HomeMy WebLinkAboutSWG2024-00038 - SWG Application / Design - 2/5/2024 nisi* 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: SWG2024-00038
APPLICANT WITTENBERG MICHAEL D & ROXANNE Phone:
Address: 430 SHERMAN ST NW OLYMPIA, WA 98502
OWNER WITTENBERG MICHAEL D & ROXANNE Phone:
Address: 430 SHERMAN ST NW OLYMPIA, WA 98502
SEPTIC DESIGNER CINDY WAITE- Septic Designer Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 80 E Pebble Beach Ln
Primary Parcel Number: 322365100901
Permit Description: 2-bedroom residential holding tank: Repair
Permit Submitted Date: 02/05/2024
Permit Issued Date: 02/12/2024
Issued By: David Anderson
Current Permit Fees Paid: $265.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/05/2025 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? Yes Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: Existing 1200 gal Graystone septic tank
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.
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.
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-- --
DATE RECEIVE -
MASON COUNTY IDCOMMUNITY SERVICES aNOUN1IV • R" —)-40111 Cr) >
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Public Health(Community Health/Environmental Health)0
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415 N.6th5trcet-Shdro4 WA9858< JVf1l/V _
ON-SITE SEWAGE TANK ONLY APPLICATION > o
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APPLICANT rn
PHONE r
MICHAEL/ROXANNE WITTENBERG 360-789-0970 z
MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE k CO
430 SHERMAN ST NW, OLYMPIA, WA. 9502 U 73
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SITEADDRESS-STREET,CITY.ZIP CODE 0" 20?' I (o
80 E PEBBLE BEACH, UNION, WA. 98592 RECF�V�O
NAME OF DESIGNER PHONE I N
CINDY WAITE 3620-701-0205
NAfAE OF INSTALLER PHONE 0 IV
TBD G I( 0.)
TYPE OF WORK(select one) DRINKING WATER SOURCE 75
❑ NEW CONSTRUCTION/UPGRADES V REPAIR/REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I CD
_ CI PUBLIC WATER SYSTEM t
COMPONENT(S)TO BE REPLACED/INSTALLED I
❑ SEPTIC TAN 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE
cri
til OTHER 11 tId IY 4 -toe 2 F)O�X'I68� CO
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OTHER DETAILS(select all that a/S{Ny) TANK r S)SETBACK CHECKLIST r
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CI (
SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE 0 100FT+PUBLIC!COMMUNITY WELLS X I CD
0 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
SUBMITTALS I
[Al PLOT PLAN(REQUIRED) ❑ 0 TANK CROSS SECTION(REQUIRED) 10FT+DRINKING WATER SUPPLY LINES O
® PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 5FT+PROPERTY!EASEMENT LINES,FOUNDATIONS,FOOTINGS
r ICO
PLOT PLAN CHECKLIST O
'-'I
8 PROPERTY LINES AND EASEMENTS 1 EXISTING/PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTS AND LINES I CD
WELLS WITHIN 100FT B WATER SUPPLY LINES II DRIVEWAYS/PARKING ElSURFACE WATERS STREAMS,RIVERS,ETC...
® DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR I
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate)
GO NORTH ON BROCKDALE THEN MCREAVY, TURN RIGHT ONTO DALBY, TURN
RIGHT ONTO HIGHWAY 106, TURN RIGHT ONTO PEBBLE BEACH, PARCEL IS ON
THE RIGHT SIDE OF ROAD, GARAGE AT TOP OF THE HILL, RESIDENCE AND
GARAGE DOWN THE HILL.
OFFICIAL USE ONLY BELOW THIS LINE -- — -�
UPGRADE I FAILURE SOURCE(for reporting purposes)
j ElVOLUNTARY 0 MAINTENANCEIPUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER:
I„ ,DEB 0 6
COMMENTS I CONDITIONS
L.
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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 REPOR1 REQUIRED FOR FINALAPPROVAL DATE
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED!ISSUED RY
21f a -1 —2=-----.-27(W92?
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
REVISED 12/7/2015
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Cindy Waite
80 E Pickering Lane
Shelton, Wa. 98584 ���
360-701-0205 R O
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360-426-2113
cindyewaite(c,msn.com FEB 1 2 2024
MASON COUNTY ENVIRONMENTAL
1/17/2024
DJA HEALTH
RE: 80 E Pebble Beach
Union, Wa. 98592
Parce #32236-51-00901
The on-site system on this parcel is failing according to Triple A. There is very limited
room to install a new system. The area right behind the boatshed and to the right of
boatshed may be able to support a system. The area to the right of the boat shed has a
retaining wall that may need to be reinforced. Both of these areas should not be
developed in any way because they are the only two areas a new drainfield and tanks
might be able to go. The area for new tanks may be next to the boat shed or under the
black top down by the residence.
This residence has very limited used.
The current owners want to use their existing 1200 gallon tank as a holding tank. It will
be retrofitted with risers and the outlet will be capped. The tank will have an alarm
system. Owners agreed to have tank pumped annually or as needed.
Respectfully submitted;
Cindy Waite
N'ECElVED
MASON. COUNTY HEALTH DEPARTMENT
.. 428 WEST BIRCH STREET J U N 2 2 1983
SHELTON, WASHINGTON 98584
/ 5bcaf/ :
I 7 '_ ' PHONE (206) 426-5561 .
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
OWNER
ADDRESS (� `�`�do3
Getov- e vu ckeV- Doug ( .23 Ave_ S. � LIP11evu, WA4
THIS RECORD IS NbT A GUARANTEE OF PERFORMANCE. LEGAL
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER DESCRIPTION Poy4 0 c j- `di-S g �q 0 v Pe6bic
WITH PROPER MAINTENANCE AND CAREFUL USE OF ct L ParK A S Ye to yd ea, iH Vol. ii Plaiir
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- e . 19 - S e 6_ 3 �. M r n1,1 0.10 IA 1.t}11
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS Gv V el,i 4 Jbzk 1„ � I2 1,,d.p ah 3in
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FJELD X
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. 1ZE
FAULTY FIXTURES. DEPTH TO MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE + OF YEAR Ll e
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER _
•FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND htl 0� . a 1 U a g
j_d
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE
SEPTIC TANK (S) 00 r a l
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR-
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD LENGTH f�,` ' I FEET
CARRYING OVER INTO THE DRAINFIELD. CALL THE
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA •_SQ. FT.
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE S
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE
DEPTH ( " ❑ CORRUGATED RIGID ❑ CEMENT
14._RECORD WHEN HE COMES.
RDEPTH TOTAL
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE . COCKU. YDS. II 9- �� BP�owj J' DEPTHC
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT•DISTRIBUTION FIELD: 5 0 SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING 1 - } : - - , .. _. . . . i
ARE LATER CONTEMPLATED. ..
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO : - : 1 ' . . -. ' • - - I. I ,. i . . .
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH , + j-
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE •DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. ' 4 . . •} ' . - '.. ... .•
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE '-
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE I • • . I •
•DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE i
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- - .1 • - • • - - i • •S' (, 1:ne-%! •
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. . . tI '�- � •
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT ` . T E ' '
EQUAL TO ONE HALF INCH OF RAIN PER DAY.
ry � . r
FOOTING DRAINAGE, DOWNSPOUTS AND WATER j (Q .-6 Q, i Q y Pr T%MAli
SOFTENER RECHARGE WATER SHOULD NOT BE CON- i ar ^'�4 . PI to--e-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE - "3 -1 _!
DRAINFIELD AREA. ' . - • } -
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE ____-. ( - _ ___ . . . _ . ..
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD •, •• :
I ,
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- ' E ` '
• I
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK . . :. . .
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE I.. - r-- - - .. t
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY - - t ' • 'Qark' I
CHANGING THE CHARACTERISTICS OF THE SOIL. THE _...____-_____._-�t.___i I
NORMAL USE OF BOWL CLEANERS OR CLEANING COM- • • • • j I-c C' o I `—`� ~
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW Ii /�A'1 Ii SOUTH.�
DOWN THE OPERATION OF THE SEPTIC TANK. 74 14_3
THIS IS AN IMPORTANT DOCUMENT �A
KEE,kmcV�`TF `i� [ ,r1 li s..,€ ( f io,�t f e& _ -G�t
��1INIMegR� DATE / CERT FLED BY