HomeMy WebLinkAboutSWG2023-00294 TANK ONLY REPAIR - SWG Application / Design - 7/12/2023 MASON COUNTY 4,5N6SHSTREET S"ELT96 ,EXT 4G4
BH STREE ,SHELT967Q EXT400
BELFAIR:360-2751467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
40 FAX 360-427-7787
On-Site Sewage System Permit: SWG2023-00294
APPLICANT SARGENT FAMILY TRUST THE Phone:
Address: C/O RAND&KATHLEEN SARGENT NEWBERG, OR 97132
OWNER SARGENT FAMILY TRUST THE Phone:
Address: C/O RAND & KATHLEEN SARGENT NEWBERG, OR 97132
SEWAGE INSTALLER Jerry Upson-MIKKELSEN SEPTIC LLC Phone: 360-480-3571-Jerry
Address: 980 E MIKKELSEN ROAD SHELTON,WA 98584
Site Address: 171 E Kilmarnock Rd
Primary Parcel Number: 321275400079
Permit Description: Tank Only Repair
Permit Submitted Date. 07/12/2023
Permit Issued Date: 07/17/2023
Issued By: David Anderson
Current Permit Fees Paid. $255.00 (additional fees may be blamed upon Installation of system).
Permit Expiration Date: 07117/2024 (based on date or lnspest�ont
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF Gas.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call:
360.427.9670, extension 400.
L�C;J
JUL t 4 2023
OFFICIAL USE ONLY
RECEIVED LOI,P1C[NED .1
MASO y n
COMMUNITY SERVICES AMOUN, - PECEIVELIo m
RK, AwIN r.1.unnvN�uNEnrl,onorvnrxl n¢sltnl < y
SWG �(� - CYJa o �
2 N
ON-SITE SEWAGE TANK ONLY APPLICATION
n z
m
APPLICANT PHONE m
�0396 � 2
BE
BE
MAILING ADDRESS STREET.cTr.$rarf IP CODE 3m
m
A
S TE A—D7DRESS-STREET Cm.zIP LODE
/ 7
NAME OF DESIGNER PHONE f
NAME OF INSTALLER PLO N O rrt'
3 ` NTPRE OF WORK DNNAl RMN IDRINq NS WATER VHCE
O
❑ NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT PRIVATE INDIVIDUAL WELL ❑ PRIVATETWOLPARTYWELL Z l '
COMPONEALREP TO BE BEPLACEGI ASTATIC ❑ PUBLIC WATER SYSTEM v
.0 SEPTICTANK ❑ PUMPTANK ❑RVHOLDINGTANK BEDROOMS I LOr SRE h
❑ OTHER Z m
OTHER DETAILS Ise/Jell 11.apPlyl LANN(516ETBACK CHECKLIST Q
O SU R FACI NO SEWAGE ,EXISTING TAILOR E ❑SHORELINE ❑ 1 SOFT,PUBLICI COMMU NITY WELLS n
SUBMITTALS IM SOFT.PRIVATE WELLB,SURFACE WATERS,STREAMS,RIVERS
❑ PLOT PLAN(REOWRED) K TANK CROSS SECTION(ftEOUIR ED) ,� 1OFTa ORINKING WATER SUPPLY LINES
❑ PUMP DETAILS HFAPPLICASLE) ❑ WAIVER(5)(IF APPLICABLE) � SFT.
PROPERTY]EASEMENT LINES.FOUNDATIONS.FOOTINGS
PLOT PLAN CHECKLIST O
J] PROPERTY LINES AND EASEMENTS ❑ EXISTINGI PROPOSED STRUCTURES ❑ EXISTINGI PROPOSED OSS COMPONENTS AND LINES ~
❑ WELLS WITHIN 10OFT ❑WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING ❑SURFACE WATERS,STREAMS.RIVERS,ETC...
❑ DIRECTION OF SLOPEI CONTOURS ❑ PERIMETER/CURTAIN DRAINS ❑ NORTH ARROW ❑SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS Ke HARI
1
I
OFFICIAL USE ONLY BELOW TI I IS LINE
UPGRADE I FAILURE SOURCE(for rzpNFng puTHDAl
❑VOLUNTARY OMAINTENANCE/PUMPING []BUILDING PERMIT OHOMESALE ❑COMPLAINT []OTHER
COMMENTS)CONDITIONS �'�I q����rp,
FEAAGE TANK$MUST BE LISTED UNDER CON LIST
AND LIDS 70SURFACE AND INCLUDE AN EFFLUENT OFILTER(FTAPPLICABLE) RECORD ER,AM NG ANDIINSTALLATIONFEE MRl11E PUVP"^ ISERS
IN SP OR NATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
1 7 70l JUL 17 2023
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON BOUNTY WEBSITE MASON COUNTY ENVIR5N**E*wCb FIALrP
DJA
IM-1060 General Specifications and Illustrations
The IM-1060 is an injection molded two piece mid-seam
plastic tank. The IM-1060 injection molded plastic design
allows for a mid-seem Joint that has precise dimensions A -\
for accepting anu engineered EPDM gasket.water
Indus
gasket design utilizes technology from the water industry
to deliver proven means of maintaining a watertight seal.
The two-piece design Is permanently fastened using a a�
series of non-corrosive plastic alignment dowels and
locking seam clips. The IM-1060 is assembled and sold
through a network of certified Infiltrator distributors.
Must be backfilled and Installed in accordance with TOP VIEW
Infiltrator Water Technologies,Infiltrator IM-Series Septic
1 Tank General Installation Instructions and for shallow
ground water conditions reference the Infiltrator IM-
Serles Tank Buoyancy Control Guidance. III
Please visit www.InflltretorwatercomAmages/pdf/
ManualsGuides/TANKOt.pdf for the latest information. I,rPbul
L,
Working Capa,:4 1094 gal(4141 L)
Total Capacity 1287 gal(4872 L) END VIEW
'r Airspace 16.5%
Length 127"(3226 mm)
Width 62.2"(1580 mm) w,n.rF a=rzwl FtFmAxO aunErTFr
Length-to-Width Ratio 2.3 to 1 w,F, _ I LF.
Height 54.7"(1389 mm) • „s, j v
Liquid Level 44"(1118 mm)
Invert Drop 3"(76 mm)
—AL ITmc u
Fiberglass Supports 2
Compartments 1 or
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 mm)
Maximum Pipe Diameter 6"(152 mm) TANKroP — -- coNTlNuous
Weight 320 lbs(145 kg) ��MHHALFI�Q1 GASKET
APPROV`✓ SEAM CLIP
ALIGNMENT
�. JUL ' 7 2' BOWEL �— TANKBOTTOM
a Box Pan Noae l < L.1 HALF
P O.Bow]B9
oa sarwwk.-F Dams MASON COUN_,(�1: '•.-,�
Wo-sn-]666 Few E6o-117-1o61 'J A MID-HEIGHT SEAM SECTION
INFILTRATOR`
w.w4mimnnn,..r.r.com
u's. mb'.ETWf81:5017.0H SJNI fl;59]6m]5.a01.115:5.a0t,a59;5511.9D,5.T15,1W;5.5 .]]6;56%,BUCaw]17�Pela�b.t,We,559:2,fOa,56a WF.r�lmblvpkq.IMNab,Ew ff
au<ka..m saaw.ewar�evlaueabeaenwkaasxnmw w.lwTmwmsl�.InM1Nelw.0 a.p.lwae M1.ew�x m Erw,u.Mrmlwwmw Tw%IIrMl09lau. aedwmuaeewk.T MaxKn.
CMiga.M'aOLasllFe,PtlyTNI.ClumMf{ii F®M1cck.Q3'FCN,Ql oi,vdSOegl,LLttkxbalenvrhW Mibalw WAw TecMOb e.
Yehe w Pdyluk.l IEy ar WOI NF-TIFE.INC,JftTRiO4eN IFE%lt
CWIOIMWNTYLLcmlNn .
F,Mtl F U9A IM@ 1116
rT. � - :11
MA$0jj COUNTY HEALTH DEPARTMENT
428 WEST BIRCH STREET _
SHELTON, WASHINGTON 98584
PHONE (206) 426-5561
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
OWN ADDRESS .
AS RECOR S NOT A GUARANTEE OF PERFORMANCE. LEGAL _ L
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER DESCRIPTIONS r k. '
WITH PROPER MAINTENANCE AND CAREFUL USE OF ,aL�
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER-
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED. SOIL
BY FLUSHING.EXCESSIVE -AMOUNTS OF PAPER, CLOTH COMMENTS
AND PLASTIC. MATERIALS DOWN, THE DRAIN, OR By JITOE 5EL
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR
FAULTY FIXTURES. DEPTH TO / / MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE 6 OF YEAR
TWO ORTHREE YEARS DEPENDING ON THE HABITSOF THE INSTA R
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED.CLEAN- SIZE
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK (S)
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD I FEET
CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA SO. FT.
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE (/ �� \® CORRUGATED ElRIGI ❑ CEMENT
RECORD WHEN HE COMES. DEPTH llJ
ROCK BR tI II II TOTAL
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. PIPE 1Z DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED R
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING - L
ARE LATER CONTEMPLATED. ;NORTH
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. "
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE X.'
S _
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX-
CESSNELY WATER THE LAWN IN THE DRAINFIELD AREA � � � I � � It-
WATER EVAPORATION FROM THE DRAINFIELD 15 ABOUT -
EQUAL TO ONE HALF INCH OF RAIN PER DAY.
FOOTING DRAINAGE. DOWNSPOUTS AND WATER .I ^O
SOFTENER RECHARGE WATER SHOULD NOT BE CON- ��� A /rn .
K
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTOTHE - IA
DRAINFIELD AREA. 'I
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD JUL 2023 I -
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- A�ON COUNTY ENVIRONMENTAL HEALT
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK I -DJA I„/ o1II
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE IvL ESP c
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY I
CHANGING THE CHARACTERISTICS OF THE SOIL. THE I
NORMAL USE OF BOWL CLEANERS OR CLEANING COM- I 0 1
POUNDS WILL NOT KILL THE BACTERIAL'ACTION OR SLOW - SOUTH
DOWN THE OPERATION OF THE SEPTIC TANK. p �
THIS IS AN IMPORTANT DOCUMENT ?E A o Y
TCEF� WpTddRTHER Y 7
ESSENTIAL PAPERS. - TE QRnEIED Br ��