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HomeMy WebLinkAboutSWG2023-00379 - SWG Application / Design - 9/7/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 L 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: SWG2023-00379 OWNER WENGARD DONALD C & CHERYL A Phone: Address: 170 E Highlander Dr BELFAIR, WA 98528 APPLICANT WENGARD DONALD C & CHERYL A Phone: Address: 170 E Highlander Dr BELFAIR, WA 98528 SEPTIC INSTALLER AAA Septic, LLC Phone: 360-490-4495 Address: PO BOX 1460 SHELTON, WA 98584 Site Address: 170 E Highlander Dr Primary Parcel Number: 122287500020 Permit Description: Tank Only Repair Permit Submitted Date: 09/07/2023 Permit Issued Date: 09/25/2023 Issued By: David Anderson Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 09/07/2024 (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: 3 Drinking Water Source: Private Well/Spring Additional Details: Infiltrator 1060 Permit Conditions: 1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 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. 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/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. Pm OFFICIAL USE ONLY M� DATE RECEIVED: `� ` 0,'' '5Y MASON COUN c > `Z COMMUNITY SE L§3 AMO7II�GL c RECEIVE[ CO m tak Public Health(Community Health/En'ironmentapzEI�h IVED ( < 415 N.6th 70.Streext t-Sh en,W 98584,ext.400 ,C SWG 23 _ O'2.7q (p 2 47 S N.6th Street Shehon,WA 98584 J V V tJ _1. � Z Cl) ON-SITE SEWAGE TANK ONLY APPLICATION >• x m n APPLICANT (ONE m C MAILING ADDRESS STREET,CITY,STATE,ZIOCODE i 10 E. 1-1� �,,11atn�ru �� '3p,1c��r (a Q`zS 5 215 W m SITE ADDRESS-STREEf�ITY,ZIP CODE j CIO ki.Ic,h1AAMSt ' , 3�Icu;, . tiIP Q�S1..� (— NAME OF DESIGNER V I PHONE I` NAME OF INSTALLER PHONE fJ I —' • Akk iiJ LLB 1 LIS3) 2615 - 0322- �� TYPE OF WORK(sele'c no) DRINKING WATER SOURCE ❑ NEW CONSTRUCTION/UPGRADES O REPAIR/REPLACEMENT 6 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z O. COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM 1 O SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I� ❑ OTHER 5 W OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST 0 ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE IZl 100FT+PUBLIC/COMMUNITY WELLS n Kpt SUBMITTALS IT 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS PLOT PLAN(REQUIRED) YJ TANK CROSS SECTION(REQUIRED) '10FT+DRINKING WATER SUPPLY LINES P ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST r la ❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES -�' ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... IN\ ❑ DIRECTION OF SLOPE/CONTOURS ❑ PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR IC)DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) i4eACIk. SOlLak- 01A. ?6.1 , jutv-ii, 1-e C-I-- o tA 1-4 i 8{,It NJ v./- j r- 0. ya o.Z n1 tic< , I wv-i.. R 1V,\-- 4- -e. J a-64-un.u4"1(7./A. u 6--'':t i Zoo-4- c 44- i.,(AA, -- OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 6VOLUNTARY ITI0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑O '.-- -----------'1.�' . COMMENTS . LI SEP 07(ul 2023 ,t SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM 2SREQUIREMENTS.EQLJP$ED- RS 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 77./76t Z V 77z5/ y THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSfTE REVISED 12/7/2015 • r- N U 0 n• FL . a ��� linj m * I®` I J 1 4 W 74:1" CI S WI J I-- Cr) Z (V W a ; ce N za Cl- w � ai Cr)w Z o 4* .,,, T . f. < o Q ,.., 0 1 I 77------- ., ------------ Driveway 1 Ln Ln Do- . o `n m o ,_, \\N„.........._____Ln- in V g N Q c aJ Im = o o a- at ',7i a) ry o• E CO y'° a, u E v m 0 .n 13 u oo 0 gn ai o o ft,` 0� 3 . t ) N d C 0 .1- a) 74 _c IS = c - 3 c Y O 'LE Z tg 0 N 0• O IA oo 1-• N Ln a) N N c oo m RS Q1 Ni t 4 N O = 3 it !� N tU ro in i-r----r-N F I LTRATO R® plis�Q IM�1060 septic tanks . c,)rtar EPA. ��v0 Features&Benefits \'�� � P' • Strong injection molded polypropylene ���' construction i • Lightweight plastic construction and ' inboard lifting lugs allow for easy } delivery and handling (,/ /I / .((I 1 �.1 ry- ��/�/> f� / � Integral heavy-duty green lids that i i interconnect with TWTM risers and pipe j riser solutions KKrstwortratKtof NI W t t W El , •-• ,1 ra u t: i, .- • • Structurally reinforced access ports eliminate distortion during installation and pump-outs • Reinforced structural ribbing and ' 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 Partition baffle wall I ' HEAVY DUTY LID - _ CUTAWAY • Reinforced - • 24"structural "r access port i { i l Aggli, Structural bulkheads F MID-SEAM CUTAWAY Reinforced water tight mid-seam gasketed connection St ' s `ftl — INFILTRATOR' Protecting the Environment with Innovative Wastewater Treatment Solutions water technologies IM-1060 General Specifications and Illustrations UFTINGSTRAP UFTING LUG RISER CONNECTION (TYPICAL) (4TOTAU (TYPICAL) The IM-1060 is an injection molded two piece mid-seam -� ���= ,, ; %� ; plastic tank.The IM-1060 Injection molded plastic design ,������Ilrt��llI'i'uij r II iiiiiillili���i, allows for a mid-seam joint that has precise dimensions A is_'�=-� v�! �,� rV '^eg A for accepting an engineered EPDM gasket. Infiltrator's �;c:--■y-''_:' °o ■ g� °o ' ;1 B gasket design utilizes technology from the water industry =li °o" ; ; ab0 '1C,A ■ O .l1560J to deliver proven means of maintaining a watertight seal. ,r� � u1 An .. �,I WIDK2The two-piece design is permanently fastened using a1111j II *`i"iseries of non-corrosive plastic alignment dowels and ���I�I.�� �I� I ! I�I�,Fo-�I�I�I�� 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 liltground water conditions reference the Infiltrator IM-Series Tank Buoyancy Control Guidance. I FII� 1 C 54.7 Please visit www.infiltratorwater.com/images/pdf/ - ki 0 p389) oR ManualsGuides/TANK01.pdf for the latest information. SEAM CLIP losing- HEIGHT p CC (TYPICAL) IIM-1I060 LIFTING STRAP `I,11111111111,,. i Working Capacity 1094 gal(4141 L) (TYPICAL) Total Capacity 1287 gal(4872 L) END VIEW Airspace 16.5% Length 127"(3226 mm) 04(102) 0 24[610)ACCESS OPENINGS MH LOCKING UDS(2) PVC OR ABS 0 4[102)PVC OR Width 62.2"(1580 mm) NLETTEE 102[2601 FREEBOARD ABS OUTLET TEE \-____j_— Length to Width Ratio 2.3 to 1 1 INLET 16.5% V SPACEAIR OUTLET Height 54.7"(1389 mm) rrPER L 17'633-) PER 7, COE CODE Liquid Level 44"(1118 mm) 44.0 1— Ill FIBERGLASS (1118) FIBERGLASS Invert Drop 3"(76 mm) SUPPORT - LIQUID —SUPPORT (TYPICAL) DEPTH (TYPICAL) WITH BAFFLE Fiberglass Supports 2 WQUIRED RE WH REQUIRED Compartments 1 or 2 I----' Y Maximum Burial Depth 48"(1219 mm) SIDE VIEW Minimum Burial Depth 6"(152 mm) S Maximum Pipe Diameter 6"(152 mm) TANK TOP CONTINUOUS Weight 320 lbs(145 kg) HALF ,1GASKET / y, TANK %,(_;I it21 INTERIOR ,t 1 "1k< SEAM CLIP y4`_ ALIGNMENT DOWEL \ TANK BOTTOM 1 r HALF 4 Business Park Road r P.O.Box 768 Old Saybrook,CT 66475 860-577-7000•Fax 860-577-7001 MID-HEIGHT SEAM SECTION INFILTRATOR® 1-800-221-4436 water technologies www.infiltratorswater.com U.S.Patents:4,759,661;5,017,041;5,156,488;5,336,017;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.Infiltrator,Equalzer, 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,MlcroLeaching,PolyTuff,ChamberSpacer,MuttiPort,PosiI ock,QuickCut,OulckPlay,SnapLock and StraightLock are trademarks of Infiltrator WaterTechnolcg'es. Po)yLok Is a trademark of PolyLok,Inc.TUF-TITE Is a registered trademark of TUF-TITE,INC.Ultra-Rib Is a trademark of IPEX Inc. ©2016 Infiltrator Water Technologies,LLC.All rights reserved.Printed in U.SA [M02 1118 Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436