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Home My WebLink AboutSPH96-0122 - SPL Application - 4/8/1996 Ai�iSON° COUNTY I)IsI'/1IL'I'�41?N'I' OF ll1ALTII SEILVICE5 ---- — 1,0ST•OFTICIT B(IX 1666 SHELTON, )VA 93584 (206) 427-9670 FAX 427-7798 APPLICATION FOR LANI) USE EVALUATION , f Receipt No: QI 'qr Date of Payment: INSTRUCTIONS e r I 1. All application is conshlererl complete when the fee is paid aid the fol loving elements have Ueen addressed: • Parts i ard 2 of the aiy)licati on color mist be completed. • sed parcel oust be ready for Inspection. Properly excavated pits One properly excmnled bnckhoe pit Per 1110110,on one lvl of the pit. Ihr 4 it deep shelf nu^.t slope up to the 9rotnd are 6 it deep will' n 4 it deep ""if surface for easy ingress rixf egles.:. • A scaled plot pine Oust be. ntlnrbed,to the nl>Irl icnlion. the scaled plot plan oust shoo the precis'. location wells, roods, or of the test holes, dx ion n sios of the Property, myl locntion of ally existfug or proposed buildings within 100 it of lire property lxowhiries. 2. After a completed oppkicatior is received, stn(1 will inspect the property acid provide the af>[)licant with e written report. I IMPORTANT: IN ORDER 10 AVOID ADDITIONAL COSTS, OE SURE LEST HOLES ANU PARCELS ARE ALL FLAGGED AND CLEARLY DECIMATED AS 10 LOT AIR) 1FST IIOLE NUMBER. THE IUEIIIIriEU TEST HOLES MUST MATCH TIIE LOCATIONS SIIOWI Oil 111E PROPOSED PLAT HAP. I I PART 1: A111'LICANT/11ARCEL IDENTIFICATION Large Lot- Subdivision I 1 Short; Plot ��Fr Subdivision HLA (Office Review) ❑ $100 1 $10/parcel L_1 $85 /' Vi $400 1 $20/lot $10 4 n rC r 4l TELE Nfi PNo • LWIhH OF APPLICANT Slmp�an � �`- • MAILING ADDRESS '�U I�Cilj i� (( i. 12Cy "i Le Zip • `ASSESSOR'S PARCEL NUbLBEI2 • LEGAL PROPERTY UESCRIP'1'10N LOT SIZES (ACRES OR SQ FT) —L—ou-I— DIRECTIONS FOR LOCATING SITE See Q-I lo( heJ I �) mil '• PART 2: INTENDED USE OF PARCEL INTENDED USE OF PROPERTY (Clieck One) Single fancily residence Multi-family re idrAl"p 1 ❑ Other, specify: _ V�r►c�. WATER SOURCE FOR PARCELS (Check One) : ❑ t Individual wells - Connnuuity well I1:\UH-SIIE\LIIUUSE.w Revised 12/05/94 Land use E.va)uat)on PART 3: HEALT11 DLPARTMENT REV1E\V (OFFICIAL USE ONLY) SOIL LOGS ANT) SITE CIIARACT'ERISTICS LOT !! I LOT N - (UT 11 I LOT 0 _ - t —1 -- ' Test pit n I test Pit n Test Pit A I Test Pit A I I I I rn� I I 3-Zq � I I I Uc rth of root n.: I Depth of root pen.: __ I DeptiT of root pen.: I Depth of root pen.: I I th of willing: Depth of mottling: Depth of nottling: ___ I Depth of mottling: I De p l .,,_ I Depth to rest. Uerill to rest. ayer: Depth to rest. layer: I layer: I Depth to rest. layer: __ I I_ snit type tusun): t me (USDA): Solt type (USDA): soil type (USDA): _. Soil I t Pit D Test I Test Pit D Test Pit B i Test Pi[ D i i I I I I I I I I I I I I I I I I Depth of root pen.: I Ueptl, of root pen.: I Depth of root pen.: Depth of root pen.: I p I Depth of mottling: Depth of t I Depth of mottling: I Depth of mottling: Depth to rest. ayer: Depth to rest. lnyrr:I _ lh to rest. layer: I Depth to rest. foyer: ,__ I l I — I Uc p Salt type (USDA). — I snit type (USDA): __ I snit type (USDA): _ I snit type (USDA): _ 1 .. Curtain drain needed) _ I Curtain drain needed? _ I Curtain drain needed? __ I Curtain drain needed? I I I Slope M. _ I slope (X): I Slope (X): I Slope Shore ineT (Y/N): _ I Shoreline? (Y/N): __ Shoreline? (Y/N): I Shoreline? (Y/N): _. I A I Minimm lot size:A I Nl nimim lot size:n I Mlnimtm lot size- I Minim" lot size: I I T Minisun lot size nrM,lies to new subdivisions and is defined as the minimum allowable lard area per residence or residen tial equivalent (450 gallons per day). COMMNTS ' il:WN-SITE\LNUUSE.W Eevtaed 12/05/5I Land Ilse Evaluation 1'Ail'1' 4: KI�VILVi' SUMMARY (COA1n9UN1'1'l' ll1'V1sl,Ol'N11�N'1' USL) d MEETS HEALTH CODE After examining lot size, proposed water source, and soil type, it is the de- Cenninatiou nf_ Mason County Department of health Services that each proposed parcel can support a" ""-site sewage disposal system meeting the requirements of state and local. reyulati.ons. 6=4 DOES NOT MEET HEALTH CODE After examininglot size, proposed water source, and soil type, it is the de- termination of Mason County Department of Health Services that each proposed parcel cauptt support an on-sl.te sewage disposal system meeting the require- ments of state and local. regulatiuns. This determination is based on consideration of the following factor(s) : HOLD APPROVAL UNTIL FURTHER ACTIONS ARE TAKEN BY APPLICANT After examining lot size, proposed water source, and soil type, it is the de- termination of Mason County Department of Health Services that each proposed parcel cannot support an on-site sewage disposal system meeting the require- ments of state slid local regulations until the following conditions are met: 1 U'RR6 fo n Ll� MQ�1nn1 It x1 +l�ctj 06, reS Q& an sw. A 1:da 2 Co w�- r A v 'r�Fo� Nlh�c� SysJr „s! 17.t to nlwu�-�_ .. CI'1l1AtfU ConAn I—I u condition(s) required prior to approval have been met by the aWlIcant. Health official Date PART 5: RE VIE, SIGNATURE Health official Date 11:Wn-S1 rE 1'NVIISE.N Nevlsed 12105194 MASON COUNTY DEPARTMENT of HEALTH SERVICES Shelton,Woshington 985a4 (360)427-9670• Belfair.275-4467 ENVIRONMENTAL HEALTH PERSONAL HEALTH WATER QUALIT) P.O. BOX 1666 303 N. FOURTH P.O. BOX 166( March 27, 1996 Simpson Properties c/o Dan Holman P.O. Box 2379 Re: Simpson properties, parcel # 32003-20-00000 and # 32133-40-00020 Dear Mr. Holman, During the month of December, 1995, approximately 164 test holes were inspected on parcel #32133-20-00020. In January of 1996, thirteen test holes were inspected on parcel # 32133-40-0002 0. The majority of the test holes revealed type a soils. At the present time, this department is not requiring additional test hole evaluation, provided the lots area sized to type a soil. This department may require additional test holes in the future if deemed necessary. If you have questions regarding this matter, please feel free to contact me at 427-9670, ext. 554 . Pam Denton R.S. Environmental Health Specialist e Recycled DEPARTMENT OF COMMUNITY DEVELOPMENT MEMORANDUM DATE: April 4, 1996 TO: Trish Wagner, Environmental Health FROM: Gary Cooper, Planning RE: McEwen Prairie Application for Subdivision Tidemark File Location: PLT96-0001 , Attached are several documents for Environmental Health to review relating to the Simpson Properties, Inc. application for the proposed McEwan Prairie Subdivision. If I can provide more information or be of assistance to you in any way, please call me at x275 . Thanks in advance. List of Attachments: 1. Check in the amount of $2 , 800 . 00 . 2 . Department of Health Services application for Large Lot Subdivision Evaluation. 3 . Proposed plat map. 4 . Legal description of the entire tract. cc: file