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Home My WebLink AboutSWG2025-00447 - SWG Application / Design - 11/25/2025 415 N 6TH STREET,SHELTON,WA 98584 A ': MASON COUNTY SHELTON:360-275-4467,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2025-00447 BRACKEN REVOCABLE TRUST Phone: APPLICANT CHARLES FRANCIS Address: CHARLES FRANCIS BRACKEN TRUSTEE GRAPEVIEW, WA 98546 SEPTIC INSTALLER Schoening Excavating LLC Phone: 3607422982 Address: 121 W Grizdale Dr Shelton, WA 98584 SEPTIC BRAYDEN SCHOENING* Phone: 360-742-2982 Address:INSTALLER 121 W GRIZDALE DRIVE SHELTON,WA 98584 Site Address: 161 E ORCHARD BEACH RD Primary Parcel Number: 221224300020 Permit Description: Replace septic tank Permit Submitted Date: 11/17/2025 Permit Issued Date: 11/25/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 11/25/2026 (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: IM-1250 gallon Permit Conditions: 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 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. 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 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 CONDITIONSSHAVE CHANGED SINCE THE SITE WAS INSPECTED AND/OR DESIGN VED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywe extension 400nvironnsiteloss-inspection-request.php or call: 360-427-9670, OFFICIAL USE ONLY DATE RECEIVEQ , I I aoa MASON COUNTY COMMUNITY SERVICES AMOUNT•, 1+°, ofy Pubic Health(Community Health/Environmental Health) 360-427-9670,act 400 or 360-2754467,ext.400 I� 415I<bah Sueet-Steiton.WA 95584 S W G ao d 5 - oo`1147 0 xi 0 z di ON-SITE SEWAGE TANK ONLY APPLICATION 3 m APPLICANT PHONE rn 1- BRACKEN REVOCABLE TRUST z MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE4le SpeCS8690 NW Holly Rd - Bremerton, Wa, 98312 nf'S ea SITE ADDRESS-STREET.CITY.ZIP CODE N O '.0� 1� 161 E Orchard Beach Rd Grapview, Wa, 98546 y NAME OF DESIGNER PHONE ®y 02S ` Not Required •�4/ l / nv NAME OF INSTALLER PHONE 0 I--- Schoening Excavating LLC 3607422982 < TYPE OF WORK(select one) DRINKING WATER SOURCE N IN 0 NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT • PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z Its COMPONENT(S)TO BE REPLACED/INSTALLED X PUBLIC WATER SYSTEM , B SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE ! I- f P. ❑OTHER UAL 5 W ) �` OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r IW O I ❑SURFACING SEWAGE I!EXISTING FAILURE 0 SHORELINE I 100FT+PUBLIC/COMMUNITY WELLS n • Q SUBMITTALS • SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS ® PLOT PLAN(REQUIRED) B TANK CROSS SECTION(REQUIRED) • 10FT+DRINKING WATER SUPPLY LINES Ia 0 PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) I 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST O lc O PROPERTY LINES AND EASEMENTS II EXISTING/PROPOSED STRUCTURES IN EXISTING/PROPOSED OSS COMPONENTS AND LINES , ❑ WELLS WITHIN 100FT I WATER SUPPLY LINES I DRIVEWAYS/PARKING ❑SURFACE WATERS,STREAMS,RIVERS,ETC... I[1/4"{ III DIRECTION OF SLOPE!CONTOURS ❑ PERIMETER/CURTAIN DRAINS ®NORTH ARROW a SCALE BAR le DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) OFFICIAL USE ONLY BELOW THIS LINE UPGRADE!FAILURE SOURCE(tor reporting purposes) 0 VOLUNTARY 0 MAINTENANCF/PUMPING 0 BUILDING PERMIT ❑I-IOME SALE ❑COMPLAINT.,`0OTHER CONK ENTS/CONDITIONS (ONY-s+Ck_ . 4)( C O1` ca fi`� S _ 1,r la'', (2-e,..4A al.e, 4,,k_x_ 460,1 v__ _ M _f4 q,t)-() -1-01 n t. SEWAGE TANKS MUST BE LISTED UNDER DOH liST OF REGISTERED SEWAGE TANKS".TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS.EQUIPPED WITH RISERS AND LDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE AFPLICA'1ON APPROVED/ISSUED BY DATE k 7gI -tvi Ilt(2 12s THUS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1217/2015 Purcell 411122-- 42,-QOM N or-' 5 cafe d-"- 100' 042'*/ r i 1 APPROVES 280' Qe, ps ,,A;i- NO V 2 5 2025 i MASON CQUNEhVIRONMENTAL HEALTH 1 MSS REt 0 0 2ba, l o 0 g�0 , ` i� ;V S0 / 1 0 0 i;;CO ' ,....„4,,c, J//1 V - ' -.. \'/P/- 1. Exis4-+n9 4rw k-or, .et,o,r►"V3St,ohe.\ (i . Qie,c..c\— — 1.. N c r4 I N\ It 5t.4 nt,)A- V-6 ei% VGA 7,. Wtlt i Woke,' line TANK PUMPING REPORT Site Name: t_ncaua^: 161 E ORCHARD BEACH RD Service Company: Grapeview AAA Septic LLC Tax ID: 221224300020 PO Box 1460 Use: Shelton,WA 98584 360-427-6110 Serviced:11/03/2025 by:Thomas Martinez Submitted 11/04/2025 by:Alisha Wulf Jurisdiction ID:221224300020 Doing Location:Bio-Recycling COMMENTS Tank had low levels at arrival,tank is cracked and leaking.Referring to installer.Tried to camera and inspect drain field but unable to due to a collapsed transport line just outside of the tank outlet. ANK:Septic Tank-2 Compartment Tank Pumped: 1 NO — Tank Size(Gallons)(Number only,no text): NO000 Deficient Effluent level within operational limits(if NO explain in comments):Total Gallons pumped from tank(Number only,no text): 0 0 I Effluent returning back into tank after pumping: NiA Tank depth below grade(inches):Access Risers installed to grade(N/A if not present): NO CoNOete _ Tank Construction Material: NO r Deficient Tank Condition Good: YES Baffles in good condition(N/A if not present): S Effluent screen cleaned(N/A if not present): NO N/A Effluent surfacing around site components(N/A if not checked): Tank abandoned after pumping: NO Were repairs made to the Tank or Tank Components?(if YES explain in comments): Compartment 1 Scum accumulation(Inches,if other specify): Compartment 1 Sludge accumulation(Inches,if other specify): Compartment 2 Scum accumulation(Inches,if other specify): Compartment 2 Sludge accumulation(Inches,if other specify): This report indicates certain charactenstics of the onsde sewage system al the time of visa.In no way is this report a guarantee of operation or future performance. Page 1 of 1 ReportiD:843987 View pump reports online at w .v.onlinerme.com � t"" f�SO V ED I M -Tanks :'.- NOV 2025 1 M-1250 MASON COUNTY ENVIRONMENTAL HEA RET 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 Silk be fa SilkStrong injection molded Lightweight con- heavy-duty t Structurally polyproplene construc- strucoand 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 ilie Silk Silk Se Reinforced a structural ral Can b152 to 1,2 9 mmnstalled with)ofo Suitable for use as tank, pump tank, or rain- qui ements are necessary bulkheads re- ribbing and fiberglass 48 ( water(non-potable)tank The tank may be backfilled bulkheads offer additional cover with suitable native soil. strength TANK CUTAWAY partition baffle wall I Infiltrator EZsnap Riser System HEAVY DUTY LID CUTAWAY Reinforced 24"structural access port I I I• P�, Structural bulkheads \ : `, MID-SEAM Infiltrator `�` CUTAWAY • Water Technologies Reinforced part of/, water ADS tight i . infiltratorwater.corn.(800)221-4436 IM-1250 General Specifications and Illustrations LIFTIN STRAP(rYP.) rLIFTING LUG(TYP.) RISER CONNECTION(MT.) The IM-1250 is an injection molded two-piece mid- seam polypropylene tank.The injection molded ,r �; ,, y design of thelM-1250 allows for a mid-seam joint that �1�-t•I i lli 111ll I Il� '�I'' has precise dimensions for accepting an engineered �i >!!(I`'�`_ '"'1r ' 615'67] EPDMgasket.The engineered mid-seam joint accepts r,_ --' IL ;`'`. EXTERIOR �, ,t�`; a continuous loop EPDM gasket. Infiltrator's EPDM fi., I.1 ill 1 Irv*,, gasket design utilizes technology and materials from „ „ the sanitary sewer pipe industry to deliver a reliable 152.3[3,8681 watertight seal. The two-piece design is permanently EXTERIOR LENGTH fastened using a system of molded-in alignment dowels and locking OUTLET PIPE Must be backfilled and (TYR) ji(tiIIiiiIi\ CI installed in accordance` with the Infiltrator IM- and CM-Series Septic Tank (1,13871EXTERIOR General =Y H IGHT •; .u •• SEAM CLIP I I•I'ti• • •q Installation Instructions. (n'�')CI /J a�' ,Q, For shallow ground water LIFTING STRAP ��, A ,� ' conditions reference the (TYR) Infiltrator IM-and CM-Series SCAN ME Tank Buoyancy Control Guidance. mile 01 Please visit www.infiltratorVvater.com or scan QR � 10in-I�(OG INGLID(2j�T 04[102j 10.0(2541 FREEBOARD PVC OR ABS code for the latest information. - 0OUTLET 4(102TEE mil-li Q� • 0.2(5]WALL IM 1250 °� THICKNESS 1 278 GAL(4,839 L) J PER CODE f .0 PER CODE r Working Capacity4 4�4 Uq.0 241 X 2 51 DEPTH Total Capacity 1,480 GAL(5,602 L) SUPPORT (TYR) Airspace 16.30% — --- r.. -�r� 2,.." •, Length 154" (3,911 mm) Width 61.7" (1,567 mm) Length-to-Width Ratio 2.8:1 % CONTINUOUS ELASTOMERIC TOP ELASTOMERIC Height 54.6' (1,387 mm) HALF GASKET Liq uid Level 44"(1,118 mm) ��/. —SEAM CLIP Invert Drop 3"(76 mm)4 4 (12) Fiberglass Supports INTEGRAL ALIGNMENT Compartments 1 or 2 DOWEL --' TANK BOTTOM HALF Maximum Burial Depth 48"(1,219 mm) Minimum Burial Depth 6"(152 mm) Maximum Pipe Diameter 4"(102 mm) milimilmprimilm Weight 405 lbs(184 kg) NOV 25 2025 MASON COUNTY ENVIRONMENTAL HEA RET Contact Infiltrator's Technical Services Department for assistance at infiltrator 1-800-221-4436 or info@infiltratorwater.com Part of//S 1.125 0615