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HomeMy WebLinkAboutGRD - GRD Application - 4/2/2018 r MASON COUNTY PERMIT NO. G" COMMUNITY SERVICES DEPARTMENT BUILDING•PLANNING•FIRE MARSHAL - www.co.mason.wa.us (360)427-9670 Shelton ext.352 Mason County Bldg.8 (360)482-5269 Elma ext.352 615 W.Alder Street,Shelton,WA 98584 (360)275-4467 Belfair ext.352 LAND MODIFICATION PERMIT (Grading Permit) OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: fS ;Iwso y NAME: In MAILING ADDRESS: /=',,Q l rJp lr' MAILINGADDRESS: CITY: 5 —rtiyea... STATE: ZIP:_ j CITY: STATE: ZIP: PHONE: 41°IU yZ)b CELL: fI, PHONE: CELL: EMAIL: A , l EMAIL L&I REG# EXP. PARCEL INFORMATION: / PARCEL NUMBER(12 DIGIT NUMBER) Z 2 Q/ FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED): \1z f yy SITE ADDRESS ,, 'r r T- v --CITY— DIRECTIONS TO SITE ADDRES ^: #_ - VV, IS PROPERTY WITHIN 200 FT OF THE FOLLO 1NG: SALTWATER ❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF g STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YESK NO ❑ WILL TIMBER BE CUT AND SOLD IN PARCEL PREPARATION? ES ❑ NOV TYPE OF JOB: EXCAVATION"K FILLING ❑ GRADING CUTTING ❑ OTHER ❑ TOTAL SIZE OF PARCEL Zt( AC /SQ FT SIZE OF AREA,TO BE EFFECTED ®+— ACRES/SQ FT ESTIMATED AMOUNT OF CUBIC YARDS c) —--OO) lAl6 c 1/. DOES THE SITE HAVE SLOPES 14%OR GREATER YES �i NO ❑ t' �7 DESCRIBE SCOPE OF WORK WILL FILL BE BROUGHT ON SITE? IF YES, SITE ADDRESS: WILL EXCAVATED MATERIAL BE TAKEN OFF SITE?IF YES, SITE ADDRESS: DOES FILL CONTAIN POTENTIAL HAZARDOUS MATERIALS? YES ❑ NOR HAS A SOILS REPORT BEEN COMPLETED ON SITE?IF YES,INCLUDE COPY. YES ❑ NO 52 WILL PROPOSAL RESULT IN REDIRECTION OF ANY SURFACE WATER RUNOFF? YES ❑ NO JR WILL WORK ALTER WHERE STORMWATER OF GROUND WATER ENT RS OR EXISTS THE SITE? YES ❑ N0 JK WILL QUALITY,QUANTITY OR VELOCITY OF STORM/GROUND WATER BE ALTERED? YES Q NO& WILL THE RUNOFF BE COLLECTED/CONTROLLED BY INTERCEPTORS,CURTAIN DRAINS OR OTHER DEVICES? YES ❑ NO WILL THE LAND BE REPLANTED UPON COMPLETION? YES NO ❑ WILL THE PROPOSAL RESULT IN SLOPES STEEPER THAN THOSE CURRENTLY ON SITE? YES ❑ NO,J� IS THE SITE WITHIN 200 FT OF A DESIGNATED SHORELINE OR A WETLAND? YES ❑ NO)4 OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, o ner's legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I ave obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.f�INIACTVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Applicant Date X -JP_r r- OWNEIR REPRESENTATIVE/CONTRACTOR Print Name `""' (L1R'CL"E'°'rd INDICATE) 01/18/2017 From: Simpson Representative:Jerry Enslow Phone: 360 490 1216 Date:4/2/2018 Purpose: Request for approval to use existing forest practice gravel pit under DNR permit guidelines. Narrative: This year, late summer, Simpson is preparing to cap up to three sediment areas within Shelton Harbor. On the heels of this project,South Puget Sound Salman Enhancement Group (SPSSEG)and the Squaxin Tribe plan to start phase one of a three part restoration project in Oakland Bay.This project will significantly improves fish and wildlife habitat and includes upland riparian areas and high, middle and low marsh planting areas and a lagoon. The projects combined will require a substantial amount of fill material/gravel. Between Simpson and SPSSEG an estimate of 525,000 cubic tons of gravel is planned.The gravel proposed,would be removed from an existing Green Diamond Resource Company, Mason County Parcel#42004-00-00000 pit that is directly across the W. Dayton Airport Rd from the Shelton Prison. Schedule of upcoming events: 1. Shelton Harbor Sediment Capping a. Scheduled to begin late summer/early fall 2018,est. 25,000 CYs 2. Oakland Bay Restoration Project, in total est. 500,000 CYs a. West Lobe, scheduled start date,September 2018 b. South Lobe,target start date, summer 2019 c. North Lobe,target start date, summer 2020 Additional work planned: a) Remove derelict piles by SPSSEG, summer/fall 2018 Attachments: Land Modification Permit—Filled out for you info only WAC&Google—Definition of Borrow Pit DNR-Surface Mining Reclamation Permit requirement Pit information drawing Directions to Pit Capping Project drawing (draft) Restoration Project drawing (draft) Pile Removal drawing Form SM-6 l! t f 1 E 1 A,D 1 p 1`� 3 N S O � _ goo i E;F, N w m o' d r-w+n N+mo�wm a�v�ml,�I�rwems..vL.MnreP�us rwx.an Ga olmoEm _ r-- i A.. '\ nm i CmQ ( t 1 Z IrY ! B � ;m� I ) �s V ` O o D o r p D A Z O r 0 ca m D G) ° r- o m oz O m�o� ° z Z 2 D�cv DD �N�a im3 ° ° p z as ° z 2rnO ZCE pmniAZ £ '-I F0n p z oc o 2Zy" Z ° �0 o mAAo xxEl A A D D C Z V�p 5 m m m °z < n m AT FULL Fla IF N010NE INCH SCALE PCCOPDINGLY z i 00uj N Q UQ c aA C 0 t r - LL � p O O O O Lo O N i O jf O O " T5 CD�. O _ _ � zal _ 00 LO O. F� N �'SNiNOTp�0 WASWINGTON STATE DEFT OF COUNTY OR MUNICIPALITY r n A T U R A L APPROVAL FOR A �W° RESOURCES SURFACE MINING z j0F NATUKT� (Form SM-6) NAME OF COMPANY OR INDIVIDUAL APPLICANT(S) TOTAL ACREAGE AND DEPTH OF PERMIT AREA Same as name of the exploration permit holder. (Type or print in ink.) (Include all acrea a to be disturbed by mining,setbacks,and buffers, and associated activities during the life of the mine.)(See SM-8A.) Total area permitted will be acres Maximum vertical depth below pre-mining topographic grade is feet i Maximum dept of excavated mine floor is feet relative to mear sea level COUNTY MAILING ADDRESS No attachmer is will be accepted. Legal description of permit area: 1/4 1/4 Section Township Range Telephone Proposed subsequent use of site upon completion of reclamation Signature of company representative or individual applicant(s) Name and title of company repi esentative (please print) Date signed TO BE COMPLETED BY THE APPROPRIATE • OR Please answer the following questions`yes'or`no'. Yes No 1. Has the proposed surface mine been approved under local zoning and land-use regulations? 2. Is the proposed subsequent use of the land after reclamation consistent with the loc I land-use plan/designation? When complete,return this form to the Department of Natural Resources. Name of planning director or administrative official (please print) Address Signature Title (please print) Telephone Date DNR Reclamation Permit No. County or Municipality Approval(SM-6) Revised 8/17 IAJ ---------------- ;�� � ,� C 51 Ai I co-a J-el UO)q 9,0 t�-i Le l tj N a ���o�-`�' z, {�.�-� �¢e a--can p, c J. *4-4"-cti ea ? `L� t�t���.�"vu�1. 1� -j�ir�;c ULc�-�`i i r�-►� 7 L o°tG5 (i(Lc . I y e—cJ 4 Uv46N lyetA41t�rti�U h r�� vvQ�fil ��C,fie stuec; Ord 53. E rr p < Mason County WA Planning Map t r„ tws � ° x w i 3� � t ti k a=— tAy! M � x Y 1 A All g e, e � t April 24, 2018 1:9,027 0 0.075 0.15 0.3 mi County Boundary Conservancy No Filled Natural 0 0.1 0.2 0.4 km 0 Tax Parcels(Zoom in to 1:30,000) No Designation Shoreline Environmental Designations NHD Water Bodies EEO Commercial Name Esr4 HERE, Garmin, ©OpenStreetMap contributors,and the GISuser com mu nity Residential a No Name Source: Esrt DigitalGlobe, GeoEye, EarthstarGeographics,CNES/Airbus DS,USDA,USGS,AeroGRID,IGN,and the GIS User Community Rural Mason County WAGIS Planning Map Application USDA FSA,Dig@alGlobe,GeoEye,CNES/Airbus DS I Esri,HERE,Garmin,iPC I 3 1� ill, vo G a A, (D O- aTS"..'"a'�ti COUNTY OR MUNICIPALITY c WASHINGTON STATE DEPT OF m n A T U R A L APPROVAL FOR o- RESOURCES SURFACE MINING Op N4rUPp� (Form SM-6) NAME OF COMPANY OR INDIVIDUAL APPLICANT(S) TOTAL ACREAGE AND DEPTH OF PERMIT AREA Same as name of the exploration permit holder. (Type,or print in ink.) (include all acreage to be disturbed by mining,setbacks,and buffers, e a and associated activities during the life of the mine.)(See S48A.) r��L�ot3�e�t � ,t"W � 6�@ 4j Total area permitted will be t g acres 6 l Maximum vertical depth below pre-mining topographic grade is Z M feet Maximum depth of excavated mine floor is Z O_�'S feet relative to mean sea level B COUNTY ._:WCn MAILING ADDRESS ff No attachments will be accepted.Legal description of permit area: Jr,O-y 1/4 1/4 Section Township Range Telephone Proposed subsequent use of site upon com`pplletion of reclamation Signature of company representative or individual applicant(s) Name and title of company representative (please print) Date signed Jet-of ��s(ou>� CT A To BE CUMPLt,IiED BY THE APPROPRIATE COUNTY OR MUNICIPALITY: Please answer the following questions'yes'or'no'. Yes No 1. Has the proposed surface mine been approved under local zoning and land-use regulations? 2. Is the proposed subsequent use of the land after reclamation consistent with the local land-use plan/designation? When complete,return this form to the Department of Natural Resources. Name of planning director or administrative official (please print) Address Q /bovrow P era, �Y• Yy - Signature Title (please print) l U/ Telephone Date R Reclamation Permit No. County or Municipality Approval($M•8) Revised 8117 R ,� � fi i i 4 6 3 E • 11. 1.1111 � 11• 1.1111 1 1� 1 D o D - • - • •. 1 1• 1• j♦ / .; 11. 1111111 111111�1 11: 11 1 11. 111111 MUM ---------------- dam SPAULIJING .I♦�,♦ 420087790152 I:J�JI.lAJ • 1 1: 1 1 1 � ��♦♦�♦♦ nl O D 11: 11 1. I ♦ 117 ll 1 �,♦ 0 '10- oE3 1 /, 1, 101, F, • 0 . '• � 1 1•1 1.1 1 1 O °O D �N�♦•.♦��.►♦♦����`��_��������!►*���►�����7♦.♦.♦.♦•►♦mow♦♦♦♦ 11: 11. 1 `•• , S O 0 .._v o e 11.11.1111 a 11:1111111 Existing Acres /N Limit Of Excavation49.5 Acres c • • Type 11Buffer 175 350 700 Imagery2017 ••