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HomeMy WebLinkAboutBLD2024-00941 MFG Home - BLD Application - 7/31/2024 RECEIVED s OCT 2 9 2024 MOW9 515 W. Alder Street Request for Revision of Approved Plans MASON COUNTY COMMUNM SERV Icr, Permit Number BLD/COM: 2-02- - 00941 Applicant Name: I 't MQMgAQUS Email: hone#: J6t.- 40.031K Project Title:MwAbt&•N Parcel Number: Please provide a complete, detailed description of the proposed revisions to the approved plans. Please return this form to the Mason County Permit Center. CUwi-would like-to reviSa proposal -Prow, a 4S'lwA M-R tp 6 oy'0' ( a Mh The following documents are required to be submitted with this form. ➢ One set of revised plans or addendum indicating the changes. Yes_ No ➢ One set of the approved construction plans. Yes_ No_ (The "Red Stamped"approved site plan must be included) ➢ Revisions are to be clouded with delta's clearly and accurately identified on the revised plan/s or addendum. Yes_ No_ ➢ Does the plan contain a structural, architectural or soils engineer analysis? Yes_ No_ (If yes, has the Registered Professional/s approved this revision) Yes_ No_ (Is a stamped and signed approval included with this request) Yes_ No_ (If no engineering or other changes requiring a registered professional have been made,the plan may be approved without written consent of the engineer or architect of record) ➢ Does the proposed revision modify the footprint or location of the structure/s? Yes_ No_ (If YES, is a revised site plan,with all new setback dimensions included with this request?) Yes_ No_ Additional Information: Applicants Signature: Date: la• 2014 STAFF R VIEW SECTION Reviewed by: Department Date Assigned Date Reviewers for Review Received Reviewer Approved Approval Original Valuation: $ Additional Valuation: $ Building '' fl I I-Ig A 'De Sq.Ft. X $ Planning j G I(i�`1/zy G Sq.Ft. X $ Additional Fees: $ Public �Q AGj AO Additional Plan Review: $ Health `/ �ya Additional Building Permit: $ I/ Additional Plumbing: $ Additional Mechanical: $ Fire Other: $ Marshal Total Due: 4 Public works Page 1 of 1 MASON COUNTY Permit No: ` "' `I 1 VE COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning JUL 31 2024 BUILDING PERMIT APPLICATION ri15 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ' NAME:Robert Lee Mougous NAME:NW Green Construction,Inc. B.mum N G MAILING ADDRESS:37 W Sekiu PI MAILING ADDRESS:261 N Hamilton RD CTTY:Elma STATE:WA ZIP:98541 CITY:Chehalis STATE:WA ZIP:98532 PHONE#1: PHONE:3607400345 CELL: PHONE#2: EMAIL:rebecca@nwgreenhomes.net EMAIL: L&I REG#NWGREGC92205 EXp PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER Q NAME Rebecca Meister(NW Green Construction,Inc.) EMAIL rebecca@nwgreenhomes.net MAILING ADDRESS 261 N Hamilton RD CITY Chehalis STATE WA ZIP 98532 PHONE 3607400345 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 51917-57-00029 ZONING LEGAL DESCRIPTION(Abbreviated) Lake Arrowhead#8 Lots:28.29,30 FIRE DISTRICT (7j SITE ADDRESS 37 W Sekiu Place CITY Elma DIRECTIONS TO SITE ADDRESS Take W Cloquallum Rd to Sekiu PI 24 min(15.7 mi) Tum left onto Sekiu PI IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Q SNOW LOAD:30 sf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE 0 RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑� Replacement USE OF STRUCTURE(Residence,Garage,Commemial Bldg,Etc.)Residential(SFR) IS USE: PRIMARY Q SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)❑� YES(Part(,)of Bldg)❑ NO❑ DESCRIBE WORK Placement of a 258 x 48 manufactured home with decks;connect to existing OSS and community water SOUARE FOOTAGE: (proposed) 1 ST FLOOR 1296 sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK 32 sq.fL COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached ElDetached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE Fleetwood Homes MODEL Eagle 28483S YEAR 2024 LENGTH 48 WIDTH 28'8 BEDROOMS 1 BATHS 2 SERIAL NUMBER To be assigned ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC El SEWER❑ / NEW❑ EXISTING El PLUMBING IN STRUCTURE? YES I] NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOE] EXISTING SQ.FT. EXISTING BEDROOMS 2 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1 OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit(application becomes null 8 void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERM PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08A2) X 7/30/2024 S ig n atid re of OWNER Mus be slaryfid by the OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH lipMASON COUNTY Permit No: COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center, Building,Planning JUL 31 2024 BUILDING PERMIT APPL �-ATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION. Al U-1E r Street NAME:Robert Lee Mougous NAME:NW Green Construction,Inc. MAILING ADDRESS:37 W Sekiu PI MAILING ADDRESS:261 N Hamilton RD CITY:Elma STATE:WA ZIP:98541 CITY:Chehalis STATE:WA ZIP:98532 PHONE#1: PHONE:3607400345 CELL: PHONE#2: EMAIL:rebecca@nwgreenhomes.net EMAIL: L&I REG#NWGREGC92245 EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER 0 2 NAME Rebecca Meister(NW Green Construction,Inc.) EMAIL rbecca@nwgreenhomes.net MAILING ADDRESS 261 N Hamilton RD CITy Chehalis STATE WA ZIP 98532 PHONE 3607400345 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 51917-57-00029 ZONING i LEGAL DESCRIPTION(Abbreviated) Lake Arrowhead#8 Lots:28,29,30 FIRE DISTRICT I�j SITE ADDRESS 37 W Sekiu Place CITY Elma DIRECTIONS TO SITE ADDRESS Take W Cloquallum Rd to Sekiu PI 24 min(15.7 mi) Turn left onto Sekiu PI IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO I] SNOW LOAD:3�sf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all chat apply): SALTWATER❑ LAKE I] RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER 0 Replacement USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residential(SFR) IS USE: PRIMARY Q SEASONAL[] NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)Q YES(part(sjofBldg)❑ NO❑ DESCRIBE WORK Placement of a 26-8 x 48 manufactured home with decks;connect to existing OSS and community water SOUARE FOOTAGE:(proposed) 1 ST FLOOR 1296 sq.fL 2ND FLOOR sq.fL 3RD FLOOR sq.fL BASEMENT sq.fL DECK 32 sq.fL COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUMED* MAKE Fleetwood Homes MODEL Eagle 28483S YEAR 2024 LENGTH48 WIDTH 26'8 BEDROOMS 1 BATHS 2 SERIAL NUMBER To be assigned ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING El PLUMBING IN STRUCTURE? YES I] NO❑ Ifyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOE] EXISTING SQ.FT. EXISTING BEDROOMS 2 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1 OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null i£void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMI PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08A2) X 7/30/2024 Signa re of OWNER Mu be sion6d bv the OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT G w-I -11 FIRE MARSHAL PUBLIC HEALTH BLD2024-00941 REVISED EH APPROVED EH Setbacks 11 .13.24 SITE PLAN Rhonda Thompson 11/13/2024 A.) Drainfield/Reserve requires 10'setback from footing/foundations �, l B.)Septic tank(s)requires 5'setback from all footing/foundations r T �0t�1C�b�� C.)No foundation/Perimeter Drains within 30ft,downgradient of � � Drainfield/Reserve area ITE �cbT? S_S' 3-7 `tA pL D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area 0.5 3a.Fr ,a i I _ APPROVED MASON COUNTY DCD PLANNINI / SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL By: _ Date: 11/14/2024 i EKE 49 �/ 4 ►� o�nl!-� t� Ay IV o�� PLANNING SETBACKS 40 14` Setbacks measured from farthest projection of structure ' SQL Front: 25' (Seiku PI)b�,1 a� Rear: 40' (north & east) from OHWM ' s5m�n Side: 20' (south & west) *Subject to EH Setbacks a Disclaimer: Mason County does not require a survey to obtain a f; building permit. As a result, site plans may not reflect Structural footprint strictly limited to ''a� accurate data. It is the applicant's responsibility to 1625 square feet for all structures on `i..� comply with setback requirements. site total. t�ld q,41 S rrE l bp►? SS 37 \PJ. SSi4-1(A VI-,eLM-\ -MA: 519 17-57-0002. 1 o WAY IQ -00 J EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30ft,downgradient of E H APPROVED Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5tt and over 45 degrees)within Thompson Son 10/02/2024 50ft,down gradient of Drainfield/Reserve area �4 p EH APPROVED EH Setbacks Rhonda Thompson 11/13/2024 A.) Drainfield/Reserve requires 10'setback from footing/foundations �_/� B.)Septic tank(s)requires 5'setback from all footing/foundations bV�l(�1 R �20$ � 1 ����0CA C.) No foundation/Perimeter Drains within 30ft,downgradient of - Drainfield/Reserve area v0-cSS= 37 W. SSe--VA VL-, D.)No Cut Bank(s) (greater than 5ft and over 45 degrees)within - - 50ft,down gradient of Drainfield/Reserve area ct2�S o.S 5cAt-� 1 lmck-1 = 3aFT Dot V �\ t-V a /4 i ioo\ "'�- BLD2024-00941 REVISED 11.13.24 SITE PLAN JUL 31 2024 .. � 5 W. alder Street NW Green Homes-Mougous L E C E N I! PEAT TAPE OFF me"ON UNDERSIDE or Ewa YITP1 (WWl 2'or WATER SO FLY INLET 1..!REC¢PrACLB 8'-10 1/4• 5'-1 3/4• 1E1-2 I/2• S'-3 1/2• 10'-8• - —•------ -----�—�( O THERMOSTAT VJMIOAS 1 S�IOFS SWITCH orc nllr YSIP/ oA On O'ND Gr Or.,YREW N t HNtw 4 O ^W 0" PT O 0- V78J5x: PT - 8 10 �L1087 FIXTURE 1 REGE 98so •'1.\ SZS 7 f nil S 41 f 1 GNT 'I BATH 1 u II-` cry- r _!P 3-Ate 2 11..��PfI,NE J/v OFF 1 ®EXHAUST FAN 9PS•�JLOYSS PP_. )pP1LITY ` \4Y F/1 IUJICC W SYEAF�— , _ ._AE910'8_. 38,4 PANSL BO% 1 (pvfi 1 , I T R[TCREN s m 1� Orr f VI Ill See N ©SOLAR 1Vtl6 INI1ITI'I 11N6t , FA f Pf I{LI 7 1 It DPT. C f P2 ' Den t �' O AIR 5 i a SUPPLY Dia ram A,f 14«REYDAN FAN AIR JO O RAG RETURN AIR 4 rl 1 DINING AN GF1 f OPT A�9 t GRILLE •PEN SCUP f �j 62.3 sgf 4 s ova READ fn REGISTER p el O'COING Ill (co I A FLOOR REGISTER 36_R , Open q�q ` CROSS-OVER OPT ' C ' Y LOCA?i ON m2Z�' s SUPPORT POST 4C0 O O � (MVy ' HNdRRNA.LL 31 j 2. 8, DORMER � OPI x1AR t / L1, 15 1rT Q SNORE ALANPS EMCC NN TAII // / 1\\ U Seems 4 n (COP OPT CO ALARM Office v ISTD W/GAS) BEDROOM 1 A j \\ /%/ !RACE FOR rAN Dia ram 6 O 160 R 48'-0• 164.0 Rqt ) \\ LIV=NG ROOM 139.9 Rof 215.S © 160 X 48'-0« \ 15 rqf 15 6 © % cam W ___ _.1, tImYBNR�.OD.• 16 Ylyd`!sl O1 4 16 77 9 wpm 16 6400DBURN Y4ES5d1 V4SSSSB 210 rlmpper NA1Q .._.�.. 151-0• 21'-5 214' 111-6 1/4• EAGLE 4E1-o• y) 11 1. Hose Bibb 2.Office 3. Den 4.Increase Int.door size to 36" 5. 36"Ext.door IPO std 6.72x15 Loft wdw 7.24x40 wdw 8.OBS Gunslot wdw(2) 2 8 9 6 3 5 pNA.-YY Y1tLL 9.Move Std 78x59 wdw+Add 78x59 wdw(Space wdws evenly on wall) 10.36x59 wdw 11.46x59 wdw(2)12.dual lavy 8E drawer bank 13.oval t/s FLOOR PLAN 14. BiFold Door 15.CAN Li ht 4 16 Ext.GFI 3 dAYY Mr' COMBINED FOR GLAZING/VENTING REQUIREMENTS. Salinas 0. i 4. THE MAXIMUM TRAVEL DISTANCE FROM ANY BEDROOM DOORWAY TO AN 0 Iwnt 01/24/24 IBIS FLOOR PLAN AND ATTACHED OPTION DETAILS (IF APPLIGBLE) ENTRY DOOR IS 24.1 LF. YR6POrM ANT Ac' 18 DE9_GNED TO MEETYX8 FOLLOWING STR AL REQUIREMENTS: 5, POST LOCATIONS WILL BE ABED FDR 102• SIDEWALLS. MUDMMCSS WIND SONS(S) 1 ROOF LOAD(91 Zo LEE. PERIMETER HERING REQUIRED 1'1'"' 11.1 H 1280 _ 21EC28403S PPS o1W4IIYY WE EOGV111ent is Cumd EY Of 010242024 4e)LO2C)aq-0o�y/ Mason County Building Division RECEIVED MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS JUL 31 2024 UNIT INFORMATION: Snow Load 01 Alder Street Make eQtV�100� Model 2_V4003S Year 2-D2L+ Square feet 12`��p Width 2_0' o Length L{'rd Single/Double/triple-wide(indicate) NEW or Replacement (indicate) All footings must be min. 12"below natural grade within 24" of the skirting when perimeter blocking is required. When a relocated unit AND the manufactures specification are not available the HUD 24 CFR 3285 must be used for required pier plan,standards and set-up. Allowable Pressure(Pound Per Square Foot)No Allowances made for overburden pressure,embedment depth,water table height,or settlement problems Soil bearing is assumed at 1500 psi If set-up is using a greater soil bearing capacity a soil report from a design professional is required Fill(compact or uncompacted) Compaction Report required through Special analysis Peat or organic clays Compaction Report required through Special analysis SET UP SPECIFICATION$: S Manufacturer's Pier Plan O HUD24 CFR part 3285 FOUNDATION: Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/ HUD24 CFR part 3285 99 Pads 9( Concrete(pre-cast) O ABS Pads(Poly) provide manufactures specification with capacities. O Continuous concrete footing(runners) O Slab ANCHORING: O Ground A Magnum O Concrete-2500 PSI O J-bolt O Expansion bolt For new units,this information can be obtained from the home retailer or contractor. Previously owned units,which manufacture's instruction are not available must utilize the HUD24 CFR part 3285 code for installation.Washington State law requires that a certified installer install manufactured homes. The undersigned I hereby acknowledge he/she does understand that the Mason County submittal and review processes will be based on the information provided herein and will be verified at time of inspection. �'Z� X Applicant/Dealer/Installer(indicate) Date ' t AUk a�I�(Xqq� Name Yr IOIA0���1.� Parcel# �j1q1� ' S,- 00 029 BLD# BUILQ,ING Mason County RECEIVED tment of Community Development Small Parcel Stormwater Management Application/Worksheet (pAol1nVM) 5 W. Alder Street Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of Stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X 2b 06 = 11A6 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways X UQ X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X �{ _ X If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) 1-72 c If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described pr erty for review and inspection as may be required. X Owner/ ent/ ontractor(circle one)Date: 30 ZOZ` If the Total pervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Pagel of 2 Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website: hgp//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and Stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98584 Physical: 415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical: 426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2