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Home My WebLink AboutCRT2023-00005 - CRT Loan Cert. / EH Review - 8/3/2023 LlruoobR(ZD 333 QGMi,}IL . Cuvtn ON CpU tom( �afl II4a V n des N� NOV 2 6 21123 Publid Health uw,y:waam r«e vre nn wena��Mr 415 N 6° Street, Bldg 8,Shelton WA 9B584 Shelton: (360)427-9670 ext 400 4 Belfair: (360)275-4467 ext 400 4 Elma:(360)482-5269 ext 400 FAX(360)427-7787 Wet Season Observations SWG: Qo I-S — 00499 1. Preliminary Activities A wet season monitoring program will be conducted after completion of the appropriate application form and payment of fees. The fees are based on whether the monitoring was performed by Mason County Public Health (6 inspections)or by a licensed designer(with 3 quality assurance inspections by Mason County Public Health.) If a licensed designer will be conducting the monitoring program,a site specific monitoring plan will be submitted by the designer as part of the overall system design. 2. Site Preparation A minimum of 2 observation ports will be installed in locations representative of a cross section of the proposed drainfield area.Recommended monitoring port design will consist of a vertically oriented section of 4 inch diameter perforated pipe, wrapped in filter fabric and bedded in clean,washed drainrock or pea-gravel that has been backfilled into a 12-24 inch test hole. The drainpipe should be capped and flagged so as to be easily visible to Public Health staff. 3. Observations and Presentation of Findings Wet season observations will take place during the months of January through March. The frequency and timing of observations will be dependent on site characteristics and on rainfall characteristics that occur during the monitoring period. The designer will submit a minimum of 6 observations along with the NCDC rainfall data for the area during the period of January through March ttt r//www ncAanoast gov/oa/mop/freedata.html). Observations will be recorded with the date and time of the observation and the depth of the water in the pipe. 4. Analysis of Findings Monitoring results will not be considered valid when the rainfall for the period of observation did not exceed 80%of the 10 year average rainfall for the area during the 6-month period of October through March. S. Site Sketch (location of test holes and numbers) ci- R7R C 4J rD LE Lo�-fl[mil. Updated 1/19/2016 r- Wet Season Observations Log Sheet Owner Name: Parcel Number: NOTE: All measurements are from original grade to water level, not top of pipe. Test Hole/Port #1 Test Hole/Port #2 Test Hole/Port #3 Test Hole/Port #4 Date& Results Date& Results Date& Results Date& Results Flip z —Uro may I7witex4 o-zo" gry v tv" ply 0 -1s" &Y �- zo Z3 30+ A w This form may be scanned and available for public view on the Mason County Web site. Updated 1/19/2016 A 985M MASON COUNTY 415 N6SHELTON:STREET,SHELTO70,EXT400 SHELTON:360421-9670,EXT 400 40 BELFAIR:38P2754467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360427-7787 EH REVIEW: PROPERTY/TEST HOLE EVALUATION CRT2023-00005 APPLICANT Greg Woodard Phone: Address: 12102 122nd eve a PUYALLUP,WA 98374 OWNER SCHLITTLER MARLENE Phone: Address: PO BOX 2147 GEARHART, OR 97138 Site Address: E Agate Beach Or Primary Parcel Number: 320245302011 Date Received: 0810112023 Date Inspected: 08/17/2023 Date Issued: 08/2112023 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 TEST HOLE#2 SHORELINE SETBACK DONE i, 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 orinspection and/or sampling. N e STREET,SHELTON WA 985M MASON COUNT pUG �g23 SHELTON:360427-9670,EXT.400 BELFAIR:360-2754487, IXT.400 Public Health & Human ServlC ELMA 360-482-5269.IXT 400 360427-7796 AU010 RECEIVED23 APPLICATION FOR ENVIRONMENTAL HEALTH REVIEW Permit Number Payment Information Type of Review Septic and Water $430 CRT Receipt Number J Septic $255 2UZ'3 Cash I Water $255(Individual and Two Parry) K. Check D Group B WS$95.00(+$95.00/hour beyond 1 hour) 0V O V I Date of Payment! M erty Prop Evaluation$350 Resample $301ab fee Instructions: Complete Parts 1, 2,and 3 completely and accurately. Wnh the application form, 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 NameofApplicant L'' jK'e6 LL26 UAt2-[) Phone 053-9S8-3?17 Mailing Address of Applicant 121 O Z- I ZZ ND 81:6 t City {�,k �tl rt.� State t,uR Zip 12-digit Tax Parcel No. 331?O 22r-1 - Q- 02011 Site Address _ E RT96, ,'' BB4ch DY -- Brief Legal Description ve ct! c6;TATE.t 3LK' 2- Lwr I I Driving Directipns -7-ALE F 57&rf Km-TE ' To E R647;i�RD 1`71," 6 0 s7n y onl E R Sstrs R D 7D 7f/£ bZpe S/tin/ Lmu p uw.C� R 6.<TE ST4BS� CdNtNAfE 5'7X9/GNT ON7d EG6NrNrresS RD 7H+�V `TirKs 77/E �� rc'r"r _ . .-n, c dcdr_— R>vlJ- 17Q /_nT 1/ lrhLL 86 GNl 2/dui2 R�� A�leaX 20o f%twzs L7ouwAf Z07: /Ln S72nIG / a/L�5 oN TiFE 1�)r £ S fkoPEn74r La err Page i of This form may be sunned and available for public view on the Mason County Web sihe. 12/82022 PfinteCl 1'fOETI jvlasoii %..,uuniy L3lVlo Printed from Mason County Di Mason County WA GIS Web Map E AGP7E BEACH DR0240000000 i .a 3202 30201 �O J20245302012 ` 320245J 020t1 320245302010 20245 02009 1 7D.'D 3202 30201 320245302019 320245302020 320245362021 320 E AGATE BEACH DR 202 11022 711212023,2:00:47 PM 1:384 0 0 0.01 0.01 mi V County Boundary 0 0.01 0.01 0.02 km u No Filled ° Site Address (Zoom in to 1:3.000) •_�E,na a.�w.aa.mo.a�,r�a amrA ren.ws,xnr tear aa,.K.m.�ri ae.o w.w.e« Tax Parcels (Zoom in to 1:30,000) Printed From Mason County yuIdLNY�gmisLL Eal Carr F'.1�10;.cvmn wC16llExiv.�afS.Ewe.VaW Printed from Mason County DMS