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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: ��