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C1 Type of Insp. Fail Date Date Done By Comments 40k CD Cn -ST 10 2 (Foy 7 :3 (0 a CD (n 0 0 AA 0 0 CA 'a 3 (D �; pal + _ 'D. n �.xr � �._"i �.is -� dn�'r .• . `,�,r.,, v''-� .�'F �" aw- �i... °�'`^,�^•"""`a,,. '"air i • '! �! d �jd R y S' ` � � I�ir� t � }i a di"q§f � • , w • /I .. ■0 _ •rriRaRia■iria Ri :::ao tr 'V 11�t .t1dJ.•ri MM■■ r e�_,.�! P�1 rirr•� � r tcR rai arr� t yL �1KoC��aace: � . �n��aF`s�aiisirr �n or .rrttrrra r wwrr orr ■ �rt _ �qr un s ■ t� rrirrrrir rirrrrrrrr � e�� :, �8 ��� m�as6aagaa:sa�a�aua�aao aiG � �► r • rsrur■ rra■rrr■r rrrrrr�� rrua�"• '�.�rii ra-- v rrir■ _ rrr •- arrR t» _ � ern a aas iri won � rrrrrir rrrarrrlrrIrrrrarrrr e r ��r ■■ rrrrrr rrrriri INS own OnHnoli no r rrrrt! •i�ir�rrrrGmra�ir�r:.arr errrrrrrrrrirrrii-_�__�__ rrr■rrrrrrrmrrrrurrrurrurrarrrl rarRrrirRrlrrRvr 1larRriirrrrrrriirrrirrrRir■lirrrrrrrrirrrr•'Yrr/ saC� '.�Gr�ariCCC::CE 'f�'CCCL"CCC"' CCU. MAIN ��rr rrr wri rri ■rrrrrrr/1�:�1�� �r1Rr�R'�rrr.Rrrrrirrr�al�lr�rwsrrrrirrri nrrR»rrra rriieriarrrirr i• IuMrr arm.Rr55a!5we��RrrRi��rir�r Sim w�iR�ArrrRiRRiirl RrRirR��1 lot HIP ♦ s '•• •.• � ! •1 ! •11 1 0 1 1 1• • • RECEIVED BUILDING MAY2 2 2017 615 W. Alder Street OF LABOR�1NDtJ5'TR M �IE$~ ;.. oMfied as provided by Law as: Markuf I40M Inst:8ftf L '�D371C E!I Dew:OW997 Exp Date: GrJWMdl SApp, WCHAEL S `ELK WA W%7 hu m owury DEPARTMENT OF HEALTH SRVICEs t3rtw Lug. iu tAnoN 428 W.CEDAR/P.O.BOX 16661 SHELTON,WA 0584 Data — Date �} ReceiptNo ReoaiprVo. � PHONE 2 427-W70 mount$ jAnwuntS—w1x;;;r_ i DATE: _ tqC APPUGABLE ITt $ WAIDW A004 DAYTIME PW(*F. WABW MINI S R CITY! �[ ATE: J ZIP: A� 31NGtE AM V P SP6GIFIGOIFt1;GT10N8 FOR Lf)CI17NJG SUE: - PRIVA7£NfF1C 8YSTEM�,kUMf3ER SYSTtilAMA1tE: I '� C NAME Name of Lot —4 3 t.x � fL MAILING ADDRESS tv Id kialder Size: .'��_esrea 87y- Narne of r SlC A Desow Bedroome X t h _ tt diMYaNnalonet irr T'q-xsJ'c.GG. - �© � r I Kj -D� to NOT —WSTEM DESIGN � Y. f(D OFFICIAL USE ONLY. WRITE BELOW DOUBLE UNE o^ r .-� :;L Smell - r rfz a- I zrr r�•,2 , IR_ZY wtdo,* -ro G' s 2-f/ G 3•,*,v 3Z 7 3'a 4- .w a S�►� r�""fi'..we- 1te�3�"' Lo '" DQ0: Oripinal Gradetu RasCictive Layer or WaterTabte^ In. DESIGNER DESIGNATION SCORER MINIMUM SYSTtrJA REQUIREMENTS Designer Level: *br- O TWO SOB Type �._ _Q Vertical Separation Gat./ Gat. Flow. GPD Slopei. Infftt. parcelStxa �_ —21— Rate t t GPD/FV Area FP Distance to Shoreline Total Inspector Date Dquaw COMMENTS/CONDITIONS FOR APPROVAL Any change from the speollied use of the property or en site alteration affecting the system dasfgn may Invalidate this psimiL thb Pomin�xptrosi 3 yeero from deb of she hupwOon.D r ofthN permk mey be eppeeW to the liu h 0Mw wMIn 101*.of,"0*- $IlE pegired t1 DE oved Q Not ro wST T t3Not BY: DATE: t3Yt DATE. BYt DA TOP:Health Dept.Ow DLE:Designers Copy BOTTbM:AppuA6 Copy '; i ltJ117 iR * 4 Iee-91 f-10=i i c F ?Net Re r `1 8 5 4 397c` Ave S 5 A�( r0 WA, JD � qoa� A N R � K � 47 S 6 too or Lbr AAA 0 4:5f0 ST'p As-ti(. •be S RbCg r4+� Qw�/1t� /r lOd�s�"t'bacK. Masop county Dept. "Im Service i89 1 A00 GAL ram . { x-So 'Ssd goo 84 Date 3OO S*b r rs u 91'3 s S LAKE CUSHMAN SEPTtCS N:31 Cem e6beck RI. HoadsporL WA 98548 (206) 877.5345 # SCxa�E ,� 3t- )$$q§ §{)\. /yo2 )§dam /§§\ NSTANDSTILL m s 5000 — — — NHO - - /�� | ®p § <� \/\ �z � z §k2 ® . }�k m$t 00 M: >@� oM m a | \k , \ |. D I e�Burma RERE � ! �, 2� .f\ � 14� 0 , f f \ 7 . \ Ao me J . L f ` . |._ ( cn / ~ $ y s q | C) ,3— I � $ ~ - . ¢7 / O . n, % ®© % dd >< G) I } \ / /% 7 I \ 9 � co '® TOE J SLOPE \ » / om � #\ 2 m 0 , $ $$ ƒ \ § � — \ �.\m a � @ . LAKE STANDSTILL ¥ m Z412/ / ik r / \f . /\ \ /�/ �■ \f go ./ � / / ƒ& ƒ � § F- I rrn��oo f mOCZA U7��Dif -U C) WOO �� c z ca x N STANDSTILL DR S �nooOZ .71 Zm> N_ W� !OG2m O D-C 1 -4 V vl rTl `� N Vmi�D "® ®.� r ( fix, N m.-, I OZm Qgp� w �� SGzi —� QJ iij `�a 0 o v) I I Ic Nmo O® �zO If-. CZz 1 ��' >-q rm m- rool, o A M a O o O(7 C d rm t I U 2' BUFFER _ , �� X a c\ ((oo p j \/ I X�-140 TOP OF SL❑ S; m130 4 N 3 1 cn c� c, O0 R' -4 ii W N N J o0 0 0 C D� O I ?� O m ---�` IOC LOPE 1 � r o 0 o o V) m n rn O ' 1 --r'"� m m 1 N � W A l K OT�fD li�l m D o n Q n cn = Z to °ao 0MU) Ch = gym — N F � � o v0. m —� � z ry m c D W _ = m N m o =o C m D ^ o CCD (D 4 Ll MASON COUNTY COMMUNITY SERVICES Permit No: ild �611 F �_ PERMIT ASSISTANCE CENTER: Recv'd. •BUILDING•PLANNING.FIRE MARBUILDING ti15 W.Alder St-Shelton,WA g8584Phone:360-427-9670 ext.352 Fax:360-427-77 N ` http://www.co.mason.wa.us/community de v/ '-�!J C EIVED BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: AY 2 2 2017 NAME: :5+cyt✓ NAME: Qf"al-yt0Lt -+� it• v 5�1yL�, '0J.Alder Street MAIL G ADDRESS: ` ` G 1 J Wry MAILINQ ADDRESS: CITY: .-500 STATE: W ji ZIP: V 1 CITY: ' 4 STATE:_ ZIP: PHONE#I: �;(e,L) - '�'1 - �;�. PHON CELL: PHONE#2: EMAIL EMAIL: L&I RElit /M11 EXP. 1 "/53 CONTACT PERSON: OWNER❑ CONTRACTORK OTHER/BELOW❑ NAME: /n i )Z f , MAILING ADDRESS: (Q CITY: M 9TATE: VJ/ ZIP: 9 PHONE-_ —�CELL:�aC&` V EMAIL: e- a+D Wt - rYl. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 7 �_` �� ZONING LEGAL DESCRIPTION(ABBREVIATED) itlzGrutas� i t/ /n�c(,'� FIRE DISTRICT SITE ADDRESS_��I cl 6+i f� �1 CITY Ci©i D i27 DIRECTIONS TO SITE ADDRESS Nid/Oy1 Al lif�d,' h+`,1kL°+t�l�v��-F�12�! k�i vt5 it lc� d15ct+zi7t Fi�AslS `(lDr--4t t:c ,,0e]Aatnck071L0,, kzi ch i S-mrL .rSrn-1 #'o L(�'D IS PROPERTY WITHIN 200 FT: (Check all:hal apply): SALTWATER❑ LAKEX RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YESA NO❑ TYPE OF WORK: NEW Jff ADDITION ❑ ALTERATIOf N❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)9 e-!t,;[l L F1-(`Q IS USE: PRIMARY Z SEASONAL❑ NUMBER OF BEDROOMS__ NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) YES(Part[s]of Bldg)❑ NO❑ DESCRIBE WORK 7 t Ej{GL(( yyl F f_ `C1 �-l-, SOUARE FOOTAGE: IST FLOOR..�Ai sq.ft. 2ND FLOOR sq,ft. 3RD FLOOR sq.ft. BASEMENT_ sq.ft. DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑ MANU ACTURED OWE INFORMATION: *4 COPIES OF THE FLOOR PLAN REOUIRED MAKE 1►'U[l�l t t[ YEAR 2 Q ( LENGTH- ��% ., a WIDTH-13� BEDROOMS _ BATHS SERIAL NUMBER. OWNER acknowledges that submission of Inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner or owner's legal representative.I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permittapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF INUATIO flRF IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPL A 0 F 180 ILL.. U'SIE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) nature of 0 R Date DE AR- DATE TA " ' TMENTAL REVIEW, =APPROVED: ,.DATE DENIED GS/NOTES/CONDITIONS , BUILDING DEPARTMENT JTZ (0-34-t PLANNING DEPARTMENT FIRE MARSHAL rxP�RMTf�PECIAL`ISTS .,.' ,=Intake By' Approved&Ready for'.-Ptck Up, ; `s p 2.017 - 000a-7 'L- A 20 d- &0 L4�S3 MIGIZI GROUP, INC. ' PO Box 44840 PHONE (253)537-9400 Tacoma,Washington 98448 FAX (253)537-9401 May 3 2017 �I Paramount Builders Inc. PO Box 2143 Yelm,WA 98597 253-606-7313 Attention: Mike Sapp Subject: Geological Assessment Parcel #42205-52-00015 480 N Standstill Dr.S Hoodsport,Washington MGI Project P962-T17 Dear Mr. Sapp: Migizi Group, Inc. (MGI) is pleased to submit this geologic assessment, as it pertains to the residential property at 480 N Standstill Dr. S, in the Lake Cushman area near Hoodsport, Washington. Our scope of services is limited to a site visit, surface observations, and review of available geotechnical data. This letter has been prepared for the exclusive use of Paramount Builders Inc., and their consultants, for specific application to this project, in accordance with generally accepted geotechnical practice. PROJECT DESCRIPTION The project site consists of a rectangular shaped residential parcel located adjacent to Lake Standstill near Hoodsport, Washington. The lot extends approximately 200 feet east of Lake Standstill Dr. S and is bounded by forested lands and residential parcels to the north and south. The site is currently developed with a septic system,water, a gravel parking area, and power in the relatively level upland area near the roadway. The upland extends approximately 80 feet to 90 feet east, then trends downward at an average of 50 percent slope to a small level area that extends to the lake's shoreline. Improvement plans involve the placement of a manufactured home measuring 34 feet by 52 feet Page 1 of 4 1 . Paramount Builders Inc.—480 N Standstill Dr.S,Hoodsport,WA May 3,2017 Geological Assessment P962-T17 in the existing gravel area. The structure will be approximately 12 feet at the closest corner and the remainder of the structure will be further from the slope. The area was marked on site at the time of our site visit on April 30, 2017. The structure will be supported on the ground surface and no excavation or fill placement are expected. SITE CONDITIONS We performed a reconnaissance of the site and nearby areas on April 30,2017. We observed,as described above, that the subject property is developed with a large gravel parking area and utilities. The western half of the site is relatively level for approximately 80 feet to 90 feet, then trends downward at approximately 50 percent slope with a fall of approximately 40 feet to a small level area the extends to the lake shore. Properties to the north and south all display similar topography. Access to the site is gained from the west via N Standstill Dr. S. During our site visit of the property, no irregularities indicating slope failure, such as ancient or recent landslide scarps, slide blocks, or jack-sawed trees were observed. No signs of recent or incipient slope failure were present in adjacent properties within 300 feet of the project area. No seeps, springs, or other surface expressions of groundwater were observed on site,nor were indications of surface hydrology, such as rill marks or stream channels present. Estimated depth to groundwater is the lake level approximately 40 feet below the existing grade of the proposed placement of the home. Vegetation on site consists of a mature growth of maples, alders, firs and scattered cedars, with an area of salal, sword ferns and other brush. Generally, understory vegetation had been trimmed back along the slope. Native soils were evaluated from the test pit logs found on the approved septic design. These explorations typically extended to depths of up to 6 feet and revealed that immediate subsurface soils consist of gravelly sand and cobbles. Gravelly, cobbly.soils were also observed in exposed soil areas as well along the slope face. The septic design rate of 1.2 gpd/sq-ft supports that the soils are rapidly permeable and consist of gravels with sand commonly referred to as glacial outwash. Competent soils in a dense nature are expected within 1 foot to 2 feet below existing grades generally across the site. Site mapping indicates glacial till can be expected at depth. By definition, any slope over 40 percent that has a fall of over 10 feet is considered a potential landslide hazard area. However, the Relative Slope Stability of The Southern Hood Canal Area map indicates the site is considered Class 1, stable, and underlain by glacial till at depth. Areas within 300 feet are similarly mapped. The Lake Standstill area is mapped as Qgic Vashon ice- contact deposits—sand, cobble and pebble gravel, flow till, lodgment till, silt, and clay; tan to - gray;-variably-sorted; loose to compact;includes sub-ice flow and collapse features according to the Geologic Map of the Hoodsport 7.5-minute Quadrangle, Mason,County,Washington. Migizi Group,Inc. Page 2 of 4 Paramount Builders Inc.—480 N Standstill Dr.S,Hoodsport,WA May 3,2017 Geological Assessment P962-T17 CONCLUSIONS AND RECOMMENDATIONS Based on our site reconnaissance and geologic research, the site is a potential,but not an active, landslide hazard area. The proposed development will not adversely affect site stability or global stability of the immediate site area. In our opinion, a maintained,minimum setback of 10 feet plus a 2 foot buffer for the foundation elements of the new residence from the top of slope will adequately address site slope conditions. However, the slope should be monitored for erosion or instability by the owner and if either becomes apparent, a full geotechnical report will need to be prepared to address any necessary repairs. We recommend that any roof runoff generated from the structure be tightlined to the lake at the base of the slope or to the roadside ditch system. We do not recommend that any roof runoff be allowed to flow across the face of the slope. As stated in the Mason County Code Section 17.01.100 Landslide Hazard Areas Section F, the property owner shall be required to acknowledge in writing the risks inherent in developing near a slope, to accept the responsibility of any adverse effects which may occur to the subject property or other properties as a result of the development, and to agree to convey the knowledge of this risk to persons purchasing the site by filing the notice on the property title. Before new construction begins, an appropriate erosion control system should be installed. This system should collect and filter all surface water runoff through silt fencing. We anticipate a system of berms and drainage ditches around construction areas will provide an adequate collection system. Silt fencing fabric should meet the requirements of WSDOT Standard Specification 9-33.2 Table 3. In addition, silt fencing should embed a minimum of 6 inches below existing grade. An erosion control system requires occasional observation and maintenance. Specifically,holes in the filter and areas where the filter has shifted above ground surface should be replaced or repaired as soon as they are identified. We recommend that all areas of bare soils created during construction be re-vegetated as soon as possible after construction has been completed. Migizi Group,Inc. Page 3 of 4 4 1 Parramount Bu lders Inc,:4sO N Standstill Dr.s,Hoodsport,WA Mai 3.,2�17 Geayd cal 1ssessinent P962.11 C'�;tJ5L7RE. The condusions and recommendations presented in this letter are. based,,in' part,, on our kftpretations-and assumptions:regarding subsurface conditions therefore if:variations in ihe site conditions are observed at a later time, we-may need to modify this letter:to reflect,those changes. We appreciate tie.opportunity to be of service on this project If YOU.have apy< questions regarding.this letter or any,aspects of the project,please feel free to contact our office. Respectfully submitted, f MIGIZI GROUP IM. Casey R. Lowe,P.E. Principal Engineer ;PO Box 44840 Tacoma,WA 98448 'j2M,537-.9400 Attachments: Mason County Submittal Checklist For a Geological Assessment Mason County Department of Health Services Permit Figure 1. Site Plan 1 j 1010'GTOU0,10c:. Page 4,of 4 Mason County Department of Community QeWg..1 t Su itte-1 Checklist,eolkiist For a �eAJoa cW Assegsmnt inatmetions: This checklist must be subrrdtted with a Geological Assessment and cgtnpleted.,siinect,end stamped bythe.licensed professionals)who prepared the Geological Assessmen. forreview by Mason County pursuant to the Mason.County Resource Ordinance. If an ltern found to I*not applicable, the report should explain the basis for the conclusion. Rpphcanttflwttor Parcel# �1z�os -Site Address L` / r S 1v F� (t.) A discussion of geologic conditions In.the general vicirnty of the .proposed development,with geologic unit designation based on.referenced maps. Located on page•(s): - F (2) (a):.A discussion of the ground water conditions at the site,. Located on pages) Z (b)'A discussion of the estimated depth to wafer Located on page(s) Z i (c) A discussion of the quantity of surface seepage Located on page(s) (d) A discussion of the upsiope geomorphology .Located on page(s) 7- (e) A discussion of locution of upland waterbodies and wetlands. Located on page(s) Nl / (3) The approximate depth to hard or dense competent soil,e:g. glacial ti11 or.outwash sand. Located on page(s) 7, (4) A discussion of any geomorphic expression of past slope instability(presence..of hummocky,ground or ground cracks, terraced topography indicative of landslide::block movement, bowed or arched trees indicating downslope movement, ete j, Located on page(s) :Z nr% t, t i (5 A.discussion of the history of landslide;activity in the vicinity,as available;in the referenced maps and records. Located on page(s) i (6) An opinion on whether the proposed development is within the landslide hazard area,or its associated buffer or setback and the potential for landslide activity at the site in light of the proposed development. - _ ocateri_on pages) 3,,-- --- - - ( j A recommendation by the preparer whether a Geotechnical Report should,be requirod.10 further evaluate site conditions,.and the proposed development of the subject property. Pa e.'�f`'2 M 4 '� firm�ffve June-21308 } ' s . 'Located on PAWN ($) ifthe presence of a hazard is deter-mined`witl in 3GO feet of tine proposed divetop neat" then the fallowing are_delineated :on a geologic map/site map: (a) thearea of the proposed development, Located on Map(s) Zii (b) the boundaries of the Landslide hazard area(top,both sides,and toe), Located on MMep(s);_ `� s (c) the associated buffers(top.,both sides, and toe) Located on Maps) _ (d) building or other setbacks (top, both sides, and toe). Located on Map(s) r c (9) A site map drawn to scale showing the property boundaries, scale, north arrow,and:the location and nature of existing and_proposed development on the site. Located on.Map(s) ti 1 i LA T' hereby certify under penalty of pequry tha i am a crvil engineer licensed in the State of Washing#on:wilt peCt titgd; kraowli ige of geoteclinlealfgeological engineering ora geologl t.or engineering geologist licensed h the State of Washington with special knowledge.of the-too.ai condi0ons., l also oerft thattlie�Geologlcal Assessment,.dated , and entitled — meets all the requirements of the Mason County Resource Ordinance, Landslide Hazard Section, is complete-and true,that the assessment demonstrates conclusively that the risks posed by the landslide hazard can be mitigated Ahrough the included geotechnicai design recommendations, and that all hazards are mitlgated in such a manner as to.prevent har, to property and public health and:safety. (Signature and Stamp) AJ R. 55 Disclairnar: Mason County does not.certify the quality of the work done inthis Geological Assessment. Pale 2 of 2 Forin Effective ns 2,00.8