HomeMy WebLinkAboutSWG2023-00271 - SWG Application / Design - 6/26/2023 rrr.
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MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 98584
SHELTON: ,S 42 TON, ,EXT 400
584
v'Crosmilii)
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: SWG2023-00271
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: $255.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/28/2024 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: IM-1060
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND/OR DESIGN
APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
DATE RECEIVED. f., �_ )
MASON COUNTY L - 1 yJ�\�\ c N
f ! COMMUNITY SERVICES AMDUNT$�CE , — RECEIVED w M
1_ Public Health(Community Health/Environmental Health) IIdd11 `{�� )
415 N.6hStr ext.
t-400an,WA 8584 rxt.400 SWG E cr - 002_� ( o 0
475 N.6th Street-Shelton,WA 98584
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ON-SITE SEWAGE TANK ONLY APPLICATION
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APPLICANT ?HONE I
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Kovacs Estate z
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MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE E
CO
16715 10th Ave. Sw. Burien,WA 98166 m
73
SITE ADDRESS-STREET,CITY,ZIP CODE
5060 E. State Route 106 Union, WA 98592 IL
NAME OF DESIGNER PHONE I"
NAME OF INSTALLER PHONE a I
Maples Excavating 360-463-8474 R
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TYPE OF WORK(select one) DRINKING WATER SOURCE O
❑ NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I 1
COMPONENT(S)TO BE REPLACED!INSTALLED El PUBLIC WATER SYSTEM 1 I
❑ SEPTIC TANK ❑PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE I
0 OTHER 2 0.19 CO
I�
OTHER DETAILS(select all that apply) TANKS)SETBACK CHECKLIST 0
❑ SURFACING SEWAGE III EXISTING FAILURE ❑SHORELINE II 100FT+PUBLIC/COMMUNITY WELLS (7 I v,1
SUBMITTALS IC 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS 7
PLOT PLAN(REQUIRED) tC,l TANK CROSS SECTION(REQUIRED) p 10FT+DRINKING WATER SUPPLY LINES I-J
I
ElPUMP DETAILS(IF APPLICABLE) [IWAIVER(S)(IF APPLICABLE) 1 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
r I (�
PLOT PLAN CHECKLIST 0 V
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES I O
❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC...
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
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JUN262023 0
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY I S AAINTENANCE/PUMPING 0 BUILDING PERMIT OME SALE ['COMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
c-t)(A 6k,CIL 3(fkic. ArAnY----
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
- J(ZGb(2(i R T im 6 /ZSt 3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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APPROVED
.IUN 2 8 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
INFILTRATOR
® IM-1060
septic tanks
Features&Benefits
Strong injection molded polypropylene
construction
1. 1 I ) ' • Lightweight plastic construction and
• inboard lifting lugs allow for easy
x
/ filldelivery and handling
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// /�A I / • Integral heavy-duty green lids that
/iip/p /(7r ( 9 `N Y
I 1 interconnect with TWTM risers and pipe
fai- ik ( '` I riser solutions
oar gamier KKKtof of of if W It 111 MOI, , 111111 j, • Structurally reinforced access ports
eliminate distortion during installation
and pump-outs
i • Reinforced structural ribbing and
fiberglass bulkheads offer additional
- strength
• Can be installed with 6" to 48"
of cover
IThe 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 t';'4 for guidance.
System ---- •
Partition
baffle wall -' -'41°111111:111111111I T. HEAVY DUTY LID
• �• CUTAWAY
- I Reinforced
• -:! t 24" structural
• i "1 access port
r 't
,. Structural
bulkheads
MID-SEAM CUTAWAY II II In'APPROVED
Reinforced water tight mid-sg� 2 8 2023
�• gasketed connect;JN COUNTY ENVIRONMENTAL HEALTH
911" /3/:____--
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Protecting
the Environment with Innovative Wastewater Treatment Solutions INFILTRATOR'
e
water technologies
IM-1060 General Specifications and Illustrations
LIFTING STRAP LIFTING LUG RISER CONNECTION
(TYPICAL) (4 TOTAL) (TYPICAL)
The IM-1060 is an injection molded two piece mid-seam
plastic tank. The IM-1060 injection molded plastic design �IFIrit� t 1 I 1 poirk,
allows for a mid-seam joint that has precise dimensions A ,�t� " L� tt/� ire A
f ,tea/.: 1 1% I I 1 rr �■- 1 f
engineeredgasket. l 1't_r 0 0 1.�t�l I
for acceptingan EPDM Infiltrator's 1
gasket design utilizes technology from the water industry 111. 0%=> +a�U ob-j_�l, 62.26
1 �T.
to deliverproven means of maintaining a watertight seal. ("'.s=• o o �<;,' "seo'
r--'- .t t 1 1 III t. EXTERIOR
at. cy�j' WIDTH
The two-piece design is permanently fastened using a 1 f:='a try ikr v �e:.�;
series of non-corrosive plastic alignment dowels and ,�i1R^ A A A gm kf
locking seam clips. The IM-1060 is assembled and sold — - -
through a network of certified Infiltrator distributors. 1270 13226!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 ALA
ground water conditions reference the Infiltrator IM-Series Tank Buoyancy Control Guidance. C54.7
Please visit www.infiltratorwater.com/images/pdf/ o --------JD-_ (13a91
t11i"-"- - _ 9`�, EXTERIOR
ManualsGuides/TANK01.pdf for the latest information. I HEIGHT
SEAM CLIP
(TYPICAL) -
IM-1060 ( 1
LIFTING STRAP
Working Capacity 1094 gal(4141 L) (TYPICAL) "'
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127"(3226 mm) 041102] 024]610]ACCESS OPENINGSWRH LOCKING LIDS(2)
PVC OR ABS
INLLET TEE 10.212601 FREEBOARD 0411021 PVC OR
Width 62.2"(1580 mm) ABS OUTLETTEE
ids-
Length-to-Width Ratio 2.3 to 1 �� ,6.AIRSP ACE ,-54E I
OUTLET
Height 54.7"(1389 mm) PER 176 PER '
Liquid Level 44"(1118 mm) , cooE 44.0118 I E
Invert Drop 3"(76 mm) SUPPORTSS~, OUI FIBERGLAss
LIQUID SUPPORT
)TYPICAL) • DEPTH (TYPICAL)
WITH BAFFLE
Fiberglass Supports 2 WALL WHERE
I REQUIRED
Compartments 1 or 2
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 mm)
Maximum Pipe Diameter 6"(152 mm) I%
TANK TOP CONTINUOUS
Weight 320 lbs(145 kg) HALF 0. GASKET
AA ❑ T -Vip.^_
PPROVED INTERIORANK 1 SEAM CLIP
JUN 2 8 2023 ALIGNMENT q� r L. "'...///
DOWEL ; TANK BOTTOM
ir MASON COUNTY ENVIRONMENTAL HEALTH HALF
4 Business Park Road 1
P.O.Box 768 RET
Old Saybrook,CT 06475
�0 s77 7001 MID-HEIGHT SEAM SECTION
N F I LT R AT O Rf , 221-4438
water technologies www,infittratorswater.com
U.S.Patents:4,759,661;5,017,041;5,158,488;5,336,017;5,401,118;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 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,MicroLeaching,PolyTuff,ChamberSpacer,MURIPort.PoslLock,QulckCut,QuickPlay,SnapLock and StraightLock are trademarks of Infiltrator Water Technologies.
PotyLok Is a trademark of PotyLok,Inc.TUF-TITE is a registered trademark of TUF-TITE,INC.Ultra-Rib is a trademark of IPEX Inc.
O 2016 Infiltrator Water Technologies,LLC.All rights reserved.Printed in U.S.A 1M02 1118
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436