HomeMy WebLinkAboutRLC94 - RLC Application - 8/8/1994 l V7
%ARTMENT
MASON COUNTY Data Received:___
�G OF COMA iV1UNITY DEVELOPMENT
RESOU C L NDS ND
CRITICAL AREAS CHECKLIST
The following checklist is designed to assist an applicant for a Building Permit, On-Site sewage Svst
Evaluat/on and Disposal Permit, Access Permit, Land Modification Permit, Boundary Line ,4d'ust�7en err,
Segregations, Hazardous W,�.ste Permit, or Shoreline Permit in determining whether their property ,S affts, .
regulations under the Mason County Interim Resource Ordinance (77-93)*. This checklist Is s imec,e
opportunity for identlfying e,�ry in the permit process whether there will be any environments/regu/a.i�jns a pe;
the proposed development.
Site Address /N �`� Phone 1t(a�c
Owner Address
Tax Parcel No. (Confirm with Assessors Office) City State Zips_
_Legal DesCriptior
Project Description c
J >
�Y
Directions to site (Please attach map)_ , P.
Please
nprovdo or attach a vicinity map which Includes cross streets, major roads, creeks, etc.
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Answer the following to the best of your knowledge. County-wide maps showing general locations of critical are
01`11010 and resource lands are available for review at Mason County Department of Community Development, Planning
Use ONY Department.
_ Do anyof the following exist on this property or within 200 feet of this property?
❑ 11 LY 1. Saltwater shoreline or a lake 20 acres or larger?
❑ ❑ 2. Rivers, streams, or creeks with year-round flow?
❑ ❑ ( 3. Rivers, streams or creeks with intermittent flow but are within a clear)y defined channel?
❑ ❑ 4. Lakes or ponds less than 20 acres In size?
❑ ❑ ❑ S. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstance
support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps. )see Coun;Maps for guidance.)
❑ ❑ M' S. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps fr
guidance.)
❑ ❑ ( 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Ma:
for guidance.)
❑ (� [�' 8. Seismic Hazard Areas? (See County Federal Emergency Management Maps and Cou^�t Hazard Map for guidance.) v Seismi
You may be provided nuisance protections by the County for certain resource activities. If you are e^r;lied in an%
_ of the
following programs:
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❑ ❑ [A 1. Agriculturol Open Space Taxation Program, RCW 84.33
❑ ❑ 2. Open Spaco Timber Taxation Program, RCW 84.33, or Designated Forest or Classified pores;,
RCW 84.34
• Coples are evOsble nt Meson C , ,1 v DAnArtmnnt of Community nnvntnmm^n# ram. « nn
RESOURCE LANDS & CRITICAL AREAS
SITE PLAN
PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE:
► Location &dimensions of axisting & proposed property boundaries, ► Approximate slope of land (grade & direction), topography.
P. Identify legal access Including,width of an road right-of-ways &easements. ► Location of significant natural features (water bodies, rivers).
► Looste an existing &proposed structuros, dralnflelds, wells &driveways. P. Project description
Scale 1"=
North Arrow
state that I have answered the above truthfully to the best of my knowledge.
Applicant/Own,, Date
FOR OFFICIAL USE ONLY
Adjacent property,
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DCD
There Is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Masor,
County Treasurer.
when completed, this form becomes por! of the permit application.
' CONSTRUCTION
LIMITS SEC
COUNTY RIGHT OF WAY 130 ( STATION 9+00 IOZ
ESTABLISHED FROM 1 7+50
C.R.P. 494 AUG. 23 1965
0 �
.3 ' S
I ,
z�
C �i I 150 FT. RADIUS
CURVE TRANSITION
pp 1 I '+
I I 'I 1
1
qI ( O
150 FT. RADIUS l W STATE
CURVE TRANSITION I QI R/W DATA
+ STA. 5+90 j 1 j
0 18'Pr n
I ; w 010000, O
i I I L 184.5 Z
A
I I I O \
CONSTR. DATA
�N I P.l. STA. 46+53.34 -o
n , rn 0 15050'16" c�
D 9*58*18"
Z Z I 5 'I R 604.58 c;
ti N I p L 167.12 a,
T 84.10 jv�
SENIA BEARD �i i z i; I i I 9),4 � 601,
r—SITKA j
607-11 — SPRUCE
6/ 2 ( I I I N
c" � •I p Ft.SN�'
TAKE 0.03 ACRE. Qx 2 ' I m RFONS F1 p4vE' RpOlu w NOTE 10
55 5EE RI
55 FT. PAVE.
r, RADIUS
I
1
100 FT. ACCELERATION LANE
S 88' 59' 30" W R/W.
o N 86' 26' 14" W (CONSTR.)
-
- - --- -- - - - - - - - -- - - - - - - - - - - - - - - - - -- - - 4-
0 2mom-
9� y /
31 32
NOTE: SECTION CORNER LIES STATE 48+0195 MILE POST 2.27
S 03' 36' 47" W 29.81 FT. OF COUNTY 3+37.42 1.08 M1. TO BELF41R