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HomeMy WebLinkAboutBLD2010-00333 • • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD10-00333 SITE ADDRESS: 170 MORRISSEY AVE Issue Date: 11/18/2010 PORT HADLOCK, 98339 Final Date: 10/18/2011 APPLICANT: ROBERT A NORDBERG PHONE: 360-531-0385 PO BOX 369 PORT HADLOCK WA 98339-0369 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 8-9 PARCEL NUMBER: 973500203 Section: 2 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW M/H INSTALLATION - SER# 33186 THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON10/18/2011 I:\F_BLD_Occupancy.rpt 10/29/19 MANUFA(' PURED/MOBILE HOME INSTOPLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00333 Received Date: 9/15/2010 SITE ADDRESS: 170 MORRISSEY AVE Issue Date: 11/18/2010 PORT HADLOCK, 98339 APPLICANT: ROBERT A NORDBERG PO BOX 369 PORT HADLOCK WA 983390369 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 8-9 PARCEL#: 973500203 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ CROWN MOBILE HOMES SET-UP/SVC PHONE: 360-491-6572 DEALER 7434 RICH ROAD SE OLYMPIA WA 98501 Contractor's License CROWNMH992NA Expires 8/1/2011 PROJECT DESCRIPTION: NEW M/H INSTALLATION -SER#33186 MAKE: KARSTEN YEAR: 2010 SIZE: 68X27 Directions To Site: To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks L.J— y Erosion Control MH Foundation `,�.-6)" t i L' r Blocking&Tie Down ;.27, I ( fG,q�p Skirting&Ventilation Gas Line: Exterior Propane Tank Pressure Test Drywell/Alt Drainage . 11.) Drywell/Alt Drainage 9 DRYWELL-see condition#2 Address Posted P FINAL INSPECTION p ,l6 refb FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY-SEE REVERSE UILDING PERMIT APPLICII Revviewiew Ty ON ML Ty 347 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00333 Received Date: 9/15/2010 SITE ADDRESS: 170 MORRISSEY AVE PORT HADLOCK, 98339 OWNER: ROBERT A NORDBERG PHONE: 360-531-0385 PO BOX 369 PORT HADLOCK WA 983390369 MORRISSEY'S ADDITION SUBDIVISION: Block: 2 Lot: 8-9 PARCEL NUMBER: 973500203 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: CROWN MOBILE HOMES SET-UP/SVC PHONE 360-497-6572 7434 RICH ROAD SE OLYMPIA WA 98501 Contractor's License CROWNMH992NA Expires 8/1/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW M/H INSTALLATION TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: 1,800 CODE EDITION: 2009 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Rggu�tinq Date: —t5--iU Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $213.00 LYK 09/15/10 120087 APPROVED Potable Water Application $98.00 LYK 09/15/10 120087 Total: $311.00 Nov 1$ 2010 Jefferson County Planning & Building Department • • SPECIAL CONDITIONS CASE # BLD10-00333 1.) A minimum of 10' separation is required between water lines and any component of the onsite sewage system including tanks, transport lines and drainfield. 2.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on November 18, 2010 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Seismic Hazard Area, Special Aquifer Recharge Protection Area (SARPA) and Susceptible Aquifer Recharge Area (SUSC). 4.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 7.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 8.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 9.) The applicant is proposing t•ate or add 2,310 square feet of imperviojrface and 1,800 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 10.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 11.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 12.) The site plan as on September 15, 2010 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated Novmeber 18, 2010 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for a manufactured home only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 14.) A Restrictive Covenant for Irondale/Hadlock Sanitary Sewer System No Protest Agreement was recorded on November 5, 2009 under AFN 547772 with the Jefferson County Auditor. 15.) A Declaration of Restrictive Covenant has been recorded on 547773 under AFN November 5, 2009 for the purpose of consolidating the lots to meet minimum land area requirements for on-site septic ad to allow zero lot line setbacks. The Covenant is strictly for building and septic purposes only. 16.) NOTICE: This permit does rikxcuse the proponent from complying witiSer local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 18.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 19.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 21.) The building height is not to exceed 35 feet. 22.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 23.) Minimum setback from Morrissey Avenue right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 24.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 25.) The lots were created through the Morrissey's Addition to Hadlock on May 10, 1890, no AFN. 26.) An address of 150 Morrisseynue, Port Hadlock has been assigned to•lots. Morrissey Avenue is a county local access (C528609). JACK WESTERMAN III • .Jeiferxon Coont•urthouue ASSESSOR PO fox 1220, Port Townsend, WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS:J NAME: KO 12 fir f 4 ,-0 del ADDRESS: / 76 M 61 l.S c ey s o e. r/ ,t+C, 4).4" SP3. I'IIONE NO.3t U .53 / G 3.?5—I The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 1)MOBILE HOME DATA: (A) MAKE - (B) MODEL 1L— `O J (C)YEAR0 (D) LENGTH (E)WIDTH (F) SERIAL # 3 J 1% (G) YOUR PURCHASE PRICE (Do not include sales tax) tob i,'35 PURCHASE DATE `-bitc) 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) I (A) FROM WHOM DID YOU PURCHASE MOBILE V l J2 eVi 4 1- 1:-/0 i e ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HONIX PARK:, � / NAME OF LAND OWNER: G Pi, �/1 0�- LOCATION ADDRESS / 76 416 _clay Au -e fie/(7/ c�� REAL PROPERTY PARCEL #/DESCRIPTION 17 35 00 20 3 21e-d4 Signature of applicant THANK YOU FOR YOUR HELP! Lauralee Kiesel, Property Technician 05/07/2010 15: 11 5037696022 KARSTEN HOMES PAGE 01/01 • 74) '79 /It 4;4: i '- '- ...-\\ O1 3, 1 . 1 ii --,i- 0 1 .. 0 `'\ -`i ' ,. Cam, dkr fi., 1 eir,- ? ',. 1' I, $ '-'-' Ili :, ,,r, r tr r•-•:-'i.H.-1 t I . ji, . $ . . , .7 1 ___....../` 6.C. w.- / III i ! 71 1 IF -1-111 fi � ' / 1 ILA i A in I �' ' + YNI,1 • ry ' ..�. , / I n ^t I I V IG NQ-I9 i .,,..:..---:\\pt— fm visoit r sui r rE• fil:ii':12E: o /00002 r^K 1 4� oN cod JEFFERSONSUNTY • h ' `�j DEPARTMENT OF COMMUNITY DEVELOPMENT '4 621 Sheridan Street• Port Townsend •Washington 98368 iiiN 360/379-4450 • 360/379-4451 Fax � ...,› qS, I0 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1(-) -,3(--i-7 Project De cri ion(include separate sheets as necessary): M c 12 >i : 6 Tax Parcel Number: 'I73s 0020.3 Oj"`j OOz - property Size:. ao / p y 2 5 0 (acre4 quare s�square feet Site Address and/or Directions to Property: /7 e_,' /oi"risst> y A v — I-ic1d1cqc try,,- 71'33 7 Property Owner(s)of Record: iq C bet' f-- /1/0 y.d be rej Telephone: 3&,c 3 I Gry. ,Q Fax: 0 _l4) email:i7/c/GK1'Gid eI/lea C(7I`16v,,, Mailing Address: c U , r 0 x 3 69 7 I J of ocK t.t.14- 33 7 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation 1Building 0 Critical Areas Stewardship Plan Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) 0 Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** VManufactured Home .0 Modular . El Discretionary"D"or Unnamed Use Classification Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business ❑ Cottage Industry 0 Binding Site Plan'" 1--1: 1 5 �LO1p ❑ Propane 0 Long Plat** ` ❑ Sign 0 Planned kurai Residential Development(PRRD)/Amendments**❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap ' tiop that he or she nts prio otice. Signature: 4 Date:__7_/__Vt The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group Or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc IIIMMIIIMIlmlmolow • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass in the responsibilit f the eral Contractor for the proposed project. i� Date: 7/ Signature: PHONE: \�q ( -1'7 FAX: ENERA�L-C`O^NTRACTOR OR MANUFACTURED INSTALLER: ( ) -\ l`--bc 1 C. ( )s��-��� v�''-` � _ ((� U,Oc EMAIL: MAILING ADDRESS: 1 3N Q�y��- &. - o\% 6Z` WAINS l ' qq 1 Q°� CONTRACTOR'S LICENSE / I V NUMBER L"1©Y\* W\ ` 1 1�� 1� NUMBER: PHONE ( ) 1i FAX:( ) ARCHITECT/ENGINEER: PHONE MAILING ADDRESS: EMIL Shoreline: Type of Sewage Disposal: Project Type: Frame Type: Bathrooms: ❑ Sewer ❑ New fiYNood Existing: '2- Bank 0 Communitye System ❑ Steel Proposed: ❑ AdditionaiTotal: 2 Height: Individual System ❑ Alteration/Remodel ❑ Concrete permit# IQ-� ❑ Repair ❑ Masonry Bedrooms: Water Supply: ❑ Demolition ❑ Other: Existing: __ Setback: El Private well ❑ Two Party Proposed: ublic T pe of Heat: Total: a e of System: . If this is a Commercial Protect you must answer the following: Number of ADA Parking Spaces: Spaces: Current: Proposed: Number of Parking p Pro sod Number of occupants(includes owners,tenants,employees,etc) Current Willyou have Food Service? Yes / No IBC Occupancy:__—.— IBC Type of construction: , if this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove 1 Woodstove I Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other is this appliance bein• installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit b� site plan showing all of the e buildings, ildings,all property lines, tank location and size,distances from the propane tank to all roe lines,buildings and septic s stem components, including the reserve area. a Vt ,Mr a t ``� ,, "'r Current Proposed f'- ;ce ? r ,.' , 4- V,, xb;olgia w ... Square Footage `Q 0 EH Bid App Review: Main Floor Heated U 3 : ` Floor Heated Consistency Review: c 13; : Base fee: 9 2 Other Heated Q( sJ Additional Section: Mezzanine Heated Basement Plan Check fee: . Unheated Basement State Surcharge fee: .----- Other Unheated Pot Water Review fee: 15( _,' 1 SUBTOTAL � Garage/Carport Decks 911/Rd Approach fee: r�� r�� ,�L ASS . TOTAL: $ lY�� Other , — . Receipt Number: I2C06' I Cash/Check Number: , ?,-.. Date: (J ESTIMATED COST(REQUIRED) Da �-- -lv •Fair market value of all labor and materials foundation to finish Initials: G:\PernmitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc Pr �errm ,W'9. q * N b,Cpn CO �{y L� �7^ �'n Zj OOO`( Z r;i., t V1 1\) CO Z P PO) Par, ,!:. i -n ... ,ril c)(..., .-''' ; --L.—.._)==..............,,,,,„„,_ n yv 22Nr^Fk• Q • Lto t c)til, Z� , ;.' § ri :t,ili 5q!P-6,,I pzz orn z C r,0 p m m zC z:2 O W �"' 2 A _ p IF `\ H r I �p V �2 )I. 2 (^^(rv) 2Zo In ry ri co g k � � s 6 p ; ��, ��s ` .� � � c � .d h V�� > r..N _, „ 4 -*-..': _... �j a � m �o dap (.19 fld ' iti i 2 ?c�oo [ p :oRl lnp T o p"r m -lJ )0c�2?? 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