HomeMy WebLinkAboutSWG2024-00427 - SWG Application / Design - 10/28/2024 MASON COUNTY 415NfiTHELTON: ,SHELT967 ,EXT400
SHELTON:380J2]ON, EXT584
BELFAIR:360 2754467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Tank Only Permit: SWG2024-00427
OWNER MCCOY MICHAEL T&MICHAELA J Phone: 360490-3512
Address: 2740 BE BLOOMFIELD RD SHELTON,WA 98594
APPLICANT Royal Flush Phone: 3607903021
Address: P.o.box 1336 Hoodsport,WA 98548
Site Address: 2740 SE Bloomfield Rd
Primary Parcel Number: 319232390010
Permit Description: Replace old tank and upgrade with new two compartment
Permit Submitted Date: 1012812024
Permit Issued Date: 1013112024
Issued By: David Anderson
Current Permit Fees Paid: $265.00 (additional fees may as requeed upon installation of system).
Permit Expiration Date: 10/2812025 leased an date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring
Additional Details: House Brothers 1250 gal Wide
Permit Conditions:
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF CS&
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: masonmuntywa.gov/health/environmentallonsite/oss-inspection-requestphp or call:
360427-9670,extension 400.
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