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HomeMy WebLinkAboutGRD2020-00006 Mass Grading for Commercial Development, Retaining Walls - GRD Application - 7/8/2020 eoN coD4, rp MASON COUNTY PERMIT NO. rd 2�r0 DEPARTMENT OF COMMUNITY DEVELOPMENT �� BUILDING• PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg.8, (360)275-4467 Belfair ext.352 lew 615 W.Alder Street,Shelton,WA 98584 (360)4824VOSIM D LAND MODIFICATION PERMIT (Grading Permk 0 OWNER INFORMATION: CONTRACTOR INMjMATION: Street NAME: Belfair Apartments, LLC Attn:Sterling Griffin NAME: TBD MAILING ADDRESS11505 Burnham Dr. NW,Ste, 301 MAILING ADDRESS: CITY: Gig Harbor STATE: WA ZIP:98332 CITY: ' Oft PHONE: 253-649-0636 CELL: PHONE: LL. EMAIL: sgriffinPharborcustomdev.com EMAIL : L&I REG# EXP. PARCEL INFORMATION: North Mason Regional Fire PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICTAuthority LEGAL DESCRIPTION(ABBREVIATED)Lot 3 Belfair Station,Vol.10 of Plats,pgs.143,144,and 145,records of Mason County Washington SITE ADDRESS 81 NE Ridgepoint Blvd. CITY Belfair DIRECTIONS TO SITE ADDRESS WA-3 North,turn right onto NE Ridgepoint Blvd., site is on left side. IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑X NO ❑ WILL TIMBER BE CUT AND SOLD IN PARCEL PREPARATION ? YES ❑ NO TYPE OF JOB: EXCAVATION ® FILLING © GRADING❑X CUTTING ❑X OTHER ❑ TOTAL SIZE OF PARCEL 15,37 ACRES/SQ FT SIZE OF AREA TO BE EFFECTED 16 ACRES/SQ FT ESTIMATED AMOUNTY OF CUBIC YARDS 420,000 DOES THE SITE HAVE SLOPES 14%OR GREATER YESQ NO❑ DESCRIBE SCOPE OF WORK Mass grading for future site development and retaining walls. WILL FILL BE BROUGHT ON SITE? IF YES,SITE ADDRESS: WILL EXCAVATED MATERIAL BE TAKEN OFF SITE?IF YES, SITE ADDRESS: DOES FILL CONTAIN POTENTIAL HAZARDOUS MATERIALS? YES ❑ NO HAS A SOILS REPORT BEEN COMPLETED ON SITE?IF YES,INCLUDE A COPY. YES ® NO❑ WILL PROPSAL RESULT IN REDIRECTION OF ANY SURFACE WWATER RUNOFF? YES ❑ NO WILL WORK ALTER WHERE STORMWATER OF GROUND WATER ENTERS OR EXISTS THE SITE? YES ❑ NO N WILL QUALITY,QUANTITY OR VELOCITY OF STORM/GROUND WATER BE ALTERED? YES ® NO❑ WILL THE RUNOFF BE COLLETED/CONTROLLED BY INTERCEPTORS,CURTAIN DRAINS OR OTHER DEVICES? YES N NO❑ WILL THE LAND BE REPLANTED UPON COMPLETION? YES ® NO❑ WILL THE PROPOSAL RESULT IN SLOPES STEEPER THAN THOSE CURRENTLY ON SITE? YES ❑ NO N IS THE SITE WITHIN 200 FT OF A DESIGNATED SHORELINE OR A WETLAND? YES ❑ NO OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTI INAC OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x ()!oe oZla02C, S) !! 'gnat I of Ap Date X_ Kimble( -S wAre- OWNER REPRESENTATI CONTRACTOR Print Name (CIRCLE TO INDICATE) eon coQN MASON COUNTY PERMIT N06rcj 262D — S DEPARTMENT OF COMMUNITY DEVELOPMENT 00P BUILDING• PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. 8, (360)275-4467 Belfair ext. 352 txs¢ 615 W.Alder Street, Shelton,WA 98584 (360)482-5269 Elma ext. 352 LAND MODIFICATION PERMIT (Grading Permit) OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Belfair Apartments, LLC Attn: Sterling Griffin P NIING MAILING ADDRESS.11505 Burnham Dr. NW, Ste. 301 MAILING ADDRESS: CITY: Gig Harbor STATE: WA ZIP:98332 CITY: STATE: ZIP: PHONE: 253-649-0636 CELL: PHONE: Q FU EMAIL: sgriffin harborcustomdev.com EMAIL L&I REG# EXP. PARCEL INFORMATION: North Mason �-. Regional Fire PARCEL NUMBER(12 DIGIT NUMBER) 123285000003 615 W. Aft Df§ffi6Authority LEGAL DESCRIPTION(ABBREVIATED)Lot 3 Belfair Station,Vol.10 of Plats,pgs.143,144,and 145,records of Mason County Washington SITE ADDRESS 81 NE Ridgepoint Blvd. CITY Belfair DIRECTIONS TO SITE ADDRESS WA-3 North,turn right onto NE Ridgepoint Blvd., site is on left side. IS PROPERTY WITHIN 200 FT: SALTWATER ❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YESN NO ❑ WILL TIMBER BE CUT AND SOLD IN PARCEL PREPARATION? YES ❑ NO TYPE OF JOB: EXCAVATION © FILLING N GRADING Q CUTTING N OTHER ❑ TOTAL SIZE OF PARCEL 15,37 ACRES/SQ FT SIZE OF AREA TO BE EFFECTED 16 ACRES/SQ FT ESTIMATED AMOUNTY OF CUBIC YARDS 420,000 DOES THE SITE HAVE SLOPES 14%OR GREATER YES❑X NO❑ DESCRIBE SCOPE OF WORK Mass grading for future site development and retaining walls. WILL FILL BE BROUGHT ON SITE? IF YES,SITE ADDRESS: WILL EXCAVATED MATERIAL BE TAKEN OFF SITE?IF YES, SITE ADDRESS: DOES FILL CONTAIN POTENTIAL HAZARDOUS MATERIALS? YES ❑ NO HAS A SOILS REPORT BEEN COMPLETED ON SITE? IF YES,INCLUDE A COPY. YES ® NO ❑ WILL PROPSAL RESULT IN REDIRECTION OF ANY SURFACE WWATER RUNOFF? YES ❑ NO WILL WORK ALTER WHERE STORMWATER OF GROUND WATER ENTERS OR EXISTS THE SITE? YES ❑ NO WILL QUALITY,QUANTITY OR VELOCITY OF STORM/GROUND WATER BE ALTERED? YES ® NO❑ WILL THE RUNOFF BE COLLETED/CONTROLLED BY INTERCEPTORS,CURTAIN DRAINS OR OTHER DEVICES? YES N NO ❑ WILL THE LAND BE REPLANTED UPON COMPLETION? YES ® NO❑ WILL THE PROPOSAL RESULT IN SLOPES STEEPER THAN THOSE CURRENTLY ON SITE? YES ❑ NO N IS THE SITE WITHIN 200 FT OF A DESIGNATED SHORELINE OR A WETLAND? YES ❑ NO OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTI . INACJIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x 0CP oyla02C' S)'gnatur of Ap licado Date X K;M bLA/ SGya�%_ OWNER REPRESENTATI CONTRACTOR Print Name T (CIRCLE TO INDICATE) I ,