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Home My WebLink AboutGRD95-0042 - GRD Permit / Conditions - 12/5/1990 MASON COUNTY Mason County Bldg. III 426 W. Cedar — P.O. Box 186 Shelton, Washington 98584 - CI R A D I N 4S F' E FR M I "f" FOR INSPECTIONS CALL. 427-9670 GITD95-0042 PARCEL : 1232.94100150 PLAT : D I V : BLK , LOT - JOB APDRE SS : NF 23800 STATE ROUTE 3 RE LFA I R OWNER - JACK N I CKL.AUS CONTRACTOR : SAT CONSTRUCTING 372--2793 ENGINEER : FILL7 . . . . . . . . :Y TYPE AMOUNT BY DATE RECEIPT CUT? . . . . . . . . . :Y GRADE? . . . . . . . .7 PRMT `s 42 .00 KS 09/29/95 40376 AREA GRADED . . : @ : :AC PLAN t 22 .50 KS 09/29/95 40376 VOLUME . . . . . . . : 300 :CV TOTAL : 64 . 50 PROJECT DESCRIPTION :PLACE FILI. OF 300 CU . YDS TO BRING UP LEVEL OF PROPERTY FOR AUTO SALES PARKING LOT AND ENLARGE DRAINAGE CHANNEL FOR AREA OF SEEPAGE TOWARDS NEARBY CREEK . PROJECT LOCATION :JUST NORTH OF STATE RTE 3 AND OLD BELVAIR HWY ON EAST SIDE OF SR 3 . THIS PFRMIT BECOMES NULL. AND VOID IF WORK OR CONSTRUCTION AU'THOR17FD IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED , EVIDFNCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD . I O W N F R OR AGENT : �- _ �� DATE : GRr1 PRYi, rev: 89191 f 92 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I --------------- ---- ---- ----------- --- MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : GPD95-0042 For . JACK N1CKLAUS Page I 1 1 ) All upland areas dIFslurbed or, newly created by construction act Iv ItIes and not gravelled shall be seeded, vegetated or given some other equivalent ( straw or slit fencing ) type of protecti against erosion . x _t _ _ _._----- A I I culverts or overflow drain pipe shall be maintained in perpetuity to ensure that drainay ► I not overflow across property . 3 ) Temporary Erosion control mea,;ures ( slit fencing, straw bales , or plastic sheeting} must be ample er d to prevent water quality degradation of adjacent waters or wetlands . 4 ) Approve p site plan ., 5 ), PORSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 , ALL SITES MUST I . i MASON COUNTY Mason County Bldg. III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 HAVE APPROVED NUMBERS OR ADL,,tESSES PROVIDED IN SUCH A r'OSITION A._ TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE. PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPFCT I ON FEE , BASED ON RATES IN 'TABLE 3A OF THE 1991 UN I FORM 131111 D I NG CODE W I L.L BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPECT I ONS , X.. � i i GRD MASON COUNTY LAND MODIFICATION PERMIT Grading, Excavation, Fill, Slopes, Drainage Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 EASE PRINT Owner ^ Phone#A-15— �5 Fire District# Site Address VF City Q « cr St W Pi Zip Owner Address919 (61r4;;-rj CT City S 1-f-¢ l.."t- Sty Zip r78S Describe Work rvx 0,1 l } f-e e S t'Q Hurts e,, d, t �{ a �, 1% (id- d run s� raupl (e-ue-( e c�czi,c- c k , a.. Contractor Name _. �. COc�S -r �C+\U r1 Contractor Reg# Address N)T=' in.i taC-kS rh tfih LK • C4 • Expiration Date city St k-0 t'} Zip Ci Phone# Engineer's Name Phone# Address City St Zip Parcel No. /-A 3a T - �� - OO1 j U Legal Description Vq Number of cubic yards to be excavated: Number of cubic yards to be filled: cL r�,p C a x Number of cubic yards to be graded: cA rQ A 1 Sn Will thisle a balanced cut and fill entirely within the site? Yes A No If No: Will fill be brought on site? Yes No D n T Where does imported fill originate from? r �ualt P i , Does fill contain an P 1 1 y potentially hazardous�materials.? Yes No P,641 TH RFREEP Will excavated materials be taken off site?Yes No If Yes: Where will excavated materials be taken? #8 Briefly describe existing terrain, vegetation, and improvements on subject site? C%rA-+ etA ` _m c._l k cAAA e.r *f t C.S G I a #9 Total size of area to be cleared acres/sq ft Size of area to be cleared on slopes over 10% AC/SF #10 Has a soils report been completed on the subject site? N.-I If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline N Q #12 Does the subject site contain any of the following features? RiverlJ6 Lake f— a Wetlands_&IC) Saltwater N� Slope greater than 15% JVO Soft compressible soils LA C9 Seasonal Runoff done #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? tl.�a #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater?_ /�yn #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby wa ters aters Burin and after Y g e construction? i.ru e, rz I�ul q �' �• , n+ro 1 #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? Kin #17 Will surface or subsurface runoff be collected or controlled by interceptors, curtain drains, or other water collection devices once this land modification has been completed? K)D #18 Will the land be replanted upon completion? If yes, with what types of plants? #19 Will this modification result in slopes steeper than those currently on the site? k-) Q_If so, how steep? • Show following on the site plan Lot Dimensions Flood Zones s r eanrsr�tucrianr Existing Structures Fences 104�O Structure Setbacks Driveways i Dumptruch, Sachhoe Service Water Lines Shorelines Bulldozing, Land Clearing Drainage Plan Topography All Types Rock and Gravel Septic Systems Wells 206-372-2793 Proposed Improvements Easements Licensed, Bonded, Insured Name of Flanking Street I Owner: Lloyd Segar Lic. #STCON--066CQ Name of Fronting Street LL .0 uIL141M bl,Uua uienlau oyl ealnJas esIm ae410 ao 'ulelulew 'onoadtul 'pllnq o1 A1111g1suodsaa ou sey Awnoc) uoseVj :BuluaeM t-?n7d-s'-7'e.1-51M 'd'I Ioft c 3-9s o' �rnw'uo�'173S 4NnvJ /M'd 1 uZ'4-A 199-11SD1 - s=o �rBZ6a c68s �N �� ti.. Gp� S /� ,gZ ,60 G8 S •�� 0 .Sz"LC2 ��' N'�0�• �. -1 a 01 (Vr '9SN L334 hll TWOS m 0SI .06 o .ovi N ` ' c>i Ir NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR "ONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS IN- SPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANC T H. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHO 1 O AINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING E TM T. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date. j fl aEPART ENTAL REVIEW Planning rL+'" CLL�C�`-Gzs�GC'✓ APP COND APP HOLD Building `� ZD Environmental Other Special Conditions FEES Grading Permit $- z/z 0 0 Plan Review zz Site Inspection Violation Fee Other TOTAL FEES $ C..�