HomeMy WebLinkAboutMEP2004-00025 - MEP Permit / Conditions - 5/6/2004 oN-STAr, MASON COUNTY
o P� A o °. DEPARTMENT OF COMMUNITY DEVELOPMENT
> S N Planning Division
N Y Y P O Box 279, Shelton,WA 98584
�° (360)427-9670
1864
MASON ENVIRONMENTAL PERMIT
May 06, 2004
JIM DERRIG
9355 TRACYTON BLVD NW
BREMERTON WA 98588
Parcel No.: 223305000034
Issued: 5/6/2004
Case No.: MEP2004-00025
Project Description:
Dock replacement and addition
The following critical areas are present on this property:
Long-Term Commercial Forest X 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;
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be rescinded if the permitee fails to complete the project as proposed or fails to comply with the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
PERMIT NO.:1
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
ENVIRONMENTAL PERMIT APPLICATION
MASON ENVIRONMENTAL PERMITe CONDITIONAL USE ❑ VARIANCE❑
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.
Owner: N,r.., Il e")r:, Ycn i- Owner Mailing Address: 9 3 5 5- Try-LZ3J-� R IQd IV--3
Site Address-2 c a% City: 9 c e&n t r+-- 3 State: 1,, Zip: 5�� 1)
City: TJtMA- State W Zip: Lien/Tide Holder:
Phone:Daytime(3 b ) b 9 Z- 1-51�7[� Address:
Fire District#: <<11 City: State: Zip:
Signature:Z8 r"e-s f�
2. Parcel Number:2Z33" _ S -p O,a3.� Legal description: L f
Parcel Size:—,-,, 57 Z--- 15 I o 14,0 s,t
3 Directions to Site:
4. State what sections require a permit: In-Holding Lands,Chapter 17.01.062 ❑
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 Areas,Chapter 17.01.080 ❑ Landslide Hazard Areas,Chapter 17.01.100 ❑
Erosion Hazard Areas,Chapter 17.01.104 ❑ Seismic Hazard Areas, Chapter 17.01.102 ❑
Fish and Wildlife Habitat Conservation Areas, Chapter 17.01.110
5.
Ide ti cun'erI use of o
fy periy with existing improvements:_r.R if plj.e_
6. Identify and describe the proposed project,including the type of materials to be used,construction methods,principle
dim sions and other pertinent ipforruation ttach additional sheets if needed): r,>�,tq e f o c e,
c i
7. Any water on or adjacent to property: Saltwater ❑ Lake River ❑ Pond ❑ Wetland ❑ Seasonal Runoff ❑
Other
8. Will there be an alteration of a wetland and/or wetland vegetation area? Yes ❑ No
9. If septic is located on project site,include records. /i A
Connect to septic? ❑ Community Septic? ❑ Public Water Supply? ❑ Well? ❑
10.
Type of Job:- New Y Add ❑ Alt ❑ Repair JZ Demolition W Other r t u 4(c r,e--t 4-- 5 d 4.
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.
RECEIVED
MASON ENVIRONMENTAL PERMrr: $510.00/$305.00(with another permit)
MASON CONDITIONAL USE ENVIR.PERMIT: $1,225.00 .'�D,� � �
MASON RESOURCE ORDINANCE VARIANCE: $1,225,00 'R '
HEARINGS EXAMINER: $350.00 I:\PLANNINGUt&GPAC\ENVIRONMENTAL PERMIT APPLICATION
BELFAIR OFFICE
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
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Ha u C';, wtk -
APPLICANT TO DRAW TOPOGRAPHY BELOW:
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DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
COMMENTS
Planning:
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshal-
Other:
Conditions: FEES
TOTAL FEES:
Accepted by: Date:
MASON COUNTY RESOURCE ORDINANCE May 5,2002
LIST OF ADJACENT PROPERTY OWNERS
WITHIN 300 FEET OF YOUR PROPERTY BOUNDARIES
FOR CONDITIONAL USE AND VARIANCE
Addresses are to be obtained from the Mason County Assessor's Office, Bldg. 1, Second Floor.
MASON COUNTY RESOURCE ORDINANCE
May 5,2002
FOR CONDITIONAL USE AND VARIANCE
Publication cost is the responsibility of the applicant. Final permit processing will not occur
advertising fees have been paid to the newspaper by the applicant. The Shelton-Mason Countil
Journal will bill the applicant directly. my
I / WE understand that I /WE must sign and date the attached acknowledgment indicating
WE understand that is My/ OUR responsibility. I /WE must submit the signed pa e as and that I /
application in order for it to be considered as complete. g p rt of
OWNER
APPLICANT