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HomeMy WebLinkAboutSHR2005-00004 JARPA, MEP2005-00019 - SHR Permit / Conditions - 1/28/2005 oN.STAre MASON COUNTY o P� A a N DEPARTMENT OF COMMUNITY DEVELOPMENT N" Planning Division N Y o~ P O Box 279, Shelton, WA 98584 J (360)427-9670 1864 Case No.: SHR2005-00004 SHORELINE PERMIT STATUS: ISSUED Received: 2/17/2005 Issued: 7/25/2005 Expires: 7/25/2008 Type of Permit: Sub. Dev. Applicant: DAN NORDSTROM 3621 90TH AVE BELLVUE,WA 98004 Location of Project: Within HOOD CANAL and/or its associated wetlands. The projectwill be within shorelines of statewide significance. Shoreline Designation: Urban Parcel Number: 322335000017 Address: 7261 E STATE ROUTE 106 UNION Legal Description: SUNNY BEACH TR 14 W 100 E 125' NLY OF R/W & TAX 894* Project Description: CONSTRUCT A 6'X 40' PIER (DOUGLAS FIR), A 4'X 35' ALUMINUM RAMP, AND TWO FLOATS (6' X 20' & 6' X 25') FULLY ENCLOSED IN EXTRUDED POLYETHYLENE, PLOYSTYRENE FLOATATION. PIER AND FLOATS TO HAVE 2' GRATING. EIGHT ACZA PILES WILL BE DRIVEN TO SUPPORT STRUCTURE This permit has been granted by Mason County persuant to the Shoreline Management Act of 1971 and nothing in this permit shall excuse the applicant from compliance with any other federal,state or local statutes,ordinances or regulations applicable to this project but not inconsistent with the Shoreline Management Act. (Chapter 90.58 RCW). This permit may be rescinded pursuant to RCW 90.58.140(7)in the event the permittee fails to comply with the terms and conditions hereof. CONSTRUCTION PURSUANT TO THIS PERMIT WILL NOT BEGIN OR IS NOT AUTHORIZED UNTIL THIRTY(30)DAYS FROM THE DATE OF FILING THE FINAL ORDER OF THE LOCAL GOVERNMENT WITH THE REGIONAL OFFICE OF THE DEPARTMENT OF ECOLOGY AND THE ATTORNEY GENERAL,OR UNTIL ALL REVIEW PROCEEDINGS INITIATED WITHIN THIRTY(30)DAYS FROM THE DATE OF SUCH FILING HAVE TERMINATED. .TA T/' - ^ � 2OJ5 I STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47775 • Olympia, Washington 98504-7775 • (360)407-6300 July 28,2005 Mr_Dan Nordstrom 3621 90th Avenue Bellevue WA 98004 Dear Mr.Nordstrom: 0 Re: Mason County Permit#SHR2 05-00 004 NORDSTROM,DAN-Applicant Shoreline Substantial Development Permit#2005-SW-02743 Purpose of this letter: This letter is to inform you that on July 27,2005,the Department of Ecology received notice that Mason County approved your application for a Shoreline Substantial Development Permit. The permit authorizes construction of a 100 foot long single-use pier,ramp and float consisting of a 6-foot by 40-foot pier,a 4-foot by 35-foot aluminum ramp and 2 floats(6-foot by 20-foot and 6-foot by 25-foot)within shoreline jurisdiction of Hood Canal(Chapter 90.58,Revised Code of Washington). What happens next? The law requires that you must wait at least twenty-one(21)days from the date that we received this decision from Mason County before you begin the specific activities authorized by this permit.Therefore, you cannot lawfully begin those activities until after August 17,2005. This waiting period is to allow anyone disagreeing with any aspect of your permit to appeal to the state Shorelines Hearings Board. If anyone does appeal your permit,you must wait until the appeal is over before you start work. The Shorelines Hearings Board will notify you by letter if they receive an appeal. To be sure that the Shorelines Hearings Board has not received an appeal,we advise you to call them at(360)459-6327 before you begin work. If this permit is NOT appealed,this letter constitutes the Department of Ecology's final notification of action on this shoreline permit. Other federal,state and local permits may be required in addition to this shoreline permit. If you have any questions I can be reached at(360)407-6520. Sincerely, Kim Van Zwal�urg Shoreline Specialist Shorelands and Environmental Assistance Program KVZ:dn cc: Tammi Clark,Mason County SHORELINE PERMIT CHECKLIST Application received and logged: (After you have determined it is complete) Legal Notice delivered to Journal: 3 -a - 1-t r1tr 3l3 7 (Affidavit of publication to be picked up by staff after paid by applicant) Legal Notice Mailed (Give mailing list within 300'to clerical staff to mail on same day as fax notice to Journal OR by the 2nd publication date,fill in as deadline for mailing) Legal Notice Posted: �)3I (0`. (Has to be done BY second publication date but can be done before it.Complete Affidavit of Posting and have notorized.Take photos of site and adjacent parcels when posting site) Photos Taken: Ile s (Prior to packets being sent to Hearings Examiner,can do while posting site) SEPA required? (YES NO . Circulated on: .3 3 ( - 6)S� HEARING DATE `AND—J'TIM: n 1`4 - o S (Establish potential date when first begin permit.Hearing must be after 30 day public comment period and allow time for yourself to write staff report&make packets to mail to HEX at least two weeks prior to hrg) WRITE STAFF REPORT: (Begin and deadline date) Pick up Affidavit of Posting from Journal t(),CV r�� (to put in HEX pckts) MAIL PACKETS TO HEX: 1 (GiveXsets to Susie two weeks before big) n DECISION: r y icily-� 7— S Notice of Final Decision sent: 7 �_0 45' (To applicant and all parties of record) NOTES: l rQ�s►�t tta 1 -A � • MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Courthouse Annex CJ F `D P.O. Box 279, Shelton, WA 98584 ` 1 (360)427-9670 4.26 SHORELINE PERMIT APPLICATION PERMIT NO. SHORELINE SUBSTANTIAL DEVELOPMENT _ C 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. APPLICANT: bAr-j y0R�13-rFoM ADDRESS: o 11L A yE . (street) ►3'V-l , E yurc-- Wft �" gooLf- (city) (state) (zip) TELEPHONE: o- D (home) (business) / AUTHORIZED REPRESENTATIVE: AA 1?u JE SoR ug 5 r hSS ESM Gr-9T I A MY 1-9(TM- 14J\J) ADDRESS: 5aZ SNF1'G.S7-EAD LA/A (street) (city) (state) (zip) TELEPHONE: L-O T 3 PROPERTY DESCRIPTION: General location(include property address, water body and associated wetlands—identify the name of the shoreline): 13a3 E 3,A-11 r2()uA7J_E 10(D tArJ10` 1 WA 0,AJ D1E 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: LAT : 43- 0 ;0 . 91 Lori: la3° 03 . �3' OWNERSHIP: Contract Applicant�_ Owner K Lessee Purchaser (Identify) Other Owner: T) No►2I:)5T_ (A �a7�-a AVE. 3&L��V IA A(street) 4 (city) (state) / (zip) Pay- 14 y I:\PLANNINGICHARELL&RENEE/SHORELINEPERMIT.APP REVISED: 06-25-03 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): (p X Vo f Fn XE-') ?(9-R CON STL2vkc-Tnt of! )( 6LACTLA-S FI)2 , Lf X 35 J. l,u ran l\ t,-nA K N-MP, AN-0 I WD FLOATS � 0( � XX IS � 0 & �T- rnN SI S i nf: "FLALLy' L�-71,4C LoSE iN EV-i RUDE-D {�D l-y r2!AA LE tJ 1�-7 L-K--)T KK G-N C_ f L D Aff1-1 DI1-I - PICA? A P4 Q Ft�0� ALA IiNVE J' GrpAk 7 IG . A-C j�-A t LE Wl 112�vP p4 i b �IAPPOP-- 5,Rm-Tui2F . 5EE 3-F 17 PODD I r0,t4AL DE i A-«--S . Use(identi y current use of property with exist improvements: �.1 ►--1 Cr t—E- �(� r�n.�L� �E� I ���cE Reason for requesting development: 2 IkS t22 WtTEO ACCE,55 F12 12�ct2ElaT,o>`IPcL o2TuN L 11ES. ACKOWLEDGEMENT I hereby declare,to the best of my knowledge and belief, the forgoing information and all attached information is true and correct, —07 v S— �� (applicant or authorized repr entative) (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: I:\PLANNINGICHARELL&RENEE/SHORELINEPERMIT.APP REVISED: 06-25-03 The Shoreline Permit Application _ Page 3 PERMIT NO. ADJACENT PROPERTY OWNERS LIST Addresses are to be obtained from the Mason County Assessor's Office,Building 1, second floor. North Forty Lodging LLC Betty McConkey Trse Et Al Sunmer L.L.C. lJ c/o Leary,Franke L Power,P Wheat,M Wheat c/o John Sundsten 7101 E Hwy 106 PO Box 339 PO Box 385 Union,WA 98592 Union,WA 98592 Union,WA 98592 Jeffrey&Patricia Raikes Carol Smith Lining Trust John&Sally Boid Nordstrom 3355 E Laurelhurst Dr.NE Don Dr&Maryiyn Bamble c/o Nordstrom Directors Seattle,WA 98105 PO Box 2633 500 Pine St Crofton Management Group Nordstrom,John Nils 1 Michael Tuohy Ruth Crofton 1617 6t'Ave Trse/Molly Tuohy Rsdnt 42 4305 4705 Laurel Canyon Blvd Seattle,WA 98101 1 Forest Glen Ln SW#2 �,� ggS��tudio City,CA 91602 A Tacoma,WA 98498 04 gQValt .cArvtj5 1+ Asse.SSl11!nf1 10 �C�� CiCdS�a, �� ern Le hw 3(,a l %" A{, S s!- $e►uv;ut wA Ciibo09 fov,F I oLjnw-,d (,�A � � r THE SHORELINE PERMIT PROCESS —Page 4 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. UWE understand that UWE must sign and date the attached acknowledgement indicating that UWE understand that is MY/OUR responsibility. UWE must submit the signed page as part of this application in order for it to be considered as complete. DATE lDan 0 rdsfxom — OWNE , C ' CA T � �� 4jq 12� E ?JIM In c�s 6' ' � Agency Refer '_ Date Received_ Circulated - 4 � JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (DARPA) (for use in Washington State) MPLEASE TYPE OR PRINT IN BLACK INKS ❑ I 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 DARPA 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 days Based on the instructions provided, I am sending copies of this application to the following: (check all that apply) ® Local Government for shoreline: Z Substantial Development ❑ Conditional Use ❑Variance ❑ Exemption ❑ Revision ❑ Roodplain Management ❑ Critical Areas Ordinance ® Washington Department of Fish and Wildlife for HPA(Submit 3 copies to WDFW Region) ® 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 T9 Corps of Engineers for: ❑ Section 404 ® 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 DAr4 oRDST 17M MAILING ADDRESS 3 ACE 3F_ LLEUu;F_ WA 9 S o0 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX MOBILE (�-a5) ��- - 4-aa3 d4>� dtlord � •c ( a5 0- os � If an agent is acting for the applicant during the permit process, complete#2. 2.AUTHORIZED AGENT } M'/ LF IrMA 1J ( M IIvE Sur2 VE S A5SF_Srv1r1Ji5 MAILING ADDRESS 5a-1 5pgAG57EA_D WA`I-/ POP 1 owr-/S1�_7�D I WA 913(og WORK PHONE �3(oo�3�S�`>bfi3 S2E-MAIL CADDRESS 22c CDM Flr�ME �oONE # -3-3 00) ✓ OSl 3.RELATIONSHIP OF APPLICANT TO PROPERTY: 0-.6WNER ❑PURCHASER ❑LESSEE ❑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) _�-3a3 E 577,{ E Pour�: lD(o UMlolo f w>9 T 5'5`a , AAk5010 Cow4T"/ LOCAL GOVERNMENT WITH JURISDICTION(CITY OR COUNTY) M l 'Sn/y C'O(Aly I Y ATERBODY TRIBUTARY OF N.RIA f400D C,41JAt_ 1-�AGE i SDuP.)D /.SECTION I SECTION I TOWNSHIP I RANGE I GOVERNMENT LOT SHORELINE DESIGNATION 33 a,2.N I 03W U t28At-1 LATITUDE&LONGITUDE i ^' 7 �O Q I' �D�� 3*03 13 R U 9 Or ZONING DESIGNATION IFFKNOWN: (rr) `-t"r J I 1� l— a�I� TAX PARCEL NO: DNR STREAM TYPE,IF KNOWN 3aa33 - 50 - poor} NIlk 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 ACTNITY IS ALREADY COMPLETED ON THIS PROPERTY,INDICATE MONTH AND YEAR OF COMPLETION. ' 'S GL-E F�-A[AI rgCE IS THE PROPERTY AGRICULTURAL LAND? ❑YES 121 NO ARE YOU A USDA PROGRAM PARTICIPANT? ❑YES PrNO 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. (0 1 X /fo F!X E D Pt E R Conl5j->zutcTF_b pu T OF- D6LA&L►4S FIK 1 Lf' u 35 tLW M trf u m RAW? , A r+D 1wo FLO A-T S ( to ' )(a G 'AT4D TH-!kr Co N 51 ST o F Fu LLy E}"1 C Lo Sit) /N EV TRk4 DEr) Pb L y ET-t Y LEr4 E_ , Pb L�5 T R Er/E. FLDA 7A T tr o/4• P1 Ep A-r4 D FL, A S To HAUL TWb Fboi GR��1rIC 9 Ac:Z-A PtLE-S LOL-L. 13E D,2xvEN is 5UPPOR77 STQuC i u21; , (SET—; 13 t;.� Fob IkDJ irr or1PrL t7�T��-�LS . 76. 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. OAS iEi2 WA-TE-R AkCCESS FbW /2ECREA-i IpNAL 0PPORrLANt17E-5, 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. /V6 4 D V E25E FF Ec T5 TD W<}T�R (30(7`�A qTl Clwo . G12oor C o L MARGou S (ED5) 199l . LIFE t+13TaR y/ DF PA-CI Fi C SA'LA 0AJ/ D3c PAF5S I A qh3 PG Z. M` ei?S , T•M• Er AL 1 1973 STATLA S pzeuiCL✓OF CH lNcNe- 5i tAADN FfW Wpr, =c�, OR, c CA cd-S• -DE:PT. OF COAWERC1=/ ^16AA T ECN MEMO . MMF5-NW1-:56-3S,`>�f3 3 NJ1 71,4 A LE L I A 3AP-A CHAQt.0 5 SlMENS7-A-D • aQ61 13 - 1�M�'� ST -k PPS: SU$MITr-E17 ►a WDFL✓, Wt70E, r IWA 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 DRA K1NGS MAYBE REQUIRED BY OTHER AGENCIES. 8.WILL THE PROJECT BE CONSTRUCTED IN STAGES? ❑YES B-9-0 PROPOSED STARTING DATE: AS 5Dotj /�/�S PERm A'RE I SSLA Eb , W/r CON STpU CTt DIJ ESTIMATED DURATION OF ACTIVITY: I W D W E[K-5 9.CHECK IF ANY STRUCTURES WILL BE PLACED: L-YATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH ORTIDAL WATERS;AND/OR el ATERWARD OF MEAN HIGH WATER LINE IN TIDAL WATERS 10.WILL FILL MATERIAL(ROCK,FILL,BULKHEAD,OR OTHER MATERIAL)BE PLACED: No ❑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 Permit Assistance Center for latest version,360/407-7037 Page 2 of 4 11.WILL MATERIAL BE PLACED IN WETLANDS? ❑YES O-VO 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 B`N IF YES,IMPACTED AREA IS_ACRES. 13.WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? ❑YES 2t19( 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? ❑YES p'(O SEPA LEAD AGENCY: SEPA DECISION: DNS,MONS,EIS,ADOPTION,EXEMPTION DECISION DATE(END OF PERIOD}: _ SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO W DFW AS REQUIRED FOR A COMPLETE APPLICATION E PF1' A t7 AC7EN —M A SDnI COUP4 c`� 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. a w Fw c S cT o o f t�nF u M Cony i � c o f ArSo,rJ Ct�t.t,M� Jt►2 o r l ntiE�il�s l f�E>z+��r rkA"o1-J 6LA" 16.HAS ANY AGENCY DENIED APPROVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY DESCRIBED HEREIN? ❑YES B<O IF YES.EXPLAIN: SECTION R-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. 1 B.LOCAL GOVERNMENT WITH JURISDICTION: 'ry Mk SIN Cou t 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 PkpzmA LAkM 3355 E LA"fZ u 5-r R . I a5 uMNIZ l.tr.c. CID Po. o3%5 9 a DAN JJ JARPA,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 ONL AFTERIALL NECESSARY PERMITS HAVE BEEN RECEIVED. SIGNATU OF APPLrIT t�A41HI.ZED AGENT ATE I HEREBY DEJE ATE TO ACT AS MENT I MATTERS RELATED TO THIS APPLICATION FOR PERMIT(S). 1 UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGNPE MIT. -07-+'S- S TURE OF APPLICANT DATE SIGNATURE OF LANDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS,E.G.DNR) ATE 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, cake,lagoon, marsh, bog, swamp, -- plain,floodway, delta;type of beach, such as accretion, erosion, high bank,low bank,or dike; material such as sand gravel; mud, clay, rock, ri ra and extent and type of bulkheadin , if any:) B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above_7the1averagt3'gra 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 e Conditional use or variance, set forth in full that portion of the master program which providers thaw the proposed use may be a conditional use, or, in the case of a variance,frorri 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. JARPA,Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 4 of 4 AMY R . LEITMAN MARINE SURVEYS & ASSESSMENTS 5 2 1 SNAGSTEAD WAY PORT T O W N S E N D WA 9 8 3 6 8 T e 1 . 3 6 0 . 3 8 5 - 4 0 7 3 ♦ F a x . 3 6 0 . 3 8 5 - 1 7 2 4 email . sea @ c a b l e s p e e d . c o m February 10, 2005 Department of Community Development Mason County Planning Department PO Box 279 Shelton,WA 98584 Hello, Enclosed are copies of two Biological Evaluation reports for the Nordstrom and Claudon Pier,ramp and float projects. The completed DARPA and full set of drawings will immediately follow. Please let me know if there is anything that you are missing in order to review this project. Thanks so much for your attention to this matter. Regards, Amy R. Leitma 1 � AMY R. LEITMAN MARINE SURVEYS &ASSESMENTS 521 SNAGSTEAD WAY PORT TOWNSEND WA 98368 Tel.360. 385 -4073 •Fax.360.385 - 1724 email . sea@cablespeed.com January 27, 2005 C !;" V E D. FEE' 8 i e`` 5 Mason County MC,C D - r LANNiNG Department of Community Development "- Planning Department Courthouse Building 1 PO BOX 279 Shelton, WA 98584 Hello, I am submitting these application forms with a request for a SEPA review for the Nordstrom pier,ramp and float project. Please let me know if you need any other information to complete your review of this project. I will send a Biological Evaluation of this project as additional information when we complete it. I have also included a few extra copies of the JARPA application for other reviewing agencies. I hope that this is all that you will need to help proceed with the review of this project. I am available for questions at any time if you need any clarification. Respectfully, Amy R. Leitman i AMY R. LEITMAN MARINE SURVEYS &ASSESMENTS 521 SNAGSTEAD WAY PORT TOWNSEND WA 9836 Tel.360.385-4073 •Fax.360.385 - 1724 email .sea ,cableMeed.com / Ali January 3 0,2006 Mason County Building Department 426 W. Cedar P.O. Box 186 Shelton, WA 98584 Hello, Here is the building permit application for The Dan Nordstrom pier, ramp and float project along with the required copies and a check for the permit fee. Respectfully, Amy R. Leitman Fro 2 2006 MASON COUNTY Buwt t N& 36+•a S �- RV,vte4✓ f-ez ; ( J 15'Sea Flex rodes and screw anchors �--20'—�F 6' 6, Z, 4, 4, TN 2, MN One of 6 62%of float FLOATS stub pilings area grated 55%of float g• area grated 25' 1 1 t � 11 10, RAMP 4 35' 100, As mentioned in the BE,the pier is oriented at 19 degrees to true north.According to the RGP6,only 30%functional 2' grating is re 'red.The per, as deigned 33%graft 6 The functional grabrp is approximately r 29%. a 40' t i n PIER 9 6' _ Nordstrom project 2005-00209 Revised Plan View 041205 k— | /� A | 2m § 2 ) \§ 7 \ | 2� | z7 ?� © n 0 � q so Or > t e ® @ k � CR . . + a441 c @ E r - 2 ƒ / co $ — � ¥ r o — ƒ � Q � � I S — - E . � m ƒƒ I > � o — . ,• Y Ic ap CD cn l'' w p w n c A C m AN AS $A cr o` A B o` fz cn o 7 N n O,t Q h� 0 7 o r, c r N V] W a C � O o o0 � + + + W O go CD pt O w J ~ vCD i oo., _ b r L_ s ti CD r IL 15'Sea Flex codes and screw anchors T 20' F 6' T Z.- 4, 4' TN � 2, MN One of 6 62%of float FLOATS stub oliv area grated 55%of float 8' area grated 4 25' — 11 1J t 10 J RAMP 4 35' 100' As mentioned in the BE,the pier is oriented at 19 degrees to true north,According to the RGP6,only 30%functional 2 grating is require3d3.The per, % 6 as designed grating The functional gratinrgg is approximately r 29 T a 40' t i n PIER 9 Nordstrom project 2005-00209 Revised Plan View 041205 i 1 3 c K • � � �� g f m rn � F 3 1p vi 2111: N S O CR W O� v r 9 b O C N co _ 0 V r f Y o p Z TZ S it o - r! n L CD 3 m v� o O p m A N N A S BAY - o N tj 7- C'nz o N W � m N cn W C 1 D 0 M. ID cn + +q a W a, N 0m r (, r W PJ 2 CD } J � a� 4 { c r n 15'Sea Flex codes and screw anchars� �--20' 6' 6, Z, a MN 4. TN 2' One of 6 62%of float FLOAT5 stub pl,V area grated 55%of fbat 8' area grated 25' 11 l � l.! 1 10 J RAMP 4 35' 100' As mentioned in the BE,the pier is oriented at 19 degrees to true north.According to the RGP6,only 30%functional 2' grating is reguire�d.The per, G as designed fh�aass grating r The functional gratintgg is approximately 29 T a 40' t i n PIER 9 �-6 Nordstrom project 2005-00209 Revised Plan View 041205 x 2J§ 22 / k 7_ | ff t / fiE | n3 7k ®7 § 3r c 2 « � / �_«■ ) f % B wa k - ¥ - - � 2 � / . � i . � 0 � X. . � m . I■ � « � ,! . . o - 1 yQN"STA.). MASON COUNTY a P A o N DEPARTMENT OF COMMUNITY DEVELOPMENT r o N Planning Division T z� N Y ti P O Box 279, Shelton, WA 98584 OJ rsen (360)427-9670 MASON ENVIRONMENTAL PERMIT September 12, 2005 DAN NORDSTROM 3621 90TH AVE BELLVUE WA 98004 Parcel No.: 322335000017 Issued: 9/12/2005 Case No.: MEP2005-00019 Project Description: CONSTRUCT A 6' X 40' PIER (DOUGLAS FIR), A 4' X 35' ALUMINUM RAMP, AND TWO FLOATS (6' X 20' & 6' X 25') FULLY ENCLOSED IN EXTRUDED POLYETHYLENE, PLOYSTYRENE FLOATATION. PIER AND FLOATS TO HAVE 2' GRATING. EIGHT ACZA PILES WILL BE DRIVEN TO SUPPORT STRUCTURE . 1 The following critical areas are present on this property: Long-Term Commercial Forest X FWHCA Ch. 17.10.060; Ch. 17.01.110; Mineral Resource Lands Frequently Flooded Areas Ch. 17.01.066; Ch. 17.01.090; Inholding Lands Landslide Hazard Areas Ch. 17.01.062; Ch. 17.01.100; Wetlands Seismic Hazard Areas Ch. 17.01.070; Ch. 17.01.102; Critical Aquifer Recharge Erosion Hazard Areas Ch. 17.01.080; Ch. 17.01.104. This permit,with conditions, is granted pursuant to the Mason County Resource Ordinance (Chapter 17.01 MCC.) Nothing in this permit shall excuse the applicant from compliance with any other federal, state, or local statutes, ordinances, or regulations applicable to this project. This permit may be rescinded if the permitee fails to complete the project as proposed or fails to comply with the standards of this ordinance. Qnunc u� la�7o� Authorized Local Government Official Date Mason Environmental Permit 7/25/2005 Case No.: MEP2005-00019 Conditions: 1.) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or,given an equivalent type of erosion protection (silt fencing or straw matting). X 2.) All-tonstruction and demolition debris must be removed from the beach after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degredation of State waters. X ------- 3.) Pressure treated wood must be completely dry prior to placement in water. Use of creosote or pentachlorophenol is prohibited. X '- 4.) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fen�ng must be installed and maintained until upland vegetation has become established.X_�_1-4L --"" 5.) Floatation for the structure shall be entirely enclosed and contained to permanently prevent the breakup or loss of the floatation material into the water. 6.) The surface of floating structures shall be a minimum of eight inches above the surface of the water. X )---,��/z--_. 7.) All floating structures shal include intermittent supports to keep structures off the tidelands at low tide. X _1._. ._ Al--- 8.) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are req 9.) All other necessary permits from Mason County,Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPM�T AND CONSTRUCTION and adhered to upon completion of the development. X /�---- 7/2512005 Page 3 of 3 MEP2005-00019 PERMIT NO.: DATE RECEIVED: MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT RESOURCE ORDINANCE (Chapter 17,01 MCC) 411 N.5TH Street/P.O. Box 279, Shelton, WA 98584 ENVIRONMENTAL PERMIT APPLICATION MASON ENVIRONMENTAL PERMIT CONDITIONAL USE ❑ VARIANCE ❑ The purpose of the Resource Ordinance is to protect Mason County's natural resource lands and critical areas and is under the authority of Chapters 36.32, 36.70A, 39.34, 58.17, 76.09, 84.33, 84.34 and 90.58 RCW. PLEASE PRINT 1 Owner: bA)-I f O(;'175 f"R O M Owner Mailing Address: 3(P a I 719 lO Ave . Site Address: 13 a 3 E 5 R !0(,o City: BIZ.LL F-V u lr State:�ZIP: 9 00� LA N 10 lu State IN AZip: `�S 9 01 Lien/Title Holder: KE R R y . a U�►�A Phone:Daytime a 5 �450 - DSD. l Address- ,tea I 0T E- Fire District#: City: tow PT- State:WA Zip: 00 Signature: 2• Parcel Number: 3 as 3 3 o - n0 01 Legal description: SEc ,33 , Ta a 03 W WL a o 9/ LONG: 1a3 �0 •'73 Parcel Size: 3 Directions to Site: ER 0 M 0 LYMP I A I A KI;: H wr-10/ No iZ—1 A} Tn :3TP F_PourF /off . TRPWILL 1AS-V o rJ SR loco 10 t.lN f c nj t=Rohn r ln! r o nJ Sir t S App2o\z1AA)1-7'El K a- S MILES 1='A-5i oN SR IDCr� . 4. State what sections require a permit: In-Holding Lands, Chapter 17.01.062 ❑ Long-Term Commercial Forest, Chapter 17.10.060 ❑ Wetlands, Chapter 17.01.070 ❑ Mineral Resource Lands, Chapter 17.01.066 ❑ Frequently Flooded Areas, Chapter 17.01.090 ❑ Aquifer Recharge Areas, Chapter 17.01.080 ❑ Landslide Hazard Areas, Chapter 17.01,100 ❑ Erosion Hazard Areas, Chapter 17.01.104 ❑ Seismic Hazard Areas, Chapter 17.01.102 ❑ Fish and Wildlife Habitat Conservation Areas, Chapter 17.01.110 5. Identify current use of property with existing improvements:. 5/NGt-C -FA AA I LK 3 t D _tjC 6. Identify and describe the proposed project, including the type of materials to be used, construction methods,principle dimensions and other pertinent information(Attach additional sheets if needed): (o'x y� ' F1 k-E L-) pj E.R Coos 1(2u c or= Dd Fite Y-'y 35 ' ,�1 u r Tl,v La a5'V (o' x 2 o') 711A-T NSI ST 6F 'FLJ LLY ENC E� ,v L! r ' o Si NE_ — V. PI 2 r o�ti SM N A vE a' GI2A_rt6.. L 74 PI I-ef U✓1 LL 131_ .DP-1�/ J-J T- SLl PPDR-V A(lA�E E 1= E• E A-17L711-1 D,1-111 L D FTPf-I L-S. 7 Any water on or adjacent to property: Saltwater tp Lake ❑ River ❑ Pond ❑ Wetland ❑ Seasonal Runoff ❑ Other 8. Will there be an alteration of a wetland and/or wetland vegetation area? Yes ❑ No 9' If septic is located on project site,include records. N/A Connect to septic? ❑ Community Septic? ❑ Public Water Supply? 0 Well? ❑ 10. Type of Job:• New � Add ❑ Alt ❑ Repair ❑ Demolition ❑ Other This permit is granted pursuant to the Resource Ordinance(Chapter 17.01 MCC)and nothing in this permit shall e%cuse the applicant from compliance with any other federal,state, or local statutes, ordinances,or regulations applicable to this project,but not inconsistent with the Resource Ordinance.The permit may be rescinded pursuant to the event the permittee fails to comply with the conditions of this ordinance. MASON ENVIRONMENTAL PERMIT: $510.00/$305.00(with another permit) MASON CONDITIONAL USE ENVIR.PERMIT: $1,225.00 MASON RESOURCE ORDINANCE VARIANCE: $1,225,00 REVISED: 12-5-2003 HEARINGS EXAMINER: $350.00 I:\PLANNING\R&GPAC\ENVIRONMENTAL PERMIT APPLICATION Show the following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Water Lines Driveways Drainage Plans Shorelines Septic System. Topography Indicate Directional by (N,S,E,W,etc.) Proposed Improvements Easements In relation to plot plan Name if Flanking Street APPLICANT TO DRAW SITE PLAN BELOW: pUtiASi✓ SV- S1T�—; MAN iMCLLAb WITli {�E�MI� PACKET. APPLICANT TO DRAW TOPOGRAPHY BELOW: {��E►�cSE S1%� TOi'OGQPcr�tc�(_ M�`� lr-ICt,�t��..� WtTb-}- 't�ERr'�i�(��kEl. DEPARTMENTAL REVIEW FOR OFFICE USE ONLY COMMENTS Planning: Environmental Health: Building Plan Review: Occupancy Group: Fire Marshal: Other: Conditions: TOTAL FEES: Accepted by: Date: