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Home My WebLink AboutSHX2017-00068 Dock SEPA2017-00071 Determination - SHX Permit / Conditions - 1/3/2018 MASON COUNTY �PyaNArF� Department of Community Services o A o 9N Planning Division r o N z 615 W Alder St, Shelton,WA 98584 Z7 N y y (360)427-9670 OJ �O 1864 Exemption from Shoreline Management Act Case No.: SHX201 068 Substantial Development Permit Requirement The Proposal 13 41R1 ERTHEIMER '7022 121 ST PLACE SE E CASTLE, WA 98056 Parcel Number: 4231 00 38 Site Address: 130 N DISCOVERY DR HOODSPORT To undertake the following development: Rebuilding dock, usin oxisti ig pier piles. Adding square footage. Total over water coverage is 300 square feet. Within Cushman and/II r its a sociated wetlands is exempt from the requirement of substantial development because the de elopment is categorized under WAC 173-27-040(2) as being category: B-normal maintenance Please contact Kell R �n a ext 365 if you have any questions. Issued:1/3/2018 Authorized Local Government Official SHX2017-00068 January 03, 201E ING r a E Date received: US Army Corps ,, DEC1 12017 , W HI GTON STATE �r�a r Joint Aq tic Resources Permit A�;ency.refer�,��i#�/ r�h�L•�id11 Appiicat' ARPA) Form', [hei T Parcel : a3r8 - so - am3� , USE BLACK OR BLUE 1 IK TO ENI ER ANSWERS IN THE WHITE SPACES BELOW. C -------------------------------------- t r i Part 1—Project Id ntifi ation 1. Project Name (A nam f 1 YOU, ou project that you create. Examples: Smith's Dock or Seabrook Lane Development) [help) Wertheimer Dock Part 2—Applicant The person and/or orga ization responsible for the project.. hei 2a. Name (Last, First, Mid led) Wertheimer, Jiri 2b. Organization(if appi e) 2c. Mailing Address (Sti eel or P0 Box) 7022 121" Place SE _-- 2d. City, State,Zip Newcastle, WA 98056 2e. Phone(1) 2 Ph ne(2) 2g. Fax 2h. E-mail 425-281-1976 1Additional forms may be requir for the ollowing permits: • If your project may qualify forlDepa ment of the Army authorization through a Regional General Permit(RGP),contact the U.S.Army Corps of Engineers for application i folmati (206)764-3495. • If your project might affect ies 'Fs d under the Endangered Species Act,you will need to fill out a Specific Project Information Form(SPIF)or prepare a Biological Evai tign. Fo can be found at htt :/lwww.nws.usace.ar iUMisslCivilWorks,Reaulator iy PermitGuidebooklEndan erecfSpecies.aspx. • Not all cities and counties Oept thO JARPA for their local Shoreline permits,if you need a Shoreline permit,contact the appropriate city or county government to make sure h acce t the JARPA. 2To access an online JARPA for n With[he p]screens,go to http:Hwww.epermitting.Aa. ov/si e('lias sourcecenter/iai rpa ai rpa farm/9984/ rpa fam7.aspx. For other help,contact the Gove no�'s Off a for Regulatory Innovation and Assistance at(800)917-0043 or helpaoria.wa.gov. JARPA Revision 2015.1 Page 1 of 14 I Part 3-Authorize Agent or Contact Person authorized to re re sent he applicant about the project. (Mote:Authorized agent(s)must sign 11 b of this application.) hl cicl 3a. Name (Last, First, Mi ) Smith, Brad 3b. Organization (if appi c ie) Watersmith Construction, Inc. 3c. Mailing Address (St ee Box) 5018 Lambskin St. SW 3d. City, State, Zip Tumwater, WA 98512 — _--- � -'--_---- ---_-------_ 3e.Phone(1) . Ph4 ine(2) 3g. Fax 3h. E-mail 360-412-0202 360-4 -9820 —_ —` 360-412-0203 'T singingwaters@sbcgiobal.net Part 4-Property C wne. l S) Contact information for Oeople or organizations owning the property(ies)where the project will occur. Consider both upland and aquatic owiership because the upland owners may not own the adjacent aquatic land. fbLel ® ip to art 5.) ❑ Repair or maintenan ei�acti ties on existing rights-of-way or easements. (Skip to Part 5.) There are multiple ur laid pi Dperty owners. Complete the section below and fill out DARPA Attachment A for each additional prop a0y o er. ❑ Your project is on D 3p artm mt of Natural Resources (DNR)-managed aquatic lands. If you don't know, contact the DNR at(36))902- `100 to determine aquatic land ownership. If yes, complete DARPA Attachment E to apply for the A uati UoeAjjthorization. 4a. Name Last, First,Mi 14) Ci -rcc.'' 1 lX Gvvt.•a. rtii c.� 4-z`e 4b. Organization (if app cable) 4c. Mailing Address (set or Box) 4d. City, State, Zip CLLOYVIA S"i on 4e. Phone(1) f. P1 ione(2) 4g. Fax 4h. E-mail DARPA Revision 2015.1 Page 2 of 14 i Part 6—Project L ti s' Identifying information a o t th property or properties where the project will occur. ihei ❑There are multiple pr j ct la ations (e.g. linear projects). Complete the section below and use JARPA Attachment B for ea h addhonal project location. 5a. Indicate the type of o ne hip of the:property. (Check all that apply.) hel ® Private ❑ Federal Publicly owned (stat county city, special districts like schools,ports,etc.) Tribal ❑ Department of Natu al Re urces (DNR)— managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (cant be PO Box. If there is no address,provide other location information in 5p.) h[ ells] 130 North. Discovery D 've - - - 5c. City, State, Zip (if th pmject is not in a city or town,provide the name of the nearest city or town.) [help] Hoodsport, WA 98548 5d. County (help Mason 5e. Provide the section, towns ip, and range for the project location. jhel 1/4 Section Section Township range 18 23W 4W 5f. Provide the latitude a d for gitude of the project location. hei • Example:47.03922 122.89142 W long. (Use decimal degrees-NAl3 83) 47.487433 N lat/ -123 24298 11 W long - 5g. List the tax parcel Iu s)for the project location. hei l The local county a e�be or's ffice can provide this information. 42318-50-00038 - 5h. Contact informatiot r all djoining,property owners. (lf you need more space, use JARPA Attachment C.) thelpl Name Mailing Address Tax Parcel#(if known) PERRY ET UX, EDWI 1 1426 SE RURAL ST 423185000039 DEBORAH S PETERS DN PORTLAND OR 97202 i Molloy ET AL, Patricia 89032"a Ave NE �-�---- 423185000037 Robert Emmet Thomas Seattle WA 98115 -------------- JARPA Revision 2015.1 Page 3 of 14 5i.List all wetlands on r adjadent to the project location. [tei _ -- 5j. List all waterbodies 1,01her Man wetlands)on or adjacent to the project location. t,et Lake Cushman 5k. Is any part of the pi Dject a ea within a 100-year floodplain? [hei -�--Yes ❑ No n't know 5 .Briefly describe the tep; etal ion and habitat conditions on the property. t ei i I i 5m. Describe how the r pert, is currently used. theipi Residential 5n. Describe how the q di acen properties are currently used. tbei _ I! Residential 1 5o. Describe the structillires ( ove and below ground)on the property, including their purpose(s)and current condition. [nei Single family residenc irM ave ge/good condition. 5p. Provide driving dir tons forn the closest highway to the project location, and attach a map. nei - See attached map and directicris. JARPA Revision 2015.1 Page 4 of 14 10/10/2017 1-5 to 130 Discovery Drive,Hoodsport,WA-Googte Maps - Hoodsport,WA Drive 50.7 miles 1 h 6 min < { l 5 t i30 Discovery Drive, , vagh.-,larnnr� Tawma k ti[,n Vh rtirat+r-,t A � 'k,ccn tait�arMlfl e nn raa r _ zrr Ftr,n �•.. r,i 2.; ... r: n`,ram r rr!�� JdlMerstate5 _ 4rF�� L al Map data 02017 Goog!e United States 5 mi f r 1-5 Take US-101 N to WA- 19 N ir Hoodsport 43 min(38.8 mi) t 1. Head south0fest on -5 S 0.7 nli 2. Take exit 10 f r Tu water Blvd 0.3 mi h 3. Use the left rye to I urnleft onto Tumwater Blvd 0.2 mi 4. Turn left ontl the In erstate 5 N ramp to Seattle 0.4 mi x 5. Merge onto 5 N 2.4 mi ' 6. Take exit 10#for US-1 01 N toward Aberdeen/Port Angeles 0.4 mi t 7. Continue on-1 o US-1 1 N 5.5 mi 8. Take exit 10 towari Shelton/Port Angeles 446 ft t 9. Continue ono US-1 1 N 28.9 mi hVs://www.000ete.com/maps/diri-5 130+ scovery+Drive,+Hoodsport,+wA/@47.2380891,-123.3554064,10z/am=t/data=!3m1!4b1!4m13!4m't2!1m5!... 1/2 10/10/2017 1-5 to 1,30 Discovery Drive,Hoodsport,WA-Google Maps Follow WA-1 19 N to Di c Dvery Dr 23 min(11.9 mi) 41 10. Turn left onto WA- 19 N 10.9 mi 11. Turn left onto N Mount Church Dr 0.2 mi t 12. Continue sira ghtcnto MtTebo Way 0.2 mi 41 13. Turn left o oNPct latch Dr 0.4 mi f+ 14. Turn right ti) c tat'c n N Potlatch Dr 0.1 mi i 15. Turn right nto Dis,,overy Dr 01 0.1 mi 130 Discovery Dr These directions are for plan ing purpc ses only.You may find that construction projects, traffic,weather,or other even�s may cai ise conditions to differ from the map results,and you should plan your route accor ingly.YOL must obey all signs or notices regarding your route. hftps:/Iwww.google.com/m�aps/dirj'-5 130+ scovery+Drive,+Hoodsport,+WAI@47.2380891,-123.3554064,1 Oz/am=t/data=!3m 1!4b 1!4m I 314m 12!1 m5!... 2/2 1 : I Part 6—Project D ripIl tion 6a. Briefly summarize t ielovei all project. You can provide more detail in 6b. hel Rebuild existing dock u ill ing existing piling and posts 6b. Describe the pure of tT project and why you want or need to perform it. LhtellApl Existing dock is deterio a ng and in unsafe/unusable conditions. The dock needs tote rebuilt so the property owners can start using it dc ck safely. i I 6c. Indicate the project c4teg . (Check all that apply) [be l -- ❑ Commercial Residential ❑ institutional ❑Transportation ❑ Recreational — El Maintenance ❑ Ervironmental Enhancement 6d. Indicate the major ] ,,Men is of your project. (check all that apply) [help] Aquaculture Culvert ❑Float ❑ Retaining Wall. Bank Stabilization Dam /Weir ❑ Floating Horne (upland) ❑ Boat House Dike / Levee J Jetty ❑ Geotechnical Survey ❑ Road ❑ Boat Launch Ditch ❑ Land Clearing ❑ Scientific Measurement Device Boat Lift Dock/ Pier ElMarina / Moorage Stairs ❑ Bridge Dredging ( ❑ Mining { ❑ Stormwater facility I ❑ Bulkhead Fence [] Outfall Structure Swimming Pool ❑ Buoy I 1 1 Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line Channel Modificati n'' Fishway El Raft — ❑ Other: DARPA Revision 2015,11 Page 5 of 14 . fie. Describe how you la i to onstruct each project element checked n 6d Include specific construction methods and equi nt be used. h{ gM • Identify where each element Nill occur in relation to the nearest waterbody. • Indicate which activ he are i Athin the '^^ ear flood .lain. aj— Construction will includ 4' x 2.Wwa4kwatq connected to a 13' square-#lag-Composite decking will cover the entire dock. The framin ill be ACQ treated hem-fir. Hardware and connectors will be hot dipped galvanized steel i l 6f.What are the anticip Mod st irt and end dates for project construction? (Month/Year) hei • If the project will be copstruc ed in phases or stages, use DARPA Attachment D to list the start and end dates of each phase or stage. Start date: A rii 1st 20 18 End date: April 301h 2018 ❑ See DARPA Attachment D 6g. Fair market value o f the p ject, including materials, labor, machine rentals, etc. $9,000.00 6h.Will any portion of pro' ct receive federal funding? hei • If yes, list each ag c prow ing funds. ❑ Yes ® No I Q Doi Vt know Part 7—Wetlands: rpa is and Mitigation ❑ Check here if there ae WOE nds or wetland buffers on or adjacent to the project area. (if there are none, sk ip[to P rt 8.)[hei 7a. Describe how the as been designed to avoid and minimize adverse impacts to wetlands. LtIeU ❑ Not applicable �I �?b. Will the project lmp wet ands? 1hefpj� JARPA Revision 2015.1 Page 6 of 14 f ❑ Yes ❑ No D n't know 7C. Will the project imp H wet and buffers? fheiip 0 Yes ❑:No D 't know 7d. Has a wetland delir a tion report been prepared? heI • If Yes, submit the r port, inc uding data sheets,with the DARPA package. ❑ Yes ❑ No 7e. Have the wetlands DEven rE ted using the Western Washington or Eastern Washington Wetland Rating System? hel p • If Yes, submit the et nd ni ting forms and figures with the JARPA package. Yes ❑ No ❑ Dc n't know 7f. Have you prepare al mitigation plan to compensate for any adverse impacts to wetlands? [neipj • If Yes,submit the p an with Ihe JARPA package and answer 7g. • If No,or Not appli qle, a lain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ N t applicable i II 7 . Summarize what t iti tion plan is meant to accomplish, and describe how a watershed approach was 9 � 9 P p pp used to design th an. hem ----------- -- _— — ----------- --- ----------— 7h. Use the table belo t' list he type and rating of each wetland impacted, the extent and duration of the impact, and the ty a and mount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you c sta (below)where we can fired this information in the plan. fhel Activity(fill, Wetla nd Wetland Impact Duration Proposed Wetland drain, excavate, Na 1 type and area (sq. of impact3 ` mitigation mitigation area flood, etc.) rating ft. or type' (sq. ft. or category' Acres) acres) If no o official name for the wetlal A exists,create a unique name(such as"Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report.ii 2 Ecology wetland category bas d on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland f rating forms with the JARPA pa kage. 3Indicate the days,months or y ars the tiand will be measurably impacted by the activity.Enter"permanent"if applicable. Creation(C),Re-establishmen Rohabil' tion(R), Enhancement(E),Preservation(P),Mitigation Bank/In-lieu fee(B) — -- — JARPA Revision 2015.1 Page 7 of 14 Page number(s)fo 'milar information in the mitigation plan, if available: 7L For all filling activitie entfied in 7h, describe the source and nature of the fill material, the amount in cubic yards that will be u , anc how and where it will be placed into the wetland, nei ---- — — --- — -- ------------ - type�- d amount of material in 7j. For all excavating a ti itiesl identified in 7h describe the excavation method an a 1 g y , cubic yards you will r ovq, and where the material will be disposed. lnLetpj I II Part 8-Waterbod o ( her than wetlands: Impacts and Mitigation In Part 8, "waterbodies" etiers # non-wetland waterbodies. (See Part 7 for information related to wetlands.) [teipi ® Check here if there a e wate,bodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the roject is designed to avoid and minimize adverse impacts to the aquatic environment. [Le! ❑ Not applicable 1 I I 8b. Will your project i ct a aterbody or the area around a waterbody? fteipl M Yes ❑ No DARPA Revision 2015.1 Page 8'of 14 f 8c Have you prepared a mitig tion plan to compensate for the projects adverse impacts to non-wetland waterbodies? ttplpj 4 • If Yes, submit the pi an with t ie JARPA package and answer 8d. • If No,or Not appli e,a lain below why a mitigation plan should not be required. ; ❑ Yes ® No Not applicable i } I ize what t 8d. Summarize a ►riti #ion. !an is meant to accomplish. Describe how a watershed.approach.was used I p P to design the plan • If you already completed 7g ou do not need to restate your answer here. [hel r E 8e. Summarize impact )ito a ch waterbody in the table below. Leipl Activity clear, to od Impact Duration Amount of material Area (sq.ft. or dredge, fill, pile na ' y location` of im act3 cubic yards)to be linear ft.) of ,9 , p p Y ) drive, etc.) placed in or waterbody removed from directly affected waterbody i _ I If no official name for the watei Dody exis s,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 Indicate whether the impact wi occur in r adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact wil occur wi in the 100-year flood plain. 3Indicate the days,months or y arS the terbody will be measurably impacted by the work. Enter_'permanent"if applicable__ — 8f. For all activities idei itWied ' 8e, describe the source and nature of the fill material, amount tin cubic yards) you will use, and h wand here it will be placed into the waterbody. thelpl i �I ; I DARPA Revision 2015.1 Page 9 of 14 8g. For all excavating c r red ing activities identified in 8e, describe the method for excavating or dredging, type and amount o ate I you will remove, and where the material will be disposed. [hei No excavating or dredg ng for his project I Part 9-Additional Wonnation Any additional informati you n provide helps the reviewer(s) understand your project. Complete as much of this section as you can. t is ok you cannot answer a question. i 9a. If you have alread f Work with any government agencies on this project, list them below. hel Agency Name i Contact Name Phone Most Recent — -- �- ---- —� Rate:of Contact E } I ( ( 1 91b. Are an of the wet] Inds o waterbodies identified in Part 7 or Part 8 of this DARPA on the Washington Y � g Department of Eco o0y's 03(d)List? h{ eid • If Yes, list the parat ieter(s)below. • If you don't know, u e Was ngton Department of Ecology's Water Quality Assessment tools at: http://www.ecv.wa,(o\/Ir)roa ms/w /303d/. ❑ Yes g No 4, 4'-DDE, 4,4'-DDD, 4 +DD , Alpha-BHC, Beta-BHC, Endrin, Endrin Aldehyde, Heptctchlor, Heptachlor I Epoxide, Endosulfan, ldrin, 9c. WhatU.S.S eolo i al Sun,ey Hydrological Unit Code (HUG) is the project in? l_he.i.r1 • Go to htt ://cf pub,e a. ov/s rf/locate/index.cfm to help identify the HUC. L � � � �� 9d. What Water Resou rcO Inv' ntory Area Number(WRIA#)is the project in? [helpl • Go to http://www.e a,ao\/services/ais/niai)s/wria/wria.htm to find the WRIA#. 16 JARPA Revision 2015.1 Rage 10 of 14 9e. Will the in-water coi istructim work comply with the State of Washington water quality standards for turbidity? 1heipi • Go to htt ://www.ec . a. o D rog ram s/w /sw s/c rite ria.htmI for the standards. Yes ❑ No Not applicable 9f. If the project is withi 111 he j "sdiction of the Shoreline Management Act,what is the local shoreline environment desigi iation? hel • If you don't:know, i or)tact v a local planning department. • For more informati n,l go to htti)://www,ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. N Rural ❑ Url ap D Natural ❑Aquatic ❑ Conservancy ❑ Other 9g. What is the Washi t�n partment of Natural Resources Water Type? ijt1eiA i • Go to http://www.d a. o forest-oractices-water-typinq for the Forest Practices Water Typing System. a 111 ® Shoreline E I Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal t 9h. Will this project be Jesigned to meet the Washington Department of Ecology's most current stormwater manual? I eip} * If No, provide the nf me of 0 e manual your project is designed to meet. -------------- --------------- ❑ Yes ❑ No � ------------------ ------- Name of manual: 9i. Does the project site ve known contaminated sediment? Lbpjpj • If Yes, Please desc 'b*bel ❑ Yes ® No � I f _ I 9j. If you know what th rope y was used for in the past, describe below. hel l Residential i I j 9k. Has a cultural reso rte (a haeological) survey been performed on the project area? lhel II) if Yes, attach it to; ur JAR A package. ❑ .Yes F� No -- — -------- ----- --- -- JARPA Revision 2015.1 Page 11 of 14 91. Name each sP ecies il led der the federal Endangered Species Act that occurs in the vicinity of the project area or might be aff ed by the proposed work. LhLel s e1LIA� I �WA- f � i E 9m. Name each species or ha itat on the Washington Department of Fish and Wildlife's Priority Habitats and I Species List that might bo affected by the proposed work, f helps T Part 1 0—SEPA Cd p I fi nce Permits erm its Use the resources and 11hecklist below to identify the permits you are applying for. • Online Project Questionnaire at http://apps.oria.wa.gov/opas/. • Governor's Office for R gutatory Innovation and Assistance at(800)917-0043 or help(a_oria.wa.gov. • For a list of add esses send your JARPA to, click on agency addresses for completed JARPA. 1 Oa. Compliance with t iel Stat Environmental Policy Act (SEPA). (check all that apply.) fb.�IpI • For more information Obout SEPA, go to www.ecy.wa`,gov/programs/sea/sepa/e-review.htmi. ❑ A copy of the SE PA detgrmination or letter of exemption is included with this application. jA SEPA determi ation ' pending with cc, Ca v� lead agency). The expected decision date is 7— (2vt'I ❑ I am applying fo, a Fish Habitat Enhancement Exemption. (check the box below in 10b.)fhe- This project is a ermpt ( hoose type of exemption below). ❑ Categorical Exompt on. Under what section of the SEPA administrative code(WAC) is it exempt? Other: ❑ SEPA is pre-em tad by federal law. i JARPA Revision 2015.1 Page 12 of 14 f i 10b. Indicate the perms s ou ire applying for. (check all that apply.) he) ---- — — --T-- LOCAL GOVERNMENT --,—__--- _--.-- —_� Local Government S ore ine permits: ❑ Substantial Dev o)mer t ❑ Conditional Use ❑ Variance Shoreline Exem tide T e (explain): Other City/County ermit : ❑ Floodplain Deve rLen Permit ❑ Critical Areas Ordinance STATE GOVERNMENT -- —^— Washington Depar tment i f Fish and Wildlife: Hydraulic Projee Akppro al(HPA) ❑ Fish Habitat Enhancement Exemption—Attach Exemption Form You must submit a che' k'fo Washington Department of Fish and Wildlife, unless your project qualifies for an exemption or alternative payment method below. Do not send cash. Check the appropriate o' es: ❑$150 check enc Dsed. heck# Attach check mad. p 1'yable to Washington Department of Fish and Wildlife. ❑My project is exi mpt frc im the application fee. (Check appropriate exemption) ❑ HPA proce sing is onducted by applicant-funded WDFW staff. Agreement ❑ Mineral pro pectini 1 and mining. ❑ Project occurs on farm and agricultural land. (Attach a cop of'curre it land use classification recorded with the county auditor, or other proof of current land use.) ❑ Project is a modific Eition of an existing HPA originally applied for,prior to July 10, 2012. HPA# Washington_Depaf trTient f Natural Resources: ❑ Aquatic Use Auto izat' n Complete JARPA A la:;hmEt E and submit a check for$25 payable to the Washington Department.of Natural Resources. Do not send cash. Washington Depa n ent f Ecology: ❑ Section 401 Wat r>Qua sty Certification FEDERAL GOVERNMENT United States Dep r rnen of the Army permits(U.S. Army Corps of Engineers): ❑ Section 404 (dis ar'ges it to waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Co a t IGua d permits: ❑ Private Aids to vigat. n (for non-bridge projects) JARPA Revision 2015.1 Page 13 of 14 r Part ii-Authorizing ShIn-atures Signatures are required before submitting the DARPA package. The JARPA package includes the JARPA form, project plans, photos, e 11 11! 11a. Applicant Signature, equred) ILieip a � 9iffi` rice' '�v c,d ss �i r �ti>'vvl a"c cal a u i ii'r s ai to'�i'iaizvle suvraGs� ail it & � i�.a.tiauti:a i pia Cof'rji+� Y , and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have receiv �11 necessary permits. I hereby authc the al eht named in Part 3 of this application to act on my behalf in matters related to this application. inttw) Rat 13�tt,afir443 hf?rP., �ta�_ tl t l , avr�t12r� aiithnrit,fry F+r�:nf rnp--1n the rf r�r„ 1 alp.r) n.tom it r � nt tan the permitting agencies entf I he property where the project is located to inspect the project site or any work related to the project. (initial) Applicant Printed game Applicant Signature Cate 11b.°Authorized Agent igrat !je I certify that to the best of my k iowledge and belief, the informati ro 'ded in this application is true, complete, and accurate. I also ce Ify that I have the authority to carry out e p o osed activities and 1 agree to start work only after all necessary ermits have been issued. Authorized Agent Printed Na el Authariz ent Signa re Hate 11 c. Property Owner Signature (if not applicant) [fiei Not required if pr ject is on existing rights-cif-way or easements. I consent to the permittZotion"R g ag ties entering the property when: the project is located to inspect the project site or any work. These insshall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Na�-B Property Owner Signature Date 18 U.S.0 provides 1001 that:whoe l§ p ,in any manner within the jurisdiction of any department or agencyvf the United States knowingly falsifies,conceals,or covers ip by a trick, scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or representations or makes or isos an false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry, shall be fined not morO than$110,000 or imprisoned not more than 5 years or both. If you require this document $nRt- r format,contact the Governor's Qflice for Rec-ulatory innovation and Assistance(0RIA)at(800) f 91 t-0C#43. People with near g loss n call 711 for Washington Relay Service People with a speech disability can call(677)833-6341. ORIA publication number: E -019- 9 rev.09/2015 Page14of14 JARPA Fte VISfQn`�f}1 rJ.1 r � jc D Jiri Wertheimer RECEIVE- �� auras December s, 0 7 PLANNING DEC 1 1 2a1l 615 W. Al er Street G `t �• ZY I I �� , n1. i?rSt,.�Lr�"P,�t I�.r•.rvY- '• Figure 1. C)ve i w of xistirtig structur2s� ��-� �� _.�.�_ >y ry � n - a h < � ♦ +,... .� _. ...__ .. 6 .�� -y .>« - cif. Figure 2. 4ve ji w of xisting pier. N STA MASON COUNTY Mo y Department of Community Services o A u = Planning Division ~ N T 615 W Alder St, Shelton, WA 98584 Zo Y ~ (360)427-9670 reea III DET ERMINATION OF NONSIGNIFICANCE (WAC 197-11-340) SEP2017-00071 Description c f Prop al: Rebuilding dock, using existing pier piles. Adding square footage. Total over water coverage is 300 square feet. r pon Dnt: JIRI WERTHEIMER Location cif Drop sal: 130 N DISCOVERY DR HOODSPORT Par 4Nu er: 423185000038 Legal Description: LAKE CUSHMAN #3 TR 38 Directi rws to ite: Lead Ageicy: Mason County The Lead Agency for this roposal has determined that it does not have a probable significant adverse impact on h� environment. An Environmental Impact Statement (EIS) is not required under RCW 43.21 .030( )(c). This decision was made after review of a completed Environmental Checklist a nd other information on file with the Lead Agency. This information is available to the putilio upc n request. Please contact Kell Rowe at ext. 365 with any questions. This DNS is issued under WAC 197-11-340(2). TheDead Agency will not act on this proposal for 14 days from the date shown below, when the determination is final. Comments must be submitted to Dept. of Community Development, 615 Ald r St, Shelton WA 98584 by 1/17/2018. Appeal of this determination must be filed within a 14- ay period following this final determination date, per Mason County Code Chapter 15.11 App als. � 3 Auth rued -odal Government Official Date 1 'SEPA E virc nmental 'Checklist Mason Counry Permit Center(Ise: Single Family D S; SEP 26 l—f- �` Othez.DNS: -x j 9.99 tec: $630 PLANNINGparcel#. R 3 1 -so . 0003e,` 0 ro M cres: $75, r Tres: ', S Date Ttvd: DS,E-IS: $15 -t-70 RECEIVED DEC 1 12017 615 W. Alder Street II Purpose of check"st;° Governmental aget cies u e this checklist to help determine whether the environmental impacts of your a fv lAthv 1 Yva r or compensatory rr,. tip measures will address the probable significant impacts or if an environmental impact statement m M be pi epared to further analyze the proposal. Instructions for al iplican This environmental checkl st asks you to describe some basic information about your proposal. Please answer each quest acc irately and carefully, to the best of your knowledge. You may need to consult .. ,s ea ,car.- ..,43r4au n.a aS.+isaa., ..rs"be.+cto..t ls a o."s`Ynt , fe's axa a/Wsx.ai.rk+.w q�t'! "does not a pl " or.lv when ou can explain why it does not apply and not when the-answer is unknown. You may also attac I or inc 3rporate by reference additional studies reports. Complete and accurate answers to these question often avoid delays with the SEPA process as well as later in the decision- making-process. The checklist ues o:s a ly to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will hells describe your proposal �.. .... w.'a r.,v sawe it vv v�S.a�,t, a a.ry 4v � ...Nxaa%'ex Asa RF si>br'vs ic✓+witiel.?6 46 ek�� KA�711 a�Vl.A li,t"C.h�Y�fk l �V4.A1 answers or provide a ditia ialainformation reasonably related to determining if there may be significant adverse impact. Instructions for Lea, Ac mncies: Please adjust the format o this template as needed. Additional information maybe necessary to evaluate the exWin 3 envi anent, all lrtterrelate aspects of the proposal and an analysis of adverse s . -r ak+.`.rwav4ir. a .s`a.Y::v ed aln.k'Ywm Vl L`W 4!~'lr t!l+L6 hd Vai ;4C i9c�01 AY,A.-Lbt 133f;6 h1VA! t2 tii4aEisy.d tS.F Y.vv Ys s make.an adequate 11"Ifeshc Id determination. Once a threshold determination is made, the lead agency is responsible for the�o�mp4e.eness and accuracy of the checklist and other supporting documents. A. BACKGRIC 1. Name of propc sod project, if applicable- �IrVAf 1 t,- ^1_ 2. Name of appli Mt. . Address and p ione n imber of applicant and contact person: c9s 101 lace 5E t3ewcanUeWA C'SMO SEPA Env iron Uf c[tec st(wAC 7-11 (MC version-nongnoJecP portion emitted} 281.6 Page 1 at 11 4. Date checklist I*Opar4d: 5. Agency requer,ting ch)cklist: Mason C 6. Proposed timir g or scredule (including phasing, if applicable)- -Awil -'aCAT 4f-) ADVII =19 7. Do you have iy,plan;for future additions, expansion, or further activity related to or connected with this proposal? If ayes, axplain, & List anv enviro im. ,Prita I inform.,qflon vnii know;;hot A fh,-it h�a_-,hAAn nrPnqrPr4 nrmA11hP.nrP_nqrPH directly related to this Droposal. 9. Do you know v fh thor applications are pending for governmental approvals of otheir proposals directly affecting he p operty covered by your proposal? If yes, explain, 10. List any government rovals or permits that will be needed for your proposal, if known. K)VFYJ HIPA Pffrai 4- 11. Give brief, cont ete escripfiGn,of your proposal, in-cluding the proposed uses and the size of p pp Je the projectse.. ere are several questions later in this checklist that ask you to describe 11 r nrrynr)A�41 Yn i do mnt nAPH fin rP_r)Pw thnqp nnczimiarq nn thiq n--irlp, tj Pnrl of yn W agencies may odify is form to include additional specific'n 11 1 =f project desGription.) VQ,Wn OCOYUAD k! U cl W Y ��.5 -5 7A' e % W 12. Location of thE ptopolal. Give sufficient information for a person to understand the precise location c of your propos W� ct, including a street address, if any, and section, township, and range, if ,pro] known. If a pri 1p sal i vould occur over a range of area, provide the range or boundaries of the site(s). Pro\fid :.,z ieg,,I description, site plan, vicinity map, and topographic map, if reasonably available. Whi e Vou should submit any plans required by the agency, you are not required to duplicate map,, o,,det fled plans submitted with any permit applications related to this checklist. Parcel#(s): L,S�I AddressAW JbO�5pOrk, WA C125(49 Legal Descripip Twp/Range/S ction a nd/or GIBS location: 5ec� 1(2 , —rooll Sk4 9:J VJ Va-q e q W SEPA Environmental chee its (WAC 197-11-960)(MC version-non project portion omftfad}: 2016 'Page 2 of 11 i ELEMENTS 1. Earth a. General d oripti of the site -- (circle one . Flat roiling, hilly, steep slopes; mountainous, other: b. What is ttXJsteepKst slope an the site(approximate percent slope)? . aA a c. What gen all types of soils are found on the site (for example, clay,sand, gravel,peat, muck)? If you kno tie clz ssification of agricultural soils, specify them and note any agricultural land of long-term (ornmer cial significance and whether the proposal results in removing any of these soils. = f Ya ��' �1.m-a -�� mom+ I nionAicavxce z No �! o v ci F Is. d. Are there surface ridications or history of unstable wails in the immediate vicinity? If so, describe. . Desr_.ribe t e pub- c ivet tgt ara x 4?t! nrerrt ct tafic r�a c4tttcac tnA d art rt ��g f nei filling, exca v4ion, and grading proposed. indicate source of flu, 1( e x cavakm tnr trad . f. Could eras m occir as a result of clearing, construction, or use? If sco,generaily describe, K.V)_ g. About w t of the site wiii be covered with impervious surfaces after project constructi (fore ample, asphalt or buildings)? Less a% h. Proposed noasui es to reduce or control erosion, or other impacts to the earth, if any. No i s - 2. Air a. What tyW of errd mions to the air would result from the proposal during construction, operation, and maintE nance hen the project is completed?If any, generally describe and give approxima quan ities if known. K b. Are there ny off ite sources of emissions or odor that may affect vour ror000sal? If so, generally crib ,x ►V o G. Proposed easur s to reduce or mritrol emissions or other impacts to air, if any: :-,,, , p p t y _,.,___ V OIAR_� 3. Water a. Surface W ter 1) Is there,any su rface water body on or its the'Immediate vicinity of the site (including year- round nid sea�onall streams, saltwater, takes, ponds, wetlands)? If yes,describe type and provide name if appropriate, state what stream or river it flows into. 2) Will the projecl require any work over, in, or adjacent to (within 200 feet)the described waters'. yes please describe and attach available plans. pte252 sep— �kans 3) Estimate the a ount of fill and dredge material that would be placed in or removed from surface water ar wetlands and indicate the area of the site that would be affected. lnrfirnt, fte of fill' Nol Ott tA le 4) Will the proposal require surface ace water withdrawals or diversions? Give general description, purposoll, and pproximate quantifies if known. fV 6 I 6) Does t �ropfsal I ie within a 1 00-year floodplain? If so, note location on the site plan. 6) Does the pro sal involve any discharges of waste materials to surface waters? If so, describe the ty)e of waste and anticipated volume of discharge, in Ol I b. Ground WIter 1) Will gro j0dwat ar be withdrawn from a well for drinking water or other purposes? If so, give a general doscr' tion of the well, proposed uses and approximate quantities withdrawn from the wel Will ter be discharged to groundwater? Give general description, purpose, and approxi ate q!iantities if known. ,, 4-0-4c-C.-o—z' 77, ,�p��f�� WtJ I %..k LIU 1ILF9 sources, if any for-example: Domestic sewage; industrial, containing the following chemic ils. . . ; agricultural; etc.). Describe the general size of the system, the number of such sy stams, he number of houses to be served (if applicable), or the number of animals or human the sy tem(s)are expected to serve. c. Water run o (inctu in stormwater): 1) Describ the 9)urce of runoff(including storm water)and method of collection and disposal, if any(iii clude juantifies, if known). Where will this water flow? Will this water flow into other I waters'! If so, Jesc6be. SEPA Envilrommenktat char._1Ire MAG 197-11-96111(Mc verf�,6fvn-nC— 7011(7- P—:?A nfi 11 2) Could vante n aterials, enter ground or surface waters? If so, generally describe. 3) Does t e Apr op>sal after or otherwise affect drainage patterns in the vicinity of the site? If so, describ�a. '5: i ried-SVI'l 'SW 1�6640&1 Or Coi-iilof StifTace"gf-ouaci' anu-,j-urfaii waier, af-ja U-4-airlaq-e PaUL-411 impacts, if any: 4. Plants ,- '.9 Pm decic ous t e. jaicd e), I aspen, other ever( een tri se. cedar, pine, other shrut s grasr pas tL re crop,x*grain orchdrd�, vilyards or other permanent crops wet sbil'i plan s: cattail, buttercup, bullrush.. skunk cabbage, other Ovate i plants: water lily, aelgrass, miffoil, other other,types c f vegetation b. What kind anti am:)un-t of vegetation will be removed or altered? c. List threat ned a endangered species known to be ors or near the site. e We, d. Proposed f nosca)ing, use of native plants, or other measures to preserve or enhance Asir, 'Z�Ia 1,-, il CAI ly. e. List all nOXI DUS we Dds and invasive species known to be on or near the site. 5. Animals a. List arty bir is:and nther animals,which h;avp hp,-n nh,-,PrvAd on nr np..qr the-,itp nr arp&known to be on or rwit a the site. Exam es include: on ird 11 rag-�?' Zrds, other: ma mal . 611,94.,rr ear, elk, beaver, other: 1 r: bass, sz Imo r herring, shellfish, other: -4 b. List any thraatenei and endangered species known to be on or near the site. c. Is the site art of a migration route? If so,explains o species known to be r nea 'Rqat v-i rtA v. In i1rn. ovio Lo-M be 'Ai 0 �knal LA'Siq ke; 4MA 1�4p\a_Cj 44-4- 0 rl IVI-0- (e'x -2 s >c e-cL -P'jevrr e. List any in�! s i v�e imal on o rthe-s-ilte, W/ A LA/x 3 7-1 p-,e v- #.c, 0.+-hcz ClAe_CL ,I -r-I I —I K S-2— a. What kinds of en e-gy(electric, natural gas, oil, mod stove, solar)will be used to meet the completed project'5 energy needs? Describe whether it will be used for heating, manufacturing, etc. b. Would you projec:affect the potential use of solar energy by adjacent properties? If so, gene�ally do,, tribe. �Jo c. What kinds of ens gy conservation features are included in the plans of this proposal? List other Jiropose d measures to reduce or control energy impacts, if any: 7. Environmental health a. Are there a environmental health hazards. includina, exposure to toxic chemicals, risk of fife and xpk)sK n,, spill, or hazardous waste, that could occur as a result of this proposal? If so, desc be. i 1) Descri4e any 1,nown or possible contamination at the site from present or past uses. Y-w-On Or' �ossMe 2) Describe exist ig hazardous chernicals/cond itions that might affectoroiact d8velooment and design. This in.-ludes underground hazardous liquid and gas transmission pipelines located within tke prof ct area and in the vicinity. f- 3) Descrit any loxic or hazardous chemicals that might be stored, used, or produced during the pro ct's d velopment or construction, or at any time during the operating life of the project 4) Descri e special emergency services that might be required. EMS - Ir �e_ L-A e-Pt - 5) Proposed me sores to reduce or control environmentalL health hazards, if any: U No *ic tv, 'Aa loos Nemlcals will UW SEPA Eavironmentat onesi Aisi(WAC 1V ffl-uW)j&G version-non project portion amitrea): ZU,4b Pqge 6 of 11 b. Noise 1) What qls of ioise exist in the area which may affect your project(for example: traffic, quipm nt, operation, other)? tv % I 2) What pos an J levels of noise would be created by or associated with the project on a saarz- .Mi CsT 6 bas�s exat'apla: iiaiiic' G(tOfe-rl'z' i llch- cate wt at houi s noise would come from the site. 54ri Je FDWeY MI5 4 ynera*1DY-. 66bkkein S*rvl - S'Pm 3) Proposed measures to reduce or control,ndise impacts, if any, CMS' C+bi Wilt be bXiwtien %AIM- 5M as i-D V'J-4 Wu*tfy- Q VIAA I nind zing h a. What is the current use of the site and adjacent properties?Will the proposal affect current land uses on ne aray or adjacent properties? If so, describe. '1 ,e5idwlbi ?Yb�Mak Wi" N30ra� > tared Uses b. Has the pr ject sit been used as working farmlands or working forest lands? If so, describe. other uses s a re wit of the proposal, if any? N If resource's la d8 t ave not been designated, how many acres in farmland or forest land tax status will I ie'converted to nonfarm or nonforest use? PrOy busine,s oper,itions, such as oversize equipment access, the application of pesticides, tilling, c,nd ha r fesbng? if so, how: c. Describe a iy structures on the site. r", A., f d. Will any stru4uref be demolished? If so, what? 6 e Aoli+(DYE va e. What is thE: currer t zoning classification of the site. P—V F. V4 I lai ISICIE Cuf Per C Cofrfjire�rterfsfve P-fart 61, e g. If applicabl who is the current shoreline master program designation of the site? Je, h. Has any p rt:iof thi site been classified as a critical area by the city or county? If so, specify. SEPA Environmental the ll (WA C 197-11-NO)(MC version-non project ect portion omitted): 2016 Page 7 of 11 i. App y hcA t many people would reside or work in the completed project? j. Approximmely ho%/many people would the completed project displace? SU k. Proposed measures to avoid or reduce displacement impacts, if any: L. Proposed i i0asun rs to ensure the proposal is compatible with existing and projected land uses and; arks, if ny: ojtjp- a4V WX LO 11 1 Q *V%- C-Al *-0- PrMX1 ck) �Ovfym 01 YMI Dy-e czyisttae�tm 4411S. rs m. Proposed ioasu s to ensure the proposal is compatible with nearby agricultural and forest lands of to g�term commercial significance, if any. 9. Housing a. Approxima el ha t many units would be provided, if any? Indicate whether high, middle, or low- incomehot jng. ;&,'- b. Approxima eIV how many units, if any, would be eliminated? Indicate whether high, middle, ors \*-in me housing. c. Proposed Oieasurts to reduce or control housing impacts, if any: 6\kt 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas-, what is b. What view in the mmediate vicinity would be altered or obstructed? c. Proposed 6iease" s to reduce or control aesthetic impacts, if any: K IMA 01i 11. Light and gla a. What type f light or glare will the proposal produce? What time of day would it mainly occur? b. Could light arialard from the finished nroiect be a safk-tv hq7ard or intnrfi-rp with vipw.q? [\J C) c. What existi ig off-s ite sources of light or glare may affect your proposal? d. Proposed ieesurl s to reduce or control light and glare impacts, if any: SEPA Environmental chec�UsimAc 197-ii-9t M(MC version-non project portion amitted): 2016 Page 8 of 11 12. Recreation a. What desk n ted nd informal recreational opportunities are in the immediate vicinity? b. Would the )repos project displace any existing recreational uses? If so, describe. c. Proposed ineasunhs to reduce or control impacts on recreation, including recreation opportunifibs to be provided by the project or applicant, if any: Iv 13. Historic and cultura preservation a, Arp thprp. P ny hi iiii linns; ctrt irt irpcz nr 9.itacz InnqtPA nn nr naar the Qifsm th=t =nm nvr�r. AR wanrc nlrl listed in or -,10ble for listing in national, state, or local preservation registers located on or near the site? If so, spe olifically describe. 0 b. Are there any Fan marks,features, or other evidence of Indian or historic use or occupation? This may ir clude t iuman buriais or old cemeteries. Are there any material evidence, artifacts, or at the site t:) identl"y such resources. c. Describe tl-ie methDds used to assess the potential impacts to cultural and historic resources on or near the project site. Examples include consultation with tribes and the department of 2mbpoloov and hi,forin nrP.tzP.rv;;tinn qrP-hAP-nInHr,.::iI -,i irvANm- h1--tnrin mnn- r,'115" rint-A iatn as M Car. v"ceA s c at cke s. d. Proposed r ieasures to avoid, minimize, or compensate for loss, changes to, and disturbance to resources. lease include plans for the above and any permits that may be required. Iv I 14. Transportat"dn I a. Identify pu ilid str is and highways serving the site or affected geographic area and describe proposed 1coess t)the existing street system. Show on site plans, If any. h, Is,the. site 0 r;iffpr d niannranhin Aron nt irnantiv qp-nip.ci hv nt Hirt transit? If,,-r) nonprPlIv - - I I - I I I - - - - - -- I - --� �/--- -- -1 describe. 'not, wriat is the approximate distance to the nearest transit stop' ,�., No . c. How many a4ditiotal parking spaces would the completed project or non-project proposal have? How many would e project or proposal eliminate? Iy SEPA w"llvhonmenim C;Ad(;�jfb (WAC v&rsibf7-r4unprqjocTp(;r-k)n ufmueu): 20io 0t I i d. Will the pr(P�sai ire any new or improvements to existing roads, streets, pedestrian, bicycle or state tra isoortE tion facilities, not including driveways? If so, generally describe (indicate whether PL blic or )rivate). e. Will the pr ject or )roposal use (or occur in the immediate vicinity of)water, rail, or air transportatIon? If io,generally describe. NO f. How many vehicu ar trips per day would be generated by the completed project or proposal? If known,ind cote en peak volumes would occur and what percentage of the volume would be trucks su I as cc nmercial and nonpassenger vehicles). What data or transportation models were used to mak these estimates? g. Will the pr posal ii terfere with, affect or be affected by the movement of agricultural and forest products oJi roads or streets in the area? If so, generally describe. NO.! 1. r-,toput;eU III leatiur s is 1 eu ura QJ cunxroi transpt)aaaun Impacts,if any: 15. Public servicill.'s a. Would the roject *exult in an increased need for public services (for example: fire protection, PuliQe PICAO.U(tort, ubilc transa, neaitri,care, scriodis, citner) ' A so,generally ciescriDe. HID- b. Proposed rl�asures to reduce or control direct impacts on public services, if any. NW 16. utilities a. Circle utili4)s cum intly available at the site: electricity, naiuraigas, water, refuse service, telephone, i sanitary,sewer, septic system, other b. Describe t l e utilitk is that are proposed for the project, the utility providing the service, and the general ra 18 ,co is1ructil in activities on the site or in the immediate vicinity which might be needed 111 , SEPA Environmental chellisl(WAC 197-t1-9601(MC version-non project portion omitted): 2016 Page 10 of It C. W MATU e The above answer re t e nd c pl e e best of my knowledge. 1 understand that the lead age em o ake is e sio . Signature: -- Date Signed: I ' Print flame of Sig es: If applicable, Posit n and Agency/Organization: I SEPA Envkonmental chec WAC 19J-tt- project portion omitted): 2016 Page 11 of I I ( �fMC version-non m1 ' PLANNING POWER COP A P'a SOC +JTMT1ES TACOMA PVA.L4L UT11,3141t5 December 8, 417 VIA EMAIL and USPS RECEIVED ! diri Wertheime i c/o Pete Wert imer DEC 1 12017 7022 121" Pla e'SE Newcastle,WA 9805. 615 W. Alder Street I SUBJECT: rthein ier Shoreline Structures on Tacoma Power Property (D3 L38) 4 Dear Mr, Wert,eirrer: I � i m nt. f Public Utilities Light Division Tacoma Power was.recently The City of Ta II o a e art e o P � � y y p li 7 d engineering E'F'lr's plans�? contacted to r i w a 'horeaine use permit application aria associated e g�rie 0 p s a Bradley Charl mi , Professional Engineer, Mated November 1, 2017, for reconfiguration of existing structL red an4 uses„and installation of a gravel path, on Tacoma Power property fronting your d:,,vblopt ient lest 38, plat of Lake Cushman No.3. The i proposed d ction i11 require issuance of a short-feral license from Tacoma Power before any work o on Irth coma Power property waterward of 742 feet elevation, followed by a shoreline use eTmitce the work has been completed. Tacoma Power has no obiection to you movie fo rd reaulatorv.Dermittina for the proposed activity on Tacoma Power ,property, Plea e k sure that all permit applications and supporting material reflect the requirements a ined in the December 8; 2017, application review letter, j i Please provid a cop of this letter to the regulatory agencies when you submit your plans to I them, Peel fre to co .. act me at 253-441-4180 or wwright ci.tacoma.wa.us if you have any questions. ? i i Sincerely I U r W nnae Wri t y 3 j Shoreline and ands Coordinator Tacoma Powe t elVW: ct Wer#he etoKi roceedwithre perrrsi8ting_120817 cc: Dori Bisho O , Sr. R al Estate Specialist, City of Tacoma i i i { ' I i i PLANNING 628 South 35`"Street acoma,Washington 98469-3192 POWE� avOswa PUBLIC EJ i-1, E sE S TACOMA PUBLIC UTILITIES December 8, 1017 VIA EMAIL and USPS RECEIVED Jiri Wertheimej c/o Pete Wert 2017 DEC 1 1 2017 7022 121�t Pla' e SE Newcastle, W 9805E 615 W. Alder Street Subject. TaciI irna Po er Shoreline Use Permit Application Review Lot 38, Plal of Lake Cushman Division 3 Jax Parce No. 42318-50-00038) Reference: Pi Dject N . 2017-232/SUP362 Dear Mr. Wert ielmer,. Thank you for,I pplyin for a Shoreline Use Permit (SUP) for existing shoreline structures and uses associat d with vour development lot No. 38, Plat of lake Cushman Division 3. As you know, TacomE Powers Cushman Hydroelectric Project area (Project) includes all lands located waterward of t le 742foot elevation Project boundary. Tacoma Power also retains a 10-foot lateral easemE nt,on your leased development lot adjacent to the Project boundary. All structures and uses Ic Gated waterward of 742 feet elevation, and all structures and fill placed within the 10-f o late al easement require authorization from Tacoma Power. Tacoma Powe as reviewed your SUP application package for conformance with Tacoma Power's Shoreine Use, Specifications and Permitting Guidelines (SUSPG) and has the following comments: Items Rev ewed: 0 SUP a plicatin dated November 15, 2017 (received Novernber21, 2017) Drawin s (2 pages). Page 2 is stamped by Bradley Charles Smith, Professional Engine r, dated November 1, 2017, and • Tacom Powe Records. 1. Pier. Allo ed. As shown in the above referenced drawings, you have proposed to replace the deckin of you existing pier to meet current guidelines while increasing the size. You plan to retE in and ise the existing 8 wood piling. The structure currently occupies 150 square fee and th a new structure will occupy 299 square feet of overwater coverage. Your plan confo ms tot ie conditions of Appendix B Section 2 "Private/Single Family Docks" of the SUSP and it be allowed. See Figures 1 & 2. 2. Gravel a h o i r. Allowed, with conditions. As shown in the above referenced drawings, oW ha proposed to install a new gravel path to provide access to the pier. Tacoma Power wi allow the proposed path per Appendix 8 Section 9 of the SUSPG and subject to I ie con itions therein. The existing wood path must be removed from Tacoma Power prol efty. S Ie Figures 1 and 3. Jiri WertheiME r December 8, 0 7 Page 2 3. Buov. Ta 0 Removed. As shown in the above referenced drawings, you have proposed to remove yc ur exisl ing buoy. Per Appendix B, Section 6 of the SUSPG, you are allowed either a dock or i buoy_ You have proposed to retain your existing dock and therefore, the buoy is 4. Debris. T be removed. All debris and abandoned materials located on Tacoma Power's property atOrwai d of 742 feet elevation and on the lakebed fronting your development lot must be r moved and disposed of at an appropriate upland facility. Other Info' coati n: 5. Tacoma's' 10-to lateral easement area. l-acoma retains a 10-foot lateral easement on the develO ment is adjacent to the 742-foot elevation boundary. Any permanent structures ior fill in this area must be approved by Tacoma. As shown in your drawings, you will have o gravel path and firepit located in the 10-foot lateral easement area. Next Step for pplicant: 6. Ke uiato er its. Requirea. timer-tne-Tact regulatory permits are requirea Trom ivason County an J the U S. Army Corps of Engineers for your existing structures and proposed reconfigurations. Enclosed please find a letter from Tacoma Power, the land owner, allowing you to pro epd wi h regulatory permitting for your project. Per Section 1 of the SUSPG, copies oft e necA ssary regulatory permits are required before Tacoma Power can issue an SUP. Onc obtair ed, please provide copies of the required permits to Tacoma Power to satisfy this requiri ment. If necessary, Tacoma's allowable use requirements will be modified Next Step_ or aroma Power- 7. CulturalF esourc es Survey. Not required at this time. A Cultural Resources Survey (CRS) is n A,requ red at this time because no ground disturbance is proposed and the ground dis'.urbanc a that occurred when your structures were initially installed occurred prior to our CR r6quir ment. Please note that in the future, before any ground disturbance occurs, a NS wl f be required. 8. Short-ter icer se. After you have provided copies of the required regulatory permits Tacoma P wer w I issue you a short-term license to perform the work described above. 9. Shoreline U e Permit. Upon verification that you completed the requirements of the short- term licen e, Tao rna Power will issue a 5-year Shoreline Use Permit for the allowed uses and struct res. it Jiri Werthein� December 8, 117 Page 3 If you have qu st�ons iegarding this review of your application, please contact me at (253) 441-4181 0 via email at wwri htecityoftacoma.org. Sincerely, Wynnae righ� Shoreline and ands Goordinator Tacoma Powe WVV:cb WertheilrAppRe(iew-1 20817 Enclosures cc: Bret Forre,, let, Wi dlife and Lands Manager,Tacoma Power Kyrra Wils n, Wil( life and Recreation Lands Officer, Tacoma Power Dori Bisho Sr. f;eal Estate Specialist, City of Tacoma h Jiri Wertheime - Enclosures December 8, �7 ♦ � t r y E. { c= AfL^ ,1 '.,,._fir .� L''T' F♦� �i — >4( y<a ..is� l Figure 1. Cve i w of existingstructures. r � �y m x • c s Figure 2. Ove View of existing pier. Jeri Wertheim -'',Encl sores December 81 -7 kw.. i w WOOd pat Q b replaCBd it gray l pit Figure 3. Exis ing w(N path. i r yq All r•3( ,.i*� i, ._ • � y +i�',c is ,,� �*�� M 111C Y-.. 7,77 14 41 y v i- a ;g t d t� - r t' r.. t ti C w s i { r r 'P1 s v� 04 x Y ,' ��H'L 1889 aOn STATE OF WASHINGTON DEPARTMENT OF ECOLOGY O Box 47775 •Olympia, Washington 98504-7775 •(360)407-6300 711 for Wa ington Relay Service •Persons with a speech disability can call 877-833-6341 January 17, 0]j 8 Kell Rowen, �nior Tanner Mason Coun Department of omr iunity Development Planning DiN is n PO Box 279 Shelton, WA 918584 Dear Mr. Ro ear: Thankyoufcrtheo ortunity to comment on the determination of nonsignificance for the Wertheimer k P ject(SEP2017-00071 & SHX2017-00068) located at 130 North Discovery Drive in Hoodsort proposed by Jiri Wertheimer. The Department of Ecology(Ecology) reviewed the e 'viro ental checklist and has the following comment(s): WASTE 2ZES UCES: Beth Gill (360) 407-6380 The appli cot pr poses to demolish an existing structure that may contain treated wood. Please re er,to E ology's publication "Focus on Treated Wood Exclusion,"available at: htt s://fo r ss.w . ov/ec / ublications/ ublications/0304038. df, for suggested best manage e t practices and disposal requirements for treated wood. For additional informaf r�or cl rification, please contact Dee Williams with Ecology's Hazardous Waste and Toxi s Pedu tion Program(HWTR) at(360)407-6348. Ecology's c I ent are based upon information provided by the lead agency. As such,they may not con it to aj i exhaustive list of the various authorizations that must be obtained or legal requirements t t must be fulfilled in order to carry out the proposed action. If you have a ny questions or would like to respond to these comments,please contact the appropriate r vjewi staff listed above. Department i if col y Southwest R glonal Dffice (MLD:2018(0036) cc: Beth Gil 2R Dee Will latris, TR Jiri Wert iej mer I Applicant) Brad Sm th Wa rsmith Construction, Inc. (Agent) City of c�ma, racoma Public Utilities(Owner) �I �t A Cushman Shoreljne Structure Questionnaire Lessee name(s):-- Pj4 roperty address: 130 N l :Sl,&x-n., Q ��s� Email: r � Phone: `f2i� 2` (M-? Div/lot/short plc, Parcel#: Z1_ °> �c1t 39 Identify the type an If dumb r of each structure associated with your lot below an elevation of 742 feet: Q' Dock I 1 ❑ Stairs/steps ❑ Withdrawing or discharging ❑ Bulkhe_adl ❑ Patio water from the lake I,ik Mooring buoy ❑ Deck ❑ None ❑ Swimming float/ ide/othe r ❑ Pathway Other Q:~� ❑ Log boom ❑ Electrical/water ❑ Boat lift ❑ Storage shed ❑ Boat ramp ❑ Retaining wall in _ SEI 1V E 1. Do you have a etimit i ued by Tacoma Power for any of these structures? VYes ❑ No If es, lease provide: OCT O 5 zO'4 Name(s)on peni : r affi ke•V` .l City of Tacoma mit �ber: -�_ RY- �l .�5 �Fz` � e Permit issue da Structure(s) per ed: Do you have an c,trucb ires below an elevation of 742 that are not included in a permit by Tacoma Power? tz,Yes ❑ No f es, ease list those structures: (?^ u -:),1: 2. Describe your r-wii1ter structures and uses: Structure ID: (Label Ty : (Floating dock,stationary dock, Floatation type: (Unencased styrofoam, Year with a letter on sketc swi min float,mooring buoy or other) encased st rofoam, barrels,tires or other instatWd �v�k1 C r. 3. Bulkhead des i tion Bulkhead: Label wit Jett on sketch Construction materials: Concrete,rock,wood Year constructed 4. Describe your land-ba sed structures and uses: Land-based use ID Type: (Deck, shed,fire pit, stairsisteps,storage container, boat Year Label with a letter oil s etch storage,retaininq wall or other) installed