The URL can be used to link to this page

Home My WebLink AboutTanks Only for SWG2003-00030, 2003-00031, 2003-00034 - SWG Application / Design - 2/6/2003 ON-SITE SEWAGE.'$YSTEM PERMIT' ` y MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO. SWG • a N 426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Date v(o 0 PHONE (360) 427-9670 Receipt No 0 Amount$ ' yt PROPER-I?v,OWNER: DATE: A 01 m I�y 4C LV 5 D AV L 2- U CHECK APPLICABLE ITEMS j/ 3, MAILING ADDRESS n DAYTIME P NE: NEW SYSTEM o /) C Rr LC (°CAST �✓ 4 —Q 2 77 REPAIR SYSTEM 0, CITY: I r/ 0 STATE: P* TABLE 6 REPAIR �lN J m w Z MAINTENANCE REVIEW PROPERTY ADDRESS: 411 SINGLE FAMILY // * (� BeQK PnOA/ r S he lv OTHER: N5rV /✓ 3 SPECIFIC DIRECTIONS FOR LOCATING SITE: , s PRIVATE WELL O AI rr T'V- 0A/ r �P �� ON �5&0' ICA COMMUNITY WELUPUBI SYSTEM ) n le —, SYSTEM WFI q /�C�' T ' Q /), ,gw 'wo,A- SYSTEM NAME kA 9 / APPLICANT W, Sp A/ NAME I C Name of Lot ft. x ft. MAI IN ADDRESS U Installer Q Size: _acres TELEPHONE ,L.(Q—6) Name of um er o SIGNATUR H Designer I Gl Bedrooms X 3 OFFICIAL USE ONLY BELOW THIS LINE DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDITIONS a ti�(o�03 i� r IV nn IW Y � A 1J Q � F z m n � m A m III SOIL TEXTURE CODES: y V=Very G=gravelly S=sand L=loam Si=silt C=clay E=Extremely INSPECTOR(print na e) INSP CTI N SIGNATURE DATE PERMIT EXPIRATION DATE 2 2 b •All systems require ongoing Operation and Maintenance(08M)as specified in Mason Cou ty n-Site Standards. •All on-site sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted otherwise •All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted otherwise. In such cases a preliminary on-site meeting between health department staff and the homeowner is required. •On-site sewage system design approval does not imply other building site requirements(i.e.RLC,Water Adequacy)have been met. •Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit. •This e"it ex Tres 3 vears ft=the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of denial date. DESIGN REVIEW APPROVAL BY: DATE: INSTALLATION APPROVED BY: DATE: 2 TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM: Applicant's Copy ,r•rMA$ON COUNTY a•. •SDEP.4RTMENT of HEALTH SERVICES. .. , Slieilon.Wosninglon 98584 (206)427-9670 • Eelloir:275-4467 ENVIRONMENTAL HEALTH 'r PERSONAL HEALTH WATER oUAUT' �;P.O.80X 1666 303 N. FOURTH IIII P.O. BOX 166, MEMORANDUM DATE: TO: FROM: y�,` —U� e 4 Goco 3 I Ril RE: Design for l O 6,4 Parcel 9 (�y o I �� d-0-4L'4`4C'- Your design for the above referenced parcel has been reviewed and is APPROVED. y S—rA I E R c v r C U a� sc ® Your design for the above referenced lot is NOT APPROVED. It does not meet the requirements or needs additional information. MASON COUNTY DEPARTMENT OF HEALTH SERVICES u February 06, 2003 PO BOX 1666 SHELTON, WA 98584 SHELTON (360) 427-9670 FAX (360)427-7798 Dale Tahja Design ELMA (360) 482-5269 2450 W Deegan Road W BELFAIR (360) 275-4467 Shelton WA 98584 SEATTLE (206)464-6968 RE: Design for WILSON Case No: SWG2003-00030 Parcel No: 420014490003 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter for any additional information. Please call me at(360) 427-9670, ext. 554 if you have any questions. Sincerely, Pam Denton Environmental Health Mason County Health Services COMMENTS: 21 .A&B, 41 A&B and 61 A&B will each have it own septic tank. The septic tanks must be at least 1200 gallons and be two compartment. Risers to final grade and an outlet filter is required. From the septic tanks, the effluent will flow to one common pump tank that will serve all three duplexes. The pump tank must be at least 2520 gallons. A riser to final grade is required. 2/6/2003 1 of 1 SWG2003-00030 1 � �1 gr � = pbserva��n por"r. 14 e ro , d c d Lk cR I �: \ r w ON-SITE SEWAGEwSYSTEM PERMIT-* > PERMIT NO. SWG - m MASON COUNTY DEPARTMENT OF HEALTH SERVICES /-a9 -C � a 426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Dates 3 o Receipt No.� L"- as _ _ 0 rn PHONE (360) 427-9670 Amount$ -Z]—� Z f PROPERTY OWNER: ►r e& DATE: I Z g V CHECK APPLICABLE ITEMS MAILING ADDRESS: 0 R r� ��.-�r}DDAYTIME PJ-jQNF�.�G -7 R P R SYSTEM CITY: D N STATE: ?, q7r n '�aZII,P(:'pQ �4 TABLE 6REPAIR m W ►j r / D ! MAINTENANCE REVIEW m PROPERTY ADDRESS: SINGLE FAMILY a/ C auto✓-r Shc/7'O.v OTHER: `0 ct 3 SPECIFIC DIRECTIONS,FOR LOCAT G ql E: PRIVATE WELL m ` ��.��-�N �S�Q�/� COMMUNITY WEWPUBLICSYSTEM SYSTEM WFI N fr Q ,D •� T U'A1 &oa q#f d/V 7_ SYSTEM NAME L4 t F rwl APPLICANT NAME r r D I Cj Name of Lot ft.x ft. MAIUNG ADDRESS etseeS Installer -� o Size: �r/ 7 acres TELEPHONE -0�7 Name of -} um er o SIGNATUR 71 f o Designer I �( � GL Bedrooms Ix OFFICIAL USE ONLY BELOW THIS LINE f DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDITIONS I� Z�tp �03 0 x a, I Io Iz� Iu rn z n-I ?IQ m N m SOIL TEXTURE CODES: V=Very G=gravelly S=sand L=loam Si=silt C=clay E=Extremely INSPECTO2(print nam INSPECTION SIGNATURE DATE PERMIT EXP RATION DATE 1U r,\ ti. �3 2. 06 •All systems require ongoing Operation and Maintenance(O&M)as specked in Mason County n-Site Standards. •All on-site sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted otherwise •All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted otherwise. In such cases a preliminary on-site meeting between health department staff and the homeowner is required. •On-site sewage system design approval does not imply other building site requirements(i.e.RLC,Water Adequacy)have been met. •Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit. •This e"it expires 3 years from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of denial date. DESIGN-REVIEW APPROVAL BY: DATE: INSTALLATION APPROVED BY: DATE: Z TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM: Applicant's Copy A MASON COUNTY DEPARTMENT OF HEALTH SERVICES February 06, 2003 PO BOX 1666 SHELTON, WA 98584 SHELTON (360) 427-9670 FAX (360) 427-7798 Dale Tahja Design ELMA (360)482-5269 2450 W Deegan Road W BELFAIR (360) 275-4467 Shelton WA 98584 SEATTLE (206)464-6968 RE: Design for WILSON Case No: SWG2003-00031 Parcef No: 420014490003 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter for any additional information. Please call me at(360) 427-9670, ext. 554 if you have any questions. Sincerely, Pam Denton I Environmental Health Mason County Health Services COMMENTS: 21 A&B, 41 A&B and 61 A&B will each have it own septic tank. The septic tanks must be at least 1200 gallons and be two compartment. Risers to final grade and an outlet filter is required. From the septic tanks, the effluent will flow to one common pump tank that will serve all three duplexes. The pump tank must be at least 2520 gallons. A riser to final grade is required. i 2/6/2003 1 of 1 SWG2003-00031 Son i /n� I 14 LA z- • _ "test 1'�0�. / O = ObServo'�'wr� por"r• J � a roped 1 s' \ 1' w � ON=SITE'SEWAGE`'.SYSTEM'.PERMIT fi, t 'l 3♦ my fG. lM1�/ �. PERMIT NO. SWG MASON COUNTY DEPARTMENT OF HEALTH SERVICES (� Er �C1—� 426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Date l < H Receipt No. PHONE (360) 427-9670 Amount$ � z PROPERTY O ER: DATE: °i Wt (SON Z q Q 3 CHECK APPLICABLE ITEMS �/ R MAILING DDR DAYTIM H NE: NEW SYSTEM �(� In P, ec �51` pr, ,��-OL77 REPAIRSYSTEM + TABLE 6 REPAIR m CITY: I p 1 ' ( O ST/j✓V, r /j ' S4Z MAINTENANCE REVIEW PR0PE TY AVd RE : �f' ! SINGLE FAMILY Z Qk if1.�N r OTHER: / A/ 3 SPECIFIC DIRECTIONS OF3 LOCATING E: j— PRIVATE WELL no // S V —�✓N 1&� ?`/CQo ` lC , ' /� yt/ COMMUNITY WELUPUBLIC SYSTEM QNeP LK ✓ y • I I a K ot d N r SYSTEM NAME QP APPLICANT NAME 1 Cj �. Name of Lot ft x ry MAIUN DDRESS r P o . Installer _ 1 O Size: acres TELEPHONE Name of I um bar o SIGNATURE 0 1� I, Designer�(( � Bedrooms XVA OFFICIAL USE ONLY BELOW THIS LINE DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDITIONS m -A(Ao3 0 _�Q F Ie urAw a . IC IW PS SOIL TEXTURE CODES: V=Very G=gravelly S=sand L=loam Si=silt C=clay E=Extremely . INSPECTOR(print nam INSPECTION SIGNATURE DATE PERMIT EXPIRATION DATE w I _ Z V 2 1 L 0b •All systems require ongoing Operation and Maintenance(08M)as specked in Mason County On-Site Standards. •All on-site sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted otherwise •All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted otherwise.In such cases a preliminary on-site meeting between health department staff and the homeowner is required. •On-site sewage system design approval does not imply other building site requirements(i.e.RLC,Water Adequacy)have been met. •Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit. •This permit expires 3 years from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of denial date. DESIGN REVIEW APPROVAL BY: DATE: INSTALLATION APPROVED BY: DATE: TOP: Health Dept. Copy MIDDLE: Designer'§Copy BOTTOM: Applicant's Copy MASON COUNTY DEPARTMENT OF HEALTH SERVICES i F February 06, 2003 PO BOX 1666 SHELTON, WA 98584 SHELTON (360) 427-9670 FAX (360) 427-7798 Dale Tahja Design ELMA (360) 482-5269 2450 W Deegan Road W BELFAIR (360) 275-4467 Shelton WA 98584 SEATTLE (206) 464-6968 RE: Design for WILSON Case No: SWG2003-00034 Parcel No: 420014490003 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter for any additional information. Please call me at (360) 427-9670, ext. 554 if you have any questions. Sincerely, Pam Denton Environmental Health Mason County Health Services v COMMENTS: 21 A&B, 41 A&B and 61 A&B will each have it own septic tank. The 1 gallons and be two compartment. septic tanks must be at least 200 ga Risers to final grade and an outlet filter is required. From the septic tanks, the effluent will flow to one common pump tank that will serve all three duplexes. The pump tank must be at least 2520 gallons. A riser to final grade is required. 2/6/2003 1 of 1 SWG2003-00034 �i�7�1�-ew-, 4 - • • C0. O = observwl wY, porC 14 i dI 7 � r li d I Ii Ca s' \ O ,1 o 5