HomeMy WebLinkAboutBLD93-01134 - MEP Application - 11/16/1993 PERMIT NO.:
DATE RECEIVED'-
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE ORDINANCE (Chapter 17.01 MCC)
411 N.5TH Street I P.O.Box 279, Shelton, WA 9a584
ENVIRONMENTAL PERMIT APPLICATION
MASON ENVIRONMENTAL PERMIT O CONDITIONAL USE 0 VARIANCE❑
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
RCW.
'LEASE PRINT
1 Owner: U Gr�4 1 plt� Owner Mailing Address:
Site Address:
0 5 �vl SL. City: 6kZ j-2h State:�1�lZip:�1�5$
City: AA-bN State WA Zip-MlLien/ritlel-lolder
Phone:Daytime( �_ 12�— 3 Og Address: 15D-4-0 �J 6 b'L
Fire District#:
City: State: Zip:
Signatur
2. parcel Number: S2 Legal description:N Lortn��tC bF —
Parcel Size: T 2 I'N Shl �e.c�•Oh 1Z _
3. Directions to site:
State what sectiq s require a permit: In-Holding Lands,Chapter 17.01.062 ❑
Wetlands,Chapter 17.01.070
4. Long-Tenn Co ercial Forest,Chapter 17.10.060 ❑ Frequently Flooded Areas,Chapter 17.01.090 ❑
Mineral Resdurce Lands,Chapter 1.7.01.066 0 Landslide Hazard Areas,Chapter 17.01.100 ❑
Aquifer Recharge Areas,Chapter 17.01,080 ❑ Seismic Hazard Areas,Chapter 17.01.102 Q
Erosion Hazard Areas,Chapter 17.01.104 D
Fish and Wildlife Habitat Conservation Areas,Chapter 17.01.110 d
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5.
Identify current use of 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):7-Will there bean alteration of a wetland and/or wetland vegetation area? Yes 0 No ❑
g. Any water on or adjacent to property'
Saltwater ❑ Lake ❑ River ❑ Pond ❑ Wetland ❑ Seasonal Runoff ❑
Other
I
9. If septic is located on project site,include records.
Connect to septic? ❑ Community Septic? 0 Public Water Supply? ❑ Well? ❑
10.
Type of Job: New 0 Atdd ❑ Alt Q Repair ❑ Demolition O Other
This permit is granted pursuant to the Resource Ordinance (Chapter 17.01 MCC) and nothing in this permit
shall excuse the applicantfrom compliance with any otherfederal,state, or local statutes, ordinances, or
regulations applicable to this project, but not inconsistent with the Resource Ordinance. The permit may be
rescinded pursuant to the event the permittee fails to comply with the conditions of this ordinance.
MASON ENVIRONMENTAL.PERMIT: $51o.00/s3o5.00(with another permit)
MASON CONDITIONAL IJSE ENVIR.PERMIT: $1,225.00
MASON RESOURCE ORDINANCE VARIANCE: $1,225,00
HEARINGS EXAMINER: S490.00
RP.vISEll 01.04-05
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DISCLAIML'R AND LIMITATION OF LIABILITY:
The data Used to make this map ttavc been tested for accuracy,and every effort has beenj �
,nude to ensure that these data are ninety,accurate and reliable.However.Mason County
makes no gurantec or warranty to its accuracy as to label ing,dimensions,of placement or �#� �
r. fr'�_
location of any rr�p features contained herein.The boundaries depicted by these dance an
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approximate,and arc not ttceesSUIly accurate to surveying or enginccring standards•and ate ✓'1 p�
Purposes
on Mtuon Corot does not assume any legal liability n^L a fi
intended for informatioou)purpo Only. County
or responsibility arising from the use of this map in a manner not intended by,MaSon.County.
In no evem Shall Mason C.otatty,be liable for direct,indirect,incidental,consequential a
special, m
or tort damages of any kind•including,but not limited to,loss of aotiCipated proGts r .' yjyts
or bcnef to ansina from use of or reliance on the information contained limin
®2006-Mason County
415 N.Sixth Street Us
Shelton,WA 98584
hup://maptuason.co.niason.wa.us/servlet/com.esri.esrirnap•Esril:bap?ServiceName=amason_ 2/8/2007
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