HomeMy WebLinkAboutSWG2025-00319 TANK ONLY - SWG Application / Design - 8/8/2025 MASON COUNTY 415 N 6TH STREET.SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
L 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: SWG2025-00319
APPLICANT Kitsap Septic Pumping Phone: 3608715258
Address: P.O. Box 809 Manchester, WA 98353
OWNER PEPIN DONALD F&PHYLLIS R Phone:
Address: 3339 BALI ST NE LACEY,WA 98516
SEPTIC INSTALLER DARREN MILLER* Phone: 360-871-5258
Address: PO BOX 809 MANCHESTER, WA 98353
Site Address: 390 NE RENDSLAND CREEK RD
Primary Parcel Number: 322187500440
Permit Description: Replace Existing Septic tank and pump tank. Septic tank is damaged,
pump tank is small 75 gallon tank
Permit Submitted Date: 08/08/2025
Permit Issued Date. 08/20/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 (additional fees may be reduced upon installation of system).
Permit Expiration Date: 08/08/2026 (based on date of nspection)
Type of Work OSS Repair
Components being Replaced: Septic and Pump Tanks
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? No
Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring
Additional Details: New septic and pump tanks 1250g
Permit Conditions:
3 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
Approval of this septic permit does not approve the building location. Building location is
subject to approval from all applicable departments and regulations.
2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
5 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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 ANDiOR DESIGN
APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.govlhealthlenvironmentallonsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
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