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HomeMy WebLinkAboutGRD2019-00001 - GRD Application - 1/23/2019 CoLh�a MASON COUNTY PERMIT NO. �e� '�-U6� y, DEPARTMENT OF COMMUNITY DEVELOPMENT V2d ZQ lq-DOD d BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton e Mason County Bldg.8, (360)275-4467 Belfair ext. 'WW�er Street,Shelton,WA 98584 (360)482-5269 Elma ext.352 �D J4* ;So LAND MODIFICATION PERMIT (Grading Permit)B� 13 20 10 OWNER INFORMATION: CONTRACTOR INFORMATIO : 1/q%r NAME: C r"tiwJ./InJD FoArr &soc oze5 uc NAME: rr Loa 54-ve lv& �'L�tree MAILING ADDRESS: F.D. 130 2261f MAILING ADDRESS: P, .4 6 CITY: G1 l�l1pB012 STATE: �j ZIP: $ 3 CITY: S)fl;-TOP) STATE: ZIP: PHONE: CE L: 1oS'Ir & PHONE: CELL: Ea) 22q EMAIL: I�i C e. 4 r 91I �"Olt€l fesvartce r, Carl EMAIL : 51 At 91 Ah a - COM L&I REG# PLS 2 923 7 EXP.c& l 2J /20 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 121 I1- Z- 00150 FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED): NW 5 56t. �iti 4,1, SITE ADDRESS U IJ A•S S 1&0 9 b CITY 0, IJ W DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: G e0 &0110`0000 of BSc (l, SALTWATER❑ LAKE❑ RTVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES9 NO❑ WILL TIMBER BE CUT AND SOLD IN PARCEL PREPARATION ? YES ❑ NO;. *Oy Aa✓� TYPE OF JOB: EXCAVATION X FILLING ❑ GRADING) CUTTING ❑ OTHER ❑ TOTAL SIZE OF PARCEL C..-r O RES/SQ FT SIZE OF AREA TO BE EFFECTED 0,12 < CDSQ FT ESTIMATED AN40UNTY OF CUBIC YARDS 11 OD VD-3 DOES THE SITE HAVE SLOPES 14%OR GREATER YESN NO❑ DESCRIBE SCOPE OF WORK_ jLj 1.b P-00 ,4►)b ttsN710A) po JJ DS -ro 5rail;!6 QI3SIIliW"TiA.r LorS WILL FILL BE BROUGHT ON SITE? IF YES,SITE ADDRESS: No WILL EXCAVATED MATERIAL BE TAKEN OFF SITE?IF YES,SITE ADDRESS: c DOES FILL CONTAIN POTENTIAL HAZARDOUS MATERIALS? YES❑ N0'g HAS A SOILS REPORT BEEN COMPLETED ON SITE?IF YES,INCLUDE A COPY. YES g NO❑ WILL PROPSAL RESULT IN REDIRECTION OF ANY SURFACE W WATER RUNOFF? YES K NO,-` WILL WORK ALTER WHERE STORMWATER OF GROUND WATER ENTERS OR EXISTS THE SITE? YES❑ NO 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❑ WILL THE LAND BE REPLANTED UPON COMPLETION? YES Jg NO❑ WILL THE PROPOSAL RESULT IN SLOPES STEEPER THAN THOSE CURRENTLY ON SITE? YES 1K NO❑ IS THE SITE WITHIN 200 FT OF A DESIGNATED SHORELINE OR A WETLAND? YES❑ 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 ana inspection.This permit/application 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 INSPE TI N. INA TI THIS PERMIT APPLICATION OF 180 DAYS WILL TIVAYDATE THE APPLICATION. X �F ©� 16le/1 Sigrfure of Awlicant Date X S10 Af15` y YS�- F*1 '0G-r OWNER REPRESENTATIVEkONTRACTOR Print Name ICATE) ALLYWOORE RIDGE 1 1 SHORT SUBDIVISION# W CNTTR9WR 1 DIRECTOR'S APPROVAL 1 t 18 r1117-42-00120 t t APPROVED FOR RECCRONG PURSUANT TO I I1217-41-DDo20 CARS a NAOO LUAOBERG i 1 MASON COUNTY n11£iSJ6 1 1p AIAPoL a VQVETTE LUNOBERO 7 I av54653 N Bg79'17 E AN]me N e919'f7'E s.e sr DIRECTOR OF COaRNen SERVICES �- 719.87 - 11&70 7m.01CL 1 t DALE APPROVED 1 I T AUDITOR'S CERTIFICATE 23757 SO F7 SCALE: 60 FEET I 8 z ON 201E DUPLEX LOT p t SA \ t FILED FOR RECORD THIS DAY OF 2018 0 .0 60 12G i N8979'fYE 779,87 /_ ` \ VOL.- OF BASS REARM I h 180.20 / 19.62_ \\\ 1` AT Y.N A T ME REQUEST CE OFOF SNORT SIDNCY G BECHIOL PLATS i.R.. ) �„ \ t O. A5.44m Sam MOW,OW,EAST arnax Tula PUT AE NONAoars Ow IE EAST Ulf W E OF U4eL1A1AOE W II, lour 10 OF MAM PAa 92 I O 8 19764 SO FT I Q RPQ L4 I 7 ,\`Ern ` AUDITOR'S FILE NO. COUNTY AI/Q'1LXl' 1Erx asoePla I Y DUPLEX LOT INE EAST MUT OF A TRACT a LW PA no ARY a9011® ,,�Ems. B N 8979'1T E 2:9.e7 \ / 51793 SO FT ` ? t DECLARATION Of SHORT SUBDIVISION I 96173 SO FT a9.al 4o.a •COMMUNITY ALL IIAT PLRAV7 OF RE NOR MIEST 011MrR OF THE ,Yi b w SaNEAST D/ARIER OF SECTION 17.TOIINSW 711NDRIH I OPEN SPACE I w \ pEC1ARATTON OF 511OR1 SIA90lN9ON RANG I.ESL Wx PMHxfA,vaY OLFABLD AS FCLLIIWS ,,, DRAINFIELD/ ` I ry1 4 c 1 OPEN SPACE .2018 AUC/TOR'S HIE N0._.__-.___--- www9la AT IM su gw w ewe a m SAD mw EST I av g I I 8 \Z -._..____ _ "IR LF eE SW9EASr a1M7Ut In +�"Ia1e o 19764 SO FT I I 8 O TIME raem an9'Ir ow.."M THE Bar UK INDEW.. DUPLEX LOT I 47777 FQE' I I \e Q A t AGATE LAND SURVEYBIG,PLLC r1off SaIN 8976Yr EASY To N KSIMY WIT-O'-IAT n l 2 o g N 9979'1Y E 179.87 LK OF Sur ROUTE 1' of _ o i---- \ 06"S smr ABw SAD 9amxY u[w DE c /// ��\ 189.eI 40.W dNN PRE AGATE LAND SURVEYOR Box XP SaNEAY UE tF SAID NOPTNIKST WARIER OF N o I g I ` 26U10 E.ACME RD.-P.O BOX 146 SOUNEAST WARWR 4 I • \ \ SHELTON.WA 98564-(J60)426-4I72 Theo"NoRm BnEOr 1Esr Atom SNO SWBERLr LAE To "I A 1 21111 / \\8 I I IW PLWIr OF lEOveRG V EMPN6 11E�RaN Au nuT PMMV nEutr E A". b \ 24360 SO FT I N 89'46'35'E 110.03 \1 tt DRAWN BY.' DATE ADB N0. SKEET Wool US W1101 CoWwAENr Lor J IT SAD SECIN 17. i \ DUPLEX LOT I I g B ��/I \ M.R 1210912018 J697 I I OF I ASISWT PAAII Na I1I17-47-001D I ��9g 1 1 -� 1 'Y C'1j/ `\ CAEOCED Br. SCALE FILE NO.. 1 100'RADIUS -1------ ----- oo Jew_dRylalr-sta�rao,c AuvIolor 9RYM I W 189.81 �$ 35339 SO FT I /� \ SOR 1) UARUAID W1Xl AO.11.VOUI[w Or MR PAa w 7T ,atAK w OF ROVEM PAa ss BY WWOR x UDAm 1 As-Built 1 N 89"'17"E 229.82 o OPEN SPACE / / `\ SURVEYOR'S CERTIF'CATE JI ,a"u a SAVVEYS PAGE a BY SILL"O 0loefwll i � �� \ CLASS B l 1 .) N2UE 1J Q SAIAM PAa 1/BY 00NON N oRA A \ \\S\ / 5) WxlA1[»a%wM PAa 10 BY SDAEY C SE&M r \ ` I ��� \ WELL SYSTEM / 5 \ \ \� �/ $� \ NHS YAP cawEcnr REPRESENTS A suRiEr LEGEND 23113 SO FT \ �� / / OPEN SPACE MADE BY ME OR UNDER MY DIRECTION N �{ � \ / 8 SINGLE FAMILY LOi OOIFOREIAMOE WIN THE REOIARFilEN1S CE ME SEr%'AEBAR AND PLASTIC CAP \ 8 / SURVEY RECORDING ACT AT INE REQUEST OF BECII r I . ��i - / 1 H M 719.94 R ��_ T61.14 fEDARIA/O FOREST RESDtARCES N AANUARY 2011L FOII"CONCRETE PLAT 219 T VOWAIUNT S n.es --- 2 IV 8978'e7' av DIV N e9va•Js•E 691.01 r. SQUEY G BELNIDIT JL P.LS/l82J7 ® cALCU.tATED POSDON I AN 7018 '1"11 20111 12117-4J-0o000 O FO1MD%'REBAR I I ANDERSON a SONS INC. I2211-50-LION7 © ADJOINNIC PARCEzs Ig pg1THEn FAYEr -SEPTIC DESIGN BY ^ REVOCABLE MUST BRAG$MIiH K BECyr OLv DATE LAST N91IE0 P.O.BOX 1444 Q?`",°'••""o Nv NOT 4a E0/ S SURVEY CURVE TABLE LINE TABLE GIG HARBOR, WA 98335 1 a R L LINE BEARING DISTANCE y.fi A Nr c1 orJeoe 1940.0o zse.sl a SO'1J7 .Woo (253)851-1178 p40.W'ROAD AND UTILITY EASEYENl 10 a NBo3078 E 57.02 Isle eB7 99.46 A• L3 Ns77evJt SJLW SHORT SUBDIV1510N FOR `halnsrS°4' ®15 UIR11Y,ACCESS AND OPEN SPACE EASEMENT CJ 1e070'SI eI.40 IJO.e4 U N89YI'J8'E M00 s S19'SZY]-E if.24 CEDARLAND FOREST RESOURCES LLC 1 °AAL LAM�9J Q 17.3r MEN SPACE EASWNT LB S19`Jr47"E 11.24 ATTN: JOE LEDARLAND ft..1thdw.ds hon my and d e'vMt rds opPly to Pm is realed Rom the"'0.1 al P.O.BOX 2264 22029-41-90040 and are limited fo SOOO gaeom Per cloy tot"odor a-le,right is obtaiud GIG HARBOR, WA 98335 for It.aaliond wlume above the exnpt S.00D 9.0 s. The omwnl of-ler that can be (253)208-8136 .i"dm Tar eaa lot Is specified bdw. Lot 1 950 gams Per day Lot J 950 gollms per day Lot 5 950 alms P&day NOTES ASSESSOR'S PARCEL No. 1221 7-42-00130 Lot 2 950 gdons Ps day Lot 4 950 9doos Per day NO BII[DING PERMIT NECESSITATING POTABLE WAITER WILL BE W_lots are located more thm the mi,inum reguiemml,the bdmce or the duration may ISSUED WITHOUT FIRST SA17SFMC POTABLE WATER REOUREYENTS 1) RESPONSIBILITY AND EXPENSE FOR BIADRIC BFROVEIENTS OR YANIENANCE OE be changed.ith the__t of 11.I_dred properly omens rich the dmge r,-*d an the AS RECURRED BY THE MASON COUNTY HEALTH SERVICES DIRECTOR EASEAE7RTS AND PRIVATE ROADS LEADING TO OR SERVING LOTS WNW INS 94ORT title.ar the P•opetiu STBDMSION(ULAESS SUCH ROADS HAVE TEEN ACCEPTED INTO INE CdMTYS ROAD SYSTEM) SHORT SUBDIVISION FOR ANY NEW OR REVISED ROAM/DRIVEWAYS MUST LEFT OR EXCEED SHALL REST WTH THE LOT OWrRS. CEDARLAND FOREST RESOURCES I,LC Pr RCW 90.44.050 the ir*U-of lams o nm-epmnercid 9odms is""'UW/y"mRed to THE REOUREWNTS IN ACCORDANCE WITH YASLN COUNTYS me-hdl are.ithout a slate.atr right STANDARDS FOR TIRE APPARATUS ACCESS ROADS MASON COUNTY 2) ANY FURTHER DIVISION OF LOTS W1MV THIS SNORT SUBDIVISION SHALL BE SU9.ECi TO IN THE Pa ESSB 6091 lots rmd*Wan this shot v b*VlOw the Rnitad to or mood o-W, TIRE 14 CHAPTER 14.17. THE REOUREA"IS OF CHAPIER 16.36 OF MASON COUNTY CODE NW114 OF THE SEi14 mosim m.sage of 950 GPO. ALL LOTS OVEATED HEREIN ARE SL"CI TO 3) NE PROPOSED LOCATION OF SEPTIC SYSIEMS ARE ADVISORY ONLY. KUSIIE OF SEC 17, T22N, RI W, W.M. N WRA 22 Pr ESSB 6091 lots resllti+g from Mu"division o<united to an omud aWroge MAINTENANCE AGREEMENT'AS RECORDED ___ APPLICATION AND SEPTIC SIE INSPECTION&UST Of APPLIED FOR PRIOR TO BUILDING PERMIT marimxn_r of J,o00 CFO UNDER AUDITOR'SFB.E NO _.__ \ 5 T _ � Culvert Not . All cul ert shall have elical interio walls to keep fl w \ y�of rrnskr�c`` b velocities a accepta e limits. Cul rts maybe 12' 1/2"x -2 2/3" \ ��� 0 a helical co gated etal pipes or rrugated Sche ule 80 PVC pipes \ o 0 N CI 31778 4 SSIONAL SSG o w wLO00 112.9' 30x3Ox4'Pond a " Bttm El.; 66 3:1 SS / C) Gr de to 66 26' l 11 G 2: Slop N W E L U A 40 SF a. -A Btt L• 47 3. SS o goy \ w �abZ Grade to 2:1 lope \ \ 28 M O i ' `0 n and Side Slo s; Both,3:1 n SCALE: V=30' o C� G 0 10 20 30 1 V a