HomeMy WebLinkAboutSWG2026-00171/TANK ONLY - SWG Application / Design - 9/2/2026 MASON COUNTY 415 N6 SHELTON 3604LTON,WA 99504
sH STREE ,SHE TON, .EXT400
BELFAIR.360-2754467,EXT 400
Public Health & Human Services ELMA:360-482-5269 EXT 400
FAX:360-427-7787
On-Site Sewage System Tank Only Permit: SWG2026-00171
OWNER HOOD CANAL SALMON Phone: 360-275-3575
ENHANCEMENT GROUP
Address'. PC BOX 2169 BELFAIR,WA 98528
APPLICANT HOOD CANAL SALMON Phone: 360-275-3575
ENHANCEMENT GROUP
Address: PO BOX 2169 BELFAIR, WA 98528
SEPTIC DESIGNER CINDY WRITE* Phone: 360-701-0205
Address. 80 E PICKERING LANE SHELTON, WA 98584
SEPTIC INSTALLER TAYLOR TONEY* Phone 360-489-9169
Address'. 2971 E PHILLIPS LAKE RD SHELTON, WA 98584
Site Address'. 691 NE Roessel Rd
Primary Parcel Number: 123325000116
Install septic and pump tanks,and transport line to connect the 3-
Permit Description bedroom SFR on parcel 123325000116 through parcel 123325000087
to a commercial OSS on parcel 123325000089(AFN: 2245075)
Permit Submitted Date: 05/29/2026
Permit Issued Date: 09102/2026
Issued By: David Anderson
Current Permit Fees Paid: $550.00 (additional fees may be required upon Installation of system).
Permit Expiration Date: 05/29/2027 (based on date of inspection)
Type of Work OSS Repair
Components being Replaced Septic and Pump Tanks
Surfacing Sewage? Yes Existing Failure? Yes
Shoreline? Yes Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: 1200g septic and 1200g pump tanks
Permit Conditions'.
2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
5 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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 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.
MASON COUNTY 415N6SHELTON , 0-4279 70,EXT 400
$H STREE 36 HELTON EXT 400
BELFAIR.360-2751467,EXT 400
Public Health & Human Services ELMA 360482-5269.EXT 400
FAX'.360-427-7787
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 MAYBE 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.govthealth/environmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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COMMUNITY SERVICES PMCWNTRECEMED: IIECENEDBY `m N
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ON-SITE SEWAGE TANK ONLY APPLICATION
APPLICANT PHONE m ON
HOOD CANAL SALMON ENHANCEMENT GROUP 360-426-4221
MAILING ADDRESS-STREET COY STATE,ZIP CODE
PO BOX 2169, BELFAIR, WA. 98528
m
SITEADDRESS-STREET CITY ZIP CODE fm.
691 N E ROESSEL RD, BELFAIR, WA. 98528
NAME OF DESIGNER PHONE I N
CINDY WAITE 3620-701-0205
NAME OF INSTALLER PHONE I ("]
B-L;INE CONSTRUCTION 360-426-4221
TYPE OF WORK(Saecr One) DRINKING WATER SOURCE W
❑ NEWCONSTRUCTION I UPGRADES P REPOR I REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL O PRIVATE TWO-PARTY WELL Z I N
COMPONENT(S)TO BE REPLACEOI INSTALLED ❑ PUBLIC WATER SYSTEM
❑ SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOTSIZE (T
❑ OTHER 3 3.95AC
OTHER DETAILS(aWCYaI/MN apply) TANKS)SETBACK CHECKLIST Q I
o SURFACING SEWAGE ®EXISTING FAILURE ❑SHORELINE U IOOFT-PUBLIC)COMMUNITY WELLS A I O
SUBMITTALS • 50FT,PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
I PLOT PLAN(REQUIRED) ❑TANK CROSS SECTION(REQUIRED) • 10FT,DRINKING WATER SUPPLY LINES Io
U PUMP DETAILS(IFAPPLICABLE) ❑ 4WNER(S)(IF APPLICABLE) • 5FT+PROPERTY/EASEMENTLINES,FOUNDATIONS,FOOTINGS
PLOT PLAN CHECKLIST O
• PROPERTY LINES AND EASEMENTS U EXISTING/PROPOSED STRUCTURES U EXISTING/PROPOSED 055 COMPONENTS AND LINES
❑ WELLS WITHIN 1008 U WATER SUPPLY LINES 0 DRIVEWAYS)PARKING M SURFACE WATERS,STREAMS,RIVERS,ETC... I
U DIRECTION OF SLOPE)CONTOURS ❑ PERIMETER/CURTAIN DRAINS U NORTH ARROW U SCALE BAR
DIRECTIONS TO SIZE AND SITE CONDITIONS.(u.%oc*od Sale) 0)
GO TO BELFAIR, TURN LEFT ONTO ROESSELL RD, PROJECT IS AT THE END OF
ROAD.
"4
OFFICIAL USE ONLY BELOW IRIS LINE
UPGRADE I FAILURE SOURCE for raportinQ purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING LI BUILDING PERMIT OHOME SALE ❑COMPLAINT ❑OTHER;
COMMENTS/CONDRIONS
Tn (( 504kC gnd pump fcAks, and irusisooi* latt o Eonnetf cri to
0S5 /Iona/( IZ33Z 500009?
SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED NTH RISERS
AND LIDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IFAPPLICABLE). RECORD CRANING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE ApPLIC O APPROVED)ISSUED BY DATE
S zglzaa747io6
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/712015
I Residence
tr Wildlife Area Unit 600 NE Roessel Rd, Beifair. WA 66526, USA. 12 11200 gallon septic tank
3 1200 gallon pump tank
4 Audible/visual alarm
5 Schedule 40 2" transport line
6 Out buildings
7 Salmon Enhancement offices
�ECF• 8 Existing septic tank
!/fO
9 Existing primary/reserve drainfiel
10 Public water system
W° 11 Waterlines(need to locate)
• 12 Labatory
13 Failed drainfleld ankjpprox
¢�` = C I4. Selr tee
i.. _ in o�
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i 50 � S n
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yr, c;
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Foundationl`1 100.00 ` f ' Cafe D.z rpoxl
Septic tank 99.50 '
�:arnpTank 99,00 : Seals =) 1in : 100ft r"I"" N
RFCF'
Renn .r SJaJ, lr n.
lLsu 7
®' a 2o'
7' t3
1250SR & 1250SR—HW
Concrete tanks requre . 9nzsst Ieerproof,
use flexible u�:ns� c, o::pl rs.
Tanks to be ieak taste a 1,;� /.-
F.
qw
----------------- 36") ___
I II I
T 78` 24" TOP VIEW �j 62"
I I I I 68"
4� I II I
I I
3" Ij
— -- -- ---L---- ---------�
zr a�tco T� wnrnns ��
wr_a�w �r cl z
PVC WRE 4
4"
cv.
�� �. 64"
55-1 /2 FLOOD '030 GALS. wa GALS.
52- 1/2
30
2-1 /2" H
3 � l
APPROX. WEIGHT 1 1 ,000 LBS.
I &Vi /Za Se+/ 2E wr✓r
1250P & 1250P-HW
1275 GAL. FLOOD CAP. q���
RFCF
---
-----------------------
I
I
I I
I I
I I
I 66"
OP VIEW 24° 18'
2
4 1 6
II----------_----------J
Concrete tanks required. Must us waterproof,
use flexible rubber boots anc &a;cble couplers,Tanks to be leak tested after insta '.
8' C PoPi' i/ 21' IXENCO TM
GBT-R-9E�L GFBNEf
4
zz.sa eus crH/wa
64"
51
4'
3"
r'-
APPROX. WEIGHT 1 1 ,000 LBS.
. (Jo 2/S??1 2 dud-zti
12/20/2024 1271490
1/3/2025 1272210 720 14 51
1/10/2025 1273130 920 7 131
1/24/2025 1274990 1860 14 133
2/7/2025 1276660 1670 14 119
2/14/2025 1277480 820 7 117
2/21/2025 1278330 850 7 121
2/28/2025 1279440
1110
3/7/2025 1280320 ago 7 126 �� � ' !u�6
3/14/2025 1281160 840 7 120 RECEIV£p f
3/21/2025 1282130 970 7 139
3/28/2025 1283050 920 7 131
4/3/2025 1283880 830 6 138
4/10/2025 1284680 800 7 114
4/18/2025 1285520 840 8 105
4/25/2025 1286440 920 7 131
5/2/2025 1287050 610 7 87
5/9/2025 1287760 710 7 101
5/16/2025 1288330 570 7 81
5/23/2025 1289000 670 7 96
5/30/2025 1289810 810 7 118
6/16/2025 1291500 1690 17 99
6/20/2025 1292000 500 4 125
7/18/2025 1296380 4380 28 156 i
8/15/2025 1300220 3840 28 137.
8/22/2025 1300790 570 7 81
8/29/2025 1301280 490 7 70
9/5/2025 1302320 1040 7 149
9/12/2025 1303260 940 7 134
9/19/2025 1303930 670 7 96
9/26/2025 1304500 570 7 81
10/3/2025 1305280 780 7 111
10/10/2025 1305910 630 7 90
10/17/2025 1306510 600 7 86
10/24/2025 1307180 670 7 96
10/31/2025 1307920 740 7 106
11/7/2025 1308930 1010 7 144
11/14/2025 1309560 630 7 90
11/21/2025 1310340 780 7 111
12/12/2025 1314920
970 7 139
1/9/2026 1318570 w "' a
1660 21 79
1/16/2026 1319330
1/23/2026 1320050 720 7 103
1/30/2026 1320800 750 7 107
2/6/2026 1321710 910 7 130
2/13/2026 s222i M /,tT f<
x2/27/2026 1332180 860 7 123
3/6/2026 1333040 860 7 123
3/13/2026 1334010 970 7 139
3/20/2026 1334700 690 7 99
3/27/2026 1335550 850 7 121
4/3/2026 1336350 800 7 114
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cindyewaite@msn.com
From: Taylor Toney <taylor@b-lineconstruction.com>
Sent: Monday,April 27,2026 10:11 AM
To: CINDY WAITE
Subject: Fwd: Septic Designs
House water readings
-
--------- Forwardedmessage--------- Rf(• �'
From: Edward Lucas<edwar@pnwsnjmormeriter ore> �0
Date: Mon,Apr 27, 2026 at 9:55 AM
Subject: Re:Septic Designs
To:Taylor Toney<taylor@b-linecQnsliuc1ion ca0>
Hello Taylor.
Water usage at the tenant's house. - -'
Please let me know If you need additional information.
1/16/2026 474320
1/23/2026 474710 390 7 55.71
1/30/2026 475080 370 7 52.86
2/6/2026 475490 410 7 58.57
2/13/2026 475960 470 7 67.14
2/20/2026 476370 410 7 58.57
2/27/2026 476850 480 7 68.57
3/6/2026 477290 440 7 62.86
3/13/2026 477720 430 7 61.43
3/20/2026 478220 500 7 71.43
3/27/2026 478730 510 7 72.86
4/3/2026 479210 480 7 68.57
4/17/2026 480210 1,000 14 71.43
Ed Lucas
What is the story/am telling myself? 44)0
b
What is the question behind the question?
Take only pictures;Leave only footprints
1
Qjj/_
Installation Notes6
Septic and pump tank
12332-50-00116 691 N E Roessel Rd
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2, Concrete tanks required. Must be waterproof, use flexible rubber boot; and flexible
couplers. Tanks to be leak tested after install.
3. Reserve area will be located between the existing laterals. Existing laterals are 10'
on center.
4. When crossing waterline, transport line must be cased 10'on each side of crossing
5. Transport line must be adapted from 2"to 4"ten feet from septic tank to avoid
agitation in the septic tank.
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank should be pumped every three to five years or as needed.
3. System owners are responsible for having maintenance performed every three years as
per WAC246-272A,
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
6. Keep the flow of sewage at or below the approved design operating capacity.
7. Keep waste strength at residential waste strength parameters.
6. Spread loads of laundry through the week.
9. Do not use excessive bleach or detergents with added whiteners.
10. Do not shower, do laundry and dishwasher at the same time
11.Antibiotics can kill or impair the biological process in the septic lank.
12. Leaky plumbing can hydraulic overload your on-site septic system:
Q �10
• MASON COUNTY HEALTH DEPARTMENT
2 ' - a • ' 428 WEST BIRCH STREET a • ht �Ell,&U SHELTON, WASHINGTON 98584
PHONE (206)426-5561 E C 3 U
IBBI
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYS ALon co•-
OWNER
S I< HAJSOA/ ADDRESS rxsrT
P,O, ny RELFbS2
THIS RECORD IS NOTA GUARANTEE OF PERFORMANCE. LEGAL
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER DESCRIPTION 7 '1'5 a
WITH PROPER MAINTENANCE AND CAREFUL USE OF
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE 5fl 41jp
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS /L L
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. N A F L° 5D' X 90I
FAULTY FIXTURES. DEPTH TO wor-Tt MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE OF YEAR NOV,
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND N Al
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED.CLEAN- SIZE
INC AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK (S) I - L( 5O E (,L
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET
CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH O t-
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA aO S. FT.
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE LJ
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH 7 'I
c ❑ CORRUGATED X. RIGID ❑ CEMENT
RECORD WHEN HE COMES.
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CDS 70 „ oW� �\TOTAL
DRIVEN OVER THE TANK OR DRAINFIELD, CONSULT THIS 6 PIPE 12 DEPTH
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, SPACE RESERVED FOR
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING REPLACEMENT DISTRIBUTION FIELD: ltd a SQ. FT.
ARE LATER CONTEMPLATED. + NORTH y Dot
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO PC;
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED.
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE G" I
SUCH THAT SURFACE WATER It NOT POCKETED ON THE
DRAINFIELE. ANY SETTLING OF THE GROUND OVER THE D $ p
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- a sz b7
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. M~H ej
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT \ t—._
EQUAL TO ONE HALF INCH OF RAIN PER DAY. •Y D
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CON-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE
DRAINFIED AREA. 4 v
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD a
YEAST OR OTHER STARTERS TO A SYSTEM THE USE OF RE, U - - o O 0 e
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE ' (Ul I V
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK CRL BY at
4ANGING THE CHARACTERISTICS OF THE SOIL. THE
'MAL USE OF BOWL CLEANERS OR CLEANING COM- a N
'15 WILL NOT KILL THE BACTERIAL ACTION OR SLOW Ql U t F' SOUTH
4E OPERATION OF THE SEPTIC TANK.
I -
THIS IS AN IMPORTANT DOCUMENT DATE D BY
KEEP IT WITH D®OR OTHER
ESSENTIAL PAPERS. TE
Cindy Waite
80 E Pickering Lane
Shelton, Wa. 98584 _l/p
360-701-0205
cindyewaiteCWmsn.com
8/28/2026
RE: Parcel 12332-50-000116 SWG2026-00171
You have my permission to add transport line from the lab to the tank as was shown on
previous plot plan.
Respectfully submitted
Cindy Waite
• LICEr ECyESIGGNNFFR -