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HomeMy WebLinkAboutRLC - RLC Application - 10/25/1993 Date Received:/6 YJ 3 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT C Mee,rVl RESOURCE LANDS AND CRITICAL AREAS CHECKLIST The following 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. Owner Co ( 7 O -C .SAe (1F ar", Phone #(-'Vk) yaG //S/ Site Address e ✓► City S k e h©r` Zip scf Owner Address 614AA-e City State Zip Tax Parcel No. !Y,26 /o)- -)- 06000 Legal Description S to 7" Directions to site (Please attach map) Al io'o, /O o :- 4 6p r+S V%drr ' 13 LL K t N 1� // S C of( t5. /'o 10[ 4 to Drp ,DC!r4� to l A 2 0e5T O ,- S�� r'!✓1c 5 Il Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc. Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas oinciai and resource lands are available for review at Mason County Department of Community Development, Planning Use ONY Department. Do any of the following exist on this property or within 200 feet of this property? Co YesNo El " ❑ � ,V,l/ 1. Saltwater shoreline or a lake 20 acres or larger? ,V1 ❑ ,g 2. Rivers, streams, or creeks with year-round flow? OA [ 09 ❑ 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel? Kb E;V [per ❑ 4. Lakes or ponds less than 20 acres in size? t d� ®- ❑ 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted for life in surb conditions- such as marshes, bogs, and swamps. (See County �Vl Maps for guidance.) /1.ti�� G+�(P fv G�a'11-1 / I p Gc 6�i lcec- '60 ❑ ((� 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for guidance.) pq D ❑ [ 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) to n ❑/ ❑ 0 8. Seismic Hazard Areas? (See County Federal Emergency Management Maps and County Seismic / Hazard Map for guidance.) ,e You may be provided nuisance protections by the County for certain resource activities. If you are enrolled in any of the following programs: Cou t Yea No [:] 1. Agricultural Open Space Taxation Program, RCW 84.33 19 ❑ 2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest, RCW 84.34 ' Copies are available at Mason County Department of Community Development for S5.00 each. RESOURCE LANDS & CRITICAL AREAS SITE PLAN PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE: ► Location &dimensions of existing & proposed property boundaries. ► Approximate slope of land (grade &direction), topography. ► Identify legal access including, width of all road right-of-ways &easements. ► Location of significant natural features (water bodies, rivers). ► Locate all existing & proposed structures,drainfields, wells & driveways. Scale 1"= North Arrow 1 state that I have answered the above truthfully to the best of my knowledge. Applicant/Owner Date FOR OFFICIAL USE ONLY Adjacent property. AOy A�U�, AIU4t��a MW,,� 7d 4xA ol-- <> Usrn C :ResQLrrce:Land: `s phis ..M. ra ert rs:desf nstied:::as. ..:::: ..........::.::..:.:........:.... . ........ . ........... 9........... ........... ...............:.:.......::::.:::::::.,.......... Cammerclal Forest Land $ Mlnerai Resource`Land .:>>>::>:: >:. . .:Inholdln ` L nd•> << '..:::`...:::: >:<<: ::::; . ; . . ::.:.� <: ::>::: ......... 4.:..:OQes r7a a.pplY ...... :.:.:....:::::::::::::..:;:;.::.:::: :::;::.;::.;:.:. .::.::.:.:::::.:..:.:.... . .............. . ..... ............ ..:.. ....... .............................. There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Mason County Treasurer. When completed, this form becomes part of the permit application. ,�' _ � _. _ ,� --•� "• - �i Ipw :'!s .At }' r � n .r � t SPRlN61V000 2170 SP 621 S 6/68 t CHERRY PARK 2190 PARKIVOD 160 cta 2100 1 2100 140 010 q y y 2100 1290030 2190 N 130 1290o2o 42012 If o00o0 110 o SP 311 0 2100 ' N WOODLAND SP 1403 MANOR 2190 2190 1260040 190 2190 210 200 SP 19 45 1290 Sr 908 v 2190104Z 1290050� y 2190041 2190040 1260020 S 5/77 r 8LA 87-01 1300010 !0 2400000 �55 1400000 l Jre e-�>\je 0 1300000 I . Ot� 1� 3100010 l t 4200000 - 4100000' 31000o0 SR lol s 4 NORTH 3HFL TON INTERCHANGE 4390010 '4062020 FOR RIGHT OF WAY DETAIL, SEE O.F. % ' 0 34000oo SP 54R WALLACE BLVD d 40620Iq; SP 8 F •!� { i i i �'RENOE USE ONLY a 3 420�11 r 4U 9oozo .a 42 Op\