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HomeMy WebLinkAboutMEP2010-00038 - MEP Permit / Conditions - 11/15/2010 MASON ENVIRONMENTAL PERMIT($630 or$380 w/other permit) Mason County Permit Center Use: ❑ NDITIONAL USE($1520) MEP )Q 10 - 03Q36 HABITAT MANAGEMENT PLAN REVIEW($445) Date Rcvd 11_ 15" 1 0 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Resource Ordinance(Chapter 17.01 MCC) ENVIRONMENTAL PERMIT APPLICATION The purpose of the Resource Ordinance is to protect Mason County's natural resource lands and critical areas and is under the authority of Chapters 36.32, 36.70A, 39.34, 58.17, 76.09, 84.33, 84.34 and 90.58 RCW. PLEASE PRINT 1. PROPERTY OWNER Name: Mailing Address: C/O flot k GA"ti-M1 4#6%� (Pe4,11 Work Phone: A.,,,,p Row,- o w�71 Email Address: 6,t y���� 3 Home/Cell Phone:`� Fax#: !fan agent is acting for the property owner during the permit process, complete#2. 2. AUTHORIZED AGENT Name: G4/ 0A 4t—j �/ U�-P J-01,C'eS C�C Mailing Address: / (�l � Z � 1 �'�, 1?d VAgG11N r Work Phone:Z�3 Email Address: Home/Cell Phone: Z Z S_ 2 7 Fax# 3. PROJECT SITE f� / _w� Site Address: 0 (D G, S M ��S 4J4 a �✓( Parcel#: 203 S- U Q - 6 0 Z 3 Legal Description: -,n /ewe T/z /b L /S Directions to Site: Oe S"0 �f nt �/b C U IC Sl /G 6 Q./-r A t�r J f o F o .P e- Attach a site plan showing the following: Lot Dimensions,Flood Zones, Existing Structures,Fences, Water Lines, Driveways,Drainage Plans,Shorelines,Septic System,Topography,Proposed Improvements,Easements,North Arrow,and Scale. Also draw a separate topography diagram. 4. State which section requires permit: ❑ Long Tenn Commercial Forest,Chapter 17.10.060 ❑ Frequently Flooded Areas,Chapter 17.01.090 • ❑ Mineral Resource Lands,Chapter 17.01.066 ❑ Landslide Hazard Area,Chapter 17.01.100 ❑ Aquifer Recharge Area,Chapter 17.01.080 ❑ Seismic Hazard Areas,Chapter 17.01.102 ❑ Erosion Hazard Area,Chapter 17.01.104 Fish&Wildlife Habitat Conservation Areas,Chapter ❑ In-Holding Lands,Chapter 17.01.062 17.01.110 ❑ Wetlands,Chapter 17.01.070 5. Identify current use of the property with existing improvements: 6. Identify and describe the proposed project,including the type of materials to be used,construction methods, principle dimensions,and other pertinent information(attach additional sheets,if needed): 7. Describe why the action requiring this permit cannot bavoided. t4 0 C�/,l,!) d If 4LX(14_c� 8. Will there be an alteration of a wetland and/or wetland vegetation area(circle one)? Yes 9. Identify any surface water on or adjacent to property(circle one): Saltwater Lake on Wetland Drainage Ditch 10. Identify existing septic/sewer connection(circle one): If septic is located on project site,include records. Connected to Septic Connected to Community Septic /( /t 11. Identify existing water supply(circle one): Public Water Supply Well 11. Type of Job(circle one): N4_ ) New Add Alteration Repair Deu n Other: J Print Name Sign a Date I C mm�iunin DO C10l1nrent P\C'\il l' Kev ised)une 2010 oN-STATE MASON COUNTY BPS M O c DEPARTMENT OF COMMUNITY DEVELOPMENT � ° s N Planning Division o v c2i P O Box 279, Shelton, WA 98584 (360)427-9670 1864 MEP2010-00038 NOTICE OF MASON ENVIRONMENTAL PERMIT Notice is hereby given that SHALLOW CREEK LLC, who is the owner of the described property, has filed an application on 11/15/2010 for a Mason Environmental Permit for the development of: PP P Dredging 30 cubic yards of alluvial sediments from an existing, manmade pond to prevent flooding. A determination of completeness was made on: 11/23/2010 Site Address: NO SITE ADDRESS AVAILABLE Parcel Number: 322335000023 Location of Project: ON SOUTH SIDE OF SR 106 accross from 7293 SR 106. Within: SE (quarter section) of Section: 33 Township: 22 N Range: 3 W, W.M. in, Mason County Washington. Said development is proposed at dredge small pond. Any person desiring to express their view or to be notified of the action taken on the application should notify.. MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT P O BOX 279 SHELTON, WA 98584 Written comments must be received by 12/21/2010. A decision on the application will be made within 120 days of the date of completeness A Determination of Nonsignificance was issued under WAC 197-11-340. Written comments regarding this determination must be received by 12/7/2010. MEP2010-0003