HomeMy WebLinkAboutSWG2022-00194 TANK ONLY - SWG Application / Design - 4/11/2022 i fie •teN, MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
- 'L i COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
;ter. -, ELMA:360-482-5269,EXT 400
Banking,Planning.Env"vorm.ental Hwith Community Iteal th
: rtamer./ B r FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2022-00194
OWNER JOHNSON ET UX ERIC A Phone:
Address: RENEE A JASPERS-JOHNSON OLYMPIA, WA 98502
APPLICANT JOHNSON ET UX ERIC A Phone:
Address: RENEE A JASPERS-JOHNSON OLYMPIA, WA 98502
SEPTIC INSTALLER SCOTT JOHNSON-Weather Tight Phone: 360-763-6577
Construction
Address: 8639 Salty DR NW OLYMPIA, WA 98502
Site Address: 650 E BALLANTRAE DR
Primary Parcel Number: 321275000106
Permit Description: Septic tank replacement
Permit Submitted Date: 04/11/2022
Permit Issued Date: 04/27/2022
Issued By: Luke Cencula
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/27/2023 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: Septic tank replacement
Permit Conditions:
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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.
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.
OFFICIAL USE ONLY
• ��. ,.y: MASON COUNTY DATE RECEIVED: _ �i 0 D
�3 II- -A RECEIVED
COMMUNITY SERVICES AM C
CO
Public Health(Community Health/Environmental Health)
-.l; 360-427-%70,ext 400 or 360-275-4467,ext 400
415 N.6th Street-Shelton,WA 98584 /G S A F O
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ON-SITE SEWAGE TANK ONLY APPLICATION az >
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APPLICANT PHONE m m
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE C
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SITE ADDRESS-STREET,CITY,ZIP CODE
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NAME OF DESIGNER PHONE
NAME OF INSTALLER GO PHONE'...-"----;, 0 3 C 6 -. 7 ,_3 — ‹r7 P _
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py-44-thce,-0 i , r- 4 fr ___
TYPE OF WORK(select one) DRINKING TER SOURCE I-'!
❑ NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT 0 RIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z
COMP ENT(S)TO BE REPLACED/INSTALLED
COMP WATER SYSTEM I
SECI TANK 0PUMP TANK RV HOLDING TANK BEDROOMS LOT SIZE I
❑ OTHER 2
0
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST r I
❑ SURFACING SEWAGE CIEXISTING FAILURE 0 SHORELINE CQ- 100FT+PUBLIC/COMMUNITY WELLS n I
SUBMITTALS / B OFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
[EILOT PLAN(REQUIRED) C3'TANK CROSS SECTION(REQUIRED) ,u,//10FT+DRINKING WATER SUPPLY LINES r�
❑ PUMP DETAILS(IF APPLICABLE) El WAIVER(S)(IF APPLICABLE) Gi 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS I`�J
PLOT N CHECKLIST 1
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�OPERTY LINES AND EASEMENTS EXISTING/P OPOSED STRUCTURES _ ,EXISTING/PROPOSED OSS COMPONENTS AND LINES -.
WELLS WITHIN 100FT WATER SUPPLY LINES C] DRIVEWAYS/PARKING Q SURFACE WATERS,STREAMS,RIVERS,ETC...
1-",,
v-
Q/DIRECTION OF SLOPE/CONTOURS Er PERIMETER!CURTAIN DRAINS Q/NORTH ARROW O'SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) f- ^ r i. -�--7""'- — I'` '
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- OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY AINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE El COMPLAINT 0 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
`-_-, Ae rck. }1 )o )-3 '/f fie. yI�J�7"�'
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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---------------_-:
DATE:
EK ENGINEERING INC. DRAFTE6/23/11
D BY: TANK CtiNSTRUC,TtO1/4 4 RC.EAR SCICDULE FOR 7.400aS g
1250 S, 1250 S-1,
.71
P.O.BOX 3097 BATTLE GROUND.WA 98604 D.R.N. 1250 P & 1250 P-T
PHONE: (360) 687-7668 FAX: (360) 687-7669 SCALE. cn
NTS HAGERMAN PRE-CAST
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DRAFTED BY: 1 250 S, 1250 S-T, rn
P.O.BOX 3097 BATTLE GROUND,WA 98604 D.R.N. 1250 P & 1250 P-T
PHONE: (360) 687-7668 FAX' (360) 687-7669 SCALE:
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