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HomeMy WebLinkAboutSHR2004-00027 JARPA - SHR Permit / Conditions - 3/21/2005 STAT�cO� MASON COUNTY Ao DEPARTMENT OF COMMUNITY DEVELOPMENT Y S N Planning Division y�0 N Y 0~ P O Box 279,Shelton,WA 98584 Mesa (360)427-9670 SHR2004-00027 NOTICE OF SHORELINE MANAGEMENT PERMIT Notice is hereby given that RAYMOND SEBASTIAN,who is the owner of the described property, has filed an application for a Shoreline Management Permit for the development of: Sub. Dev. joint use pier ramp and float 6'x 65'fixed pier constructed of douglas fir,4'x 40'aluminum ramp, two floats(6'x 8'and 8'x 60')that consist of fully enclosed in extruded polyethylene, polystyrene floatation 14 piles will be driven to support structure. pier and floats will be grated. Site Address: 10731 NE NORTH SHORE RD BELFAIR Parcel Number: 322245000018 Location of Project: Follow SR 3 north to Belfair,from Belfair follow SR 300 west to North Shore Road,site is aproximatly 8 miles west of Belfair State Park on North Shore Road. Within: (quarter section)of Section: Township: N Range: W,W.M. in,Mason County Washington. Said development is proposed within hood canal and/or its associated wetlands. Any person desiring to express their view or to be notified of the action taken on the application should notify: MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT P O BOX 279 SHELTON,WA 98584 in writing of their interest within 30 days of the final date of publication given pursuant to WAC 173-14-020. The final date of publication,posting,or mailing of notice is 3/17/2005. Written comments must be received by 4/16/2005. A public hearing will be held on this permit request. Contact this office at(360)427-9670, ext.294 for date and time of hearing. A Determination of Nonsignificance was issued on 3/6/2000 under WAC 197-11-340. Written comments regarding this determination must be received by 3/20/2000. SHR2004-00027 oN.STq rF MASON COUNTY 5 0 c 4, DEPARTMENT OF COMMUNITY DEVELOPMENT S u '+� Planning Division Z' N Y q P O Box 279,Shelton,WA 96584 of moo' (36o)427-9670 1864 Case No.: SHR2004-00027 SHORELINE PERMIT STATUS: DENIED Received: 11/24/2004 TO BE KEPT IN THE Type of Permit: Sub. Dev. PARCEL FILE Applicant: RAYMOND SEBASTIAN ; 322Z-I-5D_oc�p i a 10731 NE NORTH SHORE RD BELFAIR,WA 98528 Location of Project: Follow SR 3 north to Belfair,from Belfair follow SR 300 west to North Shore Road, site is aproximatly 8 miles west of Belfair State Park on North Shore Road. Within hood canal and/or its associated wetlands. The project will be within shorelines of statewide significance. Shoreline Designation: Urban Parcel Number. 322245000018 Address: 10731 NE NORTH SHORE RD BELFAIR Legal Description: CADY'S SUNRISE BEACH TR. 34&T.L. EX. 34-A TR.33&T.L. EX. NE 20' Project Description: joint use pier ramp and float 6'x 65'fixed pier constructed of douglas fir,4'x 40'aluminum ramp, two floats(6'x 8'and 8'x 60')that consist of fully enclosed in extruded polyethylene, polystyrene floatation 14 piles will be driven to support structure. pier and floats will be grated. This permit has been denied by Mason County persuant to the Shoreline Management Act of 1971. AGERGIY`a1SE ONLY` Agency Reference# Date Receved_ CErcul"ated by_ (local go rt gr ageocy)= JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (DARPA) (for use in Washington State) PLEASE TYPE OR PRINT IN BLACK INK ❑ !am applying for a Fish Habitat Enhancement Project per requirements of RCW 75.20.350. You must submit a copy of this completed JARPA application form, and the (Fish Habitat Enhancement JARPA Addition) to your local Government Planning Department and Washington Department of Fish & Wildlife Area Habitat Biologist on the same day. NOTE: LOCAL GOVERNMENTS—You must submit any comments on these projects to WDFW within 15 working day Based on the instructions provided, I am sending copies of this application to the following: (check all that apply) Local Government for shoreline: DO Substantial Development ❑ Conditional Use ❑Variance ❑ Exemption ❑ Revision ❑ Floodplain Management ❑ Critical Areas Ordinance 91 Washington Department of Fish and Wildlife for HPA(Submit 3 copies to WDFW Region) 21 Washington Department of Ecology for 401 Water Quality Certification Nationwide Permits(to Regional office-Federal Permit Unit) ❑ Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification Corps of Engineers for: ❑ Section 404 4 Section 10 permit ❑ Coast.Guard for Section 9 Bridge Permit ❑ US Fish&Wildlife Service or National Marine Fisheries Service for Endangered Species Act(ESA)Consultation SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all permit applications. 1.APPLICANT 1 — - J LORRErI V, dE_AVNIF_ FL DSET i Ar-;,Af0 - V� Iy& -,,a � MAILING ADDRESS PaWga f >/E Sly✓ 5F_A TTt_1_: wA �2--e WORK PHONE E-MAIL ADDRESS I HOME P ONE FAX aa40 3-040at &.0(0) a?- - If an agent is acting for the applicant during the permit process,complete#2. 2.AUTHORIZED AGENT M L-El T MAILING ADDRESS 52-1 SNAG-SE SNAG-SEFAD 141A d T_ 1bW WI Y3&0 WORK PHONE / O E-MAILqADCs b1-e e J•co HOME PH0 - (D F 13 3 o) 3 S 5— r a 3.RELATIONSHIP OF APPLICANT TO PROPERTY: 2 OWNER``El PURCHASER ❑LESSEE`v❑OTHER: ER F PROPERTY 4.NAME.ADDRESS, �'�jtiy.nrJ l7 B C OZ�llt T�' �C�P�(S�G,IJA 5 J N/AJ`+ANT: (;J� 74 -S p OI� A6o�: o D(a(v URkE1l TRACK R'DAb FAX el,NC I L C `T5S(o e-)4441L :11 SfbaS-iAri @ SCJC• 66M 5.LOCATION JSTREET ADDRESS,INCLUDING CITY,COUNTY AND ZIP CODE,WHERE PROPOSED ACTIVITY EXISTS OR WILL OCCUR) Noart+SHoRf=- 12004O 3ELFPr K� , WA 7/�-JmotSoul Courf- LOCAL GOVERNMENT WITH JURISDICTION(CITY OR COUNTY) Mfg C SON wf r'yl TRIBUTARY OF WRIA# � C�N�I Nee-7 WATERBODY �{oo Soy-tN� /.SECTION I SECTION TOWNSHIP RANGE GOVERNMENT LOT SHORELINE DESIGNATION at 49-t4 03W 1 f`R. 35' £T L UFZAr-I LATITUDE&LONGITUDE // � �//T�•� ZONING DESIGNATION IF KNOWN: LAI: ZO1 L DI J&: l a3'bo l FQRA _ 5 TAX PARCEL NO: 3 as a L� - 50- 000 1 / _FLAD50N DNR STREAM TYPE,IF KNOWN 3 &3-a - 50 - 000 $ -S>;t#tST/t\r( NIk JARPA,Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 1 of 4 6.DESCRIBE THE CURRENT USE OF THE PROPERTY,AND STRUCTURES EXISTING ON THE PROPERTY. IF ANY PORTION OF THE PROPOSED ACTIVITY IS ALREADY COMPLETED ON THIS PROPERTY,INDICATE MONTH AND YEAR OF COMPLETION. ' SINGLE FAAA 1 Ly/ Rt5/ D1jICE, IS THE PROPERTY AGRICULTURAL LAND? ❑YES C31f0 ARE YOU A USDA PROGRAM PARTICIPANT? ❑YES EMO 7a. DESCRIBE THE PROPOSED CONSTRUCTION AND/OR FILL WORK FOR THE PROJECT THAT YOU WANT TO BUILD THAT NEEDS AQUATIC PERMITS: COMPLETE PLANS AND SPECIFICATIONS SHOULD BE PROVIDED FOR ALL WORK WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE,INCLUDING TYPES OF EQUIPMENT TO BE USED. IF APPLYING FOR A SHORELINE PERMIT,DESCRIBE ALL WORK WITHIN AND BEYOND 200 FEET OF THE ORDINARY HIGH WATER MARK. ATTACH A SEPARATE SHEET IF ADDITIONAL SPACE IS NEEDED. CoNSTRua- A &jcLv, Totp-rr Lm_: Pl FilINp t'l RAMP � LOA—F . (P')4 COS*' FIxEb PiEi2 CONSTRuCTEb OF DoUGLA-S Fi12, LP )( S/-o '2Rnn? (Au_xMINUM) , TWO FLOATS ( (9 'x 8I r a I x (00 -/_IiPfT CoN5i5T OF f ti\ UY E1'4CL05Eb IN EXT(a1'DE10 PbLYETN 4�LE1`IE, t�D� ,✓ST'YRErlE. FLo�Y►Ar�on! • ILf A -aA- PILES WILL e- DPwej-4 Ta 5u12po2T" f rF_f2 A N0 FL OAT5 WILL (FE GAA�T CD- S�-E 7b. DESCRIBE THE PURPOSE OF THE PROPOSED WORK AND WHY YOU WANT OR NEED TO PERFORM IT AT THE SITE. PLEASE EXPLAIN ANY SPECIFIC NEEDS THAT HAVE INFLUENCED THE DESIGN. EA5rE9 14/ArE2 ACcF_SS FoR RECRe6T-r0N,4L DFPDRrL4NrT-12_S• 7c. DESCRIBE THE POTENTIAL IMPACTS TO CHARACTERISTIC USES OF THE WATER BODY. THESE USES MAY INCLUDE FISH AND AQUATIC LIFE,WATER QUALITY,WATER SUPPLY, RECREATION,and AESTHETICS. IDENTIFY PROPOSED ACTIONS TO AVOID,MINIMIZE,AND MITIGATE DETRIMENTAL IMPACTS,AND PROVIDE PROPER PROTECTION OF FISH AND AQUATIC LIFE. ATTACH A SEPARATE SHEET IF ADDITIONAL SPACE IS NEEDED. No Aim C5E A FF IBC TC To Lt/ATER L56D''Af fn c 1 pA-TE D, I. CGWoor, C (ED5) PrI• LIFE 015TORL,/ DF P AC1 FIC 5AL_6ADnl, 09C f ZS55 , 10 PG • 2. M y/eg5 T M. C-T AL 1999 STATUS 12EVI'E1n/6 04iNcIoLc. SALMW FROM WA, �D, OR., c CA u.S. De PT- OF (6 MMEPCE I / OAA TECH ME-Mo • /vMr5- 3 rr &Jwrc '�r a Ra Q P!'f'��E_5 5/M�J5MD • JdDl 3- CvrcFw►4T� S1�2thET �s MA�u�c tssuES. PREPARATION OF DRAWINGS: SEE SAMPLE DRAWINGS AND bUIDANCE FOR COMPLETING THE DRAWINGS. ONE SET OF ORIGINAL OR GOOD QUALITY REPRODUCIBLE DRAWINGS MUST BE ATTACHED. NOTE: APPLICANTS ARE ENCOURAGED TO SUBMIT PHOTOGRAPHS OF THE PROJECT SITE,BUT THESE DO NOT SUBSTITUTE FOR DRAWINGS. THE CORPS OF ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON 8-1)2 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER AGENCIES. 8.WILL THE PROJECT BE CONSTRUCTED IN STAGES? p ❑YES 0—NO PROPOSED STARTING DATE: A�S 50 0� r` P��J ,�.QIE /SCu E_D` 1LV/T' CONSTP, i��_ 1 WfP;yo�, ESTIMATED DURATION OF ACTIVITY: Tuvo wr E.�S J !"� !� LV 9.CHECK IF ANY STRUCTURES WILL BE PLACED: C E WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH OR TIDAL WATERS;AND/OR &V ATERWARD OF MEAN HIGH WATER LINE IN TIDAL WATERS 10.WILL FILL MATERIAL(ROCK,FILL,BULKHEAD,OR OTHER MATERIAL)BE PLACED: �(Q ❑WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? IF YES,VOLUME(CUBIC YARDS) /AREA (ACRES) ❑WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? IF YES,VOLUME(CUBIC YARDS) AREA (ACRES) JARPA,Revised 12/98,contact Ecology's Pemut Assistance Center for latest version,360/407-7037 Page 2 of 4 11.WILL MATERIAL BE PLACED IN WETLANDS? ❑YES -EM5 IF YES:" A. IMPACTED AREA IN ACRES: - B. HAS A DELINEATION BEEN COMPLETED? IF YES,PLEASE SUBMIT WITH APPLICATION. ❑YES ❑NO C. HAS A WETLAND REPORT BEEN PREPARED? IF YES,PLEASE SUBMIT WITH APPLICATION. ❑YES ❑NO D. TYPE AND COMPOSITION OF FILL MATERIAL(E.G.,SAND,ETC.): E. MATERIAL SOURCE: F. LIST ALL SOIL SERIES(TYPE OF SOIL)LOCATED AT THE PROJECT SITE,&INDICATE IF THEY ARE ON THE COUNTY'S LIST OF HYDRIC SOILS.SOILS INFORMATION CAN BE OBTAINED FROM THE NATURAL RESOURCES CONSERVATION.SERVICE(NRCS): 12.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑YES crab IF YES,IMPACTED AREA IS—ACRES. 13.WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? ❑YES ❑iQ6 IF YES: A. VOLUME: (CUBIC YARDS)/AREA (ACRES) B. COMPOSITION OF MATERIAL TO BE REMOVED: C. DISPOSAL SITE FOR EXCAVATED MATERIAL: D. METHOD OF DREDGING: 14.HAS THE STATE ENVIRONMENTAL POLICY ACT(SEPA)BEEN COMPLETED? �A Sad �/ ❑YES MNO SEPA LEAD AGENCY: SEPA DECISION: DNS,MDNS,EIS,ADOPTION,EXEMPTION DECISION DATE(END OF PERIOD): SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION 15.LIST OTHER APPLICATIONS,APPROVALS,OR CERTIFICATIONS FROM OTHER FEDERAL,STATE OR LOCAL AGENCIES FOR ANY STRUCTURES,CONSTRUCTION,DISCHARGES,OR OTHER ACTIVITIES DESCRIBED IN THE APPLICATION(I.E.,PRELIMINARY PLAT APPROVAL,HEALTH DISTRICT APPROVAL,BUILDING PERMIT,SEPA REVIEW,FEDERAL ENERGY REGULATORY COMMISSION LICENSE(FERC),FOREST PRACTICES APPLICATION,ETC.) ALSO INDICATE WHETHER WORK HAS BEEN COMPLETED AND INDICATE ALL EXISTING WORK ON DRAWINGS. TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION, DATE APPROVED COMPLETED? NO. FA W D Fes/ cT D ►u p C U/p 0 E kk b Cdt.1r Vl j20r4EN L ggeA IT' AAtkSprl CQI Q-T 16.HAS ANY AGENCY DENIED APPROVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY DESCRIBED HEREIN? ❑YES B-1gO IF YES,EXPLAIN: SECTION B-Use for Shoreline and Corps of Engineers permits only: 17.TOTAL COST OF PROJECT. THIS MEANS THE FAIR MARKET VALUE OF THE PROJECT,INCLUDING MATERIALS,LABOR,MACHINE RENTALS,ETC 3Ql QM 18.LOCAL GOVERNMENT WITH JURISDICTION: MA-S 6IJ C0u t r..K 19.FOR CORPS,COAST GUARD,AND DNR PERMITS,PROVIDE NAMES,ADDRESSES,AND TELEPHONE NUMBERS OF ADJOINING PROPERTY OWNERS,LESSEES,ETC.. PLEASE NOTE SHORELINE MANAGEMENT COMPLIANCE MAY REQUIRE ADDITIONAL NOTICE-CONSULT YOUR LOCAL GOVERNMENT. NAME ADDRESS PHONE NUMBER A l t CIO NA SLACK-: 10111 14C OED1 -StiOP-9 ROAD 3OLFAIR, L,1A %5'asl F+OLelde KOSKIDETA D' AVE- SW ft7TLE WA <7� 116ia DARPA,Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 3 of 4 SECTION C-This section MUST be completed for any permit covered by this application 0.APPLICATION IS HEREBY MADE FOR A PERMIT OR PERMITS TO AUTHORIZE THE ACTIVITIES DESCRIBED HEREIN. I CERTIFY THAT I AM FAMILIAR WITH THE INFORMATION CONTAINED IN THIS APPLICATION,AND THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF,SUCH INFORMATION IS TRUE,COMPLETE,AND CCURATE. I FURTHER CERTIFY THAT I POSSESS THE AUTHORITY TO UNDERTAKE THE PROPOSED ACTIVITIES. I HEREBY GRANT TO THE AGENCIES TO WHICH HIS APPLICATION IS MADE,THE RIGHT TO ENTER THE ABOVE-DESCRIBED LOCATION TO INSPECT THE PROPOSED,IN-PROGRESS OR COMPLETED WORK. I AGREE TO START WORK ONLY AFTER ALL NECESSARY PERMITS HAVE BEEN RECEIVED. SIGNATUUR F APPLICA417lO�R AUTHORIZED AGENT DATE t C i /f k r' I HEREBY DESI HATE TO A M AGENT IN MATTERS RELATED TO THIS APPLICATION FOR PERMIT(S). 1 UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I M S HE PERMIT. GNATURE OF APPLICANT DATE SIG E D WNER(EXCEPT PUBLIC ENTITY LANDOWNERS,E.G.DNR) ) DATE HIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED. 16 U.S.0§1001 provides that: Whoever,in any mannerwithin the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme,or device a material fact or makes any false,fictitious,or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both. £OMPLETEQ BY LOCAL OFFICIAL s /� �IatLlre of the exr5ting'shnielrne (bescnbe ttaaf�haelrrfe such aswjx)anrte stream lake kaaan Rtalsh boguwampsflpod pialn flaaduvay delta,type cif beach,scrch as acc trari eros[on, high bank CQw tzani o E lk rnaferral as sand grab mutl cla roc y, .p k npra�,and extenf and obuIktaeadrng � .y 1' X � B l0 fhe event that any of tt e praposedr6urldrngs o structu res rtutli excee�C a herght.© hrct flare eet abaue tfi a�era r c r de level Intltcate the aP roxt�rrate, ,a#ton of and nu S a resld`enttal[�nrfs' 6,xisttng antl potenfraC'that wttC ha�re ah obstru.e C If the appkrcatlon nvak�es a conciltlonal uS � anance,setfarth rnrrkl That portion pf the fiasferp�ogr w c >oues thaw emu, the prapasec�'use ma�f a vanance,�f;�om wch theme n varraee�rs�b�rnc;�'sorJgh'� These Agencies are Equal Opportunity and Affirmative Action employers. For special accommodation needs,please contact the appropriate agency in the instructions. JARPA,Revised 12/98,contact Ecology's Permit Assistance Center for latest version;360/407-7037 Page 4 of 4