HomeMy WebLinkAboutSWG2026-00213/ TANK ONLY - SWG Application / Design - 7/10/2026 MASON COUNTY 415 N 6TH STREET,SHELTON, ,WA 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: SWG2026-00213
OWNER BENTLEY DONALD C EST& NANCY R Phone:
Address: 1150 E TIMBERLAKE EAST DR SHELTON, WA 98584-7922
APPLICANT Maples, Shane Phone: 3604638474
Address: 911 SE Arcadia Rd. SHELTON,WA 98584
SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON,WA 98584
Site Address: 1150 E TIMBERLAKE EAST DR
Primary Parcel Number: 220175100024
Permit Description: Replace septic tank
Permit Submitted Date: 07/09/2026
Permit Issued Date: 07/10/2026
Issued By: Rhonda Thompson
Current Permit Fees Paid: $275.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 07/10/2027 (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: Public Water System
Additional Details: Hagerman 1250 gallon
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.
5 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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.
APPROVED
JUL 10 2026
MASON COUNTY ENVIRONMENTAL NEALTh
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HA-GERMAN PRE-CAST
Bob & Anita Hagerman
PO Box 2842
Ponisbo WA 98370
360-598-6121 /360-509 3702 PAGE: 4.
2.500 LB.MAX.VA IEEL LOAD
AT WORST CASE LOCATION
(16,000 Ib FOR" MODELS)
1O1 E8eI
FINAL 2q" (n <
HAGfRMAN PRE-CAST I
GRADE 8' Q
LIn U
TANK MODEL: 1250 X-X[:II_ n p d
DATE MANUFACTURED:XX/XX/XX
MAX.DEPTH OF COVER: 3 FT. R. IV O6 zQ
LIQUID CAPACITY: •1261 GAL. SOIL 3I MAX.COVER
3'ThICK
AT TO OF
DETAIL OF LD.TAG(LOCATE WALLWALL,TYP. tiij O =
TAG INSIDE RISER O ___ ! (�
ACCE55 OPENING)
O 0048398 ' J
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4"DIA. PASS-THRU CAPACITIES (GAL.) r
ACCESS AND RISERS NOTES CENTERED IN WALL `FERAT!NG 4B?_ q"CAST-A-SEAL GASKtT M } I-.
("5'MODEL ONLY) N CD Z
O O TOTAL(F_OOD) 557 OR EQUIV.WATER-TIGHT
1)MINIMUM ONE 18"O ACCE55 OPENING PER COMPARFMENT. N I
THE DISTANCE BETWEEN ACCE55 OPENINGS IS NOT TO N N CONNECTION AT EACH
EXCEED ICY-O'CENTER TO CENTER, v s I = TANK PERFORATION,TYP. Q 114
2)RISERS MUST BE A MINIMUM OF 23"INSIDE DIAMETER. u r O O W LL. J
3)RISER-7O-TANK AND RISER-TO-ADDITIONAL SECTIONS OF p Uj y 5OOO psi CONRETE '_ Q <
+RISERCl)
CONNECTIONS MUST INCORPORATE JOINT GROOVES '�0 CJ IiWALLS. FLOOR.AND Q 0 0
OR ADAPTERS TO PREVENT LATERAL MOVEMENT AND N LID,TYP.
REMAIN WATERTIGHT. - CAPACITIES(GAL.)
4)ACCESS AND RISER OPENINGS MUST BE COVERED WTI I A in OPERATING_ "779_ O
LOCKABLE LID OR OTHER SECURED LID. O In TOTAL(FLOOD) 89t3 29 !/2" (
5)ACCE55 RISERS AND LIDS MUST BE STRUCTURALLY SOUND
TO WITHSTAND ANTICIPATED SITE-SPECIFIC LOADS. 'IJUTE:CAPACITIES ARE
APPROX.3 3/8'THICK ESTIMATES BASED ON A FLO�4' z p Cfl
AT BOTTOM OF WALL METER TEST PERFORMED
HAGERMAN PRE-CAST.
co
SEALS AND GASKETS NOTES ( 0)
1)SEALS AND GASKETS FOR INLET,OUTLET,AND
INTERCOMFARTMENTAL FITTINGS MUST BE RESILIENT, .4 112"THICK 5OOO PSI C� 2 CO
WATERTIGHT,CORROSION-RESISTANT,AND FLEXIBLE. 2 I/2'TAPER CONCRETE FLOOR -.
2)SEALS MEETINGS A5TM C-I G44 OR EQUIVALENT MUST BE TYICAL (3"THICK MIN.) O ORSTONE-FREE SA SOIL
R COMPACTED SAND
USED AT THE TANK V✓ALL.TO-PVC PIPING INTERFACE TO LL
OVER STONY 501E
PREVENT LEAKAGE.
LL
W o0
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INSTALLATION INSTRUCTIONS BAFFLE NOTES HIGH WATER TABLE AND W
TRAFFIC LOADING NOTES Z m
1)EXCAVATE TANK HOLE WITH VERTICAL WALLS TO 2 FEET LARGER THAN TANK ON ALL SIDES. BOTTOM OF 1)INLETS TO SEPTIC TANKS MUST EXT END AT LEAST 8 BELOW THE LIQUID LEVEL. I)FOR TANK MODELS 1 25O5 4 1 25O P:
HOLE MUST BE FLAT,LEVEL.AND FREE OF WATER, HOLE MUSE SLOPE DOWN 31O CENTER OF TANK. 2)OUTLETS TO SEPTIC TANKS MUST EXTEND BELOW THE LIQUID LEVEL Al LEAST A)MAXIMUM WATER TABLE AT TOP OF LID O
2)INSTALL G"MINIMUM OF 2'MINUS MATERIAL OR SAND ON BOTTOM OF EXCAVATED HOLE. 3O`90 BUT NOT MORE THAN 4O%. B).MAXIMUM TRAFFIC LOADING NOT TO EXCEED 2,500 LB (�
3)INSTALL TANK IN CENTER OF HOLE,KEEPING MINIMUM I FOOT VOID SPACE ON ALL SIDES. 3)INLET AND CUTLET DEVICES MUST r!AVE A MINIMUM INSIDE DIAMETER OF 4" CONCEN1kAltD LOAD V k
4)INSTALL REST OF SYSTEM,AND AFFIX RISERS AS REQUIRED BY LOCAL JURISDICTION. AND BE CONSTRUCTED OF PVC OR ADS CONFORMING TO OR EXCEEDING THE 2)FOR TANK WODEL5 125O 5-T d 1 25O P-I: `-'
5)-UPON APPROVAL TO BACKFILL, FILL VOID SPACE AROUND TANK WITH COMPACT GRANULAR(SANDY)5O1L STANDARDS OF A5TM D 3O34 OR A5TIA O 268O.RESPECTIVELY. A)WATER TABLE AT GROUND IEVEL O O
FREE CF LARGE CLUMPS OF CLAY AND ROCKS OVER 2 INCHES IN DIAMETER. BACKFILL CAREFULLY AND 4)INLETS AND OUTLETS MAY BE MOVED FROM THE LOCATIONS SHOWN PROVIDED B)MAXIMUM TRAFFIC LOADING NOT TO EXCEED 16,000:B ELI
EVENLY Ill I B'LIFTS. MAXIMUM SOIL COVER 15 3G'. THE HEIGHTS ARC NOT CHANGED AND TI1C PIPE CENTERS ARE LOCATED Al LEAST CONCENTRATED LOADS AT I 4'INTERVALS(!152O RATING) LJ.J Q G)IF REQUIRED,WATER TESTING TO BE DONE 3Y LOCAL JURISDICTION OR DOH SPECIFICATIONS. 3'FROM ANY EDGE AND AT LEAST 4'FROM ANY REBAR. 3)TRAFFIC RATED RISERS MUST IvtEET OR EXCEED THE - =
7)FINAl GRADE THE SURFACE TO AVOID CHANELLING SURFACE WATER TO'.NARD5 TANK. STANDARDS CF ASTM 0475(1 2)AND WSDOT STANDARD LI
PLAN 8-30.30.00. FRAME AND COVER MUST MEET OR
EXCEED THE STANDARDS OF ASTM A45 CL35B,
APPROVED
JUL 10 2026
MASON COUNTY ENVIRONMENTAL HEALTH
RET
HAGERMAN PRE-CAST
Bob & Anita Hagerman
PO Box 2842
Poulsbo WA 98370
360.598-6121 !360-509-3702
PAGE: 5
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