HomeMy WebLinkAboutSWG2022-00541 TANK ONLY - SWG Application / Design - 10/25/2022 MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 98584
• SHELTON: ,S 42 TON, ,EXT 400
584
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: SWG2022-00541
OWNER JANHUNEN CURTIS M & HILDEGARD Phone:
Address: 1704 BEL AIRE AVE ABERDEEN, WA 98520
APPLICANT JANHUNEN CURTIS M & HILDEGARD Phone:
Address: 1704 BEL AIRE AVE ABERDEEN, WA 98520
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 421 W Nahwatzel Beach Dr
Primary Parcel Number: 520045000037
Permit Description: 1500 Septic and 1250 Pump tank.
Permit Submitted Date: 10/25/2022
Permit Issued Date: 05/30/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $240.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/25/2025 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic and Pump Tanks
Surfacing Sewage? No Existing Failure? No
Shoreline? Yes Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Private Two-Party Well
Additional Details:
Permit Conditions:
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.
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
5 Existing well must be decommissioned before final approval, building occupancy.
6 O+M required on existing drain field before final approval.
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.
Rimi
OFFICIAL USE ONLY C0_,
4
MASON COUNTY DATE RECEIVED
67,477 COMMUNITY SERVICES �V' 2� Z�Z C N
AMOUN RECEIVED: 1u' RECEIVED BY' CO N
Public Health(Community Health/Environmental Health) a_ to . m
760-927.9610,ext.90e a 360-275-9467,ext.400
415 N.86,Stroh-Shelton,WA 98589 (` /L/G I
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ON-SITE SEWAGE TANK ONLY APPLICATION n a
APPLICANT 3
PHONE m n
Ill
KRISTINE AND JOHN JANHUNEN 650-815-6183 z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE C
58 CLIPPER ST
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SITE ADDRESS•STREET,CITY,ZIP CODE
421 W NAHWATZEL BEACH DR IG1
NAME OF DESIGNER
PHONE
CINDY WAITE 360-701-0205 N
NAME OF INSTALLER PHONE I/�
TBD v u
TYPE OF WORK(select one) DRINKING WATER SOURCE cn_ IQ
❑ NEW CONSTRUCTION/UPGRADES El REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL z
z I.tCOMPONENT(S)TO BE REPLACED'INSTALLED CI PUBLIC WATER SYSTEM
NISEPTIC TANK ® PUMP TANK CIRV HOLDING TANK BEDROOMS 1 LOT SIZE '
❑ OTHER 3 70'X215'X72'X237'
OTHER DETAILS(select all that apply) COPP y) TANK(S)SETBACK CHECKLIST r
CISURFACING SEWAGE 0 EXISTING FAILURE IN SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS 0
SUBMITTALS 0 SOFT+PRIVATE WELLS.SURFACE WATERS.STREAMS,RIVERS I()'
® PLOT PLAN(REQUIRED) U TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES IC/
❑ PUMP DETAILS(IF APPLICABLE) U WAIVER(S)(IF APPLICABLE) ❑ 5FT+PROPERTY/EASEMENT LINES.FOUNDATIONS.FOOTINGS
PLOT PLAN CHECKLIST l'-
® PROPERTY LINES AND EASEMENTS EI EXISTING/PROPOSED STRUCTURES U EXISTING/PROPOSED OSS COMPONENTS AND LINES
e WELLS WITHIN 100FT WATER SUPPLY LINES ® DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC...MII"V
DIRECTION OF SLOPE/CONTOURS ❑ PERIMETER/CURTAIN DRAINS •NORTH ARROW U SCALE BAR /DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate)
GO OUT SHELTON MATLOCK ROAD, TURN RIGHT ONTO NAHWATZEL BEACH DR,
GO ABOUT 4/10 OF A MILE, SITE IS ON THE LEFT SIDE OF ROAD.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE!FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ()COMPLAINT 0 OTHER
COMMENTS/CONDITIONS (d A/13u I QNl : 't C O -^
J
,_,
0 + 4A.
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 SI A�URE DATE APPLICATION EXPIRATION DATE
-i APPLICA APPROVED!ISSUED BY DATE
�� .,..--_,„
15 °wu, 30 23
ORM MAY ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
v REVISED 1 2/712 0 1 5
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LAASNew Residence for 3 LA, o o A
m o a John janhunen & Kristine Whiteman janhun - ;. �?
N CU V DOS m .tea♦ ,;
.� (D o W 421 W Nahwatzel Beach Drive ,o—
Z Shelton, WA 98584 i .8 o f N eke3