HomeMy WebLinkAboutMEP2004-00036 - MEP Permit / Conditions - 6/7/2022 l
yON.STA MASON COUNTY
4P N,c 19- DEPARTMENT OF COMMUNITY DEVELOPMENT
0 °s" Planning Division
i o T P O Box 279, Shelton,WA 98584
7 Y y
of o (360)427-9670
1864
NOTIFICATION OF INCOMPLETE APPLICATION
March 15, 2005
MARTIN R HICKS
2115 ROCKY PT RD NW #17
BREMERTON WA 98312
Parcel No.: 322127700090
Project Description: GRADING
Dear Applicant:
You have submitted a permit application (case no. MEP2004-00036)for proposed
construction or development in the county. Upon review of your application, I have
determined that the contents of the application are incomplete or do not provide
enough detail for review.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360) 427-9670, ext. if you have questions.
Sincerely,
harles e McCoy III
Land Use lanner
Mason County Planning Department
3/15/2005 1 of 2 MEP2004-00036
NOTIFICATION OF INCOMPLETE APPLICATION
3/15/2005 Case No.: MEP2004-00036
Comments: I am sending to you the comments received by Mason County Public
Works engineer Alan Tahja. The report is also enclosed with
segments highlighted that indicate the insufficiencies. The
Geotechnical Report as submitted does not satisfy the stability
requirements for the County.
I have been informed by planning enforcement that a 30-day response
period from the date of this letter is required to complete this matter.
3/15/2005 2 of 2 MEP2004-00036
ON.STAT� MASON COUNTY
�P5 c �� DEPARTMENT OF COMMUNITY DEVELOPMENT
MO
o N Z Planning Division
Z� N Y y P O Box 279, Shelton, WA 98584
1864 (360)427-9670
REQUEST FOR ADDITIONAL INFORMATION
December 20, 2004
MARTIN R HICKS
2115 ROCKY PT RD NW #17
BREMERTON WA 98312
Parcel No.: 322127700090
Project Description: GRADING
Dear Applicant:
You have submitted a permit application (case no. MEP2004-00036) for proposed
construction or development in the county. Upon review of your application, I require
additional information to complete the permit review process.
Therefore review of our application ywill not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360) 427-9670, ext. 577 if you have questions.
T* eIy,
raz ��''"
Land Use Plat'�ner
Mason County Planning Department
Comments: A geotechnical report is necessary to begin the SEPA process and
permit review.
12/20/2004 Page 1 of 1 MEP2004-00036
PERMIT NO.: M
DATE RECEIVED:
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE ORDINANCE (Chapter 17.01 MCC)
411 N. 5TH Street/P.O. Box 279,Shelton, WA 98584
ENVIRONMENTAL PERMIT APPLICATION
MASON ENVIRONMENTAL PERMIT CONDITIONAL USE ❑ 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.
PLEASE PRINT
Owner: )�V� > f-kC S����I�Cf-C'�YZ�1 Owner Mailin ddress: ��j ( (
Site Address: City: fate: Zip: S
City: State Zip: Lien/Title Hol
Phone:Daytime Q — Address:
Fire District#: City: —State:--.Zip:-
Signature:
2. Parcel Number: ZZ. Z _ Legal description: 7Q �i p �('uj2�1,rc.�
Parcel Size:_ (,
3 Directions to Site: L L N
i�
4. State what sections require a permit: In-Holding Lands,Chapter 17.01.062 ❑
Long-Term Commercial Forest, Chapter 17.10.060 ❑ Wetlands, Chapter 17.01.070 ❑
Mineral Resource Lands, Chapter 17.01.066 ❑ Frequently Flooded Areas, Chapter 17.01.090 ❑
Aquifer Recharge Areas,Chapter 17.01.080 ❑ Landslide Hazard Areas, Chapter 17.01.100 ❑
Erosion Hazard Areas, Chapter 17,01.104 ?:' Seismic Hazard Areas, Chapter 17.01.102 ❑
Fish and Wildlife Habitat Conservation Areas, Chapter 17.01.110 ❑
5.
Identify current use of property with existing Improve ents:
6' Identify and describe the proposed project,including the type of materials to be uselq construction m thods,principle
dimensions and er pertinent information(Attach additional sheets if needed):
J S
7
Any water on or adjacent to property: Saltwater ❑ Lake, fiver ❑ Pond ❑ Wetland ❑ Seasonal Runoff ❑
Other
8. Will there be an alteration of a wetland and/or wetland vegetation area? Yes ❑ No
9' If septic is located on project site,include records.
Connect to septic? ❑ Community Septic? ❑ Public Water Supply? v pp y. 0 Well? ❑ /�S&,dD?'7 G L/CS'7 _
10. ✓
Type of Job:- New ❑ Add El Alt ❑ Repair El Demolition �ther �JT.�� ��,q..�j,�..p,Q,��
This permit is granted pursuant to the Resource Ordinance(Chapter 17.01 MCC)and nothing in this permit shall excuse the
applicant from compliance with any other federal, 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: $510.001$305.00(with another permit)
MASON CONDITIONAL USE ENVIR.PERMIT: $1,225.00
MASON RESOURCE ORDINANCE VARIANCE: $1,225,00
HEARINGS EXAMINER: $350.00 REVISED:
I:\PLANNING\R&GPACENVIRONMENTAL PERMIT APPLICATION
Show the following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Water Lines Driveways
Drainage Plans Shorelines
Septic System Topography Indicate Directional by(N,S,E,W,etc.)
Proposed Improvements Easements In relation to plot plan
Name if Flanking Street
APPLICANT TO DRAW SITE PLAN BELOW:
Jh
< V'
�Z� �j `` r r
APPLICANT TO DRAW TOPOGRAPHY BELOW:
V
L .
a IL
_
T \
SSS
!l
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
COMMENTS
Planning:
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshal:
Other:
Conditions: Y
TOTAL FEES:
Accepted by: Date:
SRG
` THE SHORELINE PEMIT PROCESS
Page 5
Publication cost is the responsibility of the applicant. Final permit processing will not
occur until advertising fees have been paid to the newspaper by the applicant. The
Shelton-Mason County Journal will bill the applicant
pp nt directly,
I / WE understand that I /WE must sign and date the attached acknowledgment
indicating and that I / WE understand that is MY / OUR responsibility. I /WE must
submit the signed page as part of application in order for it to be considered as
complete.
DATE
OWNER
APPLICANT
THE SHORELINE PERMIT PROCESS
Page 6
LIST OF ADJACENT PROPERTY OWNERS
WITHIN 300 FEET OF YOUR PROPERTY BOUNDARIES
FOR CONDITIONAL USE AND VARIANCE
Addresses are to be obtained from the Mason County Assessor's Office, Bldg. 1, Second Floor.
Revised 1/03
srg
2/12/2005
Case Activity Listing 6:34:14PM34:14YM
Case#: MEP2004-00036
i
Assigned Done
Hold Disp To By Updated Updated B�
MEPA100 Planning Review 5/4/2004 None HOLD RAM RAM 12/20/2004 RAM
Hold for geotechnical report
MEPA010 Application Received 5/4/2004 5/4/2004 None DONE TW 5/4/2004 T��%
MEPA60 Planning Req. for More Info 12/20/2004 None DONE RAM RAM 12/20/2004 RAM
A geotechnical report is necessary to begin the SEPA process and pennit review.
4"
Z
Page I of 1 CaseAc6vity..rpt
(A) Date: �' �� 32ZIz-}}-o�c (E)ffNumber.
7irde�r
PERMIT#: "BP W4, - �;6 LG-off
Requested by: Gt4�x.l�-
Authorized by: Date: as-
Type of Worir-
CHARGE TO:
NAME Mp,��� l�tckrc
AGENCY/COMPANY
BILLING ADDRESS
PHONE
(B) Pub. Works Person in Charge:
(C) Project Time Line: (from-to dates) TO
Proied Stag date: Estimated Finish Date:
Apprm&nge hows: ESTIMATED TOTAL$S:
COST ESTIMATE
(D) 12314 ET440Y« IRAlt H2= SUMOi FrIrm% TOTALS
! StlYIT BAD TOTAL SS
EQUIPMENT USED:
MATERIAL USED:
y.
�'sa'oo+vc:fuOL:fonF�ae*�-.v.>o>?eR>:.<%i°o:d a�,�a+ .o:::.o`�.ee�'`..a.-:aio-.eFlwe�6iCe'w. n .:ew::e... at`O(i-`'��6�:`oP�F�?D"Se�£tn`�2..:..-:.,• a::-i':�: .. ;.
(F) Actual Cost = BARS: PROJ t:
DATE Employs
WORKED Narms IRAlt Hours SUVOW FrInoe% TOTALS
EQUIPMENT USED: Q1a q � g� TOTAL SS
MATERIAL USED:
TOTAL ALL
(G) BILLED DATE INV X PAID DATE REC.X CKX
I
INSTRUCTIONS FOR WORK ORDER FORM
(PUBLIC WORKS DEPT.)
A. Requesting organization completes:
ate: Day work requested
Permit#: When applicable, for future reference
Requested by: Name of person who requires work(for later contact if necessary)
Authorized by: Department Head/Budget responsible Individual
Date: Date signed by authorizing manager
B. Requesting organization completes:
Public Works Person in Charge: Please Indicate who in Public Works will receive and
manage the work you request.
C. Requesting organization completes:
Protect Time Line: Please Indicate when you want the work started and when you must
have it completed. If you have any estimate of hours, or budget limitations on dollars,
you may indicate that information here(optionao.
SUBMIT THE WORK ORDER TO THE PERSON IN CHARGE IN PUBLIC WORKS
D. Public Works Person Perforrningfin Charge completes:
Obtain a work order number from Accounting.
E. Public Works Accounting:
Assign a work order number Log the number and copy the work order for the sequential
file. Eller work order into AS400 system for tracking expenditures.
Return Original Work Order to Person in Char17e In Public Works.
D. Public Works Person Performing/in Charge completes:
(con') Perform the requested work.
Cost Estimate Section:
Fill in the dale(s), names)and number of hours you spent completing the work.
Also, if any vehicles were used, indicate which vehicle #and the hours. Likewise, note
any materials used.
RETURN THE WORK ORDER TO ACCOUNTING.
F. Public Works Accounting:
Actual Costs Section:
Enter verified hours, rates, and fringe. Calculate total cost. Enter same info on Isle copy.
Return Work Order to ReguestlnWOrderina Departwlthln two days
(ORDERING DEPARTMENT MAY USE THE COST DATA PROVIDED FOR
INTERNAL COSTING PURPOSES)
G. Public Works Accounting:
BM requesting department as per existing billing a_geements. Verify initial costs by
generatingiieviewing AS400 Project Cost report. Post payment information on work
order for later reference.
WORK ORDER - PUBLIC WORKS DEPT.
{a Date: ! �� S �'I +0 (E) Workrder
PERMIT#: jNumb:e :
Requested by: �cN� �U
Authorized by: I— '— Date:
Type of Work: C3 Qo 4-e ok— )2.e
CHARGE TO:
NAME
AGENCY/COMPANY
BILLING ADDRESS
PHONE x S
r8 Pub. Works Person In Cha e:
i::ri:x:•:::.xa•;i<i<a»:.yx<;�ri:::T:r.rr:i.::•>:o-: <:+:::::i•>` .
iT>::.v.v,:7T..:i;?.:•:iii:i{.<:isi:;ni+::{:^:r;nT}.'!h':-::{!tiC....9:•Nir{^i::•:�k?.}`i^;;r:,j,n;p'p}:j(r,J.%4:'h:::t^.':i:GW.+F rvCu•/.vvv?r yh•'.,Y•..
1C) Pro)ect Time Line: (from todates) TO
Project Stag date: Estlmated Fhlsh Date:
Awm&7We hours: ESTIMATED TOTAL$S:
COST ESTIMATE
EQUIPMENT USED:
# 13AIE TOTAL)
MATERIAL USED:
NLL�M@{ cEb��000OnM�,��4V ���c:viCVVeee:)O.�+Cih�`A •4 YhO.FX`};
1'h
(F) Actual Cost = BARS: PRO.!N:
DATE E Yee
WORKED Name ) 4 Hours Sutx Frim% TOTAL$
EQUIPMENT USED: Q91 Mon SdI!< TOTAL i'S
MATERIAL USED:
(0) BILLED DATE TOTAL ALL
PAID DATE REC.N CKN