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Home My WebLink AboutSPH96-0122 - SPL Application - 4/8/1996 1� MASON COUNTY lll;l'Alt'I'P'II?N'I' O1� lllsAL'I'11 SERVICES -- -- --------- -- POSTOI'17C/3IJ(Ll IGG, SHE1,710N, 19A 98584 (206) 427-9670 EAX 427-7798 APPLICATION FOR LAND USE EVALUATION a Receipt No: _ z_-.___ Date of Payment: . .�2 INSTRUCTIONS 1. An application is considered coerltete wile,, the fee is paid nrd the following elements have been addressed: • Farts 1 tax!I2 of the nipticntion form oust be colOcted. ' One properly excavated backhoe pit per proposed parcel nust be ready for inspection. Properly excavated pits are b it deep with a 4 it deep shelf on one rrrl of the pit. the 4 it deep shelf nest slope till to tine grmad surface for easy ingress and egress. • A scaler( plot pion Inns( be atterhed,lo the nlryrl rent ion. the scaled plot plan oust show lire precise location of the test holes, dilMnsions of lire property, and locntioll of any existing or proposed wells, roods, or buildings within 10U ft of the property bouidar ies. 2. After a completed allplicatian is received, staff will inspect Lire property old provide the applicant with a written report. IMPORTANT: I11 URUER 10 AVU11/ AUUITIUIIAL COSTS, DE SURE TEST HOLES AIIU PARCELS ARE ALL rLAOGEU AIIU CLEARLY DELINEATED AS TO LOT AND TEST IIOLE NUIIRER. THE IUERIIr IEU TEST IIULES MUST MATCHTIIE LOCATIMIS SIIOIRI Oil IRE PROPOSED PLAT NAP. r PART 1: APPLICANT/PARCEL IDENTI ICATION _ BLA (Office Review) ❑ Large Lot Subdivision I 1 Short Plat Subdivision $100 1 $10/parcel `- HS $400 �- $20/lot' $10 1 S p i. 0wv) LIAMR OF APPLICANT MAILING �rG �(�li'G •1'RLEPNONs �0) LAO0 • MAILING ADDRESS I-)l% ley` �aLe Zip 5 2 1 33 { U DQDOI L� ( C >Go • `ASSESSOR'S PARCEL NUMBER — — -- -- n • LEGAL PROPERTY DESCRIP'1'lON ice'• _F T-� k LOT SIZRS (ACRES OR SQ FT) _LUt..7 —L�t-y— —1,�7-3— Lot-4— DIRECTIONS FOR LOCATING SITE jj trig PART 2: INTENDED USE Ole PARCEL _ g o�4 6§ • INTENDED USE OF PROPERTY (Check One) : )C/t ,f I a 19W Single family residence L1 Multi-family re ldrI414?p'f Other, specify: WATER SOURCE FOR PARCELS (Check Oue) : I Individual wells - Community well lb\UR-S11E\LIIUUSE.11 Revised 12/05/94 Land Use Evah:atlon IPA-W1' 3: EILAL'1'11 DEFFARTMEN'1' REVIEW (OlelF1C1AL USE; ONLY) SOIL LOGS ANT) SITE CI(ARACTERISTICS LOT N _ I tut e . -__ I lur a ._ I lur N _ 1 F I ---t test Pit n I Test Pit n 1 Test Pit n I Test rit A JQ9 \` I I I I I Depth of root on.: { Depth of root ryen.: __ I Depth of root pen.: _ I Depth of root pen.: _ I P I -- Ue1lh of mottling: I Depth of mottling: I Depth of mottling: __ I Depth of nettling: _ I I Depth to rest. layer' Depth to rest. layer: I Depth to rest. toyer: I Depth to rest. layer: I Solt type (USDA): —_ I Suit type (USDA): I soil type (USDA): Soil type (USDA):I _I. I lest pit b I lest Pit a I rest Pit a I rase Pit b I I I I I i I I I i I i I I j I I j Depth of root n.: Depth of root pen.: Depth of root pen.: I Depth of root pen.: i p — I Depth of Mottling: Depth of mottling: I Depot of trnttlino __ I Depth of Crest. la _ I R I Depth to rest. layer: { Depth to rest. toyer: I Depth to rest. toyer: I Depth to rest. toyer: ___ Solt t (USDA):Solt type (USDA): _-- I soil type (USDA): { soli type (USDA): __ I t curtain drain heeded? { curtain drain tr_ededl I curtain drain treaded? _ i Curtain drain needed? __ Slope (X): __ I Slope (X): I Slope M. __ i Slope (X): _- i . I I Shoreline? (Y/N): __ I Shoreline? (Y/N): I Shoreline? (Y/N): 1 Shoreline? (Y/N): _ I I 1 I t A I Minimm lot size:A I Minittzm lot size-A __ I MlnitazM tat size:A __ I Minittu lot size. I I I I I A MtnimR lot size applies to new subdivisions told is defined as the minimum allowable lard area per residence or residen tint equivalent 050 gallons per day). COMMENTS It:\ON-517'E\LNDUSE.N Revised 12105194 Land (/sc Evaluation I'ATLT' 4: REVIEW SUMn11AR�' (C OA�InIUNCI'l' llEVELUPNIIsN'f USE) t� MEETS HEALTH CODE After examining lot size, 1)1T>p'lsed water source, and soil type, it is the de- termination of Hamm County UeparUnent. of health Services that each proposed l,larcel can all on-•^.ite soo:age disposal system meeting the requirements of state and local regulaLi-ons. 1=4 DOES NOT MEET HEALTH CODE 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 camiul; support- an on-sil-r sewage disposal system meeting Ube require- ments of state and local. regulations. This determination is based oil 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 tile de- termination of Mason County Department of health Services that each proposed parcel cabulot. support an on-si.Le sewage disposal system meeting the require- ments of state and local. regulations until the following conditions are met! 47 rid"Cep z ca a u — K� �• to I-1 L-J condition(5) required prior to approval have been met by the applicant. health official Date 1'Alrf 5: REVIEWER SIGNATURE Health official Date N:I0N-S11'EILNN(ISE.W nevlsed 12/05194 MASON COUNTY DEPARTMENT of HEALTH SERVICES Shelton,Washington 98584 (360)427-9670 • Belfair, 275-4467 ENVIRONMENTAL HEALTH PERSONAL HEALTH WATER DUALITI 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 # 32133-40-00020. 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 ()t 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