HomeMy WebLinkAboutSWG2003-00033 tank only - SWG Application - 1/29/2003 ON SEWAGEYS,STEM PERMIT .' II lnf
MASON COUNTY DEPARTMENT OF HEALTH SERVICES ' _PERMIT NO. SWGO C -
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Date �
426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 0
Receipt No. 0 rn
PHONE (360) 427-9670 Amount$ D f
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MAINTENANCE REVIEW
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CT ( Dl 6ea K IKd A/ SYSTEM NAME
APPLICANT
NAME IO
Name of Lot ft.x ft. MAILING ADDRESS I n
Installer Size: � acres TELEPHONE I V
Name of r um er o SIGNATURE
Designer & k J Bedrooms X
OFFICIAL USE ONLY BELOW THIS LINE
DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDITIONS F�
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SOIL TEXTURE CODES:
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INSPECTOR(print name) INSPECTION SIGNATURE DATE PERMIT EXPIRATION DATE
2 03 2 -I i0b
•All systems require ongoing Operation and Maintenance(O&M)as specified 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 REV EW APPROVAL BY: DATE: INSTALLATION APPROVED BY: DATE:
ITOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM: Applicant's Copy
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: SWG2003-00033
Parcel No: 420014490004
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: 20 A&B, 50 A&B and 70 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 SWG2003-00033
MASON'COUNTY
DEPARTMENT of HEALTH SERVICES
—� Shellon.Woshinglon 98584 -
(206)427-9670 - Belloir.275-4467
ENVIRONMENTAL HEALTH PERSONAL HEALTH WATER OUALIT'
P.O. BOX 1666. 303 N. FOURTH P.O. BOX 1 G6r
MEMORANDUM
DATE:
TO: 17 ALA t;a 14J A.
FROM:
RE: Design for Jn AUI 0 G• Ua4(� Parcel # 42
Your designfor the above referenced parcel has been reviewed and is
APPROVED.
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Your design for the .above referenced lot is NOT APPROVED. It does not meet
the requirements or needs additional information.