HomeMy WebLinkAboutMEP2006-00023 Landward Retaining Wall - MEP Application - 4/24/2006 PERMIT NO.:
DATE RECENED:
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE ORDINANCE(Chapter 17.01 MCC)
411 N.5TH Street/P.O.Box 279,Shelton, WA 98584
ENVIRONMENTAL PERMIT APPLICATION
MASON ENVIRONMENTAL PERMIT N/ CONDITIONAL USE❑ VARIANCE❑
The purpose of the 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 PRINTv 1 1. T• in T q QQ 1 1
Owner: �M LS Owner Mailing Address: a 1�y ( 1 ST/� U ICIJ r f
Site Address: (J I
O J p -10 a L City: r e State:-WA_Zip: °��0'7
City: O1�&[ State_j6jA—Zip: S2�ienfTitleHolder
Phone:Daytim S3 `)Sk 1133 0 .2
Address:
Fire District#;MASOAI 6.4-IrY S
City: State: Zip:
Signature:
2. Parcel Number: 1 a 8 19 - Legal description: QV Se r a
Parcel Size: O. S to a N R I W
3. Directions to site:
A\6n S.
o et h
InsL41 10 5 -SOLI: 1d f
State what sections require a permit: In-Holding Lands,Chapter 17.01.062 ❑
4' Long-Term Commercial Forest,Chapter 17.10.060❑ Wetlands,Chapter 17.01.070 ❑
Mineral Resource Lands,Chapter 17.01.066 ❑ Frequently Flooded Areas,Chapter 17.01.090 ❑
Aquifer Recharge Areas,Chapter 17.01.080 ❑ Landslide Hazard Areas,Chapter 17.01.100 ❑
Erosion Hazard Areas,Chapter 17.01.104 ❑ Seismic Hazard Areas,Chapter 17.01.102 ❑ /
Fish and Wildlife Habitat Conservation Areas,Chapter 17.01.110 @/
5.
Identify current use of property thevt ng unprovements: {t
1 i c Zo t -S c,.A Inns e. 01 1 LOG S•
6.
Identify and describe the proposed project,including the type of materials to be used,construction methods,principle
dimensions and other pertinent information(Attach additional sheets if
needed):
7. Will there be an alteration of a wetland and/or wetland vegetation area? Yes ❑ No (g
g. Any water on or adjacent to petty:
Saltwater Nt Lake ❑ River ❑ Pond ❑ Wetland ❑ Seasonal Runoff❑
Other
9. If septic is located on project site,include records.
Connect to septic? VCommunity Septic? ❑ Public Water Supply? ❑ Well? B�
10.
Type of Job: New S Add ❑ Alt ❑ Repair ❑ Demolition ❑ Other
This permit is granted pursuant to the Resource Ordinance(Chapter 17.01 MCC)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 Resource Ordinance. The permit may be
rescinded pursuant to the event the permittee fails to comply with the conditions of this ordinance.
MASON ENVIRONMENTAL PERMIT: $510.00/$305.00(with another permit)
MASON CONDITIONAL USE ENVIR.PERMIT: $1,225.00
MASON RESOURCE ORDINANCE VARIANCE: $1,M,00
HEARINGS EXAMINER: $490.00
I:\PLANNINGUt&GPACIENVIRONMIINrrAL REVISED 01-04-05
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
COMMENTS
Planning:
Environmental
Health:
Building Plan
Review.
Occupancy
Group:
Fire Marshal:
Other:
Conditions: FEES
Total fees:
Accepted by: Date: