HomeMy WebLinkAboutMEP2013-00032 - MEP Permit / Conditions - 8/22/2013 ENVIRONMENTAL PERMIT($630 or$380 w/other permit) Mason County Permit Center Use:
XMASON
❑COND USE($1520) MEP ZO 1 '3 -00032
❑ HABITAT MANAGEMENT PLAN REVIEW($445)
Date Rcvd 3
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MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOP ENT
s
Mason County Resource Ordinance(Chapter 17.01 MCC) i s
ENVIRONMENTAL PERMIT APPLICATIONS------ - -
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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-RC—W1---.----�
PLEASE PRINT >;We t'5:st to File: .._......o
1. PROPERTY OWNER
Name: 00 h' At jj /��✓j�c-S
Mailing Address:
0 . 6 �
Work Phone: Email Address: 0
Home/Cell Phone: o o �y y 7 Fax#:
If an agent is acting for the property owner during the permit process, complete 42.
2. AUTHORIZED AGENT
Name:
Mailing Address:
Work Phone: Email Address:
Home /Cell Phone: Fax#
3. PROJECT SITE
Site Address:
Parcel #: 3- —+,�'" �0�1- Legal Description: —�-
Directions to Site:
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.
I'`%(,0mmunii" Dci Jopm;mI l"V All 11 P.LN I ol 2 Rc.1,Cd.lu), ?1i I
1
4. State which section requires permit:
❑ Long Term Commercial Forest, Chapter 17.10.060 ❑ Frequently Flooded Areas,Chapter 17.01.090
❑ Mineral Resource Lands,Chapter 17.01.066 ❑ Landslide Hazard Area, Chapter 17.01.100
❑ Aquifer Recharge Area,Chapter 17.01.080 ❑ Seismic Hazard Areas, Chapter 17,01.102
❑ Erosion Hazard Area, Chapter 17.01.104 ❑ Fish& Wildlife Habitat Conservation Areas,Chapter
❑ In-Holding Lands, Chapter 17.01.062 17.01.110
X Wetlands,Chapter 17.01.070
5. Identify current use of the property with existing improvements: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):
y GcJoof 'Pt'.1
7. Describe why the action requiring this permit cannot be avoided.
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8. Will there be an alteration of a wetland and/or wetland vegetation area(circle one)? Yes Do
9. Identify any surface water on or adjacent to property (circle one):
Saltwater Lake Stream Pond Wetland Drainage Ditch
10. Identify existing septic/sewer connection (circle one): If septic is located on project site, include records.
onnected to Septic Connected to Community Septic
11. Identify existing water supply(circle one): Public Water Supply Well
11. Ty e of Job(circle one):
Ne Add Alteration Repair Demolition Other:
D a"/1 L 1 42 f�,�a.�c 'r
Print Name Signature Date
l.'.Community Developniew''.l'AC.MI P Pif"L 2 o ^ Revised.tune 201 o
PLAN", G ,���
CFO
PLAN N I NCti
,. � �,•
ALL SETB4+CKS ARE MEAS�RED �p� F 0l C;
FROM THE FURTHEST CATFISH LAKE
PROJECTION OF THE BUILDI 1� �
75' WAIVER TO
SHORELINE
REQUESTED ��d `?o
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Rome sse
........
PROPOSED 3
BEDROOM DRAINFIELD
PROPOSED ATU (NUWATER)
AND PUMP TANKcp
75'SETBACK
`fROM SHORELINE
EXIST. PRIVAIEWELL
THIS
NEIGHBORING
WELL (NOT
.,�;
20' EASE1�l,�NT, ) � ;� EXISTING SHOWN) IS
GARAGE 100'+ FROM
EXiSTIk,G ��' .°'�— PROPERTY
2-PARTY WELL ! CVLDASAC
IN�
(� CUSTOMER: DON HAWKES SCALE P'=70
ONEER. DIGGING, PARCEL t.32I34-75-9= TEST HOLE L• TEST HOLE 2 TEST HOLE 3
SEPTIC DESIGNS DRAWING: PLOT PLAN 0-24 GSL 0-24 GSL 0-33 GSL •
24+MOT. 24+MOT. 33+MOT.
2 E.MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER KOBERT PAYSSE COMP.GL COMP.CL COMP.CL N
OFFICE-360-426-1803 FAX-360427-2353 DATE DRANNINL 7:1:2013 ROOTS-24 ROOTS-24 ROOTS-33