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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 � �;�,- I�istrict One . _ „ 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 �"��,�urct�Stevy�r¢j,�kvi�8�L�rst�iJ�� . . . . . � - . � . . �t�7 ��:��' . �'���.. . . � � � � = . . . � � - � - . ` t s� t . �.�� :��' ��;��� � � �: . � . � � . � �� �� . . . . . � �� � � . . . .:: . . . . - . . . . . . _ _ .._ �, . . . ��, =���� , ���� - . � . � � APPROVED AS NOTED 1��f � ���. � ��� . � ,� . : � : �� �- ,..�. . : THURSTON COUNTY. _ . � �g� `.� .. �,, � .� � : �r�;�:_�_�:.�.,�� . - �,! , . ���. _ ': �-� -�� - . 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' ��� � � � °� �`�'Q C AC,� R�1. � i �=•-- � ��N A p � _._-- -------�� 3 .� , a . � � � ; F � � � ` � ve� �3� c�'c��� • , � �� . .�e�vP�� g� � �� ��� p �;� ' + --, — � — a y�,.� ; � � �t /a�,� �a'6„ �� � — ,� - ; - , 1 `��Cy� � �'� � 1Vkr5CO' 1 � � t � ' `� � . � D�c�°.�}-- � i �'' � tN� � � E t : � t yc� � ST� rdC('pSits.le� � s 1 � t► C��tfi�,. � � i f�4� ` « . � s �i'.'\ � .� {` ��� ��y�� `� ' � , � --- - - -------� �a -----�- � � -_�___.__-__.____.___.. _._�_ , ..,_�_..�._____ .�g�._�.._____ ______ ' :5����'s��' � P��c����� R.,� /��,� � . � . � +�ev��rt� ' �:�t���1� ,3o�1�'s►c�e � � ` ���e� �!'��1 �{_._A�-��: �� l ol S� �b �cRt� E� �K3��e ; . . � � . E.��:�i'�R��_ �=J/1'l..°d�� ,�.�� S� � ���rp�� � MDtio M ��1irN1 ; �`o r � �-. --_..�f:r�?d4- /�J 5G � �� � � ____.�. � con� �e�--- �.m : , `�`�,`� Pc�-,��'�+�A�'f � .._..-----------.____�_.._ � � �. . � 4 � 1 �r ����i����..ir,�C�t�,�t:,�F�i��L�r�c� 1�„� � ' ���� � �� k.�..x,{. ^ �;: x�:✓.� �..�"•-.'�'�"�'�•�`�•�� ��_';. ._..`:::ir •x� •w. �. . 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 ���,•r�ue�ce St%v��rd,•�`FSxs tk Lar�d����: � �l � � NOTICE OF MARIJUANA LICENSE APPLICATION e, ,. '�" 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 ���������.�� ���r���G"u�����:i�rr�r� ���,� �� � � �.���� � ��1������c�� ��r� �,� �r�r��s��� � n������;�,;� ��L�'��� 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 �� (;atlli•��'c�lf:e � �, ,��, Distt-ict()ne ,,�� `� �?�111Ci�1 KC?117t.Y0 � _-„� �-. ..._�' �: .� Iaistriet"I"��-r.� :.._......µ _ ...:...�a� 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!� ��o� �rH�p�9� �Z��J a,f ��'�I�I2 � �� 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. �~, Sincer,�4�, '� '� r �\�'f���' ��. �f � r ''✓�''���'�'�- ,�' �l ; � � � �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 , � n (360)867-�673/(360) 867-2b60(Pax) 'fHUR57'<�N CUUNI'ti' TDD 1„wnc(360)754-2933 ..,,.,..; ��•w�v �:n:iliurst.c�n.�v:�,cit:_lte.�.f�h/chndn�� 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 / SI � �,�. ';� .:AR�A. ;���b �" D � 0.,.: �• �� ► BUILDING SITE APPLICATION `�AT�°. ''� ,. : � :;. ..��. r�� THURSTON COUNTY HEALTH DEPARTMENT ��"� " ��'�^ DIViSION OF ENVIRONMENTAL HEAI,TH •<F ;�;:;;:='. 2000 LAKERIDOE DR.S.W- •�r,.';. . PHONE 78&3466 OLYMPIA,WA 96502 ' ER(PL�ASEPRINI�•� ���. '�!I� i',1•�:�CTJ(7!1t�" ';��. I r���L�J — � S REET /J/ � �� .�. ��n t� _q �sT�-a�-- - , �.; �_ �. q��� PHONE� a �5 - � . APPLICAN (IF OTHER THAN OWNER)(PLEASE PRIN� I STREET — -— ' . CiTY STATE ZIPCODE •;••r�'� ,,^ °. ' � � PHONE . y— �. MAILFIEPORTTO: O OWNER t I APPLICANT ' SEC. ----TWNSP. RANOE _ • . . . �� �-� 1 LEGAL ES IPTION: ,-. � •� .r• _. w I ti' , O � - �� o � 0 _ - --- _ _ . _ ;; ,,;y ,�.�," PROJECT DESCRIPTION: NO.OF x '' �'�' ' � U 91NQLE-FAMILY BEDROOMS �•� - ' I' , � � ,�F.�tOBILE HOME A�} 8af1 7� G'I�;;bY',�'.CE��""���Q�:.�l :;';' ' N r]DUPLFJ( ��jJ,, ��M�� ��� �,jy� 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�@�(�:;';. � � ,l�;t�t'�t9.��.� �� .4�:� � �,'.•H.'' �' ' ' ' BASEMENT PLUMBINO C!YES l I NO :HEWAQ$.'>�:':.; ' �'" �'!�ONTFl�dh:p�.'.: WA7ERSYSTEM ❑COMMUNITY ❑SINGIE FAMILY ONLY ,gYSTBN[-:;=;''�:,:;'' ' 0@81(�N�►�^::;�:; NAME I.D.N�.��' __ ;. ,.;..°.::.�; ' : -, �: ,,.� �K�afloY!,ro ta�r•.. Si�1.G4A��.-�r��.1�-.- .-,-_.---.-",_,_____�'� .f.^. } .�. QQMI�K� � � •��C��,�,`,�`'�"Yt8.pt7�i�.d�:31�#8�p�tiri�;�r'..�t�P��.�t:and '~''' ;:�tie re�t��pr►s ander w. taFi th�� a� e t�su�cl.�t�..,on�.t�~prc� . ''��tec� ��t�hea►i�'r���cd�to.tne.g;s�a�� p4��iic: tt�i��.mc�'t `� " the ��t�p'i� of;t���:¢41`Kfllt'tG'.�U��a�t�.t�sl�t.e�c� a!��tic � ",�. . . � syat�ri�=.�':�?n�trudb�:•:b�:MitlH r��te+'�.t� {�t:c�t'�pfl�n�i�;with. a�,i�nia�r�e��-���re������� �t,:�i�:���;��"� '��` reguiett��'in a�r�oc±�+�fut.mann�:.{��+��o.f..�"I��r�i�. ,., .. , � :� �r a��,f�;� nat��asl�ant�►!� �he;�+35���'S��KdEn�l::zt��l..e. .t118'Cfi1�J'f1��►�I;{'�':•�55�'�it � .r..r• `.r• ���f diC�p��,� �"��56'��p� ��t� . •; �'�,,:�?��!�`� ;�si�v.° �-:-�.: T,. ;.��;, ,.f _ ��t .►, �::k� �;�. .;�.� 4'�. ����,••..��-`���•:��� :, ..�. �f;;-; r..: -t :..v,,'°�� . •�+,: '�f;;�;;;� ,�,^,, r,',',',,'', ���� '�.Y •/ .��•'• .:0'','�:. ���i OVED :��;,.^,., .:„, v�.,. .,; :.,. Dl$iA��R �'Q��:��:9�#.�--. :;'�:•�. :������'�� '��eF�s�'ct�a'`—:���;. o.. .::..::.::. �,��: �,,�. ;f. ' ���:-s;r;%'• :;;. �,.�y. ." .;�,.�:;,:,:,.. ,,. ,,�,,. ��a�'r-' cs'fH$1�•:M1��'c `�'`�,�'` ��►�E ''� .,;._,_.�,......,'t�'� IAIpL ' ,�T��VER 71LE `""" �'� �11+�'$(1'. APP r' � ,r s ;�^ ,•'"-,:',. STQNE UNb ��"'..%a.� �;,,��,,-, , ��+°u5�+ ��'��� .B�f ^+'�i�',,�'�� , ^',,•"r G,�'� ��'',�:,,;,�'��_�.^� 1 .•�•�,� �!I -' ,�7"' ;Ji�1tIpTH OF TRHNCAj. ' , TE APPLICA��}l�1�XPtRffs�,,:•' • x., �..���.,,�. '� � ■�■■�����■������1■��■� � :� 'r�������r��■ � �r�r�����r�rr�r�� . ■����rr�r���ra�r���r� �r���� �- ��rr�rr�r�r����r���M ��r��� � �r��rM�rr�������e�.��������� - � ��rr���r��r�a��r��������� � � : � � �r��������r�r�������������� , . : , ; - ���r��r��r��a�����rr�r����� . , - fi�������1�����!w�r11���:�:�� , . : : : : :.: . �������������r�����������r���■ , - _ ° � ��I���������1��1;��1�■�ri�i�ri.-�, , : - � � - � . . ,. ��r���M��������■r�r�i����w��r��■ , -'� � _ �����a�l���11r i�'r�l/C��������� _ � ::,- _: n��r�����������i���e� .A,�.��a�� : �i�r��r���������i��Ma��r����■ , :� ���r�r�ri�r��r����i�._�������� �w���r��������������������■ . ��r�r����r����■r��r�������r� �_ ■�r��r���a�►�������r�■���� :. � ■����r������������������ .M ■���r��r��������rw����r��F � :. , ■r■�����■�■�d�r���������r■ .. : . ■��■���������r�r���r���r�■ .� : . _ - , ■���������.�c�o��.������■r�� :. . ; , ,t � . : : . ,. . * . n . . � � . - . � A i[ • � • _ 1 ! � �� ♦ , '�' `„ � . . r:�w:'� •�_ '��;�`��::'�: �•;� ♦ ' .::�, :i• ;�:���:���.: , � � � .' • 1�,�'\.C����.�,����.;. \ ■ * ' :i'��.i��\�' �.' ` � � �`�.•'.!j�:. �.��'!.� � � , :...:.,�..• : .. T1.', ..�.�� •��;,�� � �•,.�.•� �� �::r.:!;Q:�•'�:.;;=• � , a • :::,._: . ..:��i: M - � :: ._ .,.�.-:,. .;• ..• . ��• •;;,,,� � � n � � ' '�r-: '•: .�� `� •'' ,.'.����;:� • � � � •,- -''!��•'�•i:%;�i,�i � '.,''�::.�.�;�'��. .�. • .�, _ � i ', � � � 111412013 ��/�"cP/R��ri 51:1 86fh Av�E BId C-Suife 1 26a-exe.6see 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 _ � , • � • I.l;t;zr.7 t� 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�-:���::,►�.�.��� :� ,.�-�-- _ . —. .. �: ..��� TI�l���•'�: v� � � . .. � . . . f . . .. :�•...'.�� , . :�. �iyia�dir�: ..,.^ ��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� , � •Yf 'I t. >..,s:r;�ti� .:'r.::':`;. . y� n—,y1'S•. :�a �. � � 'J ��.,`�.. !t:nY� — ,� � • ��,{', trv�=:.�?'��p,it: ..�ti: :.:�.: , �•�.: � .. •.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 � � ( ) , � �r„ � ,, '� �� t�'1 ��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 9, ,.._... � ' � . . � � � � _ � tl���ti'�� ,'a..��a,,' ,, �� �� r�. �z�. wr;� ti �: ;�..�'"s-��'��,�,, { � �r � t� ,;; ';�;+� ,��'��� '� � �� ,::�JF,.;��,��;; �� r�� � �,. . +�sr+,, ��. .r i.x+i"�r ..�i u t.rr�;.. •. r !�'�-�i�3�'3'Lf V��� G`�.n;,�n.r�` ii�•$ �,l i�. �:t. 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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�... 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