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HomeMy WebLinkAboutShort Plat Eval - SPL Inspections - 9/22/1992 MASON COUNTY DEPARTMENT OF HEALTH SERVICES nn POST OFFICE BOX 1666 II r'! (" 1] Vq SHELTON, WA 98584 (206) 427-9670 FAX 427-8425 SEP 2 2 1992 APPLICATION FOR SHORT PLAT EVALUATION Vi UM DONS xX 902 q 1. An application In 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, and the application must be signed. • One properly excavated backhoe pit per proposed parcel must be ready for inspection. Properly excavated pits are 6 ft deep with a 4 It deep shelf on one end of the pit. The t ft deep shelf must slope up the ground surface for easy ingress and egress. • 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 location of any existing or proposed wells, roads, or buildings within 100 It of the property boundaries. 2. Alter a completed application is received, staff will inspect the property and provide the applicant with a written report. If the project requires mare assistance than the evaluation of four test boles sad completion of this report, an hourly rate of 337/hour as met forth by the Mason County Board of Health my be cbarged to the applicant. PART 1: APPLICANT/PARCEL IDENTIFICATION .... .................................................................................................... . ......... 'i: =ii ... ........ .... ......................................................... ................... ......... . .......... . ......... ......... ..... . .............................................................................................................£i£.....£S. ...........£i........iii£££=..:£iii S.............. NAME OF APPLICANT fk¢g4 ,6 QuL/e r 'TELEPHONE ( Zd6 ) </Z 6 -7917 MAILING ADDRESS /7// $'u, 5,ye Lro.,, LAJ OL9 ss-�r v `�DUCa a. Uv Co Q i a y •a�a a i e• ASSESSOR'S PARCEL NUMBER -- LEGAL PROPERTY DESCRIPTION Sec- 7_ T ZO AJ -- uPCanjD /-yo 1, 27 z,/7 LOT SIZES (ACRES OR SQ FT) 9,3 Z ra7'¢L Z,97 7-,88' Z ,S� Lot 1 Lot 2 Lot 3 Lot 4 DIRECTIONS FOR LOCATING SITEFo(� o w /�4i° Go TO �Nc� o P/Ne AC/la5 W S/ T PART 2: INTENDED USE OF PARCEL .................... ::: ::: •::: ::: ::: :• ::• ::: •::•_} 9i£ 3i.. •£. '£=i9 ii •t: . . ....................................................:::£i£..£i?i?is..el£:i:.:££££iiiiiiii...£(:..(: INTENDED USE OF PROPERTY (Check One) : Single family residence Multi-family residence Other, specify: WATER SOURCE FOR PARCELS (Check One) : © Individual wells Community well PART 3: HEALTH DEPARTMENT REVIEW (OFFICIAL USE ONLY) .................... ................... ................... "Mumilmn: ............................................................... ...... it ........................... ......... ............................. SOIL LOGS AND SITS CHARACTERISTICS LOT N LOT N L LOT IF LOT 0 Test Pit A Test Pit A Test Pit A Test Pit A t)I), Loa,— " Ory,­,'t t oa,,,, 0 - X 0 1,4 a- A 4t, , v Sara _S-0 00 1-1,1A It"A o".0 0 a-y- 1-" o,,-& T- -31 vv 6-0- 40 oa_rb %xv%S1rv,,C_ Depth of root Pon" Depth of root pan.: 3 3­ Depth of root pens Depth of root pan.: Depth of mote - 1-11 lingi ('J' A Depth of mottlingr ,5 S Depth of mottlings A Depth of mottling: Depth to rest. layers Nt' A� Depth to root. layer: Depth to rest. layer: Depth to rest. layer: Soil type (USDA): Soil type (USDA).* L Soil type (USDA)t Soil type (USDA)t Toot Pit 9 Toot Pit B Toot Pit B Test Pit a tell, 4C 48 48 ijayA T-i Depth of root Pon.: Depth of root pen.: o Depth of root pen.: Depth of root pen.s Depth of mottlingi Depth of mattlingi Depth of imottling, Depth of smyttlingt Depth to rest. layer: Depth to rest. layers Depth to rest. layers Depth to rest. layer: 3011 type (USDA).* Soil type (USDA): Soil type (USDA)t Soil type (USDA): Curtain drain needed? Mo Curtain drain needed? Curtain drain needed? N bCUrtain d lvJ rain nesidod? slope (%)I (j, _,)p ,)1) slope (%): 9 17 slope (%)I Slope (14)t 10 Lk--N'--C L'IQ D "C- rL AN6 "0,V L Vj P—T L_A Aj b above,44AS? (y/w): shosellma ("TIN): 10 S Shozelima (Yfw)1 3 Skate"04" (TIN): Kinimus lot sizal^ I 4c KIM— lot size:' 11 C- Kinimm lot sizes' A C- Kinjou lot sines' Killf"'M lot 8126 applies to now subdivisions and is defined as the into- allowable land area per residence or residential equivalent (450 gallons per day). COMMENTS AU L Iu t-s c, 0 v-,S- CA) f ek- t&_)QA 1.av,_A Lk% 1"Aw Cks,C&LOL U)VI cIc PART 4: HEALTH DEPARTMENT REVIEW SUMMARY (COMMUNITY DEVELOPMENT USE) .................... ......... . ....... . .......... .... .......... ........... :A"PPROVB After examining lot size, proposed water source, and soil type, it is the determination of Mason County Department of Health services that each proposed parcel can support an on-site sewage disposal system meeting the requirements of state and local regulations. DENY After examining lot size, proposed water source, and soil type, It is the determination of Mason County Department of Health Services 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 Department of Health Services 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: REVIEW SIGNATURE Health Offici I 'f Da de w S a �� sr (N y N , 1671' 01'52'28" E 2219.83 555.12' N o (555.08') pp CC ••ee�� 70 tv NC CZ QC Q p Y 0� Cm_Qr.�n � zo p "� �I �C v,�Z z i,' -u0 o N NZQ a` � S Z M Z v Fn n O OD < g�� O ;a•... °p t*t � q ti v '•,N 01'4T10r E � l 227.43' ` 333.36' RO o N 01*47'1l0" E y w O m z Z 301.80, 260.93' v rn fhb �i N ' m • Im m 01'47'10" E y w 374.76' � p D' C w 189.90 O[*a� 0 Z �i -i � �� g �� r m W C 460.68' 05.92' N 01'47010" E 568.60'** o m �(N 01'46'58" E) f� -A ca w , rn co 00 aas Jr. � . (i • O a • a x r M zv (Tl N aaas _ G) o aaxaa •- m °D $ z Z :° al .v y �► b O O ocn m o � cA� n � � O oc ti Zzi Z-i --r ��. ►v o Rl o VrN to osa o 0 C 00 � �-- C r ` i o Cz o U m W xoy��,��� o w ..� 0a S o .. 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