HomeMy WebLinkAboutSWG2026-00297 TANK ONLY - SWG Application / Design - 9/9/2026 MASON COUNTY 415N6THELTON: ,SHELTON,WA98400
SB ELTON:360-275-9867,EXT 400
ELFAIR:380-2751407,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT400
FAX:380-227-7787
On-Site Sewage System Tank Only Permit: SWG2026-00297
OWNER TIPTOP LLC Phone:
Address: 2226 EASTLAKE AVE E BOX 99 SEATTLE,WA 98102
APPLICANT TIPTOP LLC Phone:
Address: 2226 EASTLAKE AVE E BOX 99 SEATTLE,WA 98102
SEPTIC DESIGNER MICAH HALVERSON--Olympic Phone: 360-490-6365
Construction
Address: PO BOX 698 ELMA,WA 98541
Site Address: 15641 E STATE ROUTE 106
Primary Parcel Number: 222145200041
Permit Description: RV holding tank permit with Class A waiver
Permit Submitted Date: 0910912026
Permit Issued Date: 09/1712026
Issued By: Rhonda Thompson
Current Permit Fees Paid: $275.00 (addmonal tees may be required upon Installation of system}.
Permit Expiration Date: 09/16/2029 based on data of nspeUlpn)
Type of Work OSS New Construction
Components being Replaced: RV Holding Tank
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 0 Drinking Water Source: Private Well/Spring
Additional Details: RV holding tank
Permit Conditions:
5 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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.
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 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: masonwuntywa.govlhealthlenvironmentallonsiteloss-Inspection+equest.php or call:
360427-9670, extension 400.
Servic OFFICIAL USE ONLY
MASON COUNTY DAT � D oa oc, L y
Public Health & Human es NWNTPE ATP. F m m
415 N.6th St.Shelton,WA 98584 TM'i+
(360)427-9670 ext.400 SWG a-%af -
ON-SITE SEWAGE TANK ONLY APPLICATION m
m
PHONE w r
MPLWPNT
Bart Evans 206-669-6360
MwuNGADOREss-BrREETcm.aTATE,21P CODE Ko '� W
2226 EASTLAKE AVE E BOX 99 SEATTLE WA 98102 0
srtEAOOREss-aTREET cm,ZIP CODE � N
15641 E STATE ROUTE 106,BELFAIR 98528 o
LU
NAME OF DESIGNER PHONE 0In
Micah Halverson 360.490-6365
PHONE C:1 - —� O N
NAME OF INSTALLER - -
Unknown W
TYPE OF NORK(wE%M,) dNNKMG WATER SOURCE
•NEW CONSTRUCTION!UPGRADES O REPAIR!REPLACEMENT El PRNATE INDIVIDUAL WELL 0 PRIVATE TW)PARTY WELL Z a
COMPONENT(S)TO BE REPLACED)INSTALLED D PUBLIC YWTER SYSTEM I I I
BEDROOMS LOTSIZE O1
D SEPTIC TANK OPUMPTANK ■RV HOLDING TANK
O OTHER 0 2.52
O I N
OTHER DETAILS( d0 that'PM') TNS((B)SETBACK CHECKLIST I
❑SURFACING SEWAGE O EXISDNG FAILURE ❑SHORELINE • 100FT•PUBLIC)COMMUNITY WELLS X ICJ
0 EOFTt PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
SUBMITTALS DETAILS 010FP DRINKING WATER SUPPLY LINES Io
o PLOT (REQUIRED) TANK CROSS SECTION(REQUIRED) SFT-PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
O PUMP OF APPLICABLE) ■ VMIVERIS)OFAPPUCABLE) • SO
PLOT PLAN CHECKLIST ST
■ PROPERTY LINESAND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES ■EXISTING)PROPOSED 05$COMPONENTSAND LINES
■ WELLS WTTHIN t00FT •WATER SUPPLY LINES • DRIVENMYS/PARKING •SURFACE WATERS.STREAMS.RNERS,ETC... a
• DIRECTION OF SLOPE)CONTOURS U PERIMETER/CURTAIN DRAINS ■NORTHARROW ■SCALE BAR I S
DIRECTIONS TO SNEAMD SITE CONDmONE:(w.bc*etl gate)
From Union Wa drive east on SR106 to address. Proposed HTSS is on south side of HWY
106
OFFICIAL USE ONLY BELOW THIS LINE
U,GRADE I FAILURE SOURCE I(0 n W Nq NFP'a)
OV0LUNTARY OMAINTENANCEIPUMPING OBUILDING PERMIT OH0ME SALE OC0MPLMNT DOTNER:
COMMENTS/CONDITIONS
In i,► Y4 hdcllfl trn -.
SEWAGE TANKS MUST BE LISTED UNDER DON LIST OF REGISTERED SEWAGE TANKS- TNU(S MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS.EQUIPPED NOH RISERS
AND LIDS TO SURFACE,AND INCLUDEAN EFFLUENT FILTER IKP➢PUCABLE). RECOWORAWINGAND MSGLLATWN REPOORTTREQURED 0VM IV`s
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION GATE EP OVEFI183UED R�I
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY VIEBfiITE
REVISED 01NN1o19
Holding Tank Sewage Systems-Recommended Standards and Guidance
Effective Date:July 1 2021
Introduction
A Holding Tank Sewage System(HTSS) is an alternative to a conventional on-site sewage
system with very special and limited applications. Simply,the HTSS provides a means to collect
and temporarily store sewage from a facility or dwelling,for subsequent removal and transport to
an approved treatment and disposal site. Depending upon the facility served or the particular set
of circumstances surrounding the use of a HISS,the expense of sewage pumping,hauling, and
disposal at an approved facility can be very costly, especially on a long-term basis. In addition,
the potential for operational/management problems with resulting public exposure to raw sewage
is significant. For this reason,use of a HISS must be closely regulated by the local health
agency.
A HTSS is an on-site sewage system that incorporates a holding tank,the services of a sewage
pumper/hauler, and the off-site treatment and disposal of the sewage generated at the site served
by the HTSS.
Figure 1. Longitudinal-Section of Typical Holding Tank Sewage System.
11niet
Warning Light and
Audible Alarm
cured Pumping Access Port with
jsloped concrete pad
t w D° Reserve Storage Volume
� m �
m -o
Nomlal Operating Volume 21 N O
= � m
*Septic tanks with plugged outlets are not allowed.Tank must not have an outlet.
DOH 337-006 Page 6 of 17
Mason County Community Services
Environmental Health
415 N. 6th Street
Shelton,WA 98584
I Bart Evans would like to install a Recreational Sewage Holding Tank located at:
15641 ESTATE ROUTE 106, BELFAIR 98528
Parcel#22214-52-00041
I Agree to have the sewage tank pumped by a licensed Mason County Septic
Pumper as needed, minimum once annually.
Sign:
Date:
BART ANS
2226 EASTLAKE AVE E BOX 99
SEATTLE,Wa 98102
Tabloid 11"X 17"
fl ®
}«
§ )
■ � � ` / D
OO
\ ®� � m \ \ \ �
/i %^ � ^ %
(/ � � z e � � may\ § \ \ 2
rn
/
wxx ,
(/ //
` / ' - -
z a �\ [
Z
z \ ( }/\!
; / %&
!
i f , \\\? Ti
Ima
; !
Z !f a
\ ° z ` 5
z n; «
x z° ^ 2 E
O ® ^^ 0 TI
m((f ]||
NJ 0
o zrl [| , TI
h
zfl e'
TI
o
( \R 11
o 4 ( G!
| ` C\ {
\(� f |
I.
A 5 )
! _
r=Tfdesiqnllc(cDoutlook.com
ronDsgnLC ,2 RAPT EVmS 2226 EASTLAXE AVE E�0X< -- « 2 zo,mns_ m _a r! __-9 ` ,�, rg�Em3E ,a1 E�as a