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Home My WebLink AboutSPH93-00172 - SPL Plot / Site Plans - 10/6/1993 ,SON 'COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 �"�1 FAX 427-8425 1 nl APPLIC�1EC'�IV�'I)�ON FOR SHORT PLAT EVALUATION 111JJJI« ►►► c Receipt No: �CT u 3 /l�Jf / -aate of Payment: vSTRUCTIONS �J elements have been ad ate dressed: is considered complete when the fee is paid an 1. An ad the following completed. for inspection. Properly excavated pits • parts 1 and 2 of the application form must he parcel must be ready to the ground r proposed p shelf must slope up • one properly excavated backhoe pit Per are 6 ft deep with a 4 ft deep shelf on one end of the pit. The 4 ft deep surface for easy ingress and egress- Plot plan must show the precise location lication• The stayed p or proposed welts, roads, or lan must be attached to the aPp Pxisting • A scaled plot p erty, Of and location of any the test holes, dimensions of the pro P in 100 ft of the property boundaries. buildings with application is received, staff will inspecC the property and Provide the applicant with a test es be charged to 2. After a completed aPp ro project requires more assistance than the evaluation nuaravofHealthlmayb complet on written report. If the p j the Mason County Revised 09/01/92 Of this report, an hourly rate of S37/hour as set forth by 1 the applicant- // / ),/e� �z %k.V�y PARCEL IDENTIFICATION .......................... PART 1: APPLICANT/.:........................::::::::::::::::::.:.::'.::'.:'.':'.::::::::::::::;:::::::::::::............ ........... ...........i i.iE i2 i.:Ei iF i ii iEii ii iiit Y+S, . ' A �- TELEPHONEq loco .• NAME OF APPLICANT /' - �oZ�JD 1-y 1 ` �Ov v A s� v a a • MAILING ADDRESS LO • ASSESSOR'S PARCEL NUMBER • LEGAL PROPERTY DESCRIPTION —� • LOT SIZES (ACRES OR S4 FT) DIRECTIONS FOR LOCATING SITE p u u ............::::::::::::::::::::: ......::......:::::::..... :::::::...... ........T: ........................:....:..:......:.................................................................................................................... PART 2: INTENDED USE OF PARCEL.................................................................................... .... .• -'INT••NDED USE OF PROPERTY (Check One) : ❑ Multi-family residence single family residence ❑ Other, specify: WAT SOURCE FOR PARCELS (Check One) : ❑ Community well ae K Individual wells Revised 03/04/93 Short Plat Evaluation PART 3: HEALTH DEPARTMENT REVIEW (OFFICIAL USE ONLY) .................................................... ....................................................................................................................... r SOIL LOGS AND SITE CHARACTERISTICS LOT # G MT # LOT LOT Test Pit A Test Pit A Test Pit A Test Pit A 11 q ec, I otyA q0n (3-ag ke-s- coeil TT9LrT, Well �9TOWC�PC�10' 9L3 _6&Vrf- me-rrieo gtll cl-tAv 0 A*- 10 Ay-, I Depth of root pen.: Depth of root pen.: IX3' Depth of root pan.: Depth of root pen.: Depth of mottling: a7 Depth of mottling: `0 Depth of mottling; Depth of mottling: Depth to rest. layer: QX Depth to rest. layer:al— Depth to rest. layer: Depth to rest. layer: Soil type (USDA): Soil type (USDA): y Soil type (USDA): Soil type (USDA): Test Pit B Test Pit B T Test Pit B Test Pit B Depth of root pen.: Depth of root pen.: Depth of root pen.: Depth of root pen.: Depth of mottling: Depth of mottling: Depth of mottling: Depth of mottling: Depth to rest. layer: Depth to rest. layer: Depth to rest. layer: Depth to rest. layer: Soil type (USDA): Soil type (USDA): Soil type (USDA): Soil type (USDA): Curtain drain needed? Cu.rtain drain needed? JSL* curtain drain needed? Curtain drain needed? 11-02 Slope (%): ms� Slope (%): < U /c Slope (%): -< L�,� slop. Shoreline? (Y/N): Shoreline? (Y/N): tj Shoreline? (Y/N): -N-- Shoreline? (Y/N): Minimum lot size: 1 ljV Minimum lot air.:' Minimum lot size:'• 82, Minimum lot size:- Minimum lot size applies to new subdivisions and is defined as the minimum allowable land area per residence or residen- tial equivalent (450 gallons per day). COMMENTS Plat Evaluation PART 4- HEALTH DEPARTMENT REVIEW SUMMARY (COMMUNITY DEVELOPMENT USE) .............................. ......... ...... ............................................. ........................... . .................. ..... .... ..... .... ...... XMEETS 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 can support an on-site sewage disposal system meeting the requirements of state and local regulations. 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 cannot support an on-site sewage disposal system meeting the require- ments of state and local regulations. 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 and local regulations until the following conditions are met: Condition(s) required prior to approval have beZmet by the applicant. '.4 80J7 Health Official Ices PART 5: REVIEWER SIGNATURE HHH:: .. . i .. N : ........... .... ............ ....................................................... ...... ................... Hea th Off''cl i Date Revised 03/04/93 Plat Evaluation MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 FAX 427-8425 SHORT PLAT EVALUATION what is a short plat evaluation? Short plat evaluations are written determinations by the health department whether on-site sewage disposal systems for general categories of developmen- tal land use on specific parcels of land meet current requirements of state and local health regulations. Short plat evaluations also identify factors that could limit the parcels, ability to accommodate on-site sewage disposal systems. Why do people request short plat evaluations? Property owners request short plat evaluations as part of county requirements for subdividing their land. The county needs to know whether the parcels will be buildable before approving land divisions. Do short plat evaluations guarantee parcell are buildable? No. Short plat evaluations take into consideration the health codes and po- licies in effect at the time of evaluation. These items periodically change. Short plat evaluations are not considered legally binding for the health de- partment, though a moral commitment is recognized and site evaluations are honored whenever possible. Legal issues surrounding pre-evaluations have caused some health departments to stop offering the service altogether. Do short plat evaluations allow property owners to begin preparing parcels for building? No. During the short plat evaluation, the health department usually has minimal information concerning building size, building placement, road place- ment, and well placement. These are critical design elements and might need to be altered in order to allow for approval of on-site sewage disposal Sys— tems. Excavation associated with site preparation could make it difficult to alter these design elements and could damage the only useable drainfield areas on the parcels. Caution: It is possible that building site preparations made prior to design of septic drainfield systems could render sites unsuitable for on-Bite sewage disposal. How can I obtain a guarantee that a parcel is buildable? Obtain an approved On-Site Sewage Disposal Permit. Permits specify septic drainfield designs and locations to serve the sewage disposal needs of spe- cific developmental proposals. Permits are valid for three years from the date of approval. Revised 03/04/93 Short Plat evaluation PART 4: HEALTH DEPARTMENT REVIEW SUMMARY (COMMUNITY DEVELOPMENT USE) ............................................................ ........... ........................................................ .....................I......................... MEETS 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 can support an on-site sewage disposal system meeting the requirements of state and local regulations. DOES NOT MEET FMATTE 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 cannot support an on-site sewage disposal system meeting the require- ments of state and local regulations. This determination is based on consideration of the following factor(s) : 01 C351 HOLD APPROVAL UNTIL FURTHER ACTIONS N BY APPLICANT VV After examining lot size, protae O �er our and soil type, it is the de- ter mination termination of Mason Countr partm rl�", f alth Services that each proposed parcel cannot support an o site se\*e dj�ldposal system meeting the require- ments of state and local regulations Irt il the following conditions are met: le PAQ%.)1'A&T PLOFT- InAP 31400_likli� — RAQ i)�400-19v+<j 4r ao�dns phcs ZV-1q(I O-C F1 �condition(s) required prior to approval have been met by the applicant. lva Health Official Date PART 5: REVIEWER SIGNATURE ....................................................... ................. ................................................................................................ Health Offic�' l Date " / MAl /Tt v4Mic�SON " 2591 53' / ACS PERC & DESIGN 10515 Old Belfair Hwy. 3 7 -2 aD 5 3 ° ' 29 E / Bremerton, We. 98312 8812 i 275-3592 d I) IL N ,, N•W C0 W � . 1/4 N E• 1/4, � nDN � / 3 �. OF c ` 1295'�� \ ` } 5/1 J. R 1 S. 1/4 °. FD• �1p� T ` l County Dept. Health Services PLUG. , �. �\ ! r t VOID N Initials_ ate — Lpo4 L � 1�4 COR SEC � FtVG. 1 TIUn AND OF Z42° RE ca F<. OF 11GER L . 0-n A iQ�Y R UNE REC ROS F -pGER S SNOWN'E ;E!►S 247 0 W A OL.I fCO t CEN C D 9DiLT CEO y R/W Of WAS i>H MATCH 'I OF 1H LATED EASTE , I101 MAPOSITIT CAI-�- �, Ar 4�►% 'I .--ESMT. FJR ROAD Wit 1""1w" W, ��1.,m,,l,111 VVVL VI -� 4 UTILITIES: (A. F; a 2 4-12 0 2� \ ' �.- �..� ___� —MASON PDUNTY��E D/.4I�'lL'T•�`2-- �,.� IS' OV W 4c5(o.0P — 9A•97' 133.9'2 199. 35 tom �8 _ to co In -u ro CP • m x 38 t > 54 v b Frim tr ro 1 R:�4 a N n y rw h r� ~� 1 t� o M v 7 az �� n _„�• 3 Ns 0 " r,t D p j y m — omz 4�3p,�9' x"rlC> vs8 Mason Count x 3 �`?9 m a y �ePt• Health services 3 U, AppRov m ED =1 z initials_ x o 2 H Date N inv z _vm0 a z � m s �q `_: � cna -I a J� y I - 1N — c� 2 z N ti �g0 RM,z X z Z09 a w � o N A PiipO m � 9. 0 OZ f11 1 f11 ` rn • BEARINGS BASED C 7° (n � � T S.L►NE or- 9&'/A O F 5E O z I �+ y1 � O 1- AS SbI RV bWN IN SUEY <_ m ,, 0.I � rn " � it uj VOL, I I , M. 15 3 in I� m in e O i 0.7 mo, I a � "' ° HI.wy m 0 C An o� rrt - 0 � X d rl Iz: t; En A z v 2O - In -t coZ � Ln A .. p Z r p ` U j Z � 0 N � CAA rrh 1 CP O b s J ` vx rrTOm0rn = d' o LA 0 n zC O m y ' DMZ p � oSrtp Oc m 'r 0 v n 0bi0 e �lASOTI COUNTY DfiPARTMENT OF HIkALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 FAX 427-7798 May 5, 1994 -; Pac-Tech Engineering, Inc. �,TTN: James E. Barnard 721 Kitsap Way, Suite 4 b. merton, WA 98312 RE: SPH93-0172 PARCEL NUMBER 12309-41-00020 Estate of Alice B. McDonald Kinney APPLICANT: Nancy Hendrickson Gentlemen Before a determination whether this proposed snort plat meets Environmental Health requirements clarification is needed on the following: o the new short plat drawing submitted on April 22, 1994 shows that three lots will be created. On LOT 1, two well sites are indicated. There are no well sites indicated on the other two lots. Is the water source for this short plat going to be individual wells (ie: one well for each lot) ? or is the water source for this short plat going to be a single community well? If the water source is individual wells, a new drawing of the short plat will need to be submitted that indicated a proposed location for the wells. If the water source is a community well, the well site must be inspected and accepted by Environmental Health, and either the water system must be installed or 135$ of the cost of installing the water system be place into an escrow account. If you have any questions, please call me at 427-9670 from 8:00 to 9 :30 Monday through Friday. Sincerely Carolyn Jensen Environmental Health Specialist CC: Nancy Hendrickson Randy Neff, DCD ,�\ / SHORT SUBDIVISION #: ... �3 DATE APPROVED: Q 1� ESMT. FOR ROAD DIRECTOR OF COMMUNITY DEVELOPMENT d U,TILi I IES.2 s.� (A. F 024-720 ) os \ MAmN POUNTY RICE OGYTe/CT2— SO 18' 02"W ^- to5(o.0(o' >l 9 4.9-7 - - -1 2 20-7. 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