HomeMy WebLinkAboutWAT2024-00228 - WAT Application - 8/24/2023 WAT OOa`l a$
415 N.6°Seecl
MASON COUNTY Shchon,WA 98594
Shchon:360427-9670,Ext.400
0 COMMUNITY SERVICES BdTair:360-275-a67.Eat.400
BUN R ,l 1m'__1�I� Elms:36OA82-5269,Ext.400
Application for Determination of Water Adequacy
Instructions
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
Name on Applicant. Sam Mahn,Agentfor lennar NonhvreaL Inc Date: M4/2023
Mailing Address: 33455616A Sunit 1-e Federal WI,WA 08003 Phone: (253)294-1322
Parcel Number: z 51�tl1 'For Fuume Ha 0131
Type of Water System Reason for Application rr�11 ��7'1--17
® Public/Community Water System(2 or more 50 Building pennH-6UDAwT 0000" `
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
If you have more than one residence connected of water system below if applicable—no
to this well, check the Public/Community Water signature required)
System box.
Part 2: Water Connection Information
Complete the section appropriate for the type of water connection being evaluated:
Public Water System
Name of Water System: W,j& lit S
Water Facility Inventory(WFI)Number: OS'350
(write"none"for two-party)
B I am the manager of this water system.The water system has been approved for 140 services.
There are presently 74'1 connection(s)in use.This will be the 14f8 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 a its as by state @ d local regulation. /-
Signature of Water System Manager Date u�
This form may be scanned and available for public view at vnvw.co.mason.vm.us.
19EH pomp\Dnnking Winer Revisal 4W2018
Individual Water Well
❑ Water well report(attached to application). Depth ft.
❑ Well capacity Test(attached to application) gpm opd.
The well driller often performs well capacity tests at the time the well is constructed. Results from
these tests are noted on the water well report. Results from these tests will be accepted. If the water
well report cannot be located by the applicant or if the water well report does not have a capacity lest,
a well capacity test,which provides stabilization of draw-down and recovery data, must be performed
by a licensed contractor.
❑ Satisfactory bacteriological test(attach to application).
Water Resource Inventory Area (WRIA)
Development within which W RIA hti "/lois m mason wa us/olanning 14_15_16_22_
Water use or limitation recorded.................................... N/A Yes_
WellDrilled ............................................................... Date
Individual Spring/Surface Water
❑ W DOE permit(attach to application)
❑ Method of disinfection
❑ 1 have reason to believe that this water source can provide at least 800 gallons per day;andfor
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 Me future,or guarantee compliance with all applicable WDOE water resource regulations.
Recommended approval indicates requirements of Sanitary Code,Title 6,Chapter 6.66.040-Determination of
Adequacy for Building Permits are satisfied. Additional Growth Management requirements may apply. Chapter
06.70A RCW.
Unsatisfactory Determination:
Applicant's water supply does not appear adequate to meet the needs of its intended use for the following
reason(s).
Reviewers Signatures:
Environ. Health: Date
This form may be scanned and available for public view at www.co.mason.wa.us.
Pagc 2 of 2
BDILnIND SEIa4cKs:
F�NF. 10' SDE 5 RJk Id
5a . N15'12'45'E 50,00' TCE =INSTALL TEMP. CONST. ENTRANCE
PROPOSED ®INSTALL TEMP. SOIL STOCKPILE
CONTOURS
BSBL
(TYP)
I
TSB -< _2
5' - 15'
40 -
HS 131 w
n PROPOSED
SER
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I I �
/ EAVE
26 E R LOPE-
GARAGE R "'
51
27' CONC. 5•
m OKI511 VEWAY
r ES. STUB ,r'ri
4- ALK ' so--
m — — STORM r
J a STUB lm#t
NOTE:
TCE "POST CONSTRUCTION
ND DEPTH', WSDOE
WM ANAGEMENT MANUALSIDEWALK WASHINGTON.
SEPARATION NOTE
W- OTMM, p ANY PORTIONS OF STRUCTURES WITH LESS THAN
10-FEET OF SEPARATION SHALL BE FIRE RATED.
N15!lr45'W 50.00' INSTALL SILT FENCE. POWER TRANSFORMER SEI=K NOTES'
STILLY WATRE, OR 1. MINIMUM DISTANCE FROM ANY POWER
FUNCTIONALLY EOUIVALEM TRANSFORMER TO ANY DOOR, WINDOW, ON ALL
NON-COMBUSTIBLE MATERIALS SHALL BE
LOT SIZE = 5.750 SF 8-FEET.
IMPERVIOUS 2. MINIMUM DISTANCE FROM ANY POWER
TOTAL IMPERVIOUS: 2,604 SF (46.7%) TRANSFORMER TO ANY COMBUSTIBLE WALLS OR
ROOF: 2,004 SF ROOF SHALL BE 10-FEET.
DRIVEWAY: 532 SF MT WORK NOTE:
WALK: 40 SF LOT COVERAGE = 2,004 SF (34.9%) FIAT WORK IS SHOWN FOR ILLUSTRATIVE
PATIO: LOB SF (INCLUDES EAVES) PURPOSES ONLY. FIN& CONDITIONS MAY VARY.
Job Number n 1 20 LENNAR NORTHWEST LLC.
21885
9arghausen OLYMPIC RIDGE
sneeL oe.P w Conwttirkg Engineers,Inc. HOMESME 131
182I572n°Avenue South PARCEL NO. 12 3 2 8-51-0 0131
1 0/ Kent W 98 2
425751AM barghnoen.emll 170 NE OLYMPIC RIDGE, BELFAIR. WA
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