HomeMy WebLinkAboutSWG2023-00292 TANK ONLY - SWG Application - 7/10/2023 -tplii),
MASON COUNTY 415 N 6TH STREET,SHELT967 ,E 98400
SHETREE ,S 42 TON, ,EXT 584
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2023-00292
APPLICANT JOE FASSIO-Joe Fassio Excavating Phone: 360-898-7286
Address: 170 E SPRUCE ST UNION, WA 98592
OWNER MORALES MARY Phone: 206.369.5041
Address: 111 N Mt Jupiter Dr HOODSPORT, WA 98548
4 APp Address: 111 N Mount Jupiter Dr Arp� 1,
Primary Parcel Number: 422045000073 �/
Permit Description: Move tanks AUG 0 3 2023
Permit Submitted Date: 07/10/2023
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Permit Issued Date: MENTq�HEq�
Issued By: David Anderson Q/� T
Current Permit Fees Paid: $255.00 (additional fees may be required'upon installation of stem).
Permit Expiration Date: 07/10/2026 (based on date of inspection)
Type of Work Other
Components being Replaced: Septic and Pump Tanks
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: No
Permit Conditions:
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.
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: masoncountywa.govlhealthlenvironmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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T PLAN(REQUIRED} ]TANK CROSS SECTION REQUIRED) DRINKING WATER SUPPLY UNES
0 PUMP DETAILS(IF APPLICABLE) ❑WAIvER(S)(IF APPLICABLE) 5FT'PROPERTY/EASEMENT LINES.FOUNDATIONS,FOOTINGS
PLOT PAN CHECKLIST / O
PROPERTY UNES AND EASEMENTS �XISTING/PR OSED STRUCTURES fa EXIST(NGi PROPOSED OSS COMPONENTS AND ONES —I
O LLS WRHIN 1E!FT CaVATER SUPPLY LINES VEWAYS/PMKINGG ❑SURFACE WATERS.STREAMS,RIVERS,ETC...n/&t
DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS W MORTTI ARROW ❑SCALE BAR
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❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE ❑COMPLAINT ❑OTHER.
`COMMENTS i CONDITIONS
SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS.TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED Wart RISERS
AND LIDS TO SURFACE AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE)RECORD DRAWING ARO INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL
INSPECTOR SL@IATURE DATE APPLICADON EXPIRATION DATE T APPLICATION APPROVED'ISSUED BY CA-T
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE REVISED 12/T.010
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AUG 0 3 2023
MASON COUNTY ENVIRONMENTAL HEALT'
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