HomeMy WebLinkAboutSWG2026-00054 - SWG Application / Design - 3/2/2026 Ni ASO N COUNTY 415 N 6TH STREET,SHELTON, ,E 98584
SHELTON:360-427-9670,EXT 400
' BELFAIR:360-275-4467,EXT 400
J, If Public Health & Human Services ELMA:360-482-5269,EXT 400
.,-...,,,,,....", FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2026-00054
OWNER BONNETT DOROTHY E Phone:
Address: 2296 NW MOUNTAIN VIEW RD SILVERDALE, WA 98383
APPLICANT BONNETT DOROTHY E Phone:
Address: 2296 NW MOUNTAIN VIEW RD SILVERDALE, WA 98383
SEPTIC INSTALLER DARIN OGG* Phone: 360-790-3021
Address: PO BOX 1336 HOODSPORT, WA 98548
Site Address: 174 E RETREAT LN
Primary Parcel Number: 220091290020
Permit Description: Replace septic and pump tanks
Permit Submitted Date: 03/02/2026
Permit Issued Date: 03/03/2026
Issued By: Rhonda Thompson '4,
Current Permit Fees Paid: $275.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/03/2027 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic and Pump Tanks
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks.Met? Yes
Number of Bedrooms: 0 Drinking Water Source: Public Water System
Additional Details: IM-1060
Permit Conditions:
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.
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
1 Approval of this septic permit does not approve the building location. Building location is
subject to approval from all applicable departments and regulations.
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 MAYBE 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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
_{ MASON COUNTY DATERECEIVED: 03/o a I a()� p cn >
. fir Win. COMMUNITY SERVICES AMOUNTRECEIVm: sEmvEDsv: o rn
PublicHealth(Community Health/EnvironmentalHearth) _ /� fJ�� �2�f l r r ��� � N
15 N.6th Ste ecaoom ansaee�,exaoo SWG
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- 415 N.6th Street-SAeltan,WA9fl584 V V �/�-RJ �-(
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ON-SITE SEWAGE TANK ONLY APPLICATION
APPLICANT PHONE III
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MAILING ADDRESS-STREET,CITY ATE,ZIP CODE E_
CYLAZ
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SITE ADDRESS-STREET,CITY.ZIP CODE 1/ ',--I''' -�P-
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NAME OF DESIGNER PHONE --,:,,z/ p;,,,
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NAME OF INSTALLER PHONE -.\` ' �O2�, /7 2 I C
way-VLOWn \; 5
TYPE OF WORK(select one) DRINKING WATER SOURCE -••f
❑NEW CONSTRUCTION/UPGRADES `REPAIR/REPLACEMENT RIVATE INDIVIDUAL WELL O PRIVATE TWO-I AIZT,WELL / z I,)
COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM '; ,
Q SOERC TANKUMP TANK Cl RV HOLDING TANK BEDROOMS [ Likpl.
LOT �0\'\' \ ° +C
OTHER DETAILS(select a1l that apply) TANK(S)SETBACK CHECKLIST r IV
I
suBMITrALs ❑ 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS I '
❑SURFACING SEWAGE *EXISTING FAILURE CI SHORELINE ❑ 100FT+PUBLIC/COMMUNITY WELLS A
❑PLOT PLAN(REQUIRED) O TANK CROSS SECTION(REQUIRED) ❑ 10FT+DRINKING WATER SUPPLY LINES
CI PUMP DETAILS(IFAPPLICABLE) ❑WAIVER(S)(IF APPLICABLE) ❑ 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS.FOOTINGS
PLOT PLAN CHECKLIST r ID
❑ PROPERTY LINES AND EASEMENTS ❑EXISTING/PROPOSED STRUCTURES ❑EXISTING/PROPOSED OSS COMPONENTS AND LINES -III
1:1 WELLS WITHIN 100FT ❑WATER SUPPLY LINES CI DRIVEWAYS/PARKING ❑SURFACE WATERS,STREAMS,RIVERS,ETC... 9)
❑ DIRECTION OF SLOPE/CONTOURS Cl PERIME I tR/CURTAIN DRAINS ❑NORTH ARROW Cl SCALE BAR I°
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate)
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY I]MAINTENANCE/PUMPING O BUILDING PERMIT O HOME SALE ❑COMPLAINT ❑OTHER
COMMENTS/CONDITIONS
QUIekakk, eif2fi-U # NI1W \--&I'rkji.k4-N kj( 1M-1 °‘)\.°
SEWAGE TANKS MUST BE LISTED UNDER DOH'UST OF REGISTERED SEWAGE TANKS-.TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS
AND LIDS TO SURFACE,AND INCLUDEAN EFFLUENT FILTER(IF APPLICABLE).RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
it-6 / -7 �7(01 S8/14
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1217/2015
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RECORD DRAWING (continued)
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APP
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MASON COUNTY ENVIRONMENTAL HEALTH
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- •. • Strong injection molded polypropylene
construction
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r- 'i ' 11 • Lightweight plastic construction and
inboard lifting lugs allow for easy
` " //" < <, delivery and handling
' ff., ' ''',/fr • Integral heavy-duty green lids that
' { t° ! I((1 } interconnect with TWIT"risers and pipe
riser solutions
+c+c Icit K Kit K K K K X K,W I& IgtirNI •Mi p nit; • Structurally reinforced access ports
eliminate distortion during installation
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and pump-outs
°• #, • Reinforced structural ribbing and
fiberglass bulkheads offer additional
-- •••:•-‘,. , strength
• Can be installed with 6"to 48"
of cover
The Infiltrator IM-1060 is a lightweight strong and durable septic tank. • Can be pumped dry during
This watertight tank design is offered with Infiltrator's line of custom-fit pump-outs
risers and heavy-duty lids. Infiltrator injection molded tanks provide a • Suitable for use as a septic tank,pump
revolutionary improvement in plastic septic t4tk design, offering long-term tank,or rainwater(non-potable)tank
exceptional strength and watertightness. • No special water filling requirements
Inlet Side are necessary
I • The tank may be backfilled with suitable
it
TANK CUTAWAY Infiltrator - native soil.See installation instructions
T11V Riser ....-r„ for guidance_
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baffle waliN•••,, • -
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access port
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MID-SEAM CUTAWAY
,- Reinforced water tight mid-seam
gasketed connection
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Protecting the Environment with Innovative Wastewater Treatment Solutions es
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IM-1060 General Specifications and Illustrations
LANG STRAP LIFTING LUG R CONTECTICNI
((MEAL) (I1Oplu /RISER mR1C U
The IM-1060 is an injection molded two piece mid-seam . -
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plastic tank.The IM-1060 injection molded plastic design ciil 1gto l I I lifivio..,
iL�, n -1allows for amid-seam joir>t that has precise dimensions A ,i��7� � wig �--
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for accepting an engineered EPDM gasket. Infiltrator's r;T r O, o 1
gasket design utilizes technology from the water industry -11 - °°�{ ;a°" 4 ii
r LPL ° ��:
to deliverproven means of maintaining a watertight seal. •k-_ 0mai
1*1�a,� �� I I I I �. ►list EXTERIOR
The two-piece design is permanently fastened using a ;$.:l�,�t. E'- j l 1 -'-'-!'1t .ig ;'
series of non-corrosive plastic alignment dowels and ,SIP I 1 1 . 1 UI Ike
locking seam clips.The IM-1060 is assembled and sold
through a network of certified Infiltrator distributors.
127.0 632261 EXTHeOR r81GiH
Must be backfilled and installed in accordance with TOP VIEW
Infiltrator Water Technologies,Infiltrator IM-Series Septic OUTLET
Tank General Installation Instructions and for shallow �,._••.__ _ _
ground water conditions reference the Infiltrator IM-
Series Tank Buoyancy Control Guidance.
Please visit www.infiftratorwater.condimages/pdf/ ,;f- I r .-� '1 (1
ManualsGuides/TANK01.pdif for the latest information. Y ' HEIGHT
SEAM a1P
(TYPICAL)
IM-1060 LIFTINGSRAP �._,:+._.••_.�
Working Capacity 1094 gal(4141 L)
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127°(3226 mm) 04i1o21 024I61ooACCESSOPENINGSWIHLoamu6LIDSW
PVC ORABS
Width 62.2"(1580 mm) 'NLET1IEE —lazn501FREEaoARn ramsumPxfon
ABSotmlrlff
Length-to-Width Ratio 2.3 to 1 1 RaEr _L 5%
v AIRSPACE OUTLET S
Height 54.7"(1389 mm) r'pEtt .2 J — 4 i ,,
Liquid Level 44°(1118 mm) CODE 44A .l,
FIBERGLASS
Invert Drop 3"(76 mm) - LIQ» -SUPPORT
(TYPICAL) OEM 1TYPICAtl
Fiberglass Supports 2 ""'"BAFRE
1'IULL1.iNF@2E r
Compartments 1 or 2 ''
Maximum Burial Depth 48"(1219 mm) SIDE VIEW
Minimum Burial Depth 6"(152 mm)
Maximum Pipe Diameter 6"(152 mm) CONTINUOUS
WeightTANKTOP
9 320 lbs(145 kg) HALF GASKET
APPROVED _: Ill_"
INTERIOR SEAM CLIP
MAR 0 3 202 ,
GNMENT
MASON COUNTY ENViRONME 'pfetiEALTH TANK BOTTOM
4 Business Park Road RET T HALF
P.O.Box 768
Old Saybrook CT 06475
N F I LT R AT O R° ,400.221-4436 660.577-7030-Fax X77-7001 MID-HEIGHT SEAM SECTION
6
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U.S.Patents 4,759,861;5.017.041;5.156,488:5,336.017;5,401,116;5,401.459;5.511.908;5.716.183;5,588.778;5.839,844 Canaan Patents 1,329,E$000.564 Omer patents peodng,Irditrato,
Qukk4,and SideWnderare registered trademarks of Infiltrator Water Technologies.Mater Is a registered trademark in France.Ldlbata Water Technologies Es registered trademark In Mexico.
Contour,MiamLeachi g.PolyTuff.CbamberSpecer.Multi•Pat,Posit OCIc Otickeut OuickPlay,SnapL«k and Stitt"roc as trademarks or Wander WataTectnologks
PolyLok Is a fadernark of PolyLok,Inc.T11I-TTTE is a registered trademark of TUF-TIT ,INC.U3ba-Rib Is a trademark of IPIX Inc.
A 2016 bdikatar Wafer Technologies,LLO.AO rights reserved Ported in U.SA
IM02 1116
Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436