HomeMy WebLinkAboutEnvironmental Permit Culvert Replacement - PLN General - 8/9/1994 DATE RECEIVED
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
INTERIM RESOURCE ORDINANCE (Chapter 17.01 MCC)
Courthouse Annex III, 426 W. Cedar/P.O. Box 578, Shelton, WA 98584, 427-9670/1-800-562-5628
ENVIRONMENTAL PERMIT APPLICATION
The purpose of the Interim 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
x1 Owner Mason County Public Works (P.O.C. - Rich Geiger) Phone#427-9670
Site Address__ Sand Hill Road, County R.O.W. in T23N, RN, S19 Fire District #
City N/A State Zip
Owner Mailing Address P.O. Box 1850
Ci,y Shelton State WA Zip 98584
LienfTitle Holder Mason County
Address same as above
City State Zip
#2 Parcel No. 12319 . 00 - 60010 Legal Description County Right-of-Way
Parcel Size not listed
#3 Directions to site (Please attach map) SR 3 north to SR 300 in Belfair, west on SR 300 to Sand
Hill Road north on Sand Hill Road approximately 2 miles. Site is located beyond the
County refuse transfer station, at the end of an s-curve.
X4 State what Sections required a permit:
Long-Term Commercial Forest, Chapter 17.10.060; — Inholding Lands, Chapter 17.01 .062; _ Mineral
Resource Lands, Chapter 17.01.066; x Wetlands, Chapter 17.01.070; _ Critical Aquifer Recharge, Chapter
17.01 .080; _ Aquatic Management Areas, Chapter 17.01.1 10;
Geologic Hazard Area: _ Frequently Flooded Areas, Chapter 17.01.090; _ Landslide Hazard Areas, Chapter
17.01.100; _ Seismic Hazard Areas, Chapter 1 7.01 .102; _Erosion Hazard Areas, Chapter 17.01 .104.
#5 Identify current use of property with existing improvements: Site is used as a public road, and
currently has a 7' culvert.
#6 Identify and describe the proposed project, including the type of materials to be used, construction methods,
principal dimensions, and other pertinent information (Attach additional sheets if needed): Current culvert
will be replaced as part of overall road improvement. Materials include a new culvert,
approximately 100' in length and 8' to 10' in diameter, quarry spalls or rip-rap to
prevent scouring, gravel as fill material , and asphalt concrete pavement.
#7 Any water on or adjacent to property: Saltwater Lake River_Pond_Wetland_Seasonal runoff_
Other stream
#8 Will there be an alteration of a wetland and/or wetland vegetation areal __Yes X No
#9 If septic is located on project site, include records.
Connect to Septic?—Comm unity Septic? Public Water Supply? Well?
a 10 Type of Job: New Add Alt x Repair Demolition Other
This permit is granted pursuant to the Interim Resource Ordinance (Chapter 17.01 MCCI and nothing in this permit shall
excuse the applicant from compliance with any other federal, state, or local statutes, ordinances or regulations applicable
to this project, but not inconsistent with the Interim Resource Ordinance. The permit may be rescinded pursuant to the
event the permittee fails to comply with the conditions of this ordinance.
Show following on the site plan
Lot Dimensions Flood Zones
Existing:Structures : Fences
Structure Setbacks, Driveways
Water Lines Shorelines
Drainage Plan. Topography
Septic:System Wells
Indicate Directional by (N S, E.:W)
Proposed Improvements Easements ,
Name of Flanking Street in relation to plot plan.
APPLICANT TO DRAW SITE PLAN BELOW
5 ,E ,E A 9� D M AP
APPLICANT TO DRAW TOPOGRAPHY BELOW
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DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Environmental Health:
Building Plan Review:
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Occupancy Group:
Fire Marshall:
Other:
Conditions: .
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TOTAL FEE ;
Accepted by.
Dlate: