HomeMy WebLinkAboutMEP2024-00015 - MEP Application - 7/16/2024 Mason County Permit Center Use:
MASON COUNTY
COMMUNITY SERVICES MEP,��� 5
Building,Planning,Environmental Health,Community Health Date Rcvd
615 W.Alder St.-Bldg.8,Shelton,Wa 98584
Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798
MASON ENVIRONMENTAL PERMIT(RESIDENTlAe
El HABITAT MANAGEMENT PLAN:$300
0 MASON ENVIRONMENTAL PERMIT(NON-RESIDENTIAL):$1500
0 CONDITIONAL USE: $2000
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: v -y
Mailing Address:
Work Phone: ✓ /"! Home/Cell Phone:
Email Address:
L eloW
If an agent is actin or the propeny owner during the permit process, complete#2.
2. AUTHORIZED AGENT
Name:
Mailing Address: O
Work Phone: Home/Cell Phone:
Email Address:
3. PROJECT SITE 4480 E STATE ROUTE 106
Site Address: UNION, WA 98592
Parcel#: 32231_41_00021 Legal Description: "
Directions to Site: H� IN, ( n o l 0 V k vJ a,+e Y T w 4` Si ot C-
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.
Rev.August 2022
4. State which section requires permit:
❑ Long Term Commercial Forest,Chapter 8.52.060 ❑ Frequently Flooded Areas,Chapter 8.52.130
❑ Mineral Resource Lands,Chapter 8.52.090 ® Geologically Hazardous Areas,Chapter 8.52.140
❑ Critical Aquifer Recharge Area,Chapter 8.52.120 ❑ Seismic Hazard Areas,Chapter 8.52.150
❑ Erosion Hazard Area,Chapter 8.52.160 ❑ Fish&Wildlife Habitat Conservation Areas,Chapter
❑ In-Holding Lands,Chapter 8.52.070 8.52.170
❑ Wetlands,Chapter 8.52.110
5. Identify current use of the property with existing improvements: y U " f (ao„/ w I Jh xeo/ dY, ye--
6-A- P SS
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):
I S a* Ow
7. Describe why the action requiring this permit cannot be avoided. l
8. Will there be an alteration of a wetland and/or wetland vegetation area(circle one)? Yes o No 0
9. Identify any surface water on or adjacent to property(circle one): n6l\,1__
Saltwater 0 Lake ® Stream® Pond ® Wetland 0 Drainage Ditch
10. Identify existing septic/sewer connection(circle one): If septic is located on project site,include records.
Connected to SepticoConnected to Community Septic O Connected to Sewer®None Existing
11. Identify existing water supply(circle one): Public Water Supply 0 Well ® n01�_
11. Type of Job(circle one):
New IV% Add Alteration® Repair ® Demolition®Other:
Print Name ignature Date
Rev.August 2022
RECORD OF SURVEY NS121o1'W
MASON COUNTY,WASHINGTON ¢ PPEOF RECORD
® p (?mm4)
BASIS OF BEARING
ASSUMED NORTH Sr21'01'WEST ALONG
LOS Table $n THE NORTH LINE OF GOVERNMENT LOT 2
LINE BEARING DISTANCE .lm,
L1 N5'0425"E 7.51' v+
L2 S15'5"2-'N 5700'
0 1. 120'
SCALE'1' 64
S IT21'01'E
733.4T
SD, SD, LEGEND
Q FOUND IRON PIPE OR AS NOTED
BET 5/8'RESAR AND CAP STAMPED
'TURNSOW,LS 42a7S-
0 390 IRON PIN FOUND
❑ 34wrc
Q Trbngb
�I
HOOD O
CANAL
3
EQUIPMENT AND PROCEDURE
CONVENTIONAL FIELD TRAVERSE USING A LEICA TS D9 ULTRA
TOTAL STATION.THIS SURVEY MEETS OR EXCEEDS THOSE
/� ACCURACY STANDARDS AS SET FORTH IN WAC 332-130-M.
1J1 iw1+// f}'I AUDITOR'S CERTIFICATE
1 7 FILED FOR RECORD THIS _
DAY OF .20_AT
,\
AT M,IN BOOK—
SO' SOS O '\ OF SURVEYBAT PAGE___-.._...__.______.—
AFN
AT THE REQUEST OF JAMES D.TURNBOW.
EASEMENT PER DEPUTYAUDITOR:_
AFN 505986
' COUNTY AUDITOR
SURVEYOR'S CERTIFICATE
w,glcaves:nrmrm:nn:�uwunvrpa THIS MAP CORRECTLY REPRESENTS SURVEY MADE BY ME
_fir' O•_TU� H) OR UNDER MY DIRECTION IN CONFORMANCE WITH THE
/�•-(TAy\'Y� REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE
•� '�- REQUEST OF:
JIM LINOSEY
IN JULY .20_24
JAMES D.TURNBOW-LICENSE NO.42679
`^'^"" TURNBOW LAND SURVEYING,PLLC
INDEXING MAP PROFESSIONAL LAND SURVEYING
RECORD OF SURVEY DESCRIPTION POBOXa34 (360)432-2753
PORTION OF THE SOUTH LINE OF AUDI FOR'S FILE NUMBER 2155464 SHELTON.WA.985" Lumbo1M11I1Y-`I- om
AND EASEMENT DESCRIBED UNDER AUDITOR'S FILE NUMBER 505986, REFERENCE SURVEYS DATE: JOB NO. CHECKED: SHEET.
RECORDS OF MASON COUNTY,WASHINGTON. 1)VOLUME 18 OF SURVEYS,PAGE 54 3� 7-8-2024 2475 JDT 1 OF 1
2)BLA W72,AFN 1102487
3)VOLUME 26 OF SURVEYS,PAGE 176 X % AUDITOR'S QUARTER ISECTioNITOWNSHIP RANGE
4)VOLUME 400E SURVEYS.PAGE 216 INDEXING GOV'T LOT 2 3
5)VOLUME 45 OF SURVEYS,PAGE 11/ INFO. (NW1/4 SE1/4 31 2
2 WEST
NE114 BE1/4) NORTH W.M.
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Notes: Site &Exploration Map
Single-Family Proposed Pro Sin
Map created from Mason County GIS website(https://gis.masoncountywa.gov) rJ P g Y Residence
xxx-East State Route 106
Boring number and approximate location w*> G E -0 RESOURCES Mason County,Washington
S earth science&geotechnicai engineering PN:322314100021
Scale 1"—109 4809 PaciOt Hwy.E. I We,WA 9g424 1 253.896.1011 1—ge0res0urtes.r ks
Doc ID:LeeY.FStatelloute106.SEM July 2024 Flgure2
l
- -
i S I
l Nmes: Site i Exploration Map --
l1MPbeated from Mason County Ws-bne gwl Proposed Sing) F_jyResfd—
GEORESOU—R—C�S EC-M.R�e1�
Mason County.warhington
earth science&geotechnical engi.eering PN:32 2 31 41 0 0 021
Suk t'-10V '
�rnwne.e..:tu.s«sw.,auwe: i s.•
#1 recreation pad L 20'X W 20'with path way(about L 30')to p 2 parking area L 35'X W 20'x with 2 ea L 40'X W 36"culvers and riprap for drainage
note added by James Lindsey