HomeMy WebLinkAboutSWG2020-00304 - SWG Application / Design - 7/2/2020 (4) MASON COUNTY 415NS SH ELTON: 0427-97 ,EXT 4
40H STREET,
,SHEL ON, EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA.360482-5209,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2020-00304
APPLICANT SIMPSON STUART B Phone: 253.853.2165
Address: 13405 138TH AVE KPN GIG HARBOR,WA 98329
OWNER SIMPSON STUART B Phone: 253.853.2165
Address: 13405 138TH AVE KPN GIG HARBOR,WA 98329
SEPTIC DESIGNER PAULAJOHNSON• Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION, WA 98592
Site Address: XX7( Parkway Blvd
Primary Parcel Number: 320215601038
Permit Description: New three bed SFR-Nuwater trench
Permit Submitted Date: 07/02/2020
Permit Issued Date: 07/21/2020
Issued By: Rhonda Thompson
Current Permit Fees Paid: $945.00 (adUfiOonallaes may be rewroo.00n m:mllnma orsynem).
Permit Expiration Date: 07/17/2025 (based on dare ormsCedllon)
Permit Conditions:
1 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
2 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
3 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
4 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
5 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 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/onsite/oss-inspection4equest.php or call:
360-427-9670,extension 400.