HomeMy WebLinkAboutMEP2016-00028 - MEP Permit / Conditions - 8/5/2016 1
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PypN.SrgTFO� MASON COUNTY �� IVED
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DEPARTMENT OF COMMUNITY DEVELO
o T Planning Division AUG 0 8 2016
Z�0J " Y spy 615 W Alder St, Shelton, WA 98584 615 W Alder
(360)427-9670 Street
1864
MASON COUNTY ENVIRONMENTAL PERMIT
August 05, 2016
ELANE COLLINS
AROLDO MONTEJO
571 NE MISSION CREEK RD
Parcel Number(s): 223205000027
Expiration Date: 8/5/2018 12:00:OOAh
Date Issued: 8/5/2016
Case Number: MEP2016-00028
Project Description:
Bring in 100 yards of fill in previously disturbed area for landscaping in a wetland buffer.
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;
XX 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 This permit may be rescinded if the permitee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 Governme O cial Date
Conditions:
8/5/2016 Page 1 of 2 MEP2016-00028
MASON COUNTY ENVIRON
MENTAL PERMIT
8/5/2016 Case No.: MEP2016-00028
1.) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an
equivalent type of erosion protection (silt fencing or straw matting).
2.) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent
waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become
established.
3.) The applicant acknowledges that the project will be completed as proposed, so that the project will be
consistent with all applicable standards of the Mason County Resource Ordinance.
No permit or exemption authorizing construction shall extend for a term of more than five years. If actual construction of
a development for which a permit has been granted has not begun within two years after approval, the Review
Authority, the Mason County Planning Department, shall review the Mason Environmental Permit(MEP)and upon
showing good cause, may extend the initial two year period by one year. No permit shall be extended unless the
applicant has requested such review and extension prior to the exporation date.
It � & �, M � k)a/-' c,:;> I G I ( �
Signature Date —�
(i(, C 1 1`t f)S OWNER REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
RECEIVED
AUG 0 8 2016
8/5/2016 Page 2 of 2 MEP2016-00028
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MASON ENVIRONMENTAL PERMIT($630 or 380 w other permit) Mason County Permit Center Use:
❑ CONDITIONAL USE($1520) MEP �U� 0002—
❑ HABITAT MANAGEMENT PLAN REVIEW($445)
Date Rcvd
RECEIVEP
AUG 0 5 201,' MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
615 W. Alder Stir,-
Mason County Resource Ordinance(Chapter 17.01 MCC)
ENVIRONMENTAL PERMIT APPLICATION
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. PROPERTY OWNER
Name: i a K e Coll l i l
Mailing Address:
Work Phone: Email Address: e L6t
Home/Cell Phone: Fax#:
If an agent is acting for the property owner during the permit process, complete#2.
2.AUTHORIZED AGENT
Name: Pry-
6 d 0 �f 0 A f-e t —1.)
Mailing Address: 5" I A) C. ► /'�,/� (�%��C. /�C t� JI 9��
Work Phone: Email Address:
Home/Cell Phone: 36.j 647_ 6S 7.2_ Fax#
3.PROJECT SITE a 70 �)� & V',65 7 U
Site Address:
Parcel#: ;? ,� 32,0 -50- 000;?7-1
Legal Description:
Directions to Site:
Attach a site plan showing the following: Lot Dimensions,Flood Zones,Existing Structures,Fences,
Water Lines,Driveways,Drainage Plans,Shorelines,Septic System,Topography,Proposed
Improvements,Easements,North Arrow,and Scale. Also draw a separate topography diagram.
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4. State which section requires permit:
❑ Long Term Commercial Forest,Chapter 17.10.060 ❑ Frequently Flooded Areas,Chapter 17.01.090
❑ Mineral Resource Lands,Chapter 17.01.066 ❑ Landslide Hazard Area,Chapter 17.01.100
❑ Aquifer Recharge Area,Chapter 17.01.080 ❑ Seismic Hazard Areas,Chapter 17.01.102
❑ Erosion Hazard Area,Chapter 17.01.104 ❑ Fish&Wildlife Habitat Conservation Areas,Chapter
❑ In-Holding Lands,Chapter 17.01.062 17.01.110
Wetlands,Chapter 17.01.070
5. Identify current use of the property with existing improvements:
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): �"
9r; KA i V% �O 10 y rJ 0'� 'R u -6 bevel O V' _ i'� c kkr LJ
QX�.GI— �t�,��SGA.(u. W I �vh ."� In�y� $ �1.��✓
1 �� ule�t 1 � , ng1��� 3 -�� wxavA ro clt- 0p 6 .��, we��'`1� e .
7. Describe why the action requiring this permit cannot be avoided.
8. Will there be an alteration of a wetland and/o etland vegetatio�area circle one)? Yes No
9. Identify any surface water on or adjacent to property (circle one):
Saltwater Lake Stream . Pond Wetland Drainage Ditch
10. Identify existing septic/sewer connection(circle one): If septic is located on project site,include records.
Connected to Septic Connected to Community Septic
11. Identify existing water supply(circle one): Public Water Supply Well
11. T of Job(circle one):
New Add Alteration Repair Demolition Other:
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Print Name Signature Date
s7�fi�e RECEIVED
AUG 2016
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