HomeMy WebLinkAboutSWG2025-00070 TANK ONLY - SWG Application / Design - 3/4/2025 415 N 6TH STREET,SHELTON,WA 98584
® MASON COUNTY SHELTON360427275-9 670,EXT 400
BEL 36067.EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:3604274787
On-Site Sewage System Tank Only Permit: SWG2025-00070 l\-"
OWNER TWIDDY TRAVIS&DAWN Phone: 360-490-1978
Address: 121 N ENATAI CT SHELTON,WA 98584
APPLICANT TWIDDY TRAVIS is DAWN Phone: 360-490-1978
Address: 121 N ENATAI CT SHELTON,WA 98584
SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
Site Address: 1910 E ISLAND LAKE DR
Primary Parcel Number: 320065002073
Permit Description: Upgrade to TLB NuwaterBNR600 for BLD permit
Permit Submitted Date: 03/04/2025
Permit Issued Date: 03/0412025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 (edddMbefeesmey be bWkdduPbn MMIWWn orsrWm)
Permit Expiration Date: 03/0412028 (based on dale m daps on)
Type at Work OSS New Construction
Components being Replaced: Other
Surfacing Sewage? No Existing Failure? No
Shoreline? Yes Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: NuwaterBNR600
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 sta%per Mason County Title IT
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
I 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 CONDITIONSAVEO CHANGED SINCE THE SITE WAS INSPECTED AND/OR DESIGN
APPROV
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/healtiVenvironmentallonsite/oss4nspection4equest.php or call:
360-427-9670,extension 400.
OFFICIAL USE ONLY
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ON-SITE SEWAGE SYSTEM APPLICATION
APPLICANT PHONE m m
Travis/Dawn Twiddy -'=�I 360490-1978 c
MAILING ADDRESS-STREET GRY,STATE,VP CODE a
121 N Enatri Ct Shelton WA 98584 m
SITEADDRESS.STREET,CITY,ZIPCODE 7�
1910 E Island Lake Dr L.� o Shelton WA 98584 w
NAME OF DEM ER I � PHONE N
CINDY WAITE p-`-� 360-701-0205
IUME OF INSTAl1E0. r0 PHONE O I D
TBD
pERMR1VPE(aMW me) L DRINKING WATER SOURCE O
Jr RESIDENTIALOSS F]COMMUNITYOSS hCOMMERCIALOSS hI PRIVATE INDIVIDUAL WELL b PRIVATE TWOPARTY WELL = I0)
TYPE OF WORK(MNa My CF PUBLIC WATER SYSTEM —F LwWCHwe
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WNEWCONSTRUCTIONIUPDRADES I7REPNR)REPLACEMENT OTHERDETAILSIMN1MIhkMVNN C3TABU IX REPAIR IVT
SUBMITTALS C3 SURFACING SEWAGE 19 EXISTING FAILURE 0 SHORELINE
DESIGN FORM(REQUIRED) WSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE ID
ffWAIVER(S)(IF APPLICABLE) 2 94"x460' I CD
OIREC S TO SITE AND SITE CONDITIONS:I—M[Mel DWI
GO NORTH ON BROCKDALE, TURN LEFT ONTO ISLAND LAKE DR, TURN RIGHT ON I N
ISLAND LAKE DR, PARCEL IS ON THE LEFT(LAKE SIDE). rr I o
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ADDING PRETREATMENT FOR BUILDING PERMIT I .I
am MMTM RLIUMAD FROM MAER ROADAND LEST HOLES MUST BE FLAGGED RRH TESTHOLE NUIMERS. I W
OFFICIAL USE ONLY BELOW THIS LINE
UPoMDE IF ILURB SOUNCZ("'KnRnO WIVIMFI
E3VOLUNTARY D MAINTENANCE?UMPING BUILDING PERMIT 0HOMESALE CICOMPLAINT ❑OTHER:
INSPECTOR SOL LOGS COMMENTS/CONDITIONS
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RECORD DRAWING AND INSTALUTION REPORT
SOLOOYES:
V�VERY O•GMVEILY S•SANO L1tOAM SI•NLT C•CUV E-EXTREMELY R•ROOM REGUIREDFGRFINALK BOWL.
INSPECTOR SIGNATURE DATE I AO0.KATION E%PIMTON DATE APPLICATIONAPFltOVEOIISSUEDBY DATE
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TINS FORM MAY BE SCANNED AND AVAIV,BLE FOR PUBLIC VIM ON THE MASON COUNTY WEBSRE REVISED 12MMIS
INFILTRATOR WATBR 7ECNNOLOOIEB
NUWATER BNRWO INFILTRATOR IM•1000 DETAIL
SECTION VIEW
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APPROVED
MAR 0 4 2025
MASON COUNTY:ENORONMENTAL HEALTH
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