HomeMy WebLinkAboutSWG2025-00442 - SWG Application / Design - 11/18/2025 MASONCOUNTY 415 N 6TH STREET,SHELTON, E, E 400 98584 rMit '; SHELTON:360.427-967XT
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: SWG2025-00442
OWNER SCHUMSKY MARGARET H Phone:
Address: 2019 JONES AVE NE RENTON, WA 98056
APPLICANT Caliber Septic Design Phone: 3605097900
Address: 165 NW Tupelo Way Poulsbo,WA 98370
SEPTIC DESIGNER RICHARD BAZZELL* Phone: 360-509-7900
Address: 165 NW TUPELO WAY POULSBO, WA 98370
SEPTIC INSTALLER KORBYN HURLEY* Phone: 360-265-9062
Address: 31 NE Lorriain Ct BELFAIR, WA 98528
Site Address: 11111 E STATE ROUTE 106
Primary Parcel Number: 322255200004
The OSS at the subject property has failed. Due to site limitations,
Permit Description: contractor availability, and financial constraints, the 750 gallon tank
is proposed to be retrofitted as a temporary holding tank.
Permit Submitted Date: 11/12/2025
Permit Issued Date:
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/18/2026 (based on date of inspection)
Type of Work Other
Components being Replaced: Other
Surfacing Sewage? No Existing Failure? Yes
Shoreline? Yes Horizontal Setbacks Met? No
Number of Bedrooms: 1 Drinking Water Source: Private Well/Spring
Additional Details: Convert existing septic tank to holding tank
Permit Conditions:
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.
4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
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/healthlenvironmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
esBELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
6 The permits of the holding tank were approved as a repair as no other feasible options for
onsite sewage disposal were determined at that time. The permit was approved with the
condition that the holding tank would be regularly pumped and maintained. A Holding
Tank system can create substantial maintenance costs to future owners depending on its
use. Future building permits for home replacements, expansions, or changes to footprint
or flows may require an upgrade to a full on-site septic system which could be challenging
given the current site conditions.
7 Failure to maintain the holding tank in the manner required by Mason County Public
Health is a violation of the permit conditions and Mason County Code. This could result in
abandonment of the holding tank and vacating the property until such time another
suitable method of sewage disposal can be approved.
8 Holding tank must be pumped out on regular basis as needed.
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.govlhealthlenvironrnentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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