HomeMy WebLinkAboutSWG2025-00427 - SWG Application / Design - 11/17/2025 a , MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00427
APPLICANT JOHNSON MARGARET Phone: 360-426-0833
Address: 131 SE BLACKWELDER RD SHELTON, WA 98584
SEPTIC DESIGNER Micah Halverson Phone: 360-490-6365
Address: PO Box 1519 SHELTON, WA 98584
SEPTIC INSTALLER JAMIE WORKMAN* Phone: 360-463-9573
Address: 120 E TIMBERLAKE DR SHELTON, WA 98584
Site Address: 131 SE Blackwelder Rd
Primary Parcel Number: 319202300011
Permit Description: New ADU 3-bedroom pressure system with Nuwater BNR500 ATU
and trench drainfield
Permit Submitted Date: 10/23/2025
Permit Issued Date: 11/17/2025
Issued By: David Anderson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/03/2028 (based on date of inspection)
Permit Conditions:
1 Approval of this septic permit does not approve the building location. Building location is
subject to approval from all applicable departments and regulations.
2 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
3 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
4 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
5 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
7 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USEONLY
MASON COUNTY DATE RECEIVED. Io/a3(//a6a�
M cn D
c cn
AMOUNT RECEIVED: RECEIVED BY: "` CO m
s Public Health & Human Services `$ 555 ONLt1JE cn
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 ^�/ N
415 N.6th Street-Shelton,WA 98584 S W G /�a5 _ qo / O x
LJ�1(J colJV tt//��1 Z of
ON-SITE SEWAGE SYSTEM APPLICATION
a x
m C)
APPLICANT PHONE m Ill
Eric DeWitt 4IIN 206-999-4644 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g
131 SE BLACKWELDER RD c viiiiti Shelton Wa. 98584 0
SITE ADDRESS-STREET,CITY.ZIP CODE 14 /, •
•
Same as Mailing //��Q\ / I �''
NAME OF DESIGNER e.: V ,,f PHONE.
\�l MO fir.:4.
Micah Halverson 360-490-6365
NAME OF INSTALLER /r PHONE !'* I �
0
Jamie Workman "4 'or.*360-463-9573 <
IN
PERMIT TYPE(select one) DRINKING WATER SOURCE
J( RESIDENTIAL OSS �I COMMUNITY OSS Fl COMMERCIAL OSS 5-PRIVATE INDIVIDUAL WELL ff PRIVATE TWO-PARTY WELL Z I O
TYPE OF WORK(select one) lr PUBLIC WATER SYSTEM
PT
NEW CONSTRUCTION/UPGRADES ft REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I IV
SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE ❑ SHORELINE
IirDESIGN FORM(REQUIRED) W SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? r I (A)O 5- El I
5-WAIVER(S) 7.89 YES Q NO X I O
DIRECTIONS TO SITE AND SITE CONDITIONS:(es.locked gate)
Please Contact Property Owner for Gate Access. I o
PEG JOHNSON 360-426-0833
r
O I D
( —
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE OCOMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
3. Tf-s:v- 10 5Jc? t (ryf c) Om lOa�
rust of 30 tad otrt- .
T in:0 -Z 5 4 5 'C( L
T"jiof2 ' " v( tier
11f ('-)1' 5;L( L
r2c5fu-f 31 " V(4401
RECORD DRAWING ANC INSTALLATION REPORT r
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTO SIGNATURE DATE APPLICATION EXPIRATION DATE APPLIC• • APPROVED/ISSUED BY DATE
� «V3 I 3 ?o Z /i 11 / TPIOZ�'
�z Z�� I � G � S �
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE ( I- Revised:4/14/2025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 1 9 2 0 — 2 3 — 0 0 0 1 1
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dated. '1 Scaled layout sketch,including all applicable items on checklist.
'1 Scaled plot plan,including all applicable items on checklist. '1 Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17"
coPARCEL IDENTIFICATION
Permit Number: SWG 7V/J W?s' y? 7 Designer's Name: Micah Halverson
Applicant's Name: Eric DeWitt Designer's Phone Number: 360-490-6365
Mailing Address: 131 SE BLACKWELDER RD Designer's Address: PO Box 1519
Shelton Wa 98584 City State Zip Shelton Wa 98584
City State Zip Designer's Email halversondesignlIc@outlooks
DESIGN PARAMETERS
Treatment Device
❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter O ATIT BNR-500 U Other
Treatment Level (check all that apply): ❑ A O B ❑C ❑ Bl,I E BL2 ❑ BL3 El L fl N
Drainfield Type 4.�
'❑ Gravity I Pressure ['Trench 0 Bed 0 :ub Sur rip
Septic Tank/Drainfield Specifications Laterals 4) ��<
Number of Bedrooms 3 Schedule/Class 40 t^Op O�`S
Daily Flow:Operating Capacity 270 gpd Length 54 ft
Daily Flow: Design Flow 360 gpd Diameter 1 1/4 in
Septic Tank Capacity(working) 500+NuWater gal Number 4
Receiving Soil Type(1-6) 5 Separation 6'On-Center ft
Receiving Soil Appl.Rate .56 gpd/ft2 Orifices
Required Primary Area 642.86 ft2 Total Number of Orifices 36
Designed Primary Area 648 ft2 Diameter 3/16 in
Designed Reserve Area 972 ft2 Spacing 72 in
Trench/Bed Width 3 ft Manifold
i Trench/Bed Length 216 ft Schedule/Class 40
Elevation Measurements Length Preferred ft
1 Original Drainfield Area Slope 7 % Diameter 2 in
New Slope, If Altered same % Preferred manifold configuration used? G 'Ycs 0 No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade Down-slope 9.48 in Schedule/Class 40
Designed Vertical Separation 12 in Length < 50 ft
Gravel-based Drainfield Required? I!1 Yes 0 No Diameter 2 in
Pump Required'? lif Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump& Uppermost Orifice 10 ft Dosc quantity 45 gal
Drainfield Squirt Height/Selected Residual(head) 2+ ft Chamber Capacity(flood) 1223 gal
Uppermost Orifice Fe Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 25.91 gpm lit Timer 0 Elapse Meter ❑went Counter
Calculated Total Pressure Head 11.26 ft If Timer: Pump on TBD ,Pump off 4hrs
Comments
Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 1 9 2 0 -- 2 3 -- 0 0 0 1 1
Permit Number: SWG ?6 - CDOC-Ia7
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
El Test hole locations 1if Drainfield orientation and layout Reference depth from original grade:
0 Soil logs g Trench/bed dimensions and g Septic tank
g Property lines ' critical distances within layout g Drainfield cover
g Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
g Measurements to cuts,banks,and locations lif Laterals,trench bed, top and
surface water and critical areas g Observation port location bottom
lZi Location and orientation of lif Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement 0 Sand augmentation
components lI Orifice placement Other cross-section detail:
Location and dimension of El Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
10 Buildings
g Audible/visual alarm referenced Yes No
lij Direction of slope indicator 21 Scale of drawing shown on scale g l� 0 Design staked out
g Waterlines bar 0 if Recorded Notices attached
g Roads,easements,driveways, 0 Elevation benchmark and relative 0 121 Waiver(s)attached
parking elevations of system components if 0 Pump curve attached
El North arrow and scale drawing 0 g Evaluation of failure
shown on scale bar Non-residential justification
❑ l21 Waste strength
❑ l21 Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation g Yes 0 No
711caV/41 .a6rL /0/23/2025
Signature of Designer Date ri
The undersigned has reviewed this design on behalf of Mason County Public Health and ofe_er n,, ' :
compliance with state and local on-sit ulations: V 10
/( / ( '/?o?f h14S0 N°V1? ?025
. N UOUN
En mental Health Specialist Datc TyEN
DVII RON�E AC
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONtin ION HEALTH
✓ The design is stamped"Approved"by Mason County Public Health.✓ The Onsite Sewage Permit has not expired, the Permit Expiration Date is: , I I /o7 f (Zo?
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
Please Note: The system must be installed by a certified installer,
unless prior authorization is obtained from Mason County Public Health.
An Installation Fee is required.
This form may be scanned and available for public view on the Mason County Web site. Revised:4/14/2025
Tabloid 11"X 17"
0
' te a • �
► /all'
o aQ� (C]
. O 3 r. Qoa / (1)o v i• 200'+/- p4 a
T
o c
- - 8 g 9..). • --;,2,-;y_s7
• `O O
• aim / / 2 2 -
• m a ► N
o • N N r
: . Nmm / / I , p o .tom O O
. ry -am r. / I W IV N
• =m n� I W P (n
g= o r. I. 77 ^ /�
• N a N • I I S (_n _� T �J E (A (n U J
N ► I O r Q Q 1 r- o (v
• a m a - t I : n O < ciT n o <
• m� g I I C70 n0 (n
• o m I - Iv -
m v I I < < < <
o o
• , m I x- or
Q � sv
a
• o• o g, jn I 1 o'
•• - a a 1 i'•.
E., " I
• o a
_ o II -
• < a • I a -I
: fan I I I
QQ II x CO• Ni
• 1 1 3 O - O
.m m ► •
5-
Km INN .. co O A
• - o c� " I 1 - • ECnW CO � �1 � I►
••- �� I I < Ofr - To ,v
. ao I I / o CD ,-,- O <
• 7 m • I a a- c C v - =
CO
n I l� \ `is O ig
11
co
1 - ` /I
E = a I •
D o I
ti Q 1 •
a I
14,07 I I m v,
o..
i I �0
;�O
I 0
I � r0
w
I a
'-' I D
u
I I X� -w - \ /
I I n `1•
3m \ / * \ IIP-
rr x
. / � ' \ / 0, \
1 I ccm os. II
I ' / uc:13 a* ) \/ 0 <.
o I \ / /'.� 1 \ Ina
aa
' , � 11 •. W l IIP
i A a m
a _ _ — S 1; 0
0 0 ii
1 \ II - j -m /
_ 18 h rn v
I - 0 / \ ail 3,o /
I
1 1 a \ K.
, F ..,
,t,
4 .
10'Setback T `.•
x. \aw
fD ,,,
o
\ ____.,_
_.Nlrl
i.,,.r
rt 7
p F, @
r'
l?0,_
j�`` =v` w ,0 N \I .
% Cbii‘SI
u ! !! �� ����``�%3j aao�Sea�dp\a.\*..1,.a,x,,,,..\,4..,a,5-,.-','"i ,moo
4 1 .2 ,:scairtip , A,„, ....011„:6,,
CO w
SD al-
Hi i <
5.
( i - a) g
% (n (n Air 1
i
r
M.Halverson Design LLC Owner/ JOHNSON MARGARET Site Info: Parcel#31920-23-00011 SHEET NUMBER
Applicant: DeWITT, ERIC
PO Box 1519 Shelton Wa 98584
Halversondesignllc@outlook.com Mailing:131 SE BLACKWELDER RD,SHELTON 98584 131 SE BLACKWELDER RD RE-VISION r
Tabloid 11"X 17"
I .
I 7
I 71
I I / a)
I � k I // 0
1 o) I
' / Iv
o � I �1 0
_ _ • ` Fence- — -o - U'
v $—Fence — —
Fa
o o S
a
3
z
w 3 3
o
O 7
i W
13 E
m
m 3 v
3 3 0
A
o
t.
y� rtU v1/i,i
. \X') '
;\\. di �6` C. :',,,
.
o 4�' as
� 129 4
g\A c;), \
o m "'
a Co ni N
ril
i a
CD
co , co
dr%,*--76::::::7 3 ,... N s Ss Ns N s ,s ,..)... ,‘ 13 , ,‘-2. , , -2. ,
\%\ o , cot ' ^ `
u ; i �-F %\% 70/23 r co , ^ , ,;c ;�
%
/ j N , t0
oft' r\\ O, . CO U3..
,, 3C_ ,�N 0 „ ....), ‘, s.-, ‘, Vs's ‘, ‘, ‘, ',
.a1. *6,, N S. ..5., 111V\ \‘‘) \N ‘‘\
C» Cn � 5 N 07 0C7O a '� 0 V' \'We 'O M R 1 �-�G �� gC) fD CD CD O ` m
CD Obi m as co a — co o1,
o aC a � Dgnc)�i �' %g
o 2N yw - �-00 0 o
C� CD
000 � IDm
C 3 CD IIN
W u, V" d0\c CD CD O OC) lP > > 2 ° 0�^
? 7 CD CD O) -0 1 C) co 0 C�
O CO N No v Jo i o `'-'' N `�
co
Oro
O
.ca co
N I. 9
1
•
NO
c .
1►
Sw1J
'N \i/J S
5.
...!.. !
^l m Dm oo
Xz ivr.tv
7C1> .- — i i g 1 • •IL
3.
>,:„
\ T
>C4 /r / \ 1 c.
QF ga
M.Halverson Design LLC Owner/ JOHNSON, MARGARET Site Info: Parcel#31920-23-00011 SHEET NUMBER
g Applicant: DeWITT, ERIC 2
PO Box 1519 Shelton Wa 98584 131 SE BLACKWELDER RD
Halversondesignllc@outlook.com Mailing:131 SE BLACKWELDER RD,SHELTON 98584 NC`;i ,e^,1,,
Tabloid 11" X 1.7"
-u
v
to
o
-k W
C = o
01
D .>� >A ti,
' 2 ♦�'qe
Qkssi ,
m m D ♦ f Ij ti
0 n +� Si. III
3 "-io � _ 0 �D� i I R
Cr m
co one-/da m nm I
O ^ '1 i . / 'p='Tia k Sao ro�
fJ N�t�, p�C D a(° ta • f.
co I * ! , J \ !! 'RjU
2 xm= <oe 0
o .�7.1 777AQQyy9 O I < A /�
CO C0 I m r0„yO nt to o'FO I .ry �— U1
CD n • m y m3(f( Ti 3`: 3^ (,,; $ ;‘ tt II ` IV D
4.4.W 77 's n NNm }. l
r.�p r 'n 2 Rry i ?�
�•a
'a u ? •J•
n m t' { I -. .. -fi- --1
TT
}�(� m 3 a u i I N
�IIIII . 8 \ .. ie no.N P'' '�'^^
L.
7. �
_xi._
FK
I c ) N.
T
ET 8
ri
G mm O)
A k K
mCmmv m -: _______../
D 3'+ -0
N �m O O SO O m ,..j ' F I `z cam > < i� Z� m II
cN 04g D 0 <gO _.- /
+O z
m
rn
6 3
Q 3 7� O m * cn c tn m N O- p / _-----_-__.___- _-_-__-� _-_- a2
ww fl1 .- jN0IIl41SUa) O 4) QOO stiij<
_ � 'S < Li-,
N(0 < C m.. 3 _„ m O 7 to Z f— __—_- _ -- -_ _-A-_—--- -------- / .n.r,.,tin.rw.nY�
Eu IV
Fir
B
m .p 0 131; 0 p 0_ N .0 4,.%) Ip O
jo�N < �m--, < —a5 � R.
mm
c _ l) 2m= o min 0�rnma' o5° s.5. r§ -
o o ^) n NI ��
00 mOmN� ° m m ? o � mnu ]00y
Fri
_
xi z
O gymcD — �( Nj3I
11
A X" o ,� m - - a w Z D°� i� v v t
4' c
m m o�� (° o m r->
�* 0 m = 0_ O O - ---------� —nnnnn nn.n�
m y ll ^•
n I
` ° ° O
RI eat, 0a MEN, - --- --� -
a ° a
v
\ < O m
° ° 13 Nr• an00 p O O m
` O 00
D_
Mr:
p °° oo -nvO-15
o D /uuuun
13
XI
rift tp a) lA 0>0
/� m I D I( i M-'_ nlv1nrunl-'
^ , C
xN A ED
m R D
) �
NlI or
r. s �• Irs: m <
rs oa or zcom
mo
_
zO zI
) c (n -
O _
c
_
< Lb z, xa
OC. r
-4CJI n 0cr, — m
`v meitb I .--.-1.- I mx �3
I,1 c$\ 6 1 - i in 4.____N3 ..._
I I c zxx _\----.1"--1—__________, -17 z
--. ___
/6
CI
i le
0 i :2 010. '% 26-
VC'
M.Halverson Design LLC owners JOHNSON, MARGARET Site Info: a Uhd Parcel#31920-23-00011 5"�`'.
g Applicant: DeWITT, ERIC -
PO Box 1519 Shelton Wa 98584 131 SE BLACKWELDER RD
Halversondesignllc@outlook.com Mailing.134 SE BLACKWELDER RD,SHELTON 98584 RE AWN 4.
Tabloid 11"X//�,17"
2 P w . ° A ,, I. ' Y, I
O n
i Ill - ill
i • in .,- -. (.7. 0 a L^: • _ X -1 Z Y 2 x 01
a C n
3 r a
m * `` „ °m I
0c
a , c. 743._/lin*/
;i, a ? " q 4 8• D 10
, L.—. ImMili C1 CSC
" a g'
s y
yyL $ zNia aZ MID FM)
by t
St' 5 ,G ' V.
12 ''- 3 + I • ii:
n
f.,OttA � i A . ,...
3C. i „).,,,:,
'a / , i IF / i* . • n .
71 *ilk
�is Ant( cC4 � � W w
_ / 44' Z )°'. (1\i '.-. ,I a.
CO
�t a� • / a; O m
• , ° ,
\ •
-1 CI) ?
O O. r`O
co • io, O
N a a° (y co ,
Q , i/
pp '', �f
V • 4Q°
_
0'
of. .
3 0 co. cf.,
O p N C 2
p n r Ul N N 1
vmIi
O �� + O a
• a
.a { T- (5)A
(0 . R► O Cr v 3 Q
-p * `D �' 0 AE N m cco
�-Oo 0 , DC. 4 a1 7- (CD E. �`�
.. m � 3co FA z " ® r c < MI
N c cD
c
`< ? j' a) --4fll O C -n
a -,, O - 1
cn
a, 0 y 0
7 m a 0- 0
?. O ano (D 1.
(.fl (D t0 Z
• 4) D- LU O
OZ . CD .r I U)
O O 0 0 • m
CD co cn) c
• (D = co
m ( a a V.-7-o:::::::9
c Total Dynamic Head(ft) 0
000 j �{{ f
awe I p�,` co71
to> >'v I {{{{ 7Q Cll' o o w Cf. .0 1F.., t.F.n m r A. KJ o m
O . 0 L I { /2 � a N
f iV 1%%A /<-
\ c
I o
_
co
/ ,1► �� m w
/ .0 N . a o ,+
I, 0
r
0
✓ cn cn v v _v o v m_ a-
to Fi O •6 -E •O N ,< <D £
n - cD CD CD O �, Q to
-, m -1 1- cm m B o
v
to CD x -0 O co °' a, 3
fD tv 3 co CO (D
(/) O CD A v a a 5 Cr? o
0 -O ri al c h t'o x x A Z
m p co 3 -o a to
O al co a cn c -. a o _
'tD
3 m a -1 m o o v cn N.) _-0 co
j,
fD N -' 0 — T O CT iv O O cn v V) O _--
r i i i i i i i 0 cND (D -, CDco O (". O O O N <
v T1K7JEM7Jc g_'< H a o O Oo 7/ cn 0
703p0) ^ D3D '< 0 3
c 3-0 (n 0 (,) m-o o c r\) C v -a
• v0cc < cWc3 0 (./) ,-.
m �
(n m cn 3 a'
c 3 m11:1 G) 0 g —
(\ -0 c-o-p CDD CO 0-0 O n -0 -13
0
c (o o c yam iv av O 3 3 v o �' (0 CO CO co N.) rn o v
3 p -o L) 6 Oo .a• iiMmft
O C o 3c -. 0 =im
a, m x°1 1• m x - (D
a m 3 v S n- ? o N -I c o " ? x 0 3
en 3mo'Q - pv3is �- P{ I a 3 o an H m .» o 0) w o o p C�
p p . V, co 7 IT) A I O ry .. C - � O CO W (J, O) N) O
N n CD CD 0 0. A 0 CD C x O
" 3 av n� m 0 - M `, z a, 0
_ o
A-0 0 0 C' 0 ' Cn n G� t0 A
cD v CD CD17
CO 0- (<D CD 7 -' O N W W W 0 N » O N J.
a 3 a) 'cco
N tD O 0 (n >r < Er Q 0
O Cr -' < N O O tD
to (D !n - N m < f f co `,`
N to ,o- CO* "
0 •
(n ND N.)
74
N
M.Halverson Design LLC • Owner/ JOHNSON, MARGARET site Info: Parcel#31920-23-00011 SHEET"U`
BLK
Applicant: DeWITT, ERIC 4
PO Box 1519 Shelton Wa 98584 131 SE BLACKWELDER RD
Haiversondesignllc@outlook.com Mailing:131 SE BLACKWELDER RD,SHELTON 98584 REVISION
1
Tabloid 11"X 17"
1J I
0)
CO
CD
01
--1 �- cry 5• oo `' � °" v 5 t' wN -- w CD, 03 0 0 OD D Do - v n�i � � _. _' � o O
'» o � a .. y 7. "o 'b . w ..0 . w 'ti CD y = C AD 0 cn •a - w < o c (rl v �,' ° cD (D v. v.
X a a: , '-`' CD cD O C N CD :h o a 0 go N m N " CO CO v Do CD N 0 C -, v T. T .. O 7" LU
"0 = L Co <<'"' . ` N w n 'CO-'(�q , o, 7 (D (D (D n O m 7 N M (D 2 a (n 3 w (D w w Q n. a) cr - co �` n
o 'n ° o 5' o oo 1 � o �. To �' o CD tea^ � � n � � � cDoc� °' 0 � m5 � ° � � ° ° < 0 ° c� cnnm
ocl) "'' fD '° `D 5 ° $: g ' cro < 5 ° CO r_ 3 " C ° co �' p ° ° c a w pc w a a 3 a p
cl) a) o cD c ° m
a � S o " -. o <<, o w c - F o7 5 0 �• °' w' A a ° _0 o 0/ v o 3 CA v m`. g0. o n 0 c n0i -.
n 3 J - 0 o N '° - ; rn a.'Ls w Fo v 'Ls Co p'• O -'+-O -" O `< 3 = -0 Fe -• Q 3 3" _ C a (D O -0 CD - 0. < c7
w C> C .fl "t A> Co 0 C(IQ N '1 7• c�D 7 ' -- °13 (D C. P 5- a ° cc) (D n QC 0 7• (�D ° 0 EL 77 0- cr < ° 0
w. 0' =,' o a' g a CD co '' c➢ N w .c (n ° O O (n (n < < Cl) O < .w. 00 0 C) CD (D (D ,
c�0o coo C w^ `"' `° ? O w CD °-'- ° " •- C' 0 C -Da) v - O. Q cD a < 7 ° cn o Q w _0 a. ° cD w 0 <' a 0_ �• v
," ., 0- si C � � m C a. o) - w 3 °: "• ! •0) .-.cn c� =i - O • my ov� � � oo 0C ° � ° �' cDccv �
w o o ^ a- E. a. 3 77- a• 0 CD v, o Z = w (�C o A a) °— 0- cam & O 0 - 5• CD <• ° 0 -+ D w CO CO - C• a)
) O2 Pco
° w cm * = 0 o o n `' w '" w .. .. 0 ° A w w (� •< O a(°" n (D c =•; j p) Q a °. 2 r
D v,• w - ^, o aCDD a� R c ca. 0 = C o � 0 AD ° c00070 _ vo' er = 0tea = O- CDD a7WQvv (D07- < o � N
cn o Q n `° C "' ,,,' c- `D c o 0 o co AD y ° _ a- �• '- o v *. w a(0 O °- z o O = - m w -O (n g 3 - "A
:'_ ° ° C -", " c Q' • El Cr v, ci)w O °' (0 5-�• 7 (D -0 -0 CC N p", O c E -.O 0 ° * a 2
v, . cr r. n o , ° w m o n O D 3 OC fl) < 0 w cn w a
copq .. w O -� co w � •O C () 3 v 3 N (D 5' co
CD
< (o ..,, ,< Uc q G -, o C ^+ ., + D) c ° n (D 0 cD c C v w cD cD cD -,
5. gCD " °, i w4C) 'o � " m i � a' A)<P ..0 ( �-... (D 0 < v0 -0 �' 5mQO - a � � o.0Ocv - ma. D � � o
N 0 (D fD CD (D n y St 5' a. C 0 _w. c) 3 CD ° �' 5 o 5 � o O ° -0
co 'C ccoo H p ccoo '" h �- a w a. cp cc° a N Nr:c i Z (° S — CD. yl, o (0D a 0 O w a) 0_ 3 < °- 0- ° < 0 7 .< < (D
.c. ° n 0 C io �, o .., ° o C C a, a 00D cD -h0 < mCDOo -, v �' ' CDJCDcDw � � � v � m5•
aCf w 7r CD -+ ° (' .. o cr AD w 0" A: a CD O. v cD -t a) r. w C M o cam ax ° - m CD 0 v h
n Uq iD A, , cr " w O C 0 `< = o C -, w 5" CD n Q () (T - * . a) C •-' O
$ wo a R (a (D v v
� ° ° C C � r' � � < C r. CD ° w � �, v O O w co(D � o c � � a � v � • � (D -
.0 0 v ,.. r: h a. o w o a. rn• cp "� C w I* r'• C •- • a ° c O r,: 7j (D 0 (O a) 7 C _1 a. 0 ° n
o �. CD -, < w C 7 0 "o w .c a - CO _S a) O (D cD a T a Cl- N
n ao o -.- � •- ao o = 0. g ° b C.ow °'ow• o v - . Q,� =fp. fl v a) 0 cn ?• _. , - o
z.fl -• 0 _a• ,-,w co °-1 ° o A O CD I rr a O a `w° z (p• OO (D (3D ° O • 0 (D `-' Q "0 a
Q E. v * •; o 0 ;< c ; C7 t< -, CD fD a o �'. < (n (o' fl o o r a w 5 a co n 3• o
a+ Cl) s� 9 rn v
� BCD ' � c 03C vC7Co � A ° wa . D C) Doa) m -. - 3 � n p0 w c ow
°
co ; c� C ° -- v - - � 0 - v c• 0 0
CD ^+ ,... Q Q• a. Co .n c CD to 5' '< o •.� (D CD• 5• co •D II. O C (O (D O
� � c CD a "') • a0 -•'o a �• w °, � �' 0- = Q ' � a' rta ° a =c„ o < w- ° 30
"' c~o cco = C w w co .. C (n Q ,,,co o 0) co -0 w v -O a) > .. 0
0 = ° �. FA o c 7r rn aC . . C7 �� ? � � � o < ? � � ° CD< m cD
o ° �' C :; wa a v `D o ° CD < oocp D) Q - °x • =
Q , ° ' ro a na Zgz DJC•
� o D Q O � Cl
.0 cro , c = ( 5 cn
3 -C) C m * -o (1)a)
y, w Cr O CD v, •. o P A: w CD . CD O' C C -, 7 (A (D
n cc, cD a. (") CD co -1 At C < cn A) (n - 7 CD C CL ° U)
N 3 0 ° w 2 tA a; w o C Q w o
�• Gi C o p) °,°� `; O cn a) w = (cn O _(°' O
a. N w e :; c .. • A j r/] a O Q CD
CD ° (D 0 °
-3 va a) O
o y Pc' n CD = Fr p: m C CD C7 v O of 0 = w
o r a. w. CA C `" m 5' n. a w v cr ° cc CD
c 0 3 3 ° w a) . w w
o c o • m N - v v, m O
C' o FT C. CDn 7
..• C' CD CCD 0
a
0
•i•t,.H
t
[ t•.. 7
:4,0
.- 1 �4 t\
i
_ = v --I g D cn 0 -I (n -I cD v -{ o m_ 5' D (n cD -1 '0 O �, -D Z (A o- -1 a G) -1 Z
0 x. 0 CD cD CI) O O CD CD v C (D O fl) CD CD CD- c cD w O
$'.�` - p Oa CO (D -- CD v�.
��� O �. _ -0 CT- * -) O Q CD CD O O CO) cD - 0 O O O 00 -�
,ate a0 gm � 0 CD0 = 0 (D � wr: � 3 � � c � � = � `� -� ° � °a oawam
�� O- cD O w ° (gyp ((DD cD (�D cn O 0 (D (n CD a w (D O. v (1) CD Cn 3 �< (D O N .(1)
'" -1
�< C1 w � O r+ (p O w 0 a) CD Q' 0 n
Ong (D (°D CT 3 v `G (D ••< c� (n `< o 0 v (D .-.-(0 CD -a -0 w O p O 00 `G �. (Q p 0
_C v o w w • o �' O O (D o (D• - 0 00 cOD (D O. O 7 O (D O C• o M O (D -0
Cl) ° v (n 0 . 0 (n a .. 5. (D 0 (n O w O 0 < CD o w
.,� .1 '
0 � o 3_,.
= .« O - CD m w � "0 � = 0 •+ o- a C . M � _s < � v � DcnO
co (� (D (D cD SR 3 o v v o = (D -O `< CD O. (n w• •" --r- a a ii
'� o tn' • c (D rn w o w (D <CD o -a o D w 0 v gin' . CS< • v .,
I
flJ m O 3 v � cDvn� ° cn � � nv � C'� '. w = = n) uo) v = CT a - 0 (D O w cD 7- < - CD 3 COcn v CD v v a) -, CCD -<
ay `< -a (D .• o -o COa) o '< C C 0 c0 - 71 CD cD v 0 < ,v CD = = -, v (D O
= O -, CD -, O w c (ncD '< 0wa cD (D . 0 aw .< aCD • a
O cD w (D
a�� v , = g � � _ a_-ooa) co• Q � c� < „,0 von cao � n=i v < z
y a- - av a0 - -o ° o w o , oo m i) 0- C < � m (n" o QCD m
cD (D o a D a o w CD = O a CO_ CD m Q .. �7
O CD O w w O a c p(O a �, < O w (D n o o_
CY
-� - Q -o -, CD co - s -• C a (D (D Q) .--' - (D a Q) CD v 00 (On � -0 C
a CD O w cD y, n v (D w w w a cD w w ° < - (p ' - n v
"Eh
_ - COn CD cD `< !�D (= O Cn ° 3.)-
ncu = v O w
m ,, • O 3 � v
30 � v � o .-a) oa0 0m0 moCD ° (D (DvI, _ aw" ' vac. I7oa
m r. a r.. ,. (D 0 w v r.-n0 o `< - 0
< v v n o 0 (D Cw �, -. v = O" Q v CD • _ a N v cD cD 0 a) O v N h
cD -o C- a -° Cl) (n C 1 m C 3 -, o co 0 cm (n v cn D = a w ° • -0 cn a- 0 (D .. K -h o 7- .A
3 iD m a CD m z -o• (n-° (n (D a w o v (D w CT v O * * < v r.. -i O rn
� -0 - cD 33 cn-0_, w . o v cn D (D -0 o -, a- nmw � m (D co
v 3 0 T � (no 073 - o O c° °-o• ? � > -" � o * CD ' � CD 0 ° 0 m 5ui 0 � o
°pm 0 -• 0 C m CD .< 7CD c(n -aa CD c�o 5O � (0 cn' C cn v �- �, O w 0 n � cD Dcn
Et- 3 0 ", a) n. (D v CD (D O o (D O ,- < D O (D O O w 0
3 � ° 4* o �' cfl (� � o- O " a p o Co m �`< n m o o cD w Cd• c (InO � co a
a ° Z a cD c O c CD (wD �: n 2 - .. -, O w o ,. O
D (D 0_ .. al (D x w p D" o a O _, O aD O_ (7 CD cD w ? cn 0 `< (D O O CD
0 -a) 0w Da) * 3 v a o o � 5 0 00 cn w r.
w (C - oat 0) a ( 0 m O , v .. en -J w 0 CD a • (D Cl.) m -, c0 v' -, 2 CD = i� v
c C �t v < a cD - c0 a_ < c (n (D U - (D
3 '' 70aw1--- o o 0. 5. v - O CD • ID °. O c- Q a0 cn -, w 0 o0 O o v v cn
- o CD - < o =" a Q S •< - co
cD 0 �7C7v O0 -° v 6 * w = r. a - w a O ,
o_ cD O C o (1).-2 w co w -0 * v O 3 D (° - (O = (D (D = O O -. 0 CD (D O 3 =
_ _ O O w w a -. O O
m" < w c CD CD (D a +
D Z-o `< T m v w C (n o - O 3-- O (n cD v O 0 co Q -, •- w (D M aD O (�
a �- Q) () 0 O 0 0 r' O O O O cD � v aO v � cn (D Cn � v 0 Cr � QOO
ID a
p w N 0 a) cn
( • --(D cr (D ° v ° (aD W * CC) v O Q ° O (D v CD O Ow O - a O O
(�D ° (D cwD cD ° (D U) (D (O w w CD u) O CD O j O "0 O O cn O CD ° a O
-D v °-- (n -° w (p . -0 a O cn 3 (D - O n -0 r« a
(D (D cD w CDco
_
ID so r' w . O •+ •"",
'5
n °
3ccnm � � ° � o . 0 a o w � � co ,< cD
(D (n -, (D --h w
7 Q O O 5
a (C) CO -"
0
•
Owner/ Site Info: rv�r.'''
M.Halverson Design LLC JOHNSON, MARGARET Parcel#31920-23-00011 ,, _ .4,1,
Applicant: DeWITT, ERIC ' - `
PO Box 1519 Shelton Wa 98584131 SE BLACKWELDER RD
Halversondesignllc@outlook.com Mailing:131 SE BLACKWELDER RD,SHELTON 98584 _
a