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Home My WebLink AboutCRT2023-00010 - CRT Loan Cert. / EH Review - 10/9/2023 415 N 6TH STREET,SHELTON,WA 98584 MASON COUNTY SHELTON:360-42'-5670 EXT 400 BELFAIR'.360-215-446W.EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400FAX:360-427-7787 .VIEW: PROPERTY/TEST HOLE EVALUATION CRT2023-00010 _ICANT Molly Olsen Phone: 507-269-3184 .ress: 1107 8th St HOOD RIVER, OR 97031 OWNER STAIRS GREGORY H Phone: 360.229.3564 Address: 271 E MAIN ST UNION, WA 98592 Site Address: XXX E Takereasy St Primary Parcel Number: 322325201026 Date Received: 1 0109/2 0 2 3 Date Inspected: 10/19/2023 Date Issued: Anderson David Inspected By: David Fees Paid: 0 Inspection Results: DONE TEST HOLE#1 RESTRICTIVE LAYER DONE TEST HOLE#1 SHORELINE SETBACK DONE TEST HOLE#1 SLOPE DONE TEST HOLE#1 SOIL TYPE DONE TEST HOLE#2 RESTRICTIVE LAYER DONE TEST HOLE#2 SHORELINE SETBACK DONE TEST HOLE#2 SLOPE DONE TEST HOLE#2 SOIL TYPE N/A TEST HOLE#3 RESTRICTIVE LAYER N/A TEST HOLE#3 SHORELINE SETBACK N/A TEST HOLE#3 SLOPE N/A TEST HOLE#3 SOIL TYPE Comments/Summary: fFSee par z MASON COUNTY 415 N 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:360-427-7787 There is a gravelly (less than 35% rock by volume) sandy loam layer of soil that is 13 inches deep in test hole one and 15 inches deep in test hole two. Underneath that, there is a compacted fine sandy loam layer from 13 to 17 inches in test hole one and 15 to 23 inches in test hole two. Underneath that, there is a wet and very compacted loam layer from 17 to 35 inches in test hole one and 23 to 37 inches in test hole two. A restrictive layer was found at 23 inches in test hole one and 27 inches in test hole two. The restrictive layer was determined by heavy mottling.The soil is Type 4,which has a hydraulic loading rate (receiving soil application rate) of 0.6 gal/sq ft/day. The parcel and test holes are located greater than 100 feet(approximately 1,500 feet)from the shoreline and the slope is approximately 3%. TH1: 0-13" GSL 13-17" FSL 17-35" L wet and very compacted Rest at 23"w/heavy mot TH2: 0-15" GSL 15-23" FSL 23-37" L wet and very compacted Rest at 27"w/heavy mot Please Note: Conditions reflect status at time of inspection and/or sampling. MASON COUNTY imu E STREET, SHELTON WA 98584 ELTON:360-427-9670, EXT.400 I. COMMUNITY SERVI ELFAIR:360-275-4467,EXT.400 i T ELMA: 360-482-5269, EXT.400 �- - 1 I '9 rJ FAX: 360427-7798 \.\ Building.Planning.Enrronmental Health.Community Health BY:__ APPLICATION FOR ENVIRONMENTAL HEALTH REVIEW Permit Number Payment Information Tyne of Review .��J rrr111 D Septic and Water $405 CRT Receipt Number ID Septic $240 '111'3'�j 1 Cash ,y J Water $240(Individual and Two Party) /�OVOO`p % Check D Group B WS$90.00 (+$90.00/hour beyond 1 hour) Date of Payment I0)3113 SQ Property Evaluation$335 I i Resample $30 lab fee Instructions: Complete Parts 1, 2, and 3 completely and accurately. Wth the application form, please submit the appropriate fee and the necessary documents such as a septic system maintenance report. If the application is for a property evaluation for septic, be sure the test holes have been dug and the location is clearly marked at the site. PART 1. APPLICANT AND PARCEL IDENTIFICATION 5ma �I �� Name of Applicant M.oll (/I� Sen Phone Mailing Address of Applicant It V 1- #IA 7M 'I City 60L W' 4' State GK- Zip clio- I 12-digit Tax Parcel No. ?t'7z32' 5 2— OWL— lots 2fc, 27, 2t Site Address (W vl c C 3ffnl's Lkt“.) CA•\QL 76167-(e - ''E' Brief Legal Description tots oU. C c. 6sv41erA0Aor5l- Cowh r7 dN-5 3J `t" 5$;i'' Ci Driving Directions A-, nha-'<-• PPage 1 of 4 This form may be scanned and available for public view on the Mason County Web site. Revised 1/2/18 PART 2: TYPE OF REVIEW Septic System • Age of system • Age of house • Number of bedrooms • Name of last owner • Is house currently occupied? ❑ YES E NO • If not occupied, how long has it been vacant? I Water System • Number of service connections on the water system? • If a public water system, name of system • WA number IX Property Evaluation (soil logs) Property evaluations provide, in general terms, the suitability for a parcel for septic system placement. THIS DOES NOT GUARANTEE FUTURE SEPTIC SYSTEM APPROVAL. • Describe the intended use of the property And the reason for requesting the review. S it INC ) da l d 1400. •612 i d tke_ p PART 3: PLOT PLAN Use the space below to draw a detailed plot plan, or attach a detailed plot plan to this application. The plot plan should include the following: North Arrow, Location of Test Holes, Location of Existing Septic System, Dimensions of Property, Location of any Drinking Water Sources(wells, springs, etc.) Roads, Easements, Surface Water, and Buildings on the property. (skip Part 3 for Group B water system review) 4 wvs LOT SIZE f t TNZ 7HL icp� X I x Cj 151; Acres COMPASS a ' Tt4 y.ts`"',7Ease__ Applicant's Signature: N" . Date tO/5I25 Page 2 of 4 This form may be scanned and available for public view on the Mason County Web site.Revised I/2/18 PART 4: HEALTH DEPARTMENT FINDINGS — OFFICIAL USE ONLY Septic System Yes No The septic system was Inspected by an appropriate maintenance provider and the submitted report is current. _. I Records for this property contain a septic permit, design, final approval and as as-built drawing. - The site was inspected and the system location appears to be consistent with recorded documents. I The area of the on-site system appears to be maintained in an acceptable manner• . I Was Operation and Maintenance a condition of permit approval? Is a copy of a current Operation and Maintenance report attached? Water System Yes No Individual Water System A water sample was taken by Public Health staff. Total coliform bacteria were determined to be absent. Laboratory results are attached to this report. The well cap was inspected. The sanitary seal appears satisfactory. The well casing was inspected. The casing projected above ground and the ground sloped away • from the casing. _ The well site was inspected. No septic systems, chemical storage facilities, manure pile. animal feedlots or other obvious sources of contamination appeared within a 100-foot radius of the well. Yes No Public Water System Records indicate water-sampling requirements are being satisfied. Records indicate the Water Facility Inventory form is current. Department files containnt water system design and letter of approval. Soil Conditions /Q_/_l r ZQZ3 - - Test Hole #1 Test Hole #2 [ Test Hole #3 QIf- cl5L - 0-6 ' 6g 13- If" F5t conygcted i5-z3" FSL Campo/cc( (Via VF 3S L teed i wetRwravp xd ae54c+cftud of 25r id/hegdy Ad Resh+tfatted(27' wkhv/tat Soil Type. f Soil Type. L Soil Type: ' Restrictive layer Restrictive layer. Restrictive layer Slope. Slope. Slope. Distance to Shoreline MO Distance to Shoreline: l00 Distance to Shoreline Page i 0r4 This form may be scanned and available for public view on the Mason County Web site. Rcvlser PART 5: HEALTH DEPARTMENT OBSERVATIONS—FOR OFFICIAL USE ONLY Primary Drainfield Yes No The system appears to be functioning adequately at the time of the inspection. (Only applicable if ❑ ❑ system has been in use on a regular basis for the last 6 months.) ❑ ❑ Sanitary survey? _ Pass ❑ Fail ,] Suspect ❑ Not applicable Water System Yes No The water source consists of an individual (or a two-party)well that appears to be a satisfactory source of potable water for a single-family(or two single family)residence(s).The water was ❑ ❑ sampled and coliform bacteria were absent. _ The water source is a public water system that appears to be in compliance with applicable _ regulations. ❑ J Well Construction Permit ❑ Pass ❑ Fail PART 6: Comments Ttiea $ a 'ray elty(less fhan 351/41 Sand/ loon late- oil Son Am it I?" it, Itil lest hate One and (7"deer ai #sl hole fvo , OvS'rna'o Mot 1Aare is a (amyecied 1 )iefat i lctimlayerMtn 13-If"deep i les,/ hole Gm- ono( is- 23' dep*/ hareho, 01(negfh dhofr fil¢+r-Pr o wefand ve7 (float/ ran//ofoorr7-From 1F-35" o Inspector Date lO7/7/zoi' Important Notice. Findings&determinations of this review reflect observed conditions as they exist on the day the evaluation was performed.Absolutely no claim is made by this office, expressed or implied concerning the future success, failure or permit approval of the system and site evaluated. 1'11 4'51 hole one/ and z3-31' fh *W hoe fvo. R'tr/cfice- lore- was dela-mind by heavy lnotrffi . Tilt- 514 Type 1, has a 4ydraa4t- loadmf foie uy 0.6 y/d/ftz, 7A+e par(el/fe fhalei are- &ceded (co feel from fA chomA e- and fit Slpi& 1,5 a6orrf 3Z. Page 4 of 4 This form may be scanned and available for public view on the Mason County Web site. Revised I/2/I8 goop 07 MASON CO WA AF Fk 21A1 7 \a\. l{tk 2,q10. iiiiiiiiiiiiiibiesen a § 0 44 �E '�k A seo.. set A ' kleera R rix la € P PP w o 1 ' a a4 e A 1 .I ! u I � 1 1, !e R p69 � ^ 9m torh ;s0.17 7dI k N3 -4 - I I r I i — P } �jI (io e 1P $ G a a 1 o i I 1 ie N o e� RRkoA^ " 71 1 fig � �€ n5Ii- -_ [ -- m UI m 0.5 ::II a� m °p s§ I 56 " i0 P0. 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