HomeMy WebLinkAboutSWG2024-00086 - SWG Application / Design - 3/5/2024 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670, EXT 400
J 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: SWG2024-00086
OWNER MASON COUNTY FIRE DIST#3 Phone: 1.360.275.4483
Address: PO BOX 129 GRAPEVIEW, WA 98546
APPLICANT MASON COUNTY FIRE DIST#3 Phone: 1.360.275.4483
Address: PO BOX 129 GRAPEVIEW, WA 98546
SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 4350 E GRAPEVIEW LOOP RD
Primary Parcel Number: 121082160041
Permit Description: Add new tanks for shower/washing machine
Permit Submitted Date: 03/05/2024
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: 03/06/2027 (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: 0 Drinking Water Source: Public Water System
Additional Details: Pump tanks
Permit Conditions:
1 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.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
3 Drain field installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
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
DAIERECEMED
': '`'ks<. MASON COUNTY 3 cJ au cn D
.I I. ,5 COMMUNITY SERVICES cn
A NI RE VED RECEIVED cn
1 a!o 5G'1 cn
Public Heakh(Community Health/Environmental Health; C
360-424-9640,ext.400 or 350.275-7467,eat.40J A /� O
415 N.604 Stied•Skew.WA9858a S \ G - 1 o aLi boo f
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ON-SITE SEWAGE TANK ONLY APPLICATION n
m 0
APPLICANT PHONE m
r
MASON COUNTY FIRE DISTRICT 3 253-606-9525 z
MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE K
4350 GRAPEVIEW LOOP RD GRAPEVIEW, WA. 98546 co
SITE ADDRESS-STREET,CITY,ZIP CODE ••
SAME I-
NAME OF DESIGNER PHONE IN
JIM HUNTER 360-753-1226
NAME OF INSTALLER PHONE 0 I'—
UNKNOWN
IC'
TYPE OF WORK(select one) DRINKING WATER SOURCE 0
▪ NEW CONSTRUCTION/UPGRADES 0 REPAIR I REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z pp
111
COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM I
INSEPTIC TANK II PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I_)
Q OTHER N/A 105900 FT SQ W I l_
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST b
0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE III 100FT+PUBLIC/COMMUNITY WELLS 0
SUBMITTALS 0 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
Q PLOT PLAN(REQUIRED) 0 TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES I G
0 PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY'EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST Q IC'
Q PROPERTY LINES AND EASEMENTS ® EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES -4
II WELLS WITHIN 100FT Q WATER SUPPLY LINES In DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... 1 4—
Q DIRECTION OF SLOPE/CONTOURS III PERIMETER/CURTAIN DRAINS IO NORTH ARROW I0 SCALE BAR I/
DIRECTIONS TO SITE AND SITE CONDITIONS.(as.locked gale)
GRAPEVIEW LOOP TO ADDRESS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE.FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER
COMMENTS"CONDITIONS
W 1\0.k) 4-6111\,(S' '6/ q104-Q4 Na,Skth- Mac-tin?
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
Vo 12---7 Rto\,20\rovt i()1.-eJ.f
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12 72015
Jim Hunter and Associates
LOCATION: 2201 "A" 93rd Ave SW • Olympia, WA 98512-9195
MAILING: P.O. Box 162 • Olympia, WA 98507
(360) 753-1226 • FAX: (360) 705-1360
SEPTIC SYSTEM DESIGNERS
APPROVE
D
Rhonda Thompson MAR 0 6 2024
MASON COUNTY" IRONMENTA1 H
Mason County Environmental Health RErHEALTH
Re: Fire district 3 station addition TP# 12108-21-60041
Date: February 29`h, 2024
Rhonda,
The attached proposal adds tank capacity for an existing building that will contain a dedicated washing
machine and a decontamination rinse shower.This shower and washing machine will be used by
returning firefighters for a fire containing potential hazardous/contaminated materials in fire and smoke
particulates.
The existing system is designed to handle 468 GPD. The total GPD flow from the community hall and the
fire station currently is an average of 24 GPD. The additional use for the shower and washing machine is
anticipated to be an additional 8 GPD.
The waste will flow into a holding tank and be tested. If it tests positive it will be pumped and disposed
of by a licensed hazardous waste disposal service. If it is not contaminated it will move into the pump
station and into the existing drain field for disposal.
It is my opinion that the proposed additional use is insignificant and will allow the system to operate
within normal design parameters.
If you have any questions, please feel free to contact me at 360-753-1226.
Jim Hunterlot/
Licensed designer j. d•� -—Z4—2-
I '
0 %y' 5100273 'r> +
i 0, LAMES R.HINTER
i LICENSED DESK,NER �1
immobnheihih, _ No whesmiimmum
EXPIRES: 03/22/Z(i
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