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HomeMy WebLinkAboutADU2024-00010 - BLD Permit / Conditions - 6/6/2024 s c ' • For Mason County Permit Center use: MASON COUNTY • COMMUNITY SERVICES ADU Z,02 - ow I Building,Planning,Environmental Health,Community Health Recv'd by: UM Ltl Planner: • 615 W Alder St.,Bldg 8,Shelton, WA 98584 Date Stamp Recv'd. Shelton Phone: (360)427-9670 ext 352 ❖ Fax (360)427-7798 ACCESSORY DWELLING UNIT PERMIT RECEIVED (Special Use Permit with ADU criteria) M n JUN 17 2024 Im 615 W. Alder Street r Permit and Fee: 0 N ❑ Special Use Permit (DDR)—application fee: $ *IfADU is within 200'of a shoreline you must apply for a Shoreline Substantial Development Permit(SHR)—fee:$880.00 -Environmental Health fee: A "Special Use" is one that possesses unique characteristics due to size, nature, intensity of use, technological processes involved, demands upon public services, relationship to surrounding lands, or other factors. The purpose of this application is to provide for adequate oversight and review of such development proposals, in order to assure that such uses are developed in harmony with surrounding land uses, and in a manner consistent with the intent of the Development Regulations for Mason County; Ordinance No. 82-96. Acceptance of this application by Mason County does not guarantee approval of request. Applicant(s) Name: uk4r iqu I Mailing Address: 1 (Alf) �i�EffQ:k I Phone:, ` NIO E-mail: Id �U j,� 0_0 —rv— Property Owners Name: (ifdifferent than applicant) � c 'CL-07 C_ Site Address: 191 Ed C-P Brief Legal Description: Tax Parcel #: - I i 19ncl) I Zoning: ( �-- Project Description: n m�y- oDA d c:UcbaJ- b L I Rev.January 2018 ADUPermit Page I of 4 SITE PLAN CHECK-LIST Please provide a site plan that includes the following: U Indicate Scale and North Arrow. 50 Property line dimensions, easements, and right-of-ways. The location of all existing and proposed structures. Include square footage of existing and proposed structures. Setback distance, in feet from all property lines and structures. Existing and proposed road access to and from the site. Parking spaces. Location of OnSite Sewage System (OSS)components (including tanks, drainfields, reserve areas, etc.) Location of existing and proposed wells,within 100ft. of property, shown with 100ft. radius. Location of existing and proposed waterlines. Steep bluffs, wetlands, streams, and bodies of water. Surface and storm water run-off routes. Mason County Code Title 17.03.029 requires the following criteria to be met for consideration of an Accessory Dwelling Unit (ADU) Permit: ACCESSORY DWELLING UNIT(ADU) REQUIREMENTS YES NO INFORMATION 1. Is the ADU in a shoreline jurisdiction? ❑ Please inquire with Mason County 1 a Are you in the Flood Plain? ❑ Community Services staff, if unsure. 2.Will the owner of the lot reside in either the principal ❑ residence or the ADU? 3.Will till the ADU be located on the lot of the principal ® ❑ residence or be a conversion of an existing detatched structure (i.e. garage); 4.The ADU shall not exceed 80%of the habitable area of the primary residence or 1,200sq feet,whichever is smaller.An existing residence can ❑ be converted to an ADU with the development of a new primary residence, the ADU shall be no more than 80%of the area of the primary residence and up to 1,500sq ft.Will your proposed ADU meet this criteria? Please inquire with Mason County 5.Will the ADU meet all setback requirements? Q ❑ Community Services staff, if unsure. Please see last page of this packet 6.Will all applicable health district standards for water and ® ❑ titled"ADU Environmental Health sewer be met by the ADU? Requirements" Rev.January 2018 ADUPermit Page 2 of 4 7. Recreational vehicles are not allowed as ADUs. Please ❑ confirm (with YES)that you are not submitting a Recreational vehicle for review. 571 8. Your property will only have one 1 ADU? 9.You have provided an additional off-street parking space Fv� El for the ADU? (Ord.108-05 Attach B.(part),2005) On a separate piece of paper(#of pages: ), state your reasons for requesting an Accessory Dwelling Permit and be sure to address the following six criteria. Your request will be evaluated based on these criteria and the Accessory Dwelling Unit Requirements from the previous section. 1. Will N the proposed use be detrimental to public health, safety, and welfare? C) 2. Will the proposed use be consistent and compatible with the intent of the Comprehensive Plan? qe 3. Will the proposed use introduce hazardous conditions, at the site, that cannot be mitigated through appropriate me sures to protect adjacent properties and the community at large? �O 4. Is the proposed use served by adequate public facilities,which are in place, planned as a condition of approval or as an identified item in the County's Capital Facilities Plan? 5. Will the proposed use have a significant impact upon existing uses on adjacent lands? 6. If located outside of an Urban Growth Area, will the proposal result in the need to extend urban services? Applicant's Signature Date Rev.January 2018 ADUPermit Page 3 of 4 , MASON COUNTY COMMUNITY SERVICES 8ulldinq Planning.F�wironmeMai Health,Commun;ty Heal;h ADU ENVIRONMENTAL HEALTH REQUIREMENTS YES NO INFORMATION S to 1-OGty6. 1.Will the ADU be served by an EXISTING Onsite Sewage System(OSS)? /q�rl ho 4V OSS's are sized off bedrooms. Refer to the onsite sewage records 1(a). Total bedroom count from existing and proposed connected structures on file with Mason County to find roved OSS records on file? your om approved size. If match the approved � bedroom count exceeds system size, contact a licensed septic designer for upgrade options. OSS application and design permit 2. Will the ADU be served by a NEW Onsite Sewage System(OSS)? 0 tt7� must be submitted and approved prior to EH approval of ADU ermits -Foundation to Drainfield(s):I Oft -Foundation to Reserve Area(s): loft 3. Will the ADU meet all setbacks to new or existing OSS components? -Foundation to Septic Tank(s): 5ft Down gradient Foundation/perimeter drains must maintain 30ft to Drainfields. Attach a signed Sewer Adequacy 4. Will the ADU be served by a NEW or EXISTING sewer connection? 0 Form from Sewer System Manager to this application. o S. Will the ADU be served by a NEW or EXISTING public water system Attach a signed Water Adequacy Form from Water System Manager (over 3 connections)? to this application 6. Will the ADU be served by an EXISTING private well? Wa vm xa Well must be permitted and 7. Will the ADU be served by a NEW well that is not constructed yet? C constructed prior to EH approval of ADU permits. Mason County Code Title 17.03.029 requires EH approval prior to approval of ADU permit. Environmental Health Review eview Pre-approval: Comme ts:� 1,� 1 . t� r == JUL 0 9 2024 MASON COUNTY ENVIRONMENTAL HEALTH UJA (EH approval stamp with Initials of EHS) ADUPermit Page 4 of 4 -� 1�aCei � �f21Z5- 1 1 - scot a 71�Z�'Jl�9 v -Cu c�vewE a po��u� c� da�ae�� pde �ui 0'1 +D a4x 42 ADU so Id" (�tyi axi s!- ( a.rev* wi�i�c�m�av� Y1ft�F11� i�ve �. -�Y�e 6kWW4- be dki-Y, K ff:,-> Vea , {{,� �w- p �t.n . ' No wi��� Oerr�i+i� ok �. A i I pd�ace,'iE p Ottl Irru� a �,c�� � z� � Pmip u� wi l I Yrtievt o Grn ud rmm�vu NO rcz� `�01� RaQ �9 ue � S�eI�rM, wa- a�s� OFFICIAL USE ONLY MASONCOUNTY DATE R--CEI✓Eic 5 -- COMMUNITY SERVICES AMOUNT ER: NKEIVE Y: Public Heahh{Community Health/Ermfonmental Health!36042 ,nc W %5 _exl OptiN/T >r� C Q 91SN.60,stt to.. 9 NSWGVV1�ON-SITE SEWAGE SYSTEM APPLICATION 3 APPLICANT PF:QIL�Mt{�}pY01 •GOYSC+n1Y`�j�(,olC, m r Tyler & Nicole LaRue 1 (360)791-9319 (3c90 y o- lto c MAILING ADDRESS-STREET,CIT",STATE ZIP CODE 9 120 E Peaceful Place Grapeview WA 98546 z SITE ADDRESS-STRE ET.CITY.ZIP CODE 181 E Pacific Ridge Shelton WA 98584 4' NAME OFDES'GNER PHONE I N Arrow Septic Designs (360)898-2255 NAME OF INSTALLER PHONE 0 Homeowner Install PERMIT TYPE(wiett onel DRINKING WATER SOURCE L N RRESIDENTIAL OSS 5 COMMUNITY OSS FnCOMMERCIALOSS R PRIVATE INDIVIDUAL WELL i1 PRIVATE TWO-PARTY WELL z 101 TYPE OF WQRK!srecloner 15 PUBLIC WATER SYSTEM RjN EW CONSTRUCTION'UPGRADES IZ REPAIR!REPLACEMENT OTHER DETAILS(aeaa as Matamly) 0 TABLE IX REPAIR I — SUBMITTALS QQ ❑ SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE � RDESIGN FORM(REQUIRED) WFSEP71C DESIGN(REDUIRED) BEDROOMS LOT SIZE Q I 1 fWAIVER(S)(IF APPLICABLE) 4 BR 5.45 Acres 5 DIRECTIOVS TO S.7E AND S:TE CONDITIONS:(ex.touleogatel I cn Take E Brockdale Rd. Stay straight to go onto E McReavy Rd.Turn right onto E Pacific Rdg. 181 E Pacific Ridge is on the left with "LaRue"written on a yellow sign. o o SITE MUST BE F1•AGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE HUNSERS. d OFFICIAL USE ONLY BELOWTHIS LINE UPGRADE i FAiLURE SOURCE(for reporting pv-pcses) 0 VOLUNTARY Lj MAINTENANCEIPUMPING-❑BUILDING PERMIT j]HOME SALE QCOMPL.AINT ❑OTHER' INSPECTOR SCI L LOGS COMMENTS I CONUIT IONS rAY U 4 2021 D°- (0° G SOIL CODES: RECORD -•^ •y'IpLj,An'lrvrTFpf)pT V=VERY .a GRAVELLY S=SAND L-LOAM Si-SILT C=CLAY E-EXTREMELY R=ROOTS R£OURED FOR FINALAPPROVAL I CTOR SIGNATURE DATE APPLIGTION EX?iRATION DATE P CATION APPRCVED!ISSUE:;9Y DATE UU FHIVFOWM-IdAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REV'SED 12,712015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 1 2 5 — 1 1 — 5 0 0 1 0 A design will be reviewed when 3 c� owes of each of the following are submitted: Completed design form that has been signed and dated. -1 Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist. 'Cross-section sketch,including all applicable iterns on checklist. This for may be scanned and available for public view on the Mason County Web site.Maximum a er size: 1!"X 17" m 'I '' "" „Arrow Septic Designs OOX (t Designer's Name: pertnitNumber: SWG 20a 1 (360)898-2255 Tyler 8,Nicole LaRue Designer's Phone Number: Applicant's Name: 120 E Peaceful Place Designer's Address: 171 E Vuecrest Dr Mailing Address: Union WA 98592 Grapeview WA 98546 City State Zi C State Z's Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ISand Lined Drainfield ❑Recirculating Filter,Type. ©Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other. Drainfield Type ❑Sub Surface Drip 0 Gravity te Pressure ❑Trench I Bed Septic Tank/Drainfield Specifications Laterals 4 Schedule/Class 40 Number of Bedrooms 30 ft Daily Flow:Operating Capacity 360 gpd Length Diameter 1.25 in Daily Flow:Design Flow 480 gpd 8 Septic Tank Capacity 1,200 gal Number _ Receiving Soil Type(1-6) _ 3 Separation 2.5 ft Receiving Soil Appl.Rate 0.8 gpolft Orifices 2 Required Primary Area 600 ft2 Total Number of Orifices _ 104 Designed Primary Area 600 ft2 Diameter 5/32 to Designed Reserve Area 600 ft2 Spacing 28 in 'T-rench,Bed Width 10 ft Manifold Trench/Bed Length 30 ft Schedule/Class 40 Elevation Measurements Length 7•5 ft Original Drainfield Area Slope 0-1 % Diameter 1.25 in New Slope,if Altered 0-1 °fo Preferred manifold configuration used? 14 Yes ❑No Depth of Excavation LIP-slope 18+24=42 in Transport Pipe from Original Grade Dovm slope 16+24=40 in Schedule/Class 40 Designed Vertical Separation _ 18+ in Length so ft Gravelless Chambers Required? ❑Yes V No ❑Optional Diameter 2 in Pump Required? 9Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Difference in Elevation Between Pump Shutoff and Uppermost 120 gal ost Dose quantity 200 gal Orifice ft Chamber Capacity 1 Uppermost Orifice Rf Higher D Lower than Pump Shutoff Pump controls:Please check those required.li�Timer .11 e gent Counter to Capacity @ Total Pressure Head �•`� gnu' ours Calculated Total Pressure Head 2.0•0 ft If Timer: Pump Comments 4 OW DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 1 2 5 — 1 1 -- 5 0 0 1 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch El Test hole locations 69 Drainfield orientation and layout Reference depth from original grade: M Soil logs Trenchlbed dimensions and 56 Septic tank 0 Property lines critical distances within layout 9 Drainfield cover GJ Existing and proposed wells 69 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 9 Septic tank pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations 9 Laterals,trenchibed,top and surface water and critical areas 66 Observation port location bottom ❑ Location and orientation of 6f Clean-out location © Curtain drain collector curtain drain and all absorption ld Manifold placement 2f Sand augmentation components 9 Orifice placement Other cross-section detail: is Location and dimension of 9 Lateral placement with distance if Observation ports/clean-outs primary system and reserve area to edge of bed J1 Other Information l6 Buildings !� Audible/visual referenced Yes No 66 Direction of slope indicator 6f Scale of dra si n on scale 56 ❑Design staked out 56 Waterlines bar _ ��, ❑ Rf Recorded Notices attached �� 56 Roads,easements,driveways, ❑ l�Waiver(s)attached_%��° a"=���' �parking ❑pump curve attached �� �,��, 56 North arrow and scale drawing ? '� r. ❑ Cif Evaluation of failure `�' "� 3.' Nan-residential justification shown on scale bar `1q PAU�A JOY JOHNS0N LiCl�S�ti nSiGNi;Fi" r ❑ l�Waste strength macs i i ❑ 51 Flow DESIGN APPROVAL The undersigned designer must be potlfled by i ler at time of installation R1 Yes Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determin .be.in. compliance with state and local on-site regulations: 0 &,, En,Xfr Ial Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Updated Date: 17-0/2015