HomeMy WebLinkAboutCOM2025-00058 CHANGE IN TENANT APPLICAITON - COM CD Environmental Health Review - 6/10/2025 Mason County Permit Center Use:
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COMMUNITY DEVELOPMENT Date Rcvd: to-/b - 2'
Permit Assistance Center, Building,Planning
CHANGE IN TENANT APPLICATION
Applicant Name: /(N0/14, 60
Mailing Address: K ( aOfe ,O0(NJ 49,0 S7 No -f ,
City: 41-yMPJ4 State: WA Zip: 9F001
Email: !j-Atbay5G0eeeaNNa6; .zap- Phone: 11/01 y0
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Project Information
Parcel#
Site Address: Z,!Q'7 A) us tf(g t'i y lb!, l"1/�Ie/ma A
City: 5HttrOA / State: £V4 Zip: 985w
Proposed Business Name: /1-6&,0 GlN.AIthjLC 2'
Proposed Use: ?cT�11'L CgnJ "&S crel(2 -RoAir Number of Employees: 3
Previous Business Name/Use: 5744u RE-mu- .S7 Y( 4--nesvT
Is the Structure Currently Occupied? O Yes its) No
If not occupied,how long has the structure been vacant?
Choose One: 0 Detached Single Level/Single Tenant ® Single Level/Multi-Tenant
0 Multi-Level/Single Tenant 0 Multi-Level/Multi-Tenant
Square Footage Basement: First Floor: /Oi ) Second Floor:
Is the Structure ADA Accessible? % Yes O No
Number of Restrooms? / Are the Restrooms ADA Accessible? 0 Yes O No
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Is the Structure Heated? 0 Yes 0 No 4-r r' p/t*, A.0,... Rim f}gc rya ,q4',ar P101
Type of Heat: O Furnace O Heat Pump Electric o adiant
Fuel Type: Electric 0 Liquid Propane 0 Natural Gas 0 Oil
Will Food be served? O Yes No
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Floor Layout: ®Yes O No Lighting:® Yes 0 No Heating: ® Yes 0 No Plumbing:® Yes 0 No
Exterior Fioishes:0YeS No Interior Finishes:®Yes Q No Parking: ® Yes° No Mechanical:®Yes 0 No
Is the structure in a mapped FEMA Flood Zone? O Yes 0 No
Is the Structure equipped with a Fire Sprinkler System? O Yes ® No
Fire Alarm System? 0 Yes ®No fr wru. if/9ue wi,%5
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Include with your application:
Floor Plan-
• Scale
• Room Dimensions
• Location of plumbing and mechanical fixtures
• Interior doors with swing radius
• Use of rooms
• Location of all exits and windows(include dimensions,counters,tables,shelving,benches,fire exits, and
exit signs)
Site Pan—
• Scale
• Property lines,easements,&right of ways
• Distance(in feet) from property line and structures APPROVED
• On-site sewage tanks,drain field,and reserve JUL 10 2025
• Location of fire hydrants&vehicle access roads
• Onsite Parking(include number,arrangement,and ADA) MASON COUNTY ENVIRONMENTAL HEALTH
• Location of all existing structures and dimensions RET
• Landscape buffer yards
• Well location
If construction or remodeling is proposed,additional permits and construction documents/drawings may be required.
OWNER/BUILDER acknowledges 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,owners legal representative,or contractor.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 authorized agent 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 & void if work or authorized construction is not
commenced within 180 days or if construction work is suspended for a period of 180 days.
Signature of Applicant l' Date /�V oo-S7-
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Reserve DF area per designer tole A mr R tilf0V;krAti,r-
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Jim Hunter &Associates
LOCATION: 2201 "A" 93RD Avenue SW • Olympia, WA 98512-9195
MAILING: P.O. Box 162 • Olympia, WA 98507
(360) 753-1226 • FAX: (360) 705-1360 • EMAIL: jhandassociates@hotmail.com
SEPTIC SYSTEM DESIGNERS
TO: Tim Goad
FROM: Adam Hunter—Licensed Onsite Sewage System Designer
PARCEL: 422235000911
7/8/25
ADDRESS: 22190 N US HWY 101 •.
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REGARDING: Change of Use
. •
PERMIT: COM2025-00058
DATE: 7/8/2025 ADAMJ NUl7TER
Mr. Goad,
Your stated plans are to add a cannabis retail outlet with no public restrooms and 2 employees per day.
You have also shated that you are planning to put a 2 bedroom apartment in the space.
Total daily flows are as follows:
Cannabis Employees— 16 Gallons/ Employee/ Day X 2 Employees= 32GPD
2 Bedroom Residence = 240 GPD
Total daily flows=272 GPD
Drainfield sizing:
150 lineal feet X 3 feet=450ft2
Soil Type—Grove Very Gravelly Loamy Sand—0.8 Application Rate
Maximum daily flows=360 GPD—the system can support the proposed use.
See attached site plan for reserve area designation.
If you have questions please call: 360-753-1226
Best regards,
Adam Hunter
US HWY 101
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7/8/25
PARKING
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ADAM J,NuNTER
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SCALE-1"=30'-0"
RETAIL SHOP&2 BDRM APART AENT
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_E -- EXISTING STUBOUT/CLEANOUT
EXISTING SEPTIC TANK
SHED
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JIM HUNTER& ASSOC.
P.O.BOX 162,OLY,WA 98507
753-1226
JHANDASSOCIATES@HOTMAILCOM
SITE PLAN SITE ADDRESS I LEGAL
22190 N US HWY 101
OWNER- TIM GOAD
TP# 422235000911 SITE# COM2025-00058