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GRD94-0012 - GRD Permit / Conditions - 2/25/1994
ti o 3 MASON COUNTY : LAND MODIFICATION P MIT Grading, Excavation, Fill Slo es, Draina eNERA� 9 P 9 SERVICES Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner I��e�U S� -f['_ Phone# 06-M3 Fire District# J Site Address /1[01 JI)PMO-rk IC_&k Cityskc&o St "4— Zips S'0-L Owner Address C City S StJ , _Zip 9957� Describe Work ro O c i d f d 04-C�k #2 Contractor Name cSe Contractor Reg # Address Expiration Date City St Zip Phone# i #3 Engineer's Name Phone# Address City St Zip #4 Parcel No. Z 02 33 dQJOC� Legal Description S #5 Number of cubic yards to be excavated: Number of cubic yards to be filled: Number of cubic yards to be graded: , J #6 Will this be a balanced cut and fill entirely within the site? Yes No If No: Will fill be brought on site? Yes No Where does imported fill originate from? Does fill contain any potentially hazardous materials? Yes No #7 Will excavated materials be taken off site?Yes No ✓ If Yes: Where will excavated materials be taken? #8 Briefly describe existing terrain, vegetation, and improvements on subject site? `t OureC><,10�'e- c004& lw 4 4 ( C< ,vim 11 ridu s s r-1,7 o e;�d Il o-.4c/- le ,6�Pta v--tc ;rQ wi-, ►-ter Oa Y-u vL o - 4o a sties Spy,," o Boa ` _�� ►^� #9 Total size of area to be cleared lest�of-� acres/sq ft Size of area to be cleared on slopes over 10% AC/SF #10 Has a soils report been completed on the subject site? A10 If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline L Q #12 Does the subject site contain any of the following features? 6W 0!0-C to("Off !S to Cajed River Lake Wetlands Saltwater So VIAZ U +� SPY "S-) Slope greater than 15% Soft compressible soils �PrpP 2, i S ©wne'd Seasonal Runoff None #13 Will the proposed land surface modification change the points I / where storm water or groundwater enters or exits the site? ! Lts #14 Will the proposed land surface modification change the quality, sly c� 4101�. quantity, or velocity of storm water/groundwater? /' 10 #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? N6 a-'A tSS 6-1A iYO-f wt,�o�� n1 '� i Y '0rC!hL��'✓.' #16 Will this land modification result in the redirection of an surface I / water runoff onto adjacent properties? 0 ' C"�b ► F-� D���' K �� �, #17 Will surface or subsurface runoff be collected or controlled by interceptors, curtain drains, or other water collection devi es once this land modification has been completed? ! • C -UVL j , #18 Will the land be replanted upon completion? N7"( � i ILLI1M vr" -1uq `>- , If yes, with what types of plants? aklA W j #19 Will this modification result in slopes steeper than those currently on the site? O If so, how steep? Show following on the site plan rFFLo Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW See Gz�G v� ltitCc--�S APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW S-ee Gt 7e Hof MA,�Q 3 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS IN- SPECTION. I OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE --- —— — -- DATE - -- I FOR OFFICIAL USE ONLY:Accepted by: _ _ _Date:__ I DEPARTMENTAL REVIEW a Planning APP COND APP HOLD i Building Environmental I 1 Other Special Conditions FEES Grading Permit $ Plan Review Site Inspection Violation Fee Other TOTALFEES $ February 25 1994 Mery Settle Nora Haugan 111 E. Railroad Shelton, Wa. 98584 Re: Proposed S & H Go Carts; 1401 Deegan Road E. , Shelton. Dear Mr. Settle and Ms. Haugan: The Mason County Department of Community Development is in receipt of your Land Modification Permit and Environmental Checklist for the above referenced project. At this time we have the following comments . There may be additional comments or requirements later in the process in that the permit will also be reviewed by the Mason County Building and Public Works Departments. The application is basically complete, however, the following will be needed: 1. A more specific site plan drawn to scale is needed. It is hard to determine on site exactly where the track will be laid out. Also there is a discrepancy between the width of the lot (693 feet) and the width of the track (300 feet) , which appears to utilize the full width of the lot. Also, the parking area should be clearly outlined on the plan. 2 . The track corners (north and south ends) should be staked and flagged on site. 3 . The permit will be reviewed by the Public Works Department for compliance with on-site drainage requirements. 4. A County road access permit (update) will be required from the Public Works Department. 5 . The Mason County Parking Ordinance mandates a minimum of one handicap parking space. I have enclosed the section of the ordinance dealing with the handicap space requirements. 6 . Parking must be organized in some manner. Concrete or log barriers should be utilized to define the parking area. 7 . Location and number of rani-cans should be indicated on the site plan. 8 . Sign placement may require a Mason County Building Permit. Contact that department for information. If you have any questions feel free to give me a call . Thank you. Respectfully, Don Brush, Planner Department of Community Development March 10, 1994 Mery Settle Nora Haugan 111 E. Railroad Shelton, Wa. 98584 Re: Proposed S & H Go Carts; 1401 Deegan Road E. , Shelton. Dear Mr. Settle and Ms. Haugan: Enclosed lease find a "Resource Lands and Critical p a C itical Areas Checklist" . This checklist is required for all development on all sites in the Count as of October 1 1993 . I apologize for not Y � mentioning the need for this checklist in my letter dated 2/25/94 . Please return the form at your convenience. If you have any questions feel free to call or stop by. Thank you. Respectfully, Don Brush, Planner Department of Community Development