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HomeMy WebLinkAboutSWG2023-00523 - SWG Application / Design - 12/12/2023 / MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 volt, Public Health & Human Services ELMA:360-482-5269,EXT 400 ,aAt; FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2023-00523 OWNER TURNER RAY Phone: Address: 949 S MADISON AVE PASADENA, CA 91106 APPLICANT TURNER RAY Phone: Address: 949 S MADISON AVE PASADENA, CA 91106 SEPTIC INSTALLER Aaron Shumaker-septic installer Phone: 360-509-1222 Address: PO BOX 3378 BELFAIR, WA 98528 Site Address: UNKNOWN Primary Parcel Number: 221275001024 Permit Description: Replace pump basin Permit Submitted Date: 12/12/2023 Permit Issued Date: 12/18/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 12/18/2024 (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: 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. E — OFFICIAL USE ONLY DATE RECEIVED: "':"" MASON COUNTY (�, 111 - a--0 ,3 1 4,12 �r COMMUNITY SERVICES AMOD CEI`-G:W RECEIVED BY: W Cn i - m Public Health tCommunity Health/Environmental Health) (n 360-417-9670,ext.400 or 360-275.4467,838.400 ('' ( ' 0 °°" 415 N.6th Street•Shelton,WA 98584 SWG G �(DO--3 5)-3 0 70 J Z 6 ON-SITE SEWAGE TANK ONLY APPLICATION m n APPLICANT PHONE mr Ray Turner 1 626 319 2914 z MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE g co 949 S Madison Ave- Pasadena CA. 91106 m 70 SITE ADDRESS-STREET.CITY.ZIP CODE 11 v 100 E Orchard dr, NAME OF DESIGNER PHONE IN NAME OF INSTALLER PHONE v I Shumaker 360 509 1222 < IN TYPE OF WORK(select one) DRINKING WATER SOURCE 0 ❑ NEW CONSTRUCTION/UPGRADES IIII REPAIR/REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z hi COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM _. ('I ❑ SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I 1 ❑ OTHER solids basin 2 W lO OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST ra I 0 I r ❑ SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE • 100FT+PUBLIC/COMMUNITY WELLS SUBMITTALS 5OFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS V IIII PLOT PLAN(REQUIRED) 1.TANK CROSS SECTION(REQUIRED) • 10FT+DRINKING WATER SUPPLY LINES I1 is PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) U SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS.FOOTINGS PLOT PLAN CHECKLIST r I� • PROPERTY LINES AND EASEMENTS ® EXISTING!PROPOSED STRUCTURES ll EXISTING/PROPOSED OSS COMPONENTS AND LINES —1 )♦ WELLS WITHIN 100FT 0 WATER SUPPLY LINES U DRIVEWAYS/PARKING SURFACE WATERS,STREAMS,RIVERS,ETC... IN m DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS •NORTH ARROW a SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) North Hwy 3 to Right Island view Rd . Follow to Right on Orchard Beach Road. Follow to T and turn Right on Orchard Beach Dr. Follow to site on Left. OFFICIAL USE ONLY BELOW THIS LINE _— UPGRADE I FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER: COMMENTS I CONDITIONS AAA at 1Ia it tv Care v 5 2 OI 000H1 V 00 � ont Z�fin) wT ZS..--- 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 2 f i (6 Ii 9 �'MP , (O /Z 3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12n/2015 u✓rie e ;1:EP 22r27 -So- 0/o7S _ 2 2127- 5o - of ?o 2. o o F. on-h*4 �h p rc_h�td Imo^ dl r- sris-a r A; /: , 7 , &(,(,,i‘ 7 ( coot4 4Scr / _ f r"(we/ v•-c.... iiiiit-,i,,(^1,5-LD t'l �;e� 41 i i 4 0,0 11 C440 o. PA/ , e(r5,1'.> pL4 mp 9ks+in - ell* tot _ re.p/a-cec". OV -rvs "`7 Get 4,4 'iicd", Q)'A' too F orckkreld'/' _ -- V- ''------------,_ APPROVED 1 DEC 18 2023 Lai-- Zci MASON COUNTY ENVIRONMENTAL HEALTH RET i :nri , .,,, Orenco Technical Data Sheet W A T E PVC Pump B asins 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 IAPMO 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) - PB18XX 19.44(494) 17.50(445) 1.06(0.16) _- - _ PB24XX 25.63(651) 23.50(597) 1.88(0.28) ellIIIIIIIIPOP ---- Product Code Diagram PB nnn+ + +❑ f T 4 - I Discharge assembly or grommet option: —____- HD = Pre-drilled for HDA125 HD2 = Pre-drilled for HDA200 � 10 = lin(25mm)grommet 12 = 1/in(32mm)grommet 15 = 1 SSin(38mm)grommet 20 = 2m(5t mmi grommet Connector/sdce box option: i 4 -- Jf. CLIC = Pre-drilled forClickTight" S = 1 in(25mm)grommet installed ?i L = 1%+in(32mm)grommet installed St = SBlattached .. s1 M.- S2 = S82 attached �. S4 = S84 attached attached �- L5 = SB5 attached • i .ri.,- L6 -= Se6 attached S = Pre-instated nuG for external splice OOx' • _ -� XS = ExOltlsidn-(xoof 5plke Cox for simplex pumps' ST Explosion-preol spice box for duplex pumps r_ XT = Fxplosron•prdaf splice box for triplex pumps' Cleanout vent option: - Blank = No cleanout COV = Cleanout vent included Flex inducer option 1111--..,,� Blank = No flrnv inducer Ft = Flour inducer included Basin height. 54 = 54in(1372mmi Jam'' 60= 6in t1524mm) `/ 66= 66in 11676mm1 APPRO Y E D 72= 72in(1829mm) • Basin diameter,nominal: °'`' 18= 18m(450mm) DEC 18 2023 24= 24in(600mm) Pump tlasin,PVC MA ON.�OUNTY ENVIRONMENTAL HEALfl •Requires minimum 18in(457mm)riser hei t 24in(600mm)PB24XX PVC Pump Basin tEor Class I Division 1 environments RET (Shown with optional cleanout and vent) Orenco Systems •800-348-9843•+1 541-459-4449•www.orenco.com NTD-PB-PB-1 Rev.5 m 09/21 Page 1 of 1 LE50-Series i Impeller Shaft 2 Vane semi-open capable of passing a 2" Stainless spherical solid Hardware Paint Stainless ' Powder coat Mechanical Shaft Seal Max Fluid Temperature Unitized ceramic carbon 104°F (40°C) Continuous duty 140°F (60°C) Intermittent Bearings Motor Upper and lower ball bearings Submersible type,oil-filled,hermetically sealed, Float Switch [automatic models] thermally protected Wide-angle and vertical float switch available Power Cord Type SJTW, Quick-connect 10' standard length (25' cord option or 35'and 50' bare lead Performance Curve option) 60 Hz, 1725 RPM Motor Housing Liters Per Minute 0 75.7 151.4 227.1 302.8 378.5 454.2 530.0 605.7 Class 25 cast iron 28 8.5 Volute A PP 24 7.3 Class 25 cast iron 0 V E 11 c 20 6.1 16 4'9 5 Dimensional Dat 4soNco�N C 18 2013 = 12 3.7 ly ERE N,41EIIY L HEAL 8 Weight:LES1M: 42 lbs RET „Q o Height:14" I't2.4 '- Major Width:11.5"(manual models) 4 1.2 0 0 20 40 60 80 100 120 140 160 US Gallons Per Minute All Models MODELS HP VOLTS PHASE AMPS DISCHARGE SIZE AUTOMATIC IMPELLER LE51M 1/2 115 1 12 2"FNPT No 2 Vane Semi-Open LE51A 1/2 115 1 12 2" FNPT Wide-Angle Float Switch 2 Vane Semi-Open LE51AV 1/2 115 1 12 2"FNPT Vertical Float Switch 2 Vane Semi-Open LE52M 1/2 208-230 1 6.8 2"FNPT No 2 Vane Semi-Open LE52A 1/2 208-230 1 6.8 2"FNPT Wide-Angle Float Switch 2 Vane Semi-Open 10'cord standard on above models. For 25'cord options,add a"-2'suffix to model number.Example:LE51A-2 For 35'bare lead cords.add a'-3"suffix to model number.Example LE51A-3 For 50'bare lead cords,add a"-5-suffix to model number.Example:LE51A-5 Specifications subject to change vnthout notice. Liberty Pumps-7000 Apple Tree Avenue-Bergen,New York 14416 Copyright©Liberty Pumps.Inc.2020 All rights reserved.LLIT001500-R03/20 Phone 800-543-2550-Fax 585-494-1839-LibertyPumps.com .. LE5O-SERIES liberTy Pumps. Sewage Pumps `.....•� A Family and Employee Owned Company 1/2 hp 2" Solids Handling 118 GPM at 10' TOH 25' Maximum Head 1 Features _ ,� POWDER �+ . 000ATED TOUGH • Heavy cast iron construction •Oil-filled,thermally protected motor y•Permanently lubricated ball bearings ` , '�*•••.. •2 Vane corrosion resistant*HYTRE12) impeller Year Warranty •All stainless-steel fasteners and rotor shaft 1. •Quick-connect 10'standard power cord f allows replacement of cord in seconds • without breaking seals to motor. (25'length optional.35'and 50'bare lead cords available.) *HYTREL`is a registered trademark of DuPont Polymers I _./ APPROVED DEC Vertical float switch models available in 115V MASON COUNTY EN�V1 18RON'2023,MENTAL HEALTH' _ RET ,M1 • Tf-IED c . MINNIMMI'