HomeMy WebLinkAboutSWG2024-00184 - SWG Application / Design - 5/20/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON: ,SHELTON,
, EXT 400
584
L BELFAIR:360-275-4467. EXT 400
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Public Health & Human Services ELMA: 360-482-5269, EXT 400
FAX: 360-427-7787
On-Site Sewage System Tank Only Permit: SWG2025-00184
APPLICANT B-LINE CONSTRUCTION Phone: 1.360.489.9169
Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584
OWNER THOMPSON ROBERT B Phone:
Address: P 0 BOX 569 CHEHALIS, WA 98532
SEPTIC INSTALLER TAYLOR TONEY* Phone: 360-426-4221
Address: 2971 E PHILLIPS LAKE RD SHELTON, WA 98584
Site Address: 250 N AYOCK BEACH DR
Primary Parcel Number: 323035001012
Excavate sand filter down to bio mat and remove all contaminated
Permit Description: material. Haul in necessary new material and rebuild the sand filter.
Permit Submitted Date: 05/20/2025
Permit Issued Date: 05/20/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/20/2028 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Other
Surfacing Sewage? Yes Existing Failure? No
Shoreline? Yes Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Public Water System
Additional Details: Sand filter rebuild
Permit Conditions:
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
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
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/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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