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Home My WebLink AboutRLC North Mason Fiber Log Yard - RLC Application - 11/8/1993 IVIA.SON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT . RESOURCE LANDS AND CRITICAL AREAS CHECKLIST =. t The following checklist is designed to assist an applicant for a Building Permit, On-Sem 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 foridentifying earlvin the permit process whether there will be any environmental regulations affecting the proposed development. Owner dk07'Al e !4,$p1 2-40,6L,- Ca Phone tl .24L �5 O-LZ S Site Address y.3/ Zog Vi 4.q 1?Cj4o1 City_ e/�4 .� _Zip f0"8_ Owner Address 2570-"nx. City Zip 745:22� _ Tax Parcel No. (Confirm with Assessors Office) fa3a//04/0-70 _Legal CescripLicn_ Project Description J '1DB/L_ O,�/Ce_ 7 , — lioc Directions to site (Please attach map) /�'Jl �ro�' ,��{ , ' a{��' `-�,'�Q,, 3.•- /�O�Ceo� o e. f- v Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc. 466 Y,4db W I me Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas MIC121 and resource lands are available for review at Mason County Department of Community Development, Planning i.e oniy Department. Do any of the following exist on this property or within 200 feet of this property? 10 Yes No ^ J ❑ & 1. Saltwater shoreline or a lake 20 acres or larger? ❑ © 2. Rivers, streams, or creeks with year-round flow? Wv ❑ 9 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel? -7(' ❑ 0 4. Lakes or ponds less than 20 acres in size? YW ❑ 5d 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps. (See County Maps for guidance.) yi ^ 7 ❑ 6. Slopes greater than 15 / " degr es)? (See the County Landslide and Erosion Hazard Maps for guidance.) V �y,"tt ]� ❑ JR 7. Floodplains? (See County Federa Emergency Management Maps and County Seismic Hazard Map for guidance.) LA40 ]� ❑ 9 8. Seismic Hazard Areas? (S e County Federal Emergency Management Maps and County Seismic Hazard Map for guidance, You may be provided nuisance protections by the County for certain resource activities. If you are enrolled in any of the following programs: oun Yes No 1. Agricultural Open Space Taxation Program, RCW 84.33 ❑ �Zf 2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest, RCW 84.34 t Cop'os .9r:? ev c 1t 0 SITE PLAN 'PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE: ►.Location & dimensions of existing & proposed property boundaries. ► Approximate slope of land (grade &direction), topography. ► Identify legal access Including, width of all road right-of-ways &easements. ► Location of significant natural features (water bodies, rivers). ► Locate all existing & proposed strurtures,drainfields, wells & driveways, ► Project description {. Scale 1"= North Arrow i w � Lot I.L i Sri ��tva � 3 y SlnOR a 7 A-, 13oa.�� I state that I have answered the above truthfully to the best of my knowledge. Applicant/Owner Date FOR OFFICIAL USE ONLY Adjacent property. ---__ - _ — - r-0 U� C�CSIlI� /1v(�eH-eliCAD 44t Uri&. >Lantl,Cilla�s,..Chi�:pcnperty ..;::::>:::;:>:::: ::<:.. ....:�::..�;arr •C�rt1;.�'air)m .r..%ail= .;..... I hold""" lend ,. 5 l7pes riot r�plY >`IVI ih of esourc Lana :..;:.:.:.;:::::.•.: ::.:::..:.. ::;: There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Mason County Treasurer. When complotod, this form bocomas part of the porridt ennlication.