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Home My WebLink AboutSWG2026-00307 - SWG Application / Design - 9/21/2026 MASON COUNTY 415"6SHELTON ,SHELTON,WEXT 400 Iag BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:36OA82-5259,EXT 400 FAX'.360-427-7787 On-Site Sewage System Tank Only Permit: SWG2026-00307 OWNER BENDA RYAN &RACHEL M Phone: 206-962-6851 Address: 100 W ELK RIDGE RD SHELTON, WA 98584 APPLICANT Halford, Thomas Phone: 2533244927 Address: 16207 Meridian East Puyallup,WA 98374 SEPTIC INSTALLER BERNIE STRAWN` Phone: 253-446-8485 Address: PO BOX 954 GRAHAM,WA 98338 Site Address: 100 W ELK RIDGE RD Primary Parcel Number: 419257500090 Permit Description: Repair/replace pump tank Permit Submitted Date: 09116/2026 Permit Issued Date: 09/21/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $275.00 (additional fees may be reamed upon inawnrnon or system). Permit Expiration Date: 09/21(2027 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Pump Tank Only Surfacing Sewage? No Existing Failure? Yes Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring Additional Details: RepairlReplace pump tank Permit Conditions: I Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 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. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 055. 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.govlhealth/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. MASON COUNTY 4,5N6SHELTON 0427-9N EXT400 SHEL 3 6 012 7-5 6➢0,EXT 400 It BELFAIRAIR.360-275-4467,EXT 400 Public Health & Human Services ELMA'.360-482-5269,EXT 400 FAX:360127-7787 6 If tank is patched/repaired, installer must conduct leakdown test to confirm success and provide these details and notes in the asbuilt. If pump tank is to be replaced. needs to be 1.000 gallons minimum. If the pump tank is over 1,000 gallons, needs to have two lids. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 055. 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. j' NNW I)nkN �$�&zoale - 0301 SEP R 2026 J! o � C N _ tvTCYz 3J S N ins �� s Pfr3PO (173 * '\ e fc cc le vfY�l eCfTu� i( Cun Pot . I F i+ w1 +P�i Fa ConFYi m SvIcC�SS . J�aU1✓> ThwiU G�s,�J u Il+ l KYLES any Fo�tP", rti �s o�d ar.a� n�S v GEC NhZ 2i X, 2uu r) ," - ( IM to ovev l�o�o � _�5 o 1100-09) ctty EH Setbacks FH APPROVED it ♦'ti ♦ t .._. ?w APPROVED SEP 2 2026 MASON CouHIY ENVI O NENTALHEALT R Ai �91 s� �]7 O a � /"