Loading...
HomeMy WebLinkAboutADU2023-00009 - BLD CD Environmental Health Review Z21 13 -Z.N- boo 3-D MASON COUNTY COMMUNITY SERVICES Z023— bboo w.a�a oammu om,a,m,,,unx,nn,r�u�iw xe,nn ADU ENVIRONMENTAL HEALTH REQUIREMENTS YES NO INFORMATION 1.WiLL(he ADU be served by mENS7/NG Onsite Sewage System(OSS)? O O M's are Anti off ball oonu. Refa m the oosile sewage records Ila). Total bedroom count from existing and proposed connected structures Q O ov file with Meson County to find the approved OSS records on file? your OSS approved sin rile If bedroom count ex<mds syman sin, contacts licensed septic designs fau deo bons. 0SS application and design permit 2. Will the ADU be served by n NEW Onsite Sewage System(OSS)? © Q sous In submlaed end appmved pdor to EH approval ofADU miss -FouMa fim m Dminfreld(stl0ft -Foundation to Reserve Area(s): son 3. Will the ADU mat all setbacks t0 new or existing OSS components? O O -Foundaton to Septic Tank(s): Sit Down Bradlee Found n 302 tdma<rdmim most maintain 30g to Drainfields. Attach a signed Sewer Adequacy 4. Will the ADU be served bya NE'Wor=STING sewereonnection? Q O Form from Sewer System Masser to this spolic.tion, 5. Willthe ADUbewNedbyaNEWorEMS17NGpublicwalasyslem Art It a sigocdwaser Adequacy (over3cunnections)? O Q Form from Water System Manna to this application 6. Will the ADU be served by=EMS77NG private well? Q Well must be paromed and 7. Will the ADU be served by a NE'W well that is not constructed yet? O O constructed pdor to EH approval of ADUpermits. Mason County Code Title 17.03.029 requires EH approval tartar to approval of ADU permit. Environmental Health Review Pre-approval: Comments: -�Wo P P R O V E D MAR 01 2024 W MASON COUNTY ENVIRONMENTAL NEALT 11`� RAIA r �bd rr�y�hdu� RET 6A Ubj 6SS. (J.f,G.3 rwnV 66 m 4�, AVA -5-(7 2�xl—eMO P (EH approval stamp wiN Initials ofMS) ADU Permit Page 4 of4 N m O N g°a �N o < m ............... . �o ova < m9 9 a W 6 v a m $ N F $ y 9 � C _ N ¢ N G fD f Z T g ^� co ) c ` - CL » � � 2\ ZIA 04 y . m , - ji . : ® � f\ [ 3 { / co IL / L - \ a L_ S C 4. 1 F oz A c � n_ d s ^� m o o —O