HomeMy WebLinkAboutSWG2025-00011 - SWG Application / Design - 1/13/2025 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360427-9670,EXT 400
BELFAIR:360-275-4487,EXT 400
Public Health & Human Services ELMA:360 82-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Tank Only Permit: SWG2025-00011
OWNER BAZE FAMILY FARM LLC Phone:
Address: 510 E MASON LAKE RD SHELTON,WA 98584
SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON,WA 98584
APPLICANT RICHARD BECKMAN Phone: 360-790-1921
Address: 5951 E Brockdale Rd SHELTON, WA 98584
Site Address: 5101 W Skokomish Valley Rd
Primary Parcel Number: 521123400200
Permit Description: Repair: Replace failed septic tank
Permit Submitted Date: 01/13/2025
Permit Issued Date: 0111412025
Issued By: David Anderson
Current Permit Fees Paid: $270.00 (addeional teas may W required upon Imusimtlan asystem).
Permit Expiration Date: 01113/2026 (nasedandatemmlpeotipa)
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: 4 Drinking Water Source: Public Water System
Additional Details: Hagerman concrete 1500 gal
Permit Conditions:
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.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
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/environmentallonsite/o"-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY --
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