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HomeMy WebLinkAboutSWG2025-00023 CANCELED - SWG Application / Design - 1/22/2024 OFFICIAL USE ONLY DATE RECEIVED: • r�'� i� , MASON COUNTY 1 cn .II. COMMUNITY SERVICES AMOUyir!{�CE EDs-_ RECEIVED 4 W (/J4 p m � r� Public Health(Community Health/Environmental Health) C ca 360-427-9670,ext.400 or 360-275-4467,ext.400 • ,l^` /� 415 N.6th Street-Shelton,WA 98584 S W G , l , J _ D OD O3 O 2 Z N ON-SITE SEWAGE TANK ONLY APPLICATION x. m APPLICANT PHONE rn le Co,�RA0 3(,© • saors6,7 Z C MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE i 3 1?\1 q to ' Poet,k)0 K _._ -)14A-rie ct lux_ / tOlt- t qk55/ al xl SITE ADDRESS-STREET,CITY,ZIP COD 0031 G-Uf 1O H � , /-1 -,,,,,o , 13-DA. .'1 11-3 NAME OF DESIGNER 1 PHONE NAME OF INSTALLER PHONE IQ (4)t-I0 j q LJ - 26.7 4 ? (073 J—'-i N 4.5 TYPE OF WORK(select one) DRINKING WATER SOURCE 01 NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL AA PRIVATE V TWO-PARTY,,�(( WELL z I J COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM AACA(Sif. IN P-r' )(U , ❑ SEPTIC TANK 0 PUMP TAB/( 0 RV HOLDING TANK BEDROOMS LOT SIZE I I� OTHER &EIc(WpNk C i/t met-:0 -)O g'uvept�W(4 cfmo< O Y W OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r o , ❑ SURFACING SEWAGE 0 EXISTING FAILURE SHORELINE 6 100FT+PUBLIC/COMMUNITY WELLS 0 SUBMITTALS 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS 9.PLOT PLAN(REQUIRED) Irh-TANK CROSS SECTION(REQUIRED) 10FT+DRINKING WATER SUPPLY LINES I� ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) g 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST Q \_) ❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRU 0 EXISTING/PROPOSED OSS C PONENTS AND LINES -I ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEW ARKING 0 SURFACE WATERS,STREAMS,RI ERS,ETC... - ❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CU N DRAINS 0 NORTH ARROW 0 SCALE BAR I DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) �J OCIA) J 2L 2024 OFFICIAL USE ONLY BELO IS LINE UPGRADE/FAILURE SOURCE(for re rting purposes) Ip_VOLUNTARY IkMAINTENA CE/PUMPING ABUILDING PERMI HOME SALE ['COMPLAINT 0 OTHER: COMMENTS/CONDITIONS SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS". TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED W1TH 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 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 R - • MASON COUNTY HEALTH DEPARTMENT • . 428 WEST BIRCH STREET " SHELTON, WASHINGTON 98584 PHONE (206) 426-5561 ,R�ECO/RD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM �1 OWNE A/4,CO !' . Lo/v ADDRESS 7 7 7,- - ,7c L-"dbCE'� /$Re THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. LEGAL �C� A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER DESCRIPTION 7r- / Z C.J 3 9 /14 WITH PROPER MAINTENANCE AND CAREFUL USE OF WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- i .,4494 VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS .c `S/ 1j1 cc�, ,r AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE 2 FIELD X LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR ,NO. SIZE FAULTY FIXTURES. DEPTH TO /0 7` MONTH THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE,Ar��.,,OF YEAR /0/7TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALL , �/ FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND /LEER A- < '‘ x THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK (5) 000 ` p Seem L.- ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET 7 LENGTH / ,e7 CARRYING OVER INTO THE DRAINFIELD. CALL THE MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA / L SQ. FT. LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE ' ❑ CORRUGATED RIGID ❑ CEMENT RECORD WHEN HE COMES. (DEPTH IV/2 ROCK / /3 Y BELOW H ` TOTAL HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU. YDS. /� d "'' PIPE / z DEPTH DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVE FOR RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: 'uJ SQ. FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING ,q,,,� � ARE LATER CONTEMPLATED. R SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO itinN �Rn ,, THE SEPTIC TANK AS THEY WOULD INTERFERE WITH Sy� /c / CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE .1i j 6601-- DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. Mb„ rt I" �,�p THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE I I 7 V SUCH THAT SURFACE WATER IS NOT POCKETED ON THE C^1Hr / sv .. ''— , DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE i'�M it r- ' TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- � :�` CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. i A WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT „,r facw"i �� EQUAL TO ONE HALF INCH OF RAIN PER DAY. FOOTING DRAINAGE, DOWNSPOUTS AND WATER SOFTENER RECHARGE WATER SHOULD NOT BE CON- �� NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE ` DRAINFIELD AREA. THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD `� YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK oti- HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE 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- WO fi POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW SOUTH + DOWN THE OPERATION OF THE SEPTIC TANK. /- 2c-c6-3 V.,----. THIS IS AN IMPORTANT DOCUMENT DATE VED Y KEEP.IT WITH PEEP OR OTHER ., :("4/ .2 l- ��F 3 '"ESSENTIAL PAPERS. ' `bite / ' aRT D BY O Printed tom 'stia soC' ,.... i y Mason• County Health Deprt,rnent MEDICAL-NURSING SECTION John V. Butler, M. D. ENVIRONMENTAL HEALTH SECTION 1 10 West"K"Street Count'Health OfFcer 303 N. '4th. Shelton,Woshington 98584 Phone426-4407 May 24, 1982 Shelton,Woshington 98584 Phone 42Q5561 I CERTIFIED • 1 • Mr. Leonard Long 323 - 75th. Street SE #C-46 Everett, Wa. 9,8204 Re: Sewage discharged to ground surface Tract 12 & 639AA Arcadia Dear Mr. Long: It thas been 30 days since you received our letter telling you, that you are in violation of Article VII, Section 10.1 of the Mason County Sanitary Code.for discharge of raw sewage to the ground-surface. Our letter of April 6th, 1982, requested that you correct this discharge of sewage within 30 days. A further investigation reveals that this has not been completed within the 30 day period. We did receive your letter of April 15, 1982, stating that F. A. Hughes Construction Company would obtain the appropriate applications for the per- mits and make the necessary repairs. Since your letter, this office has not received the applications for repair from Mr. Hughes or any one else. At this time, Mr. Hughes is not a licensed sewage contractor in Mason County .and cannot perform the work. He may obtain the permits for you but cannot do any work'until he is licensed. You are now requested to correct this situation within 14 days of receipt of this letter. Failure to correct with- in that time period, will result in the matter being turned over to the County Prosecutor's Office. You may make the correction by: • 1) Installing or plumbing into an approved sewage disposal system. 2) Vacating the premises. 3) You may appeal this decision. A letter sent to this office outlining the grounds for appeal is necessary. Only the Board of Health may grant an appeal. All appeals must be made within 14 days of this decision. If you -have any questions, please call me at 426-5561. Sincerely, John Bu'I er, M. :. Co ty th Of cer � , R. . Environmental Heal h Specialist RH:vl F °o rv't }M G ,, a ,: w ~t t le ,6r}u ilyEmployer t Mason County DMS �'"fl(}��E.f�:' from �t,::x� «p•7$...�4!_f�a:U x.,a�a��.ti r2.Ic•0- 56 ac:. © IZ liberty f Pro3äO1 :Y : effesr Disch r Simple �� Sewage Package g x 4 .a ,.. _ 1 Large 41 gallon capacity for longer pump cycles Shallow 24"basin for easier ,� burial in difficult soil conditions Durable polyethylene basin , Anti-flotation collar i , . Molded torque stops securely retain pump " Integrally molded handles Heavy-duty polyethylene cover Completely assembled from fac cry'ItW Available with and F---ihj 3 LE50-S s pumps Union disconne0tf.or-e'�y serviceability Heavy schedule 80 PVC discharge pipe (Year Warranty, (schedule 40 tee, union and elbow) \,/ 2" Electrical conduit hub 4"No-hub type inlet Stainless steel cover bolts -44 F ,f A. J n' 1 '1 • Final Backfill Install the remaining discharge line. In vertical discharge applications,a union should be installed just above the cover to _arge rocks,clods,and foreign objects should be kept out of the facilitate pump removal if necessary(side discharge applications Dackfill material.Only fine, 1/4"to 3/4" pea gravel,or 1/8"to 1/2" are equipped with an in-basin union). washed,crushed stone is recommended. Do not use sand or For both vertical and side discharge systems,a check valve is iative soil as backfill. Mound the backfill slightly and allow for required after the union to prevent the backflow of liquid after iatural settling.Provide access to the basin cover for maintenance each pumping cycle.A gate or ball valve should follow the check and service. valve to allow periodic cleaning of the check valve or removal of NOTICE the pump.The remainder of the discharge line should be as short • Do not exert heavy pressure or run heavy equipment on the as possible with a minimum number of turns,to minimize friction backfill material as this could cause the tank to collapse. head loss.Larger pipe sizes may be required to eliminate friction head loss over long runs.Contact Liberty Pumps or other qualified person if there are questions regarding proper pipe size and flow Installation rates. Figure 9 shows a typical installation.Variations may apply to actual installation. AWARNING /?\ RISK OF ELECTRIC SHOCK • All installation and maintenance of pumps, controls, Alarm °• Vent protection devices,and general wiring shall be done by r°ptton°u qualified personnel. r` < Union Check Valve Ball Valve • All electrical and safety practices shall be in accordance with the National Electrical Code®,the Occupational Safety and Health Administration, or applicable local codes and , ordinances. Discharge ° NOTICE ° O l __ 0O °o ° o l O • 700-Series are not suitable for outdoor applications. o , o li II • Pro370 and vertical discharge systems Pro380 and ProVore I\ 111111- r an Access Riser for outdoor use. tl v.� I Use No-hub Style 380-Series systems require r _ Consult Liberty Pumps for ordering information. tt1) ! ' I I Connector 4"Inlet Pipe r „ r • Unless specifically noted,covers are not traffic rated. 1���■ �I��` P Y • Do not increase 702/PRG system discharge pipe size above 2" as adequate flow rates may not be achieved for proper Figure 9. Typical Indoor Installation(Pro380-Series shown) operation.Contact Liberty Pumps with questions regarding proper pipe sizes and flow rates. Vent Electrical Connections For both side and vertical discharge systems,the vent size must be With main power disconnected, complete pump and control in accordance with applicable codes,but not less than the wiring connections per manufacturer's wiring diagrams included discharge size. with the control panel as applicable.All wires should be checked On vertical discharge models,a threaded 2"or 3"connection is for unintentional grounds after the connections are made. provided on top of the cover.The vent must be piped to the Discharge existing building vent,or extended outside on its own standpipe. On side discharge models,venting is accomplished through the • ProVore grinder systems including ProVore700-Series: inlet.See Figure 10 for Pro380-SD venting example through the discharge size can be reduced to 1-1/4". inlet pipe as an alternative solution. • Pro-Series,ProVore-Series and 700-Series non-grinder Pro-Series systems shipped with steel pipe option have a rubber systems:discharge size must not be smaller than 2". grommet seal on the discharge instead of female NPT Using an adapter,connect the discharge pipe to the threaded 2" connections. or 3" port provided on the cover(or the 2" PVC nipple used on side discharge models). In some applications,it may be necessary to increase the pipe size to reduce friction losses.Contact Liberty Pumps with questions regarding proper pipe sizes and flow rates. 7225000J Copyright®Liberty Pumps,Inc.2020 All rights reserved. 71 EN Pro380-SD Series Residential Simplex Sewage Package Side Discharge The Pro380 side discharge series provides a provides longer pump cycles that extend the life professional sewage system for use in outdoor of the system. Other professional features include installations where the burial of electrical lines and molded torque stops for pump security,schedule piping is preferred. The shallow designed tank 80 PVC discharge piping and a pre-installed union allows for easier installation without compromising for easy pump removal. overall tank capacity-a total of 41 gallons.This DISCHARGE CORD WEIGHT MODELS HP VOLTS PHASE Size LENGTH ALARM LBS. P382LE41SD-2 4/10 115 1 2' 25' NO 67 P382LE41 SD-2/A2W 4/10 115 1 2" 25' YES 71 P382LE51SD-2 1/2 115 1 2" 25' NO 70 P382LE51SD-2/A2W 1/2 115 1 2" 25' YES 74 Order any of the above models with the ALM-2W outdoor alarm.Alarm float comes • pre-mounted at the proper level.Alarm panel is packaged with unit. Order"/A2W". See specific LE-Series literature for complete pump performance and specifications. See ALM-2W literature for alarm specifications. Consult factory for proper pump sizing. - » DIMENSIONAL DATA: N 25" 4" 23 1/2" IA '. ��.��r •��.+� CORD EXIT ALM-2W 2"PVC 2"PVC HUB Outdoor DISCHARGE-- `• � Alarm v• - 1 1 N M 31/4" _ 24 3/8" — [**IERFFITtoi C® c us Certified Pump Specifications are subject to change without notice_ LibertyPumps•7000 Apple Tree Avenue•Bergen,New York 14416•Phone 800-543-2550 Fax(585)494-1839 AAA Septic LLC PO Box 1460 360-427-6110 Shelton, WA 98584 PROPERTY INFORMATION Location:9331 SE LYNCH RD Shelton Tax ID:220285000012 Mall To: ERIC J&SALLY J CONRAD 1219 W ROANOKE ST Use: CENTRALIA,WA 985312025 GENERAL SYSTEM TYPE:Mound ON ID:220285000012 County Area: Totten Little Skookum Watershed Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold Here Here Inspected:01/09/2024 - Inspection Type:ROUTINE - Correction Status:No corrections needed Company: Work Performed By: Submitted 01/10/2024 by AAA Septic LLC Jeremy Hayek Brett Taylor COMMENTS&GENERAL INSPECTION NOTES No Deficiencies Noted GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected Components accessible for service: YES All required service performed(if no-specify omitted inspection items in notes): YES Surfacing effluent from any component(including mound seepage): NO Components appear to be watertight-no visual leaks: YES Improper encroachment(structures/impervious surfaces) NO All riser lids securely fastened upon departure: YES Electrical repairs needed. If YES describe in comments: NO Inspected components appear to be in good physical condition: YES Root intrusion on any components. If YES describe in comments: NO Settling problems observed. If YES describe in comments: NO The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK:Septic Tank-2 Compartment This component was: Fully Inspected Effluent level within operational limits(if NO explain in comments): YES All required baffles in place(N/A=No baffles required): YES Compartment 1 Scum accumulation(Inches,if other specify): 0 Compartment 1 Sludge accumulation(Inches,if other specify): 4 Compartment 2 Scum accumulation(Inches,if other specify): 0 Compartment 2 Sludge accumulation(Inches,if other specify): 2 Pum•in.recommended: NO TANK:Pump Tank This component was: Fully Inspected Compartment 1 Scum accumulation(Inches,if other specify): 0 Compartment 1 Sludge accumulation(Inches,if other specify): 2 Pum•in• recommended: NO -ump:Effluent Pump This component was: Fully Inspected Controls functioning: YES Tested.allons•er minute flow: 32 •anel:Alarm-High Water This component was: Fully Inspected Alarm mechanism functioning as intended: N/A ReportlD:1250676 View inspection reports online at www.onlinerme.com Page 1 of 2 edia Filter:Mound This component was: Fully Inspected Slope integrity maintained: YES Lateral lines flushed: NO Ponding present?If YES explain in comments: NO Average squirt height(if performed)(feet,if other specify): This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance. ReportiD:1250676 View inspection reports online at www.onlinerme.com Page 2 of 2