HomeMy WebLinkAboutJARPA - SHX Application S.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.
There is a single family home on this site. None of the work to be covered by this application has been started.
I
1
IS THE PROPERTY AGRICULTURAL LAND? ❑YES ®NO ARE YOU A USDA PROGRAM PARTCIPANT? ❑YES ®NO
7a. DESCRIBE THE PROPOSED WORK: 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&L WORK WITHIN AND BEYOND 2DO FEET OF THE ORDINARY HIGH WATER MARK
ATTACH A SEPARATE SHEET IF ADDITIONAL SPACE IS NEEDED.
Construct a bulkhead using large angular rock and following the toe of the existing bank. The bulkhead will be at
or above the MHHW line. It will be±137 feet long and approximately five (5)feet above beach grade. The base rock
will be set one and a half(11/2) to two (2)feet below grade. The bulkhead will be backed up with fractured rock and
filter fabric. Some of the rock will be placed on a manner that will allow beach access. The native trees and brush
will be protected during and as a result of this proposal.
Equipment and materials will be barged to the site. The equipment will consist of a track excavator and a backhoe
and various hand tools. The barge will be reached until the project is completed.
7b. DESCRIBE THE PURPOSE OF THE PROPOSED WORK.
This proposal is being held to the minimum necessary to prevent damage to a single family home as a result of
continued bank erosion. It will prevent further loss of land as a result of tide and wave action on the existing
shoreline. It will protect existing shoreline trees and brush.
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
The bulkhead will be constructed at the toe of the slope and follow the existing bank alignment. This project will
not have any long term impacts on aquatic life in the vicinity or on any other use of the waterbody.
PREPARATIOROr DRABIMOS: SEE APPENDIX A-SAMPLE DRAWINGS AND CHECKLIST FOR COMPLETING THE DRAWINGS. ONESETOFORIGMLOR000D0/4ALffVREPRODI/ORN.0
DRAWDMMUS BEATTACNED. NOTE: APPLICANTS ARE ENCOURAGED TO SUBMIT PHOTOGRAPHS OF THE PROJECT SITE,BUT THESE DO NOT SUBSTITUTE FOR DRAWINGS. THU
CORPS OFEACRHERSANDCOASTOLNRDREOLMREDRAWMSON&112X11 OLCNSHMM "ROM DMINU SMAYS!RMAREDDYOTNERAOEMIR&
I
Form#JAR-PS Revised Date 12/BB
Insbuction Page 2 of 2
8.WILL THE PROJECT BE CONSTRUCTED IN STAGES? ❑ YES ® NO
PROPOSED STARTING DATE: As soon as possible after receipt of all Remits and approvals.
ESTIMATED DURATION OF ACTIVITY: The oroiect Will be completed Within 30 days after start Of Work.
9,CHECK IF ANY STRUCTURES WILL BE PLACED:
VI WATERWARD OF THE ORDINARY HIGH WATERMARK OR LINE FOR FRESH OR TIDAL WATERS:ANO/OR
❑ WATERWARD OF MEAN HIGH WATER LINE IN TIDAL WATERS
10.WILL FILL MATERIAL(ROCK,FILL,BULKHEAD,PILINGS OR OTHER MATERIAL)BE PLACED:
❑ WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? IF YES,VOLUME(CUBIC YARDS) / ACRES)
❑WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? No IF YES,VOLUME(CUBIC YARDS) IA EA CRES)
11.WILL MATERIAL BE PLACED IN WETLANDS? ❑YES M NO
IF YES:
A. IMPACTED AREA IN ACRES.
B. HAS A DELINEATION BEEN COMPLETED? IF YES,PLEASE SUBMIT WITH APPLICATION. ❑YE5 ❑NO
C. HAS A WETLAND REPORT BEEN PREPARED? IF YES,PLEASE SUBMIT WITH APPLICATION. OYEE ❑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,S INDICATE IF THEY ARE ON THE COUNTYS LIST OF HYDRIC SOILS.SOILS INFORMAIIC N CAN BE OBTAINED
FROM THE NATURAL RESOURCES CONSERVATION SERVICE(NRCS):
12,WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑ S ®NO
IF YES.IMPACTED AREA IS ACRES.
13,WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? C YES CO NO
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.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 0-E.,PRELIMINARY PLAT APPROVAL,HEALTH DISTRICT APPROVAL,BUILDING PERMIT,SEPA REVIEW,FERC LICENSE,FOREST PRACTICES
APPLICATION,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 APP ZOVED
COMPLETED?
No nennits or approvals have been received vet.
SEPA LEAD AGENCY: Mason County Planpillg SEPA DECISION: SEPA DECISION D1 TE:
15. HAS ANY AGENCY DENIED APPROVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATEDTO THE ACTIVITY DESCRIBED
HEREIN? ❑ YES ®NO IF YES,EXPLAIN:
Fonn 4 JAR-P-5 Revised Date 12/
Insducdon Page 3 of 2
SECTIONS-Ose Nr$hmbwbed Corps OEngh pemNe SW
18.TOTAL COST OF PROJECT. THIS MEANS THE FAIR MARKET VALUE OF THE PROJECT,INCLUDING MATERIALS,LABOR,MACHINE RENTALS,ETC.
17.LOCAL GOVERNMENT WITTH JURISDICTION:
18.FOR CORPS,COAST GUARD,AND DNR PERMITS,PROVIDE NAMES,ADDRESSES,AND TELEPHONE NUMBERS OF ADJOINING PROPERTY OWNERS,LESSEES,ETC..
PLEASENOTE: SHORELINE MANAGEMENT COMPLIANCE MAY REOUIREADOITIONAL NOTICE—CONSULT YOUR LOCAL GOVERNMENT.
l NAME ADDRESS PHONENUMBER
a
I w0U�1- ii.�y;ur .l <i�S r/i'3�� cj-�/ wr tL 1,c.=�rr� /.L1.�, `1�/.25
I ,
I l - �� ✓ ��,�� r�?� SIC 3�3�'8s.
jy3o h�ct�� r, ✓ �Q rD r.2�a A�yo 2
SECTION C-It*swalon Star be aamia dlbr aWpamxl eevarsd by dials elaplbYbn.
19.APPLICATION IS HEREBY MADE FOR A PERMITOR PERMITS TO AUTHORIZE THE ACTIVITIES DESCRIBED HEREIN. I CERTIFYTHAT 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.
SIGNATURE OF APPLICANT OR AUTHORIZED AGENT C A
' DATE
I HEREBY DESIGNATE Bay Marine Con clots, InC.
TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR ERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED,
I MUST SIGN THE PERMIT SIGNATUREOF APPLICANT /'✓�j
121-- DATE
X SIGNATURE OF LAN ER(EKCEPT PUBLIC ENTITY LANDOWNERS,E.G.DNR) DATE � _�
�N
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.S.0§1001 prov,--as that Whoever,in any manner wRhm the jurisdiction of any department or agency of One United Stake knowingly readies,conceals,or covers up by any ttok,scheme,or device a
material fact or makes any false,fictitious or fmuduk t statements or repmembstons or makes or uses any false worms or document knowing same k contain any false,ficEtcus,w freudulwt statement
or entry,.shall be fined not more than$10,000 or imprisoned not more Man 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,riprep;and extent and type of bulkheading,if
any:)
B. In the evert 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 was of a variance,from which the variance is being sought:
These Agencies are Equal Opporlunity and Affinnatiye Action employers.
For spacial accommodation needs,please do the appropnafe agency from Appendix B.
Form N JAR-PS Revised Date 12M
Instruction Page 4 of 2