HomeMy WebLinkAboutSHX2019-00035 - SHX Application - 9/30/2019 ' RECEIVEqK..,
ECEIVED
MASON COUNTY SEP 3 0 2019
COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health 615 W. Alder Street
615 W.Alder St.—Bldg. 8,Shelton,Wa 98584 _
Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 PERMIT NO.: V H X c'ZI qI—UV 3
SHORELINE PERMIT APPLICATION
SHORELINE PERMITS
CONDITIONAL USE* SUBSTANTIAL DEVELOPMENT
VARIANCE* EXEMPTION
The Washington State Shoreline Management Act (RCW 90.58) requires that substantial developments within designated
shorelines of the state comply with its administrative procedures (WAC 173-14) and the provisions of the Mason County
Shoreline Management Master Program. The purpose of this Act and local program is to protect the state's shoreline
resources. The program requires that substantial development (any development of which the total cost or fair market
value exceeds $7,047.00 or materially interferes with the normal public use of the water or shorelines of the State be
reviewed with the goals, polices, and performance standards established in the Master Program.
Answer all questions completely. Attach any additional information that may further describe the proposed development.
Incomplete applications will be returned.
*Shoreline Variances and Conditional uses require public hearings and have additional pages that shall be
attached to this application.
APPLICANT: (Xt� �O
ADDRESS: f C� c� 5q L
(street) �A A C
(city) (state) (zip)
TELEPHONE: 3 (Q O ` 9$ I - z 5 39
(home) (business)
AUTHORIZED REPRESENTATIVE:
ADDRESS:
(street)
(city) state (zip)
TELEPHONE:
PROPERTY DESCRIPTION:
General location (include property address, water body and associated wetlands—identify the name of the shoreline):
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Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude.
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OWNERSHIP: Contract
Applicant Owner Lessee Purchaser (Identify) Other
Owner:
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(street) (city) (state) (zip)
DEVELOPMENT DESCRIPTON:
Development proposal (identify and describe the proposed project, including the type of materials to be used, construction
methods, principle dimensions, and other pertinent information):
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Existing Use (identify current use of property with exist improvements):
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Reason for requesting development:
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The applicant shall provide, at a minimum, the following information:
a. SITE PLAN -drawn to scale and including:
i. The boundary of the parcel(s) of land upon which the development is proposed;
ii. The ordinary high water mark (OHWM). This may be an approximate location provided, that for
any development where a determination of consistency with the applicable regulations requires a
precise location of the OHWM the mark shall be located precisely and the biological and
hydrological basis for the location as indicated on the plans shall be included in the development
plan.Where the OHWM is neither adjacent to or within the boundary of the project,the plan shall
indicate the distance and direction to the nearest OHWM of a shoreline;
iii. Where appropriate, the proposed land contours using five-foot intervals in water area and ten-foot
intervals on areas landward of OHWM, if development involves grading, cutting, filling, or other
alteration of land contours;
iv. The dimensions and location of existing structures which will be maintained;
V. The dimensions and locations of proposed structures; parking and landscaping;
vi. The location of proposed utilities, such as sewer, septic tanks and drain fields, water, gas and
electricity;
vii. The location, source, composition, and volume of fill material;
viii. The location, composition and volume of any extracted materials, and proposed disposal area;
b. CROSS SECTION, drawn to scale including:
i. The existing ground elevations;
ii. The proposed ground elevations;
iii. The location and height of existing structures;
iv. The location and height of proposed structures;
V. The OHWM.
c. VICINITY MAP, including:
i. The location of subject parcel using natural points of reference (roads, state highways, prominent
landmarks, etc.).
ii. If the development involves the removal of any soils by dredging or otherwise, identify the
proposed disposal site on the map. If disposal site is beyond the confines of the vicinity map,
provide another vicinity map showing the precise location of the disposal site and its distance to
nearest city or town.
iii. On the map, or separately, give a brief narrative description of the vicinity of the proposed project
including identification of the adjacent uses, structures and improvements, intensity of
development and physical characteristics.
d. ADJACENT LANDOWNERS. Provide names and mailing addresses of all real property owners
within 300 feet of property line boundaries where development is proposed.
ACKOWLEDGEMENT:
hereby declare,to the best of my knowledge and belief, the forgoing information and all attached information is true and
correct.
30 i
(Applicant or Authorized Representative) (d e)
i
ii. The ordinary high water mark (OHWM). This may be an approximate location provided, that for
any development where a determination of consistency with the applicable regulations requires a
precise location of the OHWM the mark shall be located precisely and the biological and
hydrological basis for the location as indicated on the plans shall be included in the development
plan. Where the OHWM is neither adjacent to or within the boundary of the project, the plan shall
indicate the distance and direction to the nearest OHWM of a shoreline;
iii. Where appropriate, the proposed land contours using five-foot intervals in water area and ten-foot
intervals on areas landward of OHWM, if development involves grading, cutting, filling, or other
alteration of land contours;
iv. The dimensions and location of existing structures which will be maintained;
V. The dimensions and locations of proposed structures; parking and landscaping;
vi. The location of proposed utilities, such as sewer, septic tanks and drain fields, water, gas and
electricity;
' vii. The location, source, composition, and volume of fill material;
viii. The location, composition and volume of any extracted materials, and proposed disposal area;
b. CROSS SECTION, drawn to scale including:
i. The existing ground elevations;
ii. The proposed ground elevations;
iii. The location and height of existing structures;
iv. The location and height of proposed structures;
V. The OHWM.
c. VICINITY MAP, including:
i. The location of subject parcel using natural points of reference (roads, state highways, prominent
landmarks, etc.).
ii. If the development involves the removal of any soils by dredging or otherwise, identify the
proposed disposal site on the map. If disposal site is beyond the confines of the vicinity map,
provide another vicinity map showing the precise location of the disposal site and its distance to
nearest city or town.
iii. On the map, or separately, give a brief narrative description of the vicinity of the proposed project
including identification of the adjacent uses, structures and improvements, intensity of
development and physical characteristics.
d. ADJACENT LANDOWNERS. Provide names and mailing addresses of all real property owners
within 300 feet of property line boundaries where development is proposed.
ACKOW LEDGEMENT:
I hereby declare, to the best of my knowledge and belief, the forgoing information and all attached information is true and
correct.
AJLe i
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(Applicant or Authorized Representative) (d e)
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Publication Cost Agreement
Publication cost is the responsibility of the applicant.Final permit processing will not occur until advertising fees have
been paid to the newspaper by the applicant.The Shelton-Mason County Journal will bill the applicant directly.
I/WE understand that I/WE must sign and date the attached acknowledgment indicating and that I/WE understand that
is MY/OUR responsibility. I/WE must submit the signed page as part of application in order for it to be considered as
complete.
Signature of Property Owner Date Print Name
OR
Signature of Applicant Date Print Name
i
Alderbrook Country Club Members
9wh
Unit 1 Jan and Allan Undem 8303 Shirley Avenue
Gig Harbor,WA 98332
253-226-8541 -Jan
253-222-4685-Allan
janundeinn.comcast.net
aundemncomcast.net
Unit 2 Barbara Bordeaux,-- 2300 River Road,# 11
Yakima,WA 98902
509-575-3698-Home
509-834-9671—Cell
babordeauxO,charter.net
Jo Leslie Bordeaux 11725 Madera Dr SW
11725 a r S Lakewood,WA 98499
Lakewood,W 253-584-1068—Home
253-677-4238—Joe'Cell
206-406-1242—Leslie Cell
bordea ux fa mra,hotmail.com
Unit 5 Carolyn Titus 2005 North 291h,#3
Tacoma,WA 98403
253-272-2925—Home
253-691-1583—Cell
360-898-1327-Alderbrook
Carol p.a.titu sa Wnail.com
Leon&Mara Titus 3115 North Junett Street
Tacoma,WA 98407
253-581-3911 —Horne
253-732-4250—Leon Cell
253-596-0042—Leon Work
leon.titus a.cbre.com
hnkptitusQmsn.com
1 Page
August 2018
f
Alderbrook Country Club Members
Unit 7 Charlotte Merritt— 116 Fairview Avenue,Ste 1106
Seattle,WA 98109
206-254-1848—Home
206-818-2575—Cell
360-898-3338-Alderbrook
fsmerrit6a)aol.com
Rick and Stephanie Merritt 70 SW Century Dr.,# 100-439
Bend,OR 97702
818-612-2363—Rick's Cell
>< rmerritta kmcre.com
Unit 16 Sandy&Dean Nichols 1004 Commercial Ave,#1025
Anacortes,WA 98221
425-327-9908—Dean
425-330-1254—Sandy
Dean2323(a rnsn.com
mvtra-cicr(cimsn.com
Unit 17 Lou Berg 9313 SE 36th Street
Mercer Island,WA 98040
2064,02-6393—Home
425-652-3454—Cell
louiberg a,aol.com
Unit 18 William Gates, Watermark Estate Management
Attn: Linda Rowland
10230 NE Points Drive,Ste 200
Kirkland,WA. 98033
425-576-3362 Cell
lindarnwatermark-11c.com
Jim Turner
(760)219-3597 cell
imt awatermark-l1c.com
2 1 P a g e
August 2018
Alderbrook Country Club Members
Unit 21 D -e Fox P.O.Box 594
chester,WA 98353
360- 1-205 —Home
360-98 4—Cell
Alderb ok 60-898-2544
dimeaf6x0.rnq"Ncom
North Forty Brian McGinnis 1275—12th Avenue NW,Ste 8
Issaquah,WA 98027
425-369-9290—Work
425-890-5005—Cell
bm cgiinis Ca?nordiforn-lod ging.co m
Alderbrook Resort Shaun Tucker 10 East Alderbrook Drive
Union,WA 98592
360-898-2212—Work
206-571-2402-Cell
Shaun.tuckernalderbrookresort.com
3 1 P a g e
August 2018