HomeMy WebLinkAboutSWG2023-00485 TANK ONLY - SWG Application / Design - 11/14/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670, EXT 400
BELFAIR:360-275-4467,EXT 400
-11 .;;.0 r Public Health & Human Services ELMA:360-482-5269, EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2023-00485
OWNER IDEKER JAMES Phone:
Address: 970 E DANIELS RD SHELTON, WA 98584
APPLICANT IDEKER JAMES Phone:
Address: 970 E DANIELS RD SHELTON, WA 98584
SEPTIC INSTALLER Shane Maples-MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 970 E DANIELS RD
Primary Parcel Number: 320105102001
Permit Description: Replace septic tank
Permit Submitted Date: 11/14/2023
Permit Issued Date: 11/15/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $255.00 (additional lees may be required upon installation of system).
Permit Expiration Date: 11/15/2024 (based on dale or inspection)
Type of Work O55 Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 0 Drinking Water Source: Public Water System
Additional Details: 1300 g Premier plastics
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.
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.
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.
N -' — OFFICIAL USE ONLY
MASON COUNTY DATERETENED « 1 (u I �?s3 N
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ON-SITE SEWAGE TANK ONLY APPLICATION ; a
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NaTYPE OF WORRKK(( one)E x cava W�� DRINKING WATER//n Noe,
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❑ NEW CONSTRUCTION'UPGRADES Ip REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z IO
COMPO psi TO SE REPLACED/INSTALLED PUBLIC WATER SYSTEM
SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS pfee LOT SIZE 21, II I. i
❑ OTHER NNyaw/-• ' O.J_1 MI I N_/f
OTHER DETAILS(select a0 Oal apply)) TANK(S)SETBACK CHECKLIST Q
❑ SURFACING SEWAGE di EXISTING FAILURE ❑SHORELINE iE t00FT+PUBLIC/COMMUNITY WELLS n IC)J 2 T
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SUBMITTALS ,./ adEOFT+PRIVATE WELLS.SURFACE WATERS.STREAMS,RIVERS
YJ PLOT PLAN(REQUIRED) ANK CROSS SECTION(REQUIRED) �1OFT+DRINKING WATER SUPPLY LINES {� I _
❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) IC SETTPROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS 1 'N
PLOT PLAN CHECKLIST _Ar0 I O
❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES ❑EXISTING/PROPOSED OSS COMPONENTS AND LINES
❑ WELLS WITHIN IUOFT 0 WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING ❑SURFACE WATERS,STREAMS,RIVERS,ETC... _ Ip
❑ DIRECTION OF SLOPE/CONTOURS ❑ PERIMETER/CURTAIN DRAINS ❑ NORTH ARROW 0 SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS (ex lwkoIpale) I,---
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OFFICIAL USE OM Y BELOW TN IS LINE -- -
UPGRADE/FAILURE SOURCE Oar repotting PU9ose:)
❑VOLUNTARY.MAINTENANCE/PUMPING O BUILDING PERMIT 4HOME SALE ❑COMPLAINT ❑OTHER:
COMMENTS I CONDITIONS
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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 SC NNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12 VIE 015
RECORD DRAWING (continued)
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