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HomeMy WebLinkAboutRLC93-00002 Cancelled - RLC Application - 10/4/1993 Date Received: MASON COUNTY - " DEPARTMENT OF COMMUNITY DEVELOPMENT RESOURCE LANDS AND CRITICAL AREAS CHECKLIST The following checklist is designed to assist an applicant for a Building Permit, On-Site Sewage System-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 for identifying early in the permit process whether there will be any environmental regulations affecting the proposed development. 1-13� - 7 — q GuL+� Owner I )���t_ C"(0C( I I Phone #Pd&) a 1S y�S'J I—Address 4?J �_C / % 1,­/ City— - --Zip Owner Address es rty G' StatelL_fZip Tax Parcel No. _ - - -- Legal Description �/� /,�^ 07� .5(L) k 30 (? 7 2. S1201-t Di ections to site (Please attach map) Please provide or attach a vicinity which includes cross str ets, major roads, creeks, etc. p Y map l_c7/SJi) Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas Official and resource lands are available for review at Mason County Department of Community Development, Planning Use Only Department. Do any of the following exist on this property or within 200 feet of this property? cotirdy Y ❑ 1. Saltwater shoreline or a lake 20 acres or larger? Q� ❑ j 2. Rivers, streams, or creeks with year-round flow? © ❑ 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel? [� ❑ 4. Lakes or ponds less than 20 acres in size? ,E), ❑ 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.) [Er ❑ 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for guidance.) l� - (�°/l, p'l(A4.�I n/ ❑ 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) .Y ❑ 8. Seismic Hazard Areas? (See 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: �couAtY Yes E ❑ 1. Agricultural Open Space Taxation Program, RCW 84.33 Ell2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest, RCW 84.34 * Copies are available at Mason County Department of Community Development for $5.00 each. ��vj� 1 � r ' G � S� i � � I J d 3 � $ L I +- \ / / � I , a � � / �� � �� 1 � �� .� , _ � ,. I l �� �- � _ � � � � � � �, �� =� i � \� r ' i -� � Z� J �� i �`� � .� � ► � f � ' Cb � � S � �-_ � S / � s� • � 1 � , � �. � � � / ��, � � / x;r'`� � Q-i-��' �� / 1 I � ' � . �` ��, � I , �1 ��. � � �' �� � �� �` �c / � � S 12/38 �j 7500130 2100000I/2 INT, EA. S 10/87 11 M , . 2100010 30 _ 3200300 3P n 3260320 2400000 �. 7500160 33 3290330 S IO/97 34 � 3290340 ��- 35 3290350 36 3290360 ' 0 37 3290370 7500180/ j` "'' r- i• � t .laC_ 1r' 0 2400010 r.� 7500170 0 IN G.L. 4: 0 I J 10 6 3390060 l � i0 7 = 3390070 I l' 11 8 :'3390080 6 7500 l 90`' . 10 3390081 �1 SO f SP 9421 110 14 = 3390023 750c� 7500 .W ISp 16261 7500 7500 230 7500 �1: 260 1 250 240 / 7210 200 00 ISP l0971 40o r 7500 del- ISP 10971 220 ' 1 � 750o270 7600O20 BF_AROS COVE 115 �f 00240 Vol y f r, 1 13 116 SP 78P" ^ 7600010 I,• ( 7600030 l Z�► 7 29 P 0 36 37 7600040 41 12 13 14 16A _L��( ' BEARDS COVE i4 190 31 1 -11 7T 1 VOL. 8 PG. 93-94 17A-- i G tt 21 0 19 18 17 r 7600 aj 050 l 933 N' s 11127 3460 -e000 y 0 '} 3390022 7600 060 1 BEARDS COVE 06 VOL , 9 PG. 1-2 12330 43 00000 ;i hf A BEARDS COVE 08 i VOL. 9 PG. 45-48 BEARDS COVE 17 VOL . 9 PG. 20-2 ........ ......... R... .{..�::::::::::::::::•::v::::::::::::. ::i is ji'ii:;.............. ..........:.. �••+�::1::� �F.:�'•�.'��•.��•':i:{:�:�:''';:;:; :,`:'"`��:`•�••�•���•���,�'�••����'f`}:j^:i'{.:�'.,``':��>�Y:�:�S'':�:%��;:•:i•:;:i:;:;'`?�';'.'��.;,'r:;'�,''�;::ji{��•�•;'•'••�,•<`�:';••,.Y.'��.��y�`•;•.••{:;:''}.'�{�•;;:;vi:•,:;:;:;••;: {.'�`::':>,>.;F;:?;:y}�': There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Mason County Treasurer. When completed, this form becomes pert of the permit application. RESOURCE LANDS & CRITICAL AREAS SITE PLAN PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE: ► Location &dimensions of existing & proposed property boundaries. P. Approximate slope of land (grade &direction), topography. ► Identify legal access Including,width of all road right-of-ways &easements. P. Location of significant natural features (water bodies, rivers). ► Locate all existing & proposed structures,drainfields, wells &driveways. North Arrow Scale 1 t� r state that have answere the above truthfully to the best of my knowledge. Applicant/Owner �U 3 Date FOR OFFICIAL USE ONLY Adjacent property. :.: fihrs: rarf:; rs. s� na un lii S urLand Ma s:. p .:p .. Y P..... ....:.............:......................................... .. <: ;<::<>;<.�>:>:>;>;;:>>.: < : <>::>:>�::;<<;>; > :>:<:> >::» < >::> :.::..:..:::riot.. .................. ................... .. .........................:.::::::::.�:::::::::::.:::•:>:r::>::::..•:::v::;::•>>}'riiii::.::::::::.i.i;::.<::>:�:::>:•:::<2:i[ti:.il:<i:'. i .::::::::.:::::::::::......................... . ..................... `I .:::::::::::::::::.::.:....................... ................:::.... ;:::.:...............:.:...::.:.. ::::...... ...........:.;: ................................. ff There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Ma. County Treasurer. When completed, this form becomes part of the permit application.