HomeMy WebLinkAboutSHX2000-00019 - SHX Permit / Conditions - 9/5/2000 5�, •STATFO MASON COUNTY
o DEPARTMENT OF COMMUNITY DEVELOPMENT
;. S N i P O Box 578, Shelton, WA 98684
N y y (360)427-9670, Ext. 296
of �o
1864 Exemption from Shoreline Management Ac
Case No.: SHX2000-00019 Substantial Development Permit Requiremen
The Proposal By: JOHN C. KNEELp D
PO BOX 81
SHELTON, WA 9, 584
To undertake the following developmerl :
REPLACE FOUR PILING FOR EXISTING FLOAT OF A PIER RAMP AND FLOAT STRUCTURE.
LOCATED AT 22820 US HIGHWAY 10 , POTLATCH
" I
Within HOOD CANAL and/or its associatIt wetlands is exempt from the requirement of substantial
development because the development is' ategorized under WAC 173-1-040(B) as being category
B-normal maintenance
Issued: 09/05/2000
Expires: 03/05/2001
Authorized Local overnment Official
CC.' APPLICANT WDFW USACOE
WDOE WDW CMMR/DIRECTOR OF DCD
TRIBAL COUNCIL
M )5/200o Conditions Associated with Case #: SHX2000-00019
12:33:45 PM
Cond. Stat. Changed Updated
Code Title Hold Status Changed By Tag Updated By
0001 PILING REMOVAL 0 Not Met 09/05/2000 JEM
1)THE DERELICT PILING ADJACENT TO THE NORTH SIDE OF THE FLOAT SHALL BE REMOVED.
2)ALL CONSTRUCTION DEBRIS SHALL BE REMOVED FROM THE WATER AND BEACH.
3) ALL CONSTRUCTION SHALL COMPLY WITH THE MASON COUNTY SHORELINE MASTER PROGRAM.
4) ALL CONSTRUCTION ACTIVITY SHALL COMPLY WITH THE CONDITIONS OF THE APPROVED HYDRAULIC
PROJECT APPROVAL.
Page 1 of 1
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JARPA FORM ���V Ex�e�Pl .0
ow uss in Wsslwplon Soft) �f —
TYPE OR PRINT IN BLUE OR BLACK INK
praoadirp docldiat,I am swx*V this application to the following: (check a1 that apply)
Local Government for shoreline: ❑ 1 Development [IConditional Use [I Variance�mption;or,if applicable
❑F Management ❑Critical Areas Ordinance
Washington Department of Fish and Wftdo for HPA
❑ Washington Department of Ecology for: Approval to Allow Temporary Exceedance of Water Quality Standards8
401 Water Quality Certification Nationwide Permits v
❑ Washington Department atural R for.❑Aquatic Resources Use Authorization Notification
Corps Engineers f�Section 404 ❑ 10 permit
❑ Coast Guard for ❑Section g B Pwmit
SECTION A-tJsa for all pwna is covw+ed by 6&t application. Be sure to also complete Section C(Signature Blocks)for all permit
appmcadons•
1.
7E�ZA,Ud
i3 8/
WORK PHONE HOME PHONE FAX N
Kan agent is artIng for the appUcant during On pwo0t process,complete#1
2 AGBrT
�I�IQ /V-
MAILING ADDRESS
WORK PHONE HOME PHONE FAX N
Igo. 4�0�-/---6-907
RELATIO k SHIP OF APPLICANT TO PROPERTY: CHASER O LESSEE O OTHER:
4.NAME,ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(s),IF OTHER THAN APPLICANT:
6.LOCATION(STREET ADDRESS.INCLUDING CITY,COUNTY AND CODE,WHERE PROPOSED ACTNITY EXISTS OR WILL OCCUR)
WATER
TRIBUTARY OF
IM SECTION TOWNSHIP RANGE GOVERNMENT'I SHORELINE DESIGNATION
taE R
v ZONING DESIGNATION
TAX PARCEL NO.: DNR STREAM TYPE,IF KNOWN
Applift On Paps,d 4
S. DESCRIBE THE CURRENT USE OF THE PROPERTY,AND EXISTING ON THE PROPERTY. F ANY PORTION OF THE PROPOSED ACTIVITY IS ALREADY COMPLETED ON
THIS PROPERTY,INDICATE MONTH AND YEAR OF
� i�b►LE FiQ/�!!L y �4 E�(,°�E- l�/I�uSE� �cnc,Q�-�'�c����-�A�
16 THE PROPERTY AGRICULTURAL lJ1WD?❑YE ARE YOU A USDA PROGRAM PARTICIPANT? ❑YES❑
74L DESCRIBE THE PROPOSED WORK COMPLETE PLANS AND ICATIO NS SHOULD BE PROVIDED FOR ALL WORK WATERWARD OF THE ORDINARY HIGH WATER MARK OR
i
7b.DESCRIBE THE PURPOSE OF THE PROPOSED WORK
107E 4017-y 72) �S T-C--/Y
WIlVT;C-7-�e _<TVA S
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
4464!'="eS c
PREPARATION OF DRAWINGS: SEE APPENDIX I -SAMPLE DRAWINGS AND CHECKLIST FOR COMPLETING THE DRAWINGS. ONE SET OF ORIGINAL OR GOOD QUALITY
REPRODUCIBLE DRAN9NGS MUSjBE ATTACHED, NOTE: APPLICANTS ARE ENCOURAGED TO SUBMIT PHOTOGRAPHS OF THE PROJECT SITE,BUT THESE DO NOT SUBSTITUTE
FOR DRAW WGS. THE CORPS OF ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAY BE REQUIRED BY OTHER
AGENCIES
S.WILL THE PROJECT BE CONSTRUCTED IN STAGES? ❑YES xO
PROPOSED STARTING DATE i�i��ana y'� f/� / -IS DQ
ESTIMATED DURATION OF ACTIVITY:02—7 =
g.CHECK F.ANY STRUCTURES WILL BE PLACED: �EJO
Q
NATERWARD OF THE ORDINARY HIGH WRIER MAR FRESH OR TIDAL WATERS;AND/OR
/lcl�WATERWARD OF THE MEAN HIGH,WATER LINEE IN TI10.WLL FILL MATERIAL(ROCK,FILL,BULKHEAD,PILINGSTERIAL)BE PLACED:
❑WATERWARD OF THE ORDINARY HIGH WATER MAR FRESH WATERS? IF YES,VOLUME(CUBIC YARDS) /AREA (ACRES
❑WATERWARD OF THE MEAN HIGHER HIGH WATER FERS? IF YES,VOLUME(CUBIC YARDS) /AREA (ACRES)
11.WILL MATERIAL BE PLACED IN WETLANDS? ❑YES NO
IF YES:
A.IMPACTED AREA IN ACRES:
B.HAS A DELINEATION BEEN COMPLETED? F YES,PLEASE IT WITH APPLICATION. ❑YES ❑NO
C.HAS A WETLAND REPORT BEEN PREPARED? IF YES, SUBMIT WITH APPLICATION. ❑YES ❑NO
D.TYPE AND COMPOSITION OF FILL MATERIAL(EG„
E MATERIAL SOURCE:
F.LIST ALL SOIL SERIES(TYPE OF SOIL)LOCATED AT THE CT SITE,i IN04CATE IF THEY ARE ON THE COUNTY'S LIST OF HYDRIC SOILS, SOILS INFORMATION CAN BE
OBTAINED FROM THE NATURAL RESOURCES CONSERVATION VICE(MRCS):
12.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING WETLANDS? ❑YES 'rNo
Application Page 2 d 4
IF YES,IMPACTED AREA IS ACRES
I&WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? ❑YES O
IF YES.WI
A.VOLUME:_(CUBIC YARDS)IAREA_(ACRES)
8.COMPOSITION OF MATERIAL TO BE REMOVED:
C.DISPOSAL SITE FOR EXCAVATED MATERIAL:
D.METHOD OF DREDGING:
14.UST OTHER APPLICATIONS,APPROVALS,OR CERTIFICATIONS FROM OTHER FEDERAL,STATE OR LOCAL AGENCIES FOR ANY STRUCTURES,CONSTRUtMON,DISCHARGES,
OR OTHER ACTIVITIES DESCRIBED IN THE APPLICATION p.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 APPROVED COMPLETED?
SFp?4 c�YP?- AdA 40A.)
li
SEPA LEAD AGENCY ,jj!Z6,(j VT SEPA DECISION:�][�yL1/P� SEPA DECISION DATE
15. HAS ANY AGENCY DENIED APPR VAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTMTY DIRECTLY RELATED TO THE ACTIVITY
DESCRIBED HEREIN?❑YES 6 O IF YES,EXPLAIN:
SECTION B-Use for Shoreline and Corps of Eng permits on/v:
16. TOTAL C ST OF PROJECT. THIS MEANS FAIR MARKET VALUE OF THE PROJECT,INCLUDING MATERIALS,LABOR,MACHINE RENTALS,ETC
17. LOCAL GOVERNMENTTHRH JURISDI ON l
A1A -. 6A J GOVERNMENT
;z4'u u1Av G Ael,eu,u -_AT✓/
18. FOR CORPS,COAST GUARD,AND ONR 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
Application Page 3 of 4
SECTION C- This section MUST be comphted Mr any pern>tt covered by this application.
19 ' APPLICATION IS HEREBY MADE FOR A PERMIT OR PERMITS TO AUTHORIZE THE ACTIVITIES DESCRIBED HEREIN I CERTIFY THAT I AM FAMILIAR WITH THE
INFORMATION CONTAINED IN THIS APPLICATION,AND THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF,SUCH INFORMATION IS TRUE,COMPLETE,AND
ACCURATE. I FURTHER CERTIFY THAT I POSSESS THE AUTHORITY TO UNDERTAKE THE PROPOSED ACTIVITIES I HEREBY GRANT TO THE AGENCIES TO
WHICH IS APPLICATION IS MADE,THE RIGHT TO ENTER THE ABOVE-DESCRIBED LOCATION TO INSPECT THE PROPOSED, IN-PROGRESS OR COMPLETED
I AGREE TO START WORK ONLY AFTER ALL NECESSARY PERMITS HAVE BEEN RECEIVED WD
stGNA fcANT 19WAUTHORIZED Ac�rrT � D TE
1 HEREBY DESIGNATE ZI N4A
TO ACT AS�AGENTMATTERS RELATED TO THIS APPLICATION FOR PERMFT(S). 1 UNDERSTAND THAT IF FEDERAL PERMIT IS ISSUED,I MUST SIGN THE PERMIT
6/ 4f /—CZ)
CAT9URE OF APPLIC DATE
SIGNATURE OF LANDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS,E.G.DNR) DATE
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.&C§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 fad 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.
'iQMPi. U BY 1�DCAL O FFJ 1AL
,A; NeIWraQftheell's;tttsg shorell� jp9( �typt3 of Shoreline;such as�an�e, Stream, lake 'lagoon, marsh, bag, swamp; flood
lain,lflopdway,delta; 1pe flfbeech, lei ac:cre#ion, erosion,#sigh rank;low bank, or d.Ik ..material such as sand,gravel,
mud,clay rock,nprap and ekter#t end ty f h0h.eadtn,, any:
l3 in the a eis#that arty of ttte prppose I;bdih ings or structures wt11 exceetl a height of thirty five it;et above the average grade
iel,tisdtGate;the�pptoxima#e tpGa#tots of oI#ttl rtutr�ber of residen#Ia1 ttrlt#Sr: xlSbng.S>ld Peen#ial,that wi11 have an obs#ruc#ed
vsW ;
G....lf the spplicatiort ittltolyes a t. iHdlisttslsor xarrance,aet forth in fall that!portionaf ilia raster lragram wfsioh;prav{des iliat
be dandttictrfaf 1;isla or in t#e case Ai a varatice,frdm which the>ariahGe is bait}.g sought
s.Prr?0":io"irtt#}t.:,.:..:.:. .: ..::...::...:.... r
Go+ l> rl of topoW well iirtNtt
C7:� f+� 1tIr Fiaatsplotat Cl 5tKl�ear FlaaApbart;C7 ChAlttde Pae>a p;v�na+#:olslPleted
t='�!A I...... WtviiRj panal.3Jurtlberc
t,e 3b�tr ivo yt�r.FtoadPtel o�araGalc t eJss ,ow", ure mots tees.
'tt►e;Soyvss�P txewinp f�isvaYton is feet
M ldirsg and Constra&joo DOCUmOntation
tax�siiaa iQblquRad ,�, <Certf�ton $urveyartAlrrhiteciJ�ngineaf
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I teyaled Hausa+g r+t� postfionatlluian
JylefattgKl to YYtI11e+Yrpy
t}Fp{ES.
These Agencies are Equal Opportuntty and AMnna five Action employers.
For special eocortrfodebbn needs,please contact the appropriate agency from Appendix B.
Application Page 4 of 4
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KNEELAND, John C.
22820 Hwy 101 North
_ (Potlach) Hoodsport, Mason County,
Washington 98448
Hood Canal, West Shore
Parcel #42223-50-00026
Sec: SE 23 TWP: 22N R: 4W
N: 47.28.355 W: 123.05.451
PHOTOS: Historical and Current
#2 = Pre-1972 (4 float pilings)
#1 = Late 1980's
#3 = July, 2000 (2 float pilings)
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