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HomeMy WebLinkAboutGRD2006-00009 Cancelled - GRD Permit / Conditions - 8/11/2006 0 % . r- / & m kR# C 2 0 2MqMM _. � z � � � � � o c o - � m 00 aK ; z0 * 0 R � XX � 00 « 8GE @ - > $ 3 / co 0 Mr- ;u � k C k � � 2k2m � � � � z ca (D o 5 E z U);u0 t � M0 0E > kmh � � p '0oQI _ § e m M > % M \ � � / CD 0 c / 0 -0Z \ � _ @ m 0 s A � } : k X 2 9 � / � C � \ w q v � 0 Cr > E O ® CD \ 2 awo � CA CA z o � { OD § § G ƒ � CA) z / \ 2 ■ 2 � 0 § wQ 0 � , m7M k § - § 0) § § n C 3 > o E » c C c CO) n 0 \ (a CA G) g qOo / ic � @@@ 4 � a »O ■ m "0 ƒ § m § 88 i � q � � m Z m � . . 0 q .. m r > � � � � � 8 §m CD / . o o � . . q T � P CA O k m e 8 O 2 < m @ k � BL kJ 7 m \ m O « � f 0 @PP 2 \� co co 6� $ � 6 ok 2 2 k § I m oo v m 0 v w v N O C f/»xoxD D X 0 X -i v •U o� oIV0 3 = c CD a OA� �O � O � �� vvOic y ' `° `` N a 0 N z� � mmc ;�� a t Ccl);a -0 m nm p-1 '�n � uDi �zz y`o n o v, vzZ CD cr X � m v v � -zj�'� m CA' y 0 m -io 0z co �O -� 0 o o c', m -v .-� -oc v � D � Cl) W on c � m m`-4 - o 0 °' m mcnz >OW v zao �mZ n� � "- a " Co X mz a, cn�m � -n Ewa) c a % CD o v X -4 'JM -0 mm =-<� o a5 y cQ 3 D - � m0 n -aC- D 9 :3 to z @ v 2m w -I c o vo 3 c m =G mz o �C/) m� o CA 3 01 3 ° i� D(Xj Or O�m Cc ZO m � ' cQ m y a � fnD nC v mOODO CL0 3 m zD � z � �D�mo � oID am o coax nZ � � aai mZ � — H 0 3 ' OCG) 0 co � vmWD d 3 C rt X O z � < ,_ ' 02m � r W y�. g a 3 � m m � m my � fn -8 0 o ° X.X OM mm ° cl)(D � 0m 0 80 . o c2i 3 �� � C) T -4p �ln .« o � c < OZ .ZO CL nc � = � �� G) cn cx Z Z z c� � Z`E w m G) 0 �1 0 •n0cntn m " OQ, D 5 -01 �O � zOn -� -i co � � � O 3 CD � E Dr � ��- mD a (D o 0 z Wm cn rm< c g; z rn = n G) cv CD C z -Im y o $ T a �" � Z Zz v_ �7 � � Qom _ a Dv G) cn z0 � � y o m D - 0m n � D< CD a � r- DD 0 < -nmv U) ' o co � 0 o m� 0 c o 000 DD - -Go � s m m mZ m 0 CCO) acn -j m CDW ou CO)mOTD � o m � Zmm cn -U � ym , m 0 0G) 0� vDXm �� -1 � m -� � D OZ • m ff zM mT z -0> -D -C- N , v Mm mm� � � m A Z� �U-o0 < 3 "9 o - v � y � = v zzoo 3 mCD CL N _ � �m � co On ODW0 a0 0 m 0 > C2 a $ Z -Zj DvrpD ?c � 0z m cnz � 1 o 2 ° = q 2 9 2 Rc ® Q S $ m @ > § Cl CL - 2 ° E ° - S E k ■ 8 � £ ya ■ } £ 7 (D F, \ Jg : � 0 EgoE OR 0. C ƒ % ) ) BCD 0 a)ai@C 79 E o £ ch k B ( j \ cr Co E gg / § . . . 7 k t " 2 m m a � g §2 � / / § K I / 0 Qi 2 CL m � i to � § E 3 ^ � CL CL CD n0 c k. ! :3 cr ] § E (D f A q � k % . CD . � (D CD . . Eg fu § \E § k kJ _ CL ■ Q � :3 t / , A } k � . pr . � � . b fi - PERMIT NO.: GRD MASON COUNTY (�( LAND MODIFICATION PERMIT APPLICATION 426 W.CedadP.O.Box t86,Shelton.Wp-.88684 Shelton S60 27-967b Doi 380 278-4467 Ehna 60 2.6268.Seattle 06 68 APPLICANT INFORMATION I;ONTRACTOR'-1NFORMATION Crivner ', c\c :a c cs r_ *� Contractor Name "4 G• rr -r►.N nc. Mailing Address MailIng Address i')vS� w "itwY'rof City A\ State Zip Code City.F,r�r A I k4metierp, State wA Zip Code M,63 Phone( Other Ph.( JPh.(* )w4`2- Other Ph.( ) Lien/Title Holder Contractor Reg.'* T��yoc-1-14cm Addre a Expiration o�t / �►> tir ENGINEER INFORMATION Name Phone Address State Zip Code PARCEL INFORMATION-12 digit Tax Parcel No. 3 / r QQC Fire District Legal Description I / c LO Site Address(include str et name n' city Directions to site:'T,14' fp*�'�+'L'y4£'w L+v� An** -n- N' '. f..6 -15. wF�, ..+ a�*yG1rA1�" Ga I-. F"A+e A Will timber be cut and sold in parcel preparation. (Yes/No) Is your property within 200'of the following: Body of Water(Name) Saltwater Lake _ River/Creek Pond --g Wetland "*4 Seasonal Rbnoff SVeam Slopes or Bluffs Soft compressible soils TYPE OF JOB Excavation Filling_3g___Grading `Total size of area. aj Amy ` { Size of area tor be cleared on slopes over 10% ©•o E imatedamount of cubic yards y,ow Describe Work LAND MODIFICATION INFORMATION YES- NO Will fill be brought on site? If yes, source Gw*f v#66+ L-of 7-An me..rw 1*` Will excavated materials be taken off site? If yes, destination Does fill contain potential hazardous materials? Has a soils report been completed on site? If yes, include copy. O "� Will proposal result in redirection of any surface water runoff onto adjacent properties? Will proposed work alter where storm water or ground water enters or exits the site? Will quality,quantity or velocity of storm/ground water•be altered? Will runoff be collected/controlledby_Interceptors, curtain drains or other collection devices? `4i3 Will the land be replanted upon completion? Will the proposal result in slopes steeper than those currently on site? M Is the site within 200'of a designated shoreline? NOTICE: THIS PERMIT BECOMES NULL AVOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 PAYS AT ANY AFTER"THE WORK IS COMMENCED. PROOF OF CONTINUATION'OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or;agent on owner's balwK represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and Inspection of this project.Acknowledgment of such is by signature below: OWNER AFFIDAVIT-i certify that I am exempt from the requirements of CONTRACTOR'S*FFIDAVIT-I certify that i am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that i am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be'done in conformance therewith. No changes shall first obtaining approval; be made without first obtaining approval. XDate 1 Date •/IY-�ovt, FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW ovi:o DENIED CONDITION CODES a Building Department t Planning Department IF ublic Works Department re Marshal FEES rading Permit Fee Site Inspectionlan Review Fee her ublic Works Fee Pre-Paid at Submittal.iolation Fee TOTAL FEES ry 4 _