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HomeMy WebLinkAboutRLC94-00497 - RLC Inspections - 3/9/1994 MAS01`=;OUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Sa • O RESOURCE LANDS AND CRITICAL AREAS CHECKLIST The following checklist is designed to assist an applicant for a Building Permit,:­bn-Site Sewage S e Sit Evaluation and Disposal Permit, Access Permit, Land Modification Permit, Boundary, ' �4�j eats, Lan Segregations, Hazardous Waste Permit, or Shoreline Permit in determining whether their probbert ffected b regulations under the Mason County Interim Resource Ordinance (77-93)*. This checklist is an importar opportunity foridentifying earlvin the permit process whether there willbe any envirorirn&7afl actin the proposed development. Owner k14AJ0Y � X/3A5,J SP",:�Er Phone #(a06) 3-7Z Site Address AAE .570 GoYB _City �G-LF/�i�,� Zip 9,P5Zd1 Owner Address "o-0, City StateU/AZip 9y-`Oc�7 Tax Parc I No. (Confirm with Assessors Office) 2-z30 2- - 42- - DD/,-O Legal Description_ A1Z6Pd-SL-A Lo r,6 �c.�oiuG- Project Description S1N6-1169 .�i4iyiL Y .0 srD,E.tJGE — �E�Tic: ._s STEM r�Es�G-n� Directions to site (Please attach map) Srv_ .4rr/>G-� sires .[,�i4P I Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc. ..SEE 477ACAM SrT.E.i1.9� Answer the following to the best of your knowledge. County-wide maps showing general locations of critical area: Official and resource lands are available for review at Mason County Department of Community Development, Planning u..ONY Department. Do any of the following exist on this property or within 200 feet of this property? covAly Yes No ❑ 1. Saltwater shoreline or a lake 20 acres or larger? ❑ 2. Rivers, streams, or creeks with year-round flow? P ❑ L2 3. Rivers, streams or creeks with intermittent flow but are within a I (�� V defined channel? ❑ Eil' 4. Lakes or ponds less than 20 acres in size? `(/�j ❑ 2"" 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted or life in such conditions; such as marshes, bogs, and swamps. (See County _f Maps for guidance.) 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps foi- guidance.) ❑ [� 7. Floodplains? (See gqCounty Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) �vU ❑ ( 8. Seismic Hazard Areas? (See ounty 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 Ye. No ❑ [� 1. Agricultural Open Space Taxation Program, RCW 84.33 ❑ 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. SITE PLAN PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE: . Location &dimensions of existing &proposed property boundaries. . Approximate slope of land (grade & direction), topography. ► 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, wells &driveways. P. Project description Scale 1"= North Arrow BYS SEPTIC DESIGNS 445 LOST HWY. W. BREMERTON,WA 98312 1 state that I have answer the above truthfully to the best of my knowledge. Applicant/Owner 3" 9` y5� Dat FOR OFFICIAL USE ONLY Adjacent property. �l� J &64e� Larld;.Ma Y........ .. ..: e lix r- 1 gang tarrr.::: ammarlal l=arst ... ::. ,::5h!Pro ing I, M�st.a Irthaldfn kand ,, �M6 I]a s fief ap ly .Mineral:Res.ourcr� s:»;>: :::::::.::�:• ::::::: .....::.:.....:. ;: , .,> There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Maso, County Treasurer. When completed, this form becomes part of the permit application. Ig ASTALL TRENCHES NO DEEPER THAN INSTALL SYSTEM ONLY WHEN SOILS ARE PROPERLY DRY. U t' DPAENS;ONS ARE CRITICAL. D0 yA1 REMOVE NO TOPSOIL DURING SITE PRE . � ; ► t1-.` ?� .VI:'.-E FROM DESIGN. )pp OWNER TO PLANT GRASS OVER SYSTE USA; rXI ;iE.��tE CARE IN SITE PREP ,p AND MAINTAIN GROWTH. 0 ¢I I P SEE ALL ATTACHED CONSTRUCTION NOTES. P h � 2. 75 H 4- - ,� c2Es All SANDY COVER-MINIMUM S MIN/IN RATING. ti NO VEHICULAR TRAFfIC 014 SEPTIC SYSTEM. �- o� CURTAIN GRAIN Nor REQUIRED AT THIS TIME. �o LATERALS TO FOLLOW CONTOUR OF SLOPE. 1 1L `i kZ TV�p 8 MAINTAIN A MINIMUM OF 1 Z VERTIC CAL SEPARATION DISTANCE. N°~'� N 'u MAINTAIN 100'FROM WELLS&SURFACE WATER. W i I Mason County Cept. ;.u- RFSE,e •A, Initi l ,� n -- ? h r EL. icb�- /8Z.g3� EL. ioS�- I f--L� Zv" ESMy. oFf Tov.✓ERviLc.E DQ. I I . I I _ 9x. �y ASTALL TRENCHES NO DEEPER THAN Z ', INSTALL SYSTEM ONLY WHEN SOILS ��y• ARE PROPERLY DRY. �► � v DIINIENSIONS ARE CRITICAL. ; ', �E FROM DESIGN. REMOVE NO TOPSOIL DURING SITE PRE . (?� jtP OWNER TO PLANT GRASS OVER SYSTEJ' U. r i. t= E CARE IN SITE PREP AND MAINTAIN GROWTH. 0 P�TO SEE ALL ATTACHED CONSTRUCTION NOTES. 2- 7s ACJEEs 13gx ego ��. ALL SANDY COVER-MINIM, S MIN/IN RATING. ti NO VEHICULAR TRAFFIC ON SEPTIC SYSTEM. �; ' CEIfITAIN CkAIN __,V07 REQUIRiD AT THIS TIME. `o LATERALS TO FOLLOW CONTOUR Of SLOPE. ,Lp ; .3 SEDCooM N MAWTAfN A MINIMUM OF 2- N VEP't 6 ICAL SEPARrATION DISTANCE. fNoM� u M,q%i'i AIN,00'ROM WELLS&SURFACE WATER. 1 ' ' I A ti . 1 � I � r Dn�3apo e _ — Ah I I **Y I J I 1 I � I � 1 EL, ez,43� EL, icSf- �^-L'� ZO, ESMY. 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