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Home My WebLink AboutGRD94-0015 - GRD Permit / Conditions - 2/28/1994 +` r G1Q�nV MASON COUNTY LAND MODIFICATION PERM t z _, Grading, Excavation, Fill, Slopes, Dr i Department of General Service 426 W. Cedar/P.O. Box 186 Shelton WA 98584 42 J1-s00- 2-5628 PLEASE PRINT _.r #1 Owner ��n a L(Z' a I& a Phone# Fire District# l Site Address Z74,6 4-1 Do ytoh CLie � 6,-,oxel p��. City ' -,p ` Z`i-ot St t 'a . Zip 1OV-$V Owner Address City S'�i (2 (,2`u.4 St_ f'CF Zip �R L Describe Work �',' L L '� 9 L a W �P af'4 h /'0 /•c .p lc ea-e sc c re Z`-P #2 Contractor Name �c�.-� ( �/�Q N� �� Contractor Reg# Address Expiration Date City St Zip Phone# #3 Engineer's Name Phone# Address City St Zip #4 Parcel No.!�ez 6 i 7 - 2 - O D 0 Legal Description '0�2 N kV IV ,S o f R rk #5 Number of cubic yards to be excavated: Number of cubic yards to be filled: aj , 44 �b Number of cubic yards to be graded. #6 Will this be a balanced cut and fill entirely within the site? Yes No X If No: Will fill be brought on site? Yes^ x No Where does imported fill originate from? 2 960 JZ-cam 6V �v40t 02 4 e, 4/ w y. Al. Does fill contain any potentially hazardous materials? Yes No T #7 Will excavated materials be taken off site?Yes No X If Yes: Where will excavated materials be taken? #8 Briefly describe existing terrain, vegetation, and improvements on subject site? /yO ['st p rd V,!!- In eh tS #9 Total size of area to be cleared a—L2 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? NV If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline /lo I #12 Does the subject site contain any of the following features? River Lake Wetlands Saltwater Slope greater than 15% Soft compressible soils, Seasonal Runoff None #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? Nh #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? AZO #15 What methods, if any,will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? Mi 4n.—rand z-% A,.,z� #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? AXb #17 Will surface or subsurface runoff be collected or controlled by interceptors, curtain drains, or other water collection devices once this land modification has been completed? e #18 Will the land be replanted upon completion? If yes, with what types of plants? #19 Will this modification result in slopes steeper than those currently on the site? IVo If so, how steep? Show following on the site plan Lot 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 S T b o v 1 • N APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW v rD D a y ro s 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. 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 AMAWAREOFTHE 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. DEPART IT. J / X OWNER X BY i DATE 2 —2 - 9P-' DATE - _ I I FOR OFFICIAL USE ONLY:Accepted by: Date: -- DEPARTMENTAL REVIEW Planning APP COND APP HOLD Building Environmental Other Special Conditions FEES Grading Permit $ Plan Review Site Inspection Violation Fee Other TOTALFEES $ GARY YANDO,DIRECTOR SON.S Tq TF O P 'c o A o DEPARTMENT OF COMMUNITY DEVELOPMENT SN N — O T Z PLANNING - SOLID WASTE - UTILITIES r N Y Y BLDG. III • 426 W. CEDAR • P.O. BOX 578 1864 SHELTON, WA 98584 • (206) 427-9670 Donald Dumontet 4471 W. Dayton Airport Rd Shelton, Wa 98584 March 22 , 1994 Dear Mr. Dumontet, Earlier this month, this department received a land modification permit application with your name on it . Before for we can sign off your permit we need to receive and review a Resource Lands and Critical Areas Checklist (RLC) . We have no record of an RLC being submitted for your project . Unfortunately I could not contact you by phone due to inaccurate information on your application. I have also tried to contact the contractor you listed, Don Macveg, but he had no knowledge of your case . Please find an RLC enclosed you may fill it out attach 40 . 00 Y Y and return to this office. If you have any questions or concerns, please call me at 427-9670 x281 . Sincerely, Michael MacSems, Assistant Planner Recycled GARY YANDO,DIRECTOR PEON.S Tq T�O o A o u DEPARTMENT OF COMMUNITY DEVELOPMENT o T z PLANNING-SOLID WASTE-UTILITIES N Y Y BLDG. III • 426 W. CEDAR • P.O. BOX 578 1864 SHELTON, WA 98584 • (206)427-9670 May 2, 1994 Donald H. Dumontet 4471 W. Dayton Airport Rd. Shelton, Wa. 98584 Re: Land Modification Permit; GRD 94-0015; Filling 450 cubic yards. Dear Mr. Dumontet: Planning staff have field inspected your proposed site for landfilling and have the following comments: 1. There is a biological wetland located on the site. It appears this wetland is interconnected (not isolated; see map) to other wetlands. 2 . A "Mason Environmental Permit" (MEP) is required for "the dumping of, discharging of, or filling with any material" into a wetland which is not isolated (Interim Resource Ordinance, Ch. 17.01 . 170 (D) (1) (b) ) . I have enclosed an MEP application form. The filing fee is $100 . 00 (non-refundable if permit is denied) . 3 . Environmental review (SEPA) will have to be conducted on this project also. I have enclosed an environmental checklist which should be filled out and returned with your MEP application. A separate fee of $100 . 00 is required. 4 . In order to receive approval of the MEP it will be necessary for you to demonstrate that filling of the wetland will not impair either water quality or the flow of water during high water events . No increase in water flow onto adjacent properties is allowed. If you have any questions please contact me at 427-9670 x294 . Thank you. Respectfully, Fon Zs�hPlanner Department of Community Development Recycled GARY YANDO,DIRECTOR � PEON.STgT�o �c � DEPARTMENT OF COMMUNITY DEVELOPMENT O A � o T z PLANNING-SOLID WASTE- UTILITIES o N Y OY BLDG. III • 426 W. CEDAR • P.O. BOX 578 J 1864 SHELTON, WA 98584 • (206)427-9670 June 13 , 1994 Donald H. Dumontet 4471 W. Dayton Airport Rd. Shelton, Wa. 98584 Re: Land Modification Permit; GRD 94-0015; Filling 450 cubic yards . Mr. Dumontet: A separate site inspection has been conducted regarding the above referenced permit action. We believe this wetland to be interconnected with other wetlands in the area, at least at high rain events. As such, our May 2, 1994 letter to you still stands, and the permit requirements outlined apply. If you have any questions feel free to give me a call . Thank you. Respectfully, Don Brush, Planner Department of Community Development I2200030 2200060 Tr. 3 rr i NW NW N R.R ! Zz o 1 a a W o f Cr, ex 2100000 rr. S- /,O/40 2200050 z N o° NE NW IV R.,R. 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