HomeMy WebLinkAboutRLC94-0656 - RLC Inspections - 3/29/1994 MASON COUNTY BLDG 3 D C /�1C��8 P. 02
` ✓�v� Date Received: �I '�
MASON COUNTY �--�
DEPARTMENT OF COMMUNITY DEVELQPMERf
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RES URCE LANDS ANb CRITICAL AREA CHECKLIST
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The following checklist is designed to assist an applicant for a Building Permit, Orr, Site Sewage System $ite
FValuatltln and Disposal Permit, Access Permit, Land Modification Permit, 9oundaliyth&W4" ,� d
Segregdtions, Hazardous Waste Permit, or Shoreline Permit in determining whether their property is a e t by
regulations under the Mason County Interim Resource Ordinance (77-931*, this checklist is an importpnt
opportunity for identifying ear/Yin the permit process whether there will he any environmental regulations affecting
the proposed development, ,
Owner � � � �
C- r Z6-Y72 ' i tr I " Phone #
Site Address C O City Zip Cf�58: r
Owner Address City �- State(-� Zip f?/Os
(Tax Pardel No. (Confirm with Assessors Office) 3aoa 3l 4000 O Legal Description
Project 4escriptign (�,Q,�
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Directions to site (Please attach map) II / r-o X
D � � ern �
Please provide or attach a vicinity map which includes Gros Bets, 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
Lwdd and resource lands are available for review at Mason County Department of CommunityDevelopment, Planning i
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Ddpartment.
Do any of the following exist on this property or within 200 feet of this property? _
un Yn No
El 1. Saltwater shoreline or a take 20 acres or larger? H�Iw
❑ 2. Rivers, streams, or creeks with year-round flow?
❑' 3. Rivers, streams or creeks with intermittent flow but are within a clearly defined channel?
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�] ❑ a. Lakes or ponds less than 20 acres in size?
❑� S. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstancgs
support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps, (Sea Co un
ty
Maps for guidance.) 1�',�,^ ,^-,.� 5 _ n ��� /� ��7
ja ❑ El Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosio Hazard Maps for
i guidance.)
❑ 7. Floodplains? (See County Federal Emergency Management Maps and Countv Seismic•. Ha>arrt Man
i 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 jhe following programs:
WU
a1 N i
❑ C7 1. Agricultural Open Space Taxation Program, RCW 84.33
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Y ❑ 2. Open Space Timber Taxation Program,ACW 84,33,or Designated Forest or Classified Forest,
RCW 84.34
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copies are tivailable at Mason County Department of Community Development for $5.00 each. '
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MASON COUNTY BLDG 3 4277798 P. 03
RLSOURCE LANDS & CRITICAL AREAS
SITE PLAN
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PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE-.
Z Looetlon&,d"ns{on■of axlatfr,g A proposed property boundaries. r Approxirnata slops of land(grads &direction),topography,�. �
1►Identify legal access including,width of all road right-of-ways&eaaernert ► Location of significant natural features(water bodies,rivers).42..
Locate all b)dsting &proposed struotures,drainfields,walla &driveway . r Project dsacrlptlon 5e e, o.
Scale 1" North Arrow
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state th8t I have answped the b Ve ru hfully to t e best of my knowledge.
Applicant/Owner Cale
FOR OFFICIAL USE ONLY
Aelfaftnt Oaperty.
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"ri'ii}'i: t a y �•e,i.:e k.rt,.."':ax a,:o;<>..-- <:aka.ax.r:ox.,:x.:e3.e.,..,.<4.«::-<. A <C e.,exo J :.Y;^•;<.>r.:<:,.T":.:X�;'-k F� ».
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I�Southwort `} =�
2 Port
3 $ _ ,=.
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i �. �c ar Tukwila •�
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3 Belfair $ I Vas 0 SeaTac
Belfair i 16
Des
dhuya wanoh sot 15 ��tvloine 1
Allyn'
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.ii n All C ;` ; �f Federal 13
106 Vaughn �Ke Cente o Gig,Harbo���/a
20 Grape ' 'trerch Point . � i Y.
j 23 larrlvllNie11cove Hom Tacoma
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p2 3 Bland t3 _ 705 Fife
P rose Point � 5. O
�2 9 zi!Aebayo � ?
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6 a � Eongbranv°
Shelto 5 IIle, `t Lakewo� Lly?'
0 3 `Stellacoom
Sqquaxi5 G"* p ,�2
ilche Island y 101miI
Ev ;ace 6.;:
3 108 State een �l $ A F
$ corOi Iympra 5
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Directions: =gym
Take 1-5 South to the Gig Harbor/Bremerton exit (Hwy 16)
From Hwy 16 tak ,,Purdy exit and go left at the light and over bridge.
Take .the Hwy 5 turnoff to Shelton.
LefG'at Agate Road on
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T.a�k�.a. 'fit-tea Ag ate 5to re (there i o a 5to p 5 ig n)
Take a right on the Single lane, gravel road (This io Lighthouse Road)
just beyond the white house on the righ-r, (Propane Sign next to
the mail box).
Follow the road for about 1,000 feet to E 156 Lighthouse Road.
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_ '= FORESTRY G�hk
Ron Gold, owner CONSULTANTS -t° hone: 426-9540
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PO Box 681 t�Ft p° aki� ' ' Hoodsport, WA 98548
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Signature R.G. Forestry � 1q Client Signature
_ Date J
. VEALTH DEPARTM FOR aEPARTI.J�^`T USE ONLY
IEWAL HEALTH SECTION DATE BASIS FOR FEE AMOUNT
MET • SHELTON,WA. oBSN -
AITROM
xerae FFwAou ❑ AtMROVED ❑ �PraOveO
py.. VA
SOIL TY
H0.a 3 For -- _-'* �;�=i3r; •15.0'
•..-RtoROOFAt__.._s:z[.Lr- 'DEPTH TO WATER TABIE_,. F4RC..RATE-__.
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: wAm ❑ SEPTIC TANK(S)j7nD GAL. PUMP REQ _ - / 11 l z1 3 _'`�.F'ti."c y..T•-d""" =f. ''�,p'
DISTRIBUTION TILE TOTAL—J-z6__ FEET
FILTRATION AREA 3�.5 -SQ.F{ET
• QUANTITY OF
APPROVED STONE__ _CU.YD.SAND- CU.YD.
GL2 :
FILL REQUIRED N.YDS.
FINAL INSPECTION REQUIRED BEFORE BACKFILLING
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RECTION OF DRAINAGE) CRM Sea"OF TRENCH - -- -
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^ENEgqLS'cPVICES 3- e-p -
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BUILDING PERMIT # fy s `l! - 0 J 57
DATE 4/6
Planner Area 64 )OCE
CHECKLIST FOR PROPOSED CONSTRUCTION
Yes No
] [ ] Within 200 FT of designated shoreline, wetland, or
associated wetland
Where? } Ia*14US1`
( ] [ ] Proposed constriction on/over/in wetland
[ ] [ ] Proposed construction within floodplain
[ ] [ ] Eagle nest
[ ] [ ] State road access needed
[ ] ( ] Commercial Development (parking standards, sign
ordinance, public works review, other applicable
agencies)
[ ] [ ] Mobile Home or RV Park
[ ] [ ] Exempt from building permit application
[ ] ( ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800)
[ ] [ ] Meets all requirements (which sections) of SMP does
proposed construction pertain to?)
[ ] [ ] Variance or Conditional Use Permit required
[ ] [ ] Exempt from Shoreline Substantial Development Permit
process (Wac 173-14-040)
[ ] [ J Exempt from Substantial Development, but within Army
Corp. jurisdiction (WAC 173-14-115)
[ ] [ ] Address needed
[ ] [ ] Directions needed
4 Fv ;j,rF;
MASON COUNTY TITLE INSURANCE COMPANY
No. 50320
EXHIBIT A
IN MASON COUNTY, WASHINGTON
A tract of land situate in Government Lot four (4) , Section twenty-
three (23) , Township twenty (20) North, Range three (3) West, W.M. ,
described as follows:
COMMENCING at the Northeast corner of said Government Lot 4 ; thence
North 87020141" West along the North line of said Government Lot 4 ,
878 . 32 feet; thence South 00011149 " West 420 . 63 feet to the POINT OF
BEGINNING OF THE TRACT OF LAND HEREBY DESCRIBED: thence South 00°11 ' 49"
West 189 . 27 feet, more or less , to the Government Meander Line; thence
South . 841125151" West, along said Government Meander Line, 75 . 31 feet;
thence North 00011149 " East 190 . 62 feet; thence North 85027106" East
75 . 19 feet, more or less, to the point of beginning , excepting road-
ways , if any.
ALSO, all tidelands of the second-class, formerly owned by the State of Washington, suitable for the cultivation of oysters , including the
reversionary right therein, lying between the East and West lines of
said upland extended, to the line of mean low tide.
TOGETHER WITH a non-exclusive easement of access and egress
over the following described land:
A portion of Government Lot 4 , Section 23 , Township 20 North,
Range 3 West, W.M. , described as follows:
COMMENCING at the Northeast corner of said Government Lot
4 ; thence North 87*20141" West along the North line of said
Government Lot 4 for a distance of 30 .02 feet to the point
of beginning; thence continuing North 87020141" West for a
distance of 458 .36 feet; thence South 00°11 ' 49" West for a
distance of 246 .94 feet to the beginning of a curve to the
right, the radius point of which bears North 89°48 ' 11" West
a distance of 70. 00 feet; thence along the arc of said curve
for a distance of 104 . 16 feet to a point of tangency; thence
South 85027106" West for a distance of 627 . 25 feet; thence
South 00011149" West for a distance of 60.20 feet; thence
North 85027106" East for a distance of 751. 88 feet; thence
North 00011149 " East for a distance of 303 .95 feet; thence
South 87020141" East for a distance of 398. 03 feet; thence _
North 00026156" East for a distance of 60 . 05 feet to the
point of beginning.