HomeMy WebLinkAboutSWG2024-00424 - SWG Application / Design - 10/24/2024 415 N STH STREET.SHELTON,WA 985"
® MASON COUNTY SHELTON:360d75-4460,EXT 400
BE ELVA:saf,486.4487,ENT 400
ELMA:380.4B2-S2S9,ENT 400
Public Health & Human Services FAx:360427-7787
On-Site Sewage System Tank Only Permit: SWG2024.00424
OWNER LAWLESS LEONARD B Phone:
Address: PO BOX 484 HOODSPORT, WA 98548
APPLICANT
LAWLESS LEONARD B Phone:
Address: PO BOX 484 HOODSPORT,WA 98548
Phone: 360-742-2982
SEPTIC INSTALLER 121 W
Address:: GRIZDA E DRIVE SHELTON,WA 98584
Site Address: 411 N KOKANEE RIDGE DR
Primary Parcel Number: 422165100178
Permit Description: Replace septic tank
Permit Submitted Date: 1012412024
Permit Issued Date: 1012512024
Issued By: Rhonda Thompson
Current Permit Fees Paid: E265.00
(.ddnbnsl fees may be raWlred tt a Inslallea'n of system).
Permit Expiration Date:
10/2512025 (eased..date onnapxum)
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: 0 Drinking Water Source: Public Water System
Additional Details: Hagerman 1250 ST
Permit Conditions:
1 Horizontal setbacks per WAC246.272A-02 10 must be maintained, unless prior approval is
obtained
2 Permit must be installed by a Mason County Certified installer unless prior written
authorization from Mason County Is obtained-
4 Proposed development subject to zoning requirements and approval by the planning
department sta%per Mason County Title 17.
3 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 ANDIOR DESIGN
APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmentaYonslteloss-inspectlongequest.php or call:
360.427-9670,extension 400.
OFFICIAL USE ONLY
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