Loading...
HomeMy WebLinkAboutSWG2023-00393 - SWG Application / Design - 9/18/2023 , MASON COUNTY 415N 6TH STREET, SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:36D-427-7787 On-Site Sewage System Permit: SWG2023-00393 APPLICANT BELISLE FAMILY LLC Phone: 360-229-0171 Address: 1200 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584 OWNER BELISLE FAMILY LLC Phone: 360-229-0171 Address: 1200 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584 SEPTIC DESIGNER MICAH HALVERSON-M. Halverson Phone: 360-490-6365 Design LLC Address: PO BOX 1519 SHELTON, WA 98584 SEWAGE INSTALLER JAMIE WORKMAN-Workman Phone: 360-463-9573 Construction LLC Address: 120 E TIMBERLAKE DR SHELTON, WA 98584 Site Address: 907 E Phillips Lake Loop Rd Primary Parcel Number: 220055100080 Permit Description: 4-bedroom NuWater BNR500 system Permit Submitted Date: 09/18/2023 Permit Issued Date: 10/24/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (addilional lees may be required upon installation of system). Permit Expiration Date: 09/22/2026 ceased on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17, 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/healthlenvironmental/onsite/oss-inspection-request.php or call: 360.427-9670, extension 400. OFFICIAL USE ONLY on RECEIVED. q % . MASON COUNTYN a COMMUNITY SERVICES isC CPT AmC�ll RECEIV a w Public Health Health/Environmental Health) i7 R y O sNelh,,,_, ,hH,o,N.75,., swG 3uz.3 — GDS1 CO o p A Z f%1 ON-SITE SEWAGE SYSTEM APPLICATION z z m APPLICANT PHONE m Ronald H. Belisle 360-229-0171 c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E 1200 E Phillips Lake Loop Road Shelton Wa 98584 � 03 . z SITE ESS-STREET CITY ZIP CODE rr t: 907 RE Phillips Lake Loop Road Shelton Wa 98584 r` IN NAME OF DESIGNER PHONE ^\ Micah Halverson 360-490-6365 I1(` NAME OF INSTALLER PHONE a I\) Jamie Workman 360-463-9573 z PERMIT TYPE(select One) DRINKING WATER SOURCE y 10 a m RESIDENTIAL OS5 ❑ COMMUNITY OSS rl COMMERCIAL O55 GLI PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z I Cil TYPE OF WORK(SS/One) O PUBLIC WATER SYSTEM Pi NEW CONSTRUCTION/UPGRADES rI REPAIR/REPLACEMENT OTHER DETAILS(.seen an that apply) 0 TABLE IX REPAIR N I C-) SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE CO OF DESIGN FORM(REQUIRED) VI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE Orh WAIVER(S)OF APPLICABLE) 4 2.75 n ^I DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate) `) From St Rt 3 turn onto E pickering rd, turn right onto e phillips lake rd, take left onto e I I B phillips lake loop rd, site will be on your left. drainfield is staked out and test holes are o marked with pink ribbon. ocI1 SITE MUST BE FLAGGED FROM AMIN ROAD AND TEST HOLES MUST BE FLAGGED KITH TEST HOLE NUMBERS. G I a ---- — - - OFFICIAI USE ONLY BELOW THIS LINE — — UPGRADE I FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE [COMPLAINT ❑OTHER- INSPECTOR SOIL LOGS COMMENTS I CONDITIONS -Pit a-51 Lc nu rrsfWf45 zcre r e I I Ili t : 0 — Sri eit415 65 ' -e al/Gl Typei. Nv reS16C sons 1P . o- to " Ec7I.m5 9o% yrm"CI lye?f �ri In rrfrrho TS"ie3ruveI • RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R-ROOTS REQUIRED FOR FINAL APPROVAL. INSPEC SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION OVEDI ISSUED BY DATE / - 74 Z/z&; 07/Z026 le(7Y/l 3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED Ian/sots DESIGN FORM—PAGE ONE Assessor's Parcel Number:2 2 0 0 5 -- S I -- 03Q A design will be reviewed when rl conies of each of the following are submitted: s Completed design form that has been signed and dated. a Scaled layout sketch,including all applicable ite son,7.t�,',eckI4Stc.. a Scaled plot plan,including all applicable items on checklist. s Cross-section sketch, including all applicable it s on LMefkljst J This form may be scanned and available for public view on the Mason County Web site.Maximum paper e 1["XY9 ?043 PARCEL:IDENTIFICATION each_ Permit Number: SWG Z023 - 0a3G3 Designer's Name: Micah Halverson __ 0 Applicant's Name' Ronald H. Belisle Designer's Phone Number: 36-0-490-6365 Mailing Address: 1200 E Phillips Lake Loop Rd Designer's Address: PO Box 1519 Shelton Wa 98584 Sh-elton Wa 98584 City State Zip City State Zip DB.9IGN PARAMETERS. ' Treatment Device ❑ Glendon Biofilter ❑Sand Filter 0 Mound 0 Sand I Ailed Drainfield ❑Recirculating Filter,Type: Me AerobicUnit Make/Model Nuwater BNR-500 ❑Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity 21Pressure t2TTrench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 / Schedule/Class 40 Daily Flow: Operating Capacity 360 gpd Length 54 8 Daily Flow: Design Flow 480 gpd Diameter 1 1/4" in Septic Tank Capacity(working) 500+Nuwater gal - Number 3 - Receiving Soil Type(1-6) 1 ' Separation 9 ft Receiving Soil Appl.Rate 1.0 gpd/ff Orifices Required Primary Area 480 ft' Total Number of Orifices 42 Designed Primary Area 486 ftr Diameter 3/16 in Designed Reserve Area 486 ft2 Spacing 48 in Trench/Bed Width 3 ft" Manifold Trench/Bed Length 162 ft . Schedule/Class 40 Elevation Measurements Length Preferred ft Original Drainfield Area Slope 10 % Diameter 2 in New Slope,If Altered same /a Preferred manifold configuration used? fief Yes 0 No Depth of Excavation Up-slope 20 in Transport Pipe from Original Grade Down-slope 16.4 in Schedule/Class 40 Designed Vertical Separation 32 in Length <100 ft Gravelless Chambers Required? 0 Yes EZ No 0 Optional Diameter 2 in Pump Required? el Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 8 .. Diff in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 45 gal Drainfleld Squirt Height/Selected Residual(head) 2'* ft Chamber Capacity(flood) 1223 gal ". Uppermost Orifice 0 Higher li Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 30.23 gpm FiaTimer h fi dElapse Meter 'Event Counter Calculated Total Pressure Head 12.25. ft If Timer: Pumper' P PR O #'Ff) 3hrs -. Comments * System may require Anti-siphon valve. OCT 2 4 2023 70 CO'IN Tv.M.Ppnwec'ir4L ll:'III A ' DESIGN FORM—PAGE TWO Assessor's Parcel Number. 7 05 -- 5 1 -- 00 0 SC Permit Number: SWG Go23- CCbcil DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch IA Test hole locations 21 Drainfield orientation and layout Reference depth from original grade: Fid Soil logs Ed Trench/bed dimensions and h'f Septic tank 61 Property lines critical distances within layout 2 Drainfield cover O Existing and proposed wells fig D-BoxNalve box locations Reference depth from original grade within 100 ft of property 21 Septic tank/pump chamber and restrictive strata: 21 Measurements to cuts, banks,and locations 2 Laterals,trench/bed,top and surface water and critical areas 2 Observation port location bottom m Location and orientation of 21 Clean-out location 0 Curtain drain collector curtain drain and all absorption It Manifold placement 0 Sand augmentation components RI Orifice placement Other cross-section detail: m Location and dimension of 121 Lateral placement with distance lit Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information 0 Buildings/ A 0 ACR RI Audible/vis,rrlarm referenced Yes No 121 Direction of slope indicator i� firs Scale of, in,r 21 ❑Design staked out O Waterlines bar L� tit hown on scale ❑ GI Recorded Notices attached O Roads, easements,driveways, tt 0 11 Waiver(s)attached parking �� tit f1 0 Pump curve attached Er North arrow and scale drawing �r Y If 0 lit Evaluation of failure shown on scale bar \ %4acom Moo tIVISII I Noo-residential justification d tAgt®pe81a II, 0 ❑ Waste strength .... 0 ❑ Flow DESIGN APPROVAL The undersigned designer must be , ' led by installer at time of installation 21 Yes 0 No // _ io/ie kozs / Signature of Designer Date nn �t{� The undersigned has reviewed this design on behalf of Mason County Public HealthAR rP+ • ` 0:1 p� compliance with state and local on-sit ulations: / / 7 3 'L-Lp ffl/l y/ZOZ) OCTOC 2 4 2023 Environmental Health Specialist �OIIFiYP,'",'gfy,,Iry�gt HEAgp CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COIPTION: V The design is stamped"Approved"by Mason County Public Health. 9�l�/���6` ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Updated Date: 12/7/2015 co = N i' 41, 3 33 3 - Qd O Q ��r �� ° EDZ o@mn x] 3 A A V ag a89v 444r ^' `^ m et cn 3 grN U) O ' N me oa 3 ¢m .� o / if � � / oci) N. cl g lint m A ,, ..t , k' /ry‘C.0 > I .73 ir5� I A G ': V' S L5 u Vl en Q S 41 N N m b, P� ° s / P a to �6 C— E�2 z Z a r COm CD' A - / S / I v \ / a & —vim ._ O g � g o �V ia `''��PP %\\,, w p CD Cr b �AY� 2 I I ' 0o d` .n S N W * I I Q I 7 I. I1 VA\ m /� �� st '$t�n 7 • A o „: :004:7,4;7 ' •„11 , P9 Ia4 WJm(➢AWN-k ', T1:iNZ n? 'O, •\ , \ m 0 'm -o T E s (8, 1n Reseh e — J \ Ca Kayo Cu co. \ m co Reserve m `4\ " 1 Reserve ' N. er v o � ram, m /v- o /S M.Halverson Design LLC kd"antini�1Pf Ronald H. Belisle SitP Infn. BELISLE FAMILY LLC SHEET NUMBER PO Box 1519 Shelton Wa 98584 Mailing: 1200 E Phillips Lake Loop Rd 907 E PHILLIPS AKE LOOP RD Shelton Wa 98584 HalversondesignllcAoutlook.com Par°eIwzzmss1-00080 REVISION g 1 \ co !( 1\. ' a VI \ ova ` Z ` _ % 4 \ ® \ } � \ % a�i I 4; rei • ® w __. , « V \| 410 �> �� �� ) � . � |i ;s `« \ o_ !1 \ o3—.._ , CO , 111%1/4 ro ! ; II !!{ 1. . .` �I ° \ « { . , . Feeder a\ a (ct\10 IC) 73-0cc Lo CO CO g = ƒ, a \ m \ ^R ® Ea w. = z1g)ry> t, 0q }/( rcl ! / 5 (} 1 } `` ( i \ \ ! } } : ( \ } \ M.Halverson Design ` R& r Belisle +» BELISLE FAMILY ECE , _. me ,eas ms& Mailing: Loop Rd 907:�rr_me 2 *_� �A&�«m . Parce©005-51-000m RRISION t, to to co W 0 I o € xg •- i � ' £ i T I n r ` •Er] i40l: otiHu1IL1r11ft d 2 eat a_ D ` a so s . n (p II•mmrmasmi=u1. 6 im 'Imano=------.66"10m.. • . 0 . _ R. _a .i h: 2 _ li 1 I$gi 1 4 P' TB 'II < Elli P- it i ' f P 51 i0. n 5 c , r 0II 2 1, O4• O yb� o v �/ c : lroT omkuS mm ._ gS<- Lira m g• i _Fm< o . m m c &xmm3 ' y o gm oma.S9.3<-oSgsx� C .g 'µI mA F —mamm =im $4mm�. Y g NNmi[ ma den S?agg=F • ?m �m' m y � N a, o2'Sow < 3m_ $ m1t � 1 IA ►I FSiTh Sg wo@�woil{3m ii�.gm< w ,nm t`�i ,rnim � g� O CI m7g •• %m . I. pu3 C -� 1 \ me nF 9. = om m — g I I g2ki F CI — sot Cl m = S o38 3m � l-i m o y i rI = n a 8 m o ti h- I o C in �s a k y o ; a o m r0 G e S c c ( �, rr 1 s 3 Z a ._ t_mg ;$ J J n II, j oA _ dap ( ei. v I . m I y$ n P _. 0 `V § I „, D0p T. m - . C y -- I £v Z< L I� 1 Irop5 io p 8 4 mm m �I I ��661 , A _ I I tf nv mC rn p 11 lal A� oII on 4 1 ��- - _ ,��F, �i a - 1PLci 1t1 my #g sulk % m I \ 1 N ,,_ — At— M.Halverson Design LLC mthcanunwner Ronald H. Belisle Site Info BELISLE FAMILY LLC SHEEN. Ea PO Box 1519 Shelton Wa 98584 Nailing: 1200 E Phillips Lake Loop Rd 907 E PHILLIPS AKE LOOP RD w Shelton Wa 98584 Parcel#22005-51-00080 3 Halversondesignllc@outlook.com A�sON. 0) CD ta O_ 01 P .c . RR M : S1 £ 4 eeiSq f5 y • ' C a M ®c a N �& i�" IF � .� � A gy t , / d� K 0- 1 o Z v_ 01 ali $ / C fi B c Total Dynamic Head(R) C Qc m w 8 0 0 S 0 00. 0 0 o H C a 0 w 'm = N (D am o _ 5 -a ' C m el m o m of f aI' -0na m J 6 w N (J • u N a (D O co 2. 9 a 9 0 9 T_ S O 0 co= - m m m e o a £ I C =D D a ti r w al 5 q , 2 9 G m N = F. 3 r il,. N a a 0 - _ _ — .. I.. _ n n = y la s g _ 0 x G � oNCIo00 0N�, " o -o a o cn ` C 0 0 me o o y U1 ooe. 8 C. `� • 1 6 co 0 a . ti - o 9 CD sv O 0 O Oo a 0 m x E o 0 0 0 0 0 0 m f (D �F\�E\,.\\ .. V a S"11 a Or' 3 w -0 3 m u 0 m N o o 8 p = 'l9j\\\\ ,c m a m 'Si. m _ w o N .. m o �o 8 i e -0 W�W'1 %% 'V 'lb a O 3 r IV N L' m -0 p qs- cn wir _„fr O W j M 0 m ; a 1% �re�• to N m o co x m m y ��I 555 `af a o a p T e-� a N a a a ; A K. •- N a `2Nl NI - V N kl M.Halverson Design LLC Awalwantin"T1PL Ronald H. Belisle Sit<Inr" BELISLE FAMILY LLC SHEEM"�E" PO Box 1519 Shelton Wa 98584 Mailing: 1200 E Phillips Lake Loop Rd 907 E PHILLIPS LAKE LOOP RD 4 Shelton Wa 98584 par #22005510080Halversondesignllc@outlook.com rvisiaax N coco _ c, -. o Tgsg WP 9P g. = mm1'44 ° s � 9 _ - d w . a „ m m � � � n ry F G V � y T w 3 N 61 Qi R 5' M N N G �i LI = = m =_._.=1 _. Ul Ea ° o 2 A .Z' o yoy ? co `s° ,,, , � '_c' a� c _ _ = n tai mD § - z =t-cu �j r�i 'o2 i m C3a Q-matmaq an. . no °°.. c ~' 2"m - 3 "i o ' ? < w o = 5 c 3 p1 �ryry N 2 N ryry `ln N Z 0. (=J i (t} »(p"2 3 5 F a,, a a E 2e am 2 n , e+ .-.a �. n �c, m c 2 £ = C 2 o 03. m N 6N d1] N N o y'Lu� �3 =_ � O � O i>:C CAN Y. e vod .T- -. y6o R• w'.a ea„ EB�°"c g.4a3 ❑q'ac 6ara os as q'« £ 0 7 . ... q c-co cm a - ° ram , � a C aa$� c 'S 25a 6 a3 v 26 Deis �om �+ = 20 K5- � 0 � a n ° c ° c. a No I- •E C 4N ‘< -' mEimp = M9_ort0-tg = �' nt,a a ' 5 '9 ° ry 2- w 2 'a' a m w a '. 7 2 e T1=- Cy-N a<a Yj NJ m22 j <ao 2 - � ., 0. „= ca is p: a Q. n n w �' a, n n mark mad N >• 0- con-.. . .. g�m 2 o -' c °' ° a ,o Y ° ow 'c m s o 3 °Im Q a�. d i� 3iN `�r do = ' `° ? nI% E o -°n °, z = "' -r, c ° ° - ° 5N Raj (pp� p _ a -p o a_g.E5% 72 ^ a ; • Fn 'S -,, En -`" a = _ E aCt Ett n '^ $nJ_6N .� �= = N � �� fD �W�.Ni�� Glg �jN m nsO3 < y w >r ° cE � ao n '�' m Wo � = d ��D cc ^Y�Zi�i . 0-1D �r7i _. 3 c� c a o 4- 2 - s—w < o: 2 � ° d. w', ? q " '0 ° 2 A, Nia .9 cd gm iiA9,N = isnm^E 5.N m ° `s' a d ^� �• � v � v_. ° t a m o d.a ' , Rt.. o N ip m 4.�m f �, d ya o. 31 „t e N a¢1 4 g _ Gi �i »Q aa a - g 2 B ° � Pp €," w ° - n ° n ? a L. pd N o �n % c yip 8= j�� N OQxQcoo$o3�u� � N - 9l'p n '. 3 ° 2 C a n T- = - w ° a S 0 P N C1 t��°N:3�jnj C J Y W N¢ l [D A(� 'pp�� _ �/1� ,di � � 5 =60 -. n Yn < 9 ° an " o eCS �o»X' E.5. 0 -9 8ta a C' A 5. a=r06g a,2m °'< 33 m. in m 0 2 £ c '^ o o m E' m °^,o ' < :\ �i N'S O_�. _ _ _=:N��' �i n .o'S B. �--- m - s o iw E c i c R ?g. = , Z na -"3, �' 7S � _. � �� ° o m nn < 8 re t - Aa= 9 14z 29 Nzm n (p 06J arm_ D _' m E w Q 25 f0 :` ° y c -.i O r � `° a `V .�2 m'n r v� 3 = a c-. F2 ,rX� � G °o cc � mc � a n� - aa�. � m = N �iaA' c' Eti60o; II gg v ceyp. - ° c c.o3 c 927pe n 3 = a8 ,� �' a -< m � = r� aa29,n co N rear as °i aE a.a w fi g ' y a =0. `�8 i o .gag, o < x 3 r m'_ £ > 2 �, ° E. s 2 °. ,. x " ,m _. < -. O ., 3 m (�� _ c o R 5 9'`*..g 9,r� y o. = 0 -e 3 a ° =w ^ °= c n ^ E. d m M. 8 Y 3'g o g. m 3 J fl, p �i m 6' 0 ° 5 o o E a t ° = a ti a m - w c3 x = w7 • - p = y o; v N N N 8Na C N N n en goo , 0 - 0 ti ; , n = ° 05a g gg El W24 _ IV o w _ °p2 . .< ac ° c 3 2 - gn .� g r 3 gsi. 5 .F 2 a i ° T 7 7 n a c Gl C G. 2- N N 3 3 . c [per 80_ r 6 k r , ' C d f' - H - O a VI z a 2. .. o y ° rn E 0 a i'n 6j 9 Co £'c E o 11 3 n c - 6. C Q ' 6. o n ° N 77° a d N amm Sr � -w 7 NCI N N m —"041, 5_� (D t-, 8I m "O N-qf[C7 "O =,C -7f/O1(Or IC m O = N Oa-O r� S(7 O fn "O 5 O y (D (b C1 (..� M y S .� �jl N 'O 0_(/) oi�pp 2N5 O-w (� �, -pO C -pO (p (O a`° ih ° �' 7 0 7 SNC (y7pjp��, -p° no- T� z a a 7 (D z,-s 3 R. j co = 7 (O cd =▪ c1 O- � O w 0 0 s w S n z C) 17 o-'< 2 - pp a 8ce �m a) , �`w ° m a2Wcp ° i) '.4i3 ,z NJmCQ, 0 ,v `< O fn S, O d N J O l 'O �, _ R N Vl, (D g m O"CD fA A yj_o .c 0 r'7^� $ = m $$ M fU m s --. 5y Np -, ._.. c o +worn z N _ CD m ED il = � m S A. T�C (�np �.p� "' CD= C�S„'=Z' % 5_ 3 O (g p p '+ w 7 y � � � 41 0 r -m S (m `OG y �p��.O m m � j ' � � y fA � a O N �.',9\ql [Q� s --, . CI N NCI y -. (L] ( 7 O f(D� _� '(/1 $N 7 g¢ GN c f/ayos gco y ��pp7 � 8. we7N 'N_, y U3F4 , ga) O -° mal ER = � cz .� � � NJ. N N pj � O" ((�nn •7.• �, � � C `� ._.. 00OS *Is) „ g� 7 2 - 'o ag Cml CDs ohoaci 0g c °R.- y �o � w °' c (�pa�pN 12: � "� 3 m �° m m m m w mm m S3 mip3 D N`Of�� 7G y� vA 0 SN p�rS (N_p JO -� N y O ci.7 (/1 m ata S, S $. O_p m m ICDI crg.a 5 a Q ��pp�� Ca n a 3 � oC � m � � = � ` m S 'mp a y QSSSi� J j�0 S M_ (�Onb�"" EDDp 03�.� cBc- * m CI C �! � a"0 0 y N y "o Ca 7 co . y� SQQ _ naN c m m mo c m vma coo" cy5 (—' ' E 0 � � -fix CD �N g.N N � g co- 5m <ID0 -a g02 y a $ Q S " „ - m m �' im� ' l � N WIliigicow2 tea . = m �.� 3 m4y � ��im o° 0° ?� ; co ` =' 2n " � a4 'w m $ 'm2_ of � aco QHmn S � y_ Q? � may N (� a 1-51 _ ) w y OR Rs Nm — j a ^S' my = m .o 1C (Q 5 �. CS N"O Apr r f0 ,� Q�j O CD N ,er gVl�i.J/ �N N co $ C S N 7v . NHS,- O N CD O ry • =(O (=p m COJ N � ? m - N 7 d N o� �s y CDR S p cm CI,co CD 3 � 5- 77Z pR3c clewgl� gzus q a) o COCDO 7 7 DI t 4. m TQ. _ � c i u =: I = M.Halverson Design LLC AN,pranunknt Ronald H. Belisle Site I"` BELISLE FAMILY LLC SHEET ""tea PO Box 1519 Shelton Wa 98584 Mailing: 1200 E Phillips Lake Loop Rd 907 E PHILLIPS LAKE LOOP RD Halversondesignllc(a)outlook.com Shelton Wa 98584 ParceMF2200551-00080 Ass »,