HomeMy WebLinkAboutMIS97-0182 Dock - MIS Permit / Conditions - 5/12/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MIS97--0182 PARCEL :322355000009 PLAT :PAPLO UIV : BLK : LOT :
._IOK ADARE SS : NF 12631 NORTH SHORE RD HFt FA I R
APPL. I CANT : STEPHE'N JOHNSON (360)275--6 f34
OWNER : STE PtIF N J .IOHNSt)N ( ,60)2 75-6734
L.EOAL : /ATTISOW-BROWN NOON CABAL TNS TA SAW 1 T.L. 1 F 1' 1 1 1. PERMIa j
PROJECT DUSCR I PT I ON : &VOID
DOCK {�1U�-�',•1 IN BV
PROJECT LOCATION :
12 .6 MI t.FS MOWN NORTH SHORF RD (WATFR;:1 DE ) STEEP t,ONCRE'TV DRIVEWAY
PROJE GT NOTES :
PART OF S"MV-000,1s, APPROV[D IN MARCH 1997 .
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MIS _PONT, rev: 04101192 -C-OMPL I ANCE TO ATTACHED COND I T I ONE, IS
REOU1RED ,
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
p W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
.. e
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P FF 1-4 t`4/t 1 _'f C:t N F 70 1 '.T' I C.> 14 ",-;
Ca^e3 No . : MIS97 0182
For ! '-,TFPtiFN ._I JOHNSON �
pai'lo 0 1
1 ) F 1 oat,at 1 on for the si rt►ot ure sha 1 i be ent Ire, IV enclosed and vontFa 1 nFtd t o per m anotti 1 y
prevent ithe breakup or loss of the floatation material into the water .
X
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2 ) All fltaatinq structures sh ral ! tnritode 1r►t€�rmlttent =autoports which rtrn K�r*raileal tc3 ttte
shorq.'��n* to keep structure:; off the tidelands at low tide .
? ) A Hydraulic Project Approval from the Washington State Df?partment of I" t :her iEe-,4 n;rt<;t tttc
grante, prior to c one:;truot ion . For more Information contaot Neil Pickard, Habitat
8101011st at ( 360)564-4671 .
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4 ) A Seot i on 10 Perm! I: (R i ver s and Harbor Act of 1 999) or exempt Ion must be car anted, by the
Army Xorp-s of Frig i neers prior to work within navigable waters of the tan i ted States
X._._
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
s The proposed pro iect mu ,t. be < 7kni i w i ; ita I i , r i a i .. ,, , .,::,
provisions of thou Shoreline Managemen'Y Act , its rules . and the Masan County Shoreline
Maste� Pro0rHm .
X
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6 ) ApproVpd per (Iimensioir . :and sett:>aoks on submitted site plan .
7 ) Proposed structure tir any portion thereof greater than :30" in height from grade line,
must maintain a minimum of 5 ' :setback from all property i i nes and oasernent I i nes and 10 '
from 11; Cuunty and State Poad right of ways .
X
• R ) The aio'icant shall oompty with the conditons of +approvhI of the Shoreline. Substcential
Deve L mbnt Permit S14R97-000,3 approved In March 1997 .
X
I All approved plaits are required to be orr--site for inspection pr.arpr,seg .. It i nspect i orl
Is called for ai'id plans are not on site, Approval WILL NOT be granted . in addition , a
Re- Inspection fee In the amount of $32 .00 per, annur (minimum 1 hour-) will be charged ±arr(I
must be collected by this department prior to any further inspeotions being performed or
approval ryrsnted ,
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10) PURSUANT 10 1991 UNIFORM BUILDING CODE , SFCT I ON 305(C ) AND SF CT I ON 1513 , AIL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND L F{4I SLE FROM THE STREET OR ROAD- FRONTING THE PROPER'(Y > MASON COUNTY RU I i.D I NC
DFPARTMENT REQUIRES' THAT THIS BE COMPLETED PRIOR TO CALL I NG FOR ANY SITE INSPECTIONS . A
RE I NSPFCT I ON FEE , HASf:.D, ON RAT FS IN TASI. F 3A OF THE 1994. IJN I FORM BUILDING CODU WILL. BE
ASSESSED IF OWNER/CONTRACTOR FA I'LS TO POST ADDRESS ON S i Tf.' PRIOR TO REQUEST i NCI
INSPECTIONS ,
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L11 ) 1'A I ('ON"TfiIJ('TION tAlf ;"T Mrf'T OR Fxl'rf:D At I i OCAI 0011~"; AND 1117.0
ecrs^
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
III
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12 ) Changes "fo approve MASON; COUNTY , ., ► : 1991 Washington St ate
Energy Code, 1991 Mason County Bldg. III '426 W. Cedar
Code, the Uniform i I ci �t be aphr oveci nV
Mason CountV prior P.O. 80X 166 Shelton, Washington 985M
13 ) All, CONSTRUCT ION MUST MFED OR FXCF.FD LOCAL CODE IF ANY G(JUST I ONS, PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION .
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1 4 ) CONSTRUCTION PROCESS .1"0 BE F I FI D CORPf CT ED A, (ill 1 REi) PER MASON COUNTY RU I I. D I NG
DEPARTMENT AND UN I FOi'1M BUILDING CGDE .x Imo`:
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(CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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DEPARTMENT OF THE ARMY
SEATTLE DISTRICT. CORPS OF ENGINEERS
`4 1 P.O. BOX 3755
SEATTLE. WASHINGTON 98124-2255
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--- REPLY TO APR -- 7 1997
ATTENTION OF
Regulatory Branch -� �ir� `4,,
APR 10 IN7
,aENERALSERVICES
Mr. Stephen Johnson
Post Office Box 488
Belfair, Washington 98528
Reference : 97-1-00188
Johnson, Stephen
Dear Mr. Johnson:
You are hereby authorized to construct a pier, install a ramp
and float, and drive piling in Hood Canal near Belfair, Mason
County, Washington for private recreational use . The work must
be performed as depicted on the enclosed drawings (enclosure 1) ,
and you must meet the enclosed conditions (enclosure 2) . Please
pay particular attention to "Special Conditions" a. through j .
We have reviewed your application for a Department of the
Army permit for this work. Our review was made pursuant to
Section 10 of the Rivers and Harbors Act of March 3 , 1899 . We
determined that your proposal is minor in nature, will not
significantly impact environmental values, and should encounter
no opposition. We are thus issuing you a "Letter of Permission"
to authorize the work, rather than using our lengthier public
notice procedures .
Please note the conditions and limitations contained in
enclosure 2 . Read them carefully. You should also be aware that
any changes in the location or plans for this work will require
submittal of a revised drawing to this office, and our written
approval, prior to accomplishment . If piling are to be used for
your project, we recommend the use of noncreosote piling.
Extreme care shall be taken to prevent any petroleum
products, chemicals, or other toxic or deleterious materials from
entering the water. If a spill does occur, or if an oil sheen or
distressed or dying fish are observed in the project vicinity,
work shall cease immediately and the Department of Ecology shall
be notified of such conditions . Contact Ecology' s Northwest
Regional Spill Response Office at (206) 649-7000 .
-2-
While you need no further authorization from us for the above
described work, you must still comply with other local and State
requirements . At a minimum, you must obtain a Shorelines
Substantial Development Permit determination from Mason County
and a Hydraulic Project Approval from the Washington State
Department of Fish and Wildlife, and you must contact the
Washington State Department of Natural Resources for a
determination of leasing requirements for submerged lands before
you begin your work.
Please also be aware that certain Indian tribes assert that
they have a right to attach nets to piers, docks, wharves, and
other structures authorized by Department of the Army permits.
BY AUTHORITY OF THE SECRETARY OF THE ARMY:
Donald T. Wynn
Colonel, Corps of Engineers
District Engineer
Enclosures
CC : INTERIOR NOAA DNR STATE COORDINATOR LOCAL GOVERNMENT
CONDITIONS FOR LETTERS OF PERMISSION
General Conditions:
-
1. The time limit for completing the work authorized ends on APR 7 2000
If you find that you need more time to complete the authorized activity, sub-
mit your request for a time extension to this office for consideration at least
1 month before the above date is reached.
2. . You must maintain the activity authorized by this permit in good condition
and in conformance with the terms and conditions of this permit. You are not
relieved of this requirement if you abandon the permitted activity, although you
may make a good faith transfer to a third party in compliance with General
Condition 4 below. Should you wish to cease to maintain the authorized acti-
vity or should you desire to abandon it without a good faith transfer, you must
obtain a modification of this permit from this office, which may require
restoration of the area.
3. If you discover any previously unknown historic or archeological remains
while accomplishing the activity authorized by this permit you must immedi-
ately notify this office of what you have found. We will initiate the Federal
and State coordination required to determine if the remains warrant a recovery
effort or if the site is eligible for listing in the National Register of
Historic Places.
4. If you sell the property associated with this permit, you must obtain a
written statement from the new owner in which the new owner. agrees to comply
with all terms and conditions of this permit. A copy of the written statement
must be forwarded to this office to validate the transfer of this authorization.
5. If a conditioned water quality certification has been issued for your
project, you must comply with the conditions specified in the certification as
special conditions to this permit. For your convenience, a copy of the cer-
tification is attached if it contains such conditions.
6. You must allow representatives from this office to inspect the authorized
activity at any time deemed necessary to ensure that it is being or has been
accomplished in accordance with the terms and conditions of your permit.
Further Information:
1 . The term "you" and its derivatives, as used in this permit, means the
permittee or any future transferee. The term "this office" refers to the
appropriate district or division office of the Corps of Engineers having
jurisdiction over the permitted activity or the appropriate official of that
office acting under the authority of the commanding officer.
RGBR/386
2. Limits of this authorization.
a. This permit does not obviate the need to obtain other Federal , State, or
local authorizations required by law.
b. This permit does not grant any property rights or exclusive privileges.
c. This permit does not authorize any injury to the property or rights of
others.
d. This permit does not authorize interference with any existing or pro-
posed Federal project.
3. Limits of Federal Liability. In issuing this permit, the Federal Gover►,-
ment does not assume any liability for the following:
a. Damage to the permitted project or uses thereof as a result of other
permitted or unpermitted activities or from natural causes.
b. Damages to the permitted project or uses thereof as a result of current
or future activities undertaken by or on behalf of the United States in the
public interest.
C. Damages to persons, property, or to other permitted or unpermitted
activities or structures caused by the activity authorized by this permit.
d. Design or construction deficiencies associated with the 'permitted work.
e. Damage claims associated with any future modification, suspension, car
revocation of this permit.
4. Reliance on Applicant's Data: The determination of this office that issu-
ance of this permit is not contrary to the public interest was made in reliance
on the information, you provided.
5. Reevaluation of Permit Decision. This office may reevaluate its decision oci
this permit at any time the circumstances warrant. Circumstances that could
require a reevaluation include, but are not limited to, the following:
a. You fail to comply with the terms and conditions of this permit.
b. The information provided by you in support of your permit application
proves to have been false, incomplete, or inaccurate (See 4 above).
C. Significant new information surfaces which this office did not consider
in reaching the original public interest decision.
Such a reevaluation may result in a determination that it is appropriate to use
the suspension, modification, and revocation procedures contained in 33 CFR
325. 7 or enforcement procedures such as those contained in 33 CFR 326.4 and
326.5. The referenced enforcement procedures provide for the issuarice of au
2
administrative order requiring you to comply with the terms and conditions of
your permit and for the initiation of legal action where appropriate. You
will be required to pay for any corrective measures ordered by this office,
and if you fail to comply with such directive, this office may in certain
situations (such as those specified in 33 CFR 209.170) accomplish the
corrective measures by contract or otherwise and bill you for the cost.
6. Extensions. General condition 1 establishes a time limit for the
completion of the activity authorized by this permit. Unless there are
circumstances requiring either a prompt completion of the authorized activity
or a reevaluation of the public interest decision, the Corps will normally
give favorable consideration to a request for an extension of this time limit.
Special Conditions:
a. You must provide a copy of the Letter of Permission and drawings to
all contractors performing any of the authorized work.
b. Your use of the permitted activity must not interfere with the
public's right to free navigation on all navigable waters of the United
States.
C. You must install and maintain, at your own expense, any safety lights,
signals and/or other markings on piling prescribed by the United States Coast
Guard (USCG) , through regulations or otherwise, on your authorized facilities.
d. No activity or its operation may impair reserved tribal rights,
including, but not limited to, reserved water rights and treaty fishing and
hunting rights.
e. Work in or near the waterway will be done during low tides in order to
minimize turbidity, erosion, and other water quality impacts.
f. All piling and lumber treated with creosote or other protective
material shall be completely dry before use in or near the waterway.
Washington State Department of Ecology recommends that concrete, steel,
plastic, or less-toxic wood piling be used.
g. All construction debris shall be properly disposed of on land in such
a manner that it cannot enter into the waterway or cause water quality
degradation.
h. To avoid adverse impacts to bottom organisms, no more than 20 percent
of the area of a float shall be allowed to ground on the substrate.
i. Skirting is prohibited around the pier unless specifically authorized
by a permit.
j . Eelgrass is a plant of the intertidal and subtidal areas with long,
green leaves. The plant provides habitat for commercial and sport fish and
shellfish, food for waterfowl, and stabilizes bottom sediments. Shading from
piers and floats can reduce eelgrass mass and coverage. If eelgrass currently
grows under the proposed structure's footprint, your structure is not
authorized by this Letter of Permission. You must contact this office
concerning further authorization.
3
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Hermit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
#1 *'wte
V 2 LJd�vt-S to Phone #
dress ��" lZCo3 ,.�9�r���-. .5�-+owe Kc • Fire District(9n t` St LZ)C"'_Zip
Directions to Job Site IZ(o w+i des ��w► �t9 O r7G� SL, �� . fZd c,��a�er S i d� 1
Owner Mailing Address -c> ae�X ` 18S
�P C-�l1-fit St Zip
City 985-218
Lien/Title Holder
Address
Clty r If St Zip
#2 Contractor Name r Q Contractor Reg #
Address Expiration Date
City St Zip Phone #
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#3 If septic is located on project site ude records. `� ti
Connect to Septic ublic Water Supply Well
p AP
Connect to Sewer. }fstem? Name of System Q 1^07
(If residents ;'proof of potable wa uired)
" J «..
4 cel No Z - ,5'-O - 0060 ��1 T %�o --13!�l(�r=�`
# 32
Legal Description r4L8 Lor S SXC SAS 7—2— Rao �'z GJQs� -
�RYT t 5 c N L 2o""-»v - i 'Wio c-A 4 L `P S 'I dL 10 4-
#5 Building Squ re Footage: (existing/proposed) E 6 ' of Te— $
1 st FI 2nd FI / 3rd FI /
Basement Deck / edrooms / # bathrooms /
Garage / / (Circle: Attached or Detached?)
Other sq. ft.
#6 Use of building Q� Describe work C'Ovt�ST+"u
O C Lk 'X4
#7 Type of Job: New Add+ Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMAT ON
Model Year Make Model
Length Width Serial o.
# Bedrooms # Bathrooms T p of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on d'acent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwate Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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Plumbing Fixtures ($3 eac!21 Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. UDila Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins HP
Dishwasher No. Air HandlinUnits
Disposal _ cfm#
Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHgRT
I APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILD G DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
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Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Syc 111Z = 81 Building Permit 1 Sa
—711 yoro Plan Check 8 Za
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 4 .Sv
Other
Other
Building Valuation: TOTAL FEE �.