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HomeMy WebLinkAboutRLC93-0334 - RLC Inspections - 11/22/1993 Ivy-2 <.. • Date Received: 2 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT RESOURCE LANDS AND CRITICAL AREAS CHECKLIST The of%wing checklist is designed to assist an applicant for a Building Permit, On-Site Sewage System Site Evaluation and Disposal Permit, Access Permit, Land Modification Permit, Hazardous Waste Permit, or Shoreline Permit in determining whether their property is affected by regulations under the Mason County Interim Resource Ordinance (77-93)*. This checklist is an important opportunity for identifying early in the permit process whether there will be any environmental regulations affecting the proposed development. c�; Owner �+ d .t- ��t' ram} tic Phone # 4Z`7- `, Site Address �_o ' 1 v1v - City ' JA_ej _Zip Owner Addresses kL a I bac,, City c State Zip Tax Parcel No. 4 A UGt _Legal Description L.ia ;zt 'S'l�)1" Directions to site (Please attach map) L '1 , 0— Please provide or attach a vicinity map which includes cross ts, major roads, creeks, etc. 7 A Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas official and resource lands are available for review at Mason County Department of Community Development, Planning Use Only Department. Do any of the following exist on this property or within 200 feet of this property? Count Yes No ❑ [[� 1. Saltwater shoreline or a lake 20 acres or larger? ( ❑ [3-- 2. Rivers, streams, or creeks with year-round flow? ❑ 0,— 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel? ❑ 4. Lakes or ponds less than 20 acres in size? ❑ [;�% 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps. (See County Maps for guidance.) 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for guidance.) ' hit ❑ Q� 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) [� ❑ []/ 8. Seismic Hazard Areas? (See County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) You may be provided nuisance protections by the County for certain resource activities. If you are enrolled in any of the following programs: County Yee No [3` ❑ 1. Agricultural Open Space Taxation Program, RCW 84.33 ❑ C],X 2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest, RCW 84.34 Copies aro available at Mason County Department of ,snit Development-for $5.00 each. Date Received: ASON COUNTY DEPA THE T OF COMMUNITY DEVELOPMENT RESOURCE LANDS AND CRITICAL AREAS CHECKLIST The follow'ng checklist is designed to assist an applicant for a Building Permit, On-Site Sewage System Site Evaluation and Disposal Permit, Access Permit, Land Modification Permit, Hazardous Waste Permit, or Shoreline Permit in determining whether their property is affected by regulations under the Mason County Interim Resource, Ordinance (77-93)*. This checklist is an important opportunity for identifying earl in the permit process whether there will be any environmental regulations affecting the proposed development. Owner _ l Phone fllL}3�'a ? Site Address _ CG A ___City _Zip Owner Address '—s:�fyl e— IJ City_ State Zip Tax Parcel No. Legal Description (ADt - Directions to site (Please attach map)_ F, IS `ZO AJ, Q4 V (,_yn . NIAS i -Ico' ( G � v tZ �. - ovl.�o Please provide or attach a vicinity reap which includes cross streets, major roads, creeks, etc. sl� s� w ie u olll Q5P C.(_ tT%on5 or� r Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas and resource lands are available for review at Mason County Department of Community Development, Plennina Us,o iY Department. Do any of the following exist on this property or within 200 feet of this property? Coin yes No ❑ ❑ ❑ 1. Saltwater shoreline or a lake 20 acres or larger? ❑ ❑ ❑ 2. Rivers, streams, or creeks with year-round flow? ❑ ❑ ❑ 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel? ❑ ❑ ❑ 4. Lakes or ponds less than 20 acres in size? ❑ ❑ ❑ 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps. (See County Maps for guidance.) ❑ ❑ ❑ 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for guidance.) ❑ ❑ 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) ❑ ❑ ❑ S. Seismic Hazard Areas? (See County Federal Erergency Management Maps and County Seismic Hazard Map for guidance.) You may be provided nuisance protections by the Cpttnty for certain resource activities. If you are enrolled in any of the following programs: County yes No L C_]!0 1, Agricultural ©pen Space Ta> ation Program, nCW 84.33 ❑ ❑ ❑ 2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest, RCW 84.34 * Copies are availnbin nt Mnson County Dopartrnont of Conmiunity Dovniopment for t5.00 earh.