HomeMy WebLinkAboutWater Run Off, Water Management - PLN General - 6/9/2016 Case Number: 1�� f 761(a -WogZ
Mason County Investigation Report Form
Parcel Number: 3A 1 3`1 - 3y - 9 CO 34 RECEIVED
Violation Site Address: al F cQ fA.S k I Q eG) iU N 0 9 AA
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Property Owner(s): i 1'1rl l I'1L L Phone#:
Mailing Address: at C ect{�i� I 0 LP 615 VV. Alder Street�� � 2-� �L
Tenant/Contractor/Operator on site: films
Directions to Site: V w y ? 2 . O t m 12 4i)
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Description of Concern: /zz,-'4-Ismw&h ne
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Under the provisions of the Public Disclosure Law, RCW 42.56.240, the complainant may indicate a
desire for disclosure or non-disclosure of their identity. If non-disclosure is chosen, the bottom portion of
this form will not be released to the public unless this case is filed in court. If filed,your name will be
disclosed if you are a witness in the case.
Mason County investigates possible violations on a complaint basis only. Therefore,the name of the
person filing the complaint should be provided.
Please Check One Of The Following Lines:
❑ Please do not disclose my identity. I understand that disclosure may be required by court
order or if this matter goes to court.
You may disclose my identity.
Name(please print):k� V A a 0m W Phone: o2�
Addre &Whss: l -'rA-
Street City State Zip
Signature of Complainant: Date:
THIS SECTION FOR MASON C UNTY USE ONLY
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Complaint Received by(if applicable): WA)w
Complaint Received by: Phone_ Email_ Web Site In Perso
Department of Concern: Building Planning Fire Public Works
Environmental Health: Solid_ On-site
z Investigation Date and Findings: G('1 f j(o Ajc> Si(_ r94LXtA j6
i" /13
1-
Date Closed: Reason Closed: NO C 17.41'1dv 2C..a , Initials:
C�/Ic cc./lt'1�021
Mason County Map Output Page Page 1 of 1
Mason County Map
11 E NYKKELSEN RD
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50 E 6AKKELSEN RD
�.� 151 E CATFISH LAKE RD
21 E CATFISH LAKE RD /
51 E CATFISH LAKE RD
120 E CATFISH LAKE RD
50 E CATFISH LAKE RD60 E CATFISH LAKE RD
660 E MASON LAKE RD '
654 E MASON LAKE RD
n 332 E MASON LAKE RD
630 E MASON LAKE RD
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DISCLAIMER AND LIMITATION OF LIABILITY.
the data used to make this map have been tested for accuracy,and every effort has been
made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND
makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or
location of any map features contained herein.The boundaries depicted by these data are R04+15 f adwai L and%
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not assume any legal liability ^�Hignmay5 City of Shelton
or responsibility arising from the use of this map in a manner not intended by Mason County. Rivors$StroarrI5 [� Cwyly(fourjbry iDNR)
In no event shall Mason County be liable for direct,indirect,incidental,consequential,
special,or tort damages of any kind,including,but not limited to,loss of anticipated profits Ra.r*ls Colnmi5 ivies Dslna.ts
or benefits arising from use of or reliance on the information contained herein It
Secbon5 Lakes
®2009-Mason County GIS
TOwrlshiip5 ' Fu9et Sound 8 Malo<Lazes
100 W.Public Works Dr
Shelton,WA 98584
RECEIVED
JUN092016
v. Alder Street
http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason_... 6/9/2016