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HomeMy WebLinkAboutSWG2026-00067 - SWG Application / Design - 3/12/2026 MASON COUNTY 415 N 6TH STREET,SHELTON,70,WA EXT 98584 • � 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: SWG2026-00067 APPLICANT Micah Halverson Phone: 360-490-6365 Address: PO Box 1519 SHELTON, WA 98584 SEPTIC INSTALLER MICAH HALVERSON* -Olympic Phone: 360-490-6365 Construction Address: PO BOX 698 ELMA, WA 98541 SEPTIC DESIGNER MICAH HALVERSON* -Olympic Phone: 360-490-6365 Construction Address: PO BOX 698 ELMA, WA 98541 OWNER BURGESS, MICHAEL J Phone: Address: 1201 137th St South SHELTON, WA 98584 Site Address: 551 E BALLANTRAE DR Primary Parcel Number: 321275000030 Permit Description: Replace septic tank Permit Submitted Date: 03/12/2026 Permit Issued Date: 03/23/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $275.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/23/2027 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Septic Tank Only Surfacing Sewage? No Existing Failure? Yes Shoreline? Yes Horizontal Setbacks Met? Yes Number of Bedrooms: 2 Drinking Water Source: Public Water System Additional Details: IM-1060 Permit Conditions: I 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. 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. 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/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED: °' ` " � MASON COUNTY GAMOUNT COMMUNITY SERVICES AMOUNTRECE ED: RECEIVEDBY. , a-76 Public Health(Community Health/Environmental Health) C 360-427-9670,ext.400 or 360-275-4467,ext.400 // ^ / �/ 415 N.6th Street-Shelton,WA 98594 C,J\,,4! 3 f�\ l ^ _ c('- C>�e O �J t �J �E/ yV z f/l ON-SITE SEWAGE TANK ONLY APPLI APPLICANT PHONE _ Ill BURGESS, MICHAEL J 253-255-302 ® cj z e C MAILING ADDRESS—STREET,CITY,STATE,ZIP CODE l 'V 1201 137th street south Tacoma, WA 98444 w _ m SITE ADDRESS-STREET,CITY,ZIP CODE E[ 551 E BALLANTRAE DR, SHELTON 98584 E I W NAME OF DESIGNER PHONES Y-, N Micah Halverson 360-490-6365 NAME OF INSTALLER PHONE D Olympic Construction LLC <_ I IV TYPE OF WORK(select one) DRINKING WATER SOURCE O ❑ NEW CONSTRUCTION/UPGRADES El REPAIR/REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL z COMPONENT(S)TO BE REPLACED/INSTALLED El PUBLIC WATER SYSTEM a I] SEPTIC TANK 0 PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE 01 El OTHER D-Box 2 .24AC OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST o I 0 ❑ SURFACING SEWAGE ❑9 EXISTING FAILURE 0 SHORELINE ❑� 100FT+PUBLIC/COMMUNITY WELLS O SUBMITTALS IN 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS O I1 PLOT PLAN(REQUIRED) IN TANK CROSS SECTION(REQUIRED) 17 1OFT+DRINKING WATER SUPPLY LINES ❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) El 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST 0 I Q I] PROPERTY LINES AND EASEMENTS IN EXISTING!PROPOSED STRUCTURES I] EXISTING/PROPOSED OSS COMPONENTS AND LINES I] WELLS WITHIN IOOFT I] WATER SUPPLY LINES I] DRIVEWAYS/PARKING IN SURFACE WATERS,STREAMS,RIVERS,ETC.., I W ❑� DIRECTION OF SLOPE/CONTOURS El PERIMETER/CURTAIN DRAINS ❑l NORTH ARROW ® SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) From E Mason Lake Rd turn onto E Ballentrae Dr. subject parcel is on lake side of road next door to lake limerick community park/boat launch. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: COMMENTS/CONDITIONS �aCQ' ¶ k 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 3h��zti THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1217/2015 X Page 1 of 3 2 BEDROOM TANK REPLACEMENT DESIGN WITH MINOR REPAIRS Uj W g z z z cn a > Ui .a I = LU 0 int2G APPROVED M O O J � MAR 232026 Y S O O MASON COUNTY ENVIRONMENTAL HEALTH W o W RET J �yrybo ry'DLi, J'LaO W 7 Z Q N Water � Q F- — — — — — — — — — — — — — — — — — — — — — — — — — — — Meter I a O < I o� I Approximate Land Size 24 Ac I ' i W u Existing Driveway LO EXISTING CABIN I 2H1 4 GSL + I 24"Bottom of Test hole I 1 I 1 O 4 1 I fn Reserve Drainfield Area J _ L— 4 i* i 2 „ t. - - - - - - - - - - - - - - - - - E 51ope O ` - - - --- Property Lines Established By Other O 112 +/- Owner/ Applicant: or�'o O CALLOUTS ^ry 1) New 4"ASTM 3034 Sewage Line, Add Sewer Cleanout O 2) New Infiltrator 1060 2 Compartment Septic Tank J 00 o Installed in same location of Existing Septic Tank It) O. Lot30 3)Area with Trees and Brush to be Removed for Minor Repairs I rn I BENCH MARK ELEVATIONS 4) Existing Drainfield Trenches c� Permit#8917 BME1: 0" CABIN SEWER OUTLET FLOW LINE 5)Assumed Waterline tO t`�` BM •- " XI TIN S PTI .TANK O IT T F/L O MCMI 1Yr1Bt�iY N� BME3: 4" DRAINFIELD PIPE F/L O 4- U Ut D 0ESIGMR O — t BENCH MARK ELEVATIONS ARE I Cl) TAKEN FROM ORIGINAL GRADE. i X O L CONTRACTOR MUST HAVE ALL UNDERGROUND UTILITIES LOCATED BEFORE CONSTRUCTION- 00 > This is not a Survey.Site features,topography,elevations,and footages are based on data provided by the property owner 0 and from Mason County public records.This Site Plan and the Septic Design are intended for review by the Mason County I i2 = Health Department and the contractor hired to install the septic system.Micah Halverson as the septic n s designer hereby_ 30' 20 0' 10' 20' 30' 'tdvises the property owner to use a licensed surveyor to prepare a survey of the land that discloses the exact location of the I property lines elevations.topography-and footages. Scale: '1 =20' Page 2 of 3 LIFTING STRAP x (Tip.) RISER CONNECTION(TYP.) w m # r • 7 O A \\ Ø_ ,A' ACCESS PORT RIM CONTINUOUS O UD TANKTOP ELASTOMETRIC W JO FLEXIBLE RUBBER HALF GASKET = PSC-Series Biotube® Effluent FiltersGASKET(iYP) m 0 o e TANK ;% 62.2 INTERIOR � SFJU7 CLIP EMI R INLET/ Applications WIDTH TAKE ET �G' �N� TANK BOTTOM ] INTERIOR HAI-F O Handle Orenco PSC-Series Biotube Effluent Filters are designed to remove C) solids from effluent leaving wastewater tanks. O ' © PIPE PENETRATION © MID-HEIGHT SEAM General LIFTING LUG B OO C) (Tap) SECTION DETAIL SECTION DETAIL r W 0renco's patent-pending PSC Sedes Biotube Effluent Filters are used to 127.0[3,226]EXTERIOR LENGTH Q ff improve the quality of effluent from wastewater tanks.Improved effluent TOP VIEW IC) l ka ) ii quality extends drainfield life in onsite dispersal systems and improves TANK EXTERIOR TOTAL CAPACITY 1247 GAL[4,720fl ~ it the performance of downstream treatment in effluent sewers. LIQUID DEPTH 44.0[1,1181N LENGTH 127.0[3228] WORKING VOLUME 1,070 GAL 4,050 y 9 1 INVERT DROP 3.0[76] 7 z E ( Biotube'ilter The Biotube filter cartridge fits tightly In the housing while being easy 0 24.0[610]ACCESS OPENING WIDTH 62.2[1,580] FREEBOARD 102[2601 COMPARTMENT A VOL. 713 GAL[2,700-tl cartridge to remove for maintenance.The passively self-cleaning design extends WITH LOCKING LID(2) PSCW 0621-18 HIEGHT 54.7[1,3891 COMPARTMENT B VOL 357 GAL[1,350 M J fI� maintenance cycle intervals.Filter mesh is available in 1/8in or 1116in p 4 102] 10.2 H 4 tot j r f I (3.2mm or 1.6mm)mesh opening sues. PVC OR[ABS PVC[OR]ABS C.) QM pJ I t I I I The handle can be extended with PVC pipe(not included)for better INLET TEE FREEBOARD W 11t access to the cartridge.A 3/4[n(19mm)diameter tee handle is included. INLET 1s.5;L f tl 1 l _ AIRSPAC OUTLET W l� ! Models PSCS0621-18 and PSCW0621-18 are NSF 46 certified. 3.0 5� IZ �� I ] ( I i [76] BAFFLE CO E THICCUESS BAFFLE COMPARTMENT WALL 16.0 62 TOP ( 1 t_ Standard Models PER A qq,p 54.7 [406] I ] 9Y ( i CODE [1,1181 �© r1,38911 ' ^ II 06 1� LIQUID COMPARTMENT E)TERItR O[1s2] i PSCS0621-18,PSCW0621-18 PSCPS0621-18,PSCPWO621-18 z[sllxz151] DEPTH B HEIGHT BAFFLE c FIBERGLASS BAFFIF SEAM CLIP SUPPORTPORT Ir I SUPPORT SLOT �p BEHIND I Q) �' ' Product Code Diagram a mP' ) r BAFFLE LIFTING STRAP ` y SLOT Deflector plate PSC ❑❑06 21-18 ❑ 1 213 TOTAL VOL. 1/3 TOTAL VOL. (TYP) SECTION A-A' END VIEW SECTION B-B'BAFFLE DETAIL Ftral rnith bmdcet Wfon: z NOTES: 7 Blank=ronxl sYgth Matkpt hlsL111e0 0 A =noalvaithbracketirsstalec 1.ALL DRAWING DIMENSIONS IN INCHES 0 tonal B =forusewithOrer�coM-sodmlank5 E [MILLI STHEFOLLASNOTED. It p AB =fbat srtch br-eckel lnslagecaM fz use s 2.EXTERIOR OF ACCESS OPENING LID INCLUDES THE FOLLOWING WARNING IN .�+ Coat Switch _ _ w9i,emnw M-wrlm unrs ? ENGLISH,FRENCH&SPANISH:-DANGER DO NOT ENTER:POISON GASES.' N bracket ,,'i. 3.TANK MARKINGS WILL INCLUDE:MANUFACTURER NAME,MODEL NUMBER,000ID E ISOMETRIC 0) '� c, Cartridge height,m(mm): `-=--� 18-18(457) CAPACITY,DATE OF MANUFACTURE,MAXIMUM BURIAL DEPTH, AND OUTLET. 8 jJc < 4.THE TANK MAY BE BACKFILLED WITH SUITABLE NATIVE SOIL.SEE INSTALLATION INSTRUCTIONS FOR VIEW �ly F II.T RATO R Fli/er housing sugar.In(mm): GUIDANCE.IF THE NATIVE SOIL DOES NOT MEET THE INSTALLATION INSTRUCTIONS GUIDANCE THEN tanks 21=21(533) 13ACKFILUNG WITH SELECT MATERIAL WILL BE REQUIRED. jj 5.MAXIMUM BURIAL DEPTH IS 48 In[1,219 mm]. 8 N- bin1150nm)filterdiameter s, 6.MINIMUM BURIAL DEPTH ISO In[152 mm]. 8 INFILTRATOR WATER TECHNOLOGIES M oudettee- 7.MAXIMUM VEHICLE LOAD IS 4,5004b[20-kN]AXLE LOAD. 4 Business Park Rd.Old Saybrook,CT 06475 E w=irnSis adapter rorType 3034 weet 2 8.TANK IS FOR NON-TRAFFIC APPLICATIONS. (B00)221-4436 Q Housing S=fis Sdedule 40 outlet tee 9.AIRSPACE IS 16.5%. U - Rner mesa opclal h(mm) 10.OUTLET TEE IS COMPATIBLE WITH EFFLUENT FILTER. INFILTRATOR IM-1060 TANK (V (13 Bank-1/apz, 11.INTERIOR LENGTH TO WIDTH RATIO IS 2.3:1(118.8-INCH INTERIOR LENGTH/ SIDE INLET/ 2-COMPARTMENTCONFIGURATION v- 1/161 P = (6) = 51.7-INCH INTERIOR WIDTH=2.3). OUTLET(TYP.) g 12.FREE VENT AREA BETWEEN TOP OF BAFFLE WALL AND BOTTOM OF TOP BAFFLE . O) PSC-series Biotube"effle t fitter SLOT IS 39.7 in'. Owenby EMS Date:OBI05/2013 13.BAFFLE WALL THICKNESS IS 0.31 In[8 mml. Scale:wnmsase Checked 6y.DFH Sheet 1 of 1 Materials of Construction Housing PVC,ABS Blotubefiltercartridge Polypropylene,0CPD D-Box to be Fixed Or Replaced r r V Handle components PVC,stainless steel Orenco PSC-Sedes Biotube Effluent Filter Defector plate ABS MAR 2 3 2026 Applic A licant: All product and performance assertions are based on proper design,installation,opera lion,and maintenance according to Orenco's current published documentation. I','AS ON COUNTY E N VI R ON M E N TAL HEALTH Orenco Systems •800-348.9843•+1541-459-4449•www.orenco.com Nm-FI-FrS-2 Kev.4O09 '1 Secured Lid ET Finished grade E Lo o 00Y o o ) 53 o no SPEED LEVELERS O ty 4°ASTM3034 ELBOW INLET PIPE O Outlet to Flow LO Drainfield Efhuenl level m DEs"IMIR = O co EI�IIIE6 oil ZZ. `° Concrete'Blo l Not to Scale Page 3 of 3 NOTICE TO PROPERTY OWNER xINSTALLERThis Septic Design has been created based on the most current regulations found in the m - Contact Designer at least 24Hrs Before install. Washington Administrative Code, Chapter 246-272A, and the Standards and Guidelines z M 5 - Installer must divert all stormwater away from all septic components adopted by the Mason County Health Department, all of which are to protect public health. W -Abandon sewage components per WAC 246-272A-0300 -Tanks Must be on certified list of approved tanks from DOH The property owner is aware it is the property owner's responsibility to obtain all necessary -Tanks are to be Bed onto 3"of Sand or Peagravel or to manufacturer specs. county, state, and federal permits before the commencement of any development of this -All new sewage pipes to or from Septic Tank and D-box shall be 4"ASTM 3034 property or the installation of the On-Site Sewage Disposal System (Septic Project). C) - Pipes shall be installed using best practices to minimize settling. Glued or gasketed fitting should be installed on undisturbed soil. C C) - Use Water-Jetter to remove roots in drainfield pipes as necessary. Neither the Designer, Micah Halverson nor the Mason County Health Department are o - Installer may use equivalent products meeting same standards with Owner& Designer consent responsible for any disputes which may arise between neighbors, or contractors, 6 W - Contractor is responsible to get underground utilities located before construction subcontractors, suppliers, and engineers that are chosen to work on the Septic Project. r` I - Place all components according to this design If this land is in a development that has a Homeowner's Association, it is the property N -All Materials and Workmanship must meet county and state regulations owner's responsibility to review and discuss with that governing body if the Septic Project is N < - Deviation from this design without approval from designer will make this plan null and void, subject to specific protective covenants, restrictions, rules, or regulations that would prevent i J - Designer May have additional Charges for redesign work and final inspection the installation of the Septic Project. 5 < - Owner is responsible for all permits and fees including any HOA/covenants rules, fees and any approval process required. L - Designer requires "Property Owner"to approve the installation,methods and components used by installer The Designer, Micah Halverson, and the property owner (or the person representing to the W before final approval allb designer. Designer that he/she is acting as agent for the owner) have signed an employment contract, LU - Installer must follow conditions from Mason County 9 9 9LCD - Reference additional design form attached to this design. whereby the Designer has prepared a septic design for an On-Site Sewage Disposal System o - For any questions Please contact Designer at 360-490-6365 for a residential dwelling on the land described herein. i5 All additional work by designer is subject to additional payment. Additional Work includes site visits, revisions, record drawings (aka Asbuilt), consulting with owner's engineer, project manager and/or county officials. Designer does not warrant his work to Owner's transferee cn or buyer. — � a� co The property owner shall be responsible for establishing all property lines, easements and if < APPROVED an easement for any septic drainfield, tanks, pipes ,wires or ingress/egress, establishing/ MR 23 2026 locating the boundaries lines of that easement. E %ASON COUNTY ENVIRONMENTAL HEALTH N The property owner shall assist designer and installer in locating all known wells, surface RET water, critical areas and buffers within 100' of the property. C The property owner is responsible for all costs associated with the employment of 2 contractors and those materials/components used in the installation of the designed septic system. Owner/ The property owner is responsible for all future maintenance and inspections as adopted by Applicant: Mason County Health Department J 00 U J co o, O o, coo O �ry O o All Tanks must be on Washington Dept. of Health registered list of sewage tanks. Non-survey equipment was used to determine if a� _ the proposed site would be suitable to support an U) .2 All tanks must comply with capacity ratings, usage and limitations on list. On-Site Sewage Disposal System. The following O) a) https://u. .wdoh.wa.gov/Fortals/1/Pocuments/Fubs/331-O4 .pdf. equipment was used to prepare this septic i L -a design: Kubota excavator, Spectra Precision > x Traffic rated tanks and lids must be engineered by manufacturer or licensed engineer. Laser level (model#LL500), Komelon Steel LIfNER Tape (model #N5300, Stanley 30' tape, Suunto C m Install Tanks according to manufacturer specifications. Tandem Clinometer and Compass, and a Keson I O If tank hole is stony or hard pan; tanks must be bed onto 3" sand or pea gravel. Dc Wheel Tape (Model# RR319N). Software used a 2 to prepare this design: Chief Architect Premier. "Vertical Datum:Assumed"