HomeMy WebLinkAboutVault Toilets - SWG Application77
.. 77 .S A S E
PERMIT NO. SWG
MASON COUNTY DEPARTMENT OF HEALTH SERVICES ------- N
426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Date <. N
PHONE (360) 427-9670 Receipt No. I n
Amount$ —' Z F
P8PPER7y OWN ATE:R: _ P 91
ate, t. a,r-�io,t`S Cp,,,�, ' �i ('Z �O'�j CHECK APPLICABLE ITEMS �/ m
MAILING ADDRESS: DAYTIME PHONE: NEW SYSTEM b
L{gO'Z S- 1`tF,- S14 72L3 - 7-Gz - 7731 REPAIR SYSTEM
CITY: STA E: ZIP: TABLE 6REPAIR v
WVA gF?L1o5- 19VZ MAINTENANCE REVIEW m
PROPERTY ADDRE S: 1 T i 1 SINGLE FAMILY Z
\ '25 6 6 ?_ k^O\oa. W a 1o.�k V Q `� B OTHER: C- w
3 PRIVATE WELL
SPECIFIC DIRECTI NS FOR LOCATIN SITE: U
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1'��dt•;L� `-41l�R. • SYSTEM NAME
APPLICANT
NAME �tS a -_T_
Name of Lot ft.x ft. MAILING ADDRESS
Installer r WA '( 1,is vw'
Size: acres TELEPHONE 36o 731 361
Name of Number of SIGNAlI�R o
Designer Bedrooms X !!�¢// ' O
OFFICIAL USE ONLY BELOW THIS LINE
DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDITIONS I G m
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SOIL TEXTURE CODES:
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INSPECTOR(print name) INSP ION SIGNATURE GATE PERMIT PI TION DATE
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•All systems require ongoing Operation and Maintenance(08M)as specified in Mason County On- ' 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-she 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 she 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 she review.Denial of this permit may be appealed to the Health Officer within 10 da s of denial date.
DESIGN REVIEW APPROVAL BY: DATE: INSTALLATION APPROVED BY: DATE:
TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM:Applicant's Copy
HAHOBAS SCOUT RESERVATION
MCILITY 4 SITE LOCATIONS
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MAINTENANCE ENiPANCE LACE
camssw CATE HAHOBAS SCOUT RESERVATION
NEALTN RANGEE9 HNS NE 1365 HAHOBAS WAY
LODGE TAHUYA. WASHIN60N 98588
TO SELi < 360.372.2701 -
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04/17/2003 14:39 3602758531 BEISLEY INC PAGE 02
Beisley Inc.
PO Box 2355 Ph.(360)275-5783
Belfair,WA 98529 Fax(360)275-8531
17 April, 2003
Mason County Building Dept.
426 W.Cedar St
Shelton.
WA. 98584
360-275-4467 ext.352
Re: Boy Scout Camp Hahobas
Dear Sir/Madam,
After the existing nineteen out- houses have been removed the vaults will be
filled with drain rock.
Yours Sincerely
Bill Beisley/ Presidents
APPROVED
MC HEALTH OEPT
APR 2 3 20W
PSD
04/17/2003 14:39 3602758531 BEISLEY INC PAGE 03
Beisley Inc.
P.O. Box 23559 Betfair,WA. 98M
360-275-5733 / fax 2754S31
LETTER OF TRANSMITTAL
MMa h 27, 2003
FROM: Mark T. Brock
TO: Mr. Larry Sorenson
Pacific Harbors Counsel
Boy Scouts of America
4802 South 19'' Street
Tacoma, WA 98405
Phone: 253-752-7731
Fax: 253-752-7819 "
PROJECT: Construction of nineteen sanitary facilities at
Hahobas Boy Scout Camp
SUBJFXF;
'Ilse following items are being uansmitted.
Attached you will find a sketch if the proposed changes to holding tank. I
can order the fabrication of the holding tanks as soon as I receive approval
of the new layout and the signed contract. If you would like I will accept a
fax copy of the contract so fabrication can start sooner,the fabrication will
take two weeks.
APPROVED
MC HEA1_TH DEPT
APR 2 3 ZUu3
PSD
Signed
By Mac of
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04/17/2003 14:39 3602758531 BEISLEY INC PAGE 05
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