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HomeMy WebLinkAboutSWG2025-00169 TANK ONLY - SWG Application / Design / As-Built - 5/6/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 ea SHELTON:360-427-9670,EXT 400 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: SWG2025-00169 OWNER GUNNELL DONALD G &JUDITHA Phone: Address: 35820 14TH AVE SW FEDERAL WAY, WA 98023 APPLICANT B-LINE CONSTRUCTION Phone: 1.360.489.9169 Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584 Site Address: 1171 E MASON LAKE DR EAST Primary Parcel Number: 221045000012 Permit Description: Pump tank repair Permit Submitted Date: 05/06/2025 Permit Issued Date: Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/06/2028 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Pump Tank Only Surfacing Sewage? No Existing Failure? Yes Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 3 Drinking Water Source: Public Water System Additional Details: Pump tank repair only Permit Conditions: 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 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. 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. .......\...04.€1 kv . Is .1 . i -- — — — —_, --, ...- I ri i K Pm:7/2mi ._Lu .`? •c. .• 1 :• . ,1. ; .: . olf — • \ -e ---A—<---- ---04* 4: • leurv.,. 1 I '' P 46144 14- LW' A"..)."V.- e \ I 11 1- ("1 (14‘A "v" ' • A.,,,v- i r Guinyull ......e okA gric .4‘1 0 1 \ ‘A.stirs . i ‘ . •• I 91...W..s,-, %4\ ; , _ .flar_Itlig''-'' '—_ • Roo, , 4„„,....------ S.04"{... LOLA ' .re ,le ap I I Tno i—Ctil r___ vifit_c rio..5 ._ .f. oeck, itraw4 Orel )e - , . , S‘1- , \GUI(Or , 4e—CC-4.- -•- 1.‹ au.__ ____,.. I 1 NT VI ir \ kt; . .\\ .i f\1 0\. -.. 1, ‘,,\. ,11 . . _ f Lak4. ce,Ase7 hi'lvta 1 . , -i;-•1\, era Mason County OSS Installation Report pg. 1 MASON COUNTY PUBLIC HEALTH APPLICANT/ PERMIT INFORMATION Permit Number SWG 7i0VS---- 0 0 i c, q Parcel # 22104-50-00012 Applicant Name B-LINE CONST Subdivision (Name/Div/Block/Lot) Applicant Address 2971 E PHILLIPS LK LP RD City. State Zip SHELTON, WA, 98584 Installer Name B-LINE CONST Site Address 1171 E MASON LK DR E Designer Name INSTALLATION CHECKLIST ❑ Full System Installation ❑Tankis?Only ❑ Lrainfield Only Q Repair ❑other System Type RESEAL PUMP TANK Pretreatment Type >5 ft from foundation? - ❑ NIA ❑ YES ❑ No >50 ft from wells? - ❑ ❑ ❑ Z >50 ft from surface water? - - - - - - - - - - 0 ID El < Cleanout between building and tank? - ❑ ❑ ❑ ✓ Tank baffles present? - - - - - - - - - ❑ ❑ ❑ a 24' access risers over each compartment? - - - - - - - ❑ ❑ El W Effluent filter installed? . ❑ ❑ 0 1 Septic tank capacity (working) ISO() gal Manufacturer .Sx j S+, ) �a D-box water level and speed levelefs used? ❑ NIA ❑ YES ❑ NO 11 3 O Manifold/D-box accessible from surface?• ❑ ❑ ❑ 0?z Check valves installed? - ❑ ❑ ❑ dQ Transport Line Size Schedule/Class Bedrooms installed (check one) ❑ 2 e 3 ❑4 ❑ 5 ❑6 ❑Cornmerciat/Other 9 >10 ft from foundation? . - ❑ NIA ❑ YES ❑ NO Ct >100 ft from wells? - ❑ ❑ ❑ o W >100 ft from surface water? • ❑ 0 0 ti >10 ft from potable water lines?- - - - - - ❑ ❑ ❑ Z % 5 ft from property lines and easements?• ❑ ❑ ❑ rL > 30 ft from downgradient curtainlfpundation drains? - ❑ ❑ 0 Drainfield level and observation pars present • - -- -- - -- - - - - - ❑ 0 ❑ ❑ Graveless chambers or ❑ Clean gravel used? (check one) Propel cover installed over drainfietd?- 0 ❑ ❑ Pump tank setbacks consistent with septic tank? • ❑ N/A ❑ YES ❑ NO Z• Pump tank capacity (flood) 20 O, qal Manufacturer F,c, S ;� < 24 access riserts)and accessible fiurn surface?- - 0 Jr ❑ o a Alarm or Control Panel Installed? • - ❑ 0 0 • Control Panel equipped with Timer/ETM /Counter• - - - - - ❑ ❑ ❑ d. Pump installed in ❑ Bucket or ❑ On Block or ❑ Other d• Pump Make/Model ❑ Floats or 0 Transducer aTank draw down in/nlin Pump capacity gpm Squirt Height tt Pump on time I Pump off time Daily flow set at gpd 00 evf •C 6-o k wro-s V,A C e t- ?Tr: To Ce 5cA` i 4-, A Mason County OSS Installation Report pg. 2 Parcel# 22104-50-00012 ABANDONMENT RECORD Were existing septic components abandoned as part of this project? • - - - - • ❑ YES © NO If yes. please describe: !_ Were all components pumped out and property abandoned Fes, WAC240-272A-0300'0 - - ❑ YES D NO '1 RECORD DRAWING This Is a permanent rrcord and mutt be ace urste and de$criptlee rnnugn to r..lcrale In the need of maintanante activities and haute dw.h.r.......1 Tpp:cr Kato UMVW,g5 cotqa.n Lnarr*w&..Xould w'base.",a uruul Septe..mirrp rank torart.cr k utn.r-s* *awn.,dramtaia s.:st9 tend C:onos.d ts:•n.^as Ixato�a r•s *noire. .T_ : aiC!-'.val.a.ourt. $.,a tn. . nererr tra:r'$Ft tra 3..:.8511 points In„^^„.rplete:0:or0 Loawrgs':tai CJEie 8•:0".wsi n 1..t tu1a1 loan,akin spew, aid,e'alei 4E'•nhl9 12v1) ,sA\ S 3— \`°e;( -\..../ ,---" Vt O a.L o��e Q. F &.` 616.r AteN J / 0 Record Drawing Attached CERTIFICATION OF INSTALLATION INSTALLER DESIGNER, ENGINEER i codify That l installed the system in accordance with I certify that the system has been installed in accor- the septic design stamped APPROVED by Mason dance with the septic design stamped APPROVED' by County Public Health and that any deviations shown Mason County Public Health and that any deviations here have been cleared/approved by both tho designer shown hero have been cleared/approved by both anti Mason County Public Health and meet all State myself and Mason County Public Health and meet al! and Mason County Codes. State and Mason County Codes I further certify that all information contained on this I further certify that all information contained on tins form and attached_ Record Drawing is accurate form and attached Record Drawing is accurate 1 �/ 7zz- zs Sit,iriffure of Urslnlle 7Date Printed Nance of Signee / MASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report and Record Drawing on behalf of Mason County Public Health 1Z11\ZAIVW(gY19 1(1 17- ------ Svrtature of Envrronmor'tiil l-leallh Spec:mkst Date (stamp. signature and date) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON rt-iE MASON COUNTY WEB SITE 'ic'3 2 E':"::`' MASON COUNTY GENERAL SEWIICES DEPARTMENT 240 4 P.0 BOX t88•Xi NORTH 4th STREET•SHELTOH,WA 96584 Pr4ONE(206)4265581 RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM `OWNER A l- ` G1 l//V i/r C L ADDRESS 1i ,234) 3 f' S TA/E THIS RECORD IS NOT TA GUARANTEE OF PERFORMANCE CITY L t_ ZIP A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER HOWEVER TA C.0 H4 MIA 919 WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SEW L oT /1 r?A P q i NG S!r/4'eJ A 4 U 'Z VICE MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL �+ BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS Le ,4,17 SA w v Lal 6 4'A 11«-r AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD X LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR MO. SIZE FAULTY FIXTURES DEPTH TO MONTH THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE Of YEAR / /�� S`� TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER r 1 FAMILY, THE NUMBER Of FIXTURES IN THE HOUSE. AND SIZE SKtI��,,,_ /f D Zo1'''� t �� THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN SEPTIC TANK (S) */off l0y,y/li PQNP rA 4 'ONt•a' LNO AT THE RIGHT TIME WILL AVO'D THE RISK OF INJUR- ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD , FEET CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH joy L3 �C t� MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA d 'K t t` SO FT LICENSED SEPTIC TANK CLEANERS IN YOUR AREA THE - 4ii/i— CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH /2 ,az I_) CORRUGATED 'HP—RIGID C2 CEMENT RECORD WHEN HE COMES. HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU YDS. /a- /i ROCK Ba;low TOTAL Pol _ G 7.-- DEPTH DRIVEN OVER THE TANK OR DRAINFIELD CONSULT THIS SPACE RESERVED FOR RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS. REPLACEMENT DISTRIBUTION FIELD: SQ. FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING ARE LATER CONTEMPLATED. f NORTH , PA 10 t, u c E r 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 I ,I — io — DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED ;;r!L1II THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE `SUCH THAT SURFACE WATER IS NOT POCKETED ON THE i I DRAINFIELD ANY SETTLING OF THE GROUND OVER THE + _) TRENCHES SHOULD BE FILLED IN WITH SOIL DO NOT EX- �4y:1- CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT I EQUAL TO ONE HALF INCH OF RAIN PER DAY. FOOTING DRAINAGE, DOWNSPOUTS AND WATER 71 SOFTENER RECHARGE WATER SHOULD NOT BE CON- I I C NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE 1. DRAINFIELD AREA ( / Noh` THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE , TV ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD I YEAST OR OTHER STARTERS TO A SYSTEM THE USE OF RE- JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK ` I..,", ,'''Z` HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE ,Q y e r» F� HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY CHANGING THE CHARACTERISTICS OF THE SOIL. THE NORMAL USE OF BOWL CLEANERS OR CLEANING COM- POUNDSWILL NOT KILL THE BACTERIAL ACTION OR SLOW DOWN THE OPERATION OF THE SEPTIC TANK '.71 /yl iy ea...l Os .1" 'ri rite r ZE4'8u 11 ty D "o r s-,63,a. IQJSar'NATUR OF INSTALLfR� a ,- TI'•pApERs.011ltiy 1)iyTS StONATU £OF IN#GTOR Rhonda Thompson From: Taylor Toney <taylor@b-lineconstruction.com> Sent: Tuesday, July 22, 2025 9:19 AM To: Rhonda Thompson Subject: Re: FW: OnlineRME notification of Report Submittal Attachments: 1171 E mason Lk asbuilt.pdf Caution: External Email Warning! This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Rhonda, At this site we noticed that the pump tank wasn't properly holding water due to a crack in the floor of the tank. We poured a new concrete floor(approx. 2" thick) and then filled the tank with water to above the normal operating level. We then monitored the level in the tank for 3 weeks and the level did not change. So in result we were able to seal the pump tank and it is not leaking. I have attached an asbuilt but i was not quite sure what to fill out so let me know if any changes are needed. On Wed, Jun 25, 2025 at 1:37 PM Rhonda Thompson <RThomson@masoncountywa.gov>wrote: Hi Taylor, Please send me an email describing what you did on this property and submit an asbuilt. I will issue the tank permit and then close it out. SWG2025-00169 Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6th St. Shelton,WA 98584 360-427-9670 ext. 581 Rth4_mPson@masoncountvwa.gov To register for upcoming homeowner septic workshops, please visit: https://extension.wsu.edu/mason/agriculture/classes/ Original Message From: support@onlinerme.com <support@onlinerme.com> Sent: Wednesday, June 25, 2025 1:12 PM To: Rhonda Thompson <RThompsoo@ masonoountywa.gov> Subject: OnlineRME notification of Report Submittal 1 r Caution: External Email Warning! This email has originated from outside of the Mason County Network. " Do not click links or open attachments unless you recognize the sender, are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. A report has been submitted for the following Property. Address: 1171 E MASON LAKE DR EAST County: Mason State: Washington User entered reminder: Report:https://us-east- 2.protection.sophos.com?d=onlinerme.com&u=aHROcDovL3d3dy5vbmxpbmVybWUuY29tL1 J lc09yd H NPbmxpbmUuYXNweD9SZXBvcnRJRDOxNDE4OTM1 JUlcG9ydFR5cGVJRDOx&i=NjIxODAONThINjkzY2Yw ZjgOYTNiYjE2&t=RXh Ed m95d DIXb2tjY2xoY0o1 eU9tdWFoSIdtRVJPU1 ZmUmhxaWUvdi9Bbz0=&h=9517c 9eec3f440d5b8762941bf904a51&s=AVNPUEhUTONFTkNSWVBUSVa3yZ 11 SIOKB7jh8xus000i3gQD7smoLbvdNPTVpOjQ NOTE: to opt out from future notifcations for this property for this email request type click the link below https://us-east- 2.protection.sophos.com?d=onlinerme.com& aH ROcDovL3d3dy5vbmxpbmVybWUuY29tL1JlcG9ydH NPbmxpbmUuYXNweD9PcHRPdXRJRDOONDQ4MURCMSOxOTAzLTRFOEUtQkNCRiOwQOFDMjA1 RkI3Q kM=&i=NjIxODAONThINjkzY2YwZjgOYTNiYjE2&t=TFpHcTgON1 dHRzRvaElyVmVmWUxvcztFaHcwZHIvSFI 3Q2ZEVGo3SGswRTO=&h=9517c9eec3f440d5b8762941 bf904a51&s=AVNPUEhUTONFTkNSWVBUSVa3 yZ 1J-SIOKB7jh8xus000i3gQD7smoLbvdNPTVpOjQ Best, Taylor Toney, Owner 2