HomeMy WebLinkAboutSWG2024-00084 - SWG Application / Design - 3/4/2024 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: SWG2024-00084
OWNER ESCH DOROTHY M Phone:
Address: 861 W LOST LAKE RD SHELTON, WA 98584
SEPTIC INSTALLER JAKE GOLDY* Phone: 360-490-0649
Address: PO BOX 159 MATLOCK, WA 98560
APPLICANT BRUCE FINDT Phone:
Address: PO BOX 2076 MILTON, WA 98354
Site Address: 861 W Lost Lake Rd
Primary Parcel Number: 519015102004
Permit Description: Replace septic tank
Permit Submitted Date: 03/04/2024
Permit Issued Date: 03/06/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $265.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/06/2025 (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? No
Number of Bedrooms: 2 Drinking Water Source: Private Well/Spring
Additional Details: Septic tank
Permit Conditions:
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.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval 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:
MASON COUNTY 3 / m I a-'oa &
AT ''' COMMUNITY SERVICES AMOUNT RECEIVED: RECEIVED BY
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I --" Public Health(Community Health/Environmental Health) — A
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1 3G:1-07J-9670,ext 400 or 3602754467.ex:4W ��� �I- .(�1 `/l) /7�, (n O
415 N 6th Street-Shelton,WA 98584 U \ - v 0 O v� Z ui
ON-SITE SEWAGE TANK ONLY APPLICATION
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APPLICANT I PHONE rn
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Bruce Findt 1253-740-6885 z
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MAILING ADDRESS-STREET.CITY,STATE;ZIP CODE c
PO box 2076 Milton Wa 98354 AMR co
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SITE ADDRESS-STREET,CITY,ZIP CODE t! 2L` •
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861 w lost lake road road Shelton Wa 98584 RFCEIIfi - I u
NAME OF DESIGNER PHONE I
_Owner Bruce Findt 253-740-6885 y '"
NAME OF INSTALLER PHONE v
Goldy Septic Service LLC 253-740-6885 _ < 01 TYPE OF WORK(select one) DRINKING WATER SOURCE —� (Ai
❑ NEW CONSTRUCTION/UPGRADES IN REPAIR/REPLACEMENT I] PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL zz
COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM _ I
® SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE
❑ OTHER __ __ 2 36000 co
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r
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❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS 0
SUBMITTALS El50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS i I
❑ PLOT PLAN(REQUIRED) 0 TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES i I Q
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES.FOUNDATIONS,FOOTINGS (I I�-/
PLOT PLAN CHECKLIST i
6 to
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES l' ��
❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS.RIVERS,ETC... I`
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/OLUR<LAIN DRAINS 0 NORTH ARROW 0 SCALE BAR I
DIRECTIONS TO SITE AND SITE CONDITIONS:(e).locked gate! j
Gates unlocked when work is being done
--- ----- OFFICIAL USE ONLY 3ELOW THIS LINE—-- — — — —
IUPGRADE/FAILURE SOURCE(tor reposing purposes) M
r ❑VOLUNTARY AINTENANCE/PUMPING ❑BUILDING PaRMI f 0HOME SALF_ OCOMPLAINT 0 OTHER: k
COMMENTS I CONDITLO S
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SFVA'AGE'TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SE NAGE TANKS', TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS.EQUIPPED WITH RISERS
AND LIDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IF ArPUCAP.L EL RECORD DRAWING AND IMSTALLAT!ON REPORT REQUIRED FOR FINAL.APPROVAL.
INSFECTOR SIGNATURE DATE 1 APFLIC:'ICN Ei HRATI"lN DATE I APPL I ICATON APPROVED/ISSUED BY DATE'
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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PLOT PLAN ) 0 1 L 0
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INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"'20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW. LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS, SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION, SH'iW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF
4 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' j
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INFILTRATORS' IM-1250
septic tuiti<:;
;.14 p.ay._c , ,r,X n<. 4f.g4 ( diw:I fl`Ykii.1' pi"-:^i r iC r p -:r
Features&Benefits
• Strong injection molded polypropylene construction
• Lightweight plastic construction and inboard lifting lugs allow
for easy delivery and handling
• Integral heavy-duty green lids that interconnect with EZsnap
risers, Safety Star secondary safety lid system, and pipe riser
solutions
• Structurally reinforced access ports eliminate distortion during
installation and pump-outs
r °` • Reinforced structural ribbing and fiberglass bulkheads offer
additional strength
. ..r,:, • Can be installed with 6"to 48" (152 to 1,219 mm)of cover
1 • f • Can be pumped dry during pump-outs
, . ' - Suitable for use as a septic tank, pump tank, or rainwater(non-
potable)tank
i • No special water filling requirements are necessary
• The tank may be backfilled with suitable native soil. See
installation instructions for guidance.
The Infiltrator IM-1250 is a lightweight, strong and durable septic tank. This watertight tank design is offered
with Infiltrator's line of custom-fit EZsnap risers and heavy-duty lids. Infiltrator injection molded tanks provide a
revolutionary improvement in plastic tank design, offering exceptional long-term strength and watertightness.
TANK CUTAWAY APPROVED
Partition baffle wall
MAR 0 6 2024
MASO .COUNTY ENVIRONMENTAL HEALTH
RET
•
I' HEAVY DUTY LID CUTAWAY
Reinforced 24" structural
access port
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Structural bulkheads
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MID-SEAM CUTAWAY
Reinforced water tight INFILTRATOR
mid-seam gasketed water technologies
connection
IM-1250 General Specifications and Illustrations
The IM-1250 is an injection molded two-piece mid-seam
. polypropylene tank. The injection molded design of
thelM-1250 allows for a mid-seam joint that has precise LIFTING STRAP(TYP.) LIFTING LUG(TYP.) RISER CONNECTION(TYP.)
•
• dimensions for accepting an engineered EPDM gasket. T......, . F
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The engineered mid-seam joint accepts a continuous•
.f. _.
loop EPDM gasket. Infiltrator's EPDM gasket design �:: +'�: ' ':'
• 61.7
utilizes technology and materials from the sanitary f - '-) 7, [1,567i
sewer pipe industry to deliver a reliable watertight seal. EXTERIOR
The two-piece design is permanently fastened using
a system of molded-in alignment dowels and locking 152.3[3,8681
seam clips. The IM-1250 is assembled and sold through EXTERIOR LENGTH
a network of certified Infiltrator distributors.
TOP VIEW
Must be backfilled and installed in
a L 13r�1 0 accordance with the Infiltrator IM-and
1;••=i•Z"" ... CM Series Septic Tank General OUTLETRIPE
(TYu • .4 Installation Instructions.For shallow
...--r,",.!„,��;. r.i ground water conditions reference
"�-.; •i the Infiltrator IM-and CM-Series Tank sa s
• ��•., �, Buoyancy Control Guidance. ��•S•.;: .: .,:.•:::-• ._,. ,..•_r, [1,3871
a'l:.i"il..:Mr. SEAM CLIP EXTERIOR
HEIGHT
Please visit www.infiltratorwater.com (TYP.) .
SCAN ME or scan OR code for the latest LIFTING STRAP
information. (TYP)
IPA-1250 END VIEW
Working Capacity 1,278 GAL(4,839 L)
411021
C OR qgS 0 24.01610 ACCESS PORT
Total Capacity 1,480 GAL(5,602 L) INLE7TLC WITH LOCKING LID(2) 0411021
-- 10.012541 FREEBOARD PVC OR ABS
Airspace 16.30% I . " ., OUTLET TEE
—I 'INLETS' 16.3% y�•-Tr -�.L I
Length 154" (3,911 mm) I 0 • AIR SPACE. I t_ r .... OUTLET
----� , (Ti61' i .t- 0.215)WALL
Width - 61.7' (1,567 mm) _ „ I PER CODE 0 r I THICKNESS
B h LRS� - 11.118 PER CODE ,`
[ Length-to-Width Ratio 2.8: 1 ; 2 s1 x 2 51 Llould I /
---__.--- r , FI E G DEPTH /
Height ht SUPPORT
9 54.6" (1,387 mm) (TYP) I I
Liquid Level 44"(1,118 mm)
Invert Drop 3"(76 mm) SIDE VIEW
Fiberglass Supports 4
Compartments 1 or 2 TANK TOP CONTINUOUS
ELASTOMERIC
HALF GASKET
Maximum Burial Depth 48"(1,219 mm) • . ,
Minimum Burial Depth 6"(152 mm) rt"
"'--'--'----- • ._ SEAM CLIP
Maximum Pipe Diameter 4"(102 mm) .% - (72)
Weight 405 lbs(184 kg) ) INTEGRAL ALIGNMENT
��''��'',,��..--��---- _— DOWEL TANK BOTTOM
` HALF
hr 4 Business Park Road
�! P.O.Box
Old Saybrook.CT 05475 MID-HEIGHT SEAM SECTION
360-577-7000•Fax 860-577-7001
1.800.221-4436
i N F I LT R ATO R www.infi{tratorwater.com
water technologies infoeirrfiltratorwateccore
For U.S.Patents information visit www.infiltratorwater.conVpatents.Other patents pending.Infiltrator,Q.tk„l:m l EZIIs x fire:•eigletod trademarks of Infiltrator Water Technologies.Infiltrator Water Technologies Is a
wholyowned subsidiary of Advanced Drainage Systems,Inc.ADS).
0 2024 Infiltrator Water Technologies,LLC. Not responsible for any typographic errors.Printed in USA
IM125 0124
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436