HomeMy WebLinkAboutSWG2025-00043 - SWG Application / Design - 2/13/2025 HELTON,
WA
® MASON COUNTY 416NBSHELTON: , 0427-97 ,EXT 400
SHELFAIR 360,275 70,EXT 400
BELFAIR:360.2]5148],EXT 400
Public Health & Human Services ELMA:360d62-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Tank Only Permit: SWG2025-00043
APPLICANT Marshall, Renee Phone:
Address: 9668 N Hwy 79 Lot F66 Florence,AZ 85132
SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 151 E DUNOON PL
Primary Parcel Number: 321275100042
Permit Description: Holding Tank
Permit Submitted Date: 02/13/2025
Permit Issued Date: 03104/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 (Wdldorel fen mey be Wund u,o ,nsulwicw m.yeleml.
Permit Expiration Date: 02113/2023 (b.W 0�dmb 0.Na,cwn)
Type of Work OSS New Construction
Components being Replaced: RV Holding Tank
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 0 Drinking Water Source: Public Water System
Additional Details: Holding tank
Permit Conditions:
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 Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
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
APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmentaYonsite/oss4nspection4squest.php or call:
360-427-9670,extension 400.
MASON COUNTY DMFRKEYEIH OFFICIAL USE ONLY
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ON-SITE SEWAGE TANK ONLY APPLICATION
APPLICANT PHLNE m
RENEE MARSHALL 206-714-3052 z
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9668 N HWY 79 LOT F66, FLORENCE, AZ. 85132 O m
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D NEW CONSTRUCTION I UPGRADES D REPAIR I REPLACEMENT D PRIVATEINDIVIDUAL WELL D PRIVATE TWO-PAR TYWEU. =
COWONENTS)TOBEREPIACEWINBTPLLED jr PUBLIC WATER SYSTEM 41^4 ce/ M ey (/ I -4
OSEPTICTANK OPUMPTANK 11RVHO1DINGTANK BEDROOMS LOT e¢E
D OTHER 22052SF
OTHERDETNLS(SMiOUtl,YA ) TANNS)SETBACK CHECUIST m I �
D SURFACING SEWAGE D EXISTING FAILURE DSHOREUNE ■ 100F7+PUBUCICOMMUNRYWELLS A
SUBMITTALS D WFT+PRIVATE WELLS.SURFACE WATERS,STREAMS,RVERS ;R O
PLOT PLAN(REQUIRED) 0 TANK CROSS SECTION(REQUIRED) D 1UFT+DRINKING WATER SUPPLY LINES
O PUMP DETAILS(IFAPPLICABLEI ■WAVER(S)(IFAPPLICABLE) 5FT+PROPERTYI EASEMENT LINES,FOUNDATIONS,FOOTINGS I O
PLOTPUJIg1ECMIST O I O
■ PROPERTYLINESANDEASEMENTS DE)SSTINWPROPOSEDSTRUCTURES 11EXISTINGIPROPOSEDO3SCOMPONENTSANCLINES
O WELLS WITHIN IWFT l WATER SUPPLY LINES 111 DRIVEWAY&PARKING DSURFACE WATERS,STREAMS,RIVERS,ETC... I I A
■ DIRECTON OF SLOP&CONTOURS D PERIMETER/CURTAIN DRAINS 0 NORTH ARROW ■SCALE BAR
DIRECTIONS TO SITE AND SFE OMMnONS:(ec kCMOghf I N
GO OUT HIGHWAY 3, TURN LEFT ONTO MASON LAKE ROAD, TURN I MIX..ONTO ST
ANDREWS DR, TURN RIGHT ONTO ROAD OF TRALEE, TURN LEFT ONTO DUNOON
PL, LOT IS ON THE LEFT SIDE OF RD(GOLF COURSE IS ON THE NORTH SIDE OF
PARCEL.
OFFICIAL USE ONLY BELOW THIS LINE
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SBPECTORBW'FUNRF DATE APPLICATIONENPIHILTONWTE APRIf,ATNW APPROVEW ISSUED BY MTE
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