HomeMy WebLinkAboutSWG2025-00098 TANK ONLY - SWG Application / Design - 3/25/2025 584
® MASON COUNTY 016 N6SHELTON: ,S427-960.EXT 400
SHELTON:380.027-9870,EXT 400
BELFAIR:300.276i987,EXT 900
Public Health & Human Services ELMA:3004825269,EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2025-00098
OWNER WAGGETT GREGORY W&LORELIE Phone:
Address: 81 NE DAYBREAK OR BELFAIR, WA 98528
APPLICANT WAGGETT GREGORY W& LORELIE Phone:
Address: 81 NE DAYBREAK DR BELFAIR,WA 98528
SEPTIC INSTALLER DOUGLAS HEMLEY• Phone: 253-614-0439
Address: 14614 TALMO DR NW GIG HARBOR,WA 98332
Site Address: 81 NE DAYBREAK OR
Primary Parcel Number: 123325200005
Permit Description: Replace pump tank
Permit Submitted Dale: 03/25/2025
Permit Issued Date: 03/26/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 Imawwrel(ees be requme0 won MelelWoo or spumi.
Permit Expiration Date: 0312612626 (Wae9 on amauHw.emn)
Type of Work OSS Repair
Components being Replaced: Pump Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Public Water System
Additional Details: Hagerman 12509 pump tank
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 Tide 17.
1 Honzontel Setbacks per WAC246-272A-0210 must be maintained, unless prior approve)is
obtained
3 Masan County Asbuilf Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
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 REWIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit:masoncountywa.gov/health/environmentallonsite/ose-Inspection-requesi.php or call:
360427-9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY
09- 25- Zv25 w a
COMMUNITY SERVICES 'N"UNSM Z70 ° m
FubINNUIIM1 KarvnuMyHeaMJEnrRmuudM NeahM1l sw� ,L�')
lwvN�,mue-maiwai.mw 1AJ11 /V 0 ;OR- N,Nw oZ5 -
Z N
ON-SITE SEWAGE TANK ONLY APPLICATION ��
m
m m
APPLICfWT P"D"F LH r
c
MNUN3 SB STRFET ,BMTE ZIP COCE � 4-a �
6 l T4 n r m
a
STEADORFW-STWETGTY3PCOC6 1
�Qllbeltk 6111, I'n wA qg.!5'-;?R
{�
NAMfa DESGNER +E 7 S
mY
MANE OF INS&LER F'IKK1E G IOU
36a a - oobF m IvaTYPEOFMOMKIM .) MVIMfIW WATER 90URCE
❑ NEWCONSTRUCTIONIUPGRAOES Ed NEPAIRIREPIACEMENT p NATE INONIDUALWELL 13 PRNATETWO-PARTYWELL Z I�
CDMPCNEMIS i08ERERACfp IpBTPLLEO PURUC VATER SYSTEM I `AII
❑SEPTICTANK GJJ PUMPTANK E3RVHOLDINOTANK BEDROOMS lOi SUE Iv`
D OTHER O •� W \1
OTWROETAA N( MMNAa?YI TANp iMCK G1ECl415i I- _
❑ SURFACING SEWAGE DEMSTINGFAILURE OSMORELINE TWFT-PUBU ICOMMUNITYWELLS x h
SUBMITTALS 1��!/ T-PRWATE WELLS,SURFACE WATERS,STREAMS,RIVERS N�
❑ PLOT PLAN(REQUIRED) O TANK CROSS SECTION(REQUIRED) T� FT+DRINKING WATER SUPPLY LINES lO
❑PUMP DETAILS SFAPPUCABLE) ❑YANER(5)(IFAPPLICABLE) ✓ 5FT-PROPERTY EAIEMENT LINES,FOUNDATIONS,FOOTINOS
" OPERTYUNESANDEAS ENTS WEKI TINGI PR OSED STRUCTUPES tl BTINCVPROPO DOSS COMPONENTS PAD LINES
O
ECTIOFIDR
LLSWTHINlNFT OF6WPEIGTER URSSUPP PERIMETEW CURTAIN
�THMROWURFACE T3CALE Bpp STREAMS,RIVERS.ETC...
pXECTKK5T0&TENNSITE CONDMIIX1B:Mx.b I?AQ IUI
OFFICIAL USE ONLY BELOW THIS LINE
UPoRACEIFNLURE (IurtpYM1ppu—I)
OVOLUNTARY NTENANCERUMPING [3 BUILDING PERMIT ❑HOMESALE OCOMPLAINT OOTHE:
COMMENTSICONOTIONS
SEWAGETM MUBTSEUSTEDUMIERW -LISTOFREGISTEREDSE ETM'K8'-TPNNS MUST MEET CURRENT MINIMUM SZE R UIREMENT%EOUIPPEDNIM MIMRS
NIDIDSTOSURFACE.ANDMICLLIDEANEFFLMWMLTER(IFAPRIGRLEI, RECgRDCPAWNGANDMSTALUTCHREPORTREWIREDFGRFINLLAFPRWM.
WSPECTCRSGNATURE dTE I APPLICATION E% TON WTE APPLKATNIN APPROYECIRSUEOSY DATE
3
THIS FORM MAY BE SCANNEDAND AVAILABLE FOR PUBLIC NEW ON THE MASON COUNTY WEBSITE REMSEDIZ 15
o-ze' GLS 2 o-3e GLS
2840"GLS&W EAT BANDS OF W EATH.TILL
TILL(NOT REST.) (NOT REST.)
40't TILL 36".TILL
APPROVED
MAR 2 6 2025
MASON COUNTY ENVIRONMENTA EALTH PROPERTY LINES
RET
SUPPLY&RETURN LINES
SEPTIC&PUMP TANK
Op
ftvkcLCQ-
r r
4 BDRM HOME
DUAL-ZONE DRIPFIELD -
PRIMARY&RESERVE - -- -
(1800 ft')INSTALLED
I
II
DRIVE/PARKING
COMMUNITY WATERLINE
- SITE PLAN FOR FEASIBILITY ASSESSMENT:
.Iro , rs FOR:WAGGETT JOB#:
a , rLT syAnT PARCEL* 1233252-00005 DATE: 17 MAY 2004
zxus- °Dci"s iYz�zc BY: TJS DESIGN PAGE OF
ezru;ls: 061a7)¢S NORTHARROW:
SCALE: 7"=40'
OTAHJA-SYRETT DESIGNS . eo'
��FREEEOF% � gOB$3AMAxF� y
rifle 99���xf-"a a�� di��$S6 '0@+i6R d ' Se 5
50 ���"o'J'An
t�'„
dflyQj{� ag 7A`` k "r4tsA y� S W ?�a
AYGsr ,[ �f�'A• ryoA �' w16 S >m v, z
$ ati
4,..wd °$ w, m
Olt APP 0 D $o
MAR 2 6 2025
uafio MASON COUNTYENVIROf�MENTALHEALTH
A� A€v4€ �� G5' IEi051p50• P^ I
r �I � F 6e'iEf49111E M1i
15p'vG'tlllil n�$nu,t� nn
BB„a . CC
sj, \ C` y
4V 'gig lip V
dESfii;dc 'o g9r�r 1
,10 �' a#
YFeyyc.
€�1333•� t el�G j �I�A. ff
��
sN u
p
Eq T 9
yia A
EK ENGINEERING INC. DATE: 8/711 `
oRAFreo av: 1250 S, 1250 S--
P.o.BOX 00BT BATTLE GROUND.wae0s0a O.R.N. 1250 P & 1250 P-T n
PHONE (96W W-7868FA%: (360 BB4001) ��� NTS NNOERWN PRECAST
��� � f� � ntnutnnwtnnu
i,'i_�' IIIIIIIIIIItllllllllll
„ IIIIIIItl1111111111111
i'•1•Er ri �;ii�t� 1111111111111111111111
it•7•ii>•mm t.>•���� 111111110111111111111
nm i�lii i.� ;, 1111111117t1111111/111
��7srirl, 1ti1i1[�i>• Illlllllililllllullll
itriit•r>• n `� , , 1111111111111111111111
N'..ENFm R.i .1.1111111111011u1111
r7 tlfitlurif 1 M�� , Ili:�11111111111111111
iIMmi mmill iFirmic)• 111111011111111111111
r'7i�ir>• ritrri , 1111111willilie'l1111
r:7 iiirm W3ur�Mr1• i111111IM11111.14111
<fi•1•imiC>• surmaw airm „ 11111111MV1111,1111
owzmmmm fii iCi W%m 11111111111TIi'111A11
� r swimmm iii6Z! 11111111111.'111;111r11
t.ii i ifiriw:il '� 111111111111 iill"Ie•11
i51•iLi i"1• 1111111111111.1111'111l
111M.1 i77 i`*s M.)ri:i ii� ' ' Illlllll llill,'11111:11
i'TiO-711� t111111111111111111111
�cii-.'i r'7�i� ' 1111111111111111111111
i-I ri OF izmi27� 1111111111111111111111
W,TmmF Ai'>• i"i i^ia� ' IIIIIIO11111111811I1
F:7 ww-m w[m Ililtlllulli111u1u1
i 1f ->•
1
my-wifrrieriwtiAll
!?7iCt7F1• . a . 1 ...
i'�f iT)•S!!
m:F"W iII111 tT1•
i��1 i?i>•t�>•
pF"7i?!nit7
(1
t
III I ��•�� � - I_... _. .. .-.'�