HomeMy WebLinkAboutSWG2024-00263 TANK ONLY - SWG Application / Design - 6/12/2024 4i5 NfiTH
MASON COUNTY STREET, HEL067 ,EXT 400
SH TREE ,SHELT ON, EXT 400
40 BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:30DA82-6269,EXT 490
FAX:36G427-7187
On-Site Sewage System Tank Only Permit: SWG2024-00263
APPLICANT HOUSLEY FRANK C&APRIL L Phone:
Address: 3530 NE OLD BELFAIR HWY BELFAIR,WA 98528
OWNER HOUSLEY FRANK C&APRIL L Phone:
Address: 3530 NE OLD BELFAIR HWY BELFAIR,WA 98528
SEPTIC DESIGNER PAULA JOHNSON• Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION,WA 98692
SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474
Address: 911 BE Arcadia Road SHELTON,WA 98584
Site Address: 662 E ALDERWOOD RD
Primary Parcel Number: 122077590041
Permit Description: Relocate Bit of dralnfield to meet setback to utility easement
Permit Submitted Date: 06112/2024
Permit Issued Date: 06/1312024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $265.00 (addm.o.lfe .may b�,oyotrod opo�masuaim�or sysleml.
Permit Expiration Date: 06/13/2027 (bawd on daleof mspa�uo„I
Type of Work OSS Repair
Components being Replaced: Other
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Private Wall/Spring
Additional Details: NIA
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.
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
3 Mason County Asbullt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE WRING INSTALLATION OF 088.
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/environmental/onsiteloss-inspection4equest.php or call:
360.427�9670,extension 400.
OFFICIAL USE ONLY
PARM.fNtR
MASON COUNTY �o O-
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ON-SITE SEWAGE TANK ONLY APPLICATION $ z
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Frank&April Housley (360)932-4411
MMINGADORESS STREET.CITY,STATE.ZIP COT£ z
3530 NE Old Belfair Hwy#56, Belfair,WA 98528 A
SITEADDRESS-STREET.CRY,BPOOOE
622 E Aldarwood Rd, Belfair,WA 98528
NAMEOFOESIGNER PHONE I N
Arrow Septic Designs, Inc (360)898.2256
IMMEOGINSTAWER PHONE C I N
Maples Excavating (360)463.8474 y I o
TYPEQ°NORKIp4iw) DRINKING WATERSOURCE O
ONEWCONSTRUCTIONIUPGRADES ®REPAIR/REPIACEMENT O PRIVATE INDMOUAL WELL ❑ PRIVATE�ARTY WELL
COMPONENTPH TO ME R OWEN INSTALLED ❑ PUBLIC NMTER SYSTEM
❑SEFTICTANK ❑PUWTANK ❑RVHOLDINGTANK BEDROOMS LOTSME I 4
N OTHER RNMW 0 FI b10MY0y OMNBEM 21311 1.26 ams
OTHER DETAILS RNKIe9MM Pp,PR TANKIS)SETBACK CHECLIST Q
❑ SURFACINGSEWAGE ❑EMISTINGFAILURE r]SHOREUNE I) INI'T.PUBLIC/COMMUNITYWELLS I �
SUOMMAL6 ❑ E 'PRNATENELLS.SURFACEWATERS,$TREAMS,RIVERS
M PLOT PLAN(REWIRED) ❑TANKCROSS SECTION(REWIRED) O IWT.DRINKIW VMTER SUPPLY LINES
❑ PUMP DETALS(IFAPPUCABLE) ❑ WAIVER(S)OFAPPUCAOLE) E3 5".PROPERTY/EASEM UNES,FWNDATIONS.FOOTINGS
PLOT PLAN CHECKLIST O I p
® PROPERTY UNES AND EASEMENTS M EXISTING/PROPOSED STRUCTURES 0 MSTINGIPROPOSED CES COMPONENTS AND LINES ~
® WELLS WITHIN TODFT ❑WATER SUPPLY LINES WDRIVEWAY&PARKING OSURFACE WATERS,STREAMS.RIVERS.ETC... I IA
m DIRECTK)NOFSLCPE/CONTOURS ❑ PERIMETER/CURTNNDRNNS ®NORTHARROW ®SCALEW
OIflECT10NSTOSITEAND9TE CpNGTIONb'.IBa'.hvN" Y)
From downtown take HWY 3 towards Belfair. Turn (L) onto E State Route 106. Turn (L)
onto NE Alderwood Rd. Take sharp (R) by"670" driveway. Destination on (Q.
OFFICIAL USE ONLY BELOW THIS LINE
UPGMCE I FN W RE SOLYtCE(Kr npPnirg pMPoSnP)
❑VOLUNTARY 13WINTENANCVPUMPING ❑BUILDING PERMIT 0HOMESALE 000MPLVNT OOT
COMMEMS/CONOTIONB
JUN 10 2024
Yea$EWiGF TANlKo3IAcUSsT�SE4 e dt� C� LBy_LSTOUNDERCOH 6* .SRPOSEWMA TANKS UiMEETCURRENTMINIMUM IREMMSEGUNPEDV_AT_HRIS ERS
ANOUMTOSURFACE,ANp WCLUDEANEffLI£MFlLTER QFAPRJCAfiIEI. RECORD DRAWMAND INSTMUTIONREPORT REOUIREDFOR MNALAPPRWAL.
IN591,=NSIUIUIURE DATE APFUCATION IMNRATION GATE AWLCATIONAPFROVEWISSURI DATE
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THIS FORM MAYBE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYWESSITE REWSED7W0H
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JUN 13 2024 I
MASON COUNTY ENVIRONMENTAL HEALTHI
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