HomeMy WebLinkAboutRLC N/A - RLC Application - 8/9/1994 r �
Date Received:
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS HECKLIST
The following checklist is designed to assist an applicant for a Building Permit, On-Site Sewage systerr,
Evaluatlon and Disposal Permit, Access Permit, Land Modification Permit, Boundary Line Adjustr;7e(7ts, .
Segregatlons, Hazardous wiste Permit, or Shoreline Permit In determining whether their property �s affecte
regulatlons under the MasoI7 County Interim Resource Ordinance (77-93)*, This checklist is ,gin imp';
opportunity for identifying e,7rly_in the permit process whether there will be any environmental regular%ons affe:
the proposed development.
F.f�iy k'' Phone 1t(2c6 )yip- �67o.,Yysat
Site Address /y �z^ Szc7/�M� -5*t, 7- 3N, of / V City✓ """),Y .t�< �u���.7_i'
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Owner Address �e �, _ bZ1�,..,� w,,,_� .�rr�. � :` � �t City State Zip
Tax Parcel No. (Confirm with Assessors Office) _Legal Dcs:--riptic;
Project Description s 1 y 72 - B� ,i W n, ,�o�,1-Wu,
C Lr F+.. ?-D lQ -�' �✓.l L T L"o
Directions to site (Please attach map) s, le- 3 ��, , �,� ,�� s,;F. 31'r'
AI
Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc.
i /,2 305- Sac¢/o,.• '.f �vs d�//fit sG rJ/p J i�er�5 .�- o
7516,, 44 410G
� i�3oC-[1 T,2;N
1.2 ,z-00000� �e000_I_ _
�ia.los-
Ix3-000cn
Answer the following to the best of your knowledge. County-wide maps showing general locations of critical are
omei.o and resource lands are available for review at Mason County Department of Community Development, Planning
u..oF#y Department.
c cDo any of the following exist on this property or within 200 feet of this property?
Saltwator shoreline or a lake 20 acres or larger?
❑ ❑ ❑ 2. Rivers, streams, or creeks with year-round flow?
❑ ❑ .0 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?
❑ 6. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstance
support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps. (See Count
Maps for guidance.)
❑ ❑ [3 IS. Slopes greater than 16°/6 (8.6 degrees)? (See the County Landslide and Erosion Hazard Maps f,
guidance.)
❑ ❑ C3/ 7. Floodpiains? (See County Federal Emergency Management Maps and County Seismic Hazard Ma:
for guidance.)
❑ ❑ ff" 8. Seismic Hazard Areas? (See County Federal Emergency Management Maps and County Seismi,
Hazard Map for guidance.)
You mby be provided nuisance protections by the County for certain resource activities. if you are enrolled in an,.
_ of the following programs:
❑ Ll CY 1. Agricuiturni Open Space Taxation Program, RCW 84.33
❑ 13, []❑ 2. Open Spoco Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest,
RCW 84.34
• RESOURCE LANDS & CRITICAL AREAS
SITE PLAN
PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE:
► Location &dhnenslons of existing & proposed property boundarlse. ► Approximate slope of land (grade & direction), topography,
► Identity legaiaooessinoluding,width of all road right-of-ways &easements, ► Location of significant natural features (water bodleg, rlVor,).
► Locate ON existing A proposed structuros, drainflelds, wane &driveways. ► Protect description
Scale 1 e•
North Arrow
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1 state that I have ans a the, above truthfully to the best of m knowledge.
ge.
Applicant/Own �_._ E
Applicant/Owner ; ,•7 .
Dat_
FOR OFFICIAL USE ONLY
djacent property,
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There Is a $40.00 application lee for the Resource Land & Critical Area.,; Checklist. Make checks payable to the Masor
County Treasurer.
When oompfeted, thle form becomes port of the permit application.
List of Tax Parcels, Owners & Addresses, and Legal Descriptions
for Resource Lands and Critical Areas Checklist
Parcel # Name & Address Legal Description
12306-12-00000 Paradise Builders, Inc. Govt Lot 2, S6-T23N-R1W
P.O. Box 1228
Belfair, WA 98528
12306-11-00000 Danny Stoltz Govt Lot 1, S6-T23N-R1W
125 N. Montgomery
Bremerton, WA 98312
12305-22-00010 Bank of California, Govt Lot 3 , S5-T23N-R1W
N. A. Trustee
P.O. Box 45188 ; TSAOPS
U/A Quderkerk
San Francisco, CA 94145
12305-23-00000 Bank of California Govt Lot 4, West of R/W,
Address same as above S5-T23N-R1W
Kt TSAP G(r11NI
KI TSAP COUNTY
- r tIDnO''••'x. `..,. �•l�:. i�iC•.�'�..r�.. i..rS�*v�M6'•-'d+ s.�. .�
1117 2 STo,, 3000 \
PANTHER LAKE
�a.•..� 51�o��z /�
g„ ,,,s✓der, �.� BANK rsoo poet s 04)P S 2100000
?200010 p
TRACTS
� ( 7r
SO
ROAD
BEAR CREEK-DEWAT70
04 6•y P
91(• Sg 12306 11 00000 W �9-
7 1260 7$ 1200000
010 804.63
f A r '+SDD 0/4FA 0700 .2200 I 10
O �L I.AXE TEfg,RA,:
!3/O�i .�✓' [✓�- aat/�o'T �/.��..r-a..,l,C l'r`!
Al- A. i r s 7r eL
. Inn
12306 14 60000 „
1
/ 2300000 "3p0O I U 23n
2a
i
l',y , w,4 c! r. 2�a
230( (
.. ," ?V100?O
230r,(,
/ 100 /
000
00 emove Pavement: food
dot'-a x
boo
o• \ y.
1
I
R ove Old Culvert
Restore Streambed
I
Z
t
New Edge o Road
/ o�
n�
�o
Ga i 0
oQ Ga
W
0
(U
fU
Un
0
a
ut Area
o I
I
New Bear Creek—DeWatto Road
boo Fill Are
0
i,0e�1o�
tteems 14' Arch, Maintain Streambed
0e
CRP 1472
Bear Creek—DeWatto Road
Environmental Permit Application New Wet Area ———————————
9 January 1994
Scale: 1" = 50'
o
New Wet Wet Area 4000 sq. ft. ,fhe, ulvert that will feed new Wet Area
= + <o
� e
Asphalt will be Removed
Existing Bear Creek—DeWatto Road. \ Road Bed will be Excavated
/f Existing Culve •
N Will be Removed
~' Fill Are
0
n� 4f
os
New Bear Creek—DeWatto Road d °4 �'o
C°Gy
N
Cut Are \
Station 115+34 ,
0 3
Station 1 15+9 s s
Wet Area Filled = 3700 sq. ft., +/—
CRP 1472 Legend:
Existing Wet Area: ——————————— '
Bear Creek—DeWatto Road New Wet Area:
Environmental Permit Application
9 January 1995
Scale: 1" = 50'