Sewage Permit: Residential Septic System
Environmental Health
Record NumberSWG2019-00177
Closed
    Current Fees
$0.00
Additional fees may be required
     
Please complete the following information to submit your permit application.

My Project  

Location  
10 E KAYAK CT Parcel
SHELTON, WA 98584 220202393001
 
 
 
Created - -
Submitted 5/21/2019
Approved 6/24/2019
Issued 6/24/2019
Closed 11/23/2021
Application Expires 5/21/2022
Give your project a name *
Describe the purpose of the project
Contacts  

If you need to update contact information, please reach out to the permit center at 360-427-9670 ext. 352.

Contact Role  
Kivley, Mike(view notes)
Email not on record
360-621-2514

Submitter of the Application
   
Kivley, Mike(view notes)
Email not on record
360-621-2514

Owner of Record
   
PAULA JOHNSON*(view notes)
paulaj@hctc.com
360-898-2255

Septic Designer
   
BRANDON MYERS(view notes)
BRANDONMYERS@NWCASCADE.COM
253-848-2371

Septic Installer
   

Details  

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Submittals At least 1 file must be uploaded for each submittal requirement  

Please ensure all required submittals have been uploaded. All required submittals must be received prior to routing for review and being considered a complete application. Required submittals are marked with red asterisk unless directed otherwise. Mason County staff will contact you if submittal(s) are found insufficient via email or phone.

*Required for Application
Required before application can be closed
Submittal Name Received Version Status
Design Form Pages 1 and 2* (view notes)5/21/2019 1 Approved
Septic Design (Plans)* (view notes)5/21/2019 1 Approved
Installation Checklist and Record Drawing (view notes)11/19/2021 1 Approved
Parcels  

If you click on the blue parcel number below, you will be able to view information related to the parcel.

Parcel Number Primary Owner Primary Address
220202393001 (view notes) KIVLEY MICHAEL & TAMI A 10 E KAYAK CT SHELTON, WA 98584
Conditions  

The Owner/Applicant agree to the permit conditions at issuance. Prior to issuance, conditions are subject to change.

Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained.  (view notes)  
Drainfield installation not to exceed designed upslope and downslope depth specified on design form.  (view notes)  
Installer is responsible for obtaining Mason County installation approval prior to backfill of system components.  (view notes)  
Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components.  (view notes)  
Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval.  (view notes)  
Fees Current Fees $0.00

The fees listed below are subject to change based on project and permit requirements. Current fees are listed at the top of this page and may be paid at any time. All fees must be paid at issuance or prior.

Fee Amount Paid Balance Due Now
Total $ 0.00 $ 0.00 $ 0.00 $ 0.00
Inspections There are 2 required inspections for this application

The list of inspections below are subject to change based on project and permit requirements.

Inspection Date Status  
EH- Installation Inspection (view notes)11/1/2021UNAVAILABLE 
Environmental Health Site Inspection (view notes)6/6/2019Pass 
Approval Steps Follow the approval process

Follow your application through the permitting process.

Step Status Date
Environmental Health Clerical (view notes) Done 5/21/2019
Environmental Health Review (view notes) Approved 6/24/2019