HomeMy WebLinkAboutSWG2023-00027 TANK ONLY - SWG Application / Design - 2/3/2023 r..... .
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
A .,, SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
P Public Health & Human Services ELMA: 360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2023-00027
APPLICANT MCMASTERS DEREK J Phone:
Address: 130 E HILLDALE RD UNION, WA 98592
OWNER MCMASTERS DEREK J Phone:
Address: 130 E HILLDALE RD UNION, WA 98592
SEPTIC INSTALLER TJ Goos-TJ's Excavating Phone: 360-490-0217
Address: 150 E MARISA PL SHELTON, WA 98584
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584
Site Address: 61 N BASS PL
Primary Parcel Number: 422165300035
Permit Description: RV holding tank
Permit Submitted Date: 02/03/2023
Permit Issued Date: 02/21/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/21/2026 (based on date of inspection)
Type of Work OSS New Construction
Components being Replaced: RV Holding Tank
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 0 Drinking Water Source: Public Water System
Additional Details: Holding tank
Permit Conditions:
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY DATE RECEIVED:
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COMMUNITY SERVICES AMOUNTRECE _ RECENE��DBYYV:j
Public Health(Community Health/Environmental Health) 5\J ▪ co
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360-+27-9670,ext.400 or 36P275.4467,ext.400
415 N.6th Street-Shelton,WA 98584 2 — 3�_/ C 0 73
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ON-SITE SEWAGE TANK ONLY APPLICATION
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APPLICANT PHONE m
Derek McMasters (253) 205-1877 ,E z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r•,1C
130 E. Hilldale Rd., Union, WA 98592 al
SITE ADDRESS-STREET,CITY,ZIP CODE
61 N. Bass Place, Hoodsport, WA 98548
NAME OF DESIGNER PHONE s 'j,
Dale L. Tahja (360) 426-5940
NAME OF INSTALLER PHONE v �--''
T. J. Goos (360) 490-0217 <
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TYPE OF WORK(select one) DRINKING WATER SOURCE O
® NEW CONSTRUCTION I UPGRADES ❑ REPAIR I REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z -- -
COMPONENT(S)TO BE REPLACED/INSTALLED `l[t./O J 0 PUBLIC WATER SYSTEM
CO Lake Cushman Water Association
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❑ SEPTIC TANK ❑ PUMP TANK ® RV HOLDING TANK BEDROOMS LOT SIZEI.)/
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❑ OTHER 2 0.21 acre p� Oi
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST O
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE ® 100FT+PUBLIC/COMMUNITY WELLS 0
SUBMITTALS ® SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS I�
® PLOT PLAN(REQUIRED) IS TANK CROSS SECTION{REQUIRED) ® 10FT+DRINKING WATER SUPPLY LINES 7
❑ PUMP DETAILS(IF APPLICABLE) ® WAIVER(S)(IF APPLICABLE) ® SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
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PLOT PLAN CHECKLIST
® PROPERTY LINES AND EASEMENTS ® EXISTING/PROPOSED STRUCTURES ® EXISTING/PROPOSED OSS COMPONENTS AND LINES
® WELLS WITHIN 100FT ® WATER SUPPLY LINES 0 DRIVEWAYS/PARKING ON SURFACE WATERS,STREAMS,RIVERS,ETC... 1/1)j lam'
® DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS BE NORTH ARROW ®SCALE BAR L/ ,
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) �J
Go up to Lake Cushman, turn left past store towar lower lake. Turn left onto Rainbow Way,
turn right onto Bass Place, property on the left.
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— OFFICIAL USE ONLY BELOW THIS LINE I1=3 h'!
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UPGRADE/FAILURE SOURCE(for reporting purposes) I
tiLVOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER: i r�
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COMMENTS!CONDITIONS 1
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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
7" 12-t I .7 t, OPNc_wir lb 12:71)
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 07/09/2019
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- Holding Tank Sewage Systems-Recommended Standards and Guidance
Effective Date: July 1,2021
Introduction
A Holding Tank Sewage System (HTSS) is an alternative to a conventional on-site sewage
system with very special and limited applications. Simply, the HTSS provides a means to collect
and temporarily store sewage from a facility or dwelling, for subsequent removal and transport to
an approved treatment and disposal site. Depending upon the facility served or the particular set
of circumstances surrounding the use of a HTSS, the expense of sewage pumping, hauling, and
disposal at an approved facility can be very costly, especially on a long-term basis. In addition,
the potential for operational/management problems with resulting public exposure to raw sewage
is significant. For this reason, use of a HTSS must be closely regulated by the local health
agency.
A HTSS is an on-site sewage system that incorporates a holding tank,the services of a sewage
pumper/hauler, and the off-site treatment and disposal of the sewage generated at the site served
by the HTSS.
Figure 1. Longitudinal-Section of Typical Holding Tank Sewage System.
r • Warning Light and
Audible Alarm
Access Riser with secured Pumping Access Port with
gas tight lid I sloped concrete pad
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k Inlet APPROVED
— plpe Reserve Storage Volume
FEB 21 2023
MASON COUNTY ENVIRONMENTAL HEALTH
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Normal Operating Volume
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*Septic tanks with plugged outlets are not allowed. Tank must not have an outlet.
DOH 337-006 Page 6 of 17