HomeMy WebLinkAboutADU2023-00001 - BLD CD Environmental Health Review - 1/3/2023 1 . ,
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t For Mason County Permit Center use:
MASON COUNTY E`
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V COMMUNITY SERVICES ADU •23 - o o oO
,,,,, ,, Building,Planning,Environmental Health,Community Health j' Recv'd' //,re: tanner.b(, -
iU''""` 615 W Alder St.,Bldg 8,Shelton, WA 98584 !ate StampRecv'd.-
Shelton Phone: (360)427-9670 ext 352 ❖ Fax (360)427-7798 1' /�(
ACCESSORY DWELLING1. RECcii �`Av\
UNIT PERMIT r: EfJ
(Special Use Permit with ADU criteria) !: 'IAA, 03
- 6 is 2023
it and Fee:P : l` Aid er street
Special Use Permit(DDR)-application fee: $ 1„yo
*IfADU is within 200'of a shoreline you must apply for a Shoreline Substantial Development Permit(SHR)—fee:$880.00
-Environmental Health fee: $ 130'�'
A "Special Use" is one that possesses unique characteristics due to size, nature, intensity of use, technological
processes involved, demands upon public services, relationship to surrounding lands, or other factors. The
purpose of this application is to provide for adequate oversight and review of such development proposals, in
order to assure that such uses are developed in harmony with surrounding land uses, and in a manner consistent
with the intent of the Development Regulations for Mason County; Ordinance No. 82-96. Acceptance of this
application by Mason County does not guarantee approval of request.
Applicant(s) Name: Ik‘cvJ 12Q-NbCa\D)st bVIP-J-Tc'U
Mailing Address: 26 o EE. 044rte►Ns wij She to r, \Ath 1.65(64
,
Phone: (319oi14o. 034c) E-mail: O.ec(A Q vmseeej-.1, ov s •v-vgt
Property Owners Name: (if different than applicant)
Site Address: 2100 iE TALLA S WQ j
Brief Legal Description: V'4OV)AQX 1Av,d it 2 I at ' -1
Tax Parcel #: 2 21"2-9 - S 2 - 000 0"7
iOiiiiji:','-T-1.-5 -4.0rcti a
Project Description:
`Q1a(Q‘41Qh+ of a 23' 4 x 42' 9, vavu ek(+u'c ck home ( 116 - ')sci
Ci I D IA ; v-Q'( SQVkiC COf►Qi + to exiOn wq-V.er
Rev.January 2018 ADU Permit Page 1 of4
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❑ SITE PLAN CHECK-LIST Please provide a site plan that includes the following:
❑ Indicate Scale and North Arrow.
❑ Property line dimensions, easements, and right-of-ways.
❑ The location of all existing and proposed structures. Include square footage of existing and proposed structures.
❑ Setback distance, in feet from all property lines and structures.
❑ Existing and proposed road access to and from the site.
U Parking spaces.
❑ Location of OnSite Sewage System (OSS) components (including tanks, drainfields, reserve areas, etc.)
❑ Location of existing and proposed wells, within 100ft. of property, shown with 100ft. radius.
❑ Location of existing and proposed waterlines.
❑ Steep bluffs, wetlands, streams, and bodies of water.
❑ Surface and storm water run-off routes.
Mason County Code Title 17.03.029 requires the following criteria to be met for
consideration of an Accessory Dwelling Unit (ADU) Permit:
ACCESSORY DWELLING UNIT(ADU) REQUIREMENTS YES NO INFORMATION
1. Is the ADU in a shoreline jurisdiction?
Please inquire with Mason County
1(a)Are you in the Flood Plain? Community Services staff,if unsure.
2. Will the owner of the lot reside in either the principal
residence or the ADU?
3. Will the ADU be located within 150 feet of the principal 1
residence or will the ADU be a conversion of an existing
structure(i.e. garage)?
4. The ADU cannot exceed 80 percent of the habitable area Imo'
of the primary residence, or 1000 sq.ft.,whichever is
smaller. Will your proposed ADU meet this criteria?
Please inquire with Mason County
5. Will the ADU meet all setback requirements? Community Services staff, if unsure.
Please see last page of this packet
6. Will all applicable health district standards for water and I . titled "ADU Environmental Health
sewer be met by the ADU? Requirements"
Rev.January 2018 ADU Permit Page 2 of 4
Ire I.
7. Recreational vehicles are not allowed as ADUs. Please
confirm (with YES)that you are not submitting a Er
Recreational vehicle for review.
8. Your property will only have one (1)ADU? LJ
9.You have provided an additional off-street parking space I ' I
for the ADU?
(Ord.108-05 Attach B.(part),2005)
❑ On a separate piece of paper(#of pages: ), state your reasons for requesting an Accessory
Dwelling Permit and be sure to address the following six criteria. Your request will be evaluated based on
these criteria and the Accessory Dwelling Unit Requirements from the previous section.
1. Will the proposed use be detrimental to public health, safety, and welfare?
v--)o
2. Will the proposed use be consistent and compatible with the intent of the Comprehensive Plan?
3. Will the proposed use introduce hazardous conditions, at the site, that cannot be mitigated through appropriate
measures to protect adjacent properties and the community at large?
4 Vno
4. Is the proposed use served by adequate public facilities,which are in place, planned as a condition of approval
or as an identified item in the County's Capital Facilities Plan?
9 tl
5. Will the proposed use have a significant impact upon existing uses on adjacent lands?
b1C>
6. If located outside of an Urban Growth Area, will the proposal result in the need to extend urban services?
Applicant's Signature 7° Cau/`t-2/ Date l - 3 — U 3
Rev.January 2018 ADU Permit Page 3 of 4
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MASON COUNTY
COMMUNITY SERVICES
sikoq,PGminia Emdroninenw HOW ranmunity Health:
ADU ENVIRONMENTAL HEALTH REQUIREMENTS
YES NO INFORMATION
1.Will the ADU be served by an EXISTING Onsite Sewage System(OSS)? >(
OSS's are sized off bedrooms.
Refer to the onsite sewage records
1(a). Total bedroom count from existing and proposed connected structures on file with Mason County to find
your OSS approved size. If
match the approved OSS records on file?
bedroom count exceeds system size,
contact a licensed septic designer
for upgrade options.
OSS application and design permit
2. Will the ADU be served by a NEW Onsite Sewage System(OSS)? must be submitted and approved
prior to EH approval of ADU
permits
-Foundation to Drainfield(s):10ft
-Foundation to Reserve Area(s):
loft
3. Will the ADU meet all setbacks to new or existing OSS components? ,]C -Foundation to Septic Tank(s): 511
Down gradient
Foundation/perimeter drains must
maintain 30ft to Drainfields.
Attach a signed Sewer Adequacy
4. Will the ADU be served by a NEW or EXISTING sewer connection? X Form from Sewer System Manager
to this application.
5. Will the ADU be served by a NEW or EXISTING public water system Attach a signed Water Adequacy
(over 3 connections)? x Form from Water System Manager
to this application
6. Will the ADU be served by an EXISTING private well?
Well must be permitted and
7. Will the ADU be served by a NEW well that is not constructed yet? i< constructed prior to EH approval of
ADUpcnnits.
Mason County Code Title 17.03.029 requires EH approval prior to approval of ADU permit.
Environmental Health Review Pre-approval:
Comments: 5 V\PA vvkfZo7 —OOOOZ APPROVED
- I 9O{ )W oz3- 0000
APR 1 Z 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
3i
(EH approval stamp with Initials of EHS)
I
ADU Permit Page 4 of 4