HomeMy WebLinkAboutBLD CD Environmental Health Review - 2/5/2020 MASON COUNTY PUBLIC HEALTH OFFICIAL USE ONLY
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COMMUNITY DEVELOPMENT
ENVIRONMENTAL HEALTH REVIEW
415 N.6M Street Shelton,WA 98584 oaenunbe.
13601427-9670,Ext 400 D60I 275J 67,Ext.40a _
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❑ Residential I�Commercial Lpl Tennant Review
❑ w ❑ Replacement [I Pre-Application + = a
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Remodel ❑ Addition ❑Other(explain below) eay.vm, xemow.
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❑ Sewer Connection ❑ New ❑ Existing S.Water Source Information
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usirg an«ininq onsrte sePtksynem will requireawrremmaintenarxe revon Please submit a completed Water Adequacy Form.
ands Bemm Onvanq vstuikl.opcumemz N<tote nrmex regwmmmu may An incomplete submitted Water Adequacy Form may be
beonfilewiM Mason Coumy Publk Health.Othmrequiremennmayappiy. returned,and hold up review process.
6.Site Plan
A scaled Site Plan is required with all permits,except Interior remodels. An incomplete submitted site plan may be returned,and
hold up rwiew process. Paper size for site plan can be 8.Sx11,8.504,or 11x17(max). Please use checklist below:
❑Propedylines/dimensions ❑Primary Drainfield area ❑Reserve Drainfieldarea ❑Existing/proposedwells []Waterlines
❑Septic Tankslocation ❑Locatbn of urtain/perimeter drains ❑Directionof5lope ❑Drweways/Parkingareas/Easements
❑Existing Structures/buildings ❑Pr ed u ures/Buildings ❑Sewerimes/tanks ❑Additions ❑North Armes ❑Scale Bar
Appllcant5ignature Data a0
OFFICIAL USE ONLY
Departmental Review App val Inds. Date Notes,Conditions,Related Permits
Water Adequacy
Sewer/Septic System
Tenant Review
Revision
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYWEBSITE eansea tzna915
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