HomeMy WebLinkAboutWEL2023-00026 - WEL Application, Design, Letter - 5/3/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
rr SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
P Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
LACY DIAN
900 W Carman Rd S
SHELTON, WA 98584
RE: WATER SYSTEM PERMIT: TWO-PARTY
WEL2023-00026
900 W Carman Rd S
420213290023
The 2-party water system, Lacy Water System, has been reviewed and is hereby APPROVED for 2
connections. Please continue to follow best management practices with maintaining your water
system including regular water analysis, landscaping, keeping wellhead area free of contaminants,
and stormwater management around the water source.
If you have any questions, please contact me at or email at Danderson@masoncountywa.gov
Sinc ly,
David Anderson
Mason County Environmental Health
1�
,� ,•,„.•�,t.t 4� Date Received: �T
, 1 MASON COUNTY Sur , i_
\4• I h I COMMUNITY SERVICES Arno*Received. Recei i L .15
r.
hi / Building.Planning.Environmental Health.Community Health
rn.M
415 N.6'h Street,(Bldg 8)-Shelton,WA 98584 Y Y�/��E Ldk,o - O Ve
Shelton: 360-427-9670 x400 Belfair:360-2754467 x400 Elma:360-482-5269 x400 _
TWO-PARTY PRIVATE WATER SYSTEM APPLICATION
—:
APPLICANT V 1 CLI 1 l&C ! PHO co -27'.)-� 7 7 . /
IY�(�/
MAILING ADDRESS-STREET,CITY,STATE,ZIP
900 V Carrm (0C) ROC& S Sh ei-tor) L)4 cSSe'
SITE ADDRESS-STREET,CITY,STATE.ZIP t` t
PRIMARY PARCEL NUMBER(WELL SITE)
4Zo2-1 — 32- gOOZ3
SECONDARY PARCEL NUMBER(IF APPLICABLE)
li202I — 3 2 - 6100 2-
WATER SOURCE SOURCE TYPE PARCEL 1 LOT SIZE PARCEL 2 LOT SIZE
❑ New *Existing ,S_Wcll ❑ Spring ,• 1p c pc-;rf 5 1,q 5 nCV.e.S
PROPOSED WATER SYSTEM NAME(REQUIRED) �Q(y Iva
ki-5)-5
PROJECT DESCRIPTION
-1 a tvi V r-e(f — -e((s-h i Sys-fig,
DIRECTIONS TO SITE/CONDITIONS
I/`d rd-res e S a r-e 114_6 -e-Id
Sa a-{ GI(461 w1/t.19
Site Plan: (may also be attached)
(property boundaries,structures,well site w/100'radius,driveways,roads,septic/sewer components and lines,easements,e ...) 4/
She a_fcwed Sho- pIOc fr MAy '792o
3
REOF/11RO
Submittals Checklist: (these additional items will be required for approval)
Satisfactory Bacteriological sample(this may be deferred if well is not yet drilled)
Well Log with pump test or 4-hour capacity test performed by driller(this may be deferred if well is not yet drilled)
Notice to Future Property Owners recording (record with Mason Co. Auditor, supply copy of recorded document)
71 Septic Records (additional locating requirements may apply if there is a lack of septic records on file)
This form may be scanned and available for public view on the Mason County Web site. Revised: 10/13/2021
Page 1 of 2
b1� �1 __�9_t_,tom` L K co/K-ff Use Only
Review Step 1: Well Site Inspection:— c� ?/0G
F�t(cnce of rccLU1f Gcty► V wot 1c{ 6,-0( t,to f,p (qi3 S�i'� -tank C�aih�Yt'
YES NO NA /Svrfq� wh S$ 67cUUzoZ3'. C(ea "'"
�] ❑ ❑ Evidence of existing sources of contamination within 100 foot radius of water source? �l
(drainfields, tanks, buildings; indicate distance on plot plan) —
f] ❑ ❑ Are there roads within the 100 foot radius of the water source? If so, is roa private, ounty or State.
lI What is distance to ROW? 3 2
IZ ❑ ❑ Does the ground slope away from the water source site? (show slope on plot plan)
I] ❑ ❑ Is the well cap satisfactory?
❑ ( ] ❑ Screened and vented? 1.
El The well casing extends 1 r•J above level ground/concrete slab? (circle one)
❑ ❑ ] Is there evidence of a surface seal? (onC/e{' 5(ub to; y7,7O7O 9Zb
It ❑ 0 Does the seal appear adequate? tvo . -173•Zo I pi yo
O fp ❑ Is a variance necessary for well site approval? My ; liM9
Comments 4101/e OW veil SI^k CG( V4eJ
Pass ❑ Fail Inspector Date -/Z 720 13
Review Step 2: Two-Party Review:
YES NO NA
71 ❑ ❑ Water Well Report with adequate pump test on file?
If NO, date of Capacity Test Driller VT1 clidf GPM I!S
IP- ❑ ❑ Received Satisfactory Bacteriological Analysis? Date of test L�(('r72., z3
❑ 0 Received Signed, Notarized, and Recorded Notice? AFN 2 (?6C 7 _l
y ❑ ❑ System appears adequate to serve 2 single-family residences based on information provided?
Comments 6/(i Z0 Z3 ' Qe ie t �1G tvV e S O'� vti p ' p 'IUV
9-il Approved ❑ Denied Reviewer Date ‘ Js l 7_O13
Findings in this review reflect observed conditions as they existed on the day of the site inspection. No claim is made, express
or implied of the future success or failure of this system. Well site approval does not constitute water system approval. Water
System approval is a two-part process.
All proposed connections to new wells are subject to water adequacy requirements at time of building permit per MCC 6.68.
Water usage restrictions and additional fees may apply to all new wells drilled after January 191h, 2018 per ESSB 6091.
Revised: 10/13/2021
This form may be scanned and available for public view on the Mason County Web site.
Page 2 of 2
2196694 MASON CO WA
05/03/2023 10:35 AM NOTCE
LACY *186501 Roc Fee: $204.50 Pages: 2
1 IIIIIII III III IIII 111111 IIHI IIIII IIIII IIIII 11111 III IIII IIII II
Return To
D+6 Lacy
etDO Coarmar Rd S
Shell v1 el �?S58 Li
Grantor(s): (1) D (N LA Of , (2)
Grantee(s): (1) PUBLIC
Legal Description (1) LDf . , SP .a5 7 I
(Abbreviated form:i.e. lot, block, plat or section, township, range)
Assessor's Tax Parcel: (1) 4 2 O Z 1 - 3 2- - ! O O 2 3
NOTICE TO FUTURE PROPERTY OWNERS OF PRIVATE TWO-PARTY WATER SYSTEM
I (We) the undersigned grantor(s), certify that the water source located on the above-described
real estate under Legal Description (1) and Assessors Tax Parcel (1) situated in Mason
County, State of Washington, has been designated to serve a source of water to the following
parcels situated in Mason County, State of Washington; herein described:
Tax Parcel: (Connection 1) '4 2 0 ( - 3 2 - l 0 0 2
Tax Parcel: (Connection 2) 4 2- O Z I - 3 2- 9 O 0 Z 2
The system owner is responsible for keeping this system in compliance.
The name of the water system is:
This system is designed to provide for two service connections. Planning and design approvals
must be obtained from the department prior to expanding beyond this number of services.
Additionally, a water right, obtained from the Department of Ecology, is required if the water
system exceeds exemption standards.
This system (has/ has not) been granted one or more waivers from specific provisions of the
regulations.
Dated on this pr \Owly-et- 1 J , 20
Signature of Grantor(s):
(1) , (2)
Page 1 of 2
State of Washington
County of Mason
I, the undersigned, a Notary Public in and,for the above named County and State, do hereby
certify that on this f( day of 141470 r , 20�-> ,
D I G1 i� LO C(J personally appeared before me, who is known to be
signer of the above instrument, and acknowledged that he (she) (they) signed it.
GIVEN under m _h nd 3r1 officiaLseaUbq day and y ar last above written.
JULIE M NICHOLS
Notary Public
State of Washington
License Number 151930 Notary Public in and for the State of Washington,
My Commission Expires residing at v fruirAriA
February 15, 2027 My commission expires: 2- S J9-7
Page 2 of 2
Thurston County Environmental Health\
� 2000 Lakeridge Dr.SW !Olympia,WA 98502
��z;' 360 867-2631
T t3R TON COUNTY
COLIFORM BACTERIA ANALYSIS
Date Sample Collected Time Sample County
Collected
0.
More, oar rear oPit
Type of Water System(check only one box) RPrivate Household
❑Group A ❑Group B Other Group A and Group B Systems-Provide from Water
33�Facilities Inventory(WFI:
DeD/Ar�
System Name �! V _ �.,oO Z
Contact Person: Q C ,G�7
Day Phone:`iceZep —c Cell Phase:( )
E-mail: 3 - 4-{QL. Eve.Phone:( )
Send results to:(Print full narre.address ao0 zip code or 'address
--T ��� 4-13. . . _ _ _ __&iALe
-7 - - __I Scr-e--1-(e....z,(-am_
SAMPLE INFORMATION
Sample collected by(name)( )ess N
Specific location or address where sample collected: ( Special instructions or comments:
14
Type of Sample(must check only one box of 81 through SA listed below)
1jRoutine Distribution Sample 2.Repeat Sample(after unsat.routine)
Chlorinated:Yes NoL., 0 Distribution System
Chlorine Residual:Total Free_ Chlorinated:Yes No
3.Raw Water Source Sample Chlorine Residual:Total-__Free__....
❑E.toll-GWR(A/P)
❑Fecal-Suriece.awl.springs tmnuuseonl Unsatisfactory routine lab number:
Filtered:Yes No.. . - -- ----
❑Assessment Monitoring(A/P) Unsatisfactory routine collect date
❑Other r /—_
S
4.0 Sample Collected for Information Only
Investigative ____ Construction/Repairs Other
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
0 Unsatisfactory Total Coliform Present and I tisfactory
ElE.coli present 0 E.coli absent
Iorm detected
Replacement Sample Required:
❑Sample too old(>30 hours) 0 TNTC 0
Bacterial Density Results:Total Coiiform _ /100m1. E.aolf /100ml.
Fecal Coliform _/100m1 EINerococd /100 ml.
Method Code:PESM 9223E ❑SM 9222D Date and Time Received: -•4°-
❑SM 92158 ❑Enterolert® 1-- 1- '2--3 Li.7'
Date and Time Analyzed. i.'t - l Z• 17 Date RepateL -t V 7.-3 0 �
4
Semi.Mmber(led/number pas we digits) lab Use Only
0 8 0 ZC 60
ooH 133 W 19 9ed rt
GI 6ave Ot 20 5 661 1
W A E R WELL REPORT Start Card No. W101324
Unique Well I.P. 8 AEc982
STATE CF WASNING:'ON Water Right Permit No
S. (1) OWNER: Name LACY, RICHARD
0 Address W 900 CARMEN ROAD S SHRLTON, WA 98584-
Q .:------------------------- ---'--• --..._-..........
CP (2) LOCATi(1N OF WELL: County MASON z-- - - NW 1/4 SW 1/4 See 21 T 20N N., R 4N WM
Et (2a} STREET ADDRESS OF WELL (or nearest address) N 900 CARMEN ROAD 8, SHELTON
4) ill PROPOSED USE: DOMESTIC (10) WELL LUG
.de(4)'TYPF OF WORK -1 Owner's Number of well Formation.: Describe by color, character, size of material
(1, iIf more than one) and structure, and show thickness of aquifers and the kind
.= NBW WELL Method: ROTARY and nature of the material in each stratum penetrated, with
I - =_ --- --- . at least one entry for each change in formation.
_ (5I DIMENSIONS: Diameter of well 6 ic::±ee '
0 Drilled 66 ft. Depth of completed well 80 ft. MATERIAL 1 FROM. 1 II)
SANDY BROWN CLAY 0 ! 3
0 16) CONSTRUCTION DETAILS: GRAVEL COURSE BROWN SAND
yj Casing installed: 6 " Dia. from .1.6 ft. to 86.4 ft. PACKED COURSE SAND GRAVEL 5 1 18
0: WELDED CASING " Dia. from ft. to ft. WIT COURSE SAND GRAVEL 18 ' 20
E " Dia. from ft. to ft. GRAY CLAY 20 • 35
BROWN COURSE SAND GRAVEL & WATER 35 1 39
0 Perforations: NO BLACK GRAVEL COURSE SAND GAY CLAY BINDER 39 1 58
Y"' DROWN COURSE SAND GRAVEL 58 63
Type of perforator used SIZE of perforations in. by in. COURSE SAND WATER SOME GRAVEL 63 86
i▪y perforations from ft. to ft. SANDY BROWN CLAY 86
t r perforations from ft. to ft.
8.- perforations from ft. to ft.
0
Screens: YES
Manufacturer's Name HOUSTON
03 Type SLOTTED Model N.:. r ,el
03 Diam. S slot sine 000 from 79.6 tt. co 80.6 ft. *
Diam. S slot size .025 from 90.6 tt. to 85.6 ft.
im e •
13 Gravel packed: NO Size of gravel 72
a) Gravel placed from ft. to ft.
4a Surface seal: YES To what depth? 20 ft.
Material used in seal BENTONITE •
4a
Did any strata contain unusable water? NO
03 Type of water? Depth of strata ft. __`
L. method of sealing strata off
•
I-
(7) PUMP: Manufacturer's Name e%
Type H.P.
^" ,_
0 6) WATER LEVELS: Land-surface elevation
Z above mean sea level ... ft.
H Static level 33 ft. below top of well Date 06/08/98
4) Artesian Pressure lbs. per square inch Date +
0 Artesian water controlled by Completed 06/OB/98
Work started 06/08/98 P
(91 WELL TESTS: Drawdown is amount water level is lowered below WELL CONSTRUCTOR CERTIFICATION:
static level. I constructed and/or accept responsibility for con.
0 struction of this well, and its compliance with all
V Was a pump test made? NO If yes, by whom?Yield. gal./min with ft. drawdown after hrs. Washington well construction standards. Materials used
and the information reported above are true to my best
�jJ knowledge and belief.
O Recovery data
Time Water bevel Time Water Level Time Water Level NAME ARCADIA DRILLING INC.
4a
;Person, firm, or corporntient (Type or print)
C
EADDRESS SE 170 WALKER PARK RD
03 Date of test / / 1i ._�,..-' License No. 1149
L. Bailer test gal/min. ft. drawdown after hrs. [SIGNED]
Air test 15 gal/min. w/ stem set at 80 ft. for 1 hrs.
C) Artesian 11ow g.p.m. Date Contractor's
Q Temperature of water Was a chemical analysis made? NO Registration No. ARCADDz098K1 Date n6/09/98
t
I-
• MASON COUNTY HE:AL*H DEPARTMENT
.. 428 WEST BIRCH STREET
- SHELTON, WASHINGTON 98584 •412O LJ -3a_ TOO a 3
PHONE (206) 426-5561
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
OWNE/R Si ADDRESS` 4t, Se .78-7 /Y)ti, 9fSc W
THIS RECORD IS NOT A GUARAWEE OF PERFORMANCE. LEGAL
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER DESCRIPTIOI�� , (�'7- aj�'* _
WITH PROPER MAINTENANCE AND CAREFUL USE OF �/
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- r7I -a() - �-J'
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL ,��
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS j,���2/ r!„iz-�'06' _
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE / (� FIELD X
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. /J /3 SIZE
FAULTY FIXTURES. DEPTH TO ," /'` MONTH
WATER TABLE (p )
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY OF YEAR �( lrn 4
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE IN LL d�/�� G _A/ \���)._,:
C%
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SIZE J ���
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SEPTIC TANK (S) /c2e;IO /1aN6C�]
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR-
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD /o!�h / FEET
LENGTH
CARRYING OVER INTO THE DRAINFIELD. CALL THE TRENCH AREA SQ. FT.
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF , 7/7S /
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE TILE V /
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH ❑ CORRUGATED *RIGID ❑ CEMENT
RECORD WHEN HE COMES. R DEPTH
L
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE CU.00K p BEPPIPE DEPTH
DEP H
YDS. 6TH
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING r 4 NORTH
ARE LATER CONTEMPLATED.
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE �/a ,/b :/ 5 - —
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. IIJJ ((�� C/�- C�
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE .�
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- it S'0...-
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA.
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT h
,�EQUAL TO ONE HALF INCH OF RAIN PER DAY.
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CON- 0�+
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE
DRAINFIELD AREA.
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE ���
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE-
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY
CHANGING THE CHARACTERISTICS OF THE SOIL. THE
NORMAL USE OF BOWL CLEANERS OR CLEANING COM-
POUNDSWILL NOT KILL THE BACTERIAL ACTION OR SLOW
DOWN THE OPERATION OF THE SEPTIC TANK. q(t7-,zia�
/1 6 s g'
THIS IS AN IMPORTANT DOCUMENT DATE '4'r. ` ` ` /
P IT T E OTHER, Or
' '
Printed € A un , e 7 CERTIFIED BY 0.
Printed from Mason County DMS
_... .. -_.1 ... ..._..-.
II ;!I
•
r i t:-1RV VG.• M4SON COUNTY HAS NO RL PONS/BIUTY TO BUILD,LMPROI>~ MAINTAIN O4 OTHERNTSE SFRME THE
PRIVATE ROAD, IF ANY. CCWTA/NED N1T7-1/N O4 PROND1NC SERVICES TO THE PROPERTY DESCRIBED
IN THIS SHORT PLAT.
w a;N 03 06'OB E ro 1..3
t
= 342.23' 684.46' ‘...-_, .
l ..
•
_ �n C 426.07 TOTAL [� 67.57' 1` 1` /258.39' Q
6 t m 1 1 i
e
pL O 1i LnRbbb 11 11 p f `I�� 1
re — '
7 -3 Z -_"' -• i Alai g E O 1 I
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223:197-
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o A ug • -- N e
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0 v �� /�/\�( NO2
N O * m $V' / \/fir N :_ys_♦ 1C •
. { p.p. 4c$ 11 ' v (N
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.71 i Z °Mi • %. A i i
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1,----- ---‘ gi --,
LMLLTE
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Tee. •
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• N 0743'05' E 882.21' \ ',
CURVE RADIUS TANGENT LENGTH DELTA '.
I ' 85.00' 21.48' 42.03' I 28'20'02'2 164.31' 30.00' 59.35' i 20.41'40" 'j
3 215.34' 75.00' 144.34' 38'24'21" CIOA
III
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.• r . = a - Ko O. 06 nS p
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= OS ZD ? S ^cz) = � Z= 0
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® %Y orb • r�r+?'" Q z � � 04 a 1%
•
ilirrrrliMilrr .ram .-
_� - 471 - ,, o - a/
. ft •N COUNTY IEALTH DEPARTMENT FOR DEPARTMENT USE ONLY
I ENVIRONMENTAL HEALTH SECTION NUMBS
DATE BASIS FOR F AMOUNT NUMBER
1 428 WEST BIRCH STREET • SHELTON, WA. 98584 � f�
PHONE (206) 426-5561 .-3D$0..Q -L& f -1. ' / %To,O 0 146 6
APPLICANT SIGNATURE 3 / ry�--O� -— -
ADDRESS ��^' E SITE: AP:iiii ED ❑ AO R• •,
P I `LRT OWNER _ -( i'la—SO BY: /0��. a' or .M
ADD ONE �'s (� 2: DESIGNED SYSTEM REQUIRED
sE,44�qev9 PS' 1 �1 63 _- SIGNS
CONTRACTOR SEW ii_.,/!/ 4� SEE: V AP`'WED ❑N NOT
LEGAL DESCRIPTION ) ,/ /
/.2 fS(Y BY: �•J ' /
rM/ '
Tcr-S A Q F Vv uJ_-liJ- S (-&)Jr( SOIL TYPE_S D'' l/4
TYPE OF 1� 11 NO. OF ? LOT Ar`
BUILDING �'1 0 JO 1 I C BEDROOMS .3 SIZE f O X . DEPTH TO WATER TABLE PERC. RATE
'SINGLE RESIDENCE ® PUBLIC WATER o NAME- _ SEPTIC TANK(S) i PLOD GAL. PUMP REQ.
WATER SYSTEM SYSTEM
COMMERCIAL ONLY LIQUID WASTE G.P.D T - - _ DISTRIBUTION TILE TOTAL /�5— FEET
-
DIRECTIONS TO SITE: FILTRATION AREA 3'7-S SQ. FEET
3 1 ,/1 L QUANTITY OF
+ill) CA' `t M I I r 5 O T- (10,/✓a 7r.mfrl APPROVED STONE CU. YD. SAND CU. YD.
fo C,c/ 1 9,..Qi L.c - ri_1 c rn r h . FILL REQUIRED CU. YDS.
1 I C FINAL INSPECTION REQUIRED BEFORE BACKFILLING
0.! n ✓\ Al, k tf'4 Q ci j a ()Lit C- • DEPTH OF
1 o r S t C on/ [YI,J .IX.}! _BACKFIII
J / w . 4 — 2"STRAW OR PAPER
Co VI f ;LlL d- 1la.rt !/ � =.
.:• •i.i.:i lS'.�•A1. f ?// STONE
V '$<<.y 0 : ;tip;; OVER TILE
y'•.+`Ti 4:�•y 1 F 1' PIPE SIZE
!S .37.*: �1.,•4 4,7iN • 6 STONE
I -?2rj > I. UNDER TILE
SITE PLAN AND SPECIAL STIPULATIONS l f
(INDICATE DIRECTION OF DRAINAGE) CCI1SS SECTION OF TRENC
%id
V
_ . sl`�� 0 4
,,,,,,,,,).,9 N ohwI.)
I VP
v �
I
f
to COMMENTS:
f - /
Lp'x. THIS SITE PERMIT EXPIRES
! Printed -rom �Masnn nuunty DMS
Prlrlted from Mason County tDMS - -