HomeMy WebLinkAboutRLC94-00106 - RLC Application - 1/21/1994 Date Received:
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
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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 (77-931 , This checklist is an important
opportunity for identifying early in the permit process whether there will be any environmental regulations affecting
the proposed development.
Owner Dale & Patricia Johnson Phone #( ) 426-9436
Site Address E. 101 S►+6aebriar Place City Shelton, WasMp 98584
Owner Address P.O. Box 652 City Shelton, State Wa Zip 98584
Tax Parcel No. (Confirm with Assessors Office)32132 - 32 - 901 13 Legal Description_
Lot 3 SP#2267 AF#561220 2. 10 Acres StonebriQ,r
Project Description New Home, Septic and Drainfield
Directions to site (Please attach map) Out Brockdale Rd. 2 Miles, turn right on Jenson Rd. ,
go 1/4 milzturn left into Stonebriar, 2nd site on
left.
Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc.
SEE ATTACHED
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?
County Yes No
❑ ❑ 1. Saltwater shoreline or a lake 20 acres or larger?
❑ ❑ 2. Rivers, streams, or creeks with year-round flow? / v
❑ ❑ ff" 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel?
❑ ❑ ff� 4. Lakes or ponds less than 20 acres in size?. W
❑ ❑ [V3"' 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.) %' y A0,
❑ ❑ 6. Slopes 7. Floodplains7 great r than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for
guidance)
❑ L.Li /�-i
❑ �
(See County Fedderer al Emergency Management Maps and County Seismic Hazard Map
for guidance.) j \/0
❑ ❑ 2 8. Seismic Hazard Areas? (See County Federal Emergency Management Maps and County Seismic
Hazard Map for guidance.) W
You may be provided nuisance protections by the County for certain resource activities. If you are enrolled in any
of the following programs:
County Yes No
❑ [l Egr_ 1. Agricultural Open Space Taxation Program, RCW 84.33
❑ ❑ Tr 2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest,
RCW 84.34 " ��
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Copies are available at Mason County Department of Community Development for $5.00 each.
RESOURCE LANDS & CRITICAL AREAS
SITE PLAN
PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE'
► Location &dimensions of existing & proposed property boundaries. ► Approximate slope of land (grade &direction), topography.
► Identify legal access including, width of all road right-of-ways&easements. ► Location of significant natural features(water bodies, rivers).
► Locate all existing & proposed structures, drainfields, wells & driveways. ► Project description
Scale 1"= North Arrow
l. X �
x
I state that I have answered e above truthfully to the best of my knowledge.
Applicant/Owner Date
FOR OFFICIAL USE ONLY
Adjacent property.
a
UsingC ot�nty Resource Land Maps, this property is designated as:
.. . v. 7. Long-tom; Commercial Forest ;..�._._. .4. Shoreline Master Program
Inholding Land 5, Does not apply,
3. Mineral Resource Land
a`d Date r ��. �'.. DCD
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 part of the permit application.
44� Windermere
Real Estate 2.10 ACRES
Shelton
tic e:
Lot 2 sP 22s3 E 1 0 ( �-�o br +, r
,� Lot 1 SP 2253 4c, 1 - , GQ�Q(�1* yor� in, VVA 1 �•►S U
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PRICE: $26,500
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4Qt 3 SP 225 Lo 4 SP2259 TERMS: Cash
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1-Or O 7I LOT L
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w ._______ _____ LEGAL: Lot 3 SP#2267 AF#561220 SIZE: 2.10 acres
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y Lot 4 . 225t .41 Lot 3 SP 2259 PARCEL #: 3a r,3 " g0/%3TAXES: Not segregated
A LOT r ------------
ly i� Lot 2 SP 2259 UTILITIES: Underground power, phone, and community
;„;r- water. $600.00 water hook-up fee to be paid at closing.
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Lot_I SP 226j tl I.ot'1 2259- 4 DESCRIPTION: New subdivision. Level wooded acreage
��K lots. Paved roads, water. All underground utilities.
+� LOT R fj iI w w
W•11 1 Covenants. Site built homes only, 1400 sq. ft. minimum.
t 2 SP 2267� , --- -- ___�- $600.00 water hook-up fee, payable at closing.
Lot 4 SP 2263
Lot H
rat sP 226 IMAr. DIRECTIONS: Brockdale Road to Jensen Road. Rigrit on
, ,• Lot 3 SP 2263 Jensen to Stonebriar on left. See map for locations.
45 Lor o
OWNER: Island West Associates
Lot 2 SP 2263
Lor R LISTING AGENT: Keith
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APWA swurWrr
Windermere Real Estate/Himlis, Inc. P.O. i3ox 729 920 Railroad Ave. Shelton, WA 98584 (206) 426.2646 Fax (206) 426.2698