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HomeMy WebLinkAboutMEP2022-00021 - MEP Application - 9/27/2022 1 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES MEP ?A-79. -QWZ Building,Planning,Environmental Health,Community Health Date Rcvd 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 )2(MASON ENVIRONMENTAL PERMIT(RESIDENTIAL):$115 SEP 2 7 2022 � HABITAT MANAGEMENT PLAN:$300 615 W. Alder Street MASON ENVIRONMENTAL PERMIT(NON-RESIDENTIAL):$1500 ® CONDITIONAL USE: $2000 Mason County Resource Ordinance(Chapter 17.01 MCC) ENVIRONMENTAL PERMIT APPLICATION 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 PRINT 1. PROPERTY OWNER DODGE MCGEE Name: Mailing Address: PO BOX 1232 Work Phone: Home/Cell Phone:360.463.4171 Email Address:dodgemcgee a@gmail.com If an agent is actin or the property owner during the permit process, complete#2. 2. AUTHORIZED AGENT Name: Mailing Address: Work Phone: Home/Cell Phone: Email Address: 3.PROJECT SITE Site Address: Parcel#: 620152190000 Legal Description:LOT:A OF SP#151 PTN E1/2 NW Directions to Site: Take Matlock-Deckerville Rd.to West Deckerville Rd.Property located approximately 950 feet west of the junction of both previously mentioned roads. Attach a site plan showing the following: Lot Dimensions,Flood Zones,Existing Structures,Fences, Water Lines,Driveways,Drainage Plans, Shorelines,Septic System,Topography,Proposed Improvements,Easements,North Arrow,and Scale.Also draw a separate topography diagram. Rev.August 2022 4. State which section requires permit: ❑ Long Term Commercial Forest,Chapter 8.52.060 ❑ Frequently Flooded Areas,Chapter 8.52.130 ❑ Mineral Resource Lands,Chapter 8.52.0090 ❑ Geologically Hazardous Areas,Chapter 8.52.140 ❑ Critical Aquifer Recharge Area,Chapter 8.52.120 ❑ Seismic Hazard Areas,Chapter 8.52.150 ❑ Erosion Hazard Area,Chapter 8.52.160 N Fish&Wildlife Habitat Conservation Areas,Chapter ❑ In-Holding Lands,Chapter 8.52.070 8.52.170 ❑ Wetlands,Chapter 8.52.130 5. Identify current use of the property with existing improvements: Undeveloped 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): Restoration of cleared buffer area of a Type S water body. 7. Describe why the action requiring this permit cannot be avoided. Permit required to review Restoration Plan to bring the property back into compliance. 8. Will there be an alteration of a wetland and/or wetland vegetation area(circle one)? Yes o No @ 9. Identify any surface water on or adjacent to property(circle one): Saltwater O Lake o Stream @ Pond O Wetland© Drainage Ditch o 10. Identify existing septic/sewer connection(circle one): If septic is located on project site,include records. Connected to SepticoConnected to Community Septic o Connected to Sewero None Existing@ 11. Identify existing water supply(circle one): Public Water Supply O Well o 11. Type of Job(circle one): New o Add o Alteration o Repair o Demolition @ Other: Buffer restoration. q1 _2XJ riot Name gnature Date Rev.August 2022