HomeMy WebLinkAboutSWG2024-00062 - SWG Application / Design - 2/21/2024 ea-s. MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
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: SWG2024-00061
OWNER PORT OF SHELTON Phone: 360-426-1151
Address: 21 W SANDERSON WAY SHELTON, WA 98584
SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION, WA 98592
APPLICANT SUGAR & BEAN COFFEE COMPANY Phone:
Address: PO BOX 189 SHELTON, WA 98584
Site Address: 400 W ENTERPRISE RD
Primary Parcel Number: 420020062000
Permit Description: Holding Tank for Sugar& Bean Coffee Company
Permit Submitted Date: 02/21/2024
Permit Issued Date: 02/22/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $530.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/21/2027 (based on date of inspection)
Type of Work OSS New Construction
Components being Replaced: RV Holding Tank
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 0 Drinking Water Source: Public Water System
Additional Details: 1500g Holding Tank
Permit Conditions:
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
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.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
I
DATE RECEIVED: � .. /13
MASON COUNTY C >
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COMMUNITY SERVICES AMOU ti'EO RECEIvtL ) o CP
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Public Health(Community Health/Environmental Health: 1//'� 1V`It\ [�t� l/(J_ Q
• 415 N.,-hu;got.�Shelt n.WA 9J'1b;,e.r.aDG SWG 3L 2 ` —CDc c / 5 73
a+.S N.bth street•Shelton.WA 9P.S8�
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ON-SITE SEWAGE TANK ONLY APPLICATION m n
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APPLICANT PHONE m
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Sugar& Bean Coffee Company, LLC (360) 463-8343 Molly Clark z
MAILING ADDRESS-STREET.CITY STATE.ZIP CODE co
m
PO Box 189, Shelton,WA 98584 m
SITE ADDRESS-STREE'CITY ZIP CODE
19 W Sanderson Way, Shelton, WA 98584
NAME OF DESIGNER PHONE I N
Arrow Septic Designs, Inc 3�60) 898-2255
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NAME OF INSTALLER PHONE
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TYPE OF WORK(select one) DRINKING WATER SOURCE
® NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z N
❑e PUBLIC WATER SYSTEM
COMPONENT(S)TO BE REPLACED(INSTALLED
❑ SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK
BEDROOMS LOT SIZE
® OTHER Commercial Holding Tank for Espresso Stand n/a approx 18,000 sf a) I O
OTHER DETAILS(select all that apply,( TANK(S)SETBACK CHECKLIST 0 I
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE El 100FT+
100FT+PUBLIC(COMMUNITY WELLS I M
SUBMITTALS
® SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS.RIVERS
CI PLOT PLAN(REQUIRED) IliTANK CROSS SECTION(REQUIRED) g 10FT+DRINKING WATER SUPPLY LINES IN
❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) li SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS.FOOTINGS
r I O
PLOT PLAN CHECKLIST O
II PROPERTY LINES AND EASEMENTS li EXISTING/PROPOSED STRUCTURES ® EXISTING/PROPOSED OSS COMPONENTS AND LINES I O
❑ WELLS WITHIN 100FT le WATER SUPPLY LINES In DRIVEWAYS/PARKING 0 SURFACE WATERS.STREAMS.RIVERS.ETC...
❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER!CURTAIN DRAINS ■ NORTH ARROW ®SCALE BAR I O
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate)
Take US Hwy 101 N toward Hoodsport, property is on (L)just after the Tractor Supply
Store, you can turn in on W Sanderson Way.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(for reporting purposes) . - . - -
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT 0 OTHER
; i
COMMENTS/CONDITIONS
�"ootr cmc °I.�FEB 22 2024 Id
SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS' TANKS MUST MEET CURRENT MINIMUM IYE'REQUIREMENTS7E@WPPBC,MaT l ER
S
AND LIDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE) RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL. DATE
E
DATE APPLICATION EX (RATION D E APPLICATION APPROVED!ISSUED BY ���L/
INSPECTOR SIGNATURE C''f'JI
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
REVISED-Gnc+.s
Arrow Septic Designs, Inc.
171 E. Vuecrest Dr.
Union, WA 98592
February 20, 2023
Mason County Department of Health Services
415 N 6th St
Shelton, WA 98584 RE: Sugar& Bean Coffee Company LLC Commercial Holding Tank, Parcel#42002-00-62000 (partial)
Dear Inspector:
elton
T9
he Sugar & Bean Coffee Company LLC will be a new business opening at 19 W Sanderson
Way, Shelto , WA.
98584. The applicant plans to install a Commercial Septic Holding Tank to service the proposed
The holding tank is to be a 1,500-gallon, single compartment tank with (2) lids and risers to the surface. It shall
not have an outlet. The tank is to have a high-level alarm
intent letter owner
willed set b the up ao contract with
a locals septic
pumping company for regular pump-outs. See attached
Notice to Future Property Owners of Commercial Holding Tank form is also attached.
The business will be drive-thru only and have
customer
the estroomsnor g concustomer
area inside the building. One
to two employees per shift are anticipated toork
Anticipated usage/flows are as follows:
Drive-Thru Espresso flow calculated at
0.40—0.60 gallons per customer
Anticipated average traffic:
100 customers per day
Total anticipated Flow:
40-60 gallons per day
The holding tank will be installed by a certified Mason County installer and an as-built will be submitted after the
installation is complete.
The proprietor's contact information is as follows:
Sugar& Bean Coffee Company. LLC
Attn: Molly Clark
PO Box 189
Shelton, WA 98584
(360) 463-8343
If you need further inf.,;r`%- .f:, =-e contact my office at(360) 898-2255.
���VA APPROVED
Sincerely, . ,
FEB 22 2024
am' 5,0•0 9 S
Y'Z PAULA JOY JOHNSON'. MASON COUNTY ENVIRONMENTAL HEALTH
Paula J. Johnson
Licensed Onsite Wastewater Treatment System Designer
Mason County WA GIS Web Map
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Holding Tank Sewage E��tm a Recommended
Standards and Guidance
:Jul
1
Introduction
A Holding Tank Sewage System(HTSS) is an se Samply,the HTSS provides a rntive to a conventional lmea s toecollect
system with very special and limited application
and temporarily store sewage from a facility or dwelling,
for the facilitybquent served removal
r the dp transport
to
t
an approved treatment and disposal site. Depending uponpumping,hauling,cand
of circumstances surrounding the use of HTSS,
costly�espee cially on a long-termense of basis. In addition,
disposal at an approved facility can be very
the potential for operational/management problems
closely regulated by the local health
is significant. For this reason,use of a HTSS must be
agency.
A HTSS is an on-site sewage system that incorporates
�°disposal of the sewage ene generated site served
of a sewage
pumper/hauler, and the off-site treatment P
by the HTSS.
Figure 1. Longitudinal-Section of Typical Holding Tank Sewage System.
;oIWarning Light and
Audible Alarm
Access Riser with secured Pumping Access Port with
gas tight lid Vsloped concrete pad
/111" !-1 'I
Inlet
from÷
4 structure
lClnlet
pipe Reserve Storage Volume A P P R O V E D
FEB 2 2 2024
♦— MASO4 COUNTY ENVIRONMENTAL HEALTH
Normal Operating Volume RET
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*Septic tanks with plugged outlets are not allowed.Tank must not have an outlet.
DOH 337-006 Page 6 of 17
Sugar&Bean Coffee Company LLC.
Attn: Molly Clark
PO Box 189
Shelton, WA 98584
February 6, 2023
Mason County Department of Health Services
415 N 6th St
Shelton. WA 98584
RE: Sugar& Bean Coffee Company, LLC Commercial Holding Tank, Parcel#42002-00-62000 (partial)
Dear Inspector:
As part of the application process for installation of a Commercial Septic Holding Tank for Sugar& Bean
Coffee Company, LLC located at 19 W Sanderson Way, Shelton,WA 98584 we agree to have the tank
pumped on a regular basis with a minimum of annually. The tank will have a high-level alarm and we will
engage a local septic pumping company to be on standby for regular pumpouts.
If you have any questions, please feel free to get in touch at mollykgregory@gmail.com or by my phone
number listed below.
Sincerely,
If
Molly, lark 1
(360)463-8343
APPROVED
FEB 22 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET