HomeMy WebLinkAboutSWG2023-00271 - SWG Application / Design - 6/14/2023 •
84 tri4rJ TH STREET,SHELTON,WA 985
MASONCOUNTY 415 N 6 SHELTON:360-427-9670,EXT 84
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: SWG2023-00271
OWNER KOVACS TERESA Phone:
Address: PO BOX 217 UNION, WA 98592
APPLICANT Kovacs Estate Phone:
Address: 16715 10th Ave SW SEATTLE, WA 98166
SEPTIC INSTALLER Shane Maples- MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 5060 E STATE ROUTE 106
Primary Parcel Number: 322325007003
Permit Description: Replace 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: 06/28/2024 (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:
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.
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.
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/healthlenvironmental/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASONCOUNTY DATE RECEIVED: - 11 �_ ��
f ! COMMUNITY SERVICES AMOUNT C RECEIVED . c cn
. _ o cn
Public Health(Community Health/Environmental Health)
360-427.9670,eat 400 or 360-275.M67.ext.400 (/�
41S N.6th Street•Shelton,WA 98584 SWGU/`^ J`/ _ c� 111 ( O o
L Z xi
6
ON-SITE SEWAGE TANK ONLY APPLICATION a D
APPLICANT PHONE m m
(—
Kovacs Estate z
c
MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE 3
16715 10th Ave. Sw. Burien,WA 98166 °7
m
SITE ADDRESS-STREET,CITY,ZIP CODE •
5060 E. State Route 106 Union, WA 98592 Ivs
NAME OF DESIGNER PHONE I"
NAME OF INSTALLER PHONE 0
Maples Excavating 360-463-8474 Z TYPE OF WORK(select one) DRINKING WATER SOURCE
0 NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I N
COMPONENT(S)TO BE REPLACED'INSTALLED 0 PUBLIC WATER SYSTEM \1
® SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE
0 OTHER 2 19 Co
I V,
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r O
❑ SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE ® 100FT+PUBLIC/COMMUNITY WELLS O 1
SUBMITTALS � � SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS IU
PLOT PLAN(REQUIRED) te]TANK CROSS SECTION(REQUIRED) E 10FT+DRINKING WATER SUPPLY LINES
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) •J 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST r I G
0
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES -
❑ WELLS WITHIN 100FT ❑ WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I 0
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) _
\___, Iii
Ilk JUN 26 ZOZ3 i, \
Jl
U
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for repotting purposes)
❑VOLUNTARY IAINTENANCE/PUMPING 0 BUILDING PERMIT KIOME SALE ❑COMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
12 t/� &c V5C r(\\/----
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
/CC)ket/i ZL( c per` CO itt3t 3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12f7/2015
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APPROVED
.111 N 28 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
• .
INFILTRATOR' IM-1060
septic tanks
Features&Benefits
• Strong injection molded polypropylene
construction
' • Lightweight plastic construction and
4inboard lifting lugs allow for easy
i #4, . lit
/ / // •(( f/f • Integral heavy-duty green lids that
. -t .
.
interconnect with TWT"" risers and pipe
I) �' I riser solutions
trKri[R o[i[K K K It of I( NI w K MO am Ea • .■ • Structurally reinforced access ports
$ r _' eliminate distortion during installation
and pump-outs
. . ‘�xc Reinforced structural ribbing and
•f 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 for guidance.
System - -- "
v
Partition ( -
baffle wall "r HEAVY DUTY LID
,,. CUTAWAY
Reinforced
- f 24" structural
access port
a.
i , . Structural
I bulkheads APPROVED
MID-SEAM CUTAWAY Ink,
f Reinforced water tight mid-s i 2 8 2023
kV gasketed conne t N COUNTY EN`�IRONMENTAL HEALTH
. I, reeE
911
INFILTRATOR`
Protecting the Environment with Innovative Wastewater Treatment Solutions water technologies
4
IM-1060 General Specifications and Illustrations
UFTNG STRAP LIFTING LUG RISERCONNECTION
(TYPICAL) (4 TOTAL) (TYPICAL)
The IM-1060 is an injection molded two piece mid-seam N ,� `,
plastic tank. The IM-1060 injection molded plastic design 4.410411
`41 �1 =l�I�a ,
allows for a mid-seam joint that has precise dimensions A i IC I i !�� Wit;,,
for accepting an engineered EPDM gasket. Infiltrators ? l'l. r °p : F Oo '1==, B
gasket design utilizes technologyfrom the water industry d b ° b i i b irh 62.2
9 ry ►=T. o o .ram'i 115801
O ° ..
to deliver proven means of maintaining a watertight seal. ,,rla�, _ i i �� `�;I EXTERIOR
The two-piece design is permanently fastened using a 1.:1'...' ' IE ten''`i°`►:4 WpTMseries of non-corrosive plastic alignment dowels and 51� �r
locking seam clips. The IM-1060 is assembled and sold
through a network of certified Infiltrator distributors. 127.0(3226)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-
it
Series Tank Buoyancy Control Guidance. c
54.7
Please visit www.infiltratorwater.com/images/pdf/ o _ e " IO
1��� �� �� 1 I EXTERIOR
ManualsGuides/TANK01.pdf for the latest information. HEIGHT
SEAM CLIP
(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(21
PVC OR ABS 0 41102j PVC OR
Width 62.2"(1580 mm) INLET TEE —10.212601 FREEBOARD 7-ABS OUTLET TEE
Length-to-Width Ratio 2.3 to 1 e INLET 1 165°b 'L
I p AIR SPACE OUTLET S
Height 54.7"(1389 mm) 1 IL 1761 i $ I
PER
CODE-
Liquid Level 44"(1118 mm) 44.0 u
FIBERGLASS_� (11181 FIBERGLASS
Invert Drop3" mm) SUPPORT `SUPPORT
(76 LDEPTH (TYPICAL)
(TYPICAL) WITH BAFFLE
Fiberglass Supports 2 EERE
QULIRED
r— R
Compartments 1 or 2
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 mm)
i
Maximum Pipe Diameter 6"(152 mm) I CONTINUOUS
TANK TOP
Weight 320 lbs(145 kg) HALF GASKET
TA
K
APPROVED INTERIOR —�/#� SEAM CLIP
iti___&.
.BUN 28 2023 DOWELENT
errMASON COUNTY ENVIRONMENTAL HEALTH TANK BOTTOM
4 Business Park Road HALF
P.O.Box 768 RET
Old Saybrook,CT 06475
INFILTRATOR" 860-577-7000•Fax 860-577-7001 MID-HEIGHT SEAM SECTION
1-800-221-4436
water technologies www,Inflltratorswater.com
U.S.Patents:4,759,661;5,017,041;5,156,488;5,338,017;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.Infittrator,Equalizer,
Qu1ck4,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,MlcroLeaching,PolyTuff,ChamberSpacer,Mult(Pod.PosiLock,OulckCut,QulckPley,SnapLock and StralghtLock are trademarks of Infiltrator Water Technologies.
PolyLok Is a trademark of PolyLok,Inc.TUF-TITE is a registered trademark of TUF-TITE,INC.Ultra-Rib Is a trademark of APEX Inc.
O 2018 Infiltrator Water Technologies,LLC.Al rights reserved.Printed In U.S.A IM02 1116
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436