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HomeMy WebLinkAboutSWG2023-00534 - SWG Application / Design - 12/28/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 Public Health & Human Services BE ELMA:360-482-5269,EXT 400 LFAIR 360-275-4467,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2023-00534 APPLICANT FAWN LAKE MAINTENANCE COMMISSION Phone: Address: 471 SE CRESCENT DR SHELTON, WA 98584 OWNER FAWN LAKE MAINTENANCE COMMISSION Phone: Address: 471 SE CRESCENT DR SHELTON, WA 98584 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 SEPTIC INSTALLER THAD BAMFORD-Bamford Septic Repair Phone: 360-790-2364 Address: 301 WALLACE KNEELAND BLVD STE 224-332 SHELTON, WA 98584 Site Address: 220 SE CABANA AVE Primary Parcel Number: 319045300001 Permit Description: Replace septic tanks Permit Submitted Date: 12/28/2023 Permit Issued Date: 01/16/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: 5255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/16/2025 (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: 0 Drinking Water Source: Public Water System Additional Details: Septic tank Permit Conditions: 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County 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. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 095. 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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. MASON COUNTY 1 i. - IS _ 'MN 0 r p0 Ill COMMUNITY SERVICES ,,DS- I q-47 CI M AA P bl H IfM1 l m Y II E ,mnmendlllxnlU9 Z ME I.n,.s .,R, S W G ap V'S-. c _ 3�' o _ O A ON-SITE SEWAGE TANK ONLY APPLICATION a n APPI lOANI ___ 3 A FAWN LAKE MAINTENANCE I360-701-4055 zr ILINGADDRESS-STREE I CITY STATE ZIP CODE C ?A 471 SE CRESCENT DRIVE m sr(ADDREss-STREET CITY ZIP CODE — — — - — — - — -- m SHELTON, WA. 98584 1 co VRWF OF DESIGNER _ CINDY WAITE )„. NEWT OF.Nsau FR — 340-701-0205 _- I CD BAMFORD SEPTIC REPAIR C CD IYPE(IF WORK Relsq s,nI 360-790-2364 � m O ❑ NEW CONSTRUCTION!UPGRADES XR EPAIR I REPLACEMENT D PRIVA- INP✓ID 1.1 L. ❑ PRIVATE (p Prplry r,'I Z C DMPONENTIS 10 BF REPLACED/INSTALLED a RUBLE) AI I) S $ ❑.) DY/IN1 Kf ,$ X SEPTIC TANK 0 PUMP TANK ❑RV HOLDING TANK ell IT Err 1 0 OTHER I (n OTH p Sr -" 0yr I OXII Y'0XSUX 1X1IUX5C' m r- W— ❑ SURFACING SEWAGE EXISTING FAILURE ❑SHORELINE y ® 1001T 1IR 11MUNIf 1/EIR O / SUCMTTALS ❑ CF VATS LS (p .[ 7`( r/PI_FS ',THEN Is AIKERS MI PLOT PLAN(REQUIRED) ❑TANK CROSS SECTION(REQUIRED ❑ IOTLDI WIN( AE< I ION Y INL . © PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)11FAPPLICABLE) p 'FT' PHOPERI , iENI I1RIFE( ((RIME/01OIN F'IF(INGS Fi OT PLAN OE[CRUSTIffi PROPERTY LINES AND EASEMENTS ® Ex1s➢NG!PROPOSED srRUCTURES m I 0 o EX1;' IN P 2 S T. A..1 PEEN NO.wES H ❑ WELLS WITHIN 10DET CI WATER SUPPLY LINES X DRIVEWAYS?PARKING 05LRE SUEWRIER5 61RLA RR /I -RS pC O DIRECTION OF SLOPE,CONTOURS ❑ PERIMETER?CURTAIN DRAINS X NOR1'I IRROy,: 0 DIRELTION'E IC SIR'AND SITE CONDITIONS Ia. rErxeLl GO OUT COLE ROAD, TURN'RIGHT INTO FAWN LAKE, TURN LEFT AT TEE ONTO CRESCENT, TURN RIGHT ONTO CABANA, PARCEL IS AT END. I IPORADE!F AIL UP E SOURCE(or®oaung pvposes; 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE ❑COMPLAINT ryI II R. COMMENT') I ONDITICNS -_- k .cc(e. - vi -S V\ Si. ct WAGE TAMS MUST BE LISTED UNDER DOH LIE OF NLGIS I FRED SEWAGE TANKS TTANKS YAWSdI [ _ ll AND L S TO SURFACE AND INCLUDE AN EFFLUENT HI TER IF APES LAKE RECORD DR U ANI N AI l-1 I 1.J '- ?LIAR.. INSPECTOR SIGNATURE E' I 'F THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUE .n➢ONEurlpN DATE - �( r lzS I/go1 PUBLIC VIEW ON THE MASON COUNTY WEBSITE Fr. Cindy Waite 80 E Pickering Lane Shelton, Wa. 98584 360-701-0205 December 27. 2023 RE: Fawn Lake Maintenance 220 SE Cabama Ave 31904-53-00001 This system has two failing 1000 gallon tanks. We are replacing the tanks with a 1500 gallon tank with risers and effluent filter. This system has minimal use, It is in use from Memorial Day to Labor Day with 1000 to 1500 gallons per month. There may be a couple events in the off season for only one day. The system will be retrofitted with a D-Box and riser for better observations and maintenance of the system. Respectfully submitted; Cindy Wad APPROVED JAN 16 2024 MASON C 'UNTY E4r1RONMENTAL HEgLTN RET en 1— S7� �r P C; 4 v.-. \ RE ucErvsEo sicrv1dJJ 9T, .,.i. �.. � w IJca y ufo,a s.,p{ = 5-0' I ' -hm,t l (14) Pm"' p<'.. 1 0Ii7,Ix ii pc - C , , �Y c Laic S /rT". ti .r , APPROVED ,,,, If BAN 16 2D24 L I ♦50 'in ':,y 1SE}4ENT4lbEAITt. 6 1 5ut,)c,"F ' H„'CIc -HW H. ,.._ �. Ai r----------- f i b 31, soy- .s3 -60APPROVED JAN 16 2024 jaso,coy: E EI, 1/40YE'17.\1.hE&.LTF: RE I }" " r ' I it i ' f ; �t § I II THURSTON-MASON HEALTH DISTRICT No. I"3Ile/ Division of Sanitation Court House Annex Court Ho a annex Shelton, '?sahington �E. `'df' Olympia, shington Phone 426-8515 �l`57 Phone1552-4851 319E-1-53-0000/ APPLICATION TO CONSTRUCT OR ALTER AN INDIVIDUAL SWAGE ➢ISP()SAL SYbTLE (Application required for each installation) I Property Omer ro mi �.►Lle. ., X. r a...,4 TelephoneI (Please Printt) Nailing Address t'u..J el Lite Address of Site Sd,,,.,<, Location of Property, including: Lot ) ( Block„` Other 1_....._._ Detailed directions to site: - Wroc/w•_ Alga. terk-t V p, j y Pronert. I Commove,. R Residence No. Bedrooms BasmentType� Uatdf"Supply: pdk,<, 'Tell Spring Other Is any water supply or body of water within 50'feet of sewage system? YeeEN Septic Tail) 1co0Rallons. Drainage System Length Ibo feet. Treneh Vidth_frt.ti (Referr to le 1 of Bulletin) (Refer to Table 2 of Bulletin) system other than above Check for Installation of: 1 Automatio Laundry ( ) Automatic Dishwasher ( ) Garbage Grinder ( ) Is Contractor installing septic tank? yee----9 No Drainfiaid? y8s+ no — Name of Serge Contractor Q,tk-r- ke.1e.,.,.._ Sewage contractor must be licensed by Thurston-Maaoa Health SKETCH PLOT PLAN AND PLANS OP PROPOSED District SYSTEM ON SEPARATE SHEET OP PAPER THE UNDERSIGNED hereby applies for a permit to construct a new and/or alter ( ) a sewage system on.sbo rope in accordance with the But etin. Applicant's Signature I Address—VA__3 % ov Slit k-- .-_ -- SL `\.,../ --- Bulletin Vaahino*ton State Department of Health Bulletin 7 No. 1 entitled Septic Tank ystm for Your Home for minimum requirements. -- _ - -_-" -(Kot to be filled in by AouliCant) - - - - -- "- permit No /%6 Be ;?C 'O Date Issued (e By II( ( , Area - _.. _. . __.. Sanit Dates Inspected Rm„•ks l' Ilk Date Annroved _ / t Y_Cif_ :approved By _ - Sanitarian _ ._._____ `-/ %/ ) f k rxrc p 6; , ••r' rot/ 44 ........,... i r L \ a1. --- Srya I s ❑ , o ti . . 3„• I Ip' S _ I ye • \fr Lll