HomeMy WebLinkAboutSWG2021-00058 - SWG Application / Design - 2/3/2021 \ 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 400
COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
ELMA:360-482-5269,EXT 400
Building,Planning.Environmental Health,Community ikalth FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2021-00058
APPLICANT HARMON JANNETTE Phone:
Address: 1281 W LOST LAKE RD SHELTON, WA 98584
OWNER HARMON JANNETTE Phone:
Address: 1281 W LOST LAKE RD SHELTON, WA 98584
SEPTIC INSTALLER BUCKY MANKE-Manke Excavating LLC Phone: (360)426-0834
Address: 1909 PATTERSON SHELTON, WA 98584
Site Address: 402 W G ST
Primary Parcel Number: 420134500270
Permit Description: Septic tank upgrade
Permit Submitted Date: 02/03/2021
Permit Issued Date: 02/09/2021
Issued By: Rhonda Thompson
Current Permit Fees Paid: $230.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/09/2022 (based on date of inspection)
Type of Work Other
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Public Water System
Additional Details: Sound Placement 1200 gallon cement
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
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.
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: www.co.mason.wa.us/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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ON-SITE SEWAGE TANK ONLY APPLICATION
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MAILING ADDRESS-STREET,CITY,STATE,ZIP C DE E
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SITE ADDRESS-STREET,CITY,ZIP CODE
NAME OF DESIGNER PHONE I IN)
NAME OF INSTALLER PHONE v I D
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TYPE OF WORK(sel one) DRINKING WATER SOURCE —
❑ NEW CONSTRUCTIO /UPGRA )4 REPAIR EPLACEME1 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I
COMPONENT(S)TO BE REPLACED/INSTALLED 2A, PUBLIC WATE3R SYSTEM 1
Ild SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE i / I I-
❑ OTHER e2 [
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OTHER DETAILS(select all that apply) NDyG W I 1 TANK(S)SETBACK CHECKLIST Q "f 1
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE iia, 100FT+PUBLIC!COMMUNITY WELLS n 1
SUBMITTALS r4 SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
Io
PLOT PLAN(REQUIRED) KTANK CROSS SECTION(REQUIRED) 1OFT+DRINKING WATER SUPPLY LINES I 00 PUMP DETAILS(IF APPLI ABL 0 WAIVER(S)(IF APPLICABLE) 41 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST r I?J
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES --4
❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I'J
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) 11 0 3 't02\ A I Di
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OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOUR (for reporting purposes)
❑VOLUNTARY [1{MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT ['OTHER.
COMMENTS/CONDITIONS
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
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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Mason County Health Dept
Location: 402 G Street.
Upon pump out on 6-20-20 the tank was full. The transport line between tank and
Drain field appeared plugged. I dug it up to find a greasy substance plugging the
line. I cut out that area and replaced transport line. The system tested good and
has worked well since that time. However, I was wondering if septic tank was
working as it should so I had triple A come out to pump and inspect it on 2-1-
2021. Everything was working as it should. The pumper noted the lower section
of the inlet baffle needed repaired. The pumper commented that since the baffle
needs repaired why not just change the tank to a new 1200-gallon two
compartment tank. That would perform better and need less pump outs. Saving
me money in the long run. So, this is why I came int to obtain a permit to update
the septic tank. (Tank only permit). The actually drain field is working perfectly.
Curt Harmon
253-312-2065
FEB 0 5 2021
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