HomeMy WebLinkAboutCRT2023-00005 - CRT Loan Cert. / EH Review - 8/1/2023 r
® MASON COUNTY /15N6SHELTON: ,SHELTO70,EXT SiA
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SH STREET,
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BELFAIR:360-275d467,EXT 400
Public Health & Human Services EIJAk 380<82-526B,ENT 400
FAX:360 27.7787
EH REVIEW: PROPERTYITEST HOLE EVALUATION CRT2023-00005
APPLICANT Greg Woodard Phone:
Address: 12102 122nd ave a PUYALLUP,WA 98374
OWNER SCHLITTLER MARLENE Phone:
Address: PO BOX 2147 GEARHART, OR 97138
Site Address: E Agate Beach Dr
Primary Parcel Number: 320245302011
Date Received: 0810112023
Date Inspected: 0 8/1 712 0 2 3
Date Issued: 08121/2023
Inspected By: Jeff Wilmoth
Fees Paid: $350.00
Inspection Results:
TEST HOLE#1 RESTRICTIVE LAYER DONE
TEST HOLE#1 SHORELINE SETBACK AWAITING
INSPECTION
TEST HOLE#1 SLOPE DONE
TEST HOLE#1 SOIL TYPE DONE
TEST HOLE#2 RESTRICTIVE LAYER DONE
f, TEST HOLE#2 SHORELINE SETBACK DONE
TEST HOLE#2 SLOPE DONE
TEST HOLE#2 SOIL TYPE DONE
TEST HOLE#3 RESTRICTIVE LAYER DONE
TEST HOLE#3 SHORELINE SETBACK DONE
TEST HOLE#3 SLOPE Done
TEST HOLE#3 SOIL TYPE DONE
Comments/Summary:
Test hols 2, 3,and 4 on the southern portion of the property were found to have very shallow mottling in the soils,around
the 5-6"mark,which usually indicates a high water table with insufficient soil for a septic system. If development in this
area is proposed a Winter Observation review will be required (See Section E of Mason County On-site Standards)
The test hole towards the center of the property had more soil,with 12"of sandy loam soil over mottling.With this soil
depth,an above ground mound type system would be required.
Please Note:Conditions reflect status at time o/inspection and/or sampling.
MASON COUNLey
N6TMLTREEr, SHELTONW EXT.
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1 Zp23 SHELTON:380 427-8870,EXT.400
Public Health & Human Ser BE ELMA 38P4WSM,EXT.400
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RECEIVED
APPLICATION FOR ENVIRONMENTAL HEALTH REVIEW
Permit Number Payment Information Type of Review
Septic and Water $430
CRT Receipt Number 13- Septic $255
2UZ� Cash Water $255(Individual and Two Parry)
!L Check - Group B WS$95.00(+$95.00/hour beyond 1 hour)
0(, O V I Q/ .F Party Evaluation$350
Date of Payment
'. ResamDle $301ab fee
Instructions: Complete Parts 1, 2, and 3 completely and accurately.With the application fore, please submit the
appropriate fee and the necessary documents such as a septic system maintenance report. If the application is for a
property evaluation for septic, be sure the test holes have been dug and the location is clearly marked at the site.
PART 1. APPLICANT AND PARCEL IDENTIFICATION
Name of Applicant l'—K E6 LOOODAIZD Phone 953-988
Mailing Address of Applicant 1210 I ZZ ND Avir 6
City 1V"u N UVO State LU K_ Zip ` 537q
12Cigit Tax Parcel No. 3202-4 53- O W 11
Site Address C A k 30 ah Dr
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Brief Legal Description -^- �^"' 'F&-gaTe� 3L.K' 2 Lzrr I
Driving Directions -rAILE F 67ATC FOWre 3 T4 E A6& E (TtfRiJ kY7
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Page I of 4
Thk form may be scanned and available for public view on the Mason County Web elta.
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Printed From Mason t;ounty i 1iili
Printed from Mason County DMS
Mason County WA GIS Web Map
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Printed From Mason County
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