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HomeMy WebLinkAboutRLC94-01152 - RLC Inspections - 5/24/1995 Date Received: MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT�EC 4-0,e0 RESOURCE LANDS AND CRITICAL AREAS CHECKLIST N4Y 2 The following checklist is designed to assist an applicant for a Building Permit, OrJ*f4-TNv4Wa1Wm 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 foridentifying ear/yin the permit process whether there will be any environmental regulations affecting the proposed development. I Owner✓ , , ,, ter htie Phone 717o 9 Site Address �, ��� F� __ City /��5"0.� ro . Zip Owner Address �/7� .�� f/�t, �✓�. - SC _Cit Y__ --2Z// &- State�Zip__ , Tax Parcel N . (Confir�-n with Assessors Office) - - Legal Description_ Project Description "i, /,-j Direc jons to site (Please attach map) Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc. Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas oraoi.i and resource lands are available for review at Mason County Department of Community Development, Planning u..onIV Department. Do any of the following exist on this property or within 200 feet of this property? County Ye. No ❑ El M 1. Saltwater shoreline or a lake 20 acres or larger? ❑ ❑ © 2. Rivers, streams, or creeks with year-round flow? ❑ ❑ 6 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel? ❑ ❑ 4. Lakes or ponds less than 20 acres in size? ❑ ❑ 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 marshes, bogs, and swamps. (See County Maps for guidance.) ❑ ❑ ❑ 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for guidance.) ❑ ❑ 7. Floodplainsl (See County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) ❑ ❑ 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: County Yes No ❑ [1 0 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 Davelooment for t5.00 AAch hCJUUtiLFM LHIVIJO Ol UKI I IUAL Nt tAb SITE PLAN •."'PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE: cSt� � fl�j ► 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. ► Project description Scale 1"= North Arrow i I state have answered the above truthfully to the best of my knowledge. Applicant/Own /9 y Date FOR OFFICIAL USE ONLY Adjacent property. 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':':f•:2:iiii::;i';:;:;L}::;r:;Yiir:�iii:i�:�i:}::kkti}::^• ::.}.::..�:n::.w. :^::}.»'ir:4}}}}}}r:i i}}+}:•: :::}}: .::::•:::..�.......r:::: i:tii:ii�r�::•:•:}•yr:}t}ir::::�iir;;.}�i:•Ai•: r Land...:....:..:::,.;:::.:::..:::.::::.::::;:::::::::::::.:::::> ..... � :.•:.»..;:<:;>:::>::>:;: ::::.;}:.r':t:.:r:::;::.r:;.:::.........:t.... }iti•i ::•i:^rr'+:tiff::;;:.:;;:;• .:::.:.}i:ii.:::xr;:•:::}::t;::t•:�j{^ii:i:}<r:;:k:jj}::i�ii;kkCiii: �'• Q.�' i< :?`•:::`i;<:`• :i` ? ::::`•�1 :'•.?z' `% Y'i6S3 ?`'.'%•.`•.`�i'`<' ':z:>r,::%`` "?:'<' # ?":": ' �''«f ?''SI`•'•;'• ???? +�r;•::,•r::. ........:..........:.......•:.:::::::::::•:;;:::::•:::::::. .r....2................................................................:...:....:: ................................................:..::::::::::::•:::•::::::::.:..................:.::::.::�.r 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. `J11 � CYY,2'.rkY f-lJ.IJf -ter M-!C -GJ•6 1\� G7/Lff Il , 1 fe Ur.O �^ON IAA C11.1G-I'x I'MGN.,AVlF� , (IL[ Su^v/r 041" 2Y CAf�i1�0 /N vlt.1 I. 120) J I've I ., ITT'•• r.R'T3•:fiQ3•Y d,T7b .. J..W.vC. - LIAJ/ I [-eW, Q . L[Ou DISCunI01 l THE WLST [AIY OF TILE EAST HALF OF TILL SCUTHWES'T CHARTER OF SECTION 11, TOWNSHIP 23*OlTI, Uml V ?WEST, S,Y., NASON COUNTY, WASHINGTON. EXCEPT THAT PORTION LYING SCUTURLT AND RAIT[ILT OF JEH'1B!/Y LLL f! [RI CISOY LAZE ROAD, AND EXCEPT ERICISOH LAZE ROAD. y� TW6THIR WITH THE FOLLOWING DESCRIRW TRACTI RFGIHNINO AT THE NORTNEAST COlNLR OF TR 101717121 4UARTLR OP THY NORTHWIST 4UARTLR OF SECTION 9, TOWYSHLP?7 NORTH, RAW[2 W13T,1.1 TIN NORTl SAID SURDIYISIOY HAPINO A RLFLAPiCE NERIDIAH Cl'YORTI 87`27'10'F[ST, TNINC[SOVTH 50-001 a ti y 00•WEST I5E.b3 FEYTI TWINLL [OUT*6•)0*00• LAST 97.SO rELT IR TO TYY CINTLRLI►E OF ICI[03 LAIR ROAD: THENCY 1LOtlu:HL CLHTERLI*E OF LRICLSON L.L.ROAD, YCRTN 7%'59'51' LAST 156.2b RET AND NORTH 5R•59�J9• IAST ?S1.L0 FSY7 TO THE MONTH LINK OF THE NORTH RALF Ol TRA NORTNWEST 4UARTEl or �` V I .S� r 'i •,, VS SAID SECTION 9: TRUCK WORTH SI•?)'10'1Y5:ALONG SAID NORTH LINE 292.95 FEET TO TII POINT OF ILGINNING. EXCEPT THAT PORTION WITHIN YAIC[SOH LAU ROAD. • �j � � SNf%JIJE LLJJL � 1 y c JCLfAC ' LfGE/Y� sm c!'!ff LLJOC - . col 6 df I .Taf,l� ea' � � Thy r 5 V V ,) J.Q'lAC. b V 9 y i JG/'JL%1 E 1 Do�2 3d no•Wo A unl,riWA IF IwaaMWNr TF _ /`J»!41 JCC I-IJ1tW, j/A.39 (1� •._1! 7 Feu/u D.N.II MOM. I ZI ,�c:'N.�GYJ.!,SR'/-IJIW FOUMD a.N.a. MON. , Atf7'!J'/O"JY Q GJR/7 LJf/f . ��7 / 11039 yY lGJL.L7 ra ye iFb'tlEG'N'W J7'/:171'J/'W ff5o y ,CSC!/ . h AUDITOR'S CERTIFICATE SURVEYOR'S CERTIFICATE C ly/ti�ti IRWIN ENGINEERING FD.A�L yEy of w2 E?sw ssc. %4, t _ THIS YAP CORRECTLY REPRESENTS A SURVEY MADE OF NJ"NW#SEC.9, T 23 N, A 2 W W.A4 'I•'�1+. a'- ��=:_nsCIVIL ENGINEERINGfILEO FOR RECORD THIS �' oAY OF19C]!{: BYME OR UNDER MY DIRECTION IN CONFORMANCE %'I LAND SURVEYINGAT II`�.AM I BOOK �L_OF //" AT WITN THC REQUIREMENTS 0I THE SURVEY REGORGING PA E AT TN[REQUf lT OF rlw� ACT AT THE REQUEST Of A^INN S°N AN^c ^�s°y fv B2♦ !0. 251% St. OAT[ FIfLD BOOK yyy�, // �J���� INMAY 196�. }4r.�`� TACOMA,WA. "401 N0. 69 ►B. ��°' SCALE JOB NO. .I PHONE 201-272-iB31 COUNTY AUDITOR CERTIFICATE NO.LS12434 /''PI.YJ 9�l¢ y 'i'I �rr_�srya�,�,SEC.4•ti'•,>>y„ i-- sey-os;/�� Gvrif ---- � V \. lea ca r'J•.�o'/rar.,nb,-,V, 1; .rL1.JV G'709o' ram Gsswro @ / O rr` /7/22' 3icGi' 13 IC a .r�soe r. .76 dl /5-B ^i i•l— ,rJ,s�:sJif F:ro+ � � .secs. /•c=- cc.9ro' 4iior i�a 2�i -7 cc; � I'1 0� 6 .ai'/Zt�j I Gc86i• XM all r�Qs —/osW�mm/82Go' 7c.79. .5:777' a'Gc-.9-9' f �. ✓O�YO -.� 1a:.OJ f 3L //Q�3' -"2 9C' ' � il--saJ�✓or•� tss.+�/ --� : .s_ "�csc#, � ccc.:,/' 'V a ✓rr Id %CS.C9 /22zch h I �•p o / �w� /0-0 --'-.SM'IrvJ'f GGfdd ^` c9tC5E I• CCSEi9' �0 t1.'.44 I `4a /-9-C N ct � __._.z.�vs::s•l ter.✓c -.--� � lJJ.rG I Z I S,Q I /2sr.air -A �•.- -7Jx O[ •tvt.aG 7G'y �StO' I 27.3 x• '` /2-0 l� �• .5lu 04-1�2•.�• ('i4t�J� '�� \ �' " �i ri JU'rr_' G•.I/.32• l rV �-► ,iG3.00 t� 6<1 A',cN ✓/>eG� C8/�r5 2/9c-v' T� 253./C' it / IIII I �4v 6-3 N i° p'ID ►y' �' /�- q b4� /o 70 B g I I 2.90 AC. _ a mow^ /i91CJ'/o•I✓ `QI ,,o ^G.fY./7 .-� G "9./7' /ss.aj �iC�v ti �pJ�9•r{ 'q wq'tvclir � 9? rZ-V GD' r5o'fe GO'Faei✓ATE f.CY7J C _�- ' ERICKSON LAKE TRACTS Mason County, Washington IRWIN ENGINEERING Civil Engineering and Land Surveying 824 So. 28th St. Tacoma, WA 98409 Phone 272.7831 AUDITORS CERTIFICATE SURVEYOR'S CERTIFICATE o-� o-;•'�'+iiti'•• THIS MAP CORRECTLY REPRESENTS A SURVEY MADE �v',y� FILED FOR RECORD THIS IS OAY OY ME OR UNDER MY DIRECTION IN CONFORMANCE AT —M IN BOOK 12 OF 5QAV YS AT WITH THE REQUIREMENTS OF THE SURVEY RECORDING t ACT AT TILE REQUEST OF Ie,t.'so .aat .istocir its 30, [ .`` PAGE � AT THE REQUEST OF /�.,[t,F����..•;;. p.r N. 4 4 0 392 I N a..•[ 19 o c ` [�c;;.,�„G — rFRT1F1rrr1. 110 L',1'24)4