Loading...
HomeMy WebLinkAboutSWG2025-00414 - SWG Application / Design - 10/20/2025 MASONCOUNTY 415 N 6TH STREET,SHELT967 WA 985400 84 SHSTREE ,SHE TON, ,EXT 584 irlin, 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: SWG2025-00414 OWNER ARWINE JOHN & NICOLE Phone: 206-355-3884 Address: 23439 SE 264TH ST MAPLE VALLEY, WA 98038 APPLICANT ARWINE JOHN & NICOLE Phone: 206-355-3884 Address: 23439 SE 264TH ST MAPLE VALLEY, WA 98038 SEPTIC INSTALLER AARON SHUMAKER* Phone: 360.509.1222 Address: PO BOX 3378 BELFAIR, WA 98528-3378 Site Address: 1460 NE TAHUYA BLACKSMITH RD Primary Parcel Number: 223305000150 Permit Description: New septic and pump tank for new SFR Permit Submitted Date: 10/15/2025 Permit Issued Date: 10/20/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/20/2028 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: Septic and Pump Tanks Surfacing Sewage? No Existing Failure? No Shoreline? Yes Horizontal Setbacks Met? No Number of Bedrooms: 2 Drinking Water Source: Private Well/Spring Additional Details: Roth septic and pump tank Permit Conditions: 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 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 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. ---- ------- OFF ICl/'-.-i;E ONLY MASON COUNTY DATE RECEIVED: I_ �5 _ COMMUNITY SERVICES AMOUNTRECE 3ECEIVLt>s W (n o m Publk Health Community Health/Environmental Health)I'TLYY (/��uj,6, V /� O �'�I ) 0- ....�_.�..r....._...,�.�� u Z (n ON-SITE SEWAGE TANK ONLY APPLICATION 3 A m 0 APPLICANT P 'NFF m Arwine John & Nicole 206 355 3884 z c ":AILING ADDRESS-STREET,CITY.STATE,ZIP CODE .. g 03 23439 SE 264th St Maple Valley Wa 98038 D EP,r9 it,j;ii .\1/7 7 m 23 SITE ADDRESS-STREET.CITY.ZIP CODE ' Jp r IN 1460 NE Tahuya Blacksmith Rd Tahuya 98588 .� OCT 15 2025 I INNAME OF DESIGNER PHONE L� l PHONE Ry I V NAME OF INSTALLER __ 1 0 Aaron Shumaker 360 509 1222 <(n I �JJ TYPE OF WORK(select one) DRINKING WATER SOURCE O ■ NEW CONSTRUCTION/UPGRADES ❑ REPAIR/REPLACEMENT t] PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I C COMPONENT(S)TO BE REPLACED/INSTALLED ❑ PUBLIC WATER SYSTEM 1 ® SEPTIC TANK ■PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I \11 ❑ OTHER 2 50.1'x193' CO OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE In 100FT+ �100FT+PUBLIC!COMMUNITY WELLS SUBMITTALS 5 I 0„■ 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS 13 PLOT PLAN(REQUIRED) ■TANK CROSS SECTION(REQUIRED) ■ 10FT+DRINKING WATER SUPPLY LINES I ■ PUMP DETAILS(IF APPLICABLE) ■ WAIVER(S)(IF APPLICABLE) ■ 5FT+PROPERTY!EASEMENT LINES,FOUNDATIONS,FOOTINGS � I � PLOT PLAN CHECKLIST 0 © PROPERTY LINES AND EASEMENTS ■ EXISTING/PROPOSED STRUCTURES ■EXISTING/PROPOSED OSS COMPONENTS AND LINES —I El WELLS WITHIN 100FT 0 WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING ■SURFACE WATERS,STREAMS,RIVERS,ETC... I �f] O DIRECTION OF SLOPE/CONTOURS ■ PERIMETER/CURTAIN DRAINS ■NORTH ARROW ❑SCALE BAR I DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) From Belfair turn onto state route 300 ,Rt on Belfair Tahuya Rd, Rt on Tahuya Blacksmith to rt on 1460 just past Haven lake rd I'',.Oi'ILY BELOW THIS LI — ` .... UPGRADE!FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING!�BUILDING PERMIT ❑HOME SALE ['COMPLAINT 0 OTHER: COMMENTS/CONDITIONS ✓ 45,,,e, ,(4,,,--u e kivv\i, trAnv,---S SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS". TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS AND UDS 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 -.....---------' t 0 (.? ) i'V 4b Q:t-WKJ9S0 at I 0 12-942,1 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 NF Ti Ni A kivy b1/4,444l f '"4 &Ai< / / \ lye So+ APPROVED d OCT 2 0 2025 el La MASON COUNTY ENVIRONMENTAL HEALTH RET AptAitNE ak\t„ c wcaL6- 280-SERIES J.jbePumps Cast Iron Submersible Sump/Effluent Pump AFamilyand EmployeeOwnedCompany 1/2 hp 1-1/2" Dischargeli 3/4" Solids Handling Quick-connect Power Cord it Features • Liberty Pumps unique, one-piece ' '£ `. 'Uni-Body"casting • Quick-connect 10'standard �'a power cord allows replacement of '� One-Piece Cast cord in seconds without breaking I Motor Housing 'i seals to motor (other lengths available) • Permanently lubricated upper _ • and lower bearings • Oil-filled, hermetically sealed motor 1"tictA,,ti with thermal overload protection hhorlel* • Stainless-steel removable bottom screen - • Stainless-steel rotor shaft .,,10. II POWDER �. `"`---r- �__ :; COATED • Stainless-steel fasteners TOUGH' 115V Models N.\\ :;, ,.�; pS 280 Manual 281 Wide-Angle Float Switch with Quick-connect 283 Wide-Angle Float Switch, Series Plug 287 Vertical Magnetic Float(VMF) Switch for heavy-duty sump pump applications Model 2833:: 208-230V Models Year-Warranty 280HV Manual v 281HV Wide-Angle Float Switch with Quick-cor)(ie�P R O1:1283HV Wide-Angle Float Switch, Series Plug AAvailable with 287HV Vertical Magnetic Float(VMF) Switch OCT 20 202 Vertical Magnetic Wide-angle float switches are mercury-free" - Float Switch mechanically activated. MASON COUNTY ENVIRONM; RET [ CERTIFIED ] C S .L us 111111111111111111111 280-Series Impeller Bearings Vortex engineered polymer Upper wer ball bearings Paint Minimum Sump Diameters Powder coat Models 281, 283 14- Model 287 10- Max Fluid Temperature FACTORY SWITCH MODELS MODEL 140°F (60°C) Intermittent SETTINGS 281&283 287 104°F (40°C) Continuous duty Turn on level 13" 9.5" Turn off level 7' 4' Motor Specifications The Model 283 features a fully adjustable wide-angle float switch.Differential j 1/2 hp8A(115V)4A(208/230V) adjustments can be made easily by tethering the float switch to the discharge pipe or other mountng point.Vertical float switch Model 287 is not adjustable. Oil-Filled;Thermally Protected I. (PSC) Permanent Split Capacitor Cord Lengths Power Cord Type MODEL 10' 25'(-2) 35'(-3) 50'(-5) SJTW (10'and 15' models) 280 Standard Optional Optional Optional SJTOOW (35'and 50' models) 281 Standard Optional Optional Optional 283 Standard Optional Optional N/A Motor Housing 287 Standard Optional N/A N/A 10'cord length standard on all models.For optional lengths,add'-2,-3 Class 25 cast iron or-5'suffix to model number. Example:for model 280 with 35'cord.order 280-3 Dimensional Data Performance Curve Weight:29 lbs 60 Hz. 3450 RPM Height:13- titers Per Minute Major Width:10'(Model 287) 400 18.9 37.9 5623 75.7 94.6 113.6 1323151.4 1703 1893 2082 227.1246.1265.022 !u■■■■■■■■■■■■■■■■■■■■■■■■■■ 3s ■\Zn■■■■■■■■■■■■■■■■■■■■■■■ „.7 Shaft ■■■h..■■■■■■■■■■■■■■■■■■■■■■ 3o ■■■■■I1:•■■■■■■■■■■■■■■■■■■■■ 9.1 ■■■■■■■■:•■■■■■■■■■■■■■■■■■■ Stainless A P P ROVE itilillnillni:NIIII �■���MO 7.6 Hardware = 20 iii■iiiiii ontzissom uuui 6.1 OCT 2 0 2025 1 i3 ■■■■■■■■■■■■■■■ii►•■■■■■■■■■ 4.6 .■■■■■■■■■■■■■■■■■■..■■■■■■■ ° Stainless MASON COUNTY ENVIRONMENTAL. IallIMMIMMEMENEMMZIONIMMO 30 ~ ■iliU■■■■■■■■■■■■■■■Iln■.�■■■■ RET s ■■■■■■■■■■■■■■■■■■■U■■I'U■■ i.s Mechanical Shaft Seal ■■■■■■■■■■■■■■■■■■■n■■■■.I■ 0 ■■■■■■■■■■■■■■■■■■■N■■■■■►N0 Unitized ceramic carbon 0 5 10 is 20 S 30 35 40 45 50 55 60 65 70 Us Gallons Per Minute Effluent Models Sump Models J NOD I i Model 280 -/ Model �,�� Model 283 Model 287 u �— Manual, .I ` Wide-angle n I Wide-angle -�— VMF-Series I no float switch `I117,,, float switch (T_ float switch Vertical magnetic � with Quick- •Aill' Iwithseries float switch for connect (piggyback) U' �1 smaller pits-will 1r plug "'.` f operate in a 10' 11 �. I1 �, �1 w diameter sump Specifications subjecttochangewimoutnotice. Liberty Pumps-7000 Apple Tree Avenue-Bergen,New York 14416 Copyright®Liberty Pumps.Inc.2020 All rights reserved.LLIT002000-R01120 Phone 800-543-2550-Fax 585-494-1839-LibertyPumps.com HD Fowler Company Submittal - RTRMT12502P 82650 5t1Q �-,C. -t. ` ' ", ) C ,, I I t ' 1 . 'erg. I ,,�' Rci 'I+i t. % ' ,' , L -' �' / U LT I TA N `. r is 1' '.I . ' ~ ' . n _ �� l Not all tanks are created r_ . I , I ,�I n J. �' , equal. Roth's revolutionary Il- - 4::._., ; process changes everything. � I: , i I• — State-of-the-art computer controlled multi-layer blow molding process produces perfect parts. Repeatable process, repeatable field *—:— performance you can trust. —'1 I 1 1 I;�. ' Our tanks are manufactured " ' • , �- �- by a unique and proprietary �.,:. , , I I blow-molding process II , l : I I ;I,i _%' resulting in the most • structurally sound polyethylene tank on the market. ====i— APPROVED =�'. — a OCT 20 202 After decades of -- conventional technology, �' M1�S0 COUNTY E �, .,`'," � `� 't�fi�l�Hyears of "I. iT-_ ---- i blc €Tnolding experience to i the North American market. i'''', yij 410 Jr ,-11 '' .;r ,► .' 1.. , s i;, �. v V '' +- 4 d r ,. 44 , i_ s• s Roth MultiTan I ProductSpecifications, i ♦ ''r ` i TANK TANK TANK y )07014 HEIGHT WIDTH LENGTH WEIGHT • 4.".; 110. e CAPACITY CAPACITY CAPACITYif �;"�e ''i MODEL Inches Inches Inches Pounds (gat/litre) (gal/litre) (gal/litre) ; ; '1 (mm) (mm) (kilogram) 1 Tank 2 Tanks 3 Tanks 4•10 t. ( 40 't y 0 r RMT-500 51(1295) 62(1575) 60(1524) 225(102) 535/2025 1070/4050 1605/6075 +• ,-4; ,` ',I, RMT-750 51(1295) 62(1575) 103(2616) 360(163) 1000/3785 2000/7570 3000/11356 - . I- • %'w, . �' Nit R1T-1000E 51 (1295) 62(1575) 118(2997) 450(204) 1147/4394 2294/8683 3441/13025 ' i ' •, RMT-1060 51(1295) 62(1575) 133(3378) 520(236) 1337/5061 2674/10122 4011/15183 Illi0 • ° j 51 (1295) 62 (15)'51 148(3759) 560(25,0 146')`55h0 2928;11121 4407,'ltSbc.' • ._17' + ti ' .• 40 ' " 51(1295) 62(1575) 177(4496) 640(291) 1771/6703 3542/13407 5313/20111 1 .... tb ",l•u : . * •,' y 4 4 ilQ 'alllas'Irls'. i 9. xli .` ..Sytatysg,..nti 11.:: . %7." ; .+y ••_ `4 . �• .4 •J ,� ow;;Acw:Rd'*,Mil itit arrk. otfi, 866-.ST�!3-�'2 4, +•. 4 4 II• 1 ,+ •; HD Fowler Company Submittal - RTRMT12502P 82650 r'C +" l''`c- -y � o y _ _ - o D Z - Z - x .. cn z (,) •• D m • 7 n m n :5 ' n 1 _, ° T CO �A+ m yro i < n � m � � z � D -0r -� r , ZN tin D 4.25"TYp z (n0j 55ZD O A D O - - r D Q v C D r :2; z r � • 0 De'T`\''. m -1r ZA ril � : 1 1 ` fTl 3 g g 2, 5 .... 2 , . i 73 Q ;L- --_ D) {cL=__ -g" w rn r 3 = 7) (cc =—-- r 30 HEIGHT=51" _ 2 =-- 7) r(C =- u v. FX . ._ 9 _ 1 a ..:_:"._;.,......_ „... .......„...... . - -' -.:,,._ __ ,,:‘ ' rn -1 o7 . 1_(- . 2- s ii<:-..--_ __ - - - a z _, 7 _--,..:1 I 1 U Q) [1 ca lL / \ SJ _ I1111 j ` ' '- /'1 f � L'� H =62' 0 m OCT 202025 II MASON COUNTY ENVIRONMENTAL HEALTH RET HD Fowler Company Submittal - RTRMT12502P 82650 - 0 r c HEIGHT=51" - r 43" — m - ' G z N < Z 71 N � o O Ry 3„ z O ,r m a = o .____ _ _ ._... ___.-1) � MII IV i- 'CZ I -- ./) -, J n r z IP 73 -ncn -flp ThIr. �., xi _ _L_.- F —1 RI o mom > � rn � m r 3 i IN 55o0 -1z oIc 000 m - rnmnpD n . zgZr DI� n0D Z �— — - cOn � Ocp IL rnm , II N o Z— _ ; N - I D I I - IIIGj - O D 1 _ ---.N\ !IAll r- I o m m �___ z v I_ I v z D / .� ... \ iI o Z I _ D O m 7a E "A. PROVED o - r 40" I HEIGHT=51" _- Z - OCT 2 0 2025Z MA3C14 Chun i I tnvirKUtiMEN IAL HEAL1 H RET • f Y r= I, 0 29 = H101M — _ I— LZ SI - C) ill. ` / (0 C) - - .- i-T,' .C.._-_-_-_- -- -_- --_-_ _1.. 0 : . ,_ r..-. Lii -- .--: /*''''=-. ''' '.' --- . ...-t! -= _ . 7......"-=_- tt:-,y coN- - _-=7:-.1 . Et 1 0 col ( f'-- oth _- er_-. Os_ _- - _--- - = 0 � u M 0 0 ; ----— cCc----1-_: 1 . -))) LL — _ Z „L9 =1HO13H J co IC E. - - (29 ja-____:\(------ _ .-7-,.;-%.**T-r., C a f 4z � O < fl 0 3i LT, 7 — — a I/• w `: fV „at: O 0 z / UJ _ LL: O IL � w o U � 0 cf. L1 .... f O J J � Q I- U J Q -� U Q Z IX U O (n C� o U •dAl.,9Z'b V) _i U) O U '-' Cl)0Z Z Q Z 0 Ni J Z2a w ,uz ° a HEi O O J L' 01- WOW= Va - 0 O r- S � � _ � I— c0NN H '— g c.1 0 } g2 N o APPROVED L Q .- OCT 202025 a o MASON COUNTY ENVIRONMENTAL HEALTH co z - - RFT Z w o o - _ 4 oCDo ,I 0S9Z8 609061W21121 - Iewwgns Auedwoa JOIMOJ aH \tV•%"/ "EtVi 0 0 7. . cc 0 c 1... - I- > V ^ � z a _ w 0 ILI x J g O LLI 8 i_ .. _- --____ cn Ul I Y -- —t _ _ ¢ z o Y _ w w • 0 a F- �. Qcn It I �� ` ---- -•i i (, WON °III I Ili H , -- . ' 1 • r.. _ - iww J 0 Ilm II w� < WC,- Z IT 5' � Z rr Qv J Z Q±-- I T� O O ww I r Zd 7 0 EiJ Oi_ JO , _,_ z -r bWQ- LLI CC WU l % QWO Z CC g gC v--- O 0- CO W ' W �' v0 Q GIII • z ccw I 1. [(.:_ - ! nimn. p J11IZ1+ C`{ I1J z z - - 0 „CV J 0 .1•9=1HJI3H _ I.11 0 APPROVED o_ OCT 2 0 2025 D MASON COUNTY ENVIRONMENTAL HEALTH C - RET _ .l o - - - 099Z8 609011W21121 - lewwgnS Auedwo3 JeIMOI aH 4- pr,A.A.,p 4-",,,A. iN V O � V U v/ ! 4 _ 2 � Ja z ' � W Fin i 2O � _ OS ` O = - _ _ W o Z o sa CO — &---- o __ - 0 TL) U I n 0 o a, 1 ` _ � j � N it A (7 Qc• cin Cl- mo : : o/ U co C 7 -0 c . co pip 2\-fA\ m X • C• �IJ r- Io Q co od >, 8 U CC L `` N C U w 3 X IC 2O `I \ CZ - - j c. 'd LL a co cr 2Q Z `I , &rr CD CT �illpy--. CD `� o CI H 0 � � � w w �� - cy) CD N c�W D2 a2i ' O 0 a c c _• ix a5 3 lc CC G � � oZ oa = Q,� ui C � CD N co G � y � o � � N cNQ - , •� mo � � �_ � � a) c�o0 = Ex3cN7 ' Z ° izzaix wQ D I- o Q i. 5 - - c � > U72 O 5a o = a) ,- cmc'a c NJ � a J � w ' cFc J Af cc - W 0J - Y n .c A U OO QQ 24 � ? � > � - c U co co o � Eo c IQ iV0a. )- N o •- u, o !� a) _ ct•C c c oa p42 � V co U- o 2}, N U -c 2 2 O,w E C N - 4) a> Q C ix c W > O U O O (o = v a Q 0 .0 • 0) p •in 3 3 c o Juno O CA APPROVED W ca ° m •c� c _ c 8 o cc .c ~ � .. 076 C io 12. IL n E ano L gC (I OCT 202025 z � YmY � � L � �"� MASON COUNTY ENVIRONMENTAL HALT x 2 Fr Q - •` z- i . . NIC?) f) cpf� C7 Q) � , - I 059Z8 609061W21121 - lel}iwgnS i uedwoa nimoj aH