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Home My WebLink AboutSWG2024-00178 TANK ONLY - SWG Application / Design - 4/29/2024 SHELT MASON COUNTY 4i5N8THELTON: 6G427-O70,EXT 400 SHEFAIR*360427-9870,EXT 400 0 BELFAIR:380�2754467,EXT 400 Public Health & Human Services ELMA:360-482-5260,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2024-00178 OWNER LEWALLEN PATRICIA K Phone. Address: P O BOX 1353 HOODSPORT,WA 98548 APPLICANT LEWALLEN PATRICIA K Phone: Address: P 0 BOX 1353 HOODSPORT,WA 98548 SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 Site Address: 711 N FINCH CREEK RD Primary Parcel Number: 422113190000 Permit Description: Converting two existing septic tanks to pump tanks to SWG94-0634 Permit Submitted Date: 04/29/2024 Permit Issued Date: 05/02/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $265.00 (addional feea may oa,enmred upon lastallaton of srabm). Permit Expiration Date: 05102/2025 (based oa data ormapaton) Type of Work OSS Repair Components being Replaced: Other Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 2 Drinking Water Source: Private Well/Spring Additional Details: 1200g tanks with pump in 2nd comp Permit Conditions: 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. 4 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Tile 17. 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/healthienvironmental/onsiteloss-inspection4equest.php or call: 360-427-9670,extension 400. OFFICIAL 115E ONLY pP1FPKENID. MASON COUNTY - m COMMUNITY SERVICES °S - �� m w PoMIc Hwifth K mmu 4HmkNEmi nmental Heaft N SWG o A Z Ln ON-SITE SEWAGE TANK ONLY APPLICATION s z APPLICANT PHGNE m m Pat Lewallen (34 877-9977 i c "LING AGGRESS-STREET,CITY STATE.ZIP CODE ic P.O. Box 1353 Hoodsport, WA 98548 m SITE ADDRESS-STREET.C"..ZIP CODE 711 N. Finch Creek Rd., Hoodsport, WA 98548 NAME OF DESIGNER PHONE Dale L. Tahja (360) 426-5940 VKgl NAME OF INSTALLER %ZONE U— Imo' TYPE OF wow r .oml DRINKING WATER SOURCE w I A NEW CONSTRUCTR)N I UPGRADES ❑REPAIR I0.EPlACEMENT ® PRIVATE INDTNOUAL WELL ❑ PRIVATE TWQ PARXY WELL Z I� CONI TO BE REPLACEW INSTALLED 0 PUBLIC WATER SYSTEM I I ® SEPTICTANK ■PUMPTANK DRY HOLDING TANK BECRGCMS LOT SIZE � Ae1 O OTHER 2 9.32 acres OTHER DEruLs(aebflBfltlYIBPPIy) TANK(5)SETBACK CHECKLIST ❑SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE R 100FTH PUBLIC!COMMUNITY WELLS l SUBM"ALS M SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS V— ■PLOT PL. N(REQUIRED) ®TANK CROSS SECTION(REQUIRED) N 1OFT-DRINKING WATER SUPPLY LINES lO • PUMP DETAILS(IF APPLICABLE) O WAIVER(S)(IF APPLICABLE) SET'PROPERTY!EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST O 0PRQPERTY LINER AND EASEMENTS ■ EXISTING!PROPOSED STRUCTURES 0EXISTING/PRDPD$ED OSS COMPONENTS AND LINES I ,^ N WELLS WITHIN I OOFT .WATER SUPPLY LINES E DRIVEWAYS!PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... �NJ O DIRECTION OF SLOP&CONTOURS ❑ PERIMETER!CURTAIN DRAINS ■NORTH ARROW ■SCALE BAR lO DIRECTIONS TO SITE AND SITE CONDITIONS:(or,baF Sale) Go to Hoodsport, left on Lake Cushman Rd., right on Finch Creek Rd., left at first Y, property at end of road, locked gate, please call Dale Tahja at (360) 426-5940 to schedule inspection. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCEIbnpvtirp Tu�aev) rrr��p I(',�. alp ❑ �111(L J YKa 0 VOLUNTARY O MAINTENANCE6M1IMPING E3 BUILDING PERMIT DRONE uaMT`7] b`�lb ♦ �# CIXAMENTS/CONDITIONS Anll 292024 � 04 W BY 3 SEW AGE TNN45 MUSTBEMBIED UNOEROWI'UST OF REGISTERED SEWAGE TPNKS',iNiK.S NUST MEET CURRENTNWIMUM SIZE PFAU'FEMEMTS,EgNPFEO WT1 RISERS AND UDSTO SURFACRAND INCLUDEAN EFFLUENT FILTER li APPLICABLE). RECORDIX WINGMIDINBTALLATKINREPORT'WWREDFq FINALAPFROVAL. INSPECTOR SIGNATURE MtE AFPLICATKNi EXPI TINY DATE AWUCATIONAP%10VED'IWUEDBY DATE -- ��fzS- IRIS FgIM MAY BE SCANNED AND AVAILABLE FpR PUBIC WLIV ON THE MASON COUNTY WEBSRE REVISED 1LTI2015 Mason county community Services Public Health n P� Subject: Sewage Tank Permit APPROVED Parcel#: 42211-31-90000 'JAY 02 24 Address: 711 N. Finch Creek Rd.Ho dsport,WA98548 M�SONCOUhIyERErN�FhlA(HEALTH This Sewage Tank Application consist of: 1. It is proposed to approve the placement of the 2 existing septic tanks(one at the detached garage and one at the barn)on the above reference parcel. These existing septic tanks were manufactured by Graystone,are 1,200 gallons, 2 compartment, concrete tanks. These tanks are equipped with 24-inch risers and have been serviced and inspected by Royal Flush Septic Pumping on April 22,2024(see attached pumping reports). The location of these septic tanks meets all setback requirements. 2. It is proposed to install Liberty 250 Effluent Pumps(see attached pump curves)in the second compartment of each septic tank and install a 2-inch,Sch.40 pipe, connecting these tanks to the existing septic tank serving the one-bedroom residence, permitted under SWG94-0634. The outlet of these septic tanks will be disconnected from the existing drainfields and.capped. 3. All utilities will be located prior to contruction. r I A W 510021 'i, Dale L.Tahja LICENSED DESIGN, — -- I Impeller Motor Specifications Vortex style engineered polymer 1/3 hp 115V 5.2A Paint The�b'Protected and permanendy lubricated Permanent Split Capacitor(PSG Powder coat Max Fluid Temperature Cord Lem 1407(60'C) Intermittent MODEL 10' 104°F(40°C)Continuous duty E Power Cord �1 V s� tladOp"OvalType ,,.et. idard Optimal SJTW(10'and 25'modets) 252 stanaab Opdmw N/A - tun SJTOOW(35'and 50'models) '� I'lnt�O 10 C01tl l""M'�� °^•d^ r«1d tk-1°•c Sao�1a r-1_K VED aim . Er ple.-WrnpOc1250 Mh 35 m4° 2 3 Motor Housing 4fAY Class 25 cast iron 0 2 2024 G6 C0: nEi � B Curve Shaft t"''iO"E4TALHEAL PrtRPM Stainless rl�m Hardware ° 379 75.7 M6 1513 M3 ss ].6 Stainless Mechanical Shaft Seal 61 e Engineered double lip seat u 4.6 Bearings t Upper and lower ball bearings ~ $ 5 6 Dimensional Data Weight 20 Ibs(Model 257 ° 0 Height 10-3/2' ° a 20 m w 6p Maier Width:9-3/5'(Model 250) %r r+uwa L Effluent Models AEMW Model 250 Model 251 de1253 ?Model 257 Manual,no Quick<onnect1(7e-anglefloat VMF. float switC wide,3ng(e ch wiM seriesad'jametersump rugneticadY float switch. �r°� �9yback)Plug• oat switch- mercury-freellows manualperates in a 10-peration of pump r s�r.w..�r�r:.Mrs vaka m av��n nare. COW19kA 0lbemy Pumps,Inc 2020 N rigtrh resF,ve6.LL G25004dl= 12d 1M �arag� a -- PO Box 1336 VOICE FLUS N Hoyalfl s WA 98548 c.net royalflush@hcc.net PROP SALE Y_ N 1C SEPTIC PUMPING royalflusitsepticptunping.net Date ($60)790-$021 ROYA S&iIIA A Serviceman Bill To: 1) �� _ �s n1�P_-1 l Service e: tj V"z- Ct if if k Email: Phone: SEPTIC TANK GREASETRAP❑ HOLDINGTANK❑ CHARGES ,sc! Tank exposedfor inspection: Yes—No— pumPing SSul Tank Gallons pumped Compartment�L� inspection $ Batto satisfactory condition(na anclu or holes) Yes�6-No Extra Septage $ Type oftank Concrete Plastk_Metal_Other Uncover $ Meer. Yea -No_ Tank Depth:-k9-1Whz$ Scum Levelx Istcompartment_Llt 2nd compartment Labor $ Sludge Levels: lstcomparhnent�'2nd co t� Parts S Tankahandonedafterpumping. Yes_ No� Service Call $ BAFFLES Misc $ Condition of inlet baffle: SatUfa:toryX- Needs repak_ Subtotal $ Condition of could baffle Sattfactory_, Needs repak_ Tax Code % $ EflluentFiher: NA,4--Cleaned_ Total Due $ JJr FLUID LEVELS ee Fluid levels normal infrrst compartment: Yes"LNo_ TMIV" iq stul;. Fluid levels normal insecondcompartmenh Ya%,_No_ - Ef/luent running backfrom drainfidd? Yes'A,_Na_ Evidence ofsurfacingsewaga in r71t (/tlteyaI a Nor Owner or Authorized Representative � ( ...11... . �b SANDFILTERD NA— ! 1 f?t`I 14 'I"levels:Saudbamy_ mgh_ Q,(.�'u' Lateral Lines Flushed Y_ NAG l Pamp� r -'7Vut warkln �% �t�Y; r/ Pump Hours Z� W Not work4_ �rj^'t/ pp1Cycles PUMP CHAMBER Comment, Pump chamber exposed tiom Yes_No_ nukksize Gall /pumped_ 7)pe Conrnete PlnaNc_ Fiber Cleo • . . A Risers: Yes_ o Tank Depth:_Inches Pump"TanK' out? Yes_ No— Pump"Tank" good ition? Yes_No_ Conditin of mp: Workin Not working_, Alarm wor ngt Yes_ Na— NA_ Scum Levels: Sludge Levels- TERMS AND CONDITIONS ON REVERSE SIDE d EIML 13 x1 ze PO B � PO Box 1336 INVOICE # FL UV H Hoodsport,WA98548 royalflush@hcc.netc.net PROP SALE Y N,X_ SEPTIC PUMPING royalflushsepticpumping.net Date 0 6 '7 '2- —`y (360)780-3021 ROYALFS82ILAl lg: Serviceman Bill To: p I w n ��t°` Service Site: (i ! _ is Email: L eywa 11 V ham_ � ' tom- xr�>' Phone: SEPTIC TANI¢6, GREASE TRAP❑ HOLDIN fGf TANK❑ CHARGES Tank expandfor inspection: Yo . No .. 99tm7 Pumping S -a�,� •". Tank size ' ! Gallons pumped 4-ComparnneNs I Inspection $ Bottum/Sideraodsfaetay mndabn(na �arJcsmhoks) Ye[,4 No_ Extra$eptnge $ Type of tank Concrete -It,Plastic Other Risers Yes' . Noo. Tank Depth:- Inches (,'t Uncovu $ Seumlevels: Isteompmrment �2 lndcompartment i'' Labor $ S1U4VLevds IstromporhnrntIg compartmeatE m Pa $ Ta nkabandonedajhrpumping: Yes_ Na_ Service Call $ RAFFLES Misc Condition of Wet baffle. Satisfactory`� Nee&repair Condition ofouttet baffle: Satisfactory_ � ,s�[ Subtotal $ Needs e`p/a'/'+I E,$Iuentlltter: NA_ Cleaned_ !_! 1, ! I, I.Code <. �. +� r W Total Due S CZ • '` t _ � Flutdlevek normal in first comportment, FLUID LEVELS Y�6;N� �/ ' ,- ;. Fluid levels normal in second compartment, Yee_Noj� Effluent terming backfrom drainfiddt Yes_N,�r- Evidenceofeurfacing—ge is theyardt Yes_Nod Owner or Authorized Representative ��FDTER❑ NA Low Lateral Lim Flushed Y N— t'tutd�vels SatifJaa'm — Pump: W �Notworking_ Pump Hours Alarm -Waridhg_ Not working— Cycles PUMP,CHAMBERO NA 1p� 1 _ Comments d' r ,✓ A u( Pump chambererpmed \ ebs is, No i / Tankstu_ Gatbnspu m"-r-4-`---tt. . i f Typ "� k eW* Conawete-7'phtsHc_ -T---/ i Plltcr Calmed. Yes No NA Rfaero: Yes\ o Todc Depth:_Inches Pump-TardP ouN Y.. No_ Pump`TanIP" ga nditlont Yer_No_ Condi in ofpmu p: Working, Not works g_ Alarm w/od"�'ngt Yes_ No_ NA_ Scum L/vets Sludge Levels: TERMS AND CONDITIONS ON REVERSE SIDE 3 x v / i 00 77, j• - oc 'h r � / x 9 � c LIP m � 9 ff 9 t 1