HomeMy WebLinkAboutSWG2023-00197 TANK ONLY - SWG Application / Design - 5/22/2023 MASON COUNTY 415 N 6TH STREET SHELTON, 98584
SHELTON:360 427-9679670, EXT 400
BELFAIR: 360-275-4467,EXT 400
Public Health & Human Services ELMA: 360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2023-00197
APPLICANT BONELL BRADLEY E Phone:
Address: 2100 HERBIG AVE ABERDEEN, WA 98520
OWNER BONELL BRADLEY E Phone:
Address: 2100 HERBIG AVE ABERDEEN, WA 98520
SEPTIC INSTALLER Shane Maples- MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 261 W Nahwatzel Beach Dr
Primary Parcel Number: 520045000023
Permit Description: Replace septic tank
Permit Submitted Date: 05/22/2023
Permit Issued Date: 05/26/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/25/2024 (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: 3 Drinking Water Source: Private Well/Spring
Additional Details: Roth 1250 g
Permit Conditions:
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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
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.
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OFFICIAL USE ONLY T
DATE RECEIVED: _ 3
MASON COUNTY — J 0
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ON-SITE SEWAGE TANK ONLY APPLICATION m
APPLICANT PHONE mr
P)ro GI aonnPAI 3696-581- gelg z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE M
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�I00 HPr hi c Ave,. AhP,t d e/ ,vVA 9852B70
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SITE ADDRESS-STREET,CI ,ZIP CODE
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NAME OF DESIGNER PHONE A Iv
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NAME OF INSTALLER OSP
McipitS ExcavaiinI 3(P@- 4103- g094 ICTYPE OF WORK(select one) DRINKING WATER SOURCE O
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J NEW CONSTRUCTION/UPGRADES Q REPAIR/REPLACEMENT PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z 14
COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM 1
NJ SEPTIC TANK ❑ PUMP TANK 0 RV HOLDING TANK BEDROOMS 3 LOT SIZE IC
❑ OTHER 0' 2-9 W P
OTHER DETAILS(select all that apply) 1 TANK(S)SETBACK CHECKLIST 0
_,/ n I
El SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE L7 100FT+PUBLIC/COMMUNITY WELLS
SUBMITTALS �/5OFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
PLOT PLAN(REQUIRED) M TANK CROSS SECTION(REQUIRED) J�o{10FT+DRINKING WATER SUPPLY LINES
e C)
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) W 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST 0 0
❑ PROPERTY LINES AND EASEMENTS ❑ EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES
❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC...
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER!CURTAIN DRAINS 0 NORTH ARROW ❑ SCALE BAR I W
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gale) 1150
DC COmnlicS On Faded septic tar And in ta-II ncv gocI(ori gt-h
Upfit,-t-/[M►C,Gaol e,UoCatti0 l
KO Pc-I i It MAIL w h( draw wP Gt-Fifer-tile fa[C+ wh C,n d a i t,
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(tor reporting purposes) ^ -L- n t•1 n 1 -�
❑VOLUNTARY)MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHE f�l" ,C I1` IVi�1 [
COMMENTS/CONDITIONS [I MAY 2 2 2023
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By
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
Sf- -12 'i 91102Z
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1217/2015
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