Loading...
HomeMy WebLinkAboutGRD95-0014 Cancelled - GRD Application - 2/1/1999 APR 18 19s 11:29 ROBBINS, r P.3i8 U"ON COUN W GRD qS���'� LAND MODIFICATION PERMIT Grading, Dralnege ass W.ce "e Ong Sg PLEASE PRINT dar/P.p.Box 186,Shelton.WA ftW a27.gs70/1-Sflp.562.5g2g #k1 owner • 1 .3 NF'i7 t,1�'ao ry Phone# ''�=1=rrs Diatrkt#�.._ r Q��K �fl Cry DWribe Work C —1L--ZIPAICQD #2 Contractor!Name Address Contractor Reg# city Expiration Date Phone# ' Engineers Name Addr Phone# Cify � � � arre,No.,�'.._z.�*�j _�� _ oo�0ah Descrlp6eon #5 Number of cubic Yards to be excavated:- Number of cubic Yards to be filled: Number of cubic yards to be graded. pp #6 Will this be a balanced cut and fig entire! within the efts? Yes No If No: Will fill be brought on site? Yes �� Where does imported fill originate from? _ No Does fill contain any potentially hazardous materials? Yes No #7 Will excavated materials be taken off site?Yes If Yes: Where will excav N° ated materials be taken? . ' APR 18 '95 11:30 ROBBINS' P.4i8 #8. Briefly descrft existing ter n,•vegetation;,and improvements on subject site? Total size of area to be cleared_4eO it Size of area to be cleared'on slopes over 10% 4'Qe7 ACJSF #10 Has a soils report been completed on the subject site? ZV If yes,Include copy with application. #11 Is-the subject site within 200lost of a designated shoreline #12 Does the bjec site contain any of the following features? River, Lake_____„ Wetlands Saltwater_ Slope greater than 15y- Soft compressible soils Seasonal Runoff None #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? /l Jt7 #14 WIN the proposed land surface modification change the Wality, quantity,or velocity of storm water/groundwater? #1 S What methods, N any,will be utilized to minimize erosion and Possible sedimentation into nearby waters during and after construction? #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties?A_ #17 Will surface or subsurface runoff be collected or controlled by interceptors,curtain drains,or other water collection devices once this land mOdi MIlon has been completed? 6 #18 Will the land be replanted upon completion? If yes.with what types of plants? #19 WIN this modification result in slopes steeper than those currently on the site? AA0 if so,how steep �_ 195 11 s 30 ROBBINS,_ P.5i8 Show foNowln�on P Lot Wnvnelons Rood Zones EXI%*V Structures Fences StrUMM Seftcks Driveways :water lines stwret�nes Plan Wet ► =PMPO"d`Improvements Easements Name of Fronting sovet Nam of Manift Street Indicate DIn plot Plan yy ecdo"by E. ) 184*10 APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Lk s • APR 18 '95 11:31 ROBBINS' NOT lCE;THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSYR P.5i8 WITHIN ItiO DAYS OR 1F CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR POMODTO�COMMENCED AN"MEECTIO AFTER WORK 19 COMMENCED.PROOF OF CONTINUATION OF WORK 1S BY MEANS OF A PROGRESS SAT ESS IN- OWNERS AFFIDAVIT CONTRACTOR$AFFIDAVIT I CERTIt=y THAT CAM EXEMPT FROM THE REQUIRE- MENTS OF THE CONTRACTORS REQISTRATi�V LAW I CERTIFY THAT i AM A CURRENTLY REGISTERED. RCW.18.27,AND AM AWARE OF THE MASON COUNTY CONTRACTOR IN THE STATE OF WA9HlNGTON AND I ORDINANCE REOUiREMENTS FOR WHICH THIS PER- AMAWAAEOFTHEORDlNANCEREQl2REMENTSREt3U- MIT IS ISSUED AND THAT ALL WORK DONE WILL BE 1N LATING THE WORK FOR WHICH THE PERMIT IS ISSUED CONFORMANCE THEREWITH.NO CHANGES SHALL BE AND ALL WORK DONE WILL BE IN CONFORMANCE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THEREWITH.NO CHANGES SHALL BE MADE WITHOUT THE BUILDING DEPARTMENT. FIRST OBTAINING APPROVAL FROM THE BUILDING X OWNER DEPARTMENT. �t �~/?-- 9�` -"" ' X BY DATE DATE ..r DEPARTMENTAL REVIEW Planning I PAP Building -14-9� 7Environffental Other, Special Conditions TFE:ESPermit 8 Plan Review Site Inspection Violation Fee Other TOTAL FEES E 'v O A Z C. 10 0 '> o c zr c 0 = = c -^ z rn 0 nz rn ` z r*r D rn O m z < A !7D CI) -! :013�`t D «rsts . 'a .. «. .. 10 m to a w z -I , �► t� 2 -4 m ao 2V m j n � m -nvs - o : � �. rnCO3 ox z ' a T :. . _ � ta °z = fl C mm o ry a � -� aQ cR w o om mm CO < CDrn � I > 7C b D 19 -i R Z0* — m W > > i �` ca0 zm *t > QQ M O 0 x "n X I — O t=9 D CZ cn l� � z f- to -.Z m > "a p N �. Q a '!1 (� — z Q WM -4 © o > ? O > mz — w � ,& rnai � < N � = CZ ias m z Q 'p s zoc ma m mis - '�► pN. � � mja -cv aQ � M mI n m — aza0 1.0 00 Q o to m qAp zz � n CA ma�''a rn rn r xm � C � AA PR NR° ram- . > mom = ; is 0 h - v oIn0 < M :* ak V C 0 CA 0 -2 f' I I � � xam x �: > > I to s � �- r? to —i iTs —! C C7 -C f) O rr; C > zoD I -< > ..r Ll n m < cz � I < � z ( d z m Scz 00 arcCD 000 ► ' a � � X "'^ CO � O I OD j I � g ma O cmr Cn =** p I 1' Q O _ _ A0 Q = C rt "� 2r y d m O ? 0` I Cr� r 4 "'F oZ O n -6 = (D #+ m cn Q _ m zr - a zD c � o = _ > r. C z -! wi _ > DC -i m 0 w fn > r 2 �C -C Y CA PJ r � x1+ 9+ 0o 4 " a x 910 -E v ° G -Os lb la f 0. --01 ZO n C4 � aa � 7C � j 4< a "1 11ie oo w s 03 � Vic! 9 V O�Da * OWN < a ? fl -• is ? +'tom 2 0 fl. A 00 O to is mx = ia a ° Z 17 so0c. w mQ a0 'o — 0 a "Os f+ = X Q 0 z rt w > o 0 c Z�+ Cn Z " (D ` ) " X ID t7 � � rt Ot ` m °► a °° .�. --I- Q O iss c. c o Z ° a T p. a -t p n >+ z 3 < i C 0 I ++ A z 0 'y Q O rt O m rt O 3 I( C p I I i