HomeMy WebLinkAboutSWG2024-00300 - SWG Application / Design - 7/16/2024 MASON COUNTY 415NBTHELTON: , 0427-9 7 ,EXT 400
SHELTON:360-27 - 10,EXT 400
BELFAIR:360-2]5-4467,EXT 400
Public Health & Human Services ELMA:3804825269,EXT 400
FAX 360427-7787
On-Site Sewage System Tank Only Permit: SWG2024-00300
APPLICANT VANNERSON STUART H&CAROL C Phone: 1,253,973.5436
Address: 4033 FOXHALL DR NE OLYMPIA, WA 98516
OWNER VANNERSON STUART H &CAROL C Phone: 1.253.973.5436
Address: 4033 FOXHALL DR NE OLYMPIA,WA 98516
SEPTIC INSTALLER BRAYDEN SCHOENING` Phone: 360-742-2982
Address: 121 W GRIZDALE DRIVE SHELTON,WA 98584
Site Address: 5787 N LAKE CUSHMAN RD
Primary Parcel Number: 423335102916
Permit Description: Replace septic tank
Permit Submitted Date: 07/1612024
Permit Issued Date: 07/24/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $265.00 (additional fees may e reouir upon installation ofeystem).
Permit Expiration Dale: 07/24/2025 (naiad.n daleef mapadiom)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: IM-1060
Permit Conditions:
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Mason County Asbuik 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.
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/environmentallonsite/oss-Inspection-mquest.php or call:
360.427-9670,extension 400.
OFFICIAL USE ONLY
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ON-SITE SEWAGE TANK ONLY APPLICATION 3 'z
APPLICANT PHONE m m
17 Vannerson, Stuart & Carol C 360-413-0213 m
MAILINGADCRESS-STREET,C",,STATE ZIPCCDE b
3109 Hollywood Dr NE Olympia, Wa, 98516 m
SIIEADDRESS-STREET CIN,MR CODE d '•�'
5787 N Lake Cushman Rd, Hoodsport 98548 m
NAME OF DESIGNER PIgHE N
N/A o.
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NAME OF INSTALLER PIpNE O
TBD or Schoening Excavating360-742-2982 <
TYPE OF WORK(Ratef.) DRINKING WATER SOURCE y
O NEW CONSTRUCTION/UPGRADES NNIERAIRIREPLACEMENT OPRNATE INDNIDUALWELL O PRIMATE TW0.PARTY WELL
COWGiENT(S)TO BE REPIACEN INSTPl1ED 0 PUBLIC WATER SYSTEM I M'
E SEPTIC TANK OPUMPTANK ORV HOLDING TANK BEDROOMS LOTS r � 'f
0 OTHER 2 0
17
OTHERDUAILSMaKOOM(epryy/ TANK(S)SET1ACKCHECKLIST Q
DSURFACING SEWAGE EXISTING FAILURE 13SHORELINE 0100FT+PUBLICICOMMUNITY WELLS O
6UBMITTAIS E 50FT+PRIVATE
WELLS,SURFACE WATERS,STREAMS,RIVERSO
NPLOTPLAN(REOUIRED) TANK CROSS SECTION(REQUIREDI 1310FT+DRINKING WATER SUPPLY LINES IN L,
O PUMP DETAILS(IFAPPLICABLE) 0 NE WAR(S)(IFAPPLICABLE) 0 5FT+PROPERTY)EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST Q IS
■ PROPERTY LINESAND EASEMENTS 0 EXISTING PROPOSED STRUCTURES N EXISTINGI PROPOSED OSS COMPONENTSAND LINES
0 WELLS WITHIN 100FT 0 WATER SUPPLY LINES E DRNEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I^
EDIRECTIONOFSLOPEICONTOURS OPERIMETERICURTAINDRAINS ■NORTHARROW OSCALEBAR N
DIRE T}� m.bMeOyle) Ir
JUL 1 6 2024
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OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(Iw npKry WNaaaa)
OVOLUNTARY E3MAINTENtNCEIPVMPING OBUILDINGPERMIT - OMESALE OCOMPIAINT EIOTHER:
COMMEHTSICONOITIONS
SEWAGE TANKS MUST BE LISTED UNDER DOH UST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM S2 REQUIREMENTS.EQUIPPED WITH RISERS
AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWINGNID INSTALLATION REPORTREOUIRED FOR FINKAPPROVAL.
INSPECTORSIGNATURE MTE I APPLICATION URINATION DATE APPLICATK)NAPPROVEDI ISSUED BY DATE
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE 4 REVISED 1W=15
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APPROVED o
JUL 24 2024
NwY llq 400' to *he £u� 200 MASON COUNTY ENVIRONMENTAL HEALTH
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TOPOGRAPHY PROFILE:
Daection: Scale: olfine u
3uilding Permit number: Building:
JwnerlApplicant Date of Planning: '.
a Env. Health:
'arcel Number:
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IINFILTRATOR® IM-1060
sepilc tanks -
II, riftINU 8 Benefits
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trong injection
c ion molded polypropylene
constrRfT A(Clghtweight plastic construction and
inboard lifting lugs allow for easy
delivery and handling
• Integral heavy-duty green lids that
interconnect with TWT"risers and pipe
Hear solutions
• Structurally reinforced access ports
eliminate distortion during installation
and pump-outs
Reinforced structural ribbing and
fiberglass bulkheads offer additional
strength
• Can be installed with 6"to 48"
of cover
The Infiltrator IM-1060 is a lightweight strong and durable septic tank. Can be pumped dry during
This watertight tank design is offered with Infiltrator's line of custom-fit purni
risers and heavy-duty lids. Infiltrator injection molded tanks provide a Suitable for use as a septic tank, pump
revolutionary improvement in plastic septic tank design, offering long-term tank, or rainwater(non-potable)tank
exceptional strength and watertightness. No special water filling requirements
Inlet Side are necessary
• The tank may be backfilled with suitable
TANK CUTAWAY Infiltrator native soil.See installation instructions
TW Riser for guidance.
System
Partition
baffle wall
Heavy Darr LID
CUTAWAY
Reinforced
24"structural
access port
Structural
bulkheads
MID-SEAM CUTAWAY
Reinforced water tight mid-seam
gasketed connection
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Protectin the Environment with Innovative wastewater Treatment Solutions INFILTRATOR*
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IM-1060 General Specifications and Illustrations
RcON R
The IM-1060 is an injection molded two piece mid-seam
plastic tank. The IM-1060 injection molded plastic design
allows for a mid-seam joint that has precise dimensions A A
for accepting an engineered EPDM gasket. Infiltrator's
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
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.
TOP VIEW
Must be backfilled and installed in accordance with
Infiltrator Water Technologies, Infiltrator IM-Series Septic ,
Tank General Installation Instructions and for shallow
ground water conditions reference the Infiltrator IM-
Series Tank Buoyancy Control Guidance. C
Please visit www.infiltratomater.com/images/pdf/
ManualsGuides/TANK01.pdf for the latest information. 1B""
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Working Capacity 1094 gal(4141 L) lrmuu
Total Capacity, 1287 gal(4872 U ENO VIEW
Airspace 16.5%
Length 127"(3226 mm) �0e.h az, ¢Hh6101P 5[ NI96SAIPHaKIIKU5m
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Width 62.2"(1580 mm) .nsovuTTEE
Length-to-Width Ratio 2.3 to
Height 64.7 (1389 mm) � PIN
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Liquid Level 44"(1118 mm)
Elea,xwa_, uun° slurlw�a�r s
Invert Dmp 3"V6 mm) swvoRr °�„ 1 u
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Fiberglass Supports 2 9Eoul"nE"oEw
Compartments 1or2
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 Fri
Maximum Pipe Diameter 6"1152 mm) TANKmP CONEINUOus
Weight 3201bs(145 kg) HALF GASKET
TANK
INTERIOI!—
TANK SEAMOUP
APPROVED ALIGNMENT
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