HomeMy WebLinkAboutSWG2024-00424 TANK ONLY - SWG Application / Design - 10/24/2024 MASON COUNTY d16N8 SHELTON: ,SHELT967 ,EXT 400
SH STREET.
.SO ELTO , EXT 400
BELFAIR:360-275.4467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
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
SEPTIC INSTALLER BRAYDEN SCHOENING' Phone: 360-742-2982
Address: 121 W GRIZDALE DRIVE SHELTON, WA 98584
Site Address: 411 N KOKANEE RIDGE DR
Primary Parcel Number: 422165100178
Penult Description: Replace septic tank
Permit Submitted Date: 10/24/2024
Permit Issued Date: 1012512024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $265.00 (sddaonal fees may be mWlmd uaan mtailae nrsyatem).
Permit Expiration Date: 1 0/2 512 02 5 (easedo dale ennaWtJDn)
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 Scurce: Public Water System
Additional Details: Hagerman 1250 ST
Permit Conditions:
1 Horizontal setbacks per WAC246.272A-0210 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 staff 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 085.
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: masoncountywa.govlhealth/environmentallonal loss-Inspection-request.php or call:
360-427.9670, extension 400.
OFFICIAL USE ONLY
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❑ PUMP OETAILS(IFAPPUCABLE) O WAIVER(S)(IFAPPLICABLE) ■ 6FTFPROPERTY/EASEMENT LINES,FOUNDATIONS.FOOTINGS
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