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Home My WebLink AboutGRD93-00014 Cancelled - GRD Application - 8/19/1999 i June 2, 1993 Robert and Wendy Wilson-Noss E 211 Woodbridge Ln Shelton, WA 98584 RE: Land Modification Application The Mason County Building Department has classified your application for the clearing/grading at E 211 Woodbridge Lane, Shelton, WA as being exempt from the permitting process based on the 1991 Uniform Building Code, Chapter 70, Section 7003(l ): Grading in an isolated, self-contained area if there is no danger apparent to private or public property. Please be aware that Chapter 70 of the Uniform Building Code also states in Sec. 7004: Whenever the building official determines that any existing excavation or embankment or fill on private property has become a hazard to life and limb, or endangers property, or adversely affects the safety, use or stability of a public way or drainage channel, the owner of the property upon which the excavation or fill is located, or other person or agent in control of said property, upon receipt of notice in writing from the building official, shall within the period specified therein repair or eliminate such excavation or embankment so as to eliminate the hazard and be in conformance with the requirements of this code. If you should have any further questions regarding the exemption of your permit application or Mason County Regulation/Policy, please contact Mike Byrne at (206)427-9670 ext 364. Sinc rely ami G i ey Building Inspector cc: Property File Rob Lum, Building Inspector Mike Byrne, Building Official GRID MASON COUNTY LAND MODIFICATION PERMIT ,pqA Grading, Excavation, Fill, Slopes, Drainage Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT 26-2999-Work #1 Owner Robert and Wendy Wi 1 son-HossPhone# 6 70n-FromeFireDistrict# 5 Site Address E . 211 Woodbridge Lane City She] ton St Wa • Zip 98584 Owner Address Same City St Zip Describe Work Convert 2-3 acres of land around a winter overflow by constructing 25 , 000 square foot pond and wetland for wildlife enhancement . #2 Contractor Name Ron G o 1 d Contractor Reg# e6 fop c.-# /SSkP Address P . O . Box 68 Expiration Date 5-/7. 19?to City Hoodsport , St Wa . Zip 98584 Phone# 426-9540 Designer's #3 )Fxglta%ex'xName Wi 1 termood Associates Phone# 876-2403 Address 1015 S . W . Harper Rd . City Pt . Orchard St Wa . Zip 98366 #4 Parcel No. 321 3- 421 - 00000 Legal DescriptionNE NW EX TR 1 -2 , S34-T2/N-R3WWM #5 Number of cubic yards to be excavated: 3 , 900 Number of cubic yards to be filled: 3 , 900 Number of cubic yards to be graded: #6 Will this be a balanced cut and fill entirely within the site? Yes X No 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 X #7 Will excavated materials be taken off site?Yes No X If Yes: Where will excavated materials be taken? #8 Briefly describe existing terrain, vegetation, and improvements on subject site? No improvements . Si t e is a seasonal run-off from . #9 Total size of area to be cleared +/- 2 acres acres/sq ft Size of area to be cleared on slopes over 10% +/- 1 a c r e AC/SF #10 Has a soils report been completed on the subject site? N o . If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline N o . #12 Does the subject site contain any of the following features? River Lake Wetlands Saltwater Slope greater than 15% X Soft compressible soils X Seasonal Runoff_ None #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? N o #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? N o #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? There are no nearby waters to be affected , work will be done at peak of dry season . #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? N o . #17 Will surface or subsurface runoff be collected or controlled by interceptors, curtain drains, or other water collection devices once this land modification has been completed? Yes , o u t f l ow f r o m pond w i 11 be control l e d , probably by a culvert . #18 Will the land be replanted upon completion? Y e s If yes, with what types of plants? See pond design on file #19 Will this modification result in slopes steeper than those currently on the site? Yes If so, how steep? See pond design on file . Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems 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 See pond design and site plan on file in support of DNR permit ( copy of I S attached ) . APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW See above . 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 OFTHE 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 BUILDI G EPARTMENT. DEPARTMENT. fX OWNER X BY -� DATE Z(D T "S DATE I FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW Planning APP COND APP HOLD Building Environmental Other Special Conditions FEES Grading Permit $ Plan Review Site Inspection Violation Fee Other TOTAL FEES $