HomeMy WebLinkAboutGRD2025-00004 Stormwater Repair - GRD Inspections - 3/10/2026 INSPECTION CARD
Mason County
615 W. Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# GRD2025-00004 PROJECT ADDRESS 3420 NE SAND HILL RD BELFAIR, WA 98528
PARCEL# 123180060000 PROJECT DESCRIPTION STORMWATER REPAIR - INSTALLATION OF A VEGETATED
INTERCEPTOR COLLECTION TRENCH & GRADING OF THE
SITE IN THE IMMEDIATE VICINITY; OF THE TRENCH.
TRENCHING & INSTALLATION OF PIPING ACROSS THE SITE
TO CONVEY STORMWATER TO THE NORTHWEST OF THE
SITE
OWNER WA STATE DEPARTMENT OF NATURAL ADDRESS 1111 WASHINGTON ST SE PHONE 1.360.480.7148
CONTRACTOR ADDRESS PHONE
CONTRACTOR LICENSE LENDER
INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments
3rd Party Inspection Report > 5/021C BLD-Final Inspection 3-f�a
Fq&- 73-2 pseed'
INSPECTION RESULTS Pagel
MASON COUNTY Department of Community Development
0 COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Permit Assistance Center,Building,Planning (360) 427-9670 ext. 352
Application # GRD2025-00004 Application Type GRADING Owner WA STATE DEPARTMENT
OF NATURAL RESOURCES
Parcel# 123180060000 Site Address 3420 NE SAND HILL RD BELFAIR, WA
98528
Inspector Inspection Type Date Status Comments
2-23-26 DED
Dave Dobson BLD-FINAL INSPECTION 02/23/2026 FAIL Provide special inspection report documentation from engineer of record per permit
conditions.
Send to documentation to: ddobson@masoncountywa.gov
Mason County
Mason County - Division of Community Development
615 W. Alder St.
ON CO Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
G DD2025-00004 GRADING
PROJECT DESCRIPTION: STORMWATER REPAIR- INSTALLATION ISSUED: 03/28/2025
OF A VEGETATED INTERCEPTOR COLLECTION TRENCH & GRADING
OF THE SITE IN THE IMMEDIATE VICINITY; OF THE TRENCH. EXPIRES: 09/24/2025
TRENCHING & INSTALLATION OF PIPING ACROSS THE SITE TO
CONVEY STORMWATER TO THE NORTHWEST OF THE SITE
SITE ADDRESS: 3420 NE SAND HILL RD BELFAIR
PARCEL: 123180060000
APPLICANT: WA STATE DEPARTMENT OF NATURAL OWNER: WA STATE DEPARTMENT OF NATURAL
RESOURCES RESOURCES
1111 WASHINGTON ST SE 1111 WASHINGTON ST SE
OLYMPIA, WA 98504 OLYMPIA,WA 98504
1.360.480.7148
FEES: Paid Due
Grading Permit Fee $97.00 $0.00
Planning Commercial Review $450.00 $0.00
Fee
Grading Plan Review Fees $97.00 $0.00
Planning Stormwater Review $300.00 $0.00
Totals : $944.00 $0.00
REQUIRED INSPECTIONS
3rd Party Inspection Report BLD-Final Inspection
CONDITIONS
Printed by:Genie Mcfarland on:03/28/2025 11:36 AM
Page 1 of 3
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
GRADING GRD2025-00004
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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION UNLESS OTHERWISE APPROVED.
* All other necessary permits from Mason County, Washington State, Federal Agencies, and/or other agencies/groups that
are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND
CONSTRUCTION.
* ALL CLEARING,CUTTING, GRADING, EXCAVATING, TERRACING, FILLING AND SIMILIAR WORK WILL BE
REGULATED BY THE REQUIREMENTS PURSUANT TO THE MASON COUNTY GRADING PERMIT STANDARDS
ADOPTED BY RESOLUTION 141-96 and MASON COUNTY CODE, TITLE 14, CHAPTER 14.44.
* Access Roads to the site must not be degraded as a result of work.
* Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and
MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either
private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance
contact the Mason County Public Works Department prior to construction at Ext 450
* All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and
plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee
schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections
being performed or approvals granted.
* Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to
the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of
the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In
addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
* CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND THE ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All
construction must be in conformance with the international codes as amended and adopted by Mason County. Any
corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting
additional inspections.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant one or more extension of 180 days, upon the receipt of a written extension request prior to permit
expiration. Letter must indicate that circumstances beyond the control of the permit holder prevented action from being
taken.
* Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an
unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
* Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate
building permit and approval prior to construction of the retaining wall.
Printed by:Genie Mcfarland on:03/28/2025 11:36 AM
Page 2 of 3
0 Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
GRADING GRD2025-00004
* All fills shall be compacted to a minimum of 90 percent of maximum density.
* The owner/applicant shall provide to Mason County inspection reports prepared by the engineer record, complying with
the requirements as noted in Chapter 14.44, section 14.44.220 through 14.44.230.
* ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY
AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY
STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAY
* Cut and fill slopes shall be setback from site boundaries in accordance with Section 14.44.190.
* Compliance with an approved Storm Water Plan shall be subject to an on site inspection, or inspections, by the engineer
of record or an authorized representative. Said inspection(s)shall be performed in accordance with the approved plan, and
prior to any modification that would make a determination of compliance impossible.
Inspection reports shall be submitted to verify all engineering requirements have been completed in accordance with the
approved storm water plan. Reports shall be submitted to the Mason County Department of Community Development prior
to each corresponding inspection and final permit approval. Copies of all special inspection reports shall be made available
at time of inspection.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By:
Contractor or Authorized Agent: Date:
Printed by:Genie Mcfarland on:03/28/2025 11:36 AM
Page 3 of 3
In Place Density - Soils
Report#: IPDS-000001-00
i ?rLt iij .r�..,.
MATERIALS TESTING i CONSULTING.INC.
Olympia Client: Project:
2118 Black Lake Blvd.SW
Olympia,WA 98512 Rognlin's,Inc. 25S012-09
Phone:(360)534-9777 321 W State St Mission Creek-PO 25-80-134
PO Box 307 Delmore Road
Aberdeen,WA 98520 Belfair,WA 98528
Inspection Information:
Inspection Date: 03/06/2026 Time Onsite: 09:20 Weather Conditions: 40's*F Showers
Inspection Performed:Compaction Testing of Soils
Report Profile:
Any Deficiencies Noted: ❑Yes No Deficiencies Cleared: ❑Yes❑No
Retest I Re-inspection: ❑Yes Q No Standby: Yes❑No
Field Data:
Location/Area: Utility trench backfill
Gauge: Gauge Standard Density Count: Gauge Standard Moisture Count:
Instrotek 4547 2543 742
Gauge Make: Gauge Model: Gauge Serial Number:
Instrotek 3500 4547
Proctor Information:
Sample Number I MTC Sample Number!Description: 1 /S26-0234 I GM-Silty Gravel with Sand
Proctor Value(pcf): 132.7
Optimum Moisture and Oversize Rock Correction: 6.0%@ 23%oversize
As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and Page 1 of 3
authorization for publication of statements,conclusions or extracts from or regarding our reports is reserved pending our written
approval.
In Place Density - Soils Report#: IPDS-000001-00
MATERIALS 1RTNG t CONSULTING.INC
Olympia Client: Project:
2118 Black Lake Blvd.SW
Olympia,WA 98512 Rognlin's,Inc. 25S012-09
Phone:(360)534-9777 321 W State St Mission Creek-PO 25-80-134
PO Box 307 Delmore Road
Aberdeen,WA 98520 Belfair,WA 98528
In Place Density Test Results
Test Mode/ Location of Elevation Wet Density Dry Density Moisture% %Comp. %Regd.
Number Depth Test
1 12" NW Trench FG 145.6 131.2 11.0 98 9 95
backfill-N
DNR
Parking
Canopy
2 12" SE Trench FG 146.3 129.2 13.2 97.4 95
backfill-W
DNR 3430
Sandhill
Soil Type:
Native Soils❑Imported Fill
Test Method:
ASTM D-698/AASHTO T-99 o ASTM D-1 557/AASHTO T-1 80
Remarks:
MTC Inspector arrived on-site as requested and performed in-place density testing of native material being used as backfill.
All materials had been placed and compacted prior to MTC's arrival.
Materials were firm and unyielding at the time of inspection.
In-place Density tests showed the material DID meet relative compaction at that time.
Contractor was notified of today's results verbally at that time.
As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and Page 2 of 3
authorization for publication of statements,conclusions or extracts from or regarding our reports is reserved pending our written
approval.
In Place Density - Soils Report#: IPDS-000001-00
IIATAL$TWI CON .TMs IC,
Olympia Client: Project:
2118 Black Lake Blvd.SW
Olympia,WA 98512 Rognlin's,Inc. 25S012-09
Phone:(360)534-9777 321 W State St Mission Creek-PO 25-80-134
PO Box 307 Delmore Road
Aberdeen,WA 98520 Belfair,WA 98528
❑� To the best of MTC inspector's knowledge,the above-described work was performed in general accordance with project
specifications and approved plans.
❑Work in progress.Additional inspection needed.
Reported By: Torrell Palmason Reviewed By: Kevin Walters
As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and Page 3 of 3
authorization for publication of statements,conclusions or extracts from or regarding our reports is reserved pending our written
approval.
MATERIALS TESTING A CONSULTING,INC.
Testing Laboratory:Olympia Laboratory
Client: Roglins,Inc. Date: March 10,2026
Address: 321 W State St Project: Mission Creek-PO 25-80-134
Aberdeen,WA 98520 Project#: 25S012-09
Attn: Andy Rudy Sample#: S26-0234
Revised On: Date sampled: March 6,2026
Control No:
As requested and authorized by the Client, MTC has performed the following test(s)on the sample number referenced above. The testing was performed in
accordance with current,applicable AASHTO,ASTM,and/or WSDOT standards,which are referenced on the correlating test report pages.MTC uses the simple
acceptance/simple rejection decision rule to determine in-tolerance and out-of-tolerance or pass/fail comply (yes/no) conditions, and no measurement of
uncertainty is applied in this determination.The results obtained in our laboratory are as detailed below and/or on the following pages.
Test(s)Performed: Test Results Test(s)Performed: Test Results
X Sieve Analysis See Attached Report Sulfate Soundness
Proctor 132.7 pd 6.OYo(Rock Corrected) Bulk Density&Voids
Sand Equivalent WSDOT Degradation
Fracture Count LA Abrasion
Moisture Content Cation Exchange Capacity
Specific Gravity,Coarse I
Specific Gravity,Fine
Hydrometer Analysis I
Atterber Limits
If you have any questions concerning the test results,the procedures used,or if we can be of any further assistance please call the number below and ask to speak
with your Project Manager or the Laboratory Manager.
Respectfully Submitted,
Chandler Kirk-Patterson
WABO Supervising Laboratory Technician
Special Inspection • Non-Destructive Testing • Materials Testing
NW Region Laboratory: 777 Chrysler Dr. Burlington, WA 98233
SW Region Laboratory: 2118 Black Lake Blvd. Olympia, WA 98512
360.755.1990
1 of 3 www.mtc-inc.net Rev.7 11042025
f "
MATERIALS TESTING$CONSULTING,NIC.
Testing Laboratory: Olympia Laboratory
Sieve Report
Project:Mission Creek-PO 25-80-134 Date Received:6-Mar-26 Unified Soil Classification System,ASTM-2487
Project#:25S012-09 Sampled By:T.Palmason GM,Silty Gravel with Sand
Client:Roglins,Inc. Date Tested:9-Mar-26 Sample Color:
Source:Onsite-Native Tested By:G.Dudley Brown
Sample/I:S26-0234 Control No.:
Method(s)ASTM D-2216 ASTM D-2419 ASTM D4318,ASTM D-5281
Diet=0.022 mm %Gravel=499% Coelf.of Curvature,Cc=0.53
Specifications Dori=0.044 mm %Sand=32.9% Coeff.of Uniformity,Cu=186.86
No Specs Dtrst=0.065 mm %Silt&Clay=17.2% Fineness Modulus=4.53
Sample Meets Specs?N/A Draa1=0.433 mm Liquid Limit=n/a Plastic Limit n/a
Dtwt=4.719 mm Plasticity Index=n/a Moisture%,as sampled=14.3%
Dtcat=8.142 mm Sand Equivalent=n/a Req'd Sand Equivalent=
D1990=34.802 mm Fracture%,I Face=n/a Req'd Fracture%,I Face=
Dust Ratio= 53/92 Fracture%.2+Faces=n/a Req'd Fracture%.2+Faces=
Method(s)ASTM C-136,ASTM D-6913 ASTM C-117
Actual Interpolated Groin sue ocraaGorr
Cumulative Cumulative
Sieve Size Percent Percent Specs Specs , '— "ex e, sas sass>s
r r e.__ ax. ^ �
US Metric Passing Passing Max Min iooa�,�ee�s. room
12.00" 300.00 100% 100.0% 0.0%
10.00" 250.00 100% 100.0% 0.0%
8.00" 200.00 100% 100.0% 0.0% 901
6.00" 150.00 100% 100.0% 0.0%
4.00" 10(1.00 100% 100.0% 0.0%
3.00" 75.00 100% 100% 100.0% 0.0%
2.50" 63.00 98% 100.0% 0.0%
2.00" 50.00 97% 97% 100.0% 0.0% al
1.75" 45.00 95% 100.0% 0.0%
1.50" 37.50 92% 92% 100.0% 0.0%
1.25" 31.50 87% 100.0% 0.0% zoos'
1.00" 25.00 82% 82% 100.0% 0.0% _ 5
3/4" 19.00 77% 77% 100.0% 0.0%
5/8" 16.00 73% 100.0% 0.0%
1/2" 12.50 68% 68% 100.0% 0.0%
3/8" 9.50 64% 64% 100.0% 0.0% en
1/4" 6.30 55% 100.0% 0.0%
#4 4.75 50% 50% 100.0% 0.0%
#8 2.36 43% 43% 100.0% 0.0% e'
#10 2.00 41% 41% 100.0% 0.0%
#16 1.18 36% 100.0% 0.0% an an
#20 0.850 34% 100.0% 0.0%
#30 0.600 33% 33% 100.0% 0.0%
#40 0.425 30% 30% 100.0% 0,0% rooa
#50 0.300 26% 100.0% 0.0%
#60 0.250 25% 100.0% 0.0%
#80 0.180 23% 100.0% 0.0% oa ioo.aoo io.om ion oioo o.oio ami
#100 0.150 22% 22% 100.0% 0.0%
#140 0.106 19% 100.0% 0.0% Pak4sm.lmml
#170 0.090 18% 100,0% 0.0% s...:.., .- s0.0r - Oe.c, roe«".
#200 0.075 17.2% 17.2% 100.0% 0.0%
Cop. reno.Fq,mg&Tedniol Oae.a Ps,1996.08
All results apply only to actual locations and mateials tested.MTC uses the simple acaptanoe/simple rejection decision role to determine in-tolerance and out-of-tolerance or pass/fail comply(yes/no)conditions,and no measurement of uncertainty is applied in
this daermination As a mutual protection to clients,the public,and ourselves.all repasts are submitted as the confidential property of clients,and authorization for publication of statements,conclusions,or extracts from or regarding our reports is reserved
pending our written approval.
Comments:
Reviewed by: (�2.I.zI%t:zCit!/[i
Chandler Kirk-Patterson
WABO Supervising Laboratory Technician
Special Inspection • Non-Destructive Testing • Materials Testing
NW Region Laboratory:777 Chrysler Dr. Burlington,WA 98233
SW Region Laboratory: 2118 Black Lake Blvd. Olympia,WA 98512
360.755.1990
2 of 3 www.mtc-inc.net Rev.7 11042025
.
MATERIALS TESTING S CONSULTING,INC.
Testing Laboratory:Olympia Laboratory
Proctor Re ort
Project:Mission Creek-PO 25-80-134 Date Received:6-Mar-26 Unified Soils Classification System,ASTM D-2487 ASTM C-136
Project#:25S012-09 Sampled By:T.Palmason GM,Silty Gravel with Sand Sieve Size Percent Specifications
Client:Roglins,Inc. Date Tested:9-Mar-26 Sample Color US mm Passing Max Min
Source:Onsite-Native Tested By:G.Dudley Brown 12.00" 300.00 100% 0%
Sample#:S26-0234 Control No.: 10.00" 250.00 100% 0%
Sample Prepared: Moist: Manual: 8.00" 200.00 100% 0%
Dry:X Mechanical:X 6.00" 150.00 100% 0%
Test Standard: ASTM D-698: AASHTO T 99: Method 4.00" 100.00 100% 0%
ASTM D-1557:X AASHTO T 180: C 3.00" 75.00 100% 100% 0%
Assumed Sp.Gr. Point Percent Dry Uncorrected Proctor Value 2.50" 63.00 100% 0
2.60 Number Moisture Density Max.Dry Density Optimum Mois 2.00" 50.00 97% 100% 0%
1 4.2% 120.2 125.7 lbs/ft' 7.7% 1.75" 45.00 100% 0%
2 6.2% 123.7 1.50" 37.50 92% 100% 0%
3 8.3% 126.5 Value w/Oversize Correction Applied 1.25" 31.50 100% 0%
4 10.2% 122.3 Max.Dry Density Optimum.\loist 1.00" 25.00 82% 100% 0%
132.7 lbs/ft' 6.0% 3/4" 19.00 77% 100% 0%
5/8" 16.00 100% 0%
1/2" 12.50 68% 100% 0%
Moisture Density Relationship 3/8" 9.50 64% 100% 0%
139.0 1/4' 6.30 100:/0 0%
137.0 #4 4.75 S0 lo 100% 0/
131U #8 2.36 43% 100% 0%
113.° #10 2.00 41% 100% 0%
0. 131.0 #16 1.18 100% 0%
129.0 #20 0.850 100% 0%
C 137.0 -- #30 0.600 33% 100% 0%
lzso #40 0.425 30/ 100/ 0/
1130 #50 0.300 100% 0%
m.o - - - _, -- .._ - -
1x9.0 #60 0.250 100% 0%
1190 #80 0.180 100% 0%
11s° #100 0.150 22% 100% 0%
0 1% 2% 3% 4% 5% 4% 7% 5% 9% 10% 11% 12% 13% 14% 15% 164 #140 0.106 100% 0%
Perrot Moisture #170 0.090 100% 0%
ou,w4m -zo"n.vmcw. o..r-n #200 0.075 17.2% 100.0% 0.0%
ASTM D-4718,Misc.Oversize Correction Values Specs: No Specs Meets Specs?N/A
%Oversize Mat'l:23% %Gravel:49.9% Cc:0.53 D(l0):0.044
%Oversize Corrected Optimum %Sand:32.9% Cu: 186.86 D(30):0.433
Density Moisture %Silt&Clay: 17.2% FM:4.53 D(an):8.142
5% 127.1 7.3%
10% 128.6 7.0% LL:n/a PL:n/a Pl:n/a
15% 130.1 6.6%
20% 131.7 6.3% Sand Equivalent:n/a Req'd Sand Equivalent:
25% 133.2 5.9%
30% 134.8 5.5% Fracture%,I Face:n/a Req'd Fracture%,I Face:
om.,,+ sp,w,tne�r,���e,�ra����,.-lip sit. .rs. Fracture%,2+Faces: n/a Re 'd Fracture%,2+Faces.
All results apply only to actual locations and materials tested.MTC uses the simple acceptance/simple rejection decision rule to determine in-tolerance and out-of-tolerance or pass/fad comply(yes/no)conditions,and no measurement of
uncertainty is applied in this determination.As a mutual protection to clients,the public,and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements,conclusions,or
extracts from or regarding our reports is reserved pending our written approval.
Comments:
Reviewed by: v4� GcYL
Chandler Kirk-Patterson
WABO Supervising Laboratory Technician
-End of Report-
Special Inspection • Non-Destructive Testing • Materials Testing
NW Region Laboratory: 777 Chrysler Dr. Burlington, WA 98233
SW Region Laboratory: 2118 Black Lake Blvd. Olympia, WA 98512
360.755.1990
3 of 3 www.mtc-inc.net Rev.7 11042025