HomeMy WebLinkAboutSWG2023-00410 - SWG Application / Design - 9/26/2023 SHELTON,
MASON COUNTY 415NBTHELTON: , 0427-97 ,EXT 404
SHELTOR:360275AtV,EXT 400
BELFAIR:380-27544fi7,EM 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
40 FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG202 3-0041 0
APPLICANT IDDINGS FAMILY PROPERTIES LLC Phone: 206-391-7502
Address: P O BOX 2 MAPLE VALLEY,WA 98038
OWNER IDDINGS FAMILY PROPERTIES LLC Phone: 206391-7502
Address: P O BOX 2 MAPLE VALLEY,WA 98038
SEPTIC DESIGNER ANTHONY DEMIERO Phone: 360-8775200
Address: PO BOX 1174 HOODSPORT,WA 98548
Site Address: 617 NE DEWATTO BEACH DR
Primary Parcel Number: 323284300000
Permit Description: Replace septic tank
Permit Submitted Date: 09/26/2023
Permit Issued Dale: 05114/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $470.00 (additional fees may to wultad upon Installation of system).
Permit Expiration Date: 10/09/2024 MwdondatamInspection)
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: 2 Drinking Water Source: Private Two-Party Well
Additional Details: Septic tank
Permit Conditions:
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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.
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/OR DESIGN
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/onvironmentaUons[teloss-inspection-requ"t.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
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OTHER DETAILS PeI lIM0MPW TANK(S)SETBACK CHECKLIST O I—V
13SURFACING SEWAGE O EXISTING FAILURE OSHORELINE 01WFT+PUBLICICOMMUNITYWELLS (�� lO
SUBAI�ALS b 0 EOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
X PLOT PLAN(REQUIRED) y1 TANK CROSS SECT ON(REQUIRED) ® 10FT+DRINKING WATER SUPPLY LINES I
Q PUMP DETAILS(IF APPLICABLE) OWAIVER(S)(IFAPPUCABLE) EFT+PROPERTYI EASEMENT LINES.FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST
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y E PROPERTY UNESAND EASEMENTS ®EXISTINGI PROPOSED STRUCTURES E EXISTING/PROPOSED OSS COMPONENTSAND LINES
0 WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRNEWAYSI PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC...
■ OIRECTION OF SLOPEI CONTOURS 0 PERIMETER?CURTAIN DRAINS A NORTH ARROW a SCALE BAR
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❑VOLUNTARY 0"NTENANCEIPUMPING�UILDINGPERMIT 13HOMESALE OCOMPWNT DOTXER:
COMMENTS I COIARIONS
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BEWAOE TANKS MUST BE LISTED UNDER W VAT W REGISTEREDSEWAGETAHKS'.TANKS MUST MEET CURRENT MINIMUM SME REQUIREMENTS,EQUIPPED WITH RISERS
NID UM T,SURFACE,AND INCLUDEAN EFFLUENTFILTER ffF ICASLE). RECORD DRAWINGANO INSTAL1ATp04 REPORT REWIRED FDA FINALAPFA-,
INSPECTORSIGNATURE DATE APPLICATION E%FpRKFI0NpAm MPLICATNINAPPROVEM ISSVEOOY
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE
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617 NE DEWATTO BEACH DR Service Company:
TAHUYA KURT'S PRE-CAST
Tax ID:323294300000 P.O.Box 99
uw.Residential,Single Family Belfair,WA 98528
360 2761996
Se,iced:0510212023 by:Kurt Olson Submitted 05/1812023 by:Kurt Olson
Mmy l:niun:6i6Recyding Jurisdiction ID:323284300000
COMMENTS
bad tank
YES
Tank Pumped:
Tank Size(Gsllons)(Number only,no text): W00
Effluent level within operational limits(fl NO expla m in in coments): YES
000
Total Gallons pumped from tank
(Number on ,no tarot): NO
Effluent redoming back into tank after pumpi :
Tank depelow grade(incires): 12
m b
WA
Access Risers Installed to grade(N/A 0 not present):
Tank Construction Matedal: Concrete
Tank Condition Good: NO Deeolsnt
Baffles In good condition N/A 8 not Presenq: NO 0e�ism
Effluent screen ceared(N/A0 rat allies : N/A
Effluent surfacing around site components N/A B not checked): NO
Tank abandoned after pumpi2g, YES
Were repairs metle to the Tank or Tank Component?(if YES explain in comments): NO
Coco dment i Scum acoumulation Inches,0 order a ify$ 12
Cmnparlment 1 Slutlge accumula8on(Inches.8 other spec) 30
Componno 2 Scum eccomul Aim(inch",9 other specify): 10
Compartment 2 Sludge accumulation(Inches,if order spa ): 2l1
nd:asXX::am..�«u+wex.nue,a m.>m.aaX.sX.yaXX•�m.a�.a.oe m ro...x a me repoX.w W.x..a ro.:rw o cos p�:X.*..
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