HomeMy WebLinkAboutSHX2009-00040 JARPA - SHX Application - 11/13/2009 ON-STATF ' MASON COUNTY
�P5 c o
M �� DEPARTMENT OF COMMUNITY DEVELOPMENT
4 O
° S NU Planning Division
o Y Y P O Box 279, Shelton,WA 98584
(360)427-9670
1864
REQUEST FOR ADDITIONAL INFORMATION
November 13, 2009
EDWARD BELSKY
E 11 FRANJO BCH DR
SHELTON WA 98584
Parcel No.: 220165p 1001
Project Description: Replace existing 10' X 10' chain anchored float with same size
float.
Dear Applicant:
You have submitted a permit 0plication (case no. SHX2009-00040) for proposed
construction or development ir the county. Upon review of your application, I require
additional information to comp ete the permit review process.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the!additional information is not provided to the County
within 180 days of this request the application shall expire and no further action on
the proposed development sh II take place.
Please contact me at (360) 427-9670, ext. 360 if you have questions.
Sincerely,
Grace Miller
Land Use Planner
Mason County Planning Departme it
Comments: Please submit a i overhead site plan showing the proposed float with
dimensions tote shoreline and property lines. An example is
attached. Thank you.
11/13/2009 Paae 1 of 1 SHX2009-00040
MASON COUNTY
C ATE° DEPARTMENT OF COMMUNITY DEVELOPMENT
o n o �= Planning Division
'- o T 2 P O Box 279, Shelton, WA 98584
4> N Y y (360)427-9670
OJ �O
1864
Exemption from Shoreline Management Act
Case No.: SHX2009-00040
Substantial Development Permit Requirement
The Proposal By: EDWARD BELSKY �`` `�` � _
E 11 FRRA O`�hi�P1R 3(o i� I I N A V�:
6`H ELTO VVWA�98584
To undertake the following development:
Replace existing 10' X 10' chain anchored float with same size float.
Within PICKERING PASSAGE and/or its associated wetlands is exempt from the requirement of substantial
development because the development is categorized under WAC 173-27-040(2) as being category
A-does not exceed $5,000
Please contact Grace Miller at ext 360 if you have any questions.
Issued: 2/2/2010 1_1 Lt' e
Expires: 2/2/2012 Authorized Local Government Official
cc: APPLICANT WDFW USACOE WDOE TRIBAL COUNCIL
r= '
AGENGX USE ON
2009
US Army Corps �� ate 1'ecelYel� R '�,�
WASHINGTON STATE of Engineers �
Joint Aquatic Reso� rces Permitg�
Application (JARP ) Form hel
USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. a%PBreC„"'
Part 1—Project Identification a
Unique project information that makes it easy to identify. [helpi
1a." Unl ue Pro ect l enb iex um r(UPI #) inel
. Don't have one yet PGe one at http://www.eperrnitting.wa.aov or Call,the washln f6h Gove pfi Re u o ss�s a
'at(800)917 00
v
796979-09-01
PEW
b rOeCt�aftle"Examp fes Smith's Dock or Seabrook Lane Development) hel
Replacement of Belsky Float
Part 2—Applicant
The person or organization responsible for the project. hel
2a-. Name (Last, Firs Middle)and'Organization(if appiicabie
Belsky, Edward, Michael
z=20, Mailing Address Street or 0
3620 114th Avenue East,
2c. City, State,Zt�
Edgewood, WA 98372
2d. Phone(1) 2e. Phoned 2f. Fa 2 E`mae
( 206 ) 214-3167, ( 253) 279-9900 EdBelsky@comcast.net
(253 ) 863-3245 work Cell
Part 3—Authorized Agent or Contact
Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b. of this
application.) hel
0�0_�11
3a. Name (Last,First,Mid le an Or n IOt�a#a Ica
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3b: Mailing Address(street or Fo Bozo N
_ ,.v . . _ -
.
3c.' City, State, Zip
3d. Phone(1) 3e. Phone(. . 3f. Fax 3 E=math
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JARPA2009
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Part 4-Property Owner(s) Lei
Contact information for people or organizations owning the property(ies)where the project will occur. [LeIPJ
® Same as applicant. (Skip to Part 5.)
❑ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.)
❑ There are multiple property owners. Complete the section below and use JARPA Attachment A for each
additional property owner.
iqgzl
4a. Name (Last,First, Middle)and Organization (if applicably '
M�W,
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4b. Mailing Address (street or Po Boxy
4c. City, State, ZlpI IN
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4d. Phone(1)
4e. Phone(2) 4f. Fax 4 . E-marl
Part 5-Project Location(s)
Identifying information about the property r properties where the project will occur. nel
❑ There are multiple properties or projeC locations (e.g., linear projects). Complete the section below and use
JARPA Attachment B for each additional property.
5a. Street Address (Cannot be a PO Box. If there is no address,provide other location information in,5 hel
_ �,. : _.
11 East Franjo Beach Drive. (Lot one of Block 1 Franjo Beach Volume 4 of Plats
. s... .
5b. City, State,Zip(If the project is not in a city or town.provide the name of the nearest city or town.) he
Shelton, WA
lk
5C. County he► �
y
Mason
5d. Provide the section, township, and range for the project location. hel h -
' Section3 Section}fig Tow shin
/4 -rH Rang
16 20 North 02 West
5e. Provide the latitude and longitude of the protect location.
• Example:47.03922 N lat./-122.89142 W long`
Longitude-122.94453 Lat 47.22348
5f. List the tax parcel number(s)for the project location. her
• The local county assessor's office can provide this information77,
, -
220 165 001 001 (Lot one of Block 1 Franjo Beach Volume 4 of Plats
5g. Indicate the type of ownership of the property. (Check all that apply.) hel PRIM
❑ State Owned Aquatic Land ❑ Tribal ❑ Private
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JARPA 2009
❑ Other publicly owned (federal,sta ,county, city, special districts like schools, ports,etc.)
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51h. Contact information for all adUolnm roperty owners, lessees, etc., (If you need more space,,,,,,use JARP,�
. '
Ml
Attachment C.) [helr � a _
Name Mailing Addres .Tax Parcel # �i known
we
21 East Franjo Beach
Ron Anderson Shelton, WA 98584 22016-50-01002
808 NW 193rd Property located due North
of my property
Brad Spenser Short line, WA 98177
5i. Is an art of the ro ect area within a 100-year flood plain? he( t
YP P J � -El Yes Yes ® No ❑ Don't know
o.
5j. Briefly describe the vegetation and habitat conditions on the property. hel Isle x„ fet
Property is a normal saltwater beach front. Sandy-muddy bottom below the water. Little if any vegetation on the
bottom. .
t-m a
5k. Describe how the property is currently used. hel"INOW _ - r
Property is used as a saltwater beach fo residential home. I am replacing an older float (made of tires filled with
foam, and treated wood)with a new flow made of plastic material. Float will not set on the beach at low-low tide
51. Describe how the adjacent properties are currently used. heI r,..
Adjacent properties are used as residential beach front homes.
JARPA 2009 Pape 3 of 11
5m. Describe the structures (above and below ground) on the prop rty, including their purpose(s). [hey
I have a small cabin on the property (700 square feet.) in which we stay. Currently there is a 10 x 10 float
moored on the water that I am replacing with a new float. Float is used to tie a small boat up to for easy access
into and out of the boat.
5n. Provide driving directions from the closest highway to the project locafion, and attach a'map. he
Access to Franjo Beach Drive is off Pickering road, two miles south of the Harstein Island bridge
Part 6—Project Description
6a. Summarize the overall project. You can provide more detail in 6d. hei
Replacement of an older float. I am replacing an older float (made of tires filled with foam, and treated wood)
with a new float made of plastic material.
R.
6b. Indicate the project category. (Check all that apply.) hel � .,•
❑ Commercial ® Residential ❑ Institutional ❑ Transportation ❑ Recreational
❑ Maintenance ❑ Environmental Enhancement
6c. Indicate the major elements of your project (Check all that apply.) hey
❑ Aquaculture ❑ Culvert ® Float ❑ Road
❑ Bank Stabilization ❑ Dam /Weir ❑ Geotechnical Survey ❑ Scientific Measurement
❑ Boat House ❑ Dike / Levee / Jetty ❑ Land Clearing
Device
❑ Boat Launch ❑ Ditch ❑ Marina / Moorage
❑ Stairs
❑ Boat Lift ❑ Dock/ ier ❑ Mining
❑ Stormwater facility
❑ Swimming Pool
Bridge El g ❑ Outfall Structure
❑
❑ Utility Line
❑ Bulkhead ❑ Fence ❑ Piling
❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall (upland)
❑ Channel Modification ❑ Fishwa
❑ Other:
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JARPA 2009
r
6d: Describe how you plan to construct each project element checked m 6c. Include specific construction
methods and equipment to be used - heI
• Identi where eac aelement will occur i elation to the nearest waferbod"
• Indicate which activities are'wnn1n the 10 `-year tlood`plai
Float will be secured via 25 feet of 1/2 in h galvanized chain to existing augur anchors system. The augurs are
located in the soil underneath the water Below the low-low tide line. The augurs are connected to each other via
25 feet of galvanized chain
6e. What are the start and end dates for project construction? (month/year) 'RielO
-
• If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and,end;dates,o eac ;s
stage, .
Start date: As soon as permit is is ued End date: Same day as I start
❑ See JARPA Attachment D
6f. Describe the purpose of the work and why you want or need to perform it. [nel
Current float is starting to deteriorate and will soon become less than safe to use. Foam in the tires is breaking
down, wood is starting to rot, and connections are rusty.
6g. Fair market value of the project, including materials, labor, machine rentals, etc. [Lelpj
Quote for the dock, including tax and delivery is $4,900. Evans Easy Dock is the supplier. No tools necessary
other than pliers to hook the chain on the the anchor system built into the new float
6h. Will any portion of the project receive federal fundin hel
b. .
-e
9� [h
• If yes,list each agency providing un .f. . ,
❑ Yes ® No ❑ Don't know
Part 7-Wetlands: Impacts and Mitigation
❑ Check here if there are wetlands or w�tland buffers on or adjacent to the project area.
(If there are none, skip to Part 8.)
7a. Describe how.the project has been designed to avoid and minimize adverse impacts to wetlands. hel
® Not applicable
r
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JARPA 2009
7b. Will the project impact wetlands? [hel w
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❑ Yes ❑ No ❑ Don't know
.,
AM
7c. Will the protect impact wetland buffers? [he► " "_ b
❑ Yes ❑ No ❑ Don't know
7& Has a wetland delineation report been prepared? [he► NO-
If yes,submit the report, including data sheets,with the JARPA packag .
❑ Yes ❑ No
7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rain y
System? hel I � * µw
�. -.
If yes, submit the wetland rating forms and figures with the JARPA package.,..-.
❑ Yes ❑ No ❑ Don't know
7f. Have you prepared a mitigation plan to compensate for an -_adverse impacts«to wetlands hel p
• If yes, submit the plan with the JARPA packag "
❑ Yes ❑ No ❑ Not applicable
7g.` Use the table below to list the type and rating of each wetland that will be impacte the_extent nd duration
of the impact; and the type and amount of compensatory mitigation proposed If you ar-eu mit
compensatory mitigation plan with a similar table, you may simply state (below)where we canfind flit.
information in the mitigation plan. [hel' M
Activity causing Wetland type Impact area Duration Proposed Wetland
impact (fill, and ratin (sq. ft. or acres) of impact2 mitigation mitigation area
drain, excavate, category type 3 (sq. ft. or acres)
flood, etc.
Ecology wetland category based on current We tern Washington or Eastern Washington Wetland Rating System. Provide the wetland
rating forms with the JARPA package.
2 Indicate the time(in months or years, as appropriate)the wetland will be measurably impacted by the activity. Enter"permanent"if,
applicable.
3 Creation(C), Re-establishment/Rehabilitation( ), Enhancement(E), Preservation (P), Mitigation Bank/In-lieu fee(B)
Page number(s) for similar information in the mitigation plan, if available:
7h. For all filling activities identified in 7g., describe the source and nature of the fill material, the amount in
cubic yards that will be used, and how and where it will be placed into the wetland. [helbl
7i. For all excavating activities identified in 7g., describe the excavation method, type and amount of material In
cubic yards ou will remove, and where the material will be disposed. hel
Y Y _
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JARPA 2009
7j. Summarize what the compensatory mitigation pta ;is meant o accomplish, and describe how a watershed _
approach was used to design the plan. [hel _;
Part 8—Waterbodies (other tha wetlands): Impacts and Mitigation
In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) [helpi
® Check here if there are waterbodies or or adjacent to the project area. (If there are none, skip to Part 9.)
8a. Describe how the proj6—is designed to avoid and minimize adverse im acts to the aquatic environmen .
[hel
❑ Not applicable
The existing float (and the new float) is located on the water. By replacing the existing float I will be eliminating
the existing float deteriorating and breaking apart. Local waters and beach will actually benefit from a new float
of better material, eliminating Styrofoam, old tires and treated wood from contact with the water.
8b. Will your project impact a waterbody or the area around a waterbody? [heI w MR-
® Yes ❑ No
8c. Summarize impact(s) to each waterbody in the table below. [helpl
Activity causing Waterbody Impact Duration of Amount of Area (sq. ft. or
impact (clear, name location' impact2 material to be linear ft.) of
dredge, fill, pile placed in or waterbody
drive, etc.) removed from directly
waterbody affected
Replacement of Puget Above Permanent Nil 118 square feet
Float Sound the water
Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent, provide the distance between the impact and the
waterbody and indicate whether the impact wi I occur within the 100-year flood plain.
s Indicate the time(in months or years,as apprb riate)the waterbody will be measurably impacted by the work. Enter"permanent"if
applicable.
8d. Have you prepared a mitigation plan to compensate for the projects adverse impacts to non-wetland
waterbodies? hel G
• If yes,submit the plan with the JARPA package. .._..
❑ Yes ❑ No ® Not applicable
8e. Summarize what the compensatory mitigation plan is meant to accomplish. Describe how a watershe
approach was used to design the plan.
• If you already completed 7j.,you do not need to restate your answer here. hel .
Pape 7 of 11
JARPA 2009
8f For all activities identified in 8c., describe the source and nature of the fllmaterl;Jil ,In cubic yards
ou will use, and how and where It will be placed into the waterb& el
�y
y-.
8g. For all excavating or dredging activities identified in 8c., describe the method or excavating or dredg n
type and amount of material you will remove, and where the material will be dispose e
Part 9-Additional Information
Any additional information you can provide helps the reviewer(s) understand your project.
9a. If you have already worked with any government agencies on this project, list them below. [hel
;Agency Name Contact Name ; Phone : Most Recent
Date of Contact
9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 on the Washington Department of r
Ecology's 303(d) List? hel `
• If yes, list the arameter(s)belo
• If you don't know, use Washington Dep me t of Ecology's Water Quality Assessment tools at ' '
http://www.ec .wa. oy/ ro Yams/w /3000
x
}. w
001v
❑ Yes ® No
9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the protect in? hef },
• Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC.'
Puget Sound Watershed -- 17110019
9d. What Water Resource Inventory Area Number (WRIA#) is the project in? Fhel
• Go to http://www ecy wa qov/services/gis/maps/wria/wria.htm to find the WRIA#.
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JARPA 2009
Kennedy/Goldsborough Water Resource Inventory Area (WRIA) 14. North end of Squakin Island area
9e. Will the in-water construction work comply with the Stafi ,of Washington water quality standards fot
turbidity? hel
-loom
• Go to http//www ecy wa.gov/r)roqra
ms/wq1swqs'criter1a.ntm1 for the standards,
❑ Yes ❑ No ® Not applicable
9f. If the projectls with n the jurisdiction of the Shoreline Management Act, what is the local shorehn.
environmentdeslgnatioIN
If you don'I know,cnta Local fanning departure p
• For more information go to: http 7 w�".ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 desi nations htnl fit,
❑ Rural ® Urban ❑ Natural [] Aquatic ❑ Conservancy ❑ Other
9g. What is the Washington Department of Natural Resources Water Type? hel
• Go to httl)//www dnr wa qov/BusinessPermits/Topics/ForestPracticesApDlications Pages/fp watertypmg.aspx t[ he Foes
"
Practices Water Typing System.
® S ❑ F ❑ Np ❑ Ns MARS # 1609384
9h. Will this project be designed tome the Washington Department of Ecology's most current stormwater
_ manual? [hel
• If no, provide the name of the manual your project is designed to meet,
❑ Yes ® No
Name of manual:
9i. If you know what the property was used for in the past, describe below. hel
Recreation, swimming, boating, fishing
9j. Hasa cultural resource (archaeological) survey been performed on the prole 1--rea7 li If yes, attach it to your JARPA package.
❑ Yes ® No
9k. Name each species listed under the federal Endangered Species Act that occurs In the vicinity, of the project,
ro ect
r _
area or might be affected by the pro osed work. nel ,
None that I am aware of.
91. Name each species or habitat on the Washington Department of Fish and Wildlife's Priority Habitats and
Species List that might be affected by the proposed work. MIA,
None that I am aware of
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JARPA 2009
Part 10—Identify the Permits You Are Applying For
Use the resources and checklist below to identify the permits you are applying for.
• Online Project Questionnaire at http://apPs.ecy.wa.gov/opas/.
Governor's Office of Regulatory Assistance at (800) 917-0043 or heipp-ora.wa.gov.
10a Compliance with the State Environmental Policy Act (SEPA) jCheck all that ap� [h
� � WMIN
,Formore information about SEPA, go to www ecy vvqa ov/programs/sea/sepa/e-review. :
❑ A copy of the SEPA determination or letter of exemption is included with this application.
❑ A SEPA determination is pending with (lead agency). The expected decision date is
❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.)
• Submit the Fish Habitat Enhancement Project form with this application. The form can be found at
http://www.epermitting.wa-gov/Portals/ JarpaResourceCenter/images/default/fishenhancement.doc
❑ This project is exempt (choose type of exemption below).
❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt?
❑ Other:
❑ SEPA is pre-empted by federal law. hel
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YY ��
10b. Indicate the permits you are applying for (Check all that apply.)(hel st
; .
LOCAL GOVERNMENT
Local Government-Shoreline permits:
❑ Substantial Development ❑ Conditional Use ❑ Variance
® Shoreline Exemption Type (explain): Replacement of float less than or equal to120 square feet_
Other city/county permits:
❑ Floodplain Development Permit ❑ Critical Areas Ordinance
1. 1'. STATE GOVERNMENT-
Washington Department of Fish and Wildlife:
❑ Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption
Washington Department of Ecology:
❑ Section 401 Water Quality Certification
Washington Department of Natural Resources:
❑ Aquatic Resources Use Authorization
FEDERAL GOVERNMENT
United States Department of the Army permits (U.S. Army Corps of Engineers):
❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters)
United States Coast Guard permits:
❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects)
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DARPA 2009
Part 11-Authorizing Signatures
Signatures required before submitting the JARPA package.
11 a. Applicant Signature (required) hel
certify that to the best of my knowledge and belief, the information provided in this application is true, complete,
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 received all necessary permits.
hereby authorize the agent named in Part 3 of this application to act on my behalf in matters related to this
application. (initial)
By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the
permitting agencies enterin the property where the project is located to inspect the project site or any work
related to the project. `�- (initial)
Applicant Date
11 b. Authorized Agent Signature hei
I certify that to the best of my knowledge and belief, the information provided in this application is true, complete,
and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work
only after all necessary permits have been issued.
Authorized Agent Date
11c. Property Owner Signature (if not applicant) [heipi
I consent to the permitting agencies entering the property where the project is located to inspect the project site
or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the
landowner.
Property Owner Date
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.
If you require this document in another format, contact The Governor's Office of Regulatory Assistance(ORA). People with hearing loss
can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341.
ORA publication number: ENV-019-09
JARPA 2009 Page 11 of 11