HomeMy WebLinkAboutSWG2020-00431 - SWG Application / Design - 8/27/2020 (4) i
MASON COUNTY 416N BSHELTON:STREET,SHELTON,
967 . A 98584
EXT400
SHELTON:360�27-9670.EXT 400
BELFAIR:360-275d467,EX7400
Public Health & Human Services ELMA:3604823269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2020-00431
APPLICANT REYNOLDS STEPHEN JAMES & Phone:
TIFANIE BROOKE
Address: 1028 BAWIEW AVE SHELTON,WA 98584
OWNER REYNOLDS STEPHEN JAMES& Phone:
TIFANIE BROOKE
Address: 1028 BAWIEW AVE SHELTON,WA 98584
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98584
Site Address: )ODC E Lexington PI
Primary Paroel Number: 421257790021
Permit Description: New four bed SFR-pressure trench
Permit Submitted Date: 08/2712020
Permit Issued Date: 07/21/2022
Issued By: Luke Cencula
Current Permit Fees Paid: $1,000.00 (adddlonal fear may m required upon Installation ed system).
Permit Expiration Date: 08/27/2025 (teased an dale of mspeaon)
Permit Conditions:
1 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
2 Dreinfield 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 backll of
system components.
4 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
5 Mason County Asbuilf 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: masonwuntywa.govlheaithienvironmentaUonsiteloss-inspection-requestphp or call:
360.427-9670,extension 400.