HomeMy WebLinkAboutSWG2025-00401 - SWG Application / Design - 10/2/2025 415 N 6TH STREET,SHELTON,WA 98584
: MASON COUNTY Sf IELTON 360-427- ,EXT 400
BELFAIR 360-275-44674467,EXT 400
.. Public Health & Human Services ELMA 360-482-5269,EXT 400
FAX:360-427-7787
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On-Site Sewage System Tank Only Permit: SWG2025-00401 •
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OWNER GOEBEL MARGUERITE A HARISON Phone:
Address: 2560 E MASON LAKE DR W GRAPEVIEW, WA 98546
APPLICANT Graves,Wes Phone: 3604276110
Address: 2272 E Brockdale RD, Shelton, WA 98584
SEPTIC INSTALLER WES GRAVES* Phone: 360-490-9428
Address: PO BOX 1460 SHELTON, WA 98584
Site Address: 2560 E Mason Lake Dr W
Primary Parcel Number: 221055200022
Tank-Only Repair: Replace existing septic tank with a 1250 gal Roth
Permit Description: 2-compartment polyethylene tank
Permit Submitted Date: 10/02/2025
Permit Issued Date: 10/08/2025
Issued By: David Anderson
Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/02/2026 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? Yes Horizontal Setbacks Met? Yes
Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring
Additional Details: Roth 1250 gal polyethylene tank: model RMT-1250
Permit Conditions:
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.
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/healthlenvironmental/onsite/oss-inspection-request.php or call:
360-427-9670,extension 400.
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