HomeMy WebLinkAboutRLC93-00549 - RLC Application - 1/3/1995 Date Received:
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
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• 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 eA any eny o nme n al r gala 'ons affecting
the proposed development. L � t��'Xf G' ��t �5^ 4KT
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Owner �L GAYSI w- Phone #(Za6 )
Site Address City Zip
Owner Address X5 �')/ Vc Citvgel' -�+i•- Statei,- -Zip YAYZ,'�'
Tax Parcel No. (Confirm with Assessors Office) 2 / b - Z. Z - 001020 Legal Description_
Project Description
Directions to site (Please attach map) o o 5- r v
0ii Ler=i OLd i3eL J-44r-
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
Official and resource lands are available for review at Mason County Department of Community Development, Planning
Use Only Department.
Do any of the following exist on this property or within 200 feet of this property?
couey Yea No
If ❑ ® 1. Saltwater shoreline or a lake 20 acres or larger?
❑ M 2. Rivers, streams, or creeks with year-round flow?
❑ 3. Rivers, streams or creeks with intermittent flow but are within a clearly definK2'
d hannel?
10 -
❑ J 4. Lakes or ponds less than 20 acres in size? ( �
[�f ❑ 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances
support vegetation adafe�i#or life in such conditions; such as marshes, bogs, and swamps. (See County
Maps for guidance.) 1�
❑ ® 6. Slopes greater than 15% (8.5 degrees)? tsee the County Landslide andErosion Hazard Maps f r
guidance.) �—Wv 4&4e I L4 at /l�
❑ ❑ 7. Floodplains? (See County Federal Emergency Management Maps and County eismic Hazard Map
for guidance.) (4"
❑ [4 8. Seismic Hazard Areas? (See County Federal Emergency Management Maps and County Seismic
Hazard Map for guidance.) A, )
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
[� (� 1. Agricultural Open Space Taxation Program, RCW 84.33
❑ [4 2. Open Space Timber Taxation Program, RCW 84.33, or-Designated Forest or Classified Forest,
RCW 84.34 j ®Q
* Copies are available at Mason County Department of Community Development for $5.00 each.
RESOURCE LANDS & CRITICAL AREAS
SITE PLAN /(water
PLEASE}SHOW THE FOLLOWING INFORMATION OZPROVIDE VEY MAP IF POSSIBLE'
► Location & dimensions of existing & proposed property boundariAppro imate slope ofland (gradphy.
► Identify legal access including, width of all road right-of-ways &eaLoci n of significant natural frivers).
► Locate all existing & proposed structures,drainfields, wells &driProje description
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Scale 1"= North Arrow
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state that I have answered the above truthfully to the best of my knowledge.
U tivt/�c, Applicant/Owner `t Date
FOR OFFICIAL USE ONLY
Adjacent property. ,
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l 11S1I1q l.QUtILy P"SeL;OUCi,u Fril7iif kV1e11,3, tlfaa j.i3:.rp3�f ty
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1, Long-tern; Commercial Forest _ _ 4. Shoreline Master Program
I „ 2. In,hol,ding Land 5. Does not apply.i
3. Mineral Resource Land
Date UCD
There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Mason
County Treasurer.
When completed, this form becomes part of the permit application.
DEC 16 '92 12:37PM SOUTH KITSRP,..MRh_ •2
SKETCH OF PROPERTY SET UT IN ATTACHED ORDER
To assist in locating the premise:. It i t bmd on a sar►eJ, and the company
a:;ntnes no lisbiliv for Variations, W71 is di-ension$and location.
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;tom t y ".i'� w' ta'''�►(S•• • ;''.. .,f•.
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010
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a� �200030 Ell./S
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2200u60 A�1
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Notes This map does opt purport to show all highways roads or essamaats affecting the pro
'.�. g rerty.
SOUTH KI�SHP MRLL---... _��- ,... .. . .,..._ . .. , . ...,. P.3
ue.=V�ivrinv• L•JI _
PARCEL 3
That part of the Northwest quarter of the Northwest quarter of Section 16, Township
23 North, Range 1 west, W.M. , In Mason County, Washington, described as follows;
BEGINNING at a point on the Westerly Ilne of county road known as Old Bremerton
Highway South 460 West 410.8 feet from Its intersection with the South line of the
North quarter of said Northwest quarter Of the Northwest quarter; running thence
South 460 West along said Westerly line of road 200 feet; thence North 470 151 West
643.04 feet to Bald South line of North quarter of Northwest quarter of Northwest
quarter; thence South 890 14' Last along said South line 232.65 feet to the
Northwest corner of tract conyeyed to ,Jesse A. Thweatt and wife by deed dated
August 8, 1945 and recorded In Volume 96 of Deeds, page 514; thence along the
boundary of said Thweatt tract South 650 101 East 86.7 feet, South 53° 27' East
160.8 feet and South 471 15' East 239.1 feet to the POINT OF BEGINNING.
1
2 times the h ' Top of
art at Structure =err
�13' cx.�c sope to of
a Faotirq
Faca of i Toe of Nv to ezcaed 40'*-
Structure Slope 3N'
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TYPICAL SiRUCTURAL SETHACX
-X BUILDING OFFICIAL MAY APPROV'LS
ALTERNATE SE BACXS a CARA.WCrS
Sccia !" - ZO'
Samp(e Slte Plan
2 41'
t 53' 14
40. 32 20' I
o PROPOsEl) n
RESIDENCE
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EDGZ OF SANK Seotic Tar c�
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Min.3'=.fbCQ Well(sce 121
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TYPICAL SITE PLAN (" = 20'
J. OOE 1406 Mason Lk_ Or.
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