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HomeMy WebLinkAboutSWG2026-00030 TANK ONLY - SWG Application / Design - 2/3/2026 P . MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 __...6 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2026-00030 OWNER CNCJNJ LLC Phone: Address: 91 SE KALIUM DR SHELTON,WA 98584 APPLICANT CNCJNJ LLC Phone: Address: 91 SE KALIUM DR SHELTON, WA 98584 SEPTIC INSTALLER JARED HANSON* Phone: 360-239-6792 Address: 86 SE BANJO LANE SHELTON, WA 98584 Site Address: 62 SE LYNCH RD Primary Parcel Number: 319172291002 Permit Description: Replace grease trap tank (traffic-rated) 1000 gallons Permit Submitted Date: 02/03/2026 Permit Issued Date: 02/05/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $275.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/05/2027 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Other Surfacing Sewage? No Existing Failure? Yes Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 0 Drinking Water Source: Public Water System Additional Details: 1000g Grease trap tank-Hagerman traffic rated Permit Conditions: 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 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. rifft!..!1\Y-1 ,� 1i1, FEB �� .� O�� OFFICIAL USE ONLY I i:t ' I _ Q DATER CENED: Od, /o 2.,e U y> ierl;r:st .., MASON COUN ✓�7`v'CJ_1 COMMUNITYSERVICE _. -_.- AMOUNT RECEIVE RECEIVED RY: 0 M Publl<Health(CammunityHealth/EnvironmentalHealth) �I6 b" ©rs '' `' C '5111,1 ygyH 415116t4620,et-S00 heet n, A 935247,e,t 400 SWG ac iio Off ` O 73 415114th Sheet-Shelton,WA 935E4 /7"�yV� Z ci 10 ON-SITE SEWAGE TANK ONLY APPLICATION D D m• 0 APPLICANT PHONE r 1"1 aiN SO FV Mist l 01 1-1-C--L-C- ,jam 4 d-a 3q— G 7— ctr A C t,1AILING ADDRESS-STREET,CITY,STATE,ZIP CODE g g� S ()ahj o m SITE ADDRES(SaEET.CITY,ZiPCODE n a , � ,. ^ ^ q n{� (�, f i ` NAME OF DESIGNER JR� V {0, PHONE �J'1�L,) JU( `JC)(_--� l/V I_ NAME OF INSTALLER PHONE 0 14-0\S0)\ EXct iC(\;01) U-c- a»Son) ?60.---)3q—,97q Z ,^ TYPE OF WORK(se'ect one) DRINKING WATER SOURCE N 0 9 NEW CONSTRUCTION/UPGRADES gis REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELLLL❑PRIVATE TWO-PARTY WELL Z COMPONENT(S)TO B5 REPLACED/INSTALLED PUBLIC WATER SYSTEM t may[./ Sl 4j on L/d F$ , I 1 ❑ SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZ la OTHER G t'P&cQ- Alq I ,7 W OTHER DETAILS(se/ect all that apply) TANK(S)SETBA K CHECKLIST t^ O , ❑ SURFACING SEWAGE if EXISTING FAILURE 0 SHORELINE O 100FT+PUBLIC/COMMUNITY WELLS n SUBMITTALS ❑ 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS I.S' El PLOT PLAN(REQUIRED) TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES I- ❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) ❑ 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST 0 I ❑ PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES ❑ EXISTING/PROPOSED OSS COMPONENTS AND LINES --I ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES ❑ DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I ° ❑ DIRECTION OF SLOPE/CONTOURS 0 PERIMETER/CURTAIN DRAINS 0 NORTH ARROW 0 SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate) APPROVED FE8 0 5 2026 MASON COUNTY ENVIRONMENTAL HEALTH OFFICIAL USE ONLY BELOW THIS LINE NET UPGRADE/FAILURE SOURCE(for reporlag purposes) 0 VOLUNTARY (_J91AINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER: COMMENTS/CONOITIONS V4\k„,_ 1-ef. --i-vv-p -1-cn SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS 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 _ . 74 S-1-7: 7 O1W/trill Utz THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 4 I i r "� • x, , ' 4: • -. i s 4, 7-1. ti7____, . E .. I li C2. °I 4 * t. a 0 .0,1,, , a. , . . . ., . of g r "WIN C cu / 1 x i et ; c O i co w S ' f APPROVED FEB 0 5 2026 MASON COUNTY ENVIRONMENTAL HEALTH RET I PAGE: 6\,( 000 Gett.UVA-- („„... z\f/ wX c' _ y o a `c c c'7 1_1\(!:_j} i, a,El POa3 23'MIN. I.D. ` o a z TYP. L. �� � xi *ai I Gwth 00 N4 t. INLET sa o c90 y �.. .. .... MIN. OUTLET o a -i .NTERCOMPARTMENTAL WALL FITTINGS MAY BE • REPLACED WITH A ck M t PORT OR SLOT AS PER 1� ` NOTE 3B. ---\j 43\13 .T -_ _ pPR I b MIN. � � OV E 12'MIN. 12"MIN. FEE Q 5 2 y 1 oUNTY D26 R O//MENT A(HEAL?/ GREASE INTERCEPTOR NOTES I. GREASE INTERCEPTORS MUST HAVE A MINIMUM OF TWO COMPARTMENTS,WITH THE CAPACITY or THE FIRST COMPARTMENT NOT LESS THAN ONE HALF BUT NOT MORE THAN TWO THIRDS THE TOTAL REQUIRED LIQUID VOLUME. 2. GREASE INTERCEPTOR INLET BAFFLES MUST EXTEND TO AT LEAST WITH N i 0'OF THE TANK FLOOR,AND THE SANITARY TEE OR BAFFLE MUST EXTEND AT LEAST UP TO THE CROWN OF THE INLET PIPE, ALSO, 1 YIE INVERT OF THE INLET PIPE MUST BE A MINIMUM OF TWO INCHES ABOVE THE INVERT OF THE OUTLET PIPE. 3. INTERCOMPARTMENTAL AND OUTLET BAFFLES MUST EXTEND TO A POINT BETWEEN G'AND 12' FROM THE TANK FLOOR. A. OUTLET BAFFLES MUST EXTEND ABOVE THE LIQUID TO ALLOW SCUM STORAGE AND VENTING. BUT NOT LESS THAN I'FROM THE UNDERSIDE OF THE TOP OF THE TANK. THE OUTLET BAFFLE MAY EXTEND INTO THE RISER FOR VENTING. B. A PORT OR SLOT MAY BE USED IN PLACE Of THE INTERCOMPARTMENTAL WALL FITTINGS PROVIDED THAT IT IS HAS AN AREA OF AT LEAST 12 SQUARE INCHES AND A VERTICAL DIMENSION Of AT LEAST 3 INCHES,AND THAT IT IS AT THE SAME DEPTH AS THE BOTTOM OF THE. OUTLET TEE OR BAFFLE. 4. GREASE INTERCEPTOR TANKS MUST CONTAIN A LIQUID DEPTH OF NOT LESS THAN THREE FEET. EK ENGINEERING INC. I GREASE INTERCEPTOR NOTES AND DETAILS P.O.BOX 3097 BATTLE GROUND,WA 98604 PHONE: (360) 687-7668 FAX: (360) 687-7669 SCALE: LAST REVISION: NTS 5/12/11 BY DRN