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HomeMy WebLinkAboutSWG2025-00359 TANK ONLY - SWG Application / Design - 9/9/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2025-00359 APPLICANT HAMMOND TRSE CHARLES H Phone: Address: 225 108TH AVE NE STE 400 BELLEVUE, WA 98004 OWNER HAMMOND TRSE CHARLES H Phone: Address: 225 108TH AVE NE STE 400 BELLEVUE, WA 98004 SEPTIC DESIGNER DALE TAHJA* Phone: 360-463-8023 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 SEPTIC INSTALLER JAMES MEDCALF* Phone: 360-426-9277 Address: PO BOX 1552 SHELTON, WA 98584 Site Address: 7301 E STATE ROUTE 106 Primary Parcel Number: 322335000024 Permit Description: Septic and pump tank replacement Permit Submitted Date: 09/09/2025 Permit Issued Date: 09/25/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 09/25/2026 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Septic and Pump Tanks Surfacing Sewage? No Existing Failure? No Shoreline? Yes Horizontal Setbacks Met? No Number of Bedrooms: 0 Drinking Water Source: Public Water System Additional Details: Roth septic and pump tank Permit Conditions: 4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 1 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 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County 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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY IF 114 1 MASON COUNTY DATE RECEIVED: A/� - O /�C UV1� V11 -OJ�'Vl � D COMMUNITY SERVICES AMOUNT RECEPJE RECEIVED BY: W V n''/ v m Public Health(Community Health/Environmental Health)Gil/ a L lA 360-127-967a ext.400 or 360.275-4467,ext.400 C (n 415 N 6th Street Shelton.WA 98584 5,A,G a0a6 - `0 0 o yv U` Z CI) ON-SITE SEWAGE TANK ONLY APPLICATION z APPLICANT PHONE 'Cam` ` m• IT1 Charles H. Hammond TRSE (360)429-9277 �'�' '�'1��J\ z MAILING ADDRESS-STREET,CITY,STATE ZIP CODE .L. CP f r"�� (A C 225 108th Ave. NE STE 400, Bellevue, WA 980045782 -�%\ SITE ADDRESS-STREET,CITY,ZIP CODE © �� \ '< 7 7301 E State Route 106, Union WA 98592 -�, W I W sv NAME OF DESIGNER PHONE I N Dale L. Tahja (360)463-8023 NAME OF INSTALLER PHONE ---// I N 0 Active Underground LLC (360)426-9277 Z TYPE OF WORK(select one) DRINKING WATER SOURCE - I (A) ❑ NEW CONSTRUCTION I UPGRADES fillREPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL CIPRIVATE TWO-PARTY WELL Z COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM Sunset Beach Water System I W ® SEPTIC TANK ®PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I (J) ❑ OTHER 4 0•5 ci c'€. co 1 OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST O CD ❑ SURFACING SEWAGE 0 EXISTING FAILURE IP SHORELINE Ili 100FT+PUBLIC/COMMUNITY WELLS 1 SUBMITTALS ® SOFT+PRIVATE WELLS,SURFACE WATERS;STREAMS,RIVERS I El PLOT PLAN(REQUIRED) ®TANK CROSS SECTION(REQUIRED) IN 10FT+DRINKING WATER SUPPLY LINES I IN PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) ® 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS CD PLOT PLAN CHECKLIST I O ® PROPERTY LINES AND EASEMENTS El EXISTING/PROPOSED STRUCTURES ®EXISTING!PROPOSED OSS COMPONENTS AND LINES EliWELLS WITHIN 100FT ® WATER SUPPLY LINES ® DRIVEWAYS/PARKING NBSURFACE WATERS,STREAMS,RIVERS,ETC... I fV ® DIRECTION OF SLOPE!CONTOURS 0 PERIMETER/CURTAIN DRAINS ® NORTH ARROW 4 SCALE BAR v DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I •, 4 Go east on St. Rt. 106 from Alderbrook Resort. Property on the left. �i — Icc / OFFICIAL USE ONLY BELOW THIS LINE = -..4 . • - w tip *E sk UPGRADE!FAILURE SOURCE(for reporting purposes) —` ` �, �p €Tn 4 ,1), ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHE"\ Z N~ O 1 LIJ ) I 4,.... gJ0 Ir , COMMENTS/CONDITIONS , 0\ ,1Yi I! . w 1�/ - >1% ,.S,b . CDZ �.r • • e ,.. --e)ca-c-c_ \�G i SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS". TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS`\1, 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 (Zr-1 2(0 wt Ci(241tiC THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 vior : -\c,;c\e_� . .'cc + . 4...::::: :e.,,t, 1 IV it , 7.V, ‘-V- 7 \__* 6 \r-)C° u 7i t I. \7- ,._, \ct_n J. * , T-1 I 0 LICENSED DESIGNER t i100 C C---C ,\( C:1-\ r ..mokomwk.-4s.....vtom•wk,I, c .hc \\tatl { .a1'-, \'tL' . - - 7 ' 2",' 14 a cyn-\ 0.bc p.N..\sk,,-7 \-ciatc.41ht\A;..,i 0 0. G G I l c$ -I) ,,� �v�.R �; r,YveY 4.71 d i 041/4":" 0 -\t.. ..6* k c74t- yfi \sit \G (1 el4Z40 • ek‘S��� \ kr , , emsc Qtfe..._. APPROVED �_r i $EP 25 2025 1 MASON COUNTY ENVIRONMENTAL HEALTH ',i I RET C� I 1\ Ic - - C:6,i. \ F . a.i iz. 1. F ,, 10 1 Cr • , _ 1 •\ .. 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(Ili) tim.,-,,i ll11 �i� I/ Flow(Liters Per Minute) I 0 38 76 114 151 189 227 265 303 341 379 60 i--!--- I I --I-- i----i---- ;--I-----1 —h--s — I l 18 ` Ii 1 f 1 AIPP O l 50 15 c 1� i i ^_t_ • SEN f I MASON �OUNTY � Z1�25 ( h'�IRON.dENTAI I�IEALTH 1 RET 40 1 --- --i 12 1 1 , H I ! i I 30 I i� 1 __ —� �_ _ li g X I t I I x 20 _._._.. j —. __. 1 6 f i f . { ! 1 ! l _10 (( ' 3 { 1 1 0 10 20 30 40 50 60 70 80 90 100 Flow(GPM) FL50 PI R8/2/2017 *Copyright 2017 Lbetty Pumps Inc. All rights reserved. Specifications subject to change without notice. 1 , '' i ii