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HomeMy WebLinkAboutWEL2023-00029 - WEL Application, Design, Letter - 5/22/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 (1111' SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 ..,n P Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360-427-7787 MAX OMDAHL 4350 E AGATE RD SHELTON, WA 98584 RE: WATER SYSTEM PERMIT: TWO-PARTY WEL2023-00029 4350 E Agate Rd 320242190010 The 2-party water system, McLaughlin/Omdahl Water System (320242190010/320241290061), has been reviewed and is hereby APPROVED for 2 connections. Please continue to follow best i 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 360-427-9670 Ext.353 or email at danderson@masoncountywa.gov Sincere , avid Anderson Environmental Health Specialist Mason County Environmental Health Pia"' MASON COUNTY Date Received: 05 l (.� / 2 x7 OW 'j COMMUNITY SERVICES Amount Re ived Received By. Building,Planniny,Environmental Health,Community Health a.� - � 415 N.6rn Street,(Bldg 8)—Shelton,WA 98584 W E L 6 J 2 - 0 DOaa Shelton: 360-427-9670 x400 Belfair:360-275-4467 x400 Elms:360-482-5269 x400 TWO-PARTY PRIVATE WATER SYSTEM APPLICATION APPL T HONE STREET,CITY,STATE,ZOIn �i( LC-1 MAY2 2 2023 L 3 NCO( R ?-o2-7'4_ MAILING AD SITEBY: • ADDRESS 5E�1 STREET,CITY,STATE,CZIP ', �i) ,�n (A � �L\ PRIMARY PARCEL NUMBER(WELL SRE) re .;Vr—!vl\` 11 ` ` 7, 1 .-1 rC C; \ 3202L-1- zl - `100 o SECOARY PARCEL NUMBER(IF APPLICABLE) 52021--\- 2-q06( WATER SOURCE SOURCE TYPE PARCEL 1 LOT SIZE PARCEL 2 LOT SIZE ❑ New pk Existing /i(Well ❑ Spring Z Z \• t PF�i vt-ciTER k.A.!Y�\S M NAME REOUI(�ED) O G , \ 1` c Si \ �� PROJECT*_J\I/_' DESCRIPTION 1 \ \v`V\ a(11)uv{\, Low -1---o s1vc( --e vQ-e-a DIRECTIONS TO SITE/CONDITIONS ` E a cock-\-e V - -ErA , VI L Ii_ V CA 0 CO— \ Site Plan: (may also be attached) (property boundaries,structures,well site w/100'radius,driveways,roads,septic/sewer components and lines,easements,etc...) 6 V -Q_ GI Submittals Checklist: (these additional items will be required for approval) F! Satisfactory Bacteriological sample (this may be deferred if well is not yet drilled) a1 Well Log with pump test or 4-hour capacity test performed by driller(this may be deferred if well is not yet drilled) Y Notice to Future Property Owners recording (record with Mason Co. Auditor, supply copy of recorded document) Z` 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 s ------- — -r-------__--Staff Use Only----------------------------_--- -- --- . :P/rpfee -time 2 , 13IC4Ch -Wed/11.1*^co Review Step 1: Well Site Inspection: _ fi I /t)1 in tYil 44/404 ^ "Viler) C4'0 p 6 Y' -(,H.,,,,f'Y1w6v' ©(05 v'C-irm/c - 614 S C015 YES NO NA - bock *0011 O(i7Chcr ftom { l4u'(/jp frig II 0/000e r,1(V.Z.1C 3 ❑ ❑ Evidence of existing sources of contamination within 100 foot radius of water source? (drainfields, tanks, buildings; indicate distance on plot plan) ❑ ] ❑ Are there roads within the 100 foot radius of the water source? If so, is road private, County or State. What is distance to ROW? t(Pet-- ❑ Z ❑ Does the ground slope away from the water source site? (show slope on plot plan) ❑ X ❑ Is the well cap satisfactory? ►hcvnt lorA 401 tki15f ld Ca / - ❑ 4 ❑ Screened and vented? �}�� �,�p ❑ The well casing extends v above level ground/concrete slab? (circle one) ll.W'v" ❑ ❑ rii Is there evidence of a surface seal? Lart. y?". Z 1 y 3 7 2 I ❑ �] ❑ Does the seal appear adequate? ( k'etICti ko le 1,1 L 1i -123.0 111 983 SIg5. ❑ ❑ CI Is a variance necessary for well site approval? Toy ! ��� Comments vV tl t'� 10I(ad,.Or/.9 0f - /GS' � l h+erd ►�v s(o,t-t; V hpw5 01+ `17. zii $6z1 -tZ3, 067) ?3 96t _ m veil ❑ Pass ❑ Fail Inspector/:;2--t----------- Date 676/LU�� Review Step 2: Two-Party Review: YES NO NA El ��+{ ❑ Water Well Report with adequate pump -7test on file? n If NO, date of Capacity Test -1 l/G(( zO?3 Driller OK g 12,i'%l'i GPM ❑ ❑ Received Satisfactory Bacteriological Analysis? Date of test f!ZS/t'Z3 ❑ ❑ Received Signed, Notarized, and Recorded Notice? AFN Z j q;Fs" ❑ ❑ System appears adequate to serve 2 single-family residences based on information provided? Comments rkJ I f,'ale Setetrc or co()km kl a-drat) - Corrected by 49n7e O ttine•✓S 00 k/e41 CiPite . IreATIC'r-ei*M aCeiVetit 04 9/7/zoL3 IXApproved ❑ Denied Reviewer Date 7/ f Y1'?t723 App Findings in this review reflect observed conditions as they existed on the day of the site inspe : t1 '' is made, express success or failure ofthis system. Well site approval does not constitute wa� l store val. Water or implied of the future y pp �� System approval is a two-part process. SEp v All proposed connections to new wells are subject to water adequacy reqlgektrm at time orbtilekg ermit per MCC 6.68. Water usage restrictions and additional fees may apply to all new wells drillechuaty 19', 21018 per ESSB 6091. NII/ROp�A NM"rAC HEekm Revised: 10/13/2021 This form may be scanned and available for public view on the Mason County Web site. Page 2 of 2 26276 Twelve Trees Ln NW Ste.0 ' SPECTRA Laboratories - Kitsap Poulsbo,WA Where experience matters 98370 (360)779-5141 COLIFORM BACTERIA ANALYSIS FORM Date Sample Collected Time Sample County /c9 .3 Collected a 3 0 Mon 1LL_�Day Yaw : PM `' `ka CV\ Type of Water System(check only one box) 0 Group A 0 Group B ,fir.]Other J togif f Group A and Group B Systems-Provide from Water Facilities Inventory(WFI): ID# • System Name: 350 crAre a d , Contact Person: q C rl, • • Day Phone: M,_�J �y� ,/� Cell Phone:e 3 6 u do( 61 O 7 Email:p etkr,.j?Wi r fnprA;L f� �yyEve Ph ;l Send restits to:(Print A�6 name.address and*code«�Yabow for eMitior f wwaa) SAMPLE INFORMATION Sample collected by(name): Specific location where sample collected: Special instructions or comments: of-v�ce Type of Sample(check only one box) 1.❑Routine DIstrIbutlon Sample(MP) 2.❑Repeat Sample(A/P) Chlorinated:Yes ❑ No❑ (from distribution system after unsat.routine) Unsatisfactory routine lab number Chlorine Residual:Total_Free_ 3.Ground Water Rule Source Sample - - - —— — S Unsatisfactory routine collect date: I I Chlorinated:Yes___No • 0 Triggered (A/P) Chlorine Residual:Total Free_ ❑Assessment(A/P) 4.Surface or GWI Raw Source Water Sample(Enumeration) I I ❑ E.coil 0 Fecal Filtered Yes No 5. Sample Collected for Information Only: LAB USE ONLY DRINKING WATER RESULTS USE ONLY ❑Unsatisfactory Total Coliform Present and ' factory ❑E.coli present ❑E.coli absent Bacterial Density Results:Total Coliform_ mpn/100m1.E.coi mpn/100m1. Fecal Coliform cfu/100m1. HPC cfu/tml. Replacement Sample Required: 0 TNTC ❑Sample too old • ❑ Sample Volume ❑Damaged Container ❑ Recei : lab Reference Number Dew `�aL3 Lo0 ZZb 0� Receiipt4emp C: Method Code: DT-COUNT/SM9222D //1'pT1'' �11 r��/ iNa repartYl and ad ay la Mwd ae perwna nO nYb Dv/� /`,/ outC"y24/ pie aiprbytawnier.M/uw.d InvdWaeun dI MDrM +'r�jaj reel verally at 360-7794141 end DOH Lab-Sample* `-� 0.4 a<aroM 30(X,OI Thew Nolaair to fro Mao IOW sad M wrrp4(gr 010- V raoaredby in Ithataxy.161 vepat 046 ni be rgra0rsd aaapt in u arna pb atpr.s odd,eppraelby Speaks Llaratw DOH Farm 0711-319(OW*,will) Daviethunpe, lac. 340 9VL'Davie Farm lid 'iieLfair,'Wa 98528 (360)801-6107 Project 4350 E Agate Rd Capacity Test Shelton, Wa TAG:NA Date 4/21/2023 Pump 3/4 hp Well Depth +65-unknown Static Water Level 54.2 Draw Down Recovery Time Water Level GPM Time Water Lever 0 min 54..2 0 0 64.7 5 min 63.6 7 )------- 1 min 59.6 10 min 64.7 7 2 58.2 15 min 64.7 7 3 57.5 30 min 64.7 7 4 56.9 1 hr 64.7 7 5 56.2 2 hr 64.7 7 10 54.8 3 hr 64.7 7 15 54.2 4 hr 64.7 7 20 Capacity Notes: Well seal with catch rope - unable to take well depth measurement with obstructions 4 • 2 2196858 MASON CO WA 05/08,2023 01:43 PM DECL DAVIS PUMPS INC 11186843 Rec Fee: 208.50 Pages: 4 1IIIIIIlI !MlIII�lINIIIIIllPlllIIII4UIt 1IIIII�1�( Return To: Davis Pumps Inc. 340 NE Davis Farm Rd Betfair, Wa 98528 • Declaration of Water Use Agreement McLaughlin/Omdahl Water System Private 2 Party ABBREVIATED LEGAL DESCRIPTIONSAND PARCEL N_UMBERS OF TRACTS BEING SERVED The well and water system being situated on: Parcel#32024-21-90010 TR 1 OF NE NW EX CO R/W TR 2 OF SP#384 R3W T2ON Sec24 NW1/4-NE1/4 Granters:MCLACGHLIN.PHILIP A1&JANEEN A Owners ot`. Parcel#32024-21-90010 TR 1 OF NE NW EX CO R/W TR 2 OF SP#384 R3W TZON Sec24 NW1/4-\E1/4 Grantee:Janessa Omdahl Owners of: Parcel#32024-12-90061 TR 6-A OF NW NE TR 1 OF SP#2111 AF#531308 R3W T2ON Sec24 NWI/4-NE1/4 1 ias been designated to serve a source of water to the following parcels situated in Mason County,State of Washington;herein described Parcel#32024-21-90010 TRlOFNEN % EXCOR/WTR2OFSP#384 R1%1 T2ON Sec24 NW1/4-NEI/4 r Parcel#32024-12-90061 TR 6-A OF NW NE'I R 1 OF SP#2111 AF#531308 R3HW T2ON Sec24 NW1/4-NE1/4 OWNERSHIP OF WELL AND WATERWORKS It is agreed by the parties that the owners of the Parcel#32024-21-90010 TR 1 OF NE NW EX CO R W TR 2 OF SP #384 RlW T2ON Sec24 NW 1/4-NEl/4 shall retain 100%ownership of well and water system. Each party shall be granted use of well and water system. Each Party shall be entitled to receive a supply of water for one residential dwelling and shall be furnished a reasonable supply of potable and healthful water for domestic purposes_ LOST OF MAINTENANCE OF WATER SYSTEM Each party hereto covenants and agrees that they shall equally share the maintenance and operational costs of the well and water system herein described. The expense of water quality sampling as required by the State of Washington and Mason County shall be shared equally by both parties. If either party were to sell their parcel any new owner(s)would have to create a reserve account with a mutually agreed upon banking system. NOTICE TQ FUTURE PROPERTY OWNERS The water system is designed to provide for two services. Additional planning and design approval must be obtained from the local health jurisdiction prior to expanding beyond this number of services. Design flow standards account for domestic use and watering of a typical lawn and/or garden space only. The design assumes that all residences will be equipped with ultra low flow plumbing fixtures and that all users will keep conservation in mind whenever the system is used. Additionally,a water right.obtained from the Department of Ecology,is required if the water system exceeds exemption standards. This system has not applied for or been granted any waivers from specific provisions of the regulations. EASEMENT OF WELL.SITE AM)PUMPAOUSE There shall be an easement for the purpose of maintaining and repairing the well and components to complete and maintain a properly functioning water system and appurtenance thereto,within 100 feet of the well site in any direction of both properties listed. Said easement shall allow the installation,maintenance or repair of well,water system,pump house,pumps,water storage reservoirs,pressure tanks,waterline,utility lines and/or anything necessary to the operation of the water system. ,MAINTENANCE AND REPAIR OF DISTRIBUTION I.lNP,S All pipelines in the water system shall be maintained so that there will be no leakage of seepage,or other defects which may cause contamination of the water,or injury,or damage to persons or property. Cost of repairing or maintaining common distribution pipelines shall be borne equally by both parties. Each party in this agreement shall be responsible for the installation,maintenance,repair,and replacement of pipe supplying water from the common water distribution piping to their own particular dwelling and property. Easement shall be granted on both lots to repair,replace or maintain the waterline as needed for distribution purposes. PROHIBITED PRACTICES The parties herein,their heirs,successors and/or assigns,will not construct.maintain or suffer to be constructed or maintained upon the said land and within 100 feet of the well herein described,so long as the same is operated to furnish water for public consumption,any of the following:septic tanks and drainftelds,sewer lines,underground storage tanks,county or state roads,railroad tracks,vehicles,structures,barns,feeding stations,grazing animals, enclosures for maintaining fowl or animal manure,liquid or dry chemical storage,herbicides.insecticides. hazardous waste or garbage of any kind. The parties herein,their heirs,successors and/or assigns are required to keep the water supplied from said well free from impurities which might be injurious to the public health.It is the purpose of these grants and covenants to r . prevent certain practices hereinafter enumerated in the use of said grantor(s)land which might contaminate said water supply. Exhibit A NOW,THEREFORE,the grantor(s)agree(s)and covenant(s)that said gantor(s),his(her)(their)heirs. successors and assigns will not construct,maintain,or suffer to be constructed or maintained upon the said land of the grantor(s)and within fifty(50)feet of the well herein described,so long as the same is operated to furnish water for public consumption,ANY POTENTIAL SOURCE OF CONTAMINATION INCLUDING BUT NOT LIMITED TO:cesspools.sewers,privies,septic tanks,drainfields,manure piles,fenced pasture.garbage of any kind or description,any enclosure or structures for the keeping or storage of non biodegradable fertilizers,liquid or dry chemicals,herbicides or insecticides as well as any enclosures or structures for the keeping or maintenance of fowl or animals such as barns,chicken houses,rabbit hutches,pigpens,livestock sheds,and further agree(s)not to use. apply,dispose or suffer to be used,applied or disposed,non biodegradable fertilizers,any liquid or dry chemicals, herbicides or insecticides within the above described protective radius.These covenants shall run with the land and shall be binding on all parties having or acquiring any right,title,or interest in the land described herein or any part thereof.and shall inure to the benefit of each owner thereof. WATER SYSTEM MANAGER The owner of Parcel#32024-21-90010,TR 1 OF NE NW EX CO R/W TR 2 OF SP#384.R33W T20N Ser24 NW1/4-NEI/4 is the designated"Manager"of the system.. The manager shall be responsible for arranging submission of all necessary water samples as required in the Washington Administrative Code,and Mason County Rules and Regulations and handling emergencies such as system shutdown and repair. The Manager shall provide his/her name,address and telephone number to the Health Officer and shall serve as a contact person to the Health Officer. The manager shall organize and maintain the water system records and notify the Health Officer and all parties,service connections and lots that are included in this agreement,of the water quality tests that are required by WAC 246-291 and Mason County Rules and Regulation.Water system records shall be available for review and inspection by all parties in this agreement and the Health Officer. HEIRS.SUCCESSORS AND ASSIGNS These covenants and agreements shall run with the land and shall be binding on all parties having or acquiring any right,title,or interest in this land described herein or any part hereof,and it shall pass to and be for the benefit of each owner thereof. 4 f,NFOr cF,MF11{T OLAGREEMENT ON NON-CONFORMING PARTIES AND PROPERTIES The patties hereto agree to establish the right to make reasonable regulations for the operation of the system,such as termination of services if bills are not paid within 45 days of the due date,additional charges for disconnection, reconnection,etc. Parties not conforming with the provisions of this agreement shall be subject to interest charges of l 8%per annum together with all collection fees. G 3 ZoZ tcLaughlin/Omdahl Water System Grantee Date 5/343°C213 McLaughlia/Omdahl Water System Grantee Date State of Washington, County of JCI , I,the undersigned.a Notary Public in and for the named above County and State,do hereb certify that on this .jra day of Mi,ta , 2023,personally appeared before me IN)a h Li to me known to be the individ l described on and who executed the wit in instrument,and acknowledge 5o` S3°`' that he(she)(they)signed and sealed the same as free and voluntary act and deed,for the users and 00/1&'-6 I - purposes herein mentioned. GIVEN under my hand and official seal the day and year last above written. ik‘Al �`e</.. l 1 2SiOn0 x'�io/2 - tart'Public in and for the State of Washington, ?it: .. ?y m.0 ; ,/� Z Q:0 N0TARV :� residing at t v ' 1 :L :c Pg•s P7.2 My commission expires: 1 24,3t j2 4_ '. ): .NUmbe.. �, �� �i,//in�F IWAS�`,\‘\\ • I,.,,p,C tr'r &S. 41--•1 nLIK.5.0 . `\ la.. kat-s-e • Illikt\i, � , -1lP 23 t 0-Zs &sL Q#*2 0—zi &SL IShe. � 7 T T g, I =go' sit 1 Ilk (1/3Kg 1221 �` f4. tt } .� 1 t?.W Q,�.p•40. 11. =C . ►:; Old -i-obe, cd 1 �. r .• .�+1 d Z i�'Fb� rr L r- 4 •ht l t i f 1 4,i \-C)kliVek\k_1")/ • lam' f 1.' T{ 1 �! CL�Q'�1 Ei� .- 1 l38+/- APPROVED M PUBLIC HEALTH AR/ JUN 0 7 2016 V ALP Printed From Mas n CountylCaeth 0g'7 Printed from Mason County DM SECURED LID WITH GAS TIGHT SEAL 24"DIAMETER ACCESS FUSER FINISH GRADE _ 1 EFFLUENT ALTERj L 4, 36"i ia4( C-4%.:ilt OSl4"BIOME 152.L411‹ TO PUMP ....!'-- CHAMlINt FROM SEWAGE SOURCE FLOATING MAT ti APPROVED EFFLUENT FILM SEDIMENTS • APPROVED SEPTIC TANK MC PUBLIC HEALTH CIMICALI JUN 0 7 2016 • ALP RISER/TANK CONNECTION DETAIL,: RISER GLUED To RISER ADAPTER CAULK CAST4 RISER ADAPTER • • Printed From Mason County Printed from Mason County OMS RECORD DRAWING (ASBUILT) pg. 1 MASON COUNTY PUBLIC HEALTH PARCEL IDENTIFICATION Permit Number S'G ZO((v— 00%H 1 Assessor Parcel# 3Z i i4—Z t—966 O Applicant Name _LOZ 1 O k.l Subdivision (Name/Div/Block/Lot) Applicant Address 435O F_ I City, State, Zip S1�,etrev l40. QSB� installer Name ,i �fe U,\Aer gctsueul (AC. Designer Name 5o/e,VPA C g Site Address �� � �� Desi g INSTALLATION CHECKLIST rld Full System Installation ❑ Septic Tank Only 0 Drainfield Only 0 Repair System Type 'PcerS v-re_. Pretreatment Type >5 ft. from foundation? - - ❑ N/A YES 0 NO >50 ft. from wells? - - ❑ rgi ❑ >50 ft from surface water? - - 0 WI ❑ Z 0 H Cleanout between building and tank? - ❑❑ it El Tank baffles present? 0 a24" access risers over each compartment?- - El W Effluent filter installed?- ❑ W 0 cn Septic tank size t 7ZQO gal Manufacturer SPS , G D-box water level and speed levelers used? - - V! N/A ❑ YES ❑ NO JO� Manifold/D-box accessible from surface?- CI ❑ El �tir 0 al Check valves installed? - CIQ f' Schedule/Glass '"�0 2 Transport Line Size Bedrooms installed (check one) ❑ 2 V3 ❑4 ❑ 5 ❑6 >10 ft. from foundation?- - ❑ WA (EYES ❑ NO 0 >100 ft from wells?- - ❑ te ❑ —> >100 ft. from surface water? - - ElIf El LL u„ >10 ft.from potable water lines?- - ❑ El Z > 5 ft.from property lines and easements?- - 0 � ❑ a > 30 ft from downgradient curtain/foundation drains? - - ID ❑ fzi Drainfield level and observation ports present - - El N'S Graveless chambers or 0 Clean gravel used? (check one) 0 Proper cover installed over drainfield?- - 0 Ur Pump tank setbacks consistant with septic tank?- - ❑ N/A lYES ❑ NO Pump tank size l7C')n gal Manufacturer S PS z 4 24"access riser(s) and accessible from surface?- ❑ Dif ❑ E- d Alarm or Control Panel Installed? - - El rig ❑ 2 Control Pane!equipped with Timer 1 ETM/Counter- - El (E El a Pump installed in ❑ 0 Bucket orOn Block or NI Other ? Salo d Pump Make/Model 1#jd b"4i' c S W 33 [Floats or ❑ Transducer '3 Q gpm Squirt Height ft a Tank draw down �� in/min capacity Pura')on time M�1+� 4S e . Pump off time to k ...4.-' Daily flow set at 710 .qp� P ; I tt h -Mason County DiVIS revised 1/22/2914 Printed from Marion County WAS RECORD DRAWING (ASBUILT) pg. 2 MASON COUNTY PUBLIC HEALTH RECORD DRAWING ❑ Drainfield& manifold orientation "*`' 7�� E.lft.S�A Tog AbPKdOkt4. &layout °� f) ❑ Trench/bed c I •• P�.�C T.r�1( dimensions and �jy P"��'�p;T_D"t�� critical distances y �oti}� f C within layout Lkt ,u.j_�io11C�` r' .fi"' ,.❑ SeptiGpump tank � � G-. Pliiii 1 placement `Y'Cer‘C'Cir.�r ❑ Location of j l buildings ��R. _,,p L _— 4 t L ❑ Observation ports& a J • 90y obse tbiNim/ Lott ai clean-out locations Clr0.04.-0t4.‘s ❑ Location of wells, surface water,& roads Undisturbed native soil between tqle-9350 . PrI. trenches ❑ North Arrow 3 za lj l z( f o° 1 0 0 If the designer or installer feel the need for additional information/comments, it may be attached. �( Record drawing may also be on a seperate page attached. No. Pages Attached JGJ CERTI/ , FICATION OF INSTALLATION INSTALLER DESIGNER • /certify that 1 installed the system in accordance with I certify that the system has been installed in acoor • - the septic design stamped"APPROVED"by Mason dance with the septic design stamped"APPROVED"by County Public Health and that any deviations shown Mason County Public Health and that any deviations here have been cleared/appmved by both the designer shown here have been cleared/approved by both and Mason County Public Health and meet all State myself and Mason County Public Health and meet all and Mason County Codes. State and Mason County Codes I further certify fha : 'nfonmation contained on this I further certify that all information contained on this form a.• : :�•I:_-: • •!s-'• ing is accurate. form and attached Record Drawing is accurate. z^C 7) 1, ��ignature of InstalleryyDateapte.3 1v�e �r 1Printed Name of SigneeMASON COUNTY PUBLIC HEALTH The undersigned approves this Installation Report andRecord Drawing on behalf of Mason County Public ' ''' ` Health. .r 7 Lei,..A, qik/kder _, _ ,r f Signature of E ro� nmental Health Specialist Date (de• •ner's stamp, signature and date) Printed F i OI I E lltad `�J' tl ffrE JBLIC VIEW ON THE MASON COUNTY WEB SITE revised 1/22/2014 Printed from Mason County DMS . 5 iF R ` r V 4_ E \\ :?: -54c\! ‘.11 M `-• j e i (1) • C • 1 o :; % \ ....., > t 1 • • • • ZY U U Y 4 Q Y p i Q: <Y UQW c~nc~nv~i I A .Lcicj+ Lc2+ w ppRO' VI i ...-e- - '.. . waoM APR 27 2023� f 't.A 1 ',r� �� ~ � wza ? A � N ',Wv J O O ENVIRONMENTAL HEALTH Y s. . s ui C ACC Q I— ~ w J J COUNTY E r.. ov , '� V ZZLa Opa � < c0a ac LiZ * MM JBW ��1'.' id‘is 'J' 1 p U o O W Z p Z W w 0 0 0 .,.�,Es la, �:. pi.Z N M cc111 $ v- c < <O > > cncncn Print Fr?rt " aunty DMS '� Printed from Mason County DMS / I S ! ! ;t Mason County WA GIS Web Map ii — ____ 1 �.r I —1 17. 3/27/2023, 7:15:56 PM 1:6,143 0 0.05 0.1 0.2mi Val County Boundary I , , r ' _ 3 0 0.07 0.15 0.3km No Filled Tax Parcels (Zoom in to 1:30,000) _ Eirk HERE.Gismo.Into/map.inarement P Carp.,GERCO.URGS, MO.AIM NICK a08Me ►C armor=&evy.INTI. EMI Mule uo A m*(Hong moo) �) +ea eofrt�ulors.ar eea Printed From Mason Cou t C�,,,�MSui �P„ „�„n,, , ,�„ „ Printed from Mason County DMS '"'"'"'D usos.uEruw�e�eaA ueo,!