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Forestry Consultant PO Box 681 Hoodsport , WA 98548 RE : Land Modification Permit GRD99-0001 Owner: Toni and Tim Sheldon Dear Ron, After reviewing the application for Land Modification which you made on behalf of the Sheldon' s, I have exempted the work from requiring a permit through this department based on the following criteria: 1 . The amount of material, either excavated, used as fill or exported to another lot, will not exceed 200 cubic yards per parcel of land. 2 . The land modification which occurs on site will be consistent with Chapter 33 , Excavation and Grading, Mason County Grading Permit Standards as adopted under Mason County Resolution 141-96 to which a copy is attached. Exemption from the permit requirements of this Chapter shall not be deemed to grant authorization for any other work to be done in any manner in violation of the provisions or any other laws or ordinances of Mason County. As we discussed, if a situation arises as a result of the land modification activities that have been exempted under the scope of this project that necessitate enforcement, we reserve the right to do so as outlined in Section 3307-Hazards . The land modification work, as proposed on GRD99-0001, can be commenced once you have received approval to begin from the Department of Community Development . Please notify me of your antici ate 'start date once it has been established. Si T i ff uilding p tor Code Enforcement cc : Property File Dana Herron, Building Official Pam Bennett-Cumming, Dept . of Community Development Randy Neff, Dept . of Community Development Betty Wing, PAC Director qt rr iTh z o E m n fl '1 r ' fII o n n O r fl so v - n N 0 �� \ r, fl fl ° a• ,_,. r_.• \ O fl •,, • a, (s„ , , m 00 (i_ .._._ m 100 ��\ r V V `� \ ,� \ v, -0 r H D ` c fD O O r. D - n 3 r. 9 0 S] i a Q NrF LOB 9- - r . �, \ z w n N a Q w � C15- V S 0 in lfl r r+ �G -s —1coNa O - fl N CD ' : n S Z ,- w O. \ fl (S) r n �A Z r .. \ E 3 a II VI rt- I 0 ov r n _\ m 1-1NN sa 11 ul I'' - m N m v c< O ._ � Q C O o O o N , ND co Q O O 0 F ND Iv O Z az c - fMA� COUNTY �9 GRD I-0001 •� C 9ason ounty Planning Dept. APR 2 8 1999 LAND MODIFICATION PERMIT :/ILAA4A., Grading, Excavation. Fill, Slopes, Drainage R EC E Department of General Services Cedar/P,O, Box 186, Shelton; WA 98584 427-9670/1-800-562-5628 PLEASE PRINT Owner Toni & Tim Sheldon Phone # (360)877-5105 FireDistrict Site Address 1st rt. on N. Potlatch Rd. City Shelton St WA Zip 98584 Owner Address P.O. Box 474 City Hoodsport St WA Zip 98548 Describe Work Removal of an old road fill 180' feet long to restore lot to original topography in preparation for developement. Contractor Name R.G. Forestry Consultant _ Contractor Beg#RGFORC*159KP Address P.O. Box 681 Expiration Date City Hoodsport St WA Zip 98548 Phone # 360-426-9540 #3 Engineer's Name Phone # Address City St Zip #.4 Parcel No. 4 2 2 2 3-50-00091 Legal Description SE 1/4, Sec._23,T.22N., R.4W., Potlatch Beach Tracts. Lots 91,92,93,94 3 oc) #5 Number of cubic yards lobe excavated: Approx:4110 cu.yds, of fill Number of cubic yards to be filled: 0 Number of cubic yards to be graded: 0 #6 Will this be a balanced cut and fill entirely within the site? Yes X No If No:Will fill be brought on site? Yes No X Where does imported fill originate from? Does fill contain any potentially hazardous materials? Yes Nam` #7 Will excavated materials be taken off site?Yes X No If Yes:Where will excavated materials be taken? To_anearby gravel pt owned by the landowners. AG FOR CONS 1 ii98 Page 1 of 4 t #8 Briefly describe exis+'no ter' iR� vegetation, aid improvements en_subject site? The pronerty is an nnndevelnpefl lot with a .slope of le^c than 1 flab with heavy foreet cover The only' improvements are a day use picnic area, storage shed and some recent rockwork to prevent beach erosion. #9 Total size of area to be cleared 5400 sq. ft. acres/sq ft Size of area to be cleared on slopes ever 10°. 0 AC/SF #10 Has a soils report been completed on the subject site? o if yes, include copy with application #11 Is the subject site within 200 feet of adesignated shoreline Yes, Hood Canal #12 Does the subject site contain any of the following features? River No Lake No Wetlands No Saltwater 40'from proiect Slope greater than 1_5% No Deft core ressible soils No Seasonal Runoff No None #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? No #1 d Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? No #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? The site is fiat enough that runoff should not he a problem #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? No #17 WV surface or subsurface runoff be collected or controlled by interceptors, curtain drains, or other water collection devices once this land modification has been completed? No #18 Will the land be replanted upon completion? If yes,with what types of plants? No #19 Will this modification rest ill in s!o_pes steeper than those.currently on the site? No If so, how steep? Show the following on the site plan N Lot Dimensions Existing Structures Flood Zones :\)( E Structure Setbacks Fences Water Lines Driveways Drainage Plans Shorelines Septic System Topography S Proposed Improvements Wells Indicate Directional by(N,S,E,W, etc.) Name of Flanking Street Easements In relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW: tkH -- +-r) c,r-fio Property line appr� 50' • i b Li t O H'NM 40 _00.,/ - Uppr vriveway ..17 Area c.�.P,II tc 1.9a reo^c,,e fi H OC 9 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW: ni„a- a-.. G23I, i C2,0' 1► J 0u\n/nA Fill to be removed ���> Original contour of around RG FOR CONS 11/98 Paae 3 of 4 NOTICE:THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS IN- SPECTION. (OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AMAWAREOFTHEORDINANCEREQUIREMENTSREGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. XOWNER XBY ()Z-ei.(1 I c� DATE DATE LQ?loft, 'FOR OFFICIAL USE ONLY:Accepted by Date: DEPARTMENTAL REVIEW APP COND APP HOLD Planning Building Environmental Other Special Conditions FEES Grading Permit $ A5O Plan Review _ Site Inspection Violation Fee Other TOTAL FEES $ Vicinity Map Toni and T'm "fie' 'on p (1,pnx 474 Hoodsport; WA 98548 r� 1 ra ua Ga 101 Deposit site Property owner to North tr Cathleen Juge 42 Edgewood Way F 0T L+� T t San Rafael, CA 94901 ;'o L7f Excavation Site i9rrlove approx. cu. yds. of old • ` road fill 47EE „ ' C CERD Property owner to south Patty J. Spofforth 3254 Verde Ct. Pleasanton, CA 94566 ID 1997 DaLozma l atI.. URF.+.17 1 fox Ida•. chi;8J0}F52 593.1