HomeMy WebLinkAboutMEP2009-00013 - MEP Permit / Conditions - 4/21/2009 R
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ON'CAT�OXN� MASON COUNTY
Ao - DEPARTMENT OF COMMUNITY DEVELOPMENT
o NUZ Planning Division
7 N Y C P O Box 279, Shelton, WA 98584
0
1864 (360)427-9670
MASON ENVIRONMENTAL PERMIT
April 21, 2009
FFIE
JOHN BANKS E
1621 BRIDLE DR
HENDERSON NV 89015 /�� � 61-
1 I
To: 7�/7� 1
Parcel No.: 223107990741
Issued: 4/21/2009
Case No.: MEP2009-00013 Date Sent to File:
Project Description: SSE {Z�STofeA'<<oN P���
ENF2008-00135
The following critical areas are present on this property:
Long-Term Commercial Forest FWHCA
Ch. 17.10.060; Ch. 17.01.110;
Mineral Resource Lands Frequently Flooded Areas
Ch. 17.01.066; Ch. 17.01.090;
Inholding Lands Landslide Hazard Areas
Ch. 17.01.062; Ch. 17.01.100;
X Wetlands Seismic Hazard Areas
Ch. 17.01.070; Ch. 17.01.102;
Critical Aquifer Recharge Erosion Hazard Areas
Ch. 17.01.080; Ch. 17.01.104.
This permit, with conditions, is granted pursuant to the Mason County Resource Ordinance
(Chapter 17.01 MCC.) Nothing in this permit shall excuse the applicant from compliance with
any other federal, state, or local statutes, ordinances, or regulations applicable to this project.
This permit may be rescinded if the permitee fails to complete the project as proposed or fails
to comply with the standards of this ordinance.
Authorized Local Government Official Date
Mason Environmental Permit
4/21/2009 Case No.: MEP2009-00013
Conditions:
1.) Applicant will monitor for three years.
X
4/21/2009 Page 2 of 2 MEP2009-00013
Return To: t t `. � 3 i i
Mason County Community Development '�,$ -dV43:) ,m c)n'
�-D- Box �27y 6910 R
SyEl'Toti , w'4 9g"50q C13A{3038
TITLE NOTIFICATION OF RESTORATION PLAN
Owner Name: JOHN&JUDY BANKS TRUST Parcel#: 22310-79-90741
Legal Description: TR 74A OF SURVEY 11/17 LOT:A OF SP#1487
Enforcement Case# ENF2008-00135
RP Approved By: Christine Clark
Planner Name
NOTICE: The property is the subject of a Mason County code violation within a regulated
critical area or its buffer. This property is subject to conditions,mitigation, and/or conservation
measures as contained within the Restoration Plan submitted to the Mason County Department of
Community Development and subject to the conditions of the enforcement case number noted
above. Restrictions on the use or alteration of the property may exist due to these conditions,
which are to remain in perpetuity. A copy of the Restoration Plan has been placed in the
County parcel file located at the Permit Assistance Center, Building III, 426 W. Cedar
Street, Shelton, WA, 98584. r
Grantor(s): a q K- y 0 I '
Last(print) First MI
Last
(print) First( MI
Signature(s):
Grantee: PUBLIC
State of ..ate. ) I,the undersigned Notary Public,in and for the jurisdic-
)ss. tion oresaid, do hereby certify that
County of ) �� who names s(are)
(SEAL): signed to the foregoing instrument,appeared before me
and personally acknowledged the same.
GIVEN under my hand and seal this day of
20 ol.
AR71ECKAN eta4 NevadoMy commission expires:
T� 1
�y �` u�,..ergJane 2; 2"12
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4FTEJ2--r{, kCT Page 1 of 3 FNFZopg—ao j3S
1g90—
m2 PERMIT NO.�L ������ "
DATE RECEIVED:
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE ORDINANCE (Chapter 17.01 MCC)
411 N.5TH Street/P.O.Box 279, Shelton, WA 98584
E14,; 21t1Ci�� '/d� 9Zti
ENVIRONMENTAL PERMIT APPLICATION
MASON ENVIRONMENTAL PERMIT CONDITIONAL U!& n 3
The purpose of the Resource Ordinance is to protect Mason County's natural resource lands and critical areas
and is under the authority of Chapters 36.32, 36.70A, 39.34, 58.17, 76.09, 84.33, 84.34 and 90.58 RCW.
PLEASE PRINT
1.APPLICANT
NAME: o A n , SIGNATURE: 1 ,
MAILING ADDRESS 1 6,2 1 6 V l d e- /l Y, e qd e& 5ol/L N v
WORK PHONE 70 2 576 A '93 q 2 E-MAIL ADDRESS SC V I Co Y, v1 of
HOME PHONE `70 Z 5.t 'E 3 4 2 FAX# 76) Z 56"-f 8 3 2-
If an agent is acting for the applicant during the permit process,complete Q.
2.AUTHORIZED AGENT
NAME: SIGNATURE:
MAILING ADDRESS
WORK PHONE E-MAIL ADDRESS
HOMEPHONE FAX#
3.SITE ADDRESS 60 N LA K.e way Or, 1 t5 e(,fA t r W
PARCEL NUMBER 'L 3-1 U-_j Ct 6f v q JAL DESCRIPTION F5 Q S-S T 7 I ci 6 K 069 A
DIRECTIONS TO SITE: 1 YYl N e— (5�wV CIr{ej,�_ ►)Q w a- , p WoaW -FV k-N 5 0 o Oki
K) E IS(c,S R 5&" ,4�-N D r, Fo!I o w P.oot4 to `t-h e- r t9 k1� ac t�G( Tv tr✓t I e C-f-
v PA La K e wog f�r,
4. State which section requires permit:
❑ Long Term Commercial Forest,Chapter 17.10.060 Wetlands,Chapter 17.01.070
❑ Mineral Resource Lands,Chapter 17.01.066 ❑ Frequently Flooded Areas,Chapter 17.01.090
❑ Aquifer Recharge Area,Chapter 17.01.080 ❑ Landslide Hazard Area,Chapter 17.01.100
❑ Erosion Hazard Area,Chapter 17.01.104 ❑ Seismic Hazard Areas,Chapter 17.01.102
0 In-Holding Lands,Chapter 17.01.062 0 Fish&Wildlife Habitat Conservation Areas,Chapter 17.01.110
Page 2 of 3 f
5. Identify current use of the property with existing improvements:
Vaca�f (G�v�O�
6. Identify and describe the proposed project,including the type of materials to be used,construction methods,principle dimensions,
and other pertinent information(attach additional sheets,if needed):
Foart w�d
`3 -I�oo -goy k 7-o
7. Describe why the action requiring this permit cannot be avoided.
W eT(otk%aA r e5 foo4i'm
8. Will there be an alteration of a wetland and/or wetland vegetation area? Yes No ❑
9. Identify any surface water on or adjacent to property:
❑ Saltwater Lake ❑ Stream ❑ Pond ❑ Wetland ❑ Drainage Ditch
10. If septic is located on project site,include records.
❑ Connect to Septic ❑ Community Septic ❑ Public Water Supply ❑ Well
11. Type of Job:
❑ New ❑ Add ;(Alteration ❑Repair ❑ Demolition ❑ Other:
This permit is granted pursuant to the Resource Ordinance (Chapter 17.01 MCC) and nothing in this permit
shall excuse the applicant from compliance with any other federal, state, or local statutes, ordinances, or
regulations applicable to this project, but not inconsistent with the Resource Ordinance. The permit may be
rescinded pursuant to the event the permittee fails to comply with the conditions of this ordinance.
MASON ENVIRONMENTAL PERMIT: $630.00/$380.00 with another permit)
( P )
MASON CONDITIONAL USE ENVIR.PERMIT: $1,520.00
HABITAT MANAGEMENT PLAN REVIEW: $455.00
IAPLANNINGTACTORMS REVISED Dec.2008
f
Page 3 of 3
Show the following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Water Lines Driveways
Drainage Plans Shorelines
Septic System Topography Indicate Directional by(N,S,E,W,etc.)
Proposed Improvements Easements In relation to plot plan
Name if Flanking Street
APPLICANT TO DRAW SITE PLAN BELOW:
se� p
y
APPLICANT TO DRAW TOPOGRAPHY BELOW:
5'` rev W t��