HomeMy WebLinkAboutSWG2022-00368 - SWG Application / Design - 6/27/2022 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9679670, EXT 400
df� COMMUNITY SERVICES BELFAIR:360-275-4467, EXT 400
� i ELMA:360-482-5269, EXT 400
• ,fig.p w f Building,Planning,Environmental Health.Community health
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00368
OWNER KERESTECI ERCENK & FATMA AYDAN Phone:
Address: 20 N TRITON HEAD DR LILLIWAUP, WA 98555
APPLICANT KERESTECI ERCENK & FATMA AYDAN Phone:
Address: 20 N TRITON HEAD DR LILLIWAUP, WA 98555
SEPTIC INSTALLER Shane Maples-MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 20 N TRITON HEAD DR
Primary Parcel Number: 224062300020
Permit Description: Replace septic tank
Permit Submitted Date: 06/27/2022
Permit Issued Date: 06/28/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/28/2022 (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: Roth 1060
Permit Conditions:
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval 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: www.co.mason.wa.us/health/environmental/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
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OFFICIAL USE ONLY
DATE RECEIVED: - ��
MASON COUNTY �o
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A U T ECEIVED: RECEIVED BY: 't�"
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360-427-9670,ext.400 or 360-275-4467,ext.400 /^ A /� `` L
415 N.6th Street-Shelton,WA 98584 ``/�I' ' J , ) I - 0 b 3 O 2
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ON-SITE SEWAGE TANK ONLY APPLICATION
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APPLICANT PHONE r
•ErCe nlL- +fatma KeeecteGi 42S- 29'3 -q-1 013
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E
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20 N Tnton Read Dr. Li II i vva up, VIIGI '1 grxi
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SITE ADDRESS-STREET,CITY,ZIP CODE
20 N.TriltY1 t-iead Dr. Lilliv\loup1 WTI O1 5
NAME OF DESIGNER PHONE
NAME OF INSTALLER PHONE v
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Maples Excavafinoi (chant Maples 1 Z v1 -(44P3 - 81-11N R.
TYPE OF WORK(select one) DRINKING WATER SOURCE O
❑ NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT R PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z IE
CO ONENT(S)TO BE REPLACED/INSTALLED Ql PUBLIC WATER SYSTEM Tr i-w r'► - eat r
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SEPTIC TANK ❑ PUMP TANK RV HOLDING TANK BEDROOMS LOT SIZE IN
❑ OTHER Z 0430004
OTHER DETAILS(select all that apply) TAN VS)SETBACK CHECKLIST O I�
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❑ SURFACING SEWAGE Br EXISTING FAILURE ❑SHORELINE IS 100FT+PUBLIC/COMMUNITY WELLS I�
SUB TTALS 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
Pli PLOT PLAN(REQUIRED) IITANK CROSS SECTION(REQUIRED) 10FT+DRINKING WATER SUPPLY LINES
❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST r ISt'
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES ❑EXISTING/PROPOSED OSS COMPONENTS AND LINES —I
❑ WELLS WITHIN 100E7 0 WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I
❑ DI CjfnM CIF RI OPFI cm—rot IR¢ ❑ PERIMETER/CURTAIN DRAINS ❑ NORTH ARROW ❑SCALE BAR
DIRECTIO 'l.J--CvJSCID\NEe•r ;kedgate)
JUN 27 2022 b
By 1 0
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE S URGE(for reporting purposes)
❑VOLUNTAR MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER:
COMMENTS/CONDITIONS
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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
C'2ebVZ 1FvrzL.
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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GENERAL SERVICES DEPARTMENT
00 40 _ 13—a0o P.O.BOX 188 • 428 WEST CEDAR • SHELTON,WA 98584
W ZQ PHONE(208)427.9870
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RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
OWNER ADDRESS �
�1/ae1Y4f}N POC_Cr,ck ,2/ooi Ct.A2Ks01,-) 17(0`i k r)
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE.
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER �1 p
ZIP �[
WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL QDESSCRPTION /t�1oY OFGL-2 SciG C. 2 /AJ W
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- L-i 11..c S. or PLAT of 1,001 wooD BeAaAt f of 1414A1 101
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE ,IELD
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. SIZE X
FAULTY FIXTURES. DEPTH TO MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE a OF YEAR 004 L„
TWO OR THREE YEARS DEPENDING QN THE HABITS OF THE INSTALLER ((�}� �-
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND V+-; GEyN e Co'
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED.CLEAN- SIZE
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK IS) J SO SEG�rG -" co �L,�p7;u�
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD r FEET
CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH 7 XFp Q ,,tµ Ptk
-55,4.E
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA SQ. FT.
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE 'Z4a
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE DEPTH lerr ❑ CORRUGATED Ig.RIGID ❑ CEMENT
RECORD WHEN HE COMES. ROCK Dead
TOTAL
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE C YDS. G`j �� 36 K BELOW.
DEPTH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: Zci SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING
ARE LATER CONTEMPLATED. NORTH �AQ Lyp f�
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO W �'2r IL ROM 't e fi4P1Bgk
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH J r+2 -
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE s
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. Q� gizAti, g/ L 5--pr
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE `
SUCH THAT SURFACE WATER IS NOT POCKETED ON THEo OE* s v
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE G— ----) . oliob i . ��j r,
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- 27` M i 4 J
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. D 0
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT GO ES0 T "r
EQUAL TO ONE HALF INCH OF RAIN PER DAY. Ra
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CON-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE GI
DRAINFIELD AREA.
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE ?WWI
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- PP
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK •
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY 1 1 NC
, r
CHANGING THE CHARACTERISTICS OF THE SOIL. THE _ _ P�✓" 4+
NORMAL USE OF BOWL CLEANERS OR CLEANING COM-
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW SOUTH
DOWN THE OPERATION OF THE SEPTIC TANK. 6,,,
)1- '3 8THIS IS AN IMPORTANT DOCUMENT DA / G
KEEP IT WITH DEED OR OTHER � .� �M
it � INSTALLER
ESSENTIAL PAPERS. DA / �'�,�*��`111 01 ISIONA RE OF INSPECTOR