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HomeMy WebLinkAboutSHX2008-00084 JARPA - SHX Permit / Conditions - 10/6/2008 (XJ --(00a00 MASON COUNTY _ DEPARTMENT OF COMMUNITY DEVELOPMENT atA V-/W Planning Mason County Bldg.1 411 N.5th P.O.Box 279 Shelton,WA 98584 (360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 Jeff Sawyer Washington State Department of Transportation Olympic Region Headquarters 5720 Capitol Blvd. Tumwater,WA. 98504-7440 April 16,2003 Dear Mr. Sawyer: The proposed activity to apply bituminous surface treatment to a 3.25 mile segment of SR 106 (MP 4.85 in Section 31 to MP 8.10 in Section 34), in Mason County is exempt from the Shoreline Permit process per Chapter 7.13.010.2 of the Mason County Shoreline Master Program. The proposed project qualifies as normal repair or maintenance and does not require the issuance of a formal letter of exemption. Therefore the County will not charge the exemption fee. You may apply for a refund by contacting Kathy Nelsen at 360-427-9670 ext. 362. If you have other questions regarding the Mason County review process, you may contact me at 360-427-9670 ext. 363. Sincerely, Diane Marcus Jones Senior Planner Mason County Department of Community Development STATFO MASON COUNTY P c DEPARTMENT OF COMMUNITY DEVELOPMENT � � os o = Planning Division ►- 0 T z P O Box 279, Shelton,WA 98584 Zoo N Y o~ (360)427-9670 J 1864 Exemption from Shoreline Management Act Case No.: SHX2008-00084 Substantial Development Permit Requirement PANUL: The Proposal By: WA STATE DEPT. OF TRANSPORTATIO P.O. BOX 47417 OLYMPIA,WA 98504 PLEGAL: To undertake the following development: --- -- �•s., Rehabilitating existing roadway with chip seal application from MP 4.85 to MP 12.24 on SR 106. Project to include pavement repair, guidepost installation, striping and raised recessed pavement markers. Within Hood Canal and/or its associated wetlands is exempt from the requirement of substantial development because the development is categorized under WAC 173-27-040(2)as being category B-normal maintenance Please contact Pam Bennett-Cumming at ext 287 if you have any questions. Issued: 10/6/2008 #4AIJ Expires: 10/6/2010 Authorized Local Government Official - I (0( cc: APPLICANT WDFW USACOE WDOE TRIBAL COUNCIL MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SHORELINE PERMIT APPLICATION DEVELOPMENT DESCRIPTION Development(identify and describe the proposed project, including the type of materials to be used, construction methods, principle dimensions, and other pertinent information): Project will place chip seal on existing roadway lanes and shoulders of State Route(SR) 106, Mile Post(MP) 4.85 South of East Main Street to MP 12.24 Twanoh State Park. Roadway and shoulders are prepared using Mechanical Sweepers/Brooms. Cationic Emulsified Asphalt is applied to roadway and shoulders by a Distributor Truck. Aggregate for Bituminous Surface Treatment is applied utilizing a Chip Spreading Machine fed by Dump Trucks. Pneumatic rollers and Steel Drum rollers ensure adherence of aggregate to roadway and shoulders. Other equipment used will Pick-up Trucks and Pavement Grinder. Work and materials will be per Sections 5-02 and 9-03.4 of the Standard Specifications for Road, Bridges and Municipal Construction 2008 Manual M41-10 WSDOT. Other work includes pavement repair, guide post installation, striping, and installation of raised and recessed pavement markers. Use(identify current use of property with existing improvements): This property is currently a Washington State Department of Transportation owned transportation corridor and Right—of—Way. Reason for requesting development: The pavement condition rating is projected to drop below the adopted standards. The proposed work provides for rehabilitation of the existing pavement to increase the pavement condition rating. Washington State Olympic Region Department of Transportation Environmental and Hydraulic Seriices Office 150 Israel Road SW, FI 4,Tumwater Paula J. Hammond, P.E. PO Box 47417 Secretary of Transportation Olympia.WA 98504-7417 360-570-6700/Fax 360-570-6697 TTY: 1-800-833-6388 www.wsdot.wa.gov September 15, 2008 Mason County Courthouse Annex r Department of Community Development > 7 Attention: Tami Wright P.O. Box 279 Shelton, WA 98584 RE: State Route (SR) 106 South of East Main Street to Twanoh State Park— Chip Seal Mile Post (MP) 4.85 —MP 12.24 Shoreline Substantial Development Permit Exemption Dear Ms Wright: Enclosed please find a Joint Aquatics Resources Permit Application (JARPA) for an exemption from a Shoreline Substantial Development Permit for the above referenced project proposed by the Washington State Department of Transportation (WSDOT). This project is located on SR 106 from MP 4.85 to MP 12.24 in Mason County. Also enclosed you will find a Mason County Permit Application, Vicinity Map, and a check, issued on July 9, 2008, Warrant Number 715918H in the amount of$475.00, for processing. The proposed project consists of rehabilitating the existing roadway with a Chip Seal application from MP 4.85 to MP 12.24. Other construction activities include pavement repair, guidepost installation, striping, and installation of raised and recessed pavement markers. Replacing delineation will be done in accordance with Chapter 830 of the design manual. No Right-of-Way will be purchased for this project. All work on SR 106 will be within 200 feet of the Hood Canal. Based upon our knowledge of the project and language in the Mason County Shoreline Management Master Program, we believe this project is exempt from the Shoreline Substantial Development Permit requirement. We interpret this work to be exempt under WAC 173-27-040(2)(b) as normal maintenance or repair of existing structures or developments, including damage by accident, fire or elements. This is Categorically Exempt from a SEPA Threshold Determination per WAC 468-12- 800(1) (u). Tami Wright September 15, 2008 Page 2 of 2 Should you have any questions please contact Phil Ambrosino at (360) 570-6703 or David Davies at (360) 570-6726. Sincerely, 7� Jeff Sawyer Environmental & Hydraulic Manager Olympic Region JBS:paa:erm Enclosures: Check, Issued on July 9, 2008, Warrant Number 715918H, for $475.00 Mason County Shoreline Permit Application JARPA Application Vicinity Map cc: Neal Uhlmeyer, w/enclosures, MS: 47448 Project File, w/enclosures SF0912008(4970)' I MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SHORELINE PERMIT APPLICATION DEVELOPMENT DESCRIPTION Development(identify and describe the proposed project, including the type of materials to be used, construction methods, principle dimensions, and other pertinent information): Project will place chip seal on existing roadway lanes and shoulders of State Route(SR') 106, Mile Post(MP) 4.85 South of East Main Street to MP 12.24 Twanoh State Park. Roadway and shoulders are prepared using Mechanical Sweepers/Brooms. Cationic Emulsified Asphalt is applied to roadway and shoulders by a Distributor Truck. Aggregate for Bituminous Surface Treatment is applied utilizing a Chip Spreading Machine fed by Dump Trucks. Pneumatic rollers and Steel Drum rollers ensure adherence of aggregate to roadway and shoulders. Other equipment used will Pick-up Trucks and Pavement Grinder. Work and materials will be per Sections 5-02 and 9-03.4 of the Standard Specifications for Road, Bridges and Municipal Construction 2008 Manual M41-10 WSDOT. Other work includes pavement repair, guide post installation, striping, and installation of raised and recessed pavement markers. Use(identify current use of property with existing improvements): This property is currently a Washington State Department of Transportation owned transportation corridor and Right—of—Way. Reason for requesting development: The pavement condition rating is projected to drop below the adopted standards. The proposed work provides for rehabilitation of the existing pavement to increase the pavement condition rating. MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Courthouse Annex P.O.Box 279,Shelton,WA 98584 (360)427-9670 X SHORELINE PERMIT APPLICATION PERMIT NO. ' _- SHORELINE SUBSTANTIAL DEVELOPMENT 1 SHORELINE VARIANCE DATE RECEIVED SHORELINE CONDITIONAL USE SHORELINE 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 $5,000.00 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 my further describe the proposed development. Incomplete applications /will be returned. L /' APPLICANT: 414U&M4A.�T�iT� it N�Te7 r4l7S l O►�!•'��yA�pc oh ADDRESS: f�p• &X O/ � iQ (street) A A (city)/ I (state) (zip) TELEPHONE: I✓07� 40 e j 6/e KJ6 02 S"70 --6 70 (home) �• (business) AUTHORIZED REPRESENTATIVE: TT S44Jt��r L�/�/i�»�9�A7W� i jbj�i'Qy�I�G/�4'w q�r ADDRESS: SgMe 4f ffODye / (street) W��ge some QS (city) (state (zip) TELEPHONE: 11s4m4e QS � PROPERTY DESCRIPTION: f'f4 General location(include property address,water body and associated wetlands—identify the name of the shoreline): J / G�S7< /'/i�� ,OST% �� �•6� /�� /o� •�JI • 4 oyr7-11 . Ss y A CS r rJ4 Legal description (include section, township, and range to the nearest quarter, quarter section or latitude and longitude to the nearest minute. Projects located in open water areas away from land shall provide a longitude location)—include all parcel numbers: �A At oT+ &C,-1 ehS 1�,t VW90 .is AW-1s ip ZZAJ 40Md &*tA e Ap�-d. N6 % e1C JeeAW7S 2C_ 3_32 33.�.35. 3� Al r,VP?!d•y Z2�✓ anCJ / *n*e 3td. 4b/ZR melle /�erl'o✓err,_ OWNERSHIP: / Contract Applicant Owner r Lessee Purchaser (Identify) Other Owner: f � S74,T T � Ta�S or 4 �� e�� a/ rrlerJ a oh 3Id/�etpfG e • .5�, r•O. 404lY rl c A (street) ���? 73�0 (city) I (state) (zip) DEVELOPMENT DESCRIPTON Development(identify and describe the proposed project,including the type of materials to be used,construction methods,principle dimensions,and other pertinent information): SOP- a 11'q e-� Od 151:2ee� Use((identify current use/of property with exist improvements: S'ee R T/Gc`je c�S`Jee �. Reason for requesting development: set 4 aeLiec�.shee- ACKOWLEDGEMENT I hereby declare,to the best of my knowledge and belief,the forgoing information and all attached information is true and correct. a _ (applicant or Athorized representative) (date) TO BE COMPLETED BY LOCAL OFFICIAL Identify and describe existing features of the site and surrounding area: If proposed structures will exceed a height of 35 feet above the existing grade level,indicate the location of any residential units that will have an obstructive view: If a Conditional Use or Variance is requested,make reference to the appropriate section in the Master Program: REVISED: 06 25-03 AGENCY USE ONLY JARPA FORM LAST UPDATED:March 19,2007 Agency Reference#: Date Received: Circulated by: (local govt.or agency) Project Tracking Number: Washington State JOINT AQUATIC RESOURCES PERMIT APPLICATION (JARPA) Form Step 1: Get Ready Step 2:Complete Form Step 3: Check Work Step 4: Copy and Send In Go to www.eoeravttins.o, Use black ink. Use internet"Help" Use final review See JARPA Contacts at for correct form and Check correct buttons to answer checklist at www.mermitting.ors for instructions. permit boxes. questions completely. www.everrnitting.ors. correct mailing addresses. ❑ Fish Habitat Enhancement Projects per RCW 77.55.181. You must submit copy of completed JARPA form and Fish Habitat Enhancement JARPA Addition to your Local Government Planning Dep't and WA Dep't of Fish and Wildlife(WDFW)Area Habitat Biologist on same da . Note for Local Governments:You must submit comments to WDFW within 15 working days. Based on instructions at www.evennitting.org, I am sending copies of this application to the following: (check all that apply) QLocal Government for Shoreline: nSubstantial Development ❑Conditional Use FIVariance ❑X Exemption []Revision —Floodplain Management ❑Critical Areas Ordinance []Washington Department of Fish and Wildlife for Hydraulic Proiect Approval(Submit 2 copies to WDFW Region) ❑Washington Department of Ecology for 401 Water Quality Certification(to Regional Office-Federal Permit Unit) ❑Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification ❑Corps of Engineers for: nSection 404 permit nSection 10 permit ❑Coast Guard for: nGeneral Bridge Act Permit nPrivate Aids to Navigation(for non-bridge projects) ❑For Department of Transportation projects only: This project will be designed to meet conditions of the most current Ecology/Department of Transportation Water Quality Implementing Agreement PROJECT TITLE: SR106, South of East Main Street to Twanoh State Park— Chip Seal PROJECT DESCRIPTION: The proposed project will place a chip seal on the existing traveled highway lanes and shoulders. Other work includes pavement repair, guidepost installation, striping, and installation of raised and recessed pavement markers. No Right-of-Way will be purchased for this project. 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 Washington State Department of Transportation— Olympic Region, Attn:Jeff Sawyer, Environmental and H draulic Manager MAILING ADDRESS PO Box 47417, Ol mpia, WA 98504-7417 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# 360 570-6701 SawyerJ@wsdotwa.gov Not Applicable 360 570-6697 If an agent is acting for the applicant during the permit process,complete#2. Be sure agent signs Section C(Signature Block)for all permit applications 2.AUTHORIZED AGENT Not Applicable MAILING ADDRESS WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# 3. Relationship of applicant to property: ❑x OWNER ❑ PURCHASER ❑ LESSEE ❑ 4. Name,address and phone number of property owner(s)if other than applicant: Not Applicable. 5. Location(street address, including city,county and zip code,where proposed activity exists or will occur) State Route (SR) 106, Mile Post(MP)4.85 to MP 12.24 in Mason County Local government with jurisdiction(city or county) Mason County Waterbody you are working within 200' Hood Canal Tributary of Strait of Juan WRIA# 14 Kennedy- Hood De Fuca Goldsborough Is this waterbody on the 303(d)List ❑ YES ❑x NO If YES,what parameter(s)? Urban residential/Urban commercial Shoreline designation (Alderbrook Inn area)/Conservancy Twanoh State Park) Zoning designation Rural Activity Center&RR 5 Acres Office of Regulatory Assistance, JARPA JARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.eoermitting.org 1 %Section Section Township Range Government Lot 19,30 22N 2W Not Applicable DNR stream type if known Not Applicable 25,31 -36 2214 3W Latitude and Longitude: 47.356297& Tax Parcel Number 322310060000 to 222200060000 -123.105541 (Beg.)to 47.377384&- 122.975159(End) 6. Describe(a)the current use of the property, (b)structures existing on the property,and(c)existing environmental conditions. Have you completed any portion of the proposed activity on this property? ❑ YES rx NO For any portion of the proposed activity already completed on this property, indicate month and year of completion. a)This property is currently Washington State Department of Transportation owned transportation Corridor and Right-of-Way. b) No existing structure on this property. c) Hood Canal is 303(d) Listed Impaired Waters, 2002 (Impaired and Threatened Estuaries) and 2004 (Category 5 Waters). Is the property agricultural land? ❑ YES NO Are you a USDA program participant? ❑ YES Qx NO 7a. Describe the proposed work 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. If you have provided attached materials to describe your project,you still must summarize the proposed work here. Attach a separate sheet if additional space is needed. The proposed project will place a chip seal on the existing traveled highway lanes and shoulders. Other work includes pavement repair, guidepost installation, striping, and installation of raised and recessed pavement markers. Replacing delineation will be done in accordance with Chapter 830 of the design manual. No right-of-way will be purchased for this project. PREPARATION OF DRAWINGS: See sample drawings and guidance 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 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER AGENCIES. 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. The proposed work provides for rehabilitation of the existing pavement to increase the pavement condition rating. The pavement condition rating is projected to drop below the adopted standards. 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. Identify which guidance documents you have used. Attach a separate sheet if additional space is needed. WSDOT anticipates "No Impacts" to the characteristic use of Hood Canal. Work being performed within 200 feet of this water body will be minimal. To ensure that no petroleum products or construction materials enter Hood Canal, a Spill Prevention Control and Countermeasures Plan (SPCCP)will be developed and implemented. A Biological Assessment (BA)will be completed and any conservation measures recommended for protection of threatened or endangered specials will be included in the contract. 7d. For in-water construction work,will your project be in compliance with the State of Washington water quality standards for turbidity (WAC 173-201A-410)? ❑ YES ❑ NO 8. Will the project be constructed in stages? ❑ YES Ox NO Proposed starting date: Spring/Summer 2009 Estimated duration of activity: 37 Working Days 9. Check if any temporary or permanent structures will be placed: ❑ Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR ❑ Waterward of the mean higher high water for tidal waters? 10. Will fill material (rock,fill, bulkhead, or other material)be placed: ❑ 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) 11. Will material be placed in wetlands? ❑ YES fx NO If YES: Office of Regulatory Assistance, JARPA JARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.eperrnitting.org 2 A. Impacted area in acres: B. Has 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,and indicate if they are on the county's list of hydric soils. Soils information can be obtained from the natural Resources Conservation Service(NRCS). G.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑ YES ❑ NO If YES, IMPACTED AREA IS ACRES OF DRAINED WETLANDS. NOTE:If your project will impact greater than 1/10 of an acre of wetland,submit a mitigation plan to the Corps and Ecology for approval along with the JARPA form. NOTE:A 401 water quality certification may be required from Ecology in addition to an approved mitigation plan if your project wetland impacts are greater than 1/10 acre in size. Please submit the JARPA form and mitigation plan to Ecology for 401 certification review. 12. Stormwater Compliance: This project is(or will be)designed to meet ecology's most current stormwater manual, or an Ecology approved local stormwater manual. Rx YES ❑ NO If YES—Which manual will your project be designed to meet? Highway Runoff Manual- WSDOT If NO—For Clean Water Act Section 401 and 404 permits only—Please submit to Ecology for approval, along with this JARPA application, documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality standards,WAC 173-201 A 13. Will excavation or dredging be required in water or wetlands? ❑ YES �x NO If YES: A. Volume: (cubic yards) /area (acre) 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 E YES NO SEPA Lead Agency: WSDOT SEPA Decision: DNS, MDNS, EIS, Adoption, Exemption Exemption Decision Date(end of comment period) 5/2/08 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. NOTE: For use with Corps Nationwide Permits, identify whether your project has or will need an NPDES permit for discharging wastewater and/or stormwater. TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED? NO. 16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described herein? ❑ YES Ox NO If YES,explain: SECTION B - Use for Shoreline and Corps of Engineers permits only; 17a.Total cost of project. This means the fair market value of the project, including materials, labor, machine rentals, etc:. $1,087,287.00 Office of Regulatory Assistance, JARPA JARPA FORM LAST UPDATED:March 19,2007 For help call 800-917-0043 or visit www.epermitting.orcl 3 17b. if a project or any portion of a project receives funding from a federal agency, that agency is responsible for ESA consultation. Please indicate if you will receive federal funds and what federal agency is providing those funds. FEDERAL FUNDING �x YES ❑ NO If YES, please list the federal agency. Federal Highway Administration 18. Local government with jurisdiction: Mason County,Washington 19. 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 SECTION C- This section MUST be completed for any permit covered by this application 20. 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 accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to which this 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. DATE SIG ATURE OF APPLIOKNT CI , DATE SIGNATURE OF AUTHORIZED AGENT I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT. SIGNATURE OF APPLICANT DATE SIGNATURE OF LANDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS, E.G. DNR) THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT, IF AN AUTHORIZED AGENT IS DESIGNATED. 18 U.S.0§1001 provides that: Whoever, in any manner within 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. COMPLETED BY LOCAL OFFICIAL A. Nature of the existing shoreline. (Describe type of shoreline,such as marine, stream, lake, lagoon, marsh, bog,swamp,flood plain,floodway,delta;type of beach, such as accretion.,erosion, high bank, low bank,or dike; material such as sand,gravel, mud,clay, rock,riprap; and extent and type of bulkheading, if any) B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level, indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view: C. If the application involves a conditional use or variance,set forth in full that portion of the master program which provides that the proposed use may be a conditional use, or, in the case of a variance,from which the variance is being sought: These Agencies are Equal Opportunity and Affirmative Action employers. For special accommodation needs, please contact the appropriate agency in the instructions Office of Regulatory Assistance, JARPA DARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.eperrnitting.org 4 :v CD X B N z � opt, � a .t, O r 00 � r O cn n [v a 00 � o � y � o � o W 0 z a a it O � � o y cn CDm cu = N = O. 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