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HomeMy WebLinkAboutGRD2021-00013 Cancelled - GRD Permit / Conditions - 6/10/2021 MASON COUNTY PERMIT NOGdaul-boo I� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING• PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. 8, (360)275-4467 Belfair ext. 352 615 W.Alder Street, Shelton, WA 98584 (360)482-5269 Elma ext. 352 LAND MODIFICATION PERMIT (Grading Permit) OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Rick Buechel '�� _' � NAME: MAILING ADDRESS:PO Box 249 MAILING ADDRESS: CITY:Union STATE:WA ZIP:98592 CITY: STATE: ZIP: PHONE:360-898-2 1 CELL:360-490-7000 PHONE: CELL: EMAIL:rickb@hoodc nal.net EMAIL L&I REG# EXP. PARCEL INFORMATI PARCEL NUMBER(12 DIGIT BER)322324390013 FIRE DISTRICT 6 LEGAL DESCRIPTION(ABBRkRd TED):LOT 3 OF SP #3059 AF #19487 SITE ADDRESS 750 E Dalb CITY Union DIRECTIONS TO SITE ADDRESS Ftvm Shelton take McReavy to Unio . Take right on Dalby Rd: Property is on the left IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/\PA POND❑ WE ND❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WFT OF THE;PROJ CT-GREATER THAN 14% YES❑X NO.El WILL TIMBER BE CUT AND SOLDEL PREPA ION? YES ❑ NO x❑ TYPE OF JOB: EXCAVATION ❑X FILL G V GRADING❑X CUTTING ❑X OTHER ❑ TOTAL SIZE OF PARCEL 5.78 ACRES/S SIZE OF AREA TO BE EFFECTED 1 ACRES/SQ FT ESTIMATED AMOUNTY OF CUBIC YARDS 3000 X —",*N DOES THE SITE HAVE SLOPES 14%OR GREAT YE NO❑ DESCRIBE SCOPE OF WORK Excavation and radin of illside �/NCXWV WILL FILL BE BROUGHT ON SITE? IF XYSS,SITE ADDRESS: WILL EXCAVATED MATERIAL BETAKOFF SITE? IF YES, TE ADDRESS: DOES FILL CONTAIN/BEENE L H ARDOUS MATERIALS? YES ❑ NO 0 HAS A SOILS REPORT ,OM ED ON SITE?IF YES,INCL E A COPY. YES 2 NO ❑ WILL PROPSAL RESUI TION OF ANY SURFACE WWA ER RUNOFF? YES ❑ NO�' WILL WORK ALTER WATER OF GROUND WATER E TERS OR EXISTS THE SITE? YES ❑ NOWILL QUALITY,QUAELOCITY OF STORM/GROUND WA R BE ALTERED? YES ❑ NO[�WILL THE RUNOFF BE C /CONTROLLED BY INTERCEPTORS,CURT DRAINS OR OTHER DEVICES? YES❑ NO q WILL THE LAND BE RD UPON COMPLETION? YES❑ NO g WILL THE PROPOSALIN SLOPES STEEPER THAN THOSE CURRE TLY ON SITE? YES Q NOIS THE SITE WITHIN 2A DESIGNATED SHORELINE OR A WETLA ? YES B' NO❑ OWNER/BUILDER nowledges submission of inaccurate information may result in a s p work order or permit revocation. Acknowledgement o uch is by signature below. I declare that I am the owner,owners lega epresentative,or contractor. I further declare that I am an'tied to receive this permit and to do the work as proposed. I have obtain permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above d cribed property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construct n is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION WORK IS BY MEANS OF INSPECTYCQ 11NACTl OF TH PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE T APPLICATION. Sig p�����u,,rekof Appli X /�1 LX I Gt C Lh L OWNER REPRESENTATIVE/CONTRACTOR rint Name (CIRCLE TO INDICATE) MASON COUNTY PERMIT NO I• Q (� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING• PLANNING• FIRE MARSHALJ- WWW.CO.MASON.WA.US (360)427- 67Qrejl2bVu Itan _ n County Bldg.8, (360)275 � D lest ` Alder Street,Shelton,WA 98584 (360)482-5269 Elma ext. 352 LAND MODIFICATION PERMIT (Grading Permit) 10 2021 INFORMATION: CONTRACTOR INFORMA'lt'6N Street NAME: Rick Buechel '�� Ul� NAME: 19 MAILING ADDRESS: Po Box 249 MAILING ADDRESS: CITY:Union STATE:WA ZIP:98592 CITY: STATE: ZIP: PHONE:360-898-2481 CELL:360-490-7000 PHONE: CELL: EMAIL:rickb@hoodcanal.net EMAIL : L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER)322324390013 FIRE DISTRICT 6 LEGAL DESCRIPTION(ABBREVIATED) :LOT 3 OF SP #3059 AF#1948722 SITE ADDRESS 750 E Dalby Rd CITY Union DIRECTIONS TO SITE ADDRESS From Shelton take McReavy to Union. Take right on Dalby Rd. Property is on the left IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK X❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES X❑ NO ❑ WILL TIMBER BE CUT AND SOLD IN PARCEL PREPARATION? YES ❑ NO ❑X TYPE OF JOB: EXCAVATION ❑X FILLING ❑ GRADING❑X CUTTING ❑X OTHER ❑ TOTAL SIZE OF PARCEL 5.78 ACRES/SQ FT SIZE OF AREA TO BE EFFECTED 1 ACRES/SQ FT ESTIMATED AMOUNTY OF CUBIC YARDS 3000 DOES THE SITE HAVE SLOPES 14%OR GREATER YES NO❑ DESCRIBE SCOPE OF WORK Excavation and grading of hillside WILL FILL BE BROUGHT ON SITE? IF YES,SITE ADDRESS: WILL EXCAVATED MATERIAL BE TAKEN OFF SITE? IF YES,SITE ADDRESS: DOES FILL CONTAIN POTENTIAL HAZARDOUS MATERIALS? YES ❑ NO B HAS A SOILS REPORT BEEN COMPLETED ON SITE?IF YES,INCLUDE A COPY. YES 2 NO ❑ WILL PROPSAL RESULT IN REDIRECTION OF ANY SURFACE WWATER RUNOFF? YES ❑ NO q WILL WORK ALTER WHERE STORMWATER OF GROUND WATER ENTERS OR EXISTS THE SITE? YES ❑ NO B' WILL QUALITY,QUANTITY OR VELOCITY OF STORM/GROUND WATER BE ALTERED? YES ❑ NOg WILL THE RUNOFF BE COLLETED/CONTROLLED BY INTERCEPTORS,CURTAIN DRAINS OR OTHER DEVICES? YES ❑ NO e WILL THE LAND BE REPLANTED UPON COMPLETION? YES ❑ NO Q' WILL THE PROPOSAL RESULT IN SLOPES STEEPER THAN THOSE CURRENTLY ON SITE? YES B NO❑ IS THE SITE WITHIN 200 FT OF A DESIGNATED SHORELINE OR A WETLAND? YES B NO❑ OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permittapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECT"."1NACTIV,175Y O�PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Sig ure of Applic to �TT X I Lic U C C.h� OWNER REPRESENTATIVE/CONTRACTOR rint Name (CIRCLE TO INDICATE) A RCTOS . .. . . . . . .. . . . . AERIAL °o• Environmental Consulting Drone Imager - PO Box 2466 • Shelton, WA 98584 (425) 344-9315 arctosaerial@gmail.com • www.arctosaerial.com ±340ft • ALwa o �o°• -���1 Existing o c\j Structures V 0') -0 � G) ,Lo' ry) � N •P�LANN'lNG' Gravel Lot Ln CD p[ 4-+ ro •— 0 o _ Aft SETBACKS ARE M�.ASURE© ~' � � � r-- E , , • , FROM THE FURj-4ST p v PROJECTIOI.' OF THE BUILDING / I .• . CL CD . . . . . . . . . Pi ' •• Ma created b Rob Na el A.-NNING p Y• 9 May 29th, 2021 • end Cfeek Revison: . . . . . . . CE�VED R .- Ep ,1.p'�021 ••• 615 . Alder Street Existing Bridge/ : • Replacement Location N ±611 ft 0 40 80 120 160 ft E.DALBY'RD Scale: 1 " = 60' 90 AERIAL • oo• EnvARCTOS ironmental onsulting I Drone Imager; : O Box 2466 Shelton, WA 98584 • (425) 344-9315 arctosaerial@gmail.com • www.arctosaerial.com rn .• � ±340ft o'• i O Existing O N .�$�'•• o• Structures V � Ln • f� d- � � Q. a. Q o• Np � G ravel Lot �`� �+ �/ +�-+ m w C .1 rn . .. I..L .� O O . L \ CLn V C(A_ Map created by: Rob Nagel • May 29th, 2021 end Creek Revison: .. . . . . . . B�9B Existing Bridge/ .. . . Replacement Location N .. ±611 ft 0 40 80 120 160 ft E DALBY RD r Scale: 1 " = 60'