HomeMy WebLinkAboutSWG2024-00306 - SWG Application / Design - 7/17/2024 MASON COUNTY 615NBTH STREET,SHELTON, ,E98584
SHELTON:360-2759 70,EXT 400
BELFAIR:360-275-0467,EXT 400
Public Health & Human Services ELM:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Tank Only Permit: SWG2024-00306
APPLICANT KAIZEN CONSTRUCTION LLC Phone:
Address: P O BOX 1343 SHELTON, WA 98584
OWNER MASON CHRISTOPHER J &AMY L Phone: 1.206.390.3195
Address: 141 W OLYMPIC VIEW DR SHELTON,WA 98584
SEPTIC INSTALLER JARED HANSON* Phone: 360-239-6792
Address: 86 SE BANJO LANE SHELTON, WA 98584
SEPTIC DESIGNER CINDY WAITE' Phone: 360-701-0205
Address: 80 E Pickering Lane SHELTON, WA 98584
Site Address: 141 W OLYMPIC VIEW DR
Primary Parcel Number: 520085400013
Permit Description: Replace septic tank
Permit Submitted Date: 07/17/2024
Permit Issued Date: 07/29/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $265.00 (additional few may Ee requirem upon installaWn of system).
Permit Expiration Date: 07/29/2025 (nawm on mete of inspadbn)
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: 2 Drinking Water Source: Public Water System
Additional Details: Septic tank
Permit Conditions:
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.
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 sta%per Mason County Title 17.
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 ANDIOR DESIGN
APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/healthlenvironmentallonsiteloss-inspection-request.php or call:
360.427-9670,extension 400.
OFFICIAL USE ONLY
DATE.....
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ON—SITE SEWAGE TANK ONLY APPLICATION 3 a
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APPLICANT PHONE r
KAIZEN CUSTOM HOMES 360-250-2037 c
MAILINGADDRESS-STREET,CRY BTATE 21P OODE F.
PO BOX 1343 {k/ �.
SITE ADDRESS.-STREET. ITY ZIP CODE
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NAME OF DESIGNER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE O I CD
HANSEN EXCAVATION 360-239-6792
TYPE C£MORK Relel DRINKING MATER SOURCE w I O
❑ NEWCONSTRUCTIONIUPGRADES ■ REFAMIREPIACEMENT O PRIVATE INDIVIDUAL WELL OPRIVATE TP.O-PARTY WELL =
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COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SVSTEM
ASEPTIC TANK OPUMPTANK 0RV HOLDING TANK BEDROOMS LOT SRE I (P
❑OTHER 2 179�X50'
OTHER DETAILS(Wc}W OMf aRRI TANKS)SETBACK CHECKLIST 0 I A
❑SURFACING SEVMGE D EXISTING FAILURE OSHORELINE N 100FAPUBLICICOMMUNIWMUS F 110
SUBMRTALS 50FTI PRIVATE WELLS,SURFACE VMTEFS,STREAMS,RIVERS
• PLOT PLAIN(REQUIRED) i TANK CROSS SECTION(REQUIRED) 010FTt DRINKING MTER SUPPLY LINES O
■ PUMP DETAILS(IF APPLICABLE) [3 VAIVER(S)(IFAPPLICABLE) M 5FA PROPERTY/EASEMENT LINES,FOUNDATIONS.FOOTINGS
PLOTPLAN CHECKLIST Q Q
E PROPERTYLINESANDEASEMENTS ■ EXISTINGI PROPOSED STRUCTURES 0 EXISTING/PROPOSED OSS COMPONENTSAND LINES ~
Q WELLS VATHIN 100FT 2 MTER SUP,PLL LINES ■ DRIVEVMVSI PARKING ■SURFACE VMTERS,STREAMS,RIVERS,ETC- I I �
■ DIRECTION OF SLOPEICONTOURS RIMETER/CURTAIN DRAINS ■NORTHARROW I♦ SCALESAR
DIRECTIONS TO SITE AND SITE CONDITIONS'.NP,b HIAffi1
GO OUT SHELTON MATLOCK STORE, TOWARDS LAKE NAWATZEL, TURN RIGHT ON
OLYMPIC VIEW DR, PARCEL IS ON THE LEFT SIDE TOWARD THE END OF OLYMPIC
VIEW DR.
OFFICIAL USE ONLY BELOW THIS
UPGMDE/FMLURE CE na rcgZ pumww)
O VOLUNTARY K NTEPoINCePUMPING O BUILDING PERMIT [3HOMESALE OC4EINT
COM.IENTS/CONDRIONS
SEVIAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED—SEMGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED MATH RISERS
AND LIDS TO SURFACE,AHD INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWNGANO INSTALLATION REPORT REQUIRED FOR FINALAPPROVAL.
INSPECTOR SIGNATURE DATE MPLICATHW EXPIRATION DATE APPLICATION APPROVED?ISSUED BY DATE
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC NEW ON THE MASON COUNTY WEBSITE REVISED 1WO015
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APPROVED
- - - - JUL 29 2021
MASON COUNTY ENVIRONMENTAL HEALTH
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END ELEVATION
NOTE DIMENSIONS AND VOLUMES ARE NOMINAL
I' = 25.44MM
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