HomeMy WebLinkAboutWAT2018-00034 - WAT Application - 7/9/2018 wAT2ol8 - anal
MASON COUNTY
COMMUNITY SERVICES
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415 N 6-Street, Bldg 8,Shelton WA 98584,
Shelton: (360)427-9670 ext 400 � Belfair. (360)275-4467 ext 400 4 Elma: (360)482-5269 ext 4W
FAX(350)427-7787
Application
Determination of Water Adequacy
Instructions -[;i /
1. Complete Part 1. No determination can be made until Part 1 is fully completed.
2. Complete only the portion of Part 2 applying to the type of water connection utilized.
3. Submit completed application,with any required attachments for review.
4. An approved building site plan must accompany this application.
Part 1: Applicant/ Parcel Identification r7
Name on Applican Date:
Mailing Address: 4c542 Es4 -+- Phone:
Parcel Number: 9E�6ZB
Type of Water System Reason r plication
PubliclCommunity Water System (2 or more Building permit �l IS 16 1'�
connections) ❑ Division of land:
❑ Individual water source(one connection), #of Parcels? SPL
❑ Well ❑ Boundary line adjustment
❑ Spring/surface water ❑ Other(explain)
❑ Other(explain)
❑ Replacement or Remodel(please indicate name
ff you have more than one residen co t of water system below If applicable—no
to this welt, check the PubliclCommu " er signature required)
System box.
Part 2: Wate'onappr
neetor
tion
Complete thesee of water connection being evaluated:
Public Water System ee p
Name of Water System: 50 6LC .P
Water Facility Inventory(WFI)Number. non E
(write"none"for two-parry)
I am the manager of thi water system.The water system has been approved for a- services.
There are presently I connection(s) in use. This will be the .� connection.
❑ 1 am the manager of this system. This connection will be to upgrade or change the use of an existing
connection on this system (i.e.: recreational to full time). Please indicate on the following line the nature
of this change:
This water system is able and willing to provide water to this (these)connection(s)without exceeding
the limits of the water system or any limits set by state and local regulation.
Signature of Water System Manager Date
This form may be scanned and available for public view at www.co,mason.wa.us.
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I �
Individual Water Well
FOWater well report(attached to application). Depthapacity Test(attached to application) opm opd.
ell driller often performs well capacity tests at the time the well is constructed. Results from
ests are noted on the water well report Results from these tests will be accepted. If the water
port cannot be located by the applicant or ff the water well report does not have a rapacity test,capacity test, which provides stabilization of draw-down and recovery data, must be performed
censed contractor.
❑ Satisfactory bacteriological test(attach to application).
Water Resource Inventory Area (WRIA)
Development within which WRIA htto-//gis co mason wa us/planning 14_15_16_22_
Water use or limitation recorded._..........—................... N/A Yes
Well Drilled ............................................................... Date
Individual Spring/Surface Water
❑ WDOE permit(attach to application)
❑ Method of disinfection
❑ 1 have reason to believe that this water source can provide at least 800 gallons per,day; and/or
provides water at a rate of 2 gallons per minute based on the following observations.
Author of Statement Date
Relationship to Applicant
Part 3: Mason County Community Services Evaluation (staff use only)
❑ Satisfactory Determination:
This determination does not address adequacy of the distribution system,guarantee an adequate supply of
water indefinitely in the future,or guarantee mmplianoe with all applicable VJDOE water resourw regulations.
Recommended approval indimtes requirements of Sanitary Code,7ftle 6, Chapter 6.68-040.Detemiinafion of
Adequacy for Building Permits are satisfied. Additional Growth Management requirements may apply. Chapter
36.70A RCW.
❑ Unsatisfactory Determination:
Applicant's water supply does not appear adequate to meet the needs of its intended use for the Following
reason(s).
Reviewer's Signatures:
Environ. Heafth: Date
CSD Director. Date o oN
From: Bart Stepp
To: Genie McFarland
CC: Michele Morris; Robert Choate
Date: 6/7/2018 1:46 PM
Subject: Re: Daniel Robinson
The existing grinder pump will be adequate for the additional bedroom. Adding the accessory dwelling
unit does raise the monthly charge of sewer though as it is considered 0.7 of a residential equivalent unit.
So it would be an additional monthly charge of$75.14/month once the ADU is complete.
Bart
Bart Stepp, PE
Mason County
Deputy Director Public Works- Utilities and Waste Division
100 Public Works Drive
Shelton, WA 98584
(360)427-9670 x652
BStepp@m.mawn.wa.us
>>> Genie McFarland 6/7/2018 10:02 AM >>>
Good Morning Bart, We have an issued permit for a detached garage with bonus room. Mr. Robinson
would like to turn in a revision to change the bonus room to an AD (Accessory Dwelling Unit). His
property is located on State Route 302 within the North Bay Sewer.
Finally the question....when adding an additional bedroom will the existing grinder pump be adequate.
12228-50-01002
4552 E State Route 302, Belfair
Thanks
Genie McFarland
Permit Technician
Gmm(a)co.mason.wa.us
360.427.9670 ext.284