98584 SEPTIC INSTALLER THAD BAMFORD- Bamford Septic Phone: 360-790-2364 Repair Address: 301 WALLACE KNEELAND BLVD STE 224-332 SHELTON, WA 98584 Site Address: 120 E PILEATED PL Primary Parcel Number: 221247590041 Permit Description: Add pump basin to connect to existing septic tank Permit Submitted Date: 06/26/2023 Permit Issued Date: 06/28/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/28/2026 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: Pump Tank Only Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring Additional Details: Pump basin Permit Conditions: 4 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 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/environmentallonsite/oss-inspection-request.php or call: 360-427-9670, extension 400. $ , OFFICIAL USE ONL - t i _ i DATE RECEIVED: MASON COUNTY i (,p _ (o — t4 tit Public Health(Community HeoI;h,c.^.v.ronmer elKeaichi ^ ----- ii 3604274670.err:.400 co36.'�275.4t67.ex.sa' ` •• •"S N.6th Rnd:-51ei5m WA 9658c ) — 1 Z �. �pq„'6p�E Jti 1P.' {yti., k n Ta TANK ONLY //(���,@y, 'I�'\" 2 ON-4 7:7 SEWAG(E ONLY APP=a_�W'/^T O- C 7- - - - —T r re.? CNE 0 0 D le-r---,- 1.4, ,... ,. 24;f4-..) iz . ... 07io i /TEtl 5—REE.CM STA-E.ZIP COCr + 1 C _ Sic`►rl,t OI,S Sly ada1a5 S I �20 E ��-�r /�L. .he-i i WA ge-W 4; Ts 7.1 Io I t\i/AT . • PHONE ❑ j i( P-oat) ,5 77c '-geghir i Lc C5c10) 790-213 ! -` !l -.--,RE ^F WORK!select one) I DRINKING WATER SOURCE , O ''NEW CONSTRUCTION/UPGRADES ❑ REPAIR(REPLACEMENT / PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z `',z.. COMPONENT(S)TO BE REPLACED/INSTALLED ❑ PUBLIC WATER SYSTEM 1`{ ❑ SEPTIC TANK �IIPUJAP TANK 0 RV HOLDING TANK 1 BEDROOMS�� LOT SIZE�. ! • (ic • y� ❑ OTHER _J� �r(�/111GQ f. t`)e OTHER DETAILS(select all mat applvj 1 i TANKS)SETBACK CHECKLIST 0 SJRFACINC SEWAGE 0 EXISTING FAILURE 0 SHORELINE . u 1CCFTr?UBL!Cr COMMUNITY'W� S I 0 5::3M.lTTALS 0 SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS RIVERS t•F i 1 r koLOT PLAN(REQUIRED) OK TANK CROSS SECTION(REOUlRE,7) j 0 1 OFT+DRINKING WATER SUPPLY LINES $ �`�+ '1 PUMP DETAILS(IF APPLICABLE) _! WAIVER(S)(IF APPLICABLE) I 0 S_T+PROPERTY/EASEMENT LINES,FOJhNDATICNS FOOTINGS 1; 111((��y PLAN CHECKLISTO i • ^.^PER;Y:.INESAND EASEMENTS 'STING!PROPOSED STRUCTURES C EXISTI\G/PROPOSED OSS COMPONENTS AND LINES -I T'riTHIN 100FT ❑ WATER S.;=?_Y LINES DRIVEWAYS,'PARKING ❑SURFACE WATERS.STREAMS,RIVERS.ETC... r o - -,�A OF SLOPE/CONTOUPS _ PERiVETER;CURTAIN DRAINS A NORTH ARROW SCALE BAR }� ! .. C SITE AND S;TE CONDITIONS:fee.'ocKec_ / IE ^ �]'�IuJ U Tiii LJLiJuNzo?3Ui By __ 4& OFFICIAL USE ONLY BELOW THIS L!NE I': UPGRADE/FAILURE SOURCE(tor repottingpurposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING ILO:NG PERMIT CI HOME SALE r=COMPLAI 4T 1 OT-ER. COMMENTS!CONDITIONS kpb „vn,.p bar dire-G� - l.�en - � � P 0S s SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE'TANKS'. TANKS MUST ME=....,RRE:.- ....:WI:i\.SIZE i:E... z: ._.-S.EC., __..:7r.RISERS DS TO SURFACE. EFFLUENT FILTER(IF APPLICABLE. RECORD CRA.,:!NG AND INS"ALLA:TON REPORT REQUIRED FOR'' .:_APPROVAL AND INCLUDE AN USN' I TF.-E i APPLiCA'^\ -,.-_ . PLiCAT.1ON:.?nROVEC'ISS.:EC S' CATS Sr.1/././ ..../4 (9 0,5/7/C0 6 (74)IZ3 __SCANNED r.ED Ai6.:-&SLE FOR PUBLIC VIEW DN THE MASON COUNTY WEBSI-_ REVISED 1V7 2C'5 tr N �vc»-aa:nn>Ia6�>7:ua61.�-� O IIat83MJIQ9 _ WSV:'vb.,x0:1:t4: s , r 9%i.NI 109i/,:.C... a p :�.Q:Y71u:Oa. - V� nNl?A3N1`JN3 5(100X3 / .1A5-A31.310 /sw ,ti./ =aHnw z I 1- > i o 1 ° -y ° � ice. ,;; J O iCl 3V W W ..(_ C_ �' tT O Z O • P' _ >00N _. 0 7— ct0I- u�• -- w O k � Ew OQ WU Z ¢ U-U. 6 0l N O } d:,, U)zO �.. -i- K Cr OLLN 1-OV " •-• :09 Q z QOzcDcz• 2 wu--, c:. .J « s� _ lww ; z a.5� N o 1 �, v} - m 0 r— N , • \ N Cl O 1 /• aN_a •_- w O ` / QQ W N 6l x.' Q I n o .1 I` Q FL N = m - w C N o a L ct WWJ — V I r i E i — 5- .00 v 0 C / }y \ C O O / /x V \ + Ye`o y \� / '0s \ V xm" „ ' \ Q ow mE5 °a. ' N\ 1 , —...� v o -re. rZ �CD on A c% I �� b Ig OU r 28 1i \ p, yN� �N 1 K) / Lu e 'Li 0m � , 1 � - m am A.;.o \ N � �d \ O N 3 / Z_,' V C m 2 T W \ — -. ` A ' / S `a R u 3 \ \, / e d o 8 o 0 1 ^ �Z sz •O � drevoo9 .., --..___ ,.- OIL )k 161,..•);, 1 -/+.L I I 0 7a O t O -1+.L£ v O OW4 al N 101111111 it Q 8 1 1 .` 1 1 1 1 . 2 1 I I / / / rt1 O / // / Z 03 yO��jj N1!"! / •/ / / �O 2 MASON COUNTY GENERAL SERVICES DEPARTMENT - P.O.BOX 188 • 4P PWEST HONE • SHELTON,WA 98584 `g�� / PHONE CEDAR 427• l RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SY M 1 ON/NER?:Lee. 5 N 50,1 ///4 /•eNS Gn1 ADDRESS �: THIS RECORD IS NOT A GUARAN EE OF PERFORMANCE. CITY �L ZIP G o V A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER ,�e'•/ T `414 • WITH PROPER MAINTENANCE AND CAREFUL USE OF LEG_I- ESCRIPT ON _ . 'YV'ATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- t St '7 .6� 1;VdJ{'1''li .. • `E. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED 1 SOIL / ,— /, " -:'.NG EXCESSIVE AMOUNTS OF PAPER, CLOTH !COMMENTS r.� �'7/✓O (, O b MATERIALS DOWN THE DRAIN, OR BY !SITE IFIELD ,1 i 5 OF WATER FROM LEAKY FAUCETS OR NO. a 1.% =f C SIZE x3 I3 li ::RES. (DEP?ii TO - MONTH L Q TANK ITSELF SHOULD BE CLEANED EVERY ;WATER TABLE �; OF YEAR S[CS 7 �9 !� __ =,'.RS DEPENDING ON THE HABITS OF THE INSTALLER %�t L�J � c� R//� `.::'JF:ER OF FIXTURES IN THE HOUSE, AND r� ` �" fit' t - _ GARBAGE DISPOSAL IS USED. CLEAN- SIZE / �.-T T;ME WILL AVOID THE RISK OF Ifv1UR- 1 SEPTIC TANK (S) 1 �7"/RS DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD ? y FEET OVER INTO THE DRAINFIELD. CALL THE I LENGTH /J !NTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA 39 0 SQ. FT. =TIC TANK CLEANERS IN YOUR AREA. THE ,N SERVE YOU BEST IF YOU SHOW HIM THIS !TILE DEPTH /( " i.... CORRUGATED RIGID Lu. CEMENT cu WHEN HE COMES. 1 ROCK ` ! DEPTH �� TOTAL HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE SLOOW CU. YDS. 1 v DEPTH ' DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS i SPACE RESERVED FOR 2 s RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, 'REPLACEMENT DISTRIBUTION FIELD: .i SQ. =T. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING + NORTH I ARE LATER CONTEMPLATED. SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO v 0 I O "�E SEPTIC TANK AS THEY WOULD INTERFERE WITH s A { - "CANING OF THE TANK. THEY CAN BE PLANTED IN THE ;v �j �f{`� ' AREA PROVIDING WILLOWS ARE NOT USED. \ n. n,tle .p�" �' .. JP <A.DE IN THE DISPOSAL AREA SHOULD BE iy� / S., FACE WATER IS NOT POCKETED ON THE I t ' / ; , ap' I S;ETTLiNG OF THE GROUND OVER THE S .S S�-----1 ,e it.. C f ...LC BE FILLED IN WITH SOIL. DO NOT EX- l 33` 2 e{�;,t. f„� -- 'HE LAWN IN THE DRAINFIELD AREA. �� ♦I • , -7 ON FROM THE DRAINFIELD 15 ABOUT t- iz 1 . - ..- NCH OF RAIN PER DAY. t ° �'• , ,rf RA;NAGE, DOWNSPOUTS AND WATER J {Jft �1 'a f RECHARGE WATER SHOULD NOT BE CON- ' n`� I THE SEPTIC SYSTEM OR DISCHARGED INTO THE4 pI h • 3 S! 11iEA. Icy - BACTERIA NEEDED IN A SEPTIC TANK ARE JND IN SEWAGE. THERE IS NO NEED TO ADD JUN 2 8 20 l"Pt�}, CAR OTHER STARTERS TO A SYSTEM. THE USE OM��ON UN1Y E4 .LVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK V1RON,ME H Tq�HE4LT HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE RET = ` " I HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY '-.' • i I CHANGING THE CHARACTERISTICS OF THE SOIL. THE ' z NORMAL USE OF BOWL CLEANERS OR CLEANING COM- —_—� r• POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW _ SOUTH DOWN THE OPERATION OF THE SEPTIC TANK. • 6 iG f%.4-C1,. G4 jYJ .. %. THIS IS AN IMPORTANT DOCUMENT D/'vTE I A ,'-- s NATLRE OF INSTALLER 42F.P' T Wi re;DEED R:©TREK .. �� � `V ,1 E„SE.NTIA. PAPERS. DA, SIGNATURE OF INSPECTOR (111 RpVEQE..'".W„..,_.........._,. JUN 2 8 2023 �- MASON COUNTY • co ENV1RONMENTAL HEALTH z } REr 3 0 -a c r y I = al o a p r E I O U � °1 � • vI 41'! C nj O C 0-u 0i • U O W L T.) U C :J m U u;M 52 _ L_I ue^ u_m �:y . p„ i PI 7 77 1I r 1 i I ii ; I E CD e I r i N______, \\. .01Mii - (..) , ••".II II 41__. , ,i__ . .„ = , . , .___ •hi • 1 i I, •,. a_ . \ 1 , •, %__ ,__.......Th . . i , = .t J �J riff i i I rJ -. / / ,, � I r _ I i 1 I i • i f I i I ¢ i I o��— I 1 .. Q. tz LLI 0. xm I Vy2 I ,'v .-;o i 2a � m y . O <2• o o c o o E C o • o -t• - + 7 -,a cn E ov O • `0 Oa > • C o o+ cQ N o o y4 O V a c co �C v ° 2 o 00 _jo a- = n. 3 M u U M i_ c IL- c In.c i 2 = E •— o II C Q C E M - 6 ;; O p1 Cam.) h 1i