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HomeMy WebLinkAboutRLC94-0358 - RLC Inspections - 2/28/1994 MASON COUNTY Date Received: ' �- DEPARTMENT OF COMMUNITY DEVELOPMENT Wz4� 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, Boundary Line Adjustments, Land Segregations, 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. G +G X ;A : �.,. Phone fizg6 .2.7_ _ga? Site Address r ( i�. ^r� i city AJIYAI Zip Owner Address Q t' Cit State Zip Tax Parcel No. (Confirm with Assessors Office) . - ' Legal Description_ CG- 2 Project Description Directions to site (Please attach map) l e zL L 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 officiat and resource lands are available for review at Mason County Department of Community Development, Planning U.e ONY Department. Do any of the following exist on this property or within 200 feet of this property? T Yea No El El1 1. Saltwater shoreline or a lake 20 acres or larger? I A./ f� © ❑ ❑ 2. Rivers, streams, or creeks with year-round flow? 1 � [� ❑ ❑ 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.) W ❑ ❑ ❑ 6. Slopes greater than 15% (8.5 degrees)? (See �the County Landslide and Erosion Hazard Maps for guidance.) I � �6� „ P ❑ ❑ 7. Floodplains? (S a County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) � - ❑ ❑ 8. Seismic Hazard PrPAs? (See ;.-unty -ederai 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 Yes No ❑ 0 ❑ 1. Agricultural Open Space Taxation Program, RCW 84.33 ❑ ❑ ❑ 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 $5.00 each. �. ..��.+ �.. -a■ a ■vAL A\\LAJ 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,dralnfields, wells &driveways. ► Project description Scale 1"_ North Arrow state that I have answered the above truthfully to the best of my knowledge. Applicant/Owner Date FOR OFFICIAL USE ONLY Adjacent property. 13 5- clu*d AQ;�I� M,9A U-?�,-� Xlt�t Using CquntY Resource lend Maps, this property is designated as 7 Long-term Con msrgiat For _ _ 4. Shoreline Alas*pr pr^� �... lnWWI' ldnrf i . Goes not apply. :i :::v:ji::i.v`jiriiji}:•ii i::::::::::::::+?'l' :..:...: >M> era[Rsqur>� L DCD :::.:..: ...:: .......... :: . ............. :.:.;:.:;;;:>::: ...::::.::::::.:::.::;.::.. :::::::::... ::. . .::;. ..:. . . �. ::::.:...:::.::::::.:..::::.:.. .......... ...��. 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. SHORT PLA T # APPROVED - GENERAL SERVICES DIRECTOR _ O _ o Short Plat O V N I 56.87' 3 " 14" E 3 — S 82.49 04 s�s2 for ROP , 7&00 - - 17500 /2/.32 John Evenson (5 aZ In h Q� (RPM �►�NRT�Xa z��� a S. 112, S.W, 114, SEC. 20, Q. N E E ` J LOT 3 �p��K 6g. 33 MLL �\ t� o and `` Q Loo AC t N, 112, N.W. 114, SEC. 29, 6O rWN. 22 N., R. l W., W.M. N to � E. 3160 HWY. 302, BELFAIR, WA. v 3 m b N (206)275-6670 98S28 A - W) PARCEL FI22203300230 Q 8I'ST'P6••_ � � - m N E—L00(R) LOT 1 o LOT 2 3 2.03 AC. N L50 AC. z N !ROBERT L. PORTER ET. UXI SCALE: £ a �*3xro1v h (ROBEUGLOWW ET, UX� N �Z69 �oT o J \\ 6 z_ ^ P� 2598.00 — 20 ? /9 20— — 5b 3.79 /973.36 29 N 88° 53' 00" E � s 62,2 ��E�� P�' w �h N6O'29'34'E 30 29 624.94 3L60 58'02'34"W LD�SP 6.45 �o 3 O1 VA r7 0l� o r v EgMT9g5 - � � Q .``v 23g tis��s �0 p L19- ^�0 5875_2 E N69292 ° SHERWp pp NO TE.'SEE ANDERSON <�+ ?F�„ N 88' 53' 00" E 30698 LANE TO TRACTS UNRECORDED PLAT v �l �f,TF V HWY, 14A, i 1 LP�i� POINT A" �� v WARNING: MASON COUNTY HAS NO RESPONSIBILITY TO BUILD, A.F-0239995 IMPROVE, MAINTAIN OR OTHERWISE SERVICE THE LEGEND: PRIVA TE ROADS CONTAINED WITHI'l OR PRO VIDING Holman 8 Associates SERVICE TO THE PROPERTY DESCRIBED IN THE •=SOIL LOG SHORT PLAT Professional Land Surveyors ll0 West Ralroad Shelton, WC. (206)426-2990 98584 88-76