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HomeMy WebLinkAboutSWG2024-00027 - SWG Application / Design - 1/24/2024 0'..: MASON COUNTY 415 N 6TH STREET,SHELTON,WA 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: SWG2024-00027 OWNER MORRIS BRADLEY J &TRINA K Phone: 1.360.497.1201 Address: 600 E MIRACLE HEIGHTS DR SHELTON, WA 98584 APPLICANT MORRIS BRADLEY J &TRINA K Phone: 1.360.497.1201 Address: 600 E MIRACLE HEIGHTS DR SHELTON, WA 98584 SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474 Address: 911 SE Arcadia Road SHELTON, WA 98584 Site Address: 600 E MIRACLE HEIGHTS DR Primary Parcel Number: 421233400010 Permit Description: Add pump basin for hobby shed with bathroom Permit Submitted Date: 01/24/2024 Permit Issued Date: 01/29/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $265.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/24/2027 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: Pump Tank Only Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 4 Drinking Water Source: Private Well/Spring Additional Details: Zoeller 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. 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. 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 r DATE RECEIVED: MASON COUNTY 1 - ::Z(--( - . N f l COMMUNITY SERVICES AMOU11 NED. RECEIVE CO 0) �- CI M Public Health(Community Health/Environmental Health) C C 360 N 6th Street 1-Shelton. ltn,WA ,ext.400 w\( ^ O ^ (4 - I OM-'- O A 415 N.6lh Street-Shelton,WA 98584 `J O_]` Z o V Z CA ON-SITE SEWAGE TANK ONLY APPLICATION m n APPLICANT PHONE r Py(otA A TYlffl MUIy > > .(c0 - -7CI 1 - IZO 1 MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E loco ENW((k 1{ \-\f 0v-)- 0 Y . Sh21 VUn 1 WA ciC:5S N CO SITE ADDRESS-STREET,CITY,ZIP CODE r- (DUO M‘YCtCU2 \-\-t\CVM S D1( ti')elvo(),vTH qbs NAME OF DESIGNER PHONE I 0•-•- NAME OFI LLER PHONE �, 0 I— MC9P)� =Y(M I\ nc\ \ Q 9\( LL ��� t - �b �y I N TYPE OF WORK(select one) DRIN INS WATER SOURCE 0 ❑ NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z 1`1 COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM 1 ❑ SEPTIC TANK iff PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I c ❑ OTHER itd 10 {v Y e co W OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST O 0 1 ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 12r100FT+PUBLIC/COMMUNITY WELLS X b SUBMITTALS 42(50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS rig PLOT PLAN(REQUIRED) " TANK CROSS SECTION(REQUIRED) �2 10FT+DRINKING WATER SUPPLY LINES la PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST O Ic 1 PROPERTY LINES AND EASEMENTS ag EXISTING/PROPOSED STRUCTURES ❑ EXISTING/PROPOSED OSS COMPONENTS AND LINES —I ❑ WELLS WITHIN 100FT ❑WATER SUPPLY LINES A DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... 1---- 0 DIRECTION OF SLOPE!CONTOURS 0 PERIMETER/CURTAIN DRAINS ® NORTH ARROW 0 SCALE BAR 10 DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) nilt wow( 341 turn on ro tAirack-e s 0 (. Fo11ov- \-0 2nc1 0 - cow Ifl OX1 Za�1\XY yv\rnc) RI/ -s hc>hhi+ Sh v.op \I h(Ithvc)Urn -6.6 inYo ex1' SSlhN OFFICIAL USE ONLY BELOW THIS LINE 5e9h C -' UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE ❑COMPLAINT 0 OTHER: . ) COMMENTS I CONDITIONS o t7 o \a puoy Rn _ JAN 2 4 2024 SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SI28 REQUIRE ENTS,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 ( (-7--1 . i(2)iay THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 r • RECORD DRAWING (continued) 5� • tor ZS rO APPROVED JAN 29 2024 MASON COUNTY ENVIRONMENTAL HEALTI RET p SECTION:3.10.015 �U4L/TY PUMPS�NCE ����/ FM2164Z� 0208 Supersedes Product information presented 0507 here reflects conditions a time ktia...op.) MP !O_ of publication.Consult factory regarding discrepancies or visit our web site: inconsistencies. MAIL TO: P.O. BOX 16347•Louisville,KY 40256-0347 SHIP TO: 3649 Cane Run Road •Louisville,KY 40211-1961 www.zoeller.com (502)778-2731•1(800)928-PUMP•FAX(502)774-3624 912 - SIMPLEX SEWAGE PACKAGE SYSTEMS (JOB READY/ASSEMBLED) , Zoeller Preassembled Sewage Systems More Choices , Easier Installation Fast Delivery Saves Labor Reduces Installation Errors SOLUTIONS -—. .fie Ali Lr .-_ j I tl 912-0116 912-0056 912-0017 Poly Molded Basin(Top Discharge) (Top Discharge) (Top Discharge) 1 (� al 'iiiv.. i 912-0063 912-0082 Deluxe Basin 912-0088 (Side Discharge) (Top Discharge) Premium Basin (Top Discharge) Qop,` 0 SYSTEMS INCLUDE: m`0 O VE D • 2"solids handling pump. cRAf -IAN 29 2024 • 2"PVC discharge pipe,30"long(24"long on 24"X 24")and(36" MASON CCUti�11 ff long on 24"yX 36"). • poi ENTAL EALTH Basins-polyethylene. poly-foam or fiberglass construction with TOTAL DYNAMIC HEADIFLOW PERH poly or solid steel covers and 4"pipe seal hub,4"PVC hub MODELS 211 264 266 (Deluxe)or 4"cast iron hub on L.A.Code Systems. Check valve options-30-0151,30-0020,30-0021,30-0101 or Feet meters 82Ga 1. Litersit10 90 Liters Gal. 341 128 Liter s 30-0103(Not Included). 10 3.0 53 201 60 227 , 89 337 • Systems available with alarms and preinstalled alarm float. 15 4.6 32 121 23 87 50 189 • Premium indoor systems have a split cover for easy pump 20 6.1 - - - 10 38 inspection;torque stops and an anti-flotation device. Shut-off Head: 19.5 ft.(5.9m) 18 ft.(5.5m) 21.5ft.(6.6m) • Side Discharge systems rated for outdoor burial-solid polyethyl- ene structural foam lid and basin with 2"discharge on side. 009969B • 3/16"vent hole drilled. ©Copyright 2008 Zoeller Co.All rights reserved. Illlit- r2"vent I 3"vent Weight 7 Order by Item# Order by Item# Pump Basin Type Basin Size Each 912-0073 --- M211 Polyethylene Structural Foam-Standard 18"X 30" 39 912-0112' -•- Poly Molded 24"X 24" 50 912.1112* --- ' Poly Molded with Alarm 24"X 24" 54 912-0007 912-0021 M264 Polyethylene Structural Foam-Standard 18"X 30" 56 912.1007 --- Polyethylene Structural Foam-Standard with Alarm 18"X 30" 59 912-0006 --- " Poly-10'stack 18"X 30" 65 912-0061 --- " Polyethylene Structural Foam-Deluxe 18"X 30" 59 912-0069 --- " Poly-with Integral Side Vent 18"X 30" 50 912-0086 --- " Premium Polyethylene Structural Foam w/AFD 18"X 30" 64 912.1086 --• " Premium Polyethylene Structural Foam WI AFD&Alarm 18"X 30" 67 912-0114' --- " Poly Molded 24"X 24" 73 912.1114" ••• ^ Poly Molded with Alarm 24"X 24" 75 912-0078' --- " Polyethylene Structural Foam-Deluxe 24"X 36" 82 912-0074 --- BN211 with P.B.V.L.F.S. Polyethylene Structural Foam-Standard 18"X 30" 39 912-0113' --- Poly Molded 24'X 24" 50 912.1113" -- Poly Molded with Alarm 24"X 24" 54 912-0005 912-0029 BN264 with P.B. Polyethylene Structural Foam-Standard 18"X 30" 56 912.1005 -- Variable Level Polyethylene Structural Foam-Standard with Alarm 18"X 30" 59 912-0016"' -•- Float Switch Fiberglass-10'stack,LA code 18"X 30" 78 912-0055 -- Poly with Integral Side Vent 18"X 30" 50 912.1055 --- Poly with Integral Side Vent with Alarm 18"X 30" 53 912-0065 --- Polyethylene Structural Foam-Deluxe 18"X 30" 59 912-0087 --- ' Premium Polyethylene Structural Foam wl AFD 18"X 30" 64 912.1087 --- Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 67 912-0115' --- Poly Molded 24"X 24" 73 912.1115' --- " Poly Molded with Alarm 24"X 24" 75 912.0080' -- " Polyethylene Structural Foam-Deluxe 24"X 36" 82 912.1080" -- " Polyethylene Structural Foam-Deluxe with Alarm 24"X 36" 85 912-0010 912-0025 M266 Polyethylene Structural Foam-Standard 18"X 30' 61 912-1010 -- Polyethylene Structural Foam-Standard with Alarm 18"X 30" 64 912-0012 -- " Fiberglass-Standard 18"X 30' 74 912-0063 -- Polyethylene Structural Foam-Deluxe 18"X 30' 64 912-0070 --- Poly-with Integral Side Vent 18"X 30" 55 912-0088 -- " Premium Polyethylene Structural Foam w/AFD 18"X 30' 69 912-1088 --- " Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 72 912-0116' --- " Poly Molded 24'X 24" 76 912.1116" --- " Poly Molded with Alarm 24"X 24" 78 912.0079* --- " Polyethylene Structural Foam-Deluxe 24"X 36" 87 912-0017 912.0033 BN266 with P.B. Polyethylene Structural Foam-Standard 18"X 30" 61 912-1017 --- Variable Level Polyethylene Structural Foam-Standard with Alarm 18"X 30" 64 912-0018 -- Float Switch Poly-10'stack 18'X 30" 67 912-0019 --- " Fiberglass-Standard 18'X 30" 75 912-0020" --- " Fiberglass-10'stack,LA code 18"X 30" 79 912-0056 --- ' Poly with Integral Side Vent 18"X 30" 55 912-1056 -- " Poly with Integral Side Vent with Alarm 18"X 30" 58 912-0067 -- " Polyethylene Structural Foam-Deluxe 18"X 30' 64 912-1067 -- " Poly Structural Foam-Deluxe w1 Alarm 18"X 30" 67 912-0089 --- " Premium Polyethylene Structural Foam wl AFD 18"X 30" 69 912.1089 --- " Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 72 912-0117' --- " Poly Molded 24"X 24" 76 912.1117' --- " Poly Molded with Alarm 24"X 24" 78 912-0081' -- " Polyethylene Structural Foam-Deluxe 24'X 36" 87 912.1081' --- Polyethylene Structural Foam-Deluxe with Alarm 24'X 36" 90 Side Discharge Basins Weight Order by hem# Pump Basin Type Basin Size Each 912-0082 —• M264 Polyethylene Structural Foam 18"X 30" 61 912.1082 --- " Polyethylene Structural Foam with Alarm 18"X 30" 66 912-0090 --- " Premium Polyethylene Structural Foam w/AFD 18'X 30" 72 912.1090 —• " Premium Polyethylene Structural Foam WI AFD&Alarm 18"X 30" 72 912-0083 -- BN264 w;P.B.VLFS Polyethylene Structural Foam 18'X 30' 62 912.1083 --- Polyethylene Structural Foam with Alarm 18"X 30" 67 912-0091 --- " Premum Polyethylene Structural Foam wl AFC 18'X 30" 72 912-1091 --- " Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 76 912-0084 --- M266 Polyethylene Structural Foam 18'X 30" 62 912.1084 --- " Polyethylene Structural Foam with Alarm 18"X 30" 67 912-0092 --- " Premium Polyethylene Structural Foam w!AFD 18'X 30" 73 912-1092 --- " Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 76 912-0085 -- BN266 w!P.B.VLFS Polyethylene Structural Foam 18'X 30- 63 912.1085 -- " Polyethylene Structural a,��Fr wl \/rr 18"X 30" 68 912-0093 -- Premium Polyethylene$ Orel Fo O V ` 18'X 30" 73 912-1093 --- " Premium Polyethylene Structural Foam wl AFD&Alarm 18"X 30" 77 "24"X 24"and 24"X 36"shipped individually. ""4"Cast Iron Hub on L.A.Code Systems. JAN 29 LU24 PACKAGING MASON COUNTY ENVIRONMENTAL HEALTH 18"X 30"Simplex Systems are shipped four units to a skid.24"X 36"are shipped individually.All units are properly secureRET OPTIONS: Zoeller recommends a High with a 2"PVC discharge pipe in the basins to avoid shifting or upsetting the pump and switch mechanism.Float switch is Water Alarm for added protection,System s secured with tape that is easily removed through the inlet hub opening.Premium basins have torque stops for prevention of shown above in bold include Alarm.For shipping damage to the pump.All other systems are packaged with environment safe peanuts that are water soluble.-No other alarm options,see FM0732 need to remove, ©Copyright 2008 Zoeller Co.All rights reserved.