HomeMy WebLinkAboutRLC94-0761 - RLC Application - 4/12/1994 t , `
Date Received: t
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS CHECKLIST �l I
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 (77-93)*. 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 Phone # a— 88
Site Address 3 City Zip
Owner Address_ City5b State Zip S
Tax Parcel No. (Confirm with Assessors Office) '_ '�� - `f 7 Z" -14—_ Legal Description_
600 60
Project Description
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Directions to site (Please attach ma rr F
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Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc.
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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?
ca a No
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1. Saltwater shoreline or a lake 20 acres or larger?
❑ [jK 2. Rivers, streams, or creeks with year-round flow?
][�]� ❑ 2 3. Rivers, streams or creeks with intermittent fl.ow but are within a clearly defined channel?
❑ ['� 4. Lakes or ponds less than 20 acres in size?
Ll ❑
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 marshe
and swamps. (See County
Maps for guidance.) Wi eO Vw� >�.G
.E� ❑ Ell, 6. Slopes greater h n 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for
guidance.) � ,�
❑ []� 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Map
for guidance.) 0110
❑ [ 8. Seismic Hazard Areas? (See County Federal Emergency Management Maps and County Seismic
Hazard Map for guidance.)
You may be provided nuisance protections by the County for certain resource activities. If you are enrolled in any
of the following programs:
Co t Yes No
D Q 1. Agricultural Open Space Taxation Program, RCW 84.33
❑ E 2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest,
RCW 84.34
' Copies are available at Mason County Department of Community Development for $5.00 each.
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SITE PLAN
PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE:
P. Location &dimensions of existing & proposed property boundaries. ► Approximate slope of land (grade &direction), topography.
P. 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, walls &driveways. ► Project description
Scale 1"= North Arrow
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I state that I have answered the above truthfully to the best of my knowledge.
Applicant/Owner Date
FOR OFFICIAL USE ONLY
Adjacent property.
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Using County 'Resource Land Maps, this property is designated as. .:
---I, Long-tern: Commercial wrest 4. Shoreline Master .Program
2. Itthalclir�g Land 5. Does not apply.—
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., Mineral Re q urce Land
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There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Mason_
County Treasurer.
When completed, this form becomes part of the permit application.
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Subject to the terms and conditions hereof$ seller agrees to sell to
purchaser and purchaser agrees to purchase from seller the following des-
cribed real estate situated in Mason County, Washington, to-wit :
Parcel 1 : That part of the west half of the southeast quarter
and o F Lot- 2 of Section 359 Township 21 Northg Range 3 West, W.M. ,
described as follows : Beginning at a point 360. 36 feet south of
the southeast corner of the northwest quarter of said southeast
quarter. ; running thence west 330 feet, north 809 . 16 fee°to west 330
feet , south 1108. 8 feet , east 660 feets, south 191 .4 feet and east
44 .22 feet to the westerly line of Secondary State highway No. .14--A.
thence northerly along said westerly line of highway to a point
P! 751 30 ' E from the point of beginning of this description, thence
S 750 30 ' W ' 33 .66 feet to said point of bef3inning; TXCEPTIIJG there-
from public roads , if 'any.
Parcel 2 : That part of the southwest quarter of the southeast
quar"f'e'r'off' Tection 35' Township 21 North Range 3 West , W.M. i
described as followst Beginning at a point on the Past line of
said southwest quarter of the southeast quarter 1320 feet east and
660 feet north of the south quarter corner of said Section 35 ;
running thence west 209 . 22 feet ; thence south to a small. creek,
thence in an easterly direction along said creek to its .intersection
With said east line of southwest quarter of the southea.sgt quarter,
thence north along said east line to the point of beginning;
EXCEPTTNC therefrom Secondary State highway No. 14-A , •.iad
ai.go public roads, if any. excepting
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