HomeMy WebLinkAboutMIS94-0877 Below Grade Liquid Storage Tank - BLD Permit / Conditions - 1/27/1995 1995
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
^FNERALSFRVIMOD P.O. Box 186 Shelton, Washington 98584
M I S C E L L_ A N E O U S PERM I T FOR INSPECTIONS CALL 427-9670
MIS94-0877 PARCEL : 123171100000 PLAT : DIV : BLK : LOT :
JOB ADDRESS : NE 2493 OLD BELFAIR HWY BELFAIR
APPLICANT : HARTMAN TRUST 275-7110
OWNER : HARTMAN TRUST 275-7110
LEGAL : NE NE FS 65137 8K 163
PROJECT DESCRIPTION :
30 'x10 'x10 ' BELOW GRADE LIQUID STORAGE TANK
PROJECT LOCATION :
ENTER BELFAIR GO TO STOCK MARKET TO OLD BELFAIR HWY . AND CONTINUE ON OLD BELFAIR HWY . ABOUT 3
1 /2 MILES ON LEFT HAND OF ROAD .
PROJECT NOTES :
THE PUPOSE OF THE TANK IS TO PREVENT ANY SURFACE WATER RUN OFF COMING FROM LOWER PIT AREA . IT
WILL BE COLLECTING THE WATER AND PUMPING WATER INTO EXISTING PONDS . ALSO SO THAT WATER DOES NOT
DRAIN INTO THE SOIL . THIS TANK IS ALSO TEMPORARY AND WILL BE TAKEN OUT OCCORDING TO THE STATE
RECLAMATION PLAN .
TYPE AMOUNT BY DATE RECEIPT
PRMT $ 25 .00 KS 01 /26/95 38263
V10 $ 25 .00 KS 01 /26/95 38263
TOTAL : 50 .00 OW R AGENT DATE
^i^age sign, du;c, ir.lk' I all,
ar,d n,Gii track
9I,S PRMT, rev; 04191192 COMPLIANCE TO ATTACHED CONDITIONS IS
}ttANK YOUR
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T CONO 1 T 1 CONS
Case No . : MIS94-0877
For : HARTMAN TRUST
Page : 1
�1,) Conditional approval based un following :
1 ) Should woodwaste leachate concentrations increase , leachate testing may be
required , along with a State pollution discharge permit applied for and approved prior to
continued use of the below grade tank .
Site located adjacent to "highly critical aquifer recharge area " . Compliance with Mason
County Interim Resource Ordinance 77-93 is required . If future use of this wood storage
area is determined to pose a threat to the aquifer , or if the proposed storage tank fails
to function properly or is not maintained or pumped regularly , a Mason Conditional
Environmental Permit may be required ( as determined by the Directors of Community
Development or Health departments ) . The permitting process could include submission of a
detailed environmental geologic report and/ or other information .
3 ) This tank to be used for the collection of surface water
PIIpagQ sign, date, initial all
wditi6fis and mail back
THANK YOU
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
on l�y��'
��l/!!/�
date, initial all
mail back
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner, c�n � ��'.0 - Phone # �o� `a �$-'f//U Fire District#
Site Address N EI 1^^ q 3` �� _ i ►2 City ��FF/r
Mail A ress F A'4 Of E 0I g_ 1
City - r St F� _ Zip 961
Applicant E R^I E> Plne#
Applicant Address <�, ,2-4 3 01 'V► 7 oZ-06 973 78
City _+ � �FI I t2 St W A • Zip
Directions to Site:
#2 Parcel No. 1 , 3 - _- 0000 U
Legal Description '� 3C f_�
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland tonal runoff marsh other
#4 Project Start Date �U Project Completion Date
i n i✓ l o(d',�c '/ L-t U !� "f t _ 7cu,K
#5 Use of '. L1jP4ff,A 5g o k 1 U Describe proposeiconstruction
a
A-L4_6-- Qz' zP
*Depending upon the type of permit,a floor plan and plot plan may be required.
*This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRST OBTAININGAPPROV/ L FROM T BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. &_CJ-a� e5 �- 41-, MENT.
X OWN ER� z � _ - -- X BY
DATE /D - -57-% Y DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA 1 _
o lq a FFi(:E
bf
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
D13
1/4/0
Building Alt1 l.jo�e/�X)
(21ULX4 IM13
Fire Marshal
Other cv / '/�ari.r
Special Conditions Fees D�
Permit Fee $
Plan Ch k
Other
Other
State Building Fee
TOTAL DUE $
i
MASON COUNTY
�- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
a
M I L;C: E l._ t_, A N F C3(J:S P F FA M I _F FOR INSPECTIONS CALL 427-•9670
MIS94--0877 P 1100000 PLAT : DIV : ELK : LOT :
JOB ADDRESS : NE 2493 till) PEE_FA I R 14WY BEI.FA I R
APPLICANT : HARTMAN TRUST 275-7110
OWNER . HARTMAN TRUST 275-7110
LEGAL : NE 1F FS 05117 19 163
PROJECT DESCRIPTION :
30'x10 'x10" BELOW GRADE LIQUID STORAGE TANK
PROJECT LOCATION :
ENTER BEL.FA I R GO TO STOCK MARKET TO OLD BELFA I R HWY . AND CONTINUE ON OLD BEL FA I R HWY . ABOUT 3
1 /2 MILES ON LEFT HAND OF ROAD .
PROJECT NOTES :
THE PUPOSE OF THE TANK. IS TO PREVENT ANY SURFACE WATER RUN OFF COMING FROM LOWER PIT AREA . IT
WILL BE COLLECTING THE WATER AND PUMPING WATER INTO EXISTING PONDS , ALSO SO THAT WATER DOES NOT
DRAIN INTO THE SOIL.. . THIS TANK IS ALSO TEMPORARY AND WILL BF TAKEN OUT OCCORD1NG TO THE STATE
RECLAMATION PLAN .
l s aF AMOUNT BY DATE RECEIPT
.:.srt.-w s-r.�.�..-.a:;�:; -xc*zxsR'tirzaxxzt%smrz�.c�se::: ac.aaan.
PRMT 1; 25 .00 KS 01 /26/95 38263
VIO 1` 25 ,00 KS 01 /26/95 38263
TOTAL : 50 .00 "r)WNt*-'.QR ANT d" DATE
1iS _I'A1T, rev 6111092 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
��n
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E Ft M i -V C:C:r f4 I:�k i "T 1 0 N ::>
Casa No . .- MIS94-0877
For : HARTMAN 'I'PUST
Pages 1
.) Conditional approval based on f o l i ow l ng i r'
1 ) Should woodwastr. Ieaohate concentrations inerease, ieachate testing may be
required, along with a State pollution discharge permit applied for and approved prior to
continued use of the below grade tank .
Site located adlacent 'to "highly critical aquifer recharge area" . Compliance with Manson
-County Interim Resource Ordinance 77--93 is required . If future use of this wood storage
area is determined to pose a threat to they aquifer , or if the proposed storage tank fails
to function properly or Is not maintained or pumped regularly, a Mason Conditional
Environmental Permit may be required ( as determined by the birootors or Community
Development or Health departments ) . Thy permitting process could i no l ude submission of a
detailed environmental geologic report atidl or other Information .
4
3) Thir tank to be used for the collection of surface water
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
` `. MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
only .
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Attic
Groundwork date by
date by D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
/ O
1 +
8
h0 PAt17HER LRKE
2 _ i
--260 ao ,U 7
SUBJECT 8
1 SITE
18 :- IMP IG
WOOTET2
LAKE
tL1LUWAq-- 4HAvEN LAKE G �O
� \ 46 0
I -WINDFLOWER
DC W AT'O LAKE
EXCAVAT I ON I �280 d 5 ATEAFARK
'`� , '�� •\ — -- i ' LAKE
OPO ' COLLINS
AREA R - -
LAKE
Xv
c
IF POSSIBLE CRUSHER
1 I I 1 WILL BE MOVED N, W,
t _ OUT OF LINE OF SITE
TO ADJACENT REST— t %,;o• /'
DENCES, 240 ': �' TWAV{OH
/ WASH (`� ( STATE PA
AREA r ►�— 220 N RK
��
C' p�I> P xAC' 200 TO NOOoss��v
+1 ! POND (l SE RY� y��; PSE�ONv
a° T r �'
P - P
� o l/NV NG �� � ��• 160
7— 140 VICP� ITY MAP
r ~/v CF ERSWEU] NORTH
I K.T.S.
POND 120
IQ
0Pf
Al - _ _
. .PUMP t I rRLi..�@sri,�t4�,� � r .!_ •
N
OFFICE �\ /
OVERFLOW p-�G
.DISCHARGE ROAD — — —
_
LIKE F3ERMEDTRIP \AND -
�^ RE:V�ETAT 0t1
� • . -- --- ! 1320'�±' �_ - - - -� -- .- -_---- - EAS�_:N1Ey•.�.
t ( NOTE_
0 o d
mac► cam. N N c N = = : EMERGENcy i
DISCHARGE
PRov�sloNs I ANDF_ KMAN
OPERATIONS — c. I SAND GRAVED
SITE PLAN SE 17, -r 23N , RIW, W, M, NEiq , NE •
_.SCALE I " = (00' w/ EXISTIN IZ.G TOPOGAf'HY_ r,RTl ^i�tORT
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
11 IV$
Environmental Health: t �(�
N�
Building Plan Review
DY 0�—
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each)
No. 1 Toilets CIRCLE FUEL TYPE: Gas, El ctric,e
th Basins Heatpump, Other
Bath Tubs No. Units Fees
LShowers Furn BTU
a Hot Water Htr C) Heatpumps
Laundry Washer Vent Systems
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
Dishwasher No. Air Handling Units
Disposal cfm#
Urinals No. Fire Protection Systems
_Other Auto. Fire Alarm Sys 50,00
(A)4le✓ Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 6-- A o Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outle
Wood, Gas, Pe t Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBT ING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDIN D PARTMENT. DEPARTMENT.
X OWNER '` X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by Date: ��