HomeMy WebLinkAboutSWG2023-00519 - SWG Application / Design - 12/12/2023 A
. MASON COUNTY 415 N 6TH STREET,SHELTON, 98584
SHELTON:360-427-9670,EXT 400
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: SWG2023-00519
APPLICANT CONNOLLY ROBERT G & ELIZABETH R Phone:
Address: 60 SE HOME PORT LN SHELTON, WA 98584
OWNER CONNOLLY ROBERT G & ELIZABETH R Phone:
Address: 60 SE HOME PORT LN SHELTON, WA 98584
SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255
Designs Inc.
Address: 171 E VUECREST DRIVE UNION, WA 98592
Site Address: 60 SE HOME PORT LN
Primary Parcel Number: 319027590090
Permit Description: Add septic tank with pump in 2nd compartment
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 requ red upon installation of system).
Permit Expiration Date: 12/18/2026 (based on date of inspection)
Type of Work OSS New Construction
Components being Replaced: Septic Tank Only
4 Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring
Additional Details: Septic tank with pump in 2nd comp.
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
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/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
mai i
DEC 1 51013 OFFICIAL USE ONLY
DATE RECEIVED: I� � ^ � 1 � N D
MASON C! ►��L• WED �1L ' G� i.Ji+. C N
AMOUtJ(I RE;EN . 0.ECENED v m
COMMUNITY SERV
Public Health(Community Health/EnvironmentalHealth)0
SWG �O �� —�` (/1 �
300.427.54570.tg eat.400Shelton.
nW WA 98584
exl.3tlL % O
415 N.6th St Ss Iro VJA.1°..S& 'L .
Y APPLICATION
SEWAGE TANK ONL
ON-SITE m m
PHONE r—
APPucANT (360)915-3966 Z
Beth Connolly z
MAILING ADDRESS-STREET CITY.STATE.ZIP CODE E
to
60 SE Home Port Ln, Shelton,WA 98584 r
SITE ADDRESS•STREET.CITY,ZIP CODE I w
same PHONE I
NAME OF DESIGNER
Arrow Septic Designs, Inc PHONE(360)898-2255
CII
NAME OF INSTALLER C
DRINKING WATER SOURCE
TYPE OF WORK(Sek3Cf one) I Iv
' • NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT II PUBLICWATER SYSTEM
COMPONENT(S) TE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z
COMPONENT(S)TO BE REPLACED/INSTALLED LOT SIZE I I
CI SEPTIC
SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK 3 BR `` 7,91 acres
• OTHER New tank w/pump @ ADU I V7
03
OTHER DETAILS(seIe all Mat apply) TANK(S)SETBACK CHECKLIST n t
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE i 100FT+PUBLIC/COMMUNITY WELLS 7 I CIS
II SOFT.-PRIVATE WELLS,SURFACE WATERS,STREAMS.RIVERS
SUBMITTALS II 10FT+DRINKING WATER SUPPLY LINES I Q
II.
PLAN(REQUIRED) Nil TANK CROSS SECTION(REQUIRED) • 1OFT5FT+PROPERTY(EASEMENT LINES,FOUNDATIONS.FOOTINGS
la PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) O I O
PLOT PLAN CHECKLIST
• PROPERTY LINES AND EASEMENTS I EXISTING/PROPOSED STRUCTURES I EXISTING/PROPOSED OSS COMPONENTS AND LINES I
• WELLS WITHIN 100FT CI WATER SUPPLY LINES i DRIVEWAYS/PARKING 0 SURFACE WATERS.STREAMS.RIVERS.ETC...® III
OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS IN NORTH ARROW SCALE BAR
I O
DIRECTIONS TO SITE AND SITE CONDITIONS:tex IockeC gate)
From downtown Shelton, take Olympic Hwy (Hwy3) S, Turn (L) onto SE Craig Rd. Turn (L)
onto SE Cole Rd, Turn (L) onto SE Lynch Rd. Turn (L) onto SE Phillips Rd. Turn (R) onto
SE Dusty Rd. Turn (R) onto SE Homeport Ln. Driveway will be on (R).
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(tor reporting purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING BUILDING PERMIT 0 HOME SALE ['COMPLAINT ❑OTI'EV It 1 fI nR --- nl
COMMENTS J CONDITIONS /ll���'" I !
z -f-c i - (0 p41� 1 n Zito, cowire` I� '
12 2023
d
aEQtJIPPEO WITH RI ERS
SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS" TANKS MUST MEET CURRENT MINIMUM iS AUIRaikNTS
AND UDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAIMNG AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL DATE
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE
APPLICATION APPROVED/ISSUED BY
1 Izit fib Va; i rz//9/Z 3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
REVISED 7l9R019
wires
Arrow Septic Designs
171 E.Vuecrest Dr.
Union, WA 98592
December 12,2023
Mason County Department of Health Services
415N6thSt
Shelton,WA 98584
RE: Beth Connoly Property(Parcel#31902-75-90090)upgrade for added ADU
Dear Inspector:
Attached is a septic tank permit for a property located at 60 SE Home Port Ln, Shelton, WA 98584. The
existing 3-bedroom septic system was installed in 1993 and consists of a 1,200 gallon 2-compartment
concrete septic tank with pump chamber followed by 270 l.f. (800 s.f.total)shallow pressure drainfield.
The existing home is a 2-bedroom built in 1993 so the septic system still has excess capacity. The owner
would like to tie the existing garage into the existing septic system. They plan to build out the upstairs
level of the garage with a 1 bedroom living space apartment.
Proposed is a new 1,000-gallon 2-compartment septic tank with a solids pump in the second chamber to
send septic effluent through a 2" schedule 40 pipe into the existing septic tank and then pump to the
shared drainfield.
The existing septic system was recently serviced/pumped by Mike's Septic Services LLC on 9-22-23 and
had no noted deficiencies. See report attached.
There is an individual well onsite over 50' away from the tanks and over 100' away from the existing
drainfield. There are no known setback issues. Q p ` ,
The property owner's contact information is as follows: ' `P P R 0 V E D
Beth Connolly
DEC 18 2023
60 SE Home Port Ln MASON COUNTY ENVIRONMENTAL HEALTH
Shelton, WA 98584 RET
(360)915-3966
If you need further information,please contact my office at(360)898-2255.
Sincerely,
Ak
f: r
P 'a J. JQl• :.•4 .
4ei4VileOnsifI Treatment System Designer
Exisiki'a tr.'1 LiV{C
— S 2. ko M PORT
4 -t'
6 FloAPPROVED
E4,� MASON CGUNTYDEC EN�18HpNMENTAL2023 HEALTH
RET
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�i u *�{�� 1_ 02c00 Callon Septic Tank
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� 2- �m PartmPzat.,..ic1-.
pacuE 1. 316101"ls Effluent Filter
Cp S E R�M� Po 2 V LN f-?11 O c"Xi S hk� Pump Chamber
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2-Compartment Septic Tank with Solids Pump in Second Chamber
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APPROVED
DEC 18 2023
MASON COUNTY ENVIRONMENTAL HEALTI
RET
1
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1ilij Pump �;�,
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fi,m Specifications 111 .11i,
Pump p t...
FL50 Series 1 /2 hp ("L 7 r
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Flow(Liters Per Minute)
0 38 76 114 151 189 227 265 303 341 379
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1 MASON COUNTY
NV)RON�IENTAL EALTF;
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Flow(GPM)
FLW PI R$22017 ,d:opgnght:017 Liberty Pumps Inc All nghts resercal. Specifications subject to change without notice
.:
FL50-Series Electrical Data
FULL THERMAL I STATOR CORD
LOCKED OVERLOAD WINDING LENGTH DISCHARGE AUTOMATIC WGT.
MODEL HP VOLTAGE PHASE AMPPS AD ROTOR TEMP CLASS FT
AMPS
A1p 1 1 %OR 2' YES 62 lbs.
FL51A-2 1/2 115< FL51A 1/2 115 1 12 48.6 120 C 248 F B YES 64 lbs.
1 12 48.6 120•C 248'F B 25 1 %OR 2"
35 1 y OR 2' YES 66 lbs.
FL51A-3 1/2 115 1 1 12 48.6 120-C 248'F B NO 61 lbs.
12 48.6 120'C 248'F B 10 1 % 2'
FL51 M 1/2 115 1 25 1 '/�OR 2" NO 62 lbs.
FL51M-2 1/2 115 1 12 48.6 120'C 248'F B
FL51M-3 1/2 115 1 12 48.6 120'C 248'F B
35 1 %OR 2" NO 63 lbs.
FL51M-5 1/2 115 1 12 48.6 120'C 248'F B 50 1 Y2 OR 2' NO 65 lbs.
10 1 %OR 2" YES 62 lbs.
FL52A 1/2 208-230 1 6.5 24.1 120 C 248 F B 1 '/OR2 YES 64 lbs.
FL52A-2 1/2 208-230 1 6.5 24.1 120'C 248•F B 25 1 % OR 2" YES 66 lbs.FL52A-3 1/2 208-230 1 6.5 24.1 120•C 248•F B 35 I
FL52M 1/2 t 208-230 1 6.5 24.1 120C 248'F B 10 1 %OR 2' NO 61 lbs.
1
FL52M-2 1/2 208-230 i 1 6.5 24.1 120'C 248'F B 25 1 %V2 OR 2" NO 62 lbs.
FL52M-3 1/2 208-230 1 6.5 24.1 120•C 248 F B 35 1 %OR 2" NO 63 lbs.
FL52M-5 1/2 208-230 1 6.5 24.1 120'C 248"F B 50 1 %,OR 2" NO I 65 lbs.
1 FL50-Series Technical Data
IMPELLER MULTI-VANE CAST IRON
PAINT POWD COAT__ —_
SOLIDS HANDLING 3�4" 4___.
CAPABILITY
40'C 100'F CONTINUOUS DUTY
MAX LIQUID TEMP 60•C 140"F INTERMITENT
MAX STATOR TEMP 130•C 266T
THERMAL OVERLOAD 120•C 248'F
POWER CORD TYPE
SJTW(1-PH)or SEOOW(3-PH),
or SJOOW(35',AND 50'-1 PH)
EDMOTOR HOUSING CLASS 25 CAST IRON A V
VOLUTE CLASS 25 CAST IRON 1
IMPELLER CLASS 25 CAST IRON DEC 1 $ 2023
SHAFT STAINLESS MASON COUNTY ENVIRO IYE`~TAL HEALTi.
HARDWARE STAINLESS
ORINGS BUNA N R5C
T
MECHANICAL SEAL UNITIZED CERAMIC CARBON
i iiSc y 1 IZR:2_.I '.C>pynght 2017 Liberty Pumps Inr An uuhts restr‘eJ. Sptcificrvioui subject co change w,thout notice
TANK PUMPING REPORT
Site Name
Location.60 SE HOMEPORT LN Service Company:
Shelton
Tax ID:319027590090 Mikes Septic Services LLC
Use: 320 SE Campfire CT
Shelton,WA 98584
3605560171
Serviced:09/22/2023 by:Mike Fesenbek Submitted 09/25/2023 by:Mike Fesenbek
o mp Location:BioRecyding-Centralia Jurisdiction ID:319027590090
COMMENTS
ANK:Septic Tank-2 Compartment
Tank Pumped: YES
Tank Size(Gallons)(Number only,no text): 1200
Effluent level within operational limits(if NO explain in comments): YES
Total Gallons pumped from tank(Number only,no text): 1200
Effluent returning back into tank after pumping: NO
Tank depth below grade(inches): 12
Access Risers installed to grade(N/A if not present): YES
Tank Construction Material: Concrete
Tank Condition Good: YES
Baffles in good condition(N/A if not present): YES
Effluent screen leaned(N/A if not present): N/A
Effluent surfacing around site components(N/A if not checked): NO
Tank abandoned after pumping: NO
Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO
Compartment 1 Scum accumulation(Inches,if other specify): 6
Compartment 1 Sludge accumulation(Inches,if other specify): 12
Compartment 2 Scum accumulation(Inches,if other specify): 1
Compartment 2 Sludge accumulation(Inches,if other specify): 3
TANK:Pump Tank
Tank Pumped: NO
Tank Size(Gallons)(Number only,no text): 1200
Effluent level within operational limits(if NO explain in comments): YES
Total Gallons pumped from tank(Number only,no text): 0
Tank depth below grade(inches): 12
Access Risers installed to grade(N/A if not present): YES
Tank Construction Material: Concrete
Tank Condition Good: YES
Effluent screen cleaned(N/A if not present): N/A
Effluent surfacing around site components(N/A if not checked): NO
Pump operating as intended: YES
Controls operating as intended: YES
Alarm working as intended: YES
Tank abandoned after pumping: NO
Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO
Compartment 1 Scum accumulation(Inches,if other specify): 0
Compartment 1 Sludge accumulation(Inches,if other specify): 1
APPROVED
DEC 18 2023
MASON COUNTY ENVIRONMENTAL HEALTf;
RET
This report indicates certain characteristics of the onsite sewage system at the time of visit.In no may is this report a guarantee of operation or future performance
Report1D:681282 View pump reports online at www.onlinerme.com Page 1 of 1