HomeMy WebLinkAboutswg95-0115 - SWG Application - 3/17/1997 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Planning Division
411 N. Fifth, P.O. Box 578, Shelton, WA 98584
(360) 427-9670
DATE: 04/15/97
TO: STEVEN JOHNSON INC.
P.O., BOX 488
BHLFAIR WA 98528
RE:. Septic Permit Application
Case No. : RLC97-0064
Parcel No. : 123312290042
Dear Applicant:
As part of this department's review on your permit application, a
Resource Lands and Critical Areas (RLC) site inspection was performed on
your property. Below you will find comments made regarding the proposed
development and its critical values.
In some cases, setbacks for development from steep slopes, streams,
wetlands, and waterbodies must be included in your specific proposal;
these setbacks are included as part of the comments listed below.
Please contact me at (360) 427-9670 or (360) 275-4467, ext. M6� if you
have any questions.
Sincerely,
La Ad Use Planner
Department of Community Development
CON14ENTS:
No critical resource on site but 10-12% slopes in the front 80-100' depth
of lot. Foundation of a proposed building will need some excavation and
higher foundation walls if proposed on the 10-12% slopes.
RLC, rev. 09/26/96
ON-SITE SEWAGE SYSTEM ITF y,!J.UA ON:AND DISPOSAL PERMIT
• PERMIT NO. SWG - r m v
MASON COUNTY DEPARTMENT OF HEALTH SERVIES m
a Date - 1 -41�• =:
426 WO /P.O. BOX 1666/SHELTON,WA 98584 --
PHONE(360)427.9670 Amoum E 7 I - z a
: , i _ I r 7 CHECK APPLICABLE ITEMS ✓
,
RAILING ADDRESS: DAYTIME PHONE: NEW SYSTEM •� .
�• REPAIR SYSTEM
L
;ITY: STATE: Z P° MAINTENANCE REVIEW Z) m
I SINGLE FAMILY
r 5
OTHER
bROPERTY ADDRESS: ' '
SPECIFY: ff
;PECIFIC DIRECTIONS FOR LOCATING SITE: PRIVATE WELL %
�- N n'A% -'f1 rJ• CAMMUNfTVWELLNUBUC SYSTEM Q I_
SYSTEM WFI k
SYSTEM NAME
APPLICANT
v NAME P I U•1
Name of 1'IT Lot fi*T�x 131fL x B':'1+ IiJ fh MAILING ADDRESS P. /7 O IW 3
nstaller �( "IIC�V r Q
S / o acres TELEPHONE - 3: I_ I
Name of . . ed . IGNATUI , 1 8•
Designer l4re !Bedroom.
S t '
PLOT PLAN
Draw a dimensional plot plan, 7 a an
Inclyding: - .4 I -�
A Precise location of test 4oav1
' les,showing
I ?
Veasured distances to A'c--� • j r+,i' ,'
property boundaries. 9 20>
9 Entry roosiadd;other roads, 1
tjlvewa�s.', �O
T
NOTE. DO NOT DRAW IN
SYSTEM DESIGN 1tn., I
EPxsftur
OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. a&
i
SOIL LOGS ry 4 O 5 3ry !
V -n11 0-At" koemy
3T•59 ua' gw1e'�swAs � rf +v cup 9
s11- 71 Sao
Zq e�y rslao0.34M+Pak -01 71-bY fawpo,& A 1
vy 73unpafEl,ro""ebd O_Z310Cyse.
'({I3 d Depth from Original
-N ,W! 1yN1 N1Q HISS 1'�'SL W.r. A I I Grade to Restrictive
' •.+••TT� Layer or Water Table: In.
3�a ht o111t
DESIGNER DESIGNATION_$PORES MINIMUM SYSTEM REQUIREMENTS
Fndin Score Designer Level: ❑One Vwo
Soil Type
Septic Tank Daily
ryg� In. Capacity: IzO Gal. Flow: XoO GPD
Slope % Appl. Infilt
Parcel Size I •0 A�. Rota GPD/FT' Area y� FTC
Distance to Shoreline�" N. Total In ectr Date
COMME��N/TSICONDITI NS®,R A,�iA�� �„
A1.1 AZ/uf �� tit H72Yi
•All septic systems must be designed and installeQ by contractors certified by Mason County Department of Health Services,unless prior approval is
granted by the department,or the design is by a professional engineer. '^
•Septic permit approval does not imply other building site requirements(i.e. PLO,Water Adequacy)have been met.
•Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit.
•This permit expires 2 years from the date of site review.Denial of thispennit may bltappealed to the Health Officer whin 10 days of denial date.
SITE VEW: n DESIGN REVIEW:O Approved yNot Approved INSTALLATIONO Approved ❑Not Approved
nv. E•A(i' DATE• BV: DATE: BY: DATE:
I
TOP:Health:Dept..Copy MIDDLE: Designer's Copy . .BOTTOM:Applicant's Copy