2014100618 Soland - 15709 Ordway Dr SE i
��� THFA�� City of Yelm
� �
Community Development Department
105 Yelm Avenue West
Yelm, WA 98597
YELM
WASHINGTOIV
May 7, 2014
Thurston County
Resource Stewardship Department
2000 Lakeridge Dr SW
Olympia, WA 98502-6045 '
Re: Project No. 2014100618, 15709 Ordway Drive SE, Yelm. Soland Special Use Permit
To Whom it may Concern:
The City of Yelm received application materials for the above referenced project on May 5,
2014. The site is located in the City of Yelm Water service area and is connected to City water
service.
Commercial agriculture and industrial processing activities require a change in water service
from residential to commercial service. This type of service would require additional water
connections to the system.
The Yelm Water System Plan and Water System Chapter of the Yelm Municipal Code does not
obligate the City to provide additional water connections to those residential properties outside
the City limits. Due to the change in property from residential to commercial processing use, the
City will not provide water to the site.
The City will require that the water service to the site be abandoned, the City water meter
removed, and any outstanding utility bill paid in full. When the utility billing account is paid in
full, the account will be closed, and the City will remove the water meter.
If you have any questions, please do not hesitate to contact me.
Sincerely,
,���" ������
Tami Merriman, Associate Planner
Community Development Department
Copy: Thurston County Environmental Health Division
(360)458-3835
(360)458-3144 FAX
www.ci.yelm..wa.us
Thurston County Environmental Health Division
,�� 2000 Lakeridge Dr. SW,Olympia, WA 98502
����r :���rr (360)867-2673 /(360)867-2660(Fax)
�� : TDD Line(360)867-2603
TI-�LJR�TC�I�; C."C�U?�TY http•//www.co.thurston.wa.us/l�ealth/ehachn
,t;\{.F IKS:
WATER SYSTEM PRIORITY OF SERVICE
�Owner/Applicant ❑Applicant Only Date Received
Name Brian and Joann Soland Phone# �253) 534-5511
Mailing Address PO BOX ZO4�J, Yelm, WA 98597
Property Address 15709 Ordway Dr SE, Yelm, WA 98597 Parce�#8161001000
(attach location map)
Project Description (Plat, short plat, et�� : Special Use Permit - Marijuana Producer/Processor
Primary source Area uti�ity City of Yelm - WITH CONDITIONS
Priority �-Area uti�iry City of Yelm - SEE ATTACHED LETTER
Yes, the applicant will be provided with terms of service
Yes, via area utility satellite service
� No (Go to Priority Level II)
�...e---'
� ---� 05/07/14
Signature of Utility Representative �° ' � '�- �Ck-+e� �..Y)�. Date
Priority II-Neighboring Utility
Yes, the applicant will be provided with terms of service
Yes, via neighboring utility satellite service
No (Go to Priority Level III)
Signature of Utility Representative Date
Priority I11-Other Approved Satellite Service Company
Yes
No (Go to Priority Level IV)
Signature of Utility Representative Date
Priority IV-Water Supply Developed by Applicant
Date
Signature of Thurston County Environmental Health Representative
Approval of Service
Date
Signature of Thurston County Environmental Health Representative
To obtain a list of approved utilities, and the name of your primary area utility, contact the Thurston County Environmental
Health Representative.
UPDATED 12/29/09
4�,�� THEp�9�` City of YeZm
� �
Community Deuelopment Department
105 Yelm Auenue West
Yelm, WA 98597
YELM
WASHINGTON
May 7, 2014
Thurston County
Resource Stewardship Department
2000 Lakeridge Dr SW
Olympia, WA 98502-6045
Re: Project No. 2014100618, 15709 Ordway Drive SE, Yelm. Soland Special Use Permit
To Whom it may Concern:
The City of Yelm received application materials for the above referenced project on May 5,
2014. The site is located in the City of Yelm Water service area and is connected to City water
service.
Commercial agriculture and industrial processing activities require a change in water service
from residential to commercial service. This type of service would require additional water
connections to the system.
The Yelm Water System Plan and Water System Chapter of the Yelm Municipal Code does not
obligate the City to provide additional water connections to those residential properties outside
the City limits. Due to the change in property from residential to commercial processing use, the
City will not provide water to the site.
The City will require that the water service to the site be abandoned, the City water meter
removed, and any outstanding utility bill paid in full. When the utility billing account is paid in
full, the account will be closed, and the City will remove the water meter.
If you have any questions, please do not hesitate to contact me.
Sincerely,
��u ��/��?�1��y�--
Tami Merriman, Associate Planner
Community Development Department
Copy: Thurston County Environmental Health Division
(360)458-3835
(360)458-3144 FAX
www.ci.yelm.wa.us
Thurston County Environmental Health Division
��`°� 2000 Lakeridge Dr. SW,Olympia, WA 98502
� = ���' (360) 867-2673/(360)867-2660(Fax)
� TDD Line(360)867-2603
����������,°�����y http://www.co.thurston.wa.us/health/ehadm
�.tiE',N't;F'KT�..
WATER SYSTEM PRIORITY OF SERVICE
�Owner/Applicant ❑Applicant Only Date Received
Name Brian and Joann Soland Phone# �253) 534-5511
Mailing Address PO BOX ZO4rJ, Yelm, WA 98597
Property Address 15709 Ordway D►- SE, Yelm, WA 98597 Parce�#8161001000
(attach location map)
Project Description (Plat, short plat, et�> : Special Use Permit - Marijuana Producer/Processor
Primary source Area uti�ity City of Yelm - WITH CONDITIONS
Prio�ity �-area uti�ity City of Yelm - SEE ATTACHED LETTER
Yes, the applicant will be provided with terms of service
Yes, via area utility satellite service
� No (Go to Priority Level II)
,..-,--
� Q 05/07/14
Signature of Utility Representative �' ' �` '(�V�- l\ (k.�v� ��1, Date
Priority II-Neighboring Utility
Yes, the applicant will be provided with terms of service
Yes, via neighboring utility satellite service
No (Go to Priority Level III)
Signature of Utility Representative Date
Priority III-Other Approved Satellite Service Company
Yes
No (Go to Priority Level IV)
Signature of Utility Representative Date
Priority IV-Water Supply Developed by Applicant
Date
Signature of Thurston County Environmental Health Representative
Approval of Service
Date
Signature of Thurston County Environmental Health Representative
To obtain a list of approved utilities, and the name of your primary area utility, contact the Thurston County Environmental
Health Representative.
UPDATED 12/29/09
rr.r
COUNTY COMMISSIONERS
� � �'� Catl�y��Uolfe �
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I�istrict One
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Sandia Roinero
� ` Disttict T�vo
THURSTC7N �OUI�ITY I�aren Valeiizueia
Dis�iict Tlaree
STNCE 1552
RESOURCE STEWAI�DSHIP DEPARTMENT
C�ecctitag Solutioa�s for Our Future Cliff Maore
Directar
TRAN�"MITTAL 1V�MORANDLIM
, Date Subm�tted �
PRC)JECfiNA1�lE: (��L��1['�
PROJECT ND.: 20 I�I I�(� � �,�J
FOLDER S.�QU�NC`�Nt�.: -- �� I t..1! �I � �,,�
I�ELATED CAS.F,S L�STED&Y SEQ U�NCE NO.:
�VB�REA# ' �FIRE DISTRICT# �����YI
SCHOOL DISTRICT(z.zs� �i���n,.� - ❑ADJAC�NT J[JRISDICTION�LrsT>
1 a��—
❑PHONE COMPANY D TC PUBLZC WORKS—UTILITES - 7.King
�AGRICULTURE COMM ��NATER RESOURCES—R.Langan
�TCQMM 911 �ORCCA
�TC ENVIRONMENTI-�L HEtaLTH ❑WILLIAMS GAS PIPELINE—wEST
`��TC PUBLZC WOS�KS -DEVELOt>Mr,rrT x�v�w �PUGET SOUND ENERG�
lsl TC PUBLIC WORKS—RIGHT-OF-WAY �9�rVA D�PT OF FISI-� &WILDLIFE
❑WA I7EPT QF TRANSPORTATION �D.Severson ��G.ROGER.S []L.MACHUT � °�' ��.,,�.�(��
�TC FIRE MARSHAL �WA DEPT OF ECOLOGY
❑ TC FLOOD kEVIEW [� sl�oxEr,Irr�x�v�w '��.rrvrxor�rrr�z,r�vz�w
�TC BUILDING PLAN REVIEW �US ARMY COFtPS OF ENGINEERS
�]C.Edmark-C�mmercial []Dock Review �WA DEPT QF NAT R�S -Pacific Cascade Region
0 TC NOXI(JUS WEEI7S �TC AI�DRESSING
�,TRIBE-�]1vISQUALLY�SQUAXIN'�CHE,T-IALIS ❑TC ASSESSOR'S OFFICE-PROPEFtTY CONTIZOL
❑HEIVD�RSON INLET �,TC SH�RIFF'S OFFIC� �. 1�c�:.-��1 n�
�NISQUALLY REACH L7 AT&T BRO.ADBAND
�VEENA TABBUTT—T.R.P.C. �THUR.STQN P.U.D.—J.v,�Ig�,NFELLER
❑THURSTON COl�TSERVATION DISTRICT �,INTERCITY TRANSIT-g.BLOOTvr
❑ PLEASE�SEE R VER E SIDE FOReLIST OF REPOftTS SUB TT ����-� �
� ED T�-I A�'PLICA
_._.. __.
---�_. _
' TION.
Please review the enclosed project inf'ormatzan and natify our office in writi��g of any camments or
recommendatians on or before the date noted 13elow. Your comments will beconze part of the record and
uti.lized i.n the decision-making process by staff or the Heariug Examiner. "No comment"by the due date
will be considered an indication that the app�lication is complete.
]Department: Camplete❑ Incomplete 0 Not A�3plicable❑
Signatuie: Date:
Please return comments to: /t_,?/1t Y�/t/ 7���,_uy S:OOpm on:�Ly j�
2000 Lakeridge Drive SW,Olym�ia,Washington 98502(360)786-5490IFt�X(360}754-2959
TDD{360)754-2933 Website: ww�v.co.tlaursto�y.wa.us(pennittin�
.: - ..
Thurston County Pernut Assistance Center
` 2000 Lakeridge Dr.SW,Olympia,WA 98502
�, (360)786-5490 / (360)754-2939(Fa�c)
TDD Line(360)754-2933
' ,� Email: permit(�a,co.thurston.wa.us
THURSTUN COUNTY www.co.thurston.wa.us/permitting
���t���= Creating So[utions for Our Future
MASTER APPLICATION
_�m_._,-,n._<,.,._,�_.___.. -----1 DATE STAMP
THURSTON COUNTy
�
RECEIVEp
� �'E� 2 12��4
� ,
2�141��618 DEVELOPPAENT SERVICES
, 14 101619 ZM
Site Address: 15709 ORDWAY DR SE YELM WA 98597
Parcel#: 81610001000 �
/ __— - -- _ _ - i Intake by:
The Master Application is required for all projects and shall accompany a project-specific supplemental
application(s).The Master Application may not be submitted alone.
Property Tax Parcel Number(s): � S i � � ��C� � ��(�
Subdivision Name(if applicabie): VIEW ACRES � Lot#•
Property Address: 15709 ORDWAY DR SE City:YELM State: WA Zip Code:98597 -
Direcdons to the Property: .
Property Aecess Issues(locked gate,code required,dogs or other animats): �X No �Yes
if yes,Describe:
OWNER IS RESPONSIBLE FOR SECURING ANIMALS BEFORE SITE VISIT.
DESCRIPTION OF PROJECT PROPOSAL
NEW POLE BARN AND FOUR GREENHOUSES LESS THAN 200 SF EACH IN PROCESS OF BEING BUiLT ON PROPF..RTY
EXISTING SiNGLE FAMILY HOME ON SITE.WILL BE DRILLING A NEW WELL ON PROPERTY TO SERVE NEW BARN
AND HOUSE AND GARDEN.
MARIJUANA PRODUCTIUN AND PROCESSING APPLICATION NUMBER WSLB 412854 FOR TIER 2 AND TIER 3
(OUTSIDE)PROCESSING CENTER LOCATED IN POLE BARN AREA.
NEW PRNACY FENCING AROUND GARDEN AREA
TOTAL CANAPY AREA LESS THAN 20,000 SF.
Revised 8-13 Form No. MA001
i �
Thurston County Pemut Assistance Center
Master Application
Page 2 of 2
Type or Print: Additiona!property owner sheet can be obtained on[ine at www.co.thurston.wu.us/nermittiite or copy obtained
from the Permit Assistant Centen
Property Owner(s): B RiAN AND JOANN SOLAND
Mailing Address: PO BOX 2045
City: YELM State: WA Zip Code: 98597
Phone#: (253)534-5511 Ext. Fax#:
Cell#: (253)534-551 I � E-mail: renuyacht(�a,comcast.net
�� `�� i '� ., '
Signature:* _�� � � � Date: 02/20/14
AppllCant(if different than owner):
Mailing Address:
City: State: Zip Code:
Phone#: Ext. Fax#:
Cell#: E-mail:
Signature:* Date:
Point of Contact: BR1AN SOLAND
Mailing Address: SAME
City: State: Zip Code: �
Phone#: Ext. Faac#:
Cell#: E-mail:
j ' � � /,
Signature:* ` � �'� Date:
BILLING INVOICES
The base application fee charged at the time of application covers base hours iisted on the fee schedule. When the base
hours by a Department are used,a monthly billing invoice will be generated for additiona! hours at the hourly rate listed
on the fee schedule. Should review of the project exceed the base hours allotted, biiling invoices shall be mailed to:
�Owner ❑ Appiicant 0 Point of Contact
*Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar
with the information contained in the application and that to the best of my knowledge and belief,such information is true,
complete,and accurate. I further certify that I possess the authority to undertake Ehe proposed activities. I hereby grant to the
agencies to which this application is made or forwarded,the right to enter the above-described location to inspect the proposed,
in-progress or completed work. I agree to start work only after all necessary permits/approvals have been received.
Revi,red 8-13 Form No. MA001
.i
Thurston County Resource Stewardship
2000 Lakeridge Dr. S.W. Olympia, WA 98502
�� (360)786-5490/(360)754-2939(Fax)
TDD Line(360)754-2933
-�-=-=e°— — Email: perrnit(�a.co.thurston.wa.us
THURSTON COUNTY www.co.thurston.wa.us/pernutting
;,�.�,,,t Supplemental Application
SPECIAL USE
S, TAFF USE ONLY DATE STAMP
, 14 101619 ZM THURSTON COUNTy
Permit Type: Special Use Permit RE(;E�VE�
i
Sub Type: Marijuana Producer and Processor
� Work Type- ' �ED 2 � ��1�
' site: 15709 ORDWAY DR SE YELM WA 98597 �,
Assessor Property ID: 81 61 0001 000 ' DEVELOPP�►ENT SERVICES
Applicant: Brian Soland � �
Owner USA-SEC HUD �
- - - ' Intake b
This a tication form cannot be submitted alone.in addition to this form,a com lete a lication acka e includes:
Applicant SUBMiTTAL CHECKI.TST Staff Use
Use Onl
x Master a lication. p
❑ A licab(e A lication fees. ❑
� Site lan. Refer to the a licable a lication checklist for the re uired number of ma co ies. ❑
0 A lication checklist. p
❑ Environmental Review SEPA , if re uired. ❑
� Critical Area Administrative Review(required only if SEPA is not required and critical areas affect ❑
the ro er ).
❑ Special reports/plans(may include landscape plan,parking plan,engineered drainage plan,wetland ❑
delineation re ort, eotechnica) re ort or other
ZOIYING JIJRISDICTION 0 Rural County ❑Lacey UGA ❑Tumwater UGA �Olympia UGA
Zoning RL 1/2
TYPE OF APPLICATION (Check the applicable boxes)
❑ Hearing Examiner Special Use—Name ofProject
❑Mine/Asphalt Plant 5 Year Review ❑Mine/Asphalt Plant(new or expanded) ❑Temporary Use
❑Wireless Communication Facility ❑Day Care Centers and Nursery Schools ❑Extension of Time
❑Public Facilities/Scbool ❑Expansion of a Nonconforming Use ❑Kennel 1 I +dogs
❑ Home Based Industry,Type of Use
❑Other(describe)
� Administrative Special Use-Name of Project
❑Home Occupation,Type of Occupation residential
❑Co-location of wireless facility
❑Expansion of a Nonconfornung Use(less than 5% in Counry, less than 25%in Olyrripia UGA)
❑Extension of Time
❑Temporary Use
Qx Other(describe) PRODUCTiON AND PROCESSING OF MARINANn
Form No. SA039
IISIIYSI
Thurston County Resource Stewardship
Supplemental Application for Special Use
Page 2 of 8
UTILITIES:
Water Suppty:
Existing: [)Single Family well �Two party well ❑Group B Well ❑Pubiic Water System
Name of public water system:
Proposed: OSingle Family well ❑Two Party well ❑Group B Weli ❑Public Water System
Name of public water system:
Is water system located/proposed onsite? �S if no,provide tax parcel number of property the water system is
located or proposed on
Are there any off-site water supplies within 200 feet of the property? 0 Yes ❑No
How was this verified? �S,CIT'Y OF YELM DENIED WA1'ER FOR T�IIS USE ON PROPERTY
Sewage Disposal:
Exisdng: �Single Family Septic System ❑Community Septic System (Serves more than one home)
❑Public Utility Name of Pubtic Utility
Proposed: 0 Single Family Septic Systems ❑Community Septic System
❑Public Utility Name of Public Utility
Are the test holes dug? ❑Yes �No If No,explain
Is sewage system located/proposed onsite?Yes � If no,provide tax parcel number of property the system is located
or proposed on
ACCESS:
�Existing ❑New �Private Road ❑Public Road
Name of road or street from which access is or will be gained ORDWAY DR SE YELM, WA.
How many other parce(s have access by this road?PROPERTY ON COUNTY Cj�AA
Include vacant Parcels
CRITICAL AREAS:
Water on or within 300' of property: ❑x Nooe ❑Salt ❑River/Geek �Lake/Pond/Flood Zone ❑Wetland ❑Ditch
� Name of water body:
Has the property ever flooded? �No ❑Do not know 0 Yes,when? (If yes, show area on site plan)
Slopes greater then 30%? ❑Yes 0 No
Are there other Critical Areas?(e.g. oak trees,eagle's ncst,high ground water, etc.) �Yes � No
If yes,describe:
xe�ised 6-2o-t t Form No. SA039
Thurston County Resowce Stewardship
Supplemental Application for Special Use
Page 3 of 8
- ADDITIONAL PROJECT INFORMATION
Questions 1 —l3 must be completed for all project proposals.
1. What are the hours of operation? 9-3
2. What are the days of operation?
�Monday ❑X Tuesday X❑ Wednesday ❑x Thursday �Friday 0 Saturday [❑Sunday
3. What is the total number of employees engaged in the business on this site? NO EMPLOYEES
4. What is the total number of employees who reside off the property? NONE
5. Does the owner/operator of the proposed business reside on the property where the business is located?
❑x Yes ❑No
6. Are customers expected to visit the site? ❑Yes �No If no,skip to No. 8
7. What is the avera�e number of vehicles visiting the site? per day ONE per week ONE
8. Are parking spaces being provided? ❑X Yes ❑No if yes, how many 4
9. Will this proposal generate noise?�Yes 0 No If yes,describe below the noise that will be generated
10. Will there be any outside storage of materials or equipment?❑x Yes ❑No If yes,describe below in detail
what will be stored outside
TOPSOIL AND COMPOST PILE
1 I. Are any vehicles involved in the business:�Yes ❑No if yes, list the type of vehicle and how many
Z001 DODGE RAM PICKUP
-- _ _ -- --- -___ _ �
12. Is a sign proposed? ❑Yes ❑X No if yes, how many? What is the square footage of each sign?
��1
13. Is the use proposed within an accessory structure? 0 Yes �No If yes,what is the square footage of the
accessory structure? 2�g�
Rcvised 6-20-I I Form No. SA039
Thursto�County Resource Stewardship
Supplemental Application for Special Use
Page 4 of 8
Questions 14—36 shall only be completed if they apply to the project proposaL Check the not applicable box for the
sections that do not apply.
NON-RESIDENTIAL USES-�Not Applicab)e
14. What is the gross square footage of existing non-residential buildings? �
15. What is the gross square footage of proposed non-residential buildings? ZggO PLUS 4 GREENHOUSES 800�
16. What is the square footage of existing impervious area? 2700 Impervious area means
pavement(compacted gravel,asphalt and concrete),roofs,revetments,or any other man-made surface which
substantially impedes the infiItration of precipitation.
17. What is the total square footage of impervious area after the finished project? g500
DAY CARE CENTER or NURSERY SCHOOL-�Not Applicable
18. Are you proposing a Day Care Center or Nursery Schoo(? ❑Yes ❑No If no,proceed to question 22
19. What is the maximum number of students you are proposing?
20. What is the estimated maximum expected vehicular trips generated?
21. How are these vehicular trips distributed by mode and time of day?
NONCONFORMING USE-0 Not Applicable
22. Are you converting one nonconforming use to another or enlarging a nonconforming use over 5%? ❑Yes ❑No
Tf no,proceed to question 29
23. What is the present(or previous if not occupied)use of the structure? Explain below:
I
Z4. What date was the structure last in use for the above operation?
25. When was the structure first occupied by the present use or similar use? [f similar use,please describe
26. What provisions have been made to safeguard the adjoining properties against any detrimental effects that might
result from establishing the proposed use? Explain below:
Revised 6-20-I 1 Form No. SA039
Thurston County Resource Stewardship
Supplemental Application for Special Use
Page 5 of 8
27. For conversions only,indicate why the design of the structure housing the existing nonconforming use precludes
its use for any of the uses permitted in this zoning distric[. Explain below:
28. For conversions only, how will the proposed use be more compatibie with the permitted uses of the zoning district
than the existing use?
Community Club, Private Club, Fraternal Organization, Church,Nursing or Convalescent Homes,
Public Utilities,Radio and Television Transmitting and Receiving Towers,Riding Stables,Riding
Academies,Veterinary Clinics and Hospitals-❑X Not Applicable
29. Are you proposing one of the uses listed above? ❑Yes ❑No If no, proceed to question 32.
30. What provisions have been made to make the development compatible with the appearance and character of the
surrounding neighborhood? Explain below:
31. For wireless communication facilities—submit information that shows a need or demand for the facility in the
proposed location and provide information on alternative locations considered. The information being submitted
shall rcference question 29.
HOME OCCUPATION-0 Not Applicable
32. Are you proposing a home occupation?�Yes ❑No If yes, answer the following questions.
33. Wilt there be exterior structural alternations of the primary residence in order to accommodate the home
occupation?❑Yes x0 No Tf yes, explain
34. What is the square footage of the total building area on the property that will be devoted to the home
occupation? �22�
35. Is the home occupation the type in which classes will be held or instruction given? ❑Yes ❑x No
lf yes, explain
36. Will all activity related to the conduct of business be conducted within an enclosed structure? ❑Yes ONo
If no, explain 18000 SF OF GARDEN SPACE
Rcvised 6-20-1 l Form No. SA039
Thurston County Resource Stewardship
Supplemental Application for Special Use
Page 6 of 8
SPECIAL USE PERMIT
SUPPLEMENTAL AND SITE PLAN REQUIREMENT CHECKLIST
Please complete the appropriate checklist:
The application shall contain and/or address the following requirements in a clear,accurate and intelligible form. Submit the
appropriate checklist with your apptication. Check the box for each item addressed. Provide an explanation for any
unchecked item.
Applicant ADMINISTRATIVE SPECIAL USE PERMIT CHECKLIST Staff Use
Use - Onl
a1. The project site must be identified in the field by posting an identification sign visible �
from the access road and by flagging the property corners and the center of the
driveway/road access location. The purpose of the sign is for project identification
rather than public notification. The sign and flagging are provided by Thurston County
and can be obtained at the Permit Assistance Center.
a2. A narrative summary of all uses and activities proposed on-site, including types of �
residential andJor non-residentia(uses.
� 3. Twelve(12) 1 1"x 17"or 8 `/z"X l 1"copies of the map. The map shall be drawn to a �
standard engineer scale and include the following:
� a. The property boundaries and property boundary dimensions of the entire property. �
� b. The location and height of all existing and proposed structures,including,but not �
limited to,mobile homes, houses, sheds,garages, barns, fences,culverts,bridges,
stora e tanks,retainin walls, decks and orches.
� c. Setback distances from all property lines (or road easements) to all existing and �
ro osed buildin s.
� d. The location of all existing and proposed wetis, septic tanks, drainfields, reserve �
areas.
� e. All means,existing and proposed,vehicular and pedestrian ingress and egress to and �
from the site,including driveways,streets,fire access roads,including existing and
ro osed road names and existin coun and state ri ht of wa �.
� f. Identify areas to be cleared, graded, filled,excavated or otherwise disturbed. �
� g. The location of any existing critical areas or buffers affecting the site,both on-site �
and on adjacent properties,including but not limited to shorelines,wetlands,streams,
flood zones,stee slo es,hi h roundwater and s ecial habitats.
� h. Topographic information for the entire property based on available County two(2) �
foot contour ma s.
� i. The location and size of all parking and outside storage areas. �
� j. Tfproposing a kennel,the location of where the dogs will be housed and the type and �
height of existing and proposed fencing.
� k. All existing vegetation proposed to remain onsite and all proposed landscaping, �
includin location, t e and hei ht.
a1. Vicinity sketch sbowing the relationship of the proposed development to major roads �
and hi hwa s.
am. Directions to the site. � .
� n. A north arrow,map scale, datum,date, site address and directions to the site. �
Rcvised 6-20-1] Form No. SAQ39
Thurston County Resource Stewardship
Supplemental Application for Special Use
Page 7 of 8
The application shaii contain and/or address the following requirements in a clear, accurate and intelligible form. Submit
the appropriate checktist with your application. Check the box for each item addressed. Provide an exp(anation for
any unchecked item.
Applicant HEARING EXAMINER SPECIAL USE PERMIT CHECKLIST Staff Use
Use Onl
1. The project site must be identified in the field by posting an identification sign visible from the �
access road and by flagging the property corners and the center of the driveway/road access
location. The purpose of the sign is for project identification rather than public notification. The
sign and flagging are provided by Thurston County and can be obtained at the Permit Assistance
Center.
2. A narrative summary of all uses and activities proposed on-site,including types of residential uses. �
� 3. Twelve(12)folded full size maps and one(1) i 1"x 17"reduced copy of the map(scale of not less �
than two hundred feet to the inch using a standard interval of engineer scale),which shall include
or show the following:
If submitting special reports,a minimum of three(3)copies of each report shall be submitted. if
the re ort is bound submit one i unbound co
� a. The location and height of all existing and proposed structures, including, but not limited to, �
mobile homes, houses, sheds, garages, barns, fences, culverts, bridges, storage tanks, signs,
exterior li htin ,retainin walls, decks and orches.
� b. The boundaries, including dimensions of the property. �
� c. Setback distance measurements from all property lines(or road easements)to all existing and �
proposed buildings. For mobile home parks,show location and size of all mobile home pads
with dimensions of each ard and a[I ro osed li htin .
� d. All areas,if any,to be preserved as buffers or to be dedicated to a public,private or community �
use or for o en s ace.
� e. The location of all existing and proposed easements. �
� f. The location of any area protected by covenant on the project site for water supply sources. �
� g. Existing location and name of drainage/surface water on-site. �
� h. Proposed stormwater drainage facilities type and location. �
� i. All means,existing and proposed,vehicular and pedesCrian ingress and egress to and from the �
site,including disabled parking and access provisions, and the size and location of sidewalks
(within urban areas),driveways,streets,internal circulation roads,fire access roads,including
existin T and ro osed road names and existin coun and state hi hwa s.
� j. Existing adjacent/neighbor accesses to public road. �
� k. The location and size of all parking and outside storage areas. �
� 1. Vicinity sketch showing the relationship of the proposed development to major roads and �
hi hwa s.
� m. Vicinity sketch showing the relationship of the proposed developmeni to major roads and �
hi hwa s.
� n. The location of all loading spaces,including but not limited to,loading platforms and loading �
docks.
� o. A north arrow,map scale,datum, date, site address and directions to the site. �
� p. All existing vegetation proposed to remain and all proposed landscaping, including location �
and type.
Rcvised 6-20-I 1 Forrn No. SA039
Thurston County Resource Stewardship
Supplemental Application for Special Use
Page 8 of 8
Applicant HEARING EXAMINER SPECIAL USE PERMIT CHECKLIST Stat'f Use
Use Onl
� q. The location of any critical areas or buffers affecting the site, both on-site and on adjacent �
properties,including but not limited to shorelines,wetlands,streams,flood zones,steep slopes,
high groundwater and special habitats. Off-site information obtained from availab(e county
ma in is sufficient.
r. Vicinity sketch,at a scale of not less tban three inches to the mile,indicating the boundary lines �
and names of adjacent developments, streets and boundary lines of adjacent parcels,and the
relationship of the proposed development to major roads and highways, schools, parks,
shopping centers and similar facilities.This sketch may be placed on the preliminary map/site
lan or on a se arate sheet.
� 4. Topographic map showing two-foot contours for the entire subject parcel or parcels and a minimum �
of fifty feet into adjacent parcels,based on available County information.Contours may be piaced
on the site plan or on a separate map of the same scale. The topographic information may be
generalized to the smallest,even-numbered,contour interval that is legible in areas of steep slopes
where two-foot contour tines would otherwise be ille ible to read.
a5. Written estimate of trips to and from the site daily for the proposed use. Specifically list trucks and �
other traffic.
� 6. Description of proposed grading,including a written estimate of both cut and fill quantitics in cubic �
ards and a ma showin the location of cut and fill areas.
� 7. The number of square feet covered by each existing and proposed building, total square feet in �
graveled,paved or covered surfaces,whether covered by buildings,driveways,parking lots or any
other structure,and the total number of s uare feet in the entire sub'ect arcel or arcels.
� 8. For projects where new or altered onsite sewage systems are proposed,soil test pits shall be dug in �
the proposed location of the on-site sewage system as prescribed in Article IV, Section i 1.2.2,
Sanitary Code. The soil test pit location sha(1 be shown on the site plan. In some instances, the
applicant may be required to retain the services of an on-site sewage system desigoer as defined in
Article IV,Sanita Code,to conduct further anal sis of soil and site conditions.
Re��sed b-zai i Form No. SA039
COUNTY COMMISSIONERS
Cathy Wolfe
District One
� ` Sandra Romero
-� ' �
,� � � �,�. District Two
��-�� ;:
�
��. �' �,,, ��kE-� Karen Valenzuela
���° 4c„ District Three
THUR�TC�� �.;t��1I�TY � ��
` K PUBLIC WORKS
`'''�"�'���' '•p w' An Accredited Agency of the
American Public Works Association
Donavan Willc�ttt—Director
MEMORANDUM
TO: Tony Kantas, Resource Stewardship Department
FROM: Kevin Chambers, Public Works—Development Review Section '
DATE: March 21, 2014
SUBJECT: 15709 Ordway Dr SE
Project#2014100618
Folder Sequence# 14-101619
Recommendation For Approval
REFERENCE: Special Use Application—Dated February 21, 2014
It appears all of the requirements outlined in the Thurston County Road Standards and the Drainage
Design and Erosion Control Manual, as they relate to the above referenced type of submittal and
review,have been satisfied. However,further issues may be addressed separately if this submittal is
one part of a larger project.
Based on the referenced project documents, Public Works Development Review Section is
recommending approval with the following conditions:
1. A Construction Stormwater Permit from the Washington State Department of Ecology
may be required. Information about the permit and the application can be found at:
http•//w��w ecv.wa•�ov/pro�rams/wc�/stormwater/construction/permit.html. It is the
applicant's responsibility to obtain this permit if required.
Please note that this is only a recommendation. Contact your Thurston County Planner for
current status of the review process.
If you have any questions or comments, please call me at(360) 867-2044.
cc: Brian Soland
Project File
Building #1, 2000 Lakeridge Drive SW, Ol,ympia, WA 98502-6045— (360) 867-2050— FAX (360) 754-2939
�� � ��� . �12AN (
�`
Don Sloma,I�IPH C �
Director
i��-�� �sa��
Rachel C.Wood, �ZD, NIPH �
Health Officer -�' �/ �� ��
COUNTY COiVI1�IISSIONER� (
Cathy t�,'olfe ���r�� t /� ��)
District One / /
Sandra Romero
District TwoPUBLIC HEALTH AND
SOCIAL SERVICES DEPARTiVIENT
Karen Valenzuela
Dist.rict Three
�`���-� �„
�� �� � ��`� '���
- � � �ra, � �
._ __ �
�s°��c�� c;c��zv��°
�iticr »sz
MEMORANDUM
March 12, 2014
TO: Tony Kantas, Thurston County Resource Stewardship Department
C �
FROM: Dawn Peebles, Thurston County Environmental Health
SUBJECT: Project 2014 100618, Folder Sequence 14-101619 ZM, Tax Parcel 81610001000,
Saland Marijuana Producer/Processor Special Use Permit
1
COUNTY COMMISSIONERS
� Cathy Wolfe
District One
- Sandra Romero
��
-- -- District Two
THURSTON COUNTY Karen Valenzuela
s�r�ce►as:
District Three
RESOURCE STEWARDSHIP DEPARTMENT
DEVELOPMENT SERVICES UNIT
Creating Solutions jor Our Future Cliff Moore
Director
March 3, 2014
Brian and Joann Soland
PO Box 2045
Yelm WA 98597 �
Subject: Courtesy Address Assignment for Home Business Located on Pazce181610001000;
Main Parcel Address: 15709 Ordway Dr SE, Yelm
Dear Brian and Joann Soland:
This letter is to confirm the courtesy address that has been assigned to the home business to be
located in the proposed 48 x 60 barn on the above referenced parcel. This address assignment
does not affect the address assigned to the main residence or its associated parcel number. The
courtesy address is: �
15707 Ordway Dr SE
Yelm,WA 98597
The address will need to be posted on the structure. I can be reached at
schusts�n,co.thurston.wa.us or 360-754-3355 ext 7013 if you have questions.
Sincerely,
•��.x�•.�a-z:.a,f�r.,
Shari Schuster
Addressing
cc: Thurston County Communications
Thurston Co. Fire District—Yelm '
Thurston County Assessor's Office
renuyacht@comcast.net
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BRIAN SOLAND DBA RAINIER
ORGANICS LLC
PO BOX 2045
Yelm,WA. 98597
253-5345511 cell
„ THURECEIVED TM
2/20/2014 ,
�E� 2 12�14
Thurston County
Re: Special use permit DEVELOPP,AENT SERVICE
Narrative Summary
After searching all available property in Thurston County we found the
perfect property to start our new business.This property is on a dead end
road with little traffic.The property is completely fenced with perimeter
privacy trees and bushes.We are in the process of obtaining the building
permit for our barn.
This special use application is for the growing and processing marijuana,we
plan on doing all of the work involved by ourselves without any employees.
Our water that we are using now is with the City of Yelm,Yelm has denied
the use of their water for this project so we will be drilling a new well on the
property.
I have recently retired in November of last year and believe this business
would be exciting to do during my retirement years.
Our time frame with the Washington State Liquor Control Board approval
process is very tight as we would like to have all approvals completed before
April 10th 2014. We must start planting by May 15t to be able to get our crop
in for this year.
Any questions,suggestions or requirements needed please feel free to
contact me at 253-534-5511.
Sincerety �
,O . ` �
. �/ /
�
Brian Soland
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� NOTICE OF MARIJUANA LICENSE APPLICATION
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'�" WASHINGTQN STATE LIQUOR CONTROL BOARD
RETURN T0; License Division
3000 Pacific, PO Box 43075
Olympia, WA 98544-3075
Custamer Service: (360) 664-16d0
Fax: (360j 753-2710
Website: www.liq.wa.gov
DATE: 12/31/13
TO. THURSTON COUNTY COMMISSIONERS
RE: NEW APPLICATION
UBI: 603-346-888-001-0001
Licenses 412854 — County: 34 APPLICANTSz
Tradename: RAINIER ORGANIGS
Loc Addr: 15709 ORDWAY DR RAINIER ORGANICS LLC
YELM, WA 98597
SOLAND, BRIAN
Mail Addr: 32104 BENBOW DR E 1950-11-10
GRAHAM, WA 98338-9019 SOLAND, JOANN
{Spouse) 1953—Q6-03
Phone Na. : 253-534-5511 BRIAN SOLAND ���������.��
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Privileges Applied For: �n:� �
MARIJUANA PRODUCER TIER 2 '
MARIJUANA PROCESSOR
As required by RCW 69.5U.331 (7) the Liquor Control Board is notifying you .that the
above has applied fior a roarijuana license. You have 20 days f rom the date of this
notice to give your input on this application. Ifi we do not receive this notice back
within 20 days, we will assume you have na objection to the issuance of this license.
If you need additional time to respond you must submit a written request fior an
extension of up to 20 days, with the reason(s) yau need more time. Ifi you need
information on the SSN, contact our Marijuana CHRI Desk at (360) 664-1772.
YE �1 . Do you approve ofi applicant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Do you approve of location? . . . . . . .j�i. .a��'!i�� .t:'�l� . . . . . . . . . . . . . ❑ �
3. Ifi you disapprove and the Board contemplates issuing a license, do
you wish to request an adjuducative hearing before fiinal action is taken ❑ �
(See WAC 314-55-160 for infiormation about this process)? . . . . . . . . . . . . . . .
4. If you disapprove, per RCW 69.50.331(7}(c} you MUST attach a letter
to the Board detailing the reason{s) fior the objection and a statement
of all the facts on which your objection(s) are based.
�
1 ' ! 7• i � r
DATE IG ATUR OF MAYOR, CITY MANAGER, COUN Y COMMISSI NERS
LIBRIMSI�O'J20b7 OR DESIGNEE
C;OI�I�'I"Y(:OI�iI�1TStiIC7I'�F�RS
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THURSTQN �(�UNTY 1��r�n�'aienzi,�l�
I:�istrict`I"hrc.e.
SINC'f.14i2
R.ESQ�[TRCE STEWARDSHTP DEPARTMENT
�'r-eutirzg �Salr�linr�s f�lr�arr f'utacre Cliff I��o«re
Direct�r
January 17,2014
Washington State Liquor Contr�l Board
License Division
3000 Pacific Avenue
P.O.Box 43075
Olympia,WA )8504-43075
SUBJF..C1': Liccnse#412854;Brian and Joann Soland;Rainier Organics; 15709 Ordway Dr,Yelm,WA y8597;Tax
Parcel#816100010�0
Dear LCB:
Tl�urston County has no reason to disapprove of the applicant for the subject license.
However, altliough Thurston County is able to provide comment on the location, the Com�ty is unable t� give approval of
the location at this time. The site meets the County requirements for parcel sice and zonin�designation.Even sa,pursuant
to Thurston County Qrdinance 14944, adopted an Novernber 12, 2013, a land use permit is required for all rnarijuana
operations in the County. No application has been subm:itted to the Gounty to date.
Upon submitta] of a land use application to the County, an appropriate review of the location will be conducted. If the
operation is compliant with the County Marijuana Ordinance and all other applicable County codes, a permit for the
aperation can be issued.
Per the CUUnty Marijuana Urdinance, issuance of a land use permit for a rnarijuaita operatron is independent from the
issuance of a license by I.,CB. Although a license fram LCB may be issued, it would have no bearing c�n the issuance of a
land itse permit and does not aufharize the subject marijuana operation to commence in Thurston Couney.
Thank yau for the oppc�rtunity to cczmment on the subject license application. Please dc� not hesitate to contact the County
or havc the applicant make contact at kainn��-ce�.th��rston.��,a.us.
Sinc e
� ~
ich el E. Kain
Plannin�Manager
Resource Stewardship Department
k:�zoninglu�mikelwa state liquor contrat boarc1412R54.docx
2t1f�0 Lake�riilge f�ri�te���,t)tyrripia,Washinntt�n ��{.502(36t?)723f-5�901I'AX(36C?)75A-2939
"1'I7D(3fi(�175�.-2�)33 V1'ebsite: ww�4t�.cc�.tliu;�sttan.t��<i�cs/�ern�itt'att�
Illlll!' �e!�
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1�15 �e�m Avenue West
Yelm, WA 98597
YELM
WASH�MGTON
lanuary 2, 2014
Brian Saland
Rainier Qrga�nies
321Q4 Bent�ow Drive 5W
Graham,WA 98338
Mr.Saland
T�is letter is regarciing yaur applicatiesn to the WashingtQn State Liquor Cantral Baard (412554}
t�r produce and process marijuana on property served by the City€�f Ye{m water system.
The suk�ject propert�}!, laeated at 15709 Ordway arive SE and identified by Assessor Tax Parcel
Number 81610(}01�t10, is within Yelm`s water service area and is currently served by the YeEm
wrater system.
The proposed corrsmercial agricultural and industrial processing activities wouEci require a
change in the water servECe type fram residential to cammercial, and woulc� require add�tior�al
c�nnectians ta the syster� to reflect increased water usage �rom the commercial agricultural
and industrial activities.
The Ye{m Water System Plan and Water System Chapter of the Yelm Municipal Code (Chapter
13.{34 YMC} da nat abligate the City to provide additianal water connectians to thase
residential praperties outside the City limits and Yelm's urban growth area.
The City will nc�t serve the proposeci use with patable or irrigation water.
If yau have any questions regarding Yetm's Water System, please feeE free to contact the
Cammunity Development Departmer�t.
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Sincer,�4�, '� '�
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�ant B,��k, DireeCor
Community €7evelopment Department
copy Washington Liquor Contral Board
Rabert Smith, Seniar Flanner,Thurston�ounty
� ,_.�rr...�.�„_
� �, Tlmrstvn County Fnvironzz�ental Health
� 2000 Lakeridgc Driv�SW Olympisi,WA 98502
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(360)867-�673/(360) 867-2b60(Pax)
'fHUR57'<�N CUUNI'ti' TDD 1„wnc(360)754-2933
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EVALUATION OF EXISTING SEWAG� SYSTEM
TIME OF 7`RA,NS�'E�t SAL� APPI.ICATION
StAFF USE ONLY' DATE STA�Ip
Project: 2013105104 In Date:11/06/2013
13 113414 HC Loan Certification
_� .
Sub: TimeofTransfer =�.g��"�"�"."
Work: '
Site: 15709 ORDWAY DR SE YELM WA 98597 ``
Parcel: 81610001000
Sanatarian: 4
Applicant:Randy Skeen/Drain Pro Inc .
Owner: USA-SEC HUD
�ntake
(To Be Completed By Applicant}
Aaplicant Inft�rmatio�: Applicant Name:
Applicant Mailing Address:
�'tY State�,_Zip_����1 Applicant Phone Number� --� - C�C10
Slte I formation: Tax Parcel�: Q d (11 digit numbar)
Property Addresg; City J�`St�te t.�.. Zip
Lega(Oumer. .p�.- �
S ste, Inform ion
Type of Structure: Single Family�' Multi-Famify[� #of Units Commercial� Food Setvice d
Number of Bedrooms: �'�-_ Year Septic System I�stalled:^���
Do a11 plumbing fixtures, including laundry drain,go to the septic system? Ye� No�
Mave any repairs, alterations or modifications been done to the septic system? Yes❑ NoE�'"
If yes, what were the modifications and date work compfeted:
e uire Infor tion:
Time of Transfer(Sale) Inspection Report= Attached� Filed�lectronically with ONLine RM��
Septic Tank Pump/Service Report: Attach�d❑ Filed Electronically with ONLine RME�
Sewage System Sketch: Attached� �
Dist ibutio Inform tion:(choose one)
�Email Address � O. ���
❑�ax To(Name) At Fax#
�To Pickup Call(Name) At Phone#
�Mail to Applicant Address
Signature: �(i`. Date�
SEPTIC SYSTEM EVALUATION REPORT
f„-.,,�.,__ THURSTON COUNTY ENVIRONMENTAL HEALTH
- 2000 Lakeridge Drive SW
- ,-..A._ Olympia, WA 98502
THURSTON COUNTY (360) 867-2673
Sl1Y(F 1852
Applicant Name: Randy Skeen
Site Address: 15709 ORDWAY DR SE YELM
Parcel Number: 81610001000
Project Number: 2013105104
Report Date: Wednesday,November 6, 2013
SYSTEM STATUS: x System functioning
Operational Certificate renewed and attached
The following need corrections as per Thurston County Sanitary Code:
Deficiencies noted in pumper/inspection reports
System use not consistent with approved permit/design
System is in Nonconforming status
No Record Drawing!Construction Approval
System is failing
Sa��'rtarian Comm�n�s:
Septic System Information
■ The on-site sewage system for the above referenced property consists of
Tank: Concrete
Pretreatment: None
Disinfection: None
Transport: Gravity
Disposal: Trench: gravel
■ Install year: 1989
■ Permit on file: Yes
■ Number of bedrooms approved: 3
■ Operational certificate required: No
■ System inspection date: Nov 1,2013
■ Pump date: Nov l, 2013
This inspection report will remain valid for one (1)year from the report date unless any condition reported in the
evaluation or sketch is known by the owner or On-site Sewage System Professional to have materially changed. If you
have questions regarding this report,you may contact Bill Dean at(360) 867-2639.
/�,� ���0+--�
Environmental Health Specialist Date: Wednesday, November 6, 2013
, Homeowner information on how to properly operate and maintain a septic system.
REQUIRED MAINTENANCE - TANKS
Check and record tank scum/sludge levels. Pump tank when the sludge depth, plus the scum depth, is greater
than one-third of the working depth of the tank. Send records with certificate renewal.
You must use a septic tank pumper that is certified in Thurston County to clean your septic tank and/or system
components. Call Thurston County Environmental Health at (360) 867-2626 for a list of certified pumpers.
Effluent filter/ screen: remove and rinse off every 6 months or as needed to prevent clogging/build-up.
Replace as needed.
REQUIRED MAINTENANCE - DISPOSAL
Drainfields: Inspect entire area. Should be no surfacing sewage, free of odors, vegetation pattern should be
consistent with system design. Check monitoring ports.
BEST PRACTICES
Protect area where sewage system is installed: no structures/impervious surfaces allowed; direct roof runoff/
surface drainages away from area; no vehicles or livestock, which compact soil in the area; no alteration of soil
by removal or grading.
Protect the reserve area from damage. This is the area where a replacement sewage system may need to be
installed in the future.
The sewage system may be used anly for household wastewater at the design flow indicated on the sewage
system permit. No additional drains such as hot tubs, roof drains, or sump pumps are allowed.
Do not flush or dispose of hazardous materials or wastes, such as solvents, pesticides and oil-based paints, in an
on-site sewage system. This type of disposal may damage the sewage system and cause ground or surface
water pollution.
' �� �. R.�A��'PHESS 1�ARD ti
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BUILDING SITE APPLICATION `�AT�°. ''� ,. : �
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THURSTON COUNTY HEALTH DEPARTMENT ��"� " ��'�^
DIViSION OF ENVIRONMENTAL HEAI,TH •<F ;�;:;;:='.
2000 LAKERIDOE DR.S.W- •�r,.';. .
PHONE 78&3466
OLYMPIA,WA 96502 '
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PROJECT DESCRIPTION: NO.OF x '' �'�' ' �
U 91NQLE-FAMILY BEDROOMS �•� - ' I' , � �
,�F.�tOBILE HOME A�} 8af1 7� G'I�;;bY',�'.CE��""���Q�:.�l :;';' ' N
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Cl FOR ON-SITE EVALUATVON ONLY L07 912E�SLS�!��� ���F;��F.��r.Q�.���'.����;��•`t.�����}�':, ' '.�,':; ' O
Z���711 �� ,+�CiAl���h�tt Ia�.Y���::rk4�ht tQ �tPf��i tk�� : � �
OTHER_ _ _.—lOT AREA Sa.FT. p I(�j�@�(�:;';. � �
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WA7ERSYSTEM ❑COMMUNITY ❑SINGIE FAMILY ONLY ,gYSTBN[-:;=;''�:,:;'' '
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Pnyeflup, WA 9B31 f
PRO�ERTY 1NFORMA710N
LeCetion,15709 ORDWAY�R SE NA
YEL,M
Tax 10:81610Q01000 Lo
wan,n; USA-SEC HuD
34 CIVIC CENTER PLAZA RM 7015 Use�
SANTAANA,CA
92�01
Owner.�USA-S�C HUO
ON ID;206a794
FoiQ � � - • • • Fo1a
Hern Merc
fispccfad;19l01l2043 - lnsp�cifoa rype:PROPERTY SAGE • correcElon Ststus:No carrecflons neAded
Compeny, Wo�k Perlormed By.� �bmltted 1 4/0 42 0 9 3 by.•
Drain•Pro,Inc. Jeremy Moore Janell Fugere
COMMENTS�GEN�RAL lNSPEC7)ON NOT�ES
N4 Oe�ciencfes Noted
GENERAL SITE 8 SYS'T�M CONDlT10N5
The Genaral$It�mn0 Syst9m Condltiona we�e; Fuliy Inspeeted
All COmponen�aceeasible fo�m&UtA118nCe,secure and In good condition: mm ^ YE$ � M
6uAacing effluentffom eny componenl(Inclutlinq mound aeepege); �+ � NO
Componente appearm be wdtmrtight-no�lauel leaks; � YES
Imprope�e�croAChment(rnads,butldlllys,etC,)onto aomponent(s). NO
Component aeNling pro�lem9 obaerved: � NO �
Abnorma�poRtlinp preeertt fa ona or moro ot the dfapoeal compon�nta: �� � NO
Sub9urTdoe components a4equAte(y oovered �� � �� YES "
Slcs melmenanw requtred(e.g.�antlscape meintenance)if yes.doacribe In mmments: �� NO ��
ONSITE SEWAGE SYSTEM/NSP�'CTION DETAIL
Thls eomponent wse: Fully fnepected
Ef�uent level wlUti�OperAtionel Ilmhs(If NO expla(n In comments) VE9
All roqUID6d bafllea in plpee(N!A=No batfles KQUir9tl): vEs
Emuene Flll�r Cloaned(N1A-Nct Pros9nt): N/A
Compartment 1 Scum RGGUmuletlon(Inches,ff othar epecity); E
CampertmeM 1 Sludge accumu�s0ort(Inchea,II nthe►sppGify): e
CompArtm9nt 2 Scum aecuRt�let�on(Inches,ff otNer apecJ(y); 0
Comparhne�t 2 Sludge eccumulafion(Inchea,If other spetify): 3
Pumpl�p needed: NO
� .
Thls r,omponent wse; Fully Infpecled
Panding Pre�ent?If YE3 expiqfn in cornmente; NO
7hN�fpol InOfoerof en�Mn MVaerorf6t/oa N�nn e�Rrye eawape oyXe��Il1q ryRy o�Wm1l m no w�yk Ihls repwf�QuWR�tee a/aynul/eq aI Nfy�y per(eimanev
ReportlD:345362 Vlew inapactlon report9 onllne et www,onlinerme,com Page 1 of 1
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BM�N�mar
tJOOet�o�: �57090RDWAY DR SE NA Service Company:
YELM
Tax10:81610001000 Draln-Pro,lnc.
°i"^°'=U5A-SEC HUD 5111 BSth Av2�,�id C-Sulte 1
�■+� Puyallup,WA 98371
JurlediCtion(D:2084794 253•926-5588
3ervlced:11/01J2o19 by;Jeremy Moore Submitted 11/0a12o13 by:Janell Fugere
o�p�oo��,Klnp County Metro Vl�9tewseer Treetme�t Plrnt �
GOMMENTS
. -
Tank P�mped� YES
Tank Size(Gel(ons)(Numher only,no tezt): 1150
Elffuanl level within operatlonal Ilmits(if NO e�lain in comments); Y�S
Totaf Gallons pumped from tank(Number only,no text); 115�
Effluent retumin haqk int0 tank after pumping: NO
Tank depth below Brade(Inches); �p
Acoess Risere in8telled to grade(N/A if nol present): YES
T9nk Constructlon Material; Concrete
Tank CGndition Good: YES
Baifles in go0d Corldilion(N!A if not presen(): YES
Effluent scree�clean�d(N!A if not preserd): N/A
E�luent surfaeing around sile components N/A if not checked): NO
Ta�k abandoned after pumping; NO
Were repei�s made to Ihe Tank or Tank Cortlponents?(if YES explaln in comments); NO
Compartmont 1 SCUm 9ccumulation(Inches,if other specify): g
Comp9rtment 1 Sludge aocumulation(Inches,if other specl(y): g
Campartm�nt 2 SCUm accumulelion(fnches,if other specify); p
Compertment 2 Sludge accumuletion(Inches,if other specify); 3
��a�pM incftcaroc aeRam enewer.��s oI me ondro se�wge�ya�em ert�a Rme e/W.eM,ln no wey�s Tm wpo�!puaranfee a!op�MtMn o�tulweperfarm�ne�,
RepORID:167266 Vfew pump er,+poRs oNlne pt www,onflner►ne,COrtf Pege t ef 1
RECEIPT `
Thurston County
Resource Stewardship Department
2000 Lakeridge Drive
Olympia, WA 98502
(360�786-5490
Drain Pro Inc (Randy Skeen) PAYMENT #: 141116
5111 85th AVE E Bldg C 1-4
Puyallup WA 98371 �
Project Type: Loan Certification
Application/Permit#: 13113414
This number shou/d be used to check the status of your project or when calling in for any inspection or
information after a permif is issued.
Memo: 06728G
Fee Description Paid
OSS Time of Transfer $205.00
Paid: $205.00 (Credit Card)
Received by: ��� Date: November 6, 2013
� (Signature)
THURSTON GOUNTY DEV 5V
20@0 LAKERIDGE DR 5bl
OLVMFIfl� WA 985�2fi001
TERI4Ifl8l I�� 0012481�3
MERCHph1T #� 345539959881
UISA
#xxxxxxxxxxxx6245
SALE
B AT CH: 000212 I HUDI CE• 072219
6QTE004 pU@bNV13 AUTHINO' 06728G
T OT f§� �205.00
CUSTOMER COPY
;��::��;:� ��J'� 'C�'�.A�.� . . �:�e�pt�c T.�nK �r�m. �a:�.a�-:���::,►�.�.��� :� ,.�-�-- _ . —. ..
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..,.^ ��Mn`�5 .
::� b `Reaidentlal� � � � . ❑ Motel � � • � '� ❑ Food Service,Restaurent�a3;-:;a:k';:
'� �RV;Paric• .. .�, � , . ❑Yfluth Camp ❑ Othef(please�descrEti`e):,�►i;��.�:
� , �� ' ..�-;
�;� �1 }Campgrour�d,�: �' :. . ❑ Moblle�Home.Park Space#�_ . � :� � � : '�a�-����,`��
. . � , .�,�,�� ,�, .,
. _... . .... ' . . . Phone�#;;:` , :��=��:�:t� �::
gpi'o'piertyiOwriert;:: ... � � � � � , . � - :;�.;.�7�;•�: .,:
e Iff�Aplicebie} - ;�:��...;:;� �
� �;eus�ness na�n ; � � • � �� -,.
� � State tlp "'�•�''� ;;
t.Malilnp addro�as ' . Ctty� � . .. -
;����si�ed��8 0 . o � ���+ �
��: ;Tax.parcel�# /C� � 00 0 D p� , �
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t. >..,s:r;�ti� .:'r.::':`;. . y� n—,y1'S•. :�a �. �
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:.:�.: , �•�.: � .. •.I.��'�,,�� •�'♦'.�VI'..���:���•. ♦ e r•.� f . . � . �.
� �� :Tenk�.Slze:• �� ���Gafldns #of Carnpartments: .� . 7ank Canstruction:�: Manufactured ❑ Home Made
Tanlc Meteriai;. oncrete ❑ Fiberglass ❑ Othe�(please describe}: � �
�� Tank Cond{�lon:, Satisfactory ❑ Needs Repafr � • �•- Tank Pumped: Yes ❑�Na '
�Elftuent,Levtil:Q High Normal ❑ Law Effluent running hack tnto tank7 []Yes No
� Were repalrn�made to the tanlc? .[�Yes No !f yes,ptease explaln:' � �
• ,L;{,i� ;;;•4s.y, q�:,.,a� i..� , � :�?,
:. p .I�l:n�..:h1i`: �;�i;ti.AiH.• '�•li����r ��'.
�s
:.� �inlet?BiQffte;�;ondition: Satisfactory ❑ Needs Repair � �
�• Outlst�affle�Condltlon: Satisfactary ❑ Needs Repai� � .
� Centar 8aftl•B Condition: Satfsfactory Needs Repair ❑ Not Applicable � '
� Efflaent Fllt+�r Rinsed? ❑Yes ❑ No Not Applicabie � DEVELOPMENT SERVICES .
Were repalr�a made to.the baffles? ❑Yes No !f yes,p/ease explaln: �p C�� 1 O � �
;r:�r,i. ti .��.�;'�' �'',���4`�t!.r, �. s � ��
. �� �. .•
Is tfiere a p��mp or surge tank? ❑ Yes ' No ' If yes, tank slze: Gaflons Tank Pumped: ❑•;Yes ❑No
Were repalrs made to the pump or surge tank? ❑ Yes ❑ No !f yes, please explaln: . . •
- ��•: ;r",, � .. • , � `f�.. " �•r-L+>�':�4.� � ��..;j,k�,c- - r.
�''�!'-!4 .n,if':.J:. ;;w:�4rt.c.:ti;� _ '.<?.�^�"1�{i+,;',.�r':, �+ts..�"�'*y' cl� �'�,
• Depth ot Fld►ating MadSaum (ln Inches): ,1"Compartment:'� 2"d Compartment:3 Pump Tank: �
Depth cf Sliadge(in tnches): 1'�Campartment: 2"d Campartment: � Pump Tank:
Total Galtac�s Pumped: � Diaposal FacNity: ❑ L�TT iorecycle ❑ Other(describe):
rA�'. '.1 �1+�+A'4:�i�N3"!�: � �lY't.t.�!���.y..,_w?,,.���'��'.y`,1/j. �. I� V, �+��
ry �:,t.i.�..ih .:�..f,. "f;p `�� ��a-..� .H X
, DesCribe Ct�ndltion: � . :��'�
� C3enera!Commentsc � � �
� Date Pump�ad:���"� Pumped by: Company Name: ��� Gvy►..�Q
.---
. 8y subntltting thJs report electranlcally, the pumper hereln certlffes the abave lnfonr�atlon to bs true and correct
Flndings and determinatlons of thls lnspecifon refleat conditlons as they exJsfed on the day the septic fank was pumped. No clalm!s made t
� ..,.. _ thJs company, elther expr�sssed or Impllad, conceming success or fallurs of the sepiic system.
Thnrston County.Department af Public Health and Soctai Sen+ices, Environmentaf He7ith Divislon
. . ' . . 2000 Lakerldge Dr. SW, 4lympia,WA 98502 • 360-754-4T11 � . . ,��N�
.. 't • •. . .. , : ' . . • . �s' :.�
� ,: ' Whfte copy—Nealth Department�,:;,�,,�,.:���.#4i,�:^{�!ello�vicoRy-Aumper �Pink copY.--Owner . �
�.�'...,. . ' . r ;.:: .:... r . `, ,Y;:� : ,
,/ . , �
' Taz Par�
, � ,, .
:; ,�' Thurston County Development Services
�,� � 2000 Lakeridge Dr. SW
Oympia, WA 98502
� (360) 786-5490 / 360-754-2939(Fa�c)
THURST�N COUNTY Email: pennit(�a,co.thurston.wa.us
�,,,,�E,�s, . ' www.co.thurston:wa.us/permitting/
Project Application
. Residential Permit �
� STAFF'USE'ONY�Y ' � �bAT�,S�� �
, . , . - , . ,
Pro'ect Number ' Intal�e B ; � ' R�������:
Folder Sequence Number s �Fee;Paid �� , ,
BS ';$ �: ���� � � ���'_ '
���,�� �
, ! , r, i :
gA �Receypt# �
� , � �. ��, ,r ,���,i
HD �,, " '' ' i , ,;, { �
,,� Related,Pro ecfs ,�1 ' ''
Property Tax Parcel Lot# Subdivis' n Name
Property Address: City -y���—i,.,, Zip � 'S _
Directions to Properly /
Pro e Access Issues locked ates;code re uired
TYPE OF PROJECT
�Single Family Home ❑Garage/Shop ❑Reroof ❑ Grading cu yds
❑Manufactured Home ❑Barn ❑Housing Animals ❑Deck ❑Encroachment Permit .
❑Family Member Unit ❑ Carport ❑ Site Plan Review ❑ Septic System Application"
❑ Project Description C �
WORK TYPE: r
New ❑ Addition ❑Remodel ❑Repair ❑Demo ❑Exempt ❑Renewal
❑ Owner/Applicant O Applicant Only �
Name: Company N e: ���/ ���"'�'-�.. -��
Mailing Address � /� 7 ✓3� ./'yZG/, City: �� State t-✓� Zip: � ,� .�
Phone# ��! a¢S`f'� /"'9.��/ Cell Phone# `�� J 7]Fax#
E-Mail Address
Signature: / �%� Date: � �'�"� � /�
(As owner,or agent on owoer's behalf,I hereby af�rm and certify t6at the information provided is accurate and grsnt employees of
Thurston Coun access to the ro e and structures for review and ins ection of this ro'ecw
OWNER:(if different t�Applicant) ,,,
Name: �' Company N e:
Mailing Address �Q��t—/'��' City: / � State: k'"�" Zip: 9��.�i'�,�
Phone# �D� �S ff �� �' Cell Pho_n� Fax#
E-Mail Address
CONTRACTOR: ��� :w, Company Name: 1 ��'�,
License#; /��q1��� l�.g �� i13/ Expire Date: � (7
Mailing Address ��/�7 /3,�' A�% c;ry: t State: d��i5� Zip:
Phone#�r� �f�j 7j�`�� Cell Phone#.Z,5,,,� ,�/�'.,2 ,a� Fax#
E-Mail Address:
Lender/Bond Holder: �� Phone#:
ARCHITECT: Company Name:
Mailing Address City: State: Zip:
Phone# Ce11 Phone# Fax#
E-Mail Address �
ENGINEER: ��2� _ i�,�� Company Name:
Mailing Address � � � �ty:C2 � ,, State: �_ Zip:
Phone# 3�� 73� ���� Cell Phone# Fax#
E-Mail Address:
SEPTIC DESIGNER: ,.�/,,� ` ..,, Company Name:
Mailing Address City: State: Zip:
Phone# Cell Phone# Fax#
E-Mail Address:
� C. ��JQ
��:.c�.7 �'�c:��, �t--- _ , , ���.��,��
� n � �
, , �
Thurston County Development Services
Residential Permit # 07109602
Property Tax#: 81610001000
Site Address: 15709 ORDWAY DR SE Plans Approved By:Terry Hoey
City: YELM Issued Date: 08/14/07
Subdivision: Lot#: Issued By: Alan Carlson
Sub Type: Residence Stick Built Expire Date: 02/10/08
Work Proposed: New Construction
Permit Description: 3 bdrm SFR to replace mobile
Applicant: HEATHER NOLAN/NOLAN HOMES INCORPORATED Phone: (360)458-7551
Address: 18107 138TH AVE SE YELM, WA 98597/NOLANH1952B1
Owner: ALLEN I &LISA H FRANCISCO Phone: (360)458-7697
Address: PO BOX 2793 YELM, WA 98597
Registered contractor: HEATHER NOLAN/NOLAN HOMES INCORPORATED Phone: (360)458-7551
Address: 18107 138TH AVE SE YELM, WA 98597/ NOLANH195261
Engineer: Harold Hahnenkratt/Precise Engineering Inc. Phone: (360)736-1137
Address: 102 OTTO RD CENTRALIA WA 98531
Info
Zoning: RR 1/2 - Rural Residential Water Supply Type: Group A Sewage System Type: Septic System
School Mitigation Fee required?: No Construction Value (Auto Calc.): 269384.52 Number of Bedrooms: 3
Garage Sq. Footage: 868 Occupancy Classification (Dominant): R-3 Construction Type: Wood
Total Floor Area: 2772 Engineering Required: Yes Minimum Front Yard Setback: 20
Minimum Side Yard Setback: 6 Minimum Rear Yard Setback: 10 Minimum Flankinq Yard Setback: 20
Mechanical
Gas Force Air: 1 Gas Hot Water: 1 Heat Pump/ Air Conditioner: 1
Gas Range: 1 Total Gas Piping: 5 Gas Fireplace/Insert: 2
Plumbing
Hot Water Tank: 1 Bathtub: 3 Shower: 1
Dishwasher: 1 Laundry Tray: 1 Clothes Washer: 1
Toilet: 4 Sink: �
Project Conditions
. Site addresses are subject to change.
. The existing residence/mobile home must be removed/demolished within 60 days of receiving final approval on the new residence.
. Erosion Control shall be provided in accordance with the current Drainage Design&Erosion Control Manual
. The Project shall manage Stormwater in accordance with the current Drainage Design& Erosion Control Manual
Access Issues: I1011@
Directions: Yelm Hwy to I��at Maln In Y�Im, rlpht on N Str��t, I�ft on C�nel, p�et Nlequ�lly Plnee to 1e1�to etop�Ipn, proJ�ct at
at site on left.
PROPERTY OWNERS ARE RESPONS[BLE FOR DETERMININC AND MARKING ALL PROPERTY L[NE LOCATIONS AND
RELATED EASEMENTS.
1
��,t ,. -.
Page 1 of 2
Thurston County Development Services
Residential Permit # 07109602
I certify that I am exempt from the requirements of state contractor's registration under RCW 18.27.090
The information furnished by me is true and correct to the best of my knowledge and all work will conform to
applicable Thurston County Code. I grant employees of Thurston County access to the above property and
structures for review and inspection. I will call 786-5489 for applicable inspections listed on the reverse side of
this form. I will read all comments on the approved Plans. I will refer to the checklist for all numbers noted on the
approved plans. Failure to any code requirements i t a waiver of that requirement.
Owner/Agent/Builder: Date:
�� y- � �
�_t_,, ,, _ M ._ ..
Page 2 of 2
__ .._: _._._._ ---__ __. __
;;;,� } �k � ---__ S�ptir Tank P-ump and--Service�h {�p�or�t�
, ,.,�:;,'� .�� �
Residential ❑ Motel Fond Se:rvice Restaurant-_
RV Park ❑Youth Camp ❑ Other(please describe): �
.:�.[]Campgrourid ❑ Mobile Home Park Space#
Phone#
Property Owner �. .
, Business narne (if applicabie) .
City State Zip
Mailing addr��ss • --
. City
� ::Site address 0 - 0 Y
,::: .
:Tax.parcel# /(� � 00 O C� O , ��T{ ��
��. � �� � ,'
, � ,.� s ,�';;'! '�;�y ��$^��, ��r�+ �r_
yy.��!, ..r . .�... . , . .�..r • .�
i a ..,�� � � , Tank Constr'uction: �Manufactured ❑ Home Made'
Tank Size:�!„��Gallons #of Compartments: _
Tank Material; oncrete ❑ Fiberglass ❑ Other(please describe): _
Needs Re air � Tank Pumped: Yes ❑ No
Tank Conditlon: Satisfactory ❑ P ----
Effluent Lew�1: ❑ High Normal ❑ Low Effluent running back into tank? [J Yes No
Were repairs�,made to the tank? ❑Yes No If yes, please explain:
.. F�r� n,r L�s �y � w7:�rR�i v�.-:' ���°aL r 3riCi�k4 ���. ����qtc..�� �"+.�A?r�,��;�1'�a~� �.��Mk1`;.a-4�'
ni .,y. �N�i kij�r - �, ` � t/�' � ��fll� � � .
Inlet Baffle f,�ondition: Satisfactory ❑ Needs Repair �F('FI\/Fn
Outlet Baffl��Condition: Satisfactory ❑ Needs Repai�
Center Baffl:e Condition: Satisfactory ❑ Needs Repair ❑ Not Applicable p�VELOPNiENT SERVICES
Effluent Fflt�3r Rinsed? ❑Yes ❑ No Not Applicable _`
Were repair,� made to the baffles? ❑ Yes No If yes,please expfain: � p U� l D �7
` M '��'��� l ��%Mr I�.a
I w . ����,Y s rr w�.� ,. t i �s" '�±Yaa 5��1 ���,`by*9�?�'� ��'�,�i'� �c�(r.�,r'�µ.' ard"t� } ��.'�'��
�,. �+.7 + s�k��5��A,..� r �..,r x r r�.,�����-".�: .t. f�;.Ri �+o� k 1 v� r a.��'41j{"` �
. . .,'�:Y, '�. � .4..;..:. . ' ';.
Is there a ptiimp or surge tank? ❑ Yes No /f yes, tank size: Gallons� T��nk Pumped: ❑.Yes ❑No
Were repair.s made to the pump or surge tank? ❑ Yes ❑ No If yes, please exp l��fn:
� v-:� �_Jy,,�ix���'J`�Fi4Y' SP s..#1rnn h� �r C, ,
�..� � r�:' "v'- . fyc.�o.'�"�',y�f`rjSC„ °' '' ��Ct"2�,..� ���tc a �:}'1�,S�S���i!�' .�t �.�..� .-'..�
�rie��.ra-gy,'�}i rr., t � � , .,,�i _I� .�i �
• Depth of Fl��ating MatlScum (in inches): 15t Compartment:�y 2"�Compartment: 3 Pump Tank:
Depth of SN�dge(in inches): 15` Compartment: 2"d Compartment: � Pump Tar�lc_
Total Gallo�is Pumped: S c.� Disposal Facility ❑ LOTT �orecycle ❑Othe r d�scribe �N �
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, �
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��tnJ'�tn�, ` it�s ',r,]� � . '.'p a'.(. ' _�^�,�C frLt"�.t} ��� � ��Id 10� � , aJ,-;;
3z,�. 3, 7� '°a''� �s c -^'_' . .
Describe C��ndition: l" _—
General Camments: _
Date Pump�ed: � Pumped by: Company Name: � i,� C,v�/+^� ��
. ����
By subra�lttfng this report electronically, the pumper herein certifies the above iriformation to be bue and correct.
Findings enci determinations of this inspection reflect conditions as they exisfed on the day the se�tic tank was pumped. No claim is made t
this company, either expressed or implied, conceming success or feilure oi`the septic system.
Thurston County Department of Public Health and Social Services, Environmental He�ilth Division
_ 2000 Lakeridge Dr. SW, Olympia,WA 98502 • 360-754-4111 Txu��
. ���s�
White copy—Health Department Yellow copy—Pumper Pink copy—Owner
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2000 Lakeridge Drive 5. W. . � � DATE 4-14-88 �
Olympia� Washington 9850� - • • FEE • 0
�hvne: (206) 7�6 -5455 . REC. #
THUR5TON C(ZUNTY HEALTH DEPARTMENT
�3 S 3�
DIVI510N OF" ENVIRONMENTAL HEALTH "
APPLICA7ION FOR REPORI' ON INDIVIDUAI SEWAGE OISPOSAL SYSTEM AND/OR WATER SUPPLY
It is the established practica of the Federal Hausing Authority and thc Veteran's Adminis-
tration ta abtain inPormation from the local health department pertaining tn the accepta-
bility of the i.ndividual sewage disposal sy�tems and/or water supplies.
INFORMATION REQUESTEp ON: / -�J INDIYIUUAL SEWACE OI5POSAL SYSTEM /� WATER SUPPLY
LOCATED AT: Ye lm Wa sh in o 8
(Number Street C ty ip
DIRECTIOPtS TO RROPtRTYt South to Yelm� �t 1 i gh t �q l� �„�f„±�_ fQ�,lo�t�Yp,,�_(',r�
take lef� on Rhoton road then an immediate ri�ht on N.P. rq8.d� fo-� ]��� N.P.
to end , turn left on Wilkensen and bear ri ht over canal to 0 dwa
Legal Oescription: Lot � Q Vi�w Ac�^�a arce e 8161-00-OlOQQ
Owner/Builder: Smith� W.C . Year 6uilt 1g84
�
l� �
Purchaser: �ranci�co. Domin�o C?J � � � ' .� ., c� �
SEND REPORT Tp: TN�Dt Nis _uall.v Real�y� Tnc. � ' L� -"ZP °o
- - � o
P.O. 8ox 1150, Ye1m, Washington 98597 �
0
0
Signature of Applicant: ' r Nhone: l-�58-5777 �
_ .. .. _ _ _ _ _ _ _ - - - - _ _ _ _ _ _ _ _ _ _ .� _ _ _ _ _ _ _ .. _ _ _ _ _ _ _ _ _ �
THE SEPTIC TANK MUST � PUMPED �THE DRAI1�'IELD LTNES EXPOSED. A CUPY Of 1'HE BILL FROMca
THE PUMPER MUS1' BE SENT 70 THE HEALTH DEPARTMENT, INDICATING 5IZE OF TANK (�N GALLONS), tD
CONDITION OF TANK AND DRAINFIELD. NOTIFY HEALTH DEPARTMENT AS SOON AS TANK IS OPEN AND o
QRAINFIELO EXPOSEO. ~'
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - o
FOR HEALTH DEPARTMENT USE ONLY. DATE RECEIVED
DATE/SITE INSPECTION �-{-�.�'v -$�
pATE/FINAL IN:iPECTION `1 -�-� ' uC
SEWAGE DISPpSAL SYSTEM:
� �lOUS� OCCUPIEQ � HOUSE VACANT
it is the opinion of this Health Department that this individual sewage system is
functioning satisfactorily.
Sewage was discharging on the surface of the qround.
,� There are indications that this system may malPunction at times.
There is indication of malfunction on nereby properties.
Gther: So�,L-� ro..a :c+�� N�� t� i� �Cc�•,�� i i:�� " �c9,SOL Fi[� t�d ����0-^ti
�� � ; � �
WATER SUPPLY:
fhe system daes conform with "drinking water standards uf this department".
The • a� r/�ppl does nat c a�s f lows:
�J -
r ���� � �y �
� � : I r < r-.-
Gu1r FNTA1 NF'A TN IITVTCTnu I
,
`,
Everclean Sept�c Servi�e � �
P.o. sox ��s �
YELIYf. W143HlI�ttiTON � .
t.�Sg 7��� � �-!" ��. �, �:., '
�� �-� �
� ApR 18 :�:-3 -
`.,",�t�a;r�r�rv ;r�����...j
�,T.,�1� f
�f�-a� ��_�
�v �I �1 C .
F��
, � e-�- l.-, Q���
��, �. �. s�,.�-�..., � �
orTS 1 (offto• u.. only) �
�
i7T[ ADnREaE ��Q� Qr� X *� �
W J.1�1 i �. , (�P� O
�� O
DAT[ lUMPCD � �� Q ',
GALLON4 PUM/ED ��L� �
TANR fIZC I D � O
� HUM�ER 0/' COM�ARTM£NTS �
►I1MPtlt �fJ�C/�C � � �
C.l 'fC�� . �
TANK CONDI7'SON ~� �
(th�ek •I1 �ppliaa�l� boY�a) �
<D
��P1uiG l�v�l ok�y in both epnp�rtnunt• (�t lov�r lip ot outl�t pip�) �
�fll�a in •atl�t�etory condition �
�
� ✓�ottan/sfd�� in 9ood eonaitlon (no tr• ka r ho2��) .�/ ,, �
� otMr (�xpla n)� �C� i� UIL �p �s S'ht+�►dlwu4 (.(�� o
u
la.r. t�
OIGINFI[LD COHDITION (Ch�ck �11 �pplie�bl• box�a)
�j�Op�n
' Not opfn (txpl�in)�
Dr�inrxk ele�n (no blatk�lim�) �nd uns�turat�d
�C •�tur�tlon► (�o pondin� or •i4ns
Oth�r (�xpl��n►� •
MO7[� T�nk ovtl�t or inl�t b�ltl� 11d n�ust b� �xpo��d ��a �� l�a�t on�
hol� •xpo�inq th� drainti�ld (to th• l�v�l of th� pip�� ��� b�
duq pri r to lnsp�etion.
I� �� -�`�^
p 3���q/
..�.�.�..
� ' � PI�EAgE PR�SS HARD �
si�� No. v�, aa�a: pARC�� Nq. / -pO - C�/o
BUILDiNG SITE AP LICATI�N- ` EIPT
. AT� EXPLANATIO ION AMOUNT NUMQER
THURSTON COUNTY HEALTH DEPARTMENT � � � �� 3 �� 7U � a�
DIViS10N OF ENVIRONMENTAL HEALTH � � ! � ,//
2000 LAKERIDQE DR.S.W. �j� W
PHONE 763-8073 V L ^3 �p`� U'" ��
OLYMPIA,WA 986U2
OWNE ��„/ C C�NI) a� ]-►r !T�/`j' DqTL RffCQRD OF ACTIQIW BY
i`)
NAME
� -
STREET
CITY STATE ZIP CODE
PHONE
APPLlCANT
NAME
��NSTa�! C F C�ND �c..ov S,n� ;�t1
8TREET�/3 3 . SEGT/D�/
CITY STATE ZI COD
PNONE �
MAILREPORTTO: � OWNER � APPI�ICANT
3EC. TWNSP. RANGE
I.EGAI DESCRIPTION:
10 /E G2E�
IC ECcrtO VpL• �/ LAT �I dKY�./ ,
Gc�.
a�
PRQlEC7 DESCRIPTION: �p
❑SINGLE-FAMILY �
�MOBILE HOME NO.OF
❑ pUpLEX BE�ROOMS ' �
❑ FOR pNSITE EVALUATION ONLY I.OTSIZE 'Z �'Zx��Es
OTHER L07 AREA SQ. FT.
BASEMENTPLUM8ING ❑ YES ❑ NO
SEWAGff
WATER SYST M �COMMUNITY ❑ SINGLE FAMI LY ONLY CONTpACTOR
YS �M
NAME I.p_NO. D�81(;N{214
IS PROPERTY IN WASHINGTON STATE DATE APPROV�D 9Y
FLOOD CONTROL ZONE7 ❑ YES � Np
�������: FLOOD CpNTROI ZONE PEftMIT
COMN4�P1`I'�f:
WATER SUPPLY
SOII SU�TABILITY � 6 �
//��� P�P��Q DE31(3N APi'ROVAL
p��INp��tY$6PTIC 1"ANLGt$!—«
OPERATIQNAI PERMIT
QISTI'Rl�(lTfON �INE TOTAL ��� ,� .-T f��T
�D�F CONST UCTIflN PERMIT
!�f�:�"PS�KI"CCfAI AFI�A � 8O.F��"T
Q�t�,�v'riTira� 24 ____��.yp. �AM���.�Q BUILDINGSITE DISAPPROVED
AF►P�iOY6Dd�TqrN�-�
OTH�R MATEFiIAL CU.YD. DAt! BY
ST+pAE�QV�Fi TIL.E � „ .,.,,�._, INCMES BUILDING t E A ROVED
3TC1NE UND�PtTI�� �- IIV B DATE_`��T'_ BY
CW�
WI{1T'!"t t`,1F'1'l��AfC,FI , -. 98�... IFV(,�.�E$ BUI LDIAIfi StTE APPUCATION EXPIRES ��T V
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