HomeMy WebLinkAboutSPL2023-00008 - SPL Application - 8/3/2023 MEMO
To: Jeff Wilmoth
From: Michael MacSems (Planning Dept) "M`l`"S
Date: August 3, 2023
Re: SPL 2023-00008 (PAR 2022-00049)
Here is a plat map, and a EH Land Use Eval for a 2-lot short subdivision for
Ben Mangeng at 5831 SE Arcadia Rd, Shelton.
Please let me know if you have any questions about this and when you are
satisfied that it meets health code, please sign off in SmartGov. I can be
reached at ext. 571. Or mms@masoncountywa.gov. Thanks.
t` MASON COUNTY 415 N 6TH STREET, SHELTON WA 98584
� SHELTON: 360-427-9670, EXT.400
.:.f ,. COMMUNITY SERVICES BELFAIR: 360-275-4467, EXT.400
ELMA: 360-482-5269, EXT.400
Building,Planning,Environmental Health,Community Health FAX:360-427-7798
APPLICATION FOR LAND USE EVALUATION
Amount Paid:
Receipt Number:
Instructions
1. An application is considered complete when the fee is paid and the following elements have been addressed:
> Parts 1 and 2 of the application form must be completed.
> One properly excavated test-hole per proposed parcel must be ready for inspection.Properly excavated pits are 5-feet deep
with a 4-foot deep shelf on one end of pit.The 4-foot deep shelf must slope up to the ground surface for easy ingress and
egress.(See the Mason County Public Health On-Site Standards)
> A scaled plot plan must be attached to the application.The scaled plot plan must show the precise location of the test holes,
dimensions of the property and locations of any existing or proposed wells,roads,or buildings within 100-feet of the property
boundaries.
2. After a completed application is received,staff will inspect the property and provide the applicant with a written report.
Important:in order to avoid additional costs,be sure the test holes and parcels are all flagged and clearly delineated as to lot and test
hole number. The identified test holes must match the locations shown on the proposed plot map.
PART 1 : APPLICANT/PARCEL IDENTIFICATION
❑ Large Lot Subdivision 0 Subdivision
Al Short Subdivision ❑ BLA
Name of Applicant ~! A-N( t i Phone •
J ' 3Lj3 % -1
Mailing Address of Applicant 3 j SC 1 RCADi - kb.
City SItGLTYJ State vF - Zip '3%-99
12-digit Tax Parcel No. Z - I 0• D4 0 10
Property Lega, Description PC,L 1 O% 6 i-P *-\1-)3 I`I Qz 7lZ •-1'G7 w VIA Nr
(N v.1 G U. (11T✓R- S\iJ i e N\ ell\) OP LOT 3 S s-o/ 't.l°I
Lot Sizes (Acres or Square Feet 1 .3)b 3 ,1CI9
LOT 1 LOT 2 LOT 3 LOT 4 LOT 5
Directions to Site:
Ec,ak on t.
S cC bioc� 1- ea� M cDn
S \c e c IN � r,dq.vU°'1 u,na �•,cf�.U7 1�-\ U- ' CwO-1� e��y , p`ICd i� A� nct
PART 2: INTENDED USE OF PARCEL
Intended Use of Property (Check One):
- -Single Family Residence I-1 Multi-Family Residence 0 Other, Specify
Water Source for Parcels (Check One):
2t11_ Wells I= Community Well (Public Water System)
This form may be scanned and available for public view on the Mason County Web site. Revised 3/2/2017
PART 3: HEALTH DEPARTMENT REVIEW (official use only)
Soil Logs and Site Characteristics
Lot# e, Lot# Lot# Lot#
Test Pit A Test Pit A Test Pit A Test Pit A
gLe (2-L0
Depth of Mottling Depth of Mottling Depth of Mottling Depth of Mottling
(z
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)
Test Pit B Test Pit B Test Pit B Test Pit B
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 Curtain Drain Curtain Drain Curtain Drain
Needed? Needed? Needed? Needed?
Slope % Slope % Slope % Slope %
Shoreline? (Y/N) Shoreline? (Y/N) Shoreline? (Y/N) Shoreline? (Y/N)
Minimum Lot Size* Minimum Lot Size* Minimum Lot Size* Minimum Lot Size*
This form may be scanned and available for public view on the Mason County Web site. Revised 3/2/2017
`Minimum lot size applies to new subdivisions and is defined as the minimum allowable land area per
residence or residential equivalent (450 gallons per day).
COMMENTS 4,/,,) k^J pe,c1k--i )'-i 1)Z,
Gl/°U k-r- d 1-1 .I 4 12e J
m,0(fry c9 D
wimismommir
PART 4: REVIEW SUMMARY
r
MEETS HEALTH CODE
DOES NOT MEET HEALTH CODE
After examining lot size, proposed water source and soil type, it is the determination of Mason County
Public Health that each proposed parcel cannot support an on-site sewage disposal system meeting
the requirements 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 determination of Mason County
Public Health that each proposed parcel cannot support an on-site sewage disposal system meeting
the requirements of state and local regulations until the following conditions are met:
Condition (s) required prior to approval have been met by the applicant
Health Official Date
PART 5: RE E ER SIGNATURE
L (A]7 Ak)gy______
�'-3 -�
ealth Official Date
This form may be scanned and available for public view on the Mason County Web site. Revised 3/2/2017
LAND USE EVALUATION
What is a land use evaluation?
Land use evaluations are a written determination by the Health Department:
• evaluating the parcels' ability to support a septic system
• insuring that any existing septic systems meet regulatory requirements
• insuring adequate space for reserve area for existing systems
• insuring that resulting parcels meet the water adequacy requirements
• identifying factors that could limit the parcels' ability to accommodate on-site sewage
systems
Why are land use evaluations requested?
Property owners most frequently request land use evaluations as part of County requirements
for land subdivisions.
Do land use evaluations guarantee that parcels are buildable?
No. Land use evaluations take into consideration health codes and policies in effect at the time
of evaluation. These items periodically change. Land use evaluations are not considered
legally binding by the Health Department.
Do land use evaluations allow property owners to begin preparing parcels for building?
No. During land use evaluation, the Health Department usually has minimal information
regarding building size, building placement, road placement and well placement. These are
critical design elements and might need to be altered in order to allow approval of on-site
sewage systems. 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 the
septic system could render the site unsuitable for septic system installation.
Septic systems cannot be installed in disturbed soils.
How can I guarantee that a parcel can support an on-site sewage system?
Obtain an approved on-site sewage system design. On-site sewage system applications
specify septic design and location to serve the sewage treatment needs of specific
developmental proposals. Permits are valid for three years from the date of initial site
inspection, which is performed as part of the design application. Land use evaluations do not
fulfill the inspection requirements associated with design permits.
This form may be scanned and available for public view on the Mason County Web site. Revised 3/2/2017