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HomeMy WebLinkAboutSWG2025-00454 TANK ONLY - SWG Application / Design M .: 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, EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2025-00454 OWNER MATTHAEI WASHINGTON-ONLY QTIP Phone: TRUST RICHARD H Address: MARCIA C MATTHAEI & JACOB K MATTHAEI CO-TRUSTEES STEILACOOM, WA 98388 APPLICANT Hunter, Adam Phone: 360 753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 SEPTIC INSTALLER JOE HOUSE* Phone: 360-495-4156 Address: PO Box 1820 MCCLEARY, WA 98557 SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 Site Address: 33100 N US HIGHWAY 101 CABIN 29 Primary Parcel Number: 323105103005 Permit Description: Replacement of Failed Septic Tank for Cabins 29-30 Permit Submitted Date: 11/25/2025 Permit Issued Date: 12/15/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 12/15/2026 (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: 0 Drinking Water Source: Public Water System Additional Details: New 1200g septic tank Permit Conditions: 4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 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. 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. MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 L SHELTON:360-427-9670, EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY- • `'', MASON COUNTY DATE RECEIVED: lJ ED: / I�� ao,2"5 N D !!/ C cn II. •0. COMMUNITY SERVICES AMOUNT RECEIV . RECEIVED BY W (n a7sJ DWu �—�- Public Health(Community Health/Environmental Health) / 415 N.611,SO et-400 Walt n,WA 98584 ext.400 S W G �^ — 5 — 00 � /- �75 N.6[h Street-Shelton,WA 9859< �l,�l_\]V-�L,` '✓��// � O Q 70 z (n ON-SITE SEWAGE TANK ONLY APPLICATION m 0 APPLICANT PHONE m 1 (— STETSON COVE 3604954156 z MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE ^ g / / N PO BOX 1820, MCCLEARY, WA, 98557 ``\\w\\ CO m SITE ADDRESS-STREET,CITY,ZIP CODE ��n i X 33100 US HWY 101, LILLIWAUP,WA, 98555 �tS). �cc;\ I NAME OF DESIGNER PHONE �<\VV ADAM HUNTER 3607531226 V \`O NAME OF INSTALLER PHONE 1 co `\v v N W HOUSE BROTHERS 3604708717 \iv < 0 TYPE OF WORK(select one) DRINKING WATER SOURCE w I cn 0❑ NEW CONSTRUCTION/UPGRADES EA REPAIR/REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL z I O COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM STETSON COVEI ^ LI SEPTIC TANK El PUMP TANK El RV HOLDING TANK BEDROOMS LOT SIZE I C�Ii El OTHER f✓ V1h F./—• 8100 `� / O OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST W O O d) ❑ SURFACING SEWAGE ❑� EXISTING FAILURE IIISHORELINE ❑i 100FT+PUBLIC/COMMUNITY WELLS n X I SUBMITTALS SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS El PLOT PLAN(REQUIRED) ® TANK CROSS SECTION(REQUIRED) O 10FT+DRINKING WATER SUPPLY LINES I ❑ PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) ® 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST r I 0 ® PROPERTY LINES AND EASEMENTS ❑� EXISTING/PROPOSED STRUCTURES B EXISTING!PROPOSED OSS COMPONENTS AND LINES --1 © WELLS WITHIN 100FT El WATER SUPPLY LINES ® DRIVEWAYS/PARKING IN SURFACE WATERS,STREAMS,RIVERS,ETC... I O DIRECTION OF SLOPE/CONTOURS 0 PERIMETER!CURTAIN DRAINS El NORTH ARROW IIi SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) HWY 101 NORTH TO STETSON COVE ON THE RIGHT. AT/1\) --l/SsLIl OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: COMMENTS I CONDITIONS Nuli2. Sh.i,o_e_d C c --- irl ---- c)0 m . ow(e-i ) SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CUNT MINIMUM SIZE REQUIREMENTS.QUINPED W H RISERS AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL. 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