HomeMy WebLinkAboutJARPA, Shoreline Exemption, SEP97-0126 - PLN General - 6/18/1997 J U N 1 8 1997 JARPA FORM
MASON CO. rLINlafn7 WT. (to(use in Washington State)
0
PLEASE TYPE OR PRINT IN BLUE OR BLACK INK
Based orythe preceding checklist,I am sending copies of this application to the following: (check all that apply)
By Local Goverment for shoreline: ❑Substantial Development ❑Conditional Use ❑Variance emption;or,if applicable
❑ Floodplain Management ❑Critical Areas Ordinance
Washington Department of Fish and Wildlife for HPA
❑ Washington Department of Ecology for. ❑Approval to Allow Temporary Exceedance of Water Quality Standards
❑401 Water Quality Certification Nationwide Permits
❑ Washington Department of Natural Resourrcce�for:[I Aquatic Resources Use Authorization Notification
Corps Engineers for. ❑Section 404 ( Section 10 permit
❑ Coast Guard for. ❑Section 9 Bridge Permit
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
EDWIN W. AND MARYJEAN B . WEST
MAILING ADDRESS
1011A Occident Street S .W. , Lakewood , WA 98499-3785
WORK PHONE HOMEPHONE FAX
If an agent is acting for the applicant during the permit process,complete#2.
2 AUTHORIZED AGENT
LINDA M. GILBREATH
MAILING ADDRESS
E . 5968 STATE HWY 3 , SUITE #125 SHELTON, WA 98584
WORK PHONE HOMEPHONE FAX
( 360) 426-7174 SAME
3.RELATIONSHIP OF APPLICANT TO PROPERTY: 6 OWNER ❑PURCHASER ❑LESSEE 0 OTHER:
4.NAME.ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(S).IF OTHER THAN APPLICANT:
5.LOCATION(STREET ADDRESS.INCLUDING CITY.COUNTY AND ZIP CODE.WHERE PROPOSED ACTIVITY EXISTS OR WILL OCCUR)
15711 North Shore Road , Tahuya , WA
WATERBODY TRIBUTARY OF
H
1/4 SECTION TOWNSHIP RANGE GOVERNMENT LOT SHORELINE DESIGNATION
Urban
28 2 2 N 3 W 3 ZONING DESIGNATION
TAX PARCEL NO.: DNR STREAM TYPE.IF KNOWN
2100041 & 2100060
App"I.On Pap 1 OI 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 family residence with house/garage .
The bulkhead in need of repair is approx . 30 years old
IS THE PROPERTY AGRICULTURAL LAND?❑YES M NO ARE YOU A USDA PROGRAM PARTICIPANT? ❑YESt]NO
7a. DESCRIBE THE PROPOSED WORK_COMPLETE PLANS AND SPECIFICATIONS SHOULD BE PROVIDED FOR ALL WORK WATERWARD OF THE ORDINARY HIGH WATER MARK OR
PLEASE REFERENCE DETAILED PLANS ATTACHED
Tb,DESCRIBE THE PURPOSE OF THE PROPOSED WORK.
Reinforce footing of concrete bulkhead and steps .
The beach is being "washed away" , exposing footing , leaving no support .
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
The work is to be done quickly ( 2 days ) withing the time allowed by the
state (6-15-97 to 9-14-97) . The contemplated dredging for the new
footing will be only enough to complete the task in a proficient manner .
PREPARATION OF DRAWINGS: SEE APPENDIX A-SAMPLE DRAWINGS AND CHECKLIST FOR COMPLETING THE DRAWINGS. ONE SET OF ORIGINAL OR GOOD QUALITY
REPRODUCIBLE DRAWINGS,MMV$ 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 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER
A GENCIES
S.WILL THE PROJECT BE CONSTRUCTED IN STAGES? ❑YES K NO
PROPOSED STARTING
DATE, Immediately upon completion of permit process
A Vi.cation Pape 2 of 4
Esr#AATEn DURATION OF ACTIVITY: 2 DAYS
A CHECK IF ANY STRUCTURES WILL BE PLACED•.
10 WATERWARD OF THE ORDINARY KGH1 WATER PARK OR LINE FOR FRESH OR TIDAL WATERS;ANWOR
13 WATERWARD OF THE MEAN H m WATER LINE IN T.DAL.WATERS
10.WELL FILL MATERIAL(ROCK.FILL SULIOVAD.FILINGS OR OTHER MATERLW BE PLACED:'
O WATERWARD OF THE ORDINARY H:GH WATER L ARK OR LINE FOR FRESH WATERS? IF YES,VOLUME(CUBIC Y
WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? IF YE,R,VOLUME(CUBIC Y
11.WILL MATERIAL BE PLACED IN WETLANDS? O YESY&NO
IF YES:
A.IMPACTED AREA IN ACRES:
B.HAS A DELINEATION BEEN COMPLETED? IF YES.PLEASE SUBMIT WITH APPLICATION. ❑YES ❑NO
C.K%S A WETLAND REPORT BEEN PREPARED? IF YES,PLEASE SUBMIT WITH APPLICATKK ❑YES ❑No
D.TYPE AND COMPOSITION OF FILL MATERIAL(E.G..SAND.ETC.):
E.MATERIAL SOURCE:
F.LIST ALL SOIL SERIES(TYPE OF SONG LOCATED AT THE PROJECT SITE,6 94MATE IF THEY ARE ON THE COUNTY'S UST OF HYDRIC SOILX, SOILS INFOPJAATION CAN CE
OBTAINED FROM THE NATURAL RESOURCES CONSERVATION SERVICE(NAGS):
12 WILL PROPOSED ACTIVITY CAUSE FLOOCUN3 OR DRAINING OF WETLANDS? ❑YES 13 NO
IF YES,IMPACTED AREA IS_ACRES
IS.WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? )UYES E3 NO
IF YES:
A.VOLUME:_(CUBIC YARDS)/AREA_(ACRES)
B.COMPOSITION OF MATERIAL TO BE REMOVED:
c.olsPOsALSrmK)RExcAvATmmATmLw Excess material will be returned to the beach
D.mE HoD OF DREDGING: Ditch-witch
14.UST OTHER APPLICATIONS,APPROVALS,OR CEFMROATIONS 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,FERO LICENSE,
FOREST PRACTICES APPLr_ATIOR ETC.)ALSO INDICATE WHETHER WORK HAS BEEN COMPLETED AND INDICATE ALL EXISTING WORK ON DRAWINGS.
TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION NO. DATE OF APPLICATION DATE APPROVED COMPLETED?
SFPA LEAD AGENCY asnnSEPA DECISION: SEPA DECISION DATE
16. HAS ANY AGENCY DENIED APPROVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY
DESCRIBED HEREIN?❑YES (INO IF YES,EXPLAIN:
t
Appl.cal.on Papa 3 of 4
SECTIOfd B-Ilse for Shoreline crd Corps of E4791noer8 penn/isW
16 TOTAL COST OF PROJECT.D-IIS R:EANS THE FAIR MARKET VALUE OF THE PROJECT.KCIUOM MATEfiIALS.LABOR MACHINE RENTAL&ETC.
$4 , 900 .00
17. LOCAL GpVERNMENT WITH JuiiK D GI fKft
Mason County Community Developement
it FOR CORPS.COAST GUARD.ANC MA PERMITS,MPROVOE AYBE NAMES.ADDRESSES,
N �—TELEPHONE
NUMBERS Or-CONE NT EF OWNERS LESSEES.ETC.Pr EASE
NOTE SHORELINE MANAGEMENT COMPLIANCE
ADDRESS PHONE 1411 tat A
NAME
SECTION C-This section MUST be completed for any permit covered by this application.
19. APPLICATION!S HEREBY MADE FOR A PERMIT OR PERMITS TO AUTHORIZE THE ACTIVITIES DESCRIBED HEREIN. I CERTIFY THAT I AM FAMILIAR N. `H THE
S APPLICATION
ATION CONTAINED IN THIS APPLICATION.AND THAT TO THE BEST OF M"KNOWLEDGE AND BELIEF.SUCH INFORMATION IS TRUE,COMPLETc.AND
ACCURATE 1 FURTHER CERTIFY THAT I POSSESS THE AUTHORITY TO UNDERTAKE THE PROPOSED ACTIVITIES. I HEREBY GRANT TO THE AGENCIES TO
v.WCH THIS APPLICATION
IS MADE,THE RIGHT TO EN[TER THE
Q�Y AFTER ALL NECESSARY HAVE BEEN ABOVE-OIESCRIBED
LOCATION
T .INSPECT THE PROPOSED.W-PROGRESS OR COMPLETED
WORK 1 AGREE
DATE
SIGNATURE OF NIPOCA14 T OR AU EN
AUTHORIZED AGENT
I HEREBY
TE PT FA4F RFFFRFNC E, RELEASE ATTACHFD
TO AS MY AGENT
MJ MATTERS TO IS APPLJCA FOR PERMIT(S). 1 UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED.t MUST SIGN THC PEF35;iT.
n
c �� 1 V
TORE OF APPLICJINT DATE
DATE
SIWTURE OF LANDOWNE CEPT PUBLIC ENTITY LA:=WNERS.E.G-DNR)
TICS APPLICATION W.Sj BE SIGNED BY THE APPLICANT AND THE AGENT.IF AN AUTHORIZED AGENT IS DESIGNATED.
16 U.S.0 j1001 provides but Whoever,in any mamer within the Ittrisd46w of any departmentagency or age of the United States knowviQy tatstfies t70nCeals,«oowa UP by arty trick cehert».«
devloa a malarial tea«males any taW,61«traudrAertt ctxterrter§tc«representati
ons or makes or toes any take wnbN«do=wtt Icf w N same to wtain any lalsa.farlri .or
traudtADM txaternont on entry.shall be reed not more than$10.000 or imprisoned not Moro than 5 years or both.
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These Agencies are Equal opportunity and Affimiafive Action employers.
For special accommodation needs,please contact the appropriate agency from Appendix B.
/§pp4catKK,page 4 of 4
126 -
To: Mason County Commissioners a d Planners
Re: Request for exemption from Shoreline Management Act of 1971 and
Substantial Development Permit
Owner: E d uo [ V'1 YV , W e s t �
Mailing Address: 60 1 5 00
City and State: �Q C d-MOC WA ,
Phone Number: L3(, Zip Code
L
Date: Oct 1 '7
9 7 q x
Legal Description: GDV Lo 1 127
Description of work: C3j1 - f-k-0 r 13
0 ' C d &0 u d be, O ' w wait
a L /^ _
_ Contractor: - ���7"LQ� SG�.,.�,� IC y�
- � �
h d Lk
OCI
Reason for exemption request: �
Special conditions: (if any) 7kQ, �Wkl luza— I '
Class of work: Nest Addition Alternation
Repair Move Remove Other (check o�e)
ko
Enclosure
Site Plan
r
EXEMPTION FROM SHORELINE
MAN9G'r1•f_'NT ACT SUBSTAI`7TIAL
DEVELorn'ju PEM1IT R:gUIRE14ENT
TO: Edwin W. West, 6015 - 100th Street, S.W. . Tema Washington 98499
(naiae and address of the applicant)
T'ne proposal by Edwin W. West to undertake
(raise of applicant)
the following development erosion control bulkhead and stairway.
(be specific)
upon the following property Government Lot 3, Section 28, Township 22 North,
_ (legal description; i.e. , section to the
Range 3 West, W.M.
nearest quarter sec�ion
within Hood Canal and/or its associated
(name of water area)
wetlands i empt from the requirement of a substantial development
permit because the development is for the protection of uplands from
wind and water erosion and is placed landward of the Y.H.H.T.
(identify exemptions as outlined in WAC 173-14-040)
N/A
(Corps Public Notice Number if available)
The proposed develon:nent is consistent or inconsistent xeith:
Cni CI: ONE
APPROVED DEN IED
CONSISTE14T INCONSISTENT
X Policies of the Shoreline Management
Act and the Mason County Shoreline Plan.
CONDITIONS OF APPROVAL
nctnhPr 22, 197 -
(Signature of-9utbcrized Local- Govern-
ment Official)
cc; Department of Ecology
Commissioners
Planner
140T : Build-.ng permits are necessary
Cali for information 206-426--5593
SEP 7-0126
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Planning-Landfill-Utilities
DETERMINATION OF NONSIGNIFICANCE
(WAC 197 -11-340)
Description of Proposal :
REPAIR FOOTING OF EXISTING BULKHEAD: 82 . 5 FEET ALONG WALL AND 6 "ET
BENEATH STEPS OUTWARD FROM FACE OF BULKHEAD; INCREASE FOOTING DEPTH BY 48
INCHES.
Proponent: EDWIN WEST
Location of Proposal : NE 15711 NORTH SHORE RD TAHUYA
PARCEL#:322282100041
TR 4-A & T.L.
15 MILES WEST FROM BELFAIR ON NORTH SHORE ROAD, APPROX 1/2 MILE PAST
TAHUYA GENERAL STORE.
Lead Agency: MASON COUNTY
The Lead Agency for this proposal has determined that it does not have a
probable significant adverse impact on the environment . An Environmental
Impact Statement (EIS) is not required under RCW 43 . 21C. 030 (2) (c) . This
decision was made after review of a completed Environmental Checklist and
other information on file with the Lead Agency. This information is
available to the public upon request .
Please contact �Z &YAkAA at ext . � with any
questions .
This DNS is issued under 197-11-340 (2) , the Lead Agency will not act on
this proposal for 15 days from the date below. Comments must be
submitted by 07/16/97 .
DATE: 07/01/97
z4dt�t"!') / - /' t7
Signature of re n ble official Date
Responsible Official : Gary Yando
Director of Community Development
426 W. Cedar,
PO BOX 578
Shelton, WA 98584
(360) 427 -9670
NON SIG, rev: 08/23/96
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