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HomeMy WebLinkAboutSWG2025-00393 - SWG Application / Design - 9/29/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 0141 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: SWG2025-00393 OWNER CHARBONNEAU ET VIR ALEXIS B Phone: 615-788-9117 Address: P 0 BOX 515 UNION, WA 98592 APPLICANT CHARBONNEAU ET VIR ALEXIS B Phone: 615-788-9117 Address: P 0 BOX 515 UNION, WA 98592 SEPTIC INSTALLER AARON SHUMAKER* Phone: 360.509.1222 Address: PO BOX 3378 BELFAIR, WA 98528-3378 Site Address: 4466 W STATE ROUTE 108 Primary Parcel Number: 419273300010 Permit Description: Add septic tank with pump in 2nd comp. Permit Submitted Date: 09/29/2025 Permit Issued Date: 10/03/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/02/2028 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: Other Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 4 Drinking Water Source: Private Well/Spring Additional Details: Septic tank with pump in 2nd comp. Permit Conditions: 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 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/healthlenvironmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. • i OFFICIAL USE ONLY MASON COUNTY DATE RECEIVED: J��V ^ /� - �!\ �C C > COMMUNITY SERVICES AMOUNTRECE U /' eREECCENED BY: u J W 03 90 Dees**O rF dime. g m , .. Public Health(Community Health/Environmental Health) /^� C uy 41W27.h Street -Shltn,WA 98584.ext.400 S - G �]3 O Q <15 N.6th Shelton,WA 9EStH W/V' 3/{/,) Z cn ON-SITE SEWAGE TANK ONLY APPLICATION D D 3 73 m 0 APPLICANT . pi- rp m Charbonneau Alex B rF«'1 ��[[�''(n� r :: re l�i, : if ' • •''Wi ill c MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE ''. C I i'' _ 1 m 4466 W State Route 108 Shelton WA l;:''t�SEP 2 9' 2025 ( m SITE ADDRESS-STREET,CITY,ZIP CODE ; U LI •• _________ X________"._, 1... .. 4466 W State Route 108 Shelton Wa NAME OF DESIGNER PHONE N/A I� NAME OF INSTALLER PHONE Aaron Shumaker 360 509 1222 R I o ` TYPE OF WORK(select one) DRINKING WATER SOURCE O NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT t] PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I,1 COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM I III SEPTIC TANK ❑PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE 0 OTHER ADD SEPTIC TANK WITH SOLIDS PUMP TO EXISTING 4 5 ACRES W OTHER DETAILS(selectall that apply) TANK(S)SETBACK CHECKLIST r I� 0 I 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS SUBMITTALS II 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS bX ® PLOT PLAN(REQUIRED) O TANK CROSS SECTION(REQUIRED) 0 1OFT+DRINKING WATER SUPPLY LINES• 10 PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS I� r PLOT PLAN CHECKLIST 0 ▪ PROPERTY LINES AND EASEMENTS • EXISTING!PROPOSED STRUCTURES • EXISTING!PROPOSED OSS COMPONENTS AND LINES -I • WELLS WITHIN 100FT U WATER SUPPLY LINES • DRIVEWAYS/PARKING SURFACE WATERS,STREAMS,RIVERS,ETC... • DIRECTION OF SLOPE!CONTOURS • PERIMETER/CURTAIN DRAINS •NORTH ARROW •SCALE BAR lO TE ONS: ed DIRECTIONS TO hWY 1108DAPIRO(X 4kMIe 101 MILES SOUTH OF LITTLE CREEK CASINO I IVI GOOGLE MAPS TO 4466 W STATE ROUTE 108 TO LOCATION O SEP 2 9 2025 t 244 BY: T OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(for reporting purposes) j 0 VOLUNTARY 0 MAINTENANCE/PUMPIN UILDING PERMIT ['HOME SALE ['COMPLAINT 0OTHER: COMMENTS/CONDITIONS Y\ M4ck q(f) Z — .1/ v4/1 C kfrvkr Zhal coif • 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 ..m....... ...6 1 b W V?) (642,11\tail (013t2 — THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12'7/2015 ; 0 El 7; o I 0MM - 01 � p, D D . H r r ‘..0 CO V CD VI -D. w NJ •-• (D N < , -0 W N H O $ $ i , , , I D 3 (0 2: N lQ a3. (o K O O -0 .-' 1-' to A N Cu N N O O O c 3 '^ vi v a upN 3' x x o o 01 o fD a a a (D N m z 0 o en m 3 3 4 4, Q o 2 v 03 c (Df9 c ,, ;I o o cu < n o 0 C0 p o v n 7 Q E O L7 a- (D (D (No (Nu -< •G a ,0. K a s co,N a c C n! N N M -0 v m a a a a 7 a, 0 "" v ccoo 0 T �O a (o C — (o n c- 3 a 0 Q c x D D cD m U) > > 0 (D a N Q- d o 3 O ' (D 'c v n c. fl_ .5 N+ 3 3 T T a a D a (l (�D '� a < _o < NJ O-' i'T Q' W Mil. N 3 (D O a s -, - -7 In-< -` W -'' 0 d HI O i -, . a (9 (D T O o W�G W , (c• .,+ O v a a 2 3 v -, O aNJ 0 ^ W ., m 3 3 cn W v o 3 2 0 a 2 (-7 o * C o B (D c c 'T r. Q i'n o 7 N D D a -, CD Q -n, a)ilita a Q ........... I N O O n -0S c c 7' ro 3 it W CD CD x co r N c ,,�� O co y N .! �♦ O A FF ♦ N O D Ps 9 ♦ , 0 w 0 'm o ► d ♦♦ �• (D NJ W W II © ' A p N»w o ♦ fx l ♦ f ♦ • I ♦ ir• ♦ ( ♦ El ♦ s ♦ , ♦ ♦ ti- ,• ,--•I i•i©POf 4 :- � mma OiWO.� •.... 0.4.44-, ,,, " •"♦ i ' 41927-33-00010 41927-32-00030 0 0 p \` 0 I f. m 7 Qj Site Environmenta pp Rove D3 n a — o n Map OCTN �5 " 0 0 co P. a, un�,rng,Q 0 0 o fi) CD s Parcel#41927-33-00010 1SONCOUN "E Nb S*ENIAL HE .TN oz o 41927 32 00030 I' A ,,, + II• _ ;" 4466 W State Route 108 fD CO�° — fl o °1 Shelton, WA 98584 a A 00 7 r tv N 'n co 0 r O ON lfl 3 oBi \ '^ o I ui sZ I LE5O-SERIES iiberiii, Sewage Ptr mw"; V A Family and Employee Owned Company 1/2 hp 2" Solids Handling • • 118 GPM at 10' TDH 25' Maximum Head Fea COATED • �.,.. '..- [ TOUGH •Heavy cast iron construction •Oil-filled,thermally protected motor •Permanently lubricated ball bearingsi. ... •2 Vane corrosion resistant engineered i _ 3 „ thermoplastic elastomer impeder t Year U)arra y •Alt stainless-steel fasteners and rotor shaft ; # j I 1 •Quick-connect 10'standard power cord allows replacement of cord in seconds i li 1 without breaking seals to motor. (25'length optional.35'and 50'bare lead `, 1 cords available.; • iii ._, . .,_...;--. Vertical float APPROVED tswitch models f available in 115V OCT 03 2025 i '\-= - MASON COUNTY ENVIRONMENTAL HEALTH RET TFED c Sus LE50-Series Impeller Shaft 2 Vane semi-open capable of passing a 2" Stainless spherical solid Hardware Paint Stainless Powder coat Mechanical Shaft Seal Max Fluid Temperature Carbon ceramic 104°F (40°C) Continuous duty 140°F (60°C) Intermittent Bearings Motor Upper wer ball bearings Submersible type,oil-filled,hermetically sealed, Float Switch (automatic models] thermally protected Wide-angle and vertical float switch available Power Cord Type SJTW, Quick-connect 10' standard length (25'cord option) Performance Curve SJOOW, bare lead 35'and 50'cords available 60 Hz, 1725 RPM Motor Housing Liters Per Minute 0 75.7 15L4 227.1 302.8 378.5 454.2 530.0 605.7 Class 25 cast iron 28 8.5 Volute 24 7.3 Casscast iron 20 6.1 c 16 - 4.9 f Dimensional Data q ? 12 3.7 i ili 42 lbs o~ 2.4 Major Width:115'(manual models) 4 12 0 0 20 40 60 80 100 120 140 160 US Gallons Per Minute All Models MODELS HP VOLTS PHASE AMPS DISCHARGE SIZE AUTOMATIC IMPELLER LE51M 1/2 115 1 12 2"FNPT No 2 Vane Semi-Open LE51A 1/2 115 _ 12 2" FNPT Wide-Angle Float Switch 2 Vane Semi-Open LE51AV 1/2 115 1 12 2"FNPT Vertical Float Switch 2 Vane Semi Open LE52M 1/2 208-230 1 6.8 2' FNPT No 2 Vane Semi Open LE52A 1/2 208-230 1 6.8 2"FNPT Vertical &ySEilaen 10'cora standard on above models. �� tt VV ��// For 25'cord options,add a'-2'suffix to model number.Example:LE51A-2 0 C T 03 2025 For 35'bare lead cords on manual models,add a'-3"suffix to model number.Example'LE51M-3 For 50'bare lead cords on manual models,add a•-5•suffix to model number.Example:LE51M- 1ASON COUNTY ENVIRONMENTAL HEALTH Spec,rca:ioru subject to change%%divotnot.ce. Libs.rty Pun ip. -/U0JApple Ii LA;Avenue-LeiyUn,HerrYotk1-1416 Copyright 0 Liberty Pumps.Inc.2021 Al!rights reserved.WT001500-R12/21 Phone 800-543-2550-Fax 585-494-1839-www.LibertyPumps.corn A/ 1SV)-3ad NVVia30V!' SIN 31dOS 699L-L89 (09E) )(kid 999L-L99 (09f.) :3NOHd 1-d 0001. '8 d 0001• N H a 170996`YM'ONfOaO 3111V9 L60E XO9 O'd Lu *1-S 000l S 000 6 A9 03.110 d ::i ona0es e.7oa.,>. LL/ELI9 31V4 ��NI JNI�l��NIJN� �� lLV'..\ Ito 1� ==r hT H y'.W�xc1.<Yg�� � a . $p 6 a; s _ � ,_ ° 4 gE� I Y r1 _� pza � ots� dc �' RN lriar ?3 .c 0 - \ i •_ `f try `� c6 r :V " j tlj y i) AE— i 0e4 t____ o.- _ 1 J I ) 5 f _ W z` `c< a • II� N i fg a�O._a ,n = gE irpn:e < S o aN � t�IYAi ou -18 0 15. OCT 0 3 2025 rg- 7_,,,, v e- n"Qog vs MASON COUNTY ENVIRONMENTAL HEALTH N g'4 RET o ° 4 gi N tl i 2! al cn G NO O Y'�:18 e' �`YO z �S d yJJy V i it ,,d, / e $. 5� °mod uS u f2 P PO 'tii 4. o[°t O v u u C 3 n si r c.. 2 coX en Q vD X z 19U . . X0De, 0 '�. 0 f' :ask: Ou _ p _ tf{ k „` a bpis . 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