HomeMy WebLinkAboutRLC94-00448 - RLC Inspections - 3/9/1994 Date Received.
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Atiq0"BESOURCE LANDS AND CRITICAL AREAS CHECKLISTL�-
The following checklist is designed to assist an applicant for a Building Permit, On-Site Sewage System 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 t77-93)*. This checklist is an important
opportunity for identifying early in the permit process whether there will be any environmental regulations affecting
the proposed development.
Owner Jo�r.�/ L�LAGJ� Phone #(006 ) 377- /11G9
Site Address t .A4XSM1rfN LAL6- — . .,uvlL- City L3AZ-1-41e- Zip
Owner Address //7 5vu7// ZV5,'CoFic City /31ecM. Statd-d4 Zip 9k31Z
Tax Parcel No. (Confirm with Assessors Office) 2 Z ,o - V 7 - 9 f7553 Legal Description_
LvT 3 aL4�s•'y��i7 L A,r� r.2�.T�
Project Description /J,!5A)
Directions to site (Please attach map) -'56E .4VA- ChA0 M,4-10
Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc.
S,;71E ArtAfhED MAP
Answer the followingto the best of our knowledge. Count wide maps showing
Y 9 Y- p g general locations of critical areas
Official and resource lands are available for review at Mason County Department of Community Development, Planning
Use Only Department.
Do any of the following exist on this property or within 200 feet of this property?
County Yes No
a ❑ [,- 1. Saltwater shoreline or a lake 20 acres or larger?
[3'/ tQ�❑ 2. Rivers, streams, or creeks with year-round flow?
E]"/ Ej"'❑ 3. Rivers, streams or creeks with intermittent flow but are within a glearly defi ed channeO
[� ❑ L3 4. Lakes or ponds less than 20 acres in size?
D ❑ [D""' 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances
support vegetation adapted for life i suc ondition tjchh as mar s ps, bo s, and sin amps. (See County
Maps for guidance.) Cal 1��
[� [�❑ 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for
guidance.) fl� 2tcli-f,
[y �
❑ � 7. Floodplainsl (See County Federal Emergency Management Maps and County Seismic Map
for guidance.)
❑ 03 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. Agricultural Open Space Taxation Program, RCW 84.33
[3"" ❑ [3 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.
RESOURCE LANDS & CRITICAL AREAS
r
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.
P. Identify legal access including,width of ail 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
'52E,!� ATIAC.A6,0
state that I have answered the above truthfully to the best of my knowledge.
X�0� BYS SEPTIC DESI%plicant/Owner Date
F riciAVUSE ONLY
Adjacent property. Q
Using County Resources Land Maps, this property is designated as:
1. Lor g=terw Commercial Forest 4. Shoreline Master Program
Inholciing'Land 5. Does not apply.
3 Mineral Resource LandXX
' : � -�
.;X ..:. .:::<.;::
: :. n � DCD
There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payahle to the Mason
County Treasurer.
When completed, this form becomes part of the permit application.
/ a-�.�0 _i ' ���. CS �✓ 11 L�.cANC�Q :-4. MA;— _ ,.. r - of
�N'N ^_7Q. �c� ',� � � _� .,� 'r.•i 3RA53 ti1�`, yc�, T
T _3 N R Z'N^'N'A. r 1� Y 4' OPC
41 p Q sq J P
2 A.. �,
n n� �— SHJ<' PLAT
41 nj o
TRACT 49
cc
°r
y7 J 3 2
T
O P
N 68° 30' 32 'W 433 ± r 0` Ac-ts s 0 i
4 2r v
N �TY SKETCH
10 TZ3N R at^�, 'N
SCA_E I" c 1/2. `1 _E
v 2.2 AC 4or O~ F FOUND MONUMENT
aA
• SET IRON BAR
IO N I O`w 1r LRACT 55 BLA;KS'V1',TN i
I f I o A� 6S CoU0.9[ - C-IM LAKE TRACTS
�a ,Z 3�4' a _A, N %1* 43 00^E- Q2,7z - VOL. 10 OF SURVEYS PAeE 10-
D• N i1`I I' IS"f 40,ti'
TRACT 48 �p ( I -C N 20. 24 WE 14.00'
I / D. !A 03" 31q, I r'E S.t!6
of' 11R"w
I�m qv* u R-1s` ;r;gac 14t..7(,
Ia �
N O 3. Q AC. W G SHORT PLAT
Q FOR: FREE) PESTS
SW Coll.NVY#tiW!#I Z N
( a4 LOT 2) 4- 60r WIDE ACCESS
W�OR/� M4L ANO UTl i-IT I!f E/S5E ENT D CM Lmommift and Lau/�r.�1�
30 30 $24!� eN k Tmamw wA 96,ai
-Sb9. is I A ftw in-mi
SE Cw � Nwl ORAVv'N:—
?. $i
e14• (GOV. LOT 1 FE 3
w 1041 gt i — ��--q� OD�Kr'BR�SS MON. ATE: 7L`�. ./ q9� 70• ►It G?�O
INSTALL TRENCHES NO DEEPER THAN t O
INSTALL SYSTEM ONLY WHEN SOILS
REMOVE NO TOPSOIL DURING SITE PREP. DIMENSIONS ARE CRITICAL. ARE PROPERLY DRY.
OWNER TO PLANT GRASS OVER SYSTEM DO NOT DEVIP TE FROM DESIGN.
AND MAINTAIN GROWTH. USE EXTREME CARE IN SITE PREP.
— — ALL SANDY COVER-MINIMUM S MIN/IN RATING.
NO VEHICULAR TRAFFIC ON SEPTIC SYSTEM.
GAPS CURTAIN DRAIN ism"r REQUIRED AT THIS TIME. MAINTAIN A MINIMUM OF LIZ-
LATERALS TO FOLLOW CONTOUR OF SLOPE. VERTICAL SEPARATION DISTAL
M MAINTAIN 100'FROM WELLS&S RFAC
SEE ALL ATTACHED CONSTRUCTION NOTES.
RL 2P• - - \ Scoff /„���
PRoPn«n wE[[ s.rE i /c
o_ ADD- \ \
w am L�r AC.
w.iP TAitLt �p
oAJ 1 r
N �
p N /760 12—AL.SER7k Tint v
�"P.corc�.r rvis ,oho �(D
I I BY SLEEv.n.K-
4Pop
BL-�RooM //cviEL
Q I I a
4
30 I W I Pe/M L>QY AREA C sEE 97 4,1AF_-C) pfAe,i^r
ire
I V � e y • 1 �n