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HomeMy WebLinkAboutSWG2026-00095 TANK ONLY - SWG Application / Design - 4/3/2026 M/DSO N 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: SWG2026-00095 SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474 Address: 911 SE Arcadia Road SHELTON, WA 98584 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 OWNER ALWAYS PAINTING &CONSTRUCTION Phone: Address: 301 E WALLACE KNEELAND BLVD, STE 224 SHELTON, WA 98584 APPLICANT ALWAYS PAINTING &CONSTRUCTION Phone: Address: 301 E WALLACE KNEELAND BLVD, STE 224 SHELTON, WA 98584 Site Address: 10 E BARNSBY PL Primary Parcel Number: 321275300026 Permit Description: Replace/relocate septic tank to make room for new house Permit Submitted Date: 04/03/2026 Permit Issued Date: 04/08/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $275.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/06/2029 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: Septic Tank Only Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 3 Drinking Water Source: Public Water System Additional Details: 1200g septic tank Permit Conditions: 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. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County 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. 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. I OFFICIAL USE ONLY DATE RECEIVED: (03 Q MASON COUNTY COMMUNITY SERVICES AMDUNTRECENE ECEIVEDBY: I'2oP Public Health(Community Health/Environmental Health) 360427.9670.eat.400 or 360.2 7 5-4447,ex[.40o 415 N.6th Street-Shelton.WA 98584 S W G Cf — Z N ON-SITE SEWAGE TANK ONLY APPLICATION m n © 117 APPLICANT PHONE r Always Painting & Contracting, Inc Mikey (360) 764-34 r MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE O m 301 E Wallace Kneeland Blvd, Ste 224, PMB 38 r. X SITE ADDRESS-STREET,CITY,ZIP CODE PrLn -. I W 10 E Bamsby Place, Shelton, WA 98584 _ -, NAME OF DESIGNER PHONE �7„ _ I N Arrow Septic Designs, Inc (360)898-2255 L!-L�Ij NAME OF INSTALLER PHONE > >= �y D I Maples Excavating (360)463-8474 N TYPE OF WORK(select one) DRINKING WATER SOURCE I] NEW CONSTRUCTION!UPGRADES 9 REPAIR/REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z PUBLIC WATER SYSTEM COMPONENT(S)TO BE REPLACED/INSTALLED II SEPTIC TANK ❑ PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE 'P (Ti O OTHER 3 0.34 acres 00 r OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST O , ❑ SURFACING SEWAGE ❑EXISTING FAILURE O SHORELINE 0 100FT+PUBLIC!COMMUNITY WELLS n � I O Q 50FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS SUBMITTALS Iii1 PLOT PLAN(REQUIRED) M TANK CROSS SECTION(REQUIRED) O 10FT+DRINKING WATER SUPPLY LINES ❑ PUMP DETAILS(IF APPLICABLE) tI WAIVER(S)(IF APPLICABLE) I1 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS m I O PLOT PLAN CHECKLIST O © PROPERTY LINES AND EASEMENTS II EXISTING/PROPOSED STRUCTURES 91 EXISTING/PROPOSED OSS COMPONENTS AND LINES -i ❑ WELLS WITHIN 100FT IN WATER SUPPLY LINES 9 DRIVEWAYS!PARKING O SURFACE WATERS,STREAMS,RIVERS,ETC... N ( N 0 DIRECTION OF SLOPE/CONTOURS O PERIMETER/CURTAIN DRAINS 9 NORTH ARROW 0 SCALE BAR d7 DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) From downtown Shelton, go out Hwy 3 towards Belfair, turn (L) onto E Mason Lake Rd, to to the Lake Limerick neighborhood, turn (R) onto E Dartmoor Dr, take 1st (L) at Y onto E Dalkeith Rd, turn (R) at T onto E Barnsby PI, lot is on the (L) with yellow sign. #10 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE!FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: COMMENTS/CONDITIONS ' �&( çA9Z *cxi\'— 17 SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS AND UDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DA E APPLICATION APPROVED/ISSUED DATE - I7A L-( 1 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 7/9/2019 13d Hl1VH 1VIN3HNO [AN ONO NOS VV tom , NOSNHor kor vinvd r �3N®ass►wwa�3u�--� 9ZOZ 0 ddV 0 A O d d V nn ]� /y. x m • - a • Qv�13?1'�'35no}� "7a® '?tCrdd&4 ? \ N • . _• 9 N�-3—s t�3 O \ \ .;•L;3;un ,L 0.44 g uo 00VT d b �.noueat� z ç �. • \ i1L.1 - • \ V a d'-. iI 5Z • - -L. • -nor+ !, 0=� 1 O131INIVHO 3Ab3S3!!/AMViNidd • # dO1N31aVBJ-NMOa f1£ • aa NIY!!O NOLLVONf4Od i N • RD D LID WITif GAS TG'5 AL 24'DIAMET�t A PUIN GRADE TO PIM P _¶ FROM SEWA FLOAUNG MAT APPROVED FILTER e e TANK APPROVED APR 082026 MASON COUNTY ENVIRONMENTAL HEALTH RET **Note: Septic Tanks must meet standards required by WAC chapter 246-272C and manufacturer must be on the Dept of Health list of registered sewage tanks.** Map/es Excavating&Septic LLC 3604638474 911 SE Arcadia Rd Shelton, WA 98584 PROPERTY INFORMATION Location:10 E BARNSBY PL Shelton Tax ID:321275300026 Mali To: KEN E SAYLOR 10 E BARNSBY PL Use: SHELTON,WA 98584 GENERAL SYSTEM TYPE:Conventional (Non-Pressurized) ON ID:321275300026 County Area:Oakland Bay MRA Fold Fold Here Here Inspected:03/17/2026 - Inspection Type:PROPERTY SALE - Correction Status:Ido corrections needed Company: Work Performed By: Submitted 03/19/2026 by: Maples Excavating&Septic LLC Shane Maples Shane Maples COMMENTS&GENERAL INSPECTION NOTES No Deficiencies Noted Flow tested the drainfield for 25 minutes.Drainfleld accepted all water,testing good at this time.No observed problems. -Deck is installed over the tank GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected Components accessible for service: YES All required service performed(if no-specify omitted inspection items in notes): YES Surfacing effluent from any component(including mound seepage): NO Components appear to be watertight-no visual leaks: YES Improper encroachment(structures/impervious surfaces) NO All riser lids securely fastened upon departure: N/A Electrical repairs needed. If YES describe in comments: NO If a reserve area is designated on the property,is it undisturbed?(select N/A only if no reserve has been N/A designated) Inspected components appear to be in good physical condition: YES Root intrusion on any components. If YES describe in comments: NO Settling problems observed. If YES describe in comments: NO The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO The system is operating as designed based on existing records,such as record drawing,previous reports YES or other documents?(NA if no existing records) ONSITE SEWAGE SYSTEM INSPECTION DETAIL .. This component was: Fully Inspected Effluent level within operational limits(if NO explain in comments): YES All re uired baffles in place(N/A No baffles required: YES Compartment 1 Scum accumulation(Inches,if other s eci : 0 Compartment 1 Sludge accumulation Inches,if otherspecify): 0 Compartment 2 Scum accumulation Inches,if otherspecify: 0 Compartment 2 Sludge accumulation(Inches,if otherspecify); 0 Pum in recommended: NO to . . •. This component was. Fully Inspected Component appears to be functioning as intended: YES Ponding resent?If YES explain in comments: NO Drainfield was vacuumed,flushed or hydra-jetted? If YES,explain in comments NO This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance. ReportD:1505217 View inspection reports online at www.onlinerme.com Page 1 of 1 Situ Name: Location:10 E BARNSBY PL Service Company: Shelton Tax ID:321275300026 Maples Excavating&Septic LLC use: 911 SE Arcadia Rd Shelton,WA 98584 3604638474 Serviced:03/17/2026 by:Shane Maples Submitted 03/19/2026 by:Shane Maples Dump Location:Bio-Recycling Jurisdiction ID:321275300026 COMMENTS Tank Pumped: YES Total Gallons pumped from tank(Number only,no text): 1230 Tank Size(Gallons)(Number only,no text): 1150 Tank depth below grade(inches): 8 Effluent level within operational limits(if NO explain in comments): YES Effluent returning back into tank after pumping: NO Access Risers installed to grade(N/A if not present): NO Tank Construction Material: Concrete Tank Condition Good: YES Baffles in good condition(N/A if not present): YES Effluent screen cleaned(N/A if not present): N/A Effluent surfacing around site components(N/A if not checked): NO Tank abandoned after pumping: NO Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO Compartment 1 Scum accumulation(Inches,if other specify): 15 Compartment I Sludge accumulation(Inches,if other specify): 16 Compartment 2 Scum accumulation(Inches,if other specify): 1 Compartment 2 Sludge accumulation(Inches,if other specify): 10 This report indicates certain characteristics of the onshe sewage system at the time of vises.In no way is this report a guarantee of operation or future performanca. ReportlD:870434 View pump reports online at www.onlinefine.com Page 1 of I