HomeMy WebLinkAboutSWG2024-00284 - SWG Application / Design - 6/27/2024 SHELTON,WA
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MASON COUNTY 415N 6THELTON: , 0427-97 ,EXT 400
SHELTON:360-02R9610,EXT 400
BELFAIR:360-2754467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX 360427-7767
On-Site Sewage System Tank Only Permit: SWG2024-00284
OWNER CHEYNE TRUST RAYMOND&CAROLE Phone. 425-821-5423
Address: 12439 NE 136TH PL KIRKLAND,WA 98034
APPLICANT CHEYNE TRUST RAYMOND &CAROLE Phone: 425-821-5423
Address: 12439 NE 136TH PL KIRKLAND, WA 98034
SEPTIC INSTALLER DARIN OGG. Phone: 360-790-3021
Address: PO BOX 1336 HOODSPORT,WA 98548
Site Address: 201 SE WILDCAT COVE RD
Primary Parcel Number: 319115200012
Permit Description: Replace septic tank
Permit Submitted Date: 06/27/2024
Permit Issued Date: 07/01/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $265.00 (additional%as may Pa regmeed upon msreuauon of system).
Permit Expiration Date: 07/01/2025 (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: 3 Drinking Water Source: Public Water System
Additional Details: 1250 G Hagerman
Permit Conditions:
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
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
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 DES.
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: masoncoontywa.gov/health/environmentaUonsiteloss-inspection-request.php or call:
360.427-9670, extension 400.
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