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Home My WebLink AboutSWG2025-00296 TANK ONLY - SWG Application / Design - 7/28/2025 rint .: MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 84 985 SHELTON:360 427-967XT 84 BELFAIR:360-275-4467,EXT 400 pia Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2025-00296 APPLICANT Maples, Shane Phone: 3604638474 Address:OWNER 911 SE Arcadia Rd. SHELTON,WA 98584 FAIRBANKS TALBOT Phone: Address: PO BOX 99332 SEATTLE,WA 98139 SEPTIC INSTALLER SHANE MAPLES* Phone: 360 463 8474 Address: 911 SE Arcadia Road SHELTON, WA 98584 Site Address: 480 N HILL WAY Primary Parcel Number: 323307500060 Permit Description: Septic tank replacement Permit Submitted Date: 07/28/2025 Permit Issued Date: 08/05/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 07/28/2028 (based on date of Inspection) 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: 3 Drinking Water Source: Private Well/Spring Additional Details: Infiltrator 1250g Permit Conditions: 4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 5 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 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/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY ` MASON COUNTY DATE Ct 7 - • - ,D J 1.�� ( COMMUNITY SERVICES AMOUNT F META' MCE'»DB" v_ m �► �-- !. • 1 GE C Public Health(Comnwn:ryHe tt En.ironnxnI IK.eatth) Z FA 6 ss .utxa:n.:>tsa0a1sr»s-as�,�c:na /�y-\ ^ / - (!) O 4,S`.01 Str.a1-S1n.o1M'A;WA SWG JZ Obaq n O 0 TI ON-SITE SEWAGE TANK ONLY APPLICATION z x. m m M APPLICANT PHONE T \-i� r ..L. T'Ulbt)� Fatr 2o-n z C�,�.� �� Z MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE ` n �8(� N.. 1-ti11 a u*. C 1 A A A f Sc q ► `l I'M CO V' m ao w SITE ADDRESS-STREET,CITY,ZIP CODE \ �- 140 N RAID ek� 1toodspo'twA ° 94 NA'JEOFDESIGNER FkONE B)V S. k'sl NAVE OF INSTALLER PHONE 0 1 j, 4 hats I►'YlGipies excavotir d ccpnL 3i0 0.-1t1,v3 8414 < , TYPE OF WORK(see m V n e) DRIN ING WATER SOURCE CA— ❑NEW CONSTRUCTION/UPGRADES �REPAIR/REPLACEMENT PRIVATE INDIVIDUAL WELL 0 PRIVATE TVYO-PARTY WELL Z d COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM I I (9 SEPT1CTANK 0 PUh1PTANK El RV HOLDING TANK BEDROOMS LOT SIZE j 41 C � ❑ OTHER 3 `�, 01 P OTHER DETARS fse;ect a'I Olt ap �� TANK(S)SETBACK CHECKLIST Q I• 1 J 0 ❑SURFACING SEWAGE G{EXISTING FAILURE 0 SHORELINE tOCFT+PUBLIC/COMMUNITY WELLS • {(9 Q SUBMITTALSSOFT+PRIVATE WELLS.SURFACE WATERS,STREAMS,RIVERS �J I' 'r'1 1 PLOT PLAN(REQUIRED) NI 1 TANK CROSS SECTION(REQUIRED) 10FT+DRINKING WATER SUPPLY LINES t ' ❑ PUMP DETAILS(IF APPLICABLE) CI WAIVER(S) PROPERTY/EASEMENT LINES,FOUNDATIONS.FOOTINGS WAIVER(S)(IF APPLICABLE) r PLOT PLAN CHECKLIST ❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES 1 r. ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES ❑DRIVEWAYS/PARKING 0 SURFACE WATERS.STREAMS,RIVERS,ETC... ❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR CIRECTiONSTO SITE AND SITE CONDITIONS: cr.kv:kedQs:e) new `1 i 2(,.,0 q,1to�► inFl ��r SCPfic �e 1Gl�z Old �-�ac1e� fiL�o Cab Mtn . W —/ i-in 6 OFFICIAL USE ONLY BELOW THIS LINE -- -— UPGRADE/FAILURE SOURCE(fcr report'n9 pwpo$Ss) 0 VOLUNTARY NTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COI,IPLAINT ❑OTHER: COMMENTS/CONDI NS 1P-eTW.e w\---1-(_-4-cirl\c__ SEWAGE TANKS MUST BE LISTED UNDER DOH*LIST OF REGISTERED SEWAGE TANKS'.TANKS MUST MEET CURRENT I.UNIUIUM SIZE REQUIREMENTS.EQUIPPED WITH RISERS AND LIDS TO SURFACE.AND INCLUOEAN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE ( / vi tl s— THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE RE\9SED 127(15 IM -Tanks IM-1250 The Infiltrator IM-1250 is a lightweight, strong and durable septic tank. This watertight tank design is offered with Infiltrator's line of custom-fit EZsnap risers and heavy-duty lids. Infiltrator injection molded tanks provide a revolutionary improvement IM 1250 in plastic tank design, offering exceptional long-term strength and watertightness. Benefits Sig Strong injection molded Lightweight plastic con- Integral heavy-duty green Structurally reinforced polypropylene construc- struction and inboard lids that interconnect with access ports eliminate dis- tion lifting lugs allow for easy EZsnap risers, Safety Star tortion during installation delivery and handling secondary safety lid sys- and pump-outs tern,and pipe riser Reinforced structural Can be installed with 6"to Suitable for use as a septic No special water filling re- ribbing and fiberglass 48"(152 to 1,219 mm)of tank, pump tank, or rain- quirements are necessary bulkheads offer additional cover water(non-potable)tank The tank may be backfilled strength with suitable native soil. TANK CUTAWAY Partition baffle wall • I • Infiltrator EZsnap Riser I System HEAVY DUTY LID CUTAWAY Reinforced 24"structural access port APPROV AU P structural MASON C RONMEh'TAL HEALTH \' bulkheads RET -• MI°-SEAM CUTAWAY Infiltrator Reinforced Water Technologies water Part of///iT'IDS tight infiltratorwater.com •(800)221-4436 IM-1250 General Specifications and Illustrations The IM-1250 is an injection molded two-piece mid- LIFTING STRAP(TYP.) LIFTING LUG(TYP.) RISER CONNECTION(TYP.) seam polypropylene tank.The injection molded ,� z ti rp: pp�� ,y — design of thelM-1250 allows for a mid-seam joint that n�_ IP Il1Iliilhil1lI filliiILU�l 1-� & . y`10' 11111 1t(ill111111111 �-' hasprecise dimensions for accepting an engineered _� II { .0: 61.E p g g = ill Tim �� 11s671 EPDM gasket.The engineered mid seam joint accepts II ® 'III III m C .7.0 EXTERIOR a continuous loop EPDM gasket. Infiltrator's EPDM e,' __� 1l�1 III Ill I18 III III 11 .__.. WIDTH gasket design utilizes technology and materials from '' II i ;'d 11,E NM INN the sanitary sewer pipe industry to deliver a reliable 152.3 13.868) watertight seal. The two-piece design is permanently EXTERIOR LENGTH fastened using a system of molded-in alignment dowels and locking Must be backfilled and OUTLET PIPE (TYR) 0 !. 1:.•1 installed in accordance �� I IIC 1 a with the Infiltrator IM- 'O19:•�'' P''" and CM-Series Septic Tank (1.111 \, s3871::1: 1,.,,,ff,,, 11;I!i General %II - - ' EXTERIORX • SEAM CLIP H IGHT I'I�':•:: a :!.�,i! Installation Instructions. (TYR) JQ !!.I I' U ... For shallow ground waterLIFTING STRAP �� ...l.e ' conditions reference the (TYR) Infiltrator IM-and CM-Series SCAN ME Tank Buoyancy Control Guidance. Please visit www.infiltratorwater.com or scan QR R41101F BS 024.0I610 ACCESS PORT code for the latest information. INLET TEEWITH LOCK 10.0(2541 FREEBOARD PVC(OR)ABS OUTLET TEE gm/ - _`.ter�— �' t i tTOImr I M-1250 0.2(5)WALL L 0 THICKNESS 4.Working Capac J Capacity 1,278 GAL(4,839 L) , FI�EHG PER 2 51 D f(,R CODE 410EPTIH PER CODE Total Capacity 1,480 GAL(5,602 L) H SUPPORT (TYR) Airspace 16.30% — — AKA _• - • -- Length 154' (3,911 mm) Width 61.7' (1,567 mm) Length-to-Width Ratio 2.8:1 % CONTINUOUS TANK TOP ELASTOMER IC Height 54.6' (1,387 mm) HALF GASKET Liquid Level 44"(1,118 mm) ��// SEAM CUP Invert Drop 3"(76 mm) j,j ' ~(72) Fiberglass Supports 4 Compartments 1 or IYiEGRALALKiNhDo ALIGNMENT p / TANK BOTTOM HALF Maximum Burial Depth 48"(1,219 mm) Minimum Burial Depth 6"(152 mm) , )E G.HtAM. ■ Maximum Pipe Diameter 4"(102 mm) I- R O 1/\ /C CD Weight 405 lbs(184 kg) AUG 0 5 2025 MASON COUNTY ENVIRONMENTAL RET Contact Infiltrator's Technical Services Department for assistance at 1-800-221-4436 or info@infiltratorwater.com Infiltrator Part of//��Llv7A�� u nc n0.-1< 4 v) Co (I W c.) o ri C) C) Q W t.f r. `x 4 • Y � r j m 0 110111. e. z m z n r _ 4