HomeMy WebLinkAboutBLD CD Environmental Health Review - 7/1/2021 COMMUNITY DEVELOPMENT ENVIRONMENTAL HEALTH REVIEW
Mason County Public Health Official use only
415 N. 6th Street Permit Number:
PO Box 1666
Shelton, WA 98584 Date Received:
Shelton. (360)427-9670, Ext. 400
Belfair: (360) 2754467 Ext. 400 Amount Received
Elma. (360)482-5269 Ext. 400 Receipt Number
Fax (360)427-7787
Applicant Information Type of Review
Applicant Greg Allen Date7-1-21 q Btu�JJ,ld 0 ing Permit
Mailing Address PO BOX 1914 ! New Replacement
Allyn WA 98524 0 Commercial Building Permit
City State Zip 0 New 0 Replacement
Daytime Phone 2`. -M9-9e55 Other Phone same 0 Building/Commercial Permit Revision
0 Tenant Review
E-Mail Address gailen745@comcast.net
0 Pre-Application
Parcel Information
12-Digit Parcel Number 12229-24-00010
Site Address 17358 E State Route 3 Allyn
Street Number Street Name City
Type of Job Please submit a scaled plot plan
Describe work Contruct an all metal garage attached to cement slab showing all existing and proposed
Number of Bedrooms N/A building, on-site sewage system,
and well.
On-Site Sewage Information Water System Information
0 On-Site Septic System New 0 Existing Plumbing in structure? 0 Yes No
O Sewer Name of Sewer System If yes:
Using an existing on-site septic system will require a current please submit a completed Water
maintenance report and a Record Drawing (Asbuilt). Documents
for both of these requirements may be on file with Mason Adequacy Form.
County Public Health. Other requirements may apply.
Applicant Signature
Date 7i/
Official use only
Departmental Review Approved Denied Notes
Water Adequacy
On-site Sewage System
Tenant Review
Revision
Revised 1211Mi)
Home(/Public/Home) Greg Allen-
(/Pubkc/Home)
SWG2020-00644Sewage Camact(maikO:permes@co.mesa".weu0subject-lPermit%23SWG2020-00644j)
Permit:Residential Septic System
Address: Status submitted:12/14/2020 Inspections: Total Fees:
UNKNOWN Issued Approved:2/22/2021 Reoused:2 $69000
MASON COUNTY, IssuM:2/22/2021 CampMe:1
WA 00000 Additional
Parcel closed: fees may be
t..122292400010 Evpires.12/28/2023 required
Prai
New four bed SFR-gravity trench with waiver
Contacts
Bob Paysse-Pioneer Digging Inc
ALLEN GREGORY WAYNE&TIFFANI JEAN
ALLEN GREGORY WAYNE&TIFFANI JEAN
Details
Typeof Work OSS New Construction
Number of Bedrooms: 4.00
Primary Treatment Compoment(s): Septic Tank Only
Proprietary Device: None
Drein(eld Type: Gravity
Parcels
N you click an the blue parcel number below,you will be able to view information related Wine parch.
Parcw Owner Address
122292400010(/Parcels/ParcelDetail/IndeWf9fc536 2ba4530- ALLEN GREGORY WAYNE& 1735E E STATE
8aef-a93872f663d6) TIFFANI JEAN ROUTE
ALLYN, WA98524
Submittals
Upload all submittals for review.All required submittals must be received prior to routing for renew.
Submlaal Required Received Accepted
Proof of a required recording with Auditors office, No 2[17/2021 2/17/2021
Design Form Pages 1 and 2 Yes 12/14/2020 12/14/2020
Septic Design(Plans) Yes 12/14/2020 12/14/2020
Installation Checklist and Record Drawing Yes
Approval Steps
Fallow your application through the approval process.
Step Status Me
Enwironmental Health Clerical Done 12/14/2020
Environmental H ealth Review Approved 2/22/2021
Fees
The fees listed below are subject to change based on project and permit requirements.
Fee Amount
Ornate Sewage System InstallMion $225.00
Onsite Sewage System Individual Permit Fee $465.00
TMeI:$690.00
Inspections
The list of inspections below are subject to change based on project and permit requirements.
Completed On
EneimnmeMal Health Site Inspection 12/28/2020
EH-Installation Inspection
Conditions
The Owner/Applicant agree to the permit conditions at issuance.
Proposed development subject to zoning requirements and approval by the planning department staff per Mason County
Tole 17.
Parmit must he installed by a Mason County Certified Installer unless poor written authorization ham Mason County is
obtained.
Drainfield installation not to exceed designed upslope(11')and downslope(81 depth specified on design font.
Installer Is responsible fur obtaining Mason county installation approval polo to backfill of system components.
Installer is responsible for obtaining Septic Designer/Engineer installation approval poor to backfill of system components.
Mason County Asbuiit Form,Record Drawing,and Installation fee must be submitted for final Installation approval.
Mason County Privacy Policy Refund Policy
(htps:/l .ca.masw.w(VBa*c/NM cypolicy) (/Public/RefundPoli y)
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