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Home My WebLink AboutGRD95-00029 Cancelled - GRD Permit / Conditions - 10/9/1997 MASON COUNTY PERMIT Mason County Bldg. III 426 W. Cedar NULL Y010 BY EXPIRATION P.O. Box 186 Shelton, Washington 98584 DATE 4 BY CG R A O 1 NO P E R EA 1 T 4�4-1 96—CO ARD95-0029 PARCEL t3212753001$6 PLAT :LAPLO gti v : CLK ; LOT : JOB ADDRESSs E 401 DARTMOOR DR SHELTON OWNER : SANDRA SWIDECKI F CONTRACTORt ENGINEER : L A e— L rrlu-�c Ic, ** '{ t c�-I- FILL? . . . . . . . . :? TYPE: AMOUNT BY DATF RECEIPT CUT? . . . . . . . . . .? GRADE? . . . . . . . :? RL.0 $ 42 .00 CPH 08/04/95 39854 AREA GRADED . . : OetAC PRMT $ 64 .50 CPH 08/04/95 39854 VOLUME . . . . . . . a 0tcy PLAN * 22 .50 CPH 08/04/95 39854 TOTALt 129 .00 PROJECT DESCRIPTION :GRADING PROJECT LOCATIONtFILL INAREA OF FRONT PORTION OF LOT 106 TO REPLACE DIRT REMOVED BY CONTRACTOR TO ADD TO LOT 129 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 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 . EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD . , 1 r OWNER OR AGENT DATE x_ zi �7 file PIIII, rev t 04I0t 1®2 COMPLIANCE TO ATTACHED CONDITIONS IS t REQUIRED r 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 Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i I r MASON COUNTY f Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I PE FtM I "r cotND I T' I ON ,—:, Case No . : GPD96--0029 For : SANDRA SWIOECKI Pages 1 1 ) All upland areas disturbed or newly created b; construction activities shall be needed, vegetated or given some other equivalent type of protection against erosion . ? ) Subject to conditions of Resource Lands and Ctiticai Areas (RLC ) Checklist notification letter , x__.._.— �' _.. ._ �Z1 All oulvents shall be maintained In perpetuity to ensure that drainage will not overflow . x` Temporary Erosion control mear;uren must be implemented to prevent wager quallty degradation of adjacent waters or wetlands . X - S ) Approved per site plan and topographic cross- ection . 1 MASON COUNTY Mason County Bldg. III 426 W. Cedar X _ P,O, Box 186 Shelton, Washington 98584 6 ) PURSUANT 1991 UNIFORM BUILDING COD! , N -, (C ) AND SECTION 51 AL l S 1 1 F S MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND I_EGiBL.E FROM THE STREET OR ROAD FRONTING ENE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FFE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL Be ASSESSED IF OWNER/CONTRACTOR FAILS TO POST AEDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 7) ALL CLEARING,CUTTING, GRADING, EXCAVATING, TFRRACING, Fit-LING AND SIMILIAR WORK WILL BE REGULATED BY THE REQUIREMENTS PURSUANT TO CHfPTER 70 OF THE UNIFORM BUILDING CODE . X �._� 8 ) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL if CONTROLLED ON SITE AND SHALL. NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE HE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM Olt ROAD WAY x 9) All fills shall be compacted to a minimum of 90 percent of maximam density . X GRD Z� 1 5 MASON COUNTY LAND MODIFICATION PERMIT w�� Grading, Excavation, Fill, Slopes, Drainage H�L� SERV' G Department of General Services. PLEASE PRINT 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/ -800-562-5628 #1 Phone# �427- Fire District# i e Address - City .(: tJ St �)I�_Zip 4- Owner Address City St Zip Describe Work 10CD tap Z #2 Contractor Name tJ f 4" Contractor Reg # Address Expiration Date City St Zip Phone# #3 Engineer's Name 1,3 Phone# Addres City St Zip #4#egaIDescription rcel No. 3 Z7 I NQ, I1tAP_X1 )P DIN) 4 LOt 10 L, ,)V_Olain.L 6 Ot' 131rAle 190 #5 Number of cubic yards to be excavated: Number of cubic yards to be filled: PSS ��QX1 Number of cubic yards to be graded: t-) #6 Will this be a balanced cut and fill entirely within the site? Yes No IV/ If No: Will fill be brought on site? Yes ✓ No Where does imported fill originate from? Does fill contain any potentially hazardous materials? Yes No ✓ #7 Will excavated materials be taken off site?Yes 1,j No N A- lf Yes: Where will excavated materials be taken? 1.-i j A #8 Briefly describe existing terrain, vegetati n, and improvements on subject site?ha n y �-` h #9 Total size of aAea t be,Cleared N acres/sq ft Size of area to be cleared on slopes over'6 N 14- AC/SF #10 Has a soils report been completed on the subject site? N d If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline No #12 Does the subject site contain any of the following features? River Lake Wetlands Saltwater Slope greater than 15% Soft compressible soils Seasonal Runoff None #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? ED #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after , construction? t9 #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? �40 #17 Will surface or subsurface runoff be collected or controlled by interceptors, curtain drains, or other water collection devices 1 once this land modification has been completed? ND - #18 Will the land be replanted upon completion? VAS If yes, with what types of plants? �_w #19 Will this modification result in slopes steeper than those currently on the site? t'-46 If so, how steep? J Show following on the site plan Lot Dimensions-` Flood ZonwJ0K)5- Existing Structures Fences ' -16^ x= Structure Setbacks r-,w-U Driveways✓ Water Lines i Shorelines' Drainage Plan✓ Topography✓ Septic Systems t Wells ' Proposed Improvements-' Easements Indicate Directional by (N, S, E, W) Name of Flanking Street—" in relation to plot plan Name of Fronting Street✓ APPLICANT TO DRAW SITE PLAN BELOW 8„ N - - 'C-CULVERT W Q � 'N N 01: L° rz FRS of LOT APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Er SEAM&K)7 --E LOT 1/4- OF lam, 1VTy S � ZS LOT LOT 137 Oill / FILL — 8" Cuweet rry iZ 0-v� ��_ 75, ZI ' NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE -- - --- FOR OFFICIAL USE ONLY:Accepted by. Date: DEPARTMENTAL REVIEW Planning �� '� /� APP CONDAPP HOLD Building z +4P 70 Environmental Other Special Conditions FEES Grading Permit $ �o y Plan Review �-2- Site Inspection Violation Fee Other TOTALFEES $