HomeMy WebLinkAboutExcavating on the Shoreline - GRD Letters / Memos - 10/16/2015 Case Number: r
Mason County Investigation Report Form
Parcel Number: 2231 J-7 - *53 Z I
Violation Site Address: NE, A 0 1 I t_6_t%k11 &4p��
Property Owner(s):c h ,?� +6� k4�A4y\'.-s 1 Lj Ph�'—onue
Mailing Address:
Tenant/Contractor/Operator on site:
Directions to Site: *t � -iD &MV&'
Description of Concern: —*-V
.....................
Under the provisions of the Public Disclosure Law, RCW42.56240, the complainant may indicate adesire
for disclosure or non-disclosure of their identity. If non-disclosure is chosen, this portion of this form will
not be released to the public unless this case is filed in court. If filed,your name will be disclosed if you are
a witness in the case.
Mason County investigates possible violations on a complaint basis only. Therefore,the name of the person filing
the complaint should be provided.
Please check one of the following:
❑ Please do not disclose my identity. I understand that disclosure may be required by court order or if this
matter goes to court.
LJ You may disclose my identity.
Name(please print): Phone:
Address:
Street City State Zip
Signature of Complainant: Date:
TEAS SECTION FOR MASON COUNTY USE ONLY
Complaint Received by: Date:- fly
Complaint Received by: Ll Phone ail❑ ❑ Web Site J In Person
Department of Concern: El Building Z Ll anning J Fire El Public Works
Environmental Health: LJ Solid J On-site El Wells Ll Food Ll Other
Investigation Date and Findings:
Date Closed: Reason Closed: Initials:
Z Z -7--) C?6
Request to Investigate Possible Building Violation
Signf&anf+erraforming acfivify (large tractor world happening in +he lakebed of Blacksm&+ Lake
while the wafer level is low -- approx;rna+e vicinity shown on the map below. Includes ex-hending
proper+y edge info the lake, digging lake deeper, and construction of a 'harbor' (see photos below).
r
490 NE ANVIL LN b
471 NE ANVIL LN
HE LAKEWAY DR NORTH
470 NE ANVIL LN
BraC IM Lake 20 NE LAKEWAY DR SOUTH
460 NE ANVIL LN
Z 30 NE LAKEWAY DR SOUTH
J
450 NE ANVIL LN
z
451 NE ANVIL LN Q
W
z 40 NE LAKEWAY DR SOUTH
440 NE ANVIL LN
50 NE LAKEWAY DR SOUTH
r80 NE LAKEWAY DR SOUTH
I
,t
tea
v �`y
Progress a5 of ocf 10, 2015
DECEIVED
OCT 16 2015 _
MCCD - PLANNING
Q Please do not disclose my identity
M
Please do not make assumptions about my
identity based on angle of the pictures