Loading...
HomeMy WebLinkAboutswg2025-00051 TANK ONLY - SWG Application / Design - 4/2/2025 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: SWG2025-00051 APPLICANT THEOHARIS DUSTIN Phone: 253-335-1283 Address: 2073 E SCORPIO PL CHANDLER, AZ 85249 OWNER THEOHARIS DUSTIN Phone: 253-335-1283 Address: 2073 E SCORPIO PL CHANDLER,AZ 85249 SEPTIC DESIGNER ROD LEFT* Phone: 360-698-8488 Address: PO BOX 2954 SILVERDALE, WA 98383 Site Address: 17131 NE NORTH SHORE RD Primary Parcel Number: 322205003050 Permit Description: Upgrade to TLB/BL2 for Building Permit,Add Nuwater BNR500 Permit Submitted Date: 02/19/2025 Permit Issued Date: 04/02/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/02/2026 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Other Surfacing Sewage? No Existing Failure? No Shoreline? Yes Horizontal Setbacks Met? Yes Number of Bedrooms: 1 Drinking Water Source: Private Well/Spring Additional Details: Nuwater BNR500 Permit Conditions: 1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 4 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. 3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. ())r 01 0II 7c ? 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 MASON COUNTY DATE RECEIVED- d2 - /9, 2o25 N D 1 .I I. COMMUNITY SERVICES AMOUNT RECEIVEW 270 RECEIVED BY: 0 m Public Health(Community Health/Environmental Health) < (A • 415 N.6 Stwt670, t-400 or eltn.W 98584,nct.400 SVVG 20 I - 0 CO 5( OEh" 70 3 at S N.6th Stren•Shelton,WA 9a5g� /7v`/r) z !n ON-SITE SEWAGE TANK ONLY APPLICATION > APPLICANT PHONE rr 1 ' m m Dustin Theoharis 253-335-1283 N - m z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE if N v 3 2073 East Scorpio Place Chandler, AZ 85249 Co m SITE ADDRESS-STREET,CITY,ZIP CODE PIA n n 0-en D 17131 NE North Shore Rd Tahuya, WA 98588 I" f ES • I Co NAME OF DESIGNER PHONE t——1 LL I• N Acme Design 360-698-8488 0 NAME OF INSTALLER PHONE o � m I v N R I N TYPE OF WORK(select one) DRINKING WATER SOURCE m NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I CD COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM I ❑ SEPTIC TANK 0 PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE 101 ® OTHER treatment tank 1 5475 03 OTHER DETAILS(soled all that apply) TANK(S)SETBACK CHECKLIST r0 I O ❑ SURFACING SEWAGE 0 EXISTING FAILURE •SHORELINE 0 100FT+PUBLIC!COMMUNITY WELLS n I IO SUBMITTALS 0 SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS ❑ PLOT PLAN(REQUIRED) 0 TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES W I CO ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST r I 0 0 ❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING)PROPOSED OSS COMPONENTS AND LINES —I ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS!PARKING 0 SURFACE WATERS.STREAMS.RIVERS.ETC... I Ul ❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR I DIRECTIONS TO SITE AND SITE CONDITIONS (ex.locked gate) CD Directly off North Shore Road OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) LL ❑VOLUNTARY ❑MAINTENANCE/PUMPIN BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: COMMENTS/CONDITIONS UF9vA4 It ( LS -riSltZ._ k-- .. ,12.4rN,JL 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 e.-----. (71-27'6 ui 1-?//iX THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12T7/2015 . . . , 7 22 t� v • L s�zas PA'a:</53 PAR/ a,\ 1 i • /Y 207\ CO81�1847\ k APPROVE ,per APPROVED APR 0 2 2025 MASON COUNTY ENWRONMENTAL HEALTH '�— REt 2 ,m 4 a 0,2 mums ' EasiirlSo -CEL oosrra °°°° URRKB - '- b q -..... .$ z !ill 4101'0.44.:.4.1—- •rj�'w Q Of di ,,'i •K Ijili! /ej l ° ttr. 0 �' ��y li 1i1j11 & 6 y $ IiC Sul • _ 22 .'0' o oW P s� ;lz !Pa ip Amg t. �z g w H L 8 g g VJ ///////// RESER ED $ 28i g a5� W . ILI�" -----------',..„...\\L\N �+ RAINFIE W p Q 'ct 0 Z SL1 0 O a = N Z Q H N W ,------ \\340\* — r, z b PAR EL Q � w 32220-50— 053 a W Q uj o in i-, 320' $ o z 1-- co (V v /4 Pr) W g n g N'q �n Y T cN ( $ — 0 $5ii .1 COe o: z Z \ § W �m ; : ' co cg 2 d- v A (� °mi'os d \ W I e . 1 a ¢az J X 300' o ke 1 I i,j* U 2 w \-..._ o O O II A ' PROVES F I zz ,,r i APR 0 2 2025 i 280' j�r Zzmz io 4 0 M••ON COUNTY ENVIRONMENTAL HEALTH \ n QI" a z O f< 3 r a o \ " 220kaa! a� i RET W; ; ;(�p <F 1 z / Q < �htlR t fi 0 w m .1 lz Jr- 1 m`zi c 0 a2 "m °0o OW ( auciT 0 C m< ar•ww m0 , >d<a o 5 zF i2z0ap 60' 66.00' wQ z c:op ; a of ilo)gw EXISTING W2 ►Y,r ,f gzo�4w UTILITIES MENT % 2Q ° 0 03 o i m m i 0 z w l F c t l- b 40' I4^f „gw ( zzz w 2 2 ��, (0::::::; �F iii F1<5d 6FO3h W : o4(WIL zFz 4/Ouawa u 0 zW8 IC00(fw0<S w-(r .,uf�'' � h Fwa Yw�amaw w���ah LB µ� �c�1 7 O < zp!00Cr2( sZ wlhh p��n �N ] i fI J11Fgw16iW75,F<WOrZ(O.9;FOf ,,�..,•d,si);"' 20' 2 QOww6appQhF�FipW<z> < yZ t io 11 o ''''. ,. .k / Q? ; wF�oa z awot z. > Ou �. 3 �g.z2z<Fc(miOj<ehzz Ili1. 0wmt(CSFct I�p w_< 0 40110 _ M ( ►a>wZcmzm)13 FeZh2 0c M� owwsa�c I 0OSmF 01011 ZriiAE$-1i a i 1.-01.( 3.31-Oz°w(0 '0.0: I t 0- a w i w2Q14`owZOI 20e,4.212ZFZz@ 1 Wt 15 zpo°'mawi{Sezgzp .ailw ;1 ga#y I I��_ . 10'� j d201Kicz1 p�wzig°;I 1 g 6cp :360111111101111, fo:3"faFOpa(I�p Fao�2 s 2. (UZ t Zp�¢h OZ( z $ x 5 ,'i gOZO(Fz0-�hwp .- mr 11111 Z `0c-20? ih E " ,�1 A.., , Izzw.002FJ0@aQf(ZQF t °$a = Fzw-CSODW* KJXN(WI<3 BB ` 7(050t2005. ,(e3fwaA . . . Nu �Nater „...... « ° 4 Advoncod Troofrnnnt Syatvms By EnvlrQ•Flo,inc rnii, t "°.°.=.°°"... "1] +�`�I t N. \ \ *....? . 1 /-4©' ...„ ., ...„ .._ ... v `\ ..., „„ ..,_ `\'\ T , S' ti:.,,,,,. r `= 41111te U 411* r 41 c • I ID u t IYI a gLitie 0 �10 : I .1 ijo do ti TO NI Ij1I �, ' r{o i 1:1 [I 01101111/ .VIS/-'al ell PARTS LIST NuWater NR Assembly Diagram I I A DUAL PORT AERATOR M POLY DIFFUSER BAR(2) „ 1'4 B 3/8"RUBBER 90`W/CLAMPS(2) N 1"PVC(3 1/2"SECTION) C 3/8"BARBED ADAPTOR X 1/2"NPT(2) 0 1"SLIP CAP D 1/2"SLIP X 1/2'NPT ADAPTOR P.1/8"CLEAR PVC HOSE(OPTIONAL 5') E 1"STREET X 1/2"NPT BUSHING(3) ^ Q.1/2"PVC PIPE(BY INSTALLER) F 1/2"90"ELBOW(3) P P R V`/E C PIPE(BY INSTALLER) rIVC PIPE(BY INSTALLER) G 1"X1"X1/2"TEE 1 t ` V V H 1"90`ELBOW(3) APR 02 2025 T.1/8"BARBED ADAPTOR TO 1/4"NPT(2) r.'[ .. ;1 I 2"X 1"BUSHING U 1/2"STREET X 1/4"NPT BUSHING(2) ea. J 2"SANITARY TEE MASON COUNTY EN UIRONMENTt1f4EIWROUPLER(2) 1-0 K 1"PVC CROSS RCT' W Y COUPLER(BY INSTALLER) L 1"COUPLER(BY INSTALLER) RC Revised 2/25/12 \A S m Fri cl A-rrof\I Put- SJ2 e 1N Syti- - Ir-r — i WATERTIGHT A LID VENT(1W) DUAL PORT AERATOR RISERS(TYP) ' `1 . — 1 36"MAX. 1'PVC(TYP) •-` 1 • 1/2'PVC MASTIC \ r d T L� -L Sl 7 AIRLINE/ 4" I \ 12'COUPLING-- 1I`— — — ( &REDUCER --t\ 6' 't� 1 2'TEE I� 1"PVC SLUDGE [� 1r RETURN LINE Y �( 2'PVC �— 1 `-) i TRASH CHAMBER 4 DIGESTER CHAMBER CLARIFIER OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS 160 GALLONS FLOOD:191 GAL. 65' S8• i �" r 1 50' 53' 0 36" 0 0 0 0 o E 1'X1r1' o < TEE 0 0 0 0 . 1r O• DIFFUSER BARS(2) tT PARALEL TO TANK WALL 4" 1 3" SLUDGE RETURN \ // 1.5"TAPER ;IDE VIEW 1 =1.4 ft. STONE-FREE NATIVE SOIL OR COMPACTED SAND INSTALLATION INSTRUCTIONS OVER STONY SOIL 1)Excavate tank hole with vertical walls to 1 foot larger than tank on all sides. 2)If bottom of hole is stony,install 3"of compact sand&level ,i• 9.-2' .- --- ' out with screed. �— —1 T - . — 3)Install tank in center of hole,keeping 1 ft.void space on LL�� all sides. I 24"RISERS(liYP) .4'BLOWER 4)As tank is filling with water,fill in void space with compact I III . TOP G OF S granular(sandy)soil free of large clumps of clay. I I I 5)Install rest of system,&affix risers to adapters with waterproof adhesive. I I I I I a 4-B" 6)Perform watertightness test in field as required by local I jurisdiction. 12"RISER 7)Upon approval to backfill,carefully backfill with native 1 I I 1 soils over top of tank. TRASH CHAMBER DIGESTER 11241SIEMEI 8)Final grade the surface to avoid chanelling surface a _ ___J __ __ __-_ _ _J L _ -_J water toward tank. A P P R O V - TOP VIEW APR 0 2 2025 1•=2.8fl. '' L T TREA TMENT TANK DETAIL FOR NuWATER BNR-500 TREATMENT UNIT fix I,; 1 ENVIRO-FLO, INC. REVISED: 3/O//1Z 11 Wastewater Treatment Technologies •-.::,��.T... °" .4- P.O.BOX 321161, Flowood,MS 39232 836-8476 (601)845-4716 fax SCALE: (877) ,„,„7- www.enviro-flo•net 1 rr = 1.4 It) V • v' c CO 2 R C 0p O UI. 2 y v ^ - Q g a) o • al 0 c U U 8 s o y U U °t ai at) c U U ° i° oo 0> d o c " a o � e " $ ° o e °'n a saa 0 o w c� a - vFi '� 0 w ° � E� ° =oo ii ° 7 � a� w ° o a U RQ0•zx � v R ¢ ca0ic � �°�' C � Qc 2 11 ii � � °' a°'ia 5 ;, c3a� u„ s ca3 °� E 8 11 t� h cl d U t = u a+ w d U ,.. d u ^ .a 5 U o 1. e_ 3 E-. on o p oyi s 8 to c :) w 3 E .. to o o w �� c.—N o•� o 1-N 'O h O'c o X N •0 . C O'G O (• N ... 0 < [� 0 o c U � g Ei al o5 c v, o ' J 0•0•- o v) 3 y•a O naaC�id. Q $ °' - g• ac(.... Qo d g yy FwQ ai U '3 3. �O o o='m ° r� N o .°°?.� ° = N R o o ii ° '$ N A 0... a 5 qa `� U y 3 X u H E 7 X. v 'y O 'y O O 6C • R el E Z • ao y c � ¢ r nw• ° v,.5 «c°'. Q � 3 5 a,o v, .5 5a .2 1 ,r gC c C o o d � yO 3 ° •° a-'� 'Np 3 "' • ° y 'A � 3 a � U `U• o a 3 ' o d u `en c0, 3 � b o u 0 3 0° C. '0 Cn m �J Q ; ° � 2av� _ oN � a 3 � ' 8cr .P. ' � � ° c° o --. 20 .8'2 � v E 3 , n A =. te0 . Uhf ' a) � 0 a) .- 2ADO ^uo o 4, i. ri o y °° ° �$ n d....Z.. • � a •o . w Q 3 3H macaC � O •O .v O d? OO 9M E• O _-- w . � tC 'E.-2 C q . j aV CYN C1 q '« ° iwu . y ' � " x ° " n H i3 4 c p y d . G, w a-" ar� U ‹ Q v M/ u0 ``0 :°.1 aA • ? a � w4• E c o E. aF3 « � oado3 ,sd 04 • C � o• ? o c ul ra.r tic w G - 5e. y 0 A oYe o ea eC 0to• 4 • � Aa3SiC.. oCyO . 4 a ° � '� Bu ° � o •a 7 oo °oU o a a o o o 0 w ti c $ � � ce. oo oo o A • .9 a e 'Ctoa C" < rux0 y0U . x .oa uo ° E Q w •o y y E" a = w . •C 4. a °: .r O U a dQC U a o `" U " y o 3co u to'yC•o i Y• Q c 7ca 'O 0 c et 3 0 .0 9 35 y • d oUva ' 3 • o ' SU Qaz d a C ° 2 RCsa °. W yW 0 ° a R O oUvQ = 1.1i eaA °0 ,. Eael . a 3a3 ,. c c y 0 .. a 0 Cl. co N .. en O .. 0. 0 a c0 N M O O .-• 0.. 0 a co el M e O RI a x r 00 . 0 3x y42. Nuk--- ,,,) 0 z 0o ' c ' ' � o y °w ° c, D V >, Co. ° C o e , o C1.67 p c �� � �e � to .0 Cz )0..-c oo � w ' c 'Ew •. Con G N c.. .e O d c w .E ce o o o e c 2.„) c o o w o C m▪ O 0 70 •T c::,W ay ay € aY Cl) a � E, � c" X Cc t `E V 0 CN c..Wes i c . •^O w °e+ ce 9. w.0. a. < .c M O .• pp < O � w a � f O R V F .- u 4,a Q i w � N el') la 3 siasE S cn 02) CC t 0 w w E -4 . [] 01 elN CVZ e.. c.) e° O O O 0 3 3 3 N 5 A O a o Z et a)4.1 ) L �� � � � ° F. c xg x ° ° ° 3 „ 5y Sca, S g u 'a. - 3aV a7 "' ° a N O N > N -..7 N .-..> N C.i ° N C a) N C a) N 6) M Q J Cr N td 4 N 0 N N M 3ci) NOF' NOF' NO F O • a 0