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HomeMy WebLinkAboutSWG2025-00310 - SWG Application / Design - 8/4/2025 MASON COUNTY 415 N 6TH STREET,SHEL WA 98584 SHELTON:380-427-967-9670,EXT 400 400 M .: BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2025-00310 OWNER WEBBER REVOCABLE LIVING TRUST Phone: THE ELIZABETH Address: 101 NE LYNNWOOD DRIVE BELFAIR,WA 98528 APPLICANT WEBBER REVOCABLE LIVING TRUST phone: THE ELIZABETH Address: 101 NE LYNNWOOD DRIVE BELFAIR,WA 98528 SEPTIC INSTALLER AARON SHUMAKER* Phone: 360.509.1222 Address: PO BOX 3378 BELFAIR, WA 98528-3378 Site Address: UNKNOWN Primary Parcel Number: 222012300001 Permit Description: Replace septic tank Permit Submitted Date: 08/04/2025 Permit Issued Date: 08/06/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon Installation of system). Permit Expiration Date: 08/04/2028 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Septic Tank Only Surfacing Sewage? No Existing Failure? Yes Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 0 Drinking Water Source: Private Well/Spring Additional Details: Hagerman 1000 ST Permit Conditions: 2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 Mason County Asbuilt 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 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. 1:74CIZE V Mc ----------_ OFFICIAL USE ONLY —. — (10) � c c N. MASON COUNTYCT 2025 L DATFRECFNfO 06 - (A - COMMUNITV3S:EIZZ1'.LIGE.S�...,, AMOUNT RECEIVE 1 o 0 �� , // <WM Public Health(Community Health!En54eonmeital Health) ,...4 S6^ri77.9670.t.t'3O.30-Z754467,e•t 40C 77�3 ^^ ! �-7 \ 00 GIs 7l 6th Suret-57Kkon Y7A SSS61 SVVG 9.o/N� 0 [ I 0 5 m Z N ON-SITE SEWAGE TANK ONLY APPLICATION APPLICANT PHONE m r Elizabeth Webber 206-799- ).9..1{9 z c MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE g 101 NE Lynnwood Drive Belfair WA 98528 m SITE ADDRESS-STREET.CITY,ZIP CODE same I N • NAME OF DESIGNER PHONE I ,v NAI.)E OF INSTALLER PHONE 0 I IV Shumaker Construction Inc 360-509-1222 < I O TYPE OF WORK(salecl ono) DRINKING WATER SOURCE O ❑ NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL t 1 PRIVATE TWO-PARTY WELL. Z I COMPONENT(S)TO BE REPLACED/INSTALLED El PUBLIC WATER SYSTEM I!I SEPTIC TANK ❑PUMP TANK ❑RV HOLDING TANK BEDROOMS uW In LOT SIZE I fV ❑ OTHER 0.61 ac 03 OTHER DETAILS(select a7 that apply) TANK(S)SETBACK CHECKLIST 0 I co ❑ SURFACING SEWAGE ®EXISTING FAILURE 0 SHORELINE 0 t00FT+PUBLIC!COMMUNITY WELLS n tZ O SUBMITTALSEl50FT+PRIVATE WELLS,SURFACE WATERS.STREAMS.RIVERS II PLOT PLAN(REQUIRED) IITANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES I O ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) SO 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST 0 O © PROPERTY LINES AND EASEMENTS © EXISTING/PROPOSED STRUCTURES 1111 EXISTING/PROPOSED OSS COMPONENTS AND LINES —I IJ WELLS WITHIN 100FT ®WATER SUPPLY LINES ® DRIVEWAYS/PARKING On SURFACE WATERS,STREAMS,RIVERS,ETC... I 0 RI DIRECTION OF SLOPE/CONTOURS ® PERIMETER/CURTAIN DRAINS III NORTH ARROW ❑SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS.(er lockots gala) Northshore Rd to left on NE Beck Rd to left on NE Lynnwood Dr ) ------- ----- OFFICIAL.USE ONLY BELOW THIS LINE — — UPGRADE 1 FAILURE SOURCE(foe teponing putooses) ❑VOLUNTARY ❑MAINTENANCEIPUMPING 0 BUILDING PERMIT 0 HOME SALE 0 COMPLAINT ❑OTHER! COMMENTS!CONDITIONS -�-L,n�- (CAC vt -f , vnt`p�'" 5t c f v�yr ► os5 C r o o►1 lr t asb f - ' sc w-- (i c e,s 1 r- SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS-. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS AND LIDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED'ISSUED BY DATE THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 fri, MASON COUNTY A AT';K,v111 WASHINGTON TAXSIF'TUR St''RE SEARCH SALES SEARCH REETSIPIER COU1:IY ttOt•e PAGE CONIACI nt02.tAWtH PAYHL11I CARLO, Patti ItsLean Hest•n County Assessor Al I IA$011 SI Shelton,WA 98584 Assessor Treasurer Appraisal MBpSilter Parcel Parcels: 22201.23.0004)1 the.net Neese: WEBBER REVOCABLE LIVING TRUST,THE ELIZABETH 110R Code: 18-ReSiden U01-AR other Address'l ELIZABETH WEBBER 8 GREGORY HANSON TRUSTEES Sites: Addrass2: 101 SE LYNIIY/DOD DRIVE Hnp Nu,obnr: WF City,Slat,. BELTAIR WA State:: 7•v 98528 Description: E 50'OF W 1120'OF GOV LOT 3•8 TAX 988•(TR IL UNRECORDED PLAT)&AGREED ORDER Comment: Land - Land • land Cocf:• Ili t r„ - Land Shope Width Depth A4 NL4 WF Front Feet 40.00000000 Tidelands Onfy Front Feet 40.60000000 Waterfront Acres A:re? 0.6)000000 Single Family Residence - Building 1 One Story •Single-kindly Residence -Total At ea Year Built Remodel Year Quality Condition 969 194S 2.0•Fair 1.0-low Corl/pon:-rd> Eutlding Dore Code Descriptor .• ,,t 108 Frame,Siding,Wood 0 100°,. Architecture 208 Composition Shingle 0 100',S Bedrooms 1 304 Electric Baseboard 0 100'.4 Bathrooms 1 401 Automatic Floor Cover Allowance Total Rooms 502 Automatic Appliance Allowance Foundathan Concrete 601 Plumbing Fixtures(a) 5 Garage Staes 611 Rased Subttoor(%or SF) 0 100% 641 Single 1-Story Fireplace(0) 706 Detached Garage(SF) 576 906 Wood Deck(SF)with Roof 96 Property Images 110 rnage5 tocnn_ rel;'A } { { ji t7 3 ci1IIoi 41111° • a W t Qo FEET ; v 5,2e, n)o i$ OIL IA t Q APPROVED Ex15-nw&I AUG 0 G 2025 a iNA-G MASON COUNTY ENVIRONMENTAL HEALTH RET Tv be, i�T�� '^ abu ndont,Q N ?roa d _i---> I: ;Y Yt€t.> lank_ Z' vi, kel This site map WAS created by MCPH by coordinating measurements and information from several sources, Including the Muon , County GIS and a field review. All locations are approximate. i— D t►3 P tE 4P I ' 1 ?o i`,. 20' Record Drawing t qON COthil Parcel: 22 ZD( -Z.3 -ocr o 1 71..4 /), Owner: tio e wi76Eg... Public ‘,•/': Health Date: 1-k 4 z y 1 l`4 Always working for a safer 4 healthier Mason County Page: 2- of 2- ....min. • • • • . „,....--------,, i Ai- it gi, .0 ,72. 6.-) • (1 ' t f i i 7 t r W..7 A liars t r��;•f - .. I I • ; e7 hi s i t i f 4 P V' . 1 l - . 11 • :1\-Ali.% - -. f'•• . , . , KT.,,,,.. ,9 • . , , 4.-- . �,_, _ 3� ` F <11h •,r j<j:i ,' \ I.-.- i ,_r -„ .-_--'-..........\ CO t 8 1 1 • ---, !N • / •• J �. _a ea,r♦ .1. x.r. •r• •.1. =4" C 0 ' V• P i y C' • ' ,... Lp rn , rya CD • MC EK ENGINEERING INC. DATE: 6/13/11 ''r` +n u..i:4AI•:IdA:r fCUR tCH!•:Ykt". DRAFTED BY: 1 000 S, 1 000 S-T, F.3 P.O.BOX 3097 BATTLE GROUND.WA 98604 O.R.N. 1000 P & 1000 P-T PHONE: (360) 687.7668 FAX: (360) 687-7669 SCALE: Ot NTS NAGERPJAN PRECAST 141=11111W 1 !I5: 1,..'•,!,I •• .. ...:•!.. 91.u;r.r. ;,1;;;..siNu InEn.11.;-..:4;7!.rw, t.,.. .-''''.,.,.,.:',..''i...,.',:,,.•.,''-:4.:::!"::.,,0:'!•,?",:1‘t::.,I.:i' iI: "i1-,.i.%.,..A."E.;.71':,.§ik'1,./4 v,XxtAi'4.?'.-tel41,.,'',,, I6izix,.fs1::4' 680a'V!'---'iWa02a.Jl4-;44 e:51.-t...ai•60,t"ci.il°45c44.i.i..f0FPl0l'.i”i As,i'4>,t*g17.4e71.•('..g5-..',)011/tit.0`s,3-4b?'.!;". tgkza>'i i e0 o o E 1r%cF0C.i0o1:1. o q...c'..i0.-. 8isPOoc.P.lr.. 4;-C>xl .“.P. ' "q12 • 4:: '4 ?) Pil w .....- - , , .!-. 1. -4 , •".kt '' C7s •- it,.., X v , 0 •,?% ,i, . N ...), ' ri/1 ii 1-1 ,,'- 'il . 1...1 \_______.//. '•1 g r) .%ci.,-. 1 t.-, 14,i, •Y, -I = (0) t' i4 A., ,H,:z , i ,' ,(5''?c sift4,i 19 Y4";If. 2 r:14 ii•CY'WO 1,4 t qvo r 1 . '3 :97 - k 55.44,Ert,t4t1T -;•1 0 . 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