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HomeMy WebLinkAboutSHX2022-00026 Calm Cove Shelfish Oyster Farm - SHR Permit / Conditions - 8/5/2022 MASON COUNTY COMMUNITY SERVICES IL Building,Planning,Environmental Health,Community Health rPkase LEE August 4, 2022 �� _3L-7v0 r0 Troy Morris Calm Cove Shellfish LLC 2027 Ferry ST EW9;'�Nt to Fie: Shelton, WA 98584 RE: Project Name: Morris3 - Calm Cove Shellfish LLC (#SHX2022-00026) Application for oyster farm on Hammersley Inlet Bay, Puget Sound, Mason County. Parcel Number. 22020-31-70010 Dear Mr. Morris: After review of your submitted JARPA application, Mason County concludes that the proposed cultivation of clams and oysters on the private marine tidelands in Hammersley of Puget Sound, does not constitute development under the Mason County Shoreline Master Program and does not cause substantial interference with the normal public use of the water (AGO 2007 No. 1). Therefore, a Substantial Development Permit is not required nor a letter of Shoreline Exemption. The proposed development includes the establishment of an approximately .50 acre commercial intertidal aquaculture farm for the cultivation of oysters. The proposed cultivation area is located between the +6.0 tidal level and -3.0 tidal elevations. The farm will be located on private tidelands owned by the applicant, using hand harvest only. Mason County has determined that the proposed aquaculture operation is consistent with the Mason County Shoreline Master Program Policies and Use Regulations for Aquaculture and the Shoreline Management Act. Please let me know if you have any questions. Thank you. Sincerely, Grace Miller, Planner DEPT OF COMMUNITY DEVELOPMENT Rye s,u° f ---------- -- -----AGLNCY`USCONLY 9 o Anmy Corps Date received: III.STATE UfSE SoMo Dlstnd Joint Aquatic Resources Permit Agency referenceG'�Di2o'Z— Application (DARPA) Form',' ei ; USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. i Tax Parcel#(s): -76010 1 r 1 `--------------------------------------a Part 1—Project Identification 1. Project Name(A name for your project that you create. Examples:Smith's Dock or Seabrook Lane Development) iel Morris3-Calm Cove Shellfish LLC Part 2—Applicant The person and/or organization responsible for the project. he�jl 2a. Name (Last, First, Middle) Morris, Troy, Howard 2b. Organization(If applicable) Calm Cove Shellfish LLC 2c. Mailing Address (Street or PO Box) 2027 Ferry St 2d. City, State, Zip Shelton WA 98584 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail 360-432-9933 360-490-2334 calmcoveshellfish@comcast.net 'Additional forms may be required for the following permits: • If your project may qualify for Department of the Army authorization through a Regional General Permit(RGP),contact the U.S.Army Corps of Engineers for application information(206)764-3495. • Not all cities and counties accept the JARPA for their local Shoreline permits.If you need a Shoreline permit,contact the appropriate city or county government to make sure they accept the JARPA. 2To access an online JARPA form with[help]screens,go to http://www.ei)ermifting.wa.gov/site/alias resourcecenterriaroa lama form/9984/iama form.aspx. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help(Ub-Oria.wa.goy. ORIA-16-011 Page 1 of 14 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 U. Name (Last, First, Middle) 3b. Organization (If applicable) 3c. Mailing Address (street or Po Box) 3d. City, State, Zip 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. n( el i ® 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 upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. ❑ Your project is on Department of Natural Resources (DNR)-managed aquatic lands. If you don't know, contact the DNR at (360) 902-1100 to determine aquatic land ownership. If yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) 4b. Organization (If applicable) 4c. Mailing Address (street or PO Box) 4d. City, State, Zip 4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail ORIA-16-011 Page 2 of 14 Dart 5—Project Location(s) Identifying information about the property or properties where the project will occur. h{ g[d ❑ There are multiple project locations (e.g. linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) h[ e M Private ❑ Federal ❑ Publicly owned (state,county, city, special districts like schools, ports, etc.) ❑ Tribal ❑ Department of Natural Resources (DNR)— managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) h( elpl 5c. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) hf eld Shelton WA 98584 5d. County hf elpl Mason 5e. Provide the section, township, and range for the project location. bell "A Section Section Township Range 34 21 N 2W 5f. Provide the latitude and longitude of the project location. h( gjPJ • Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees-NAD 83) 5g. List the tax parcel number(s)for the project location. Lelpj • The local county assessor's office can provide this information. 22020-31-70010 5h. Contact information for all adjoining property owners. (if you need more space, use JARPA Attachment C.) h[ eln] Name Mailing Address Tax Parcel # (if known) ORIA-16-011 Page 3 of 14 5i. List all wetlands on or adjacent to the project location. fhelgl HAMMERSLEY INLET 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. hL ej HAMMERSLEY INLET 5k. Is any part of the project area within a 100-year floodplain? telpj ❑ Yes ® No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [r,e4D) No eelgrass no submerged aquatic vegetation present Kelp patchy No natural spring water drainage No bulkhead 5m. Describe how the property is currently used. ei Property is used to grow pacific oysters 5n. Describe how the adjacent properties are currently used. ,el Property to the left is not an oyster farm Property to the right is not oyster farm 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. [helgi No structures on property. 5p. Provide driving directions from the closest highway to the project location, and attach a map. heiv] ORIA-16-011 Page 4 of 14 Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. h[ elV Grow pacific oysters on the bottom part of the beach on the ground 6b. Describe the purpose of the project and why you want or need to perform it. h[ el� Grow pacific oysters and harvest for commercial sales 6c. Indicate the project category. (Check all that apply) he[�l ] Commercial ❑ Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ❑ Environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] ® Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization ❑ Dam /Weir ❑ Floating Home (upland) ❑ Boat House ❑ Dike / Levee / Jetty ❑ Geotechnical Survey ❑ Road El Scientific El BoatLaunch ElDitch ElLand Clearing Measurement Device ❑ Boat Lift ❑ Dock/Pier ❑ Marina / Moorage ❑ Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility ❑ Bulkhead ❑ Fence ❑ Outfall Structure ❑ Skimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ❑ Other: ORIA-16-011 Page 5 of 14 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. h[ll • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. Farm size is approximately .50 acres pacific oysters on .50 acres on the lower bottom of the beach. Seed source will be from Calm Cove Shellfish flupsy. Juvenile seed directly to the ground just dropping seed on the ground. Harvest will be done by hand. Site accessed by upland property. 2 workers on the beach. Equipment used bushel basket and buckets with company names and stored at company facility no on site storage of equipment. No pesticides or herbicides. Work will be performed 3-5 times per month. Sometimes during day tides and others at night time tide with LED headlamps. No fencing at all on beach. 6f. What are the anticipated start and end dates for project construction? (MonthNear) h[ @M • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start Date: Ingoing End Date: Ongoing ❑ See DARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. h[ eM $7,000 oyster seed 6h. Will any portion of the project receive federal funding? hf i-d • If yes, list each agency providing funds. ❑ Yes Z No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation ❑ Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.) h[ elpj 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. help ® Not applicable 7b. Will the project impact wetlands? (helps ❑ Yes ® No ❑ Don't know 7C. Will the project impact wetland buffers? hl el Yes M No ❑ Don't know ORIA-16-011 Page 6 of 14 7d. Has a wetland delineation report been prepared? gel • If Yes, submit the report, including data sheets,with the JARPA package. ❑ Yes ® No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? hf e • 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 any adverse impacts to wetlands? hl elpl • If Yes, submit the plan with the JARPA package and answer 7g. • If No,or Not applicable, explain below why a mitigation plan should not be required. ❑ Yes ® No ❑ Don't know 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. hel 7h. Use the table below to list the type and rating of each wetland impacted, the extent and duration of the impact, and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below)where we can find this information in the plan. hem Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type' (sq. ft. or category' Acres) acres If no official name for the wetland exists,create a unique name(such as"Wetland 1"). The name should be consistent with other project documents, such as a wetland delineation report. Z Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the DARPA package. 3 Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. °Creation C Re-establishment/Rehabilitation R ,Enhancement E Preservation P Mitigation Bank/In-lieu fee B Page number(s) for similar information in the mitigation plan, if available: ORIA-16-011 Page 7 of 14 7L For all filling activities identified in 7h, 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. Ibelpi 7j. For all excavating activities identified in 7h, describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. hf eM Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, `waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) LeW ❑ Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. h(el ❑ Not applicable 8b. Will your project impact a waterbody or the area around a waterbody? he► ® Yes ❑ No ORIA-16-011 Page 8 of 14 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? ljhel • If Yes, submit the plan with the DARPA package and answer 8d. • If No, or Not applicable, explain below why a mitigation plan should not be required. ❑ Yes ® No ❑ Don't know 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7g you do not need to restate your answer here. [helm 8e. Summarize impact(s) to each waterbody in the table below. [Lgipj Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' location of impact3 (cubic yards) to be linear ft.) of drive, etc.) placed in or removed waterbody from waterbody directly affected If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 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 will occur within the 100-year flood plain. 3Indicate the days, months or years the waterbody will be measurably impacted by the work. Enter"permanent"if applicable. 8f. For all activities identified in 8e, describe the source and nature of the fill material, amount (in cubic yards) you will use, and how and where it will be placed into the waterbody. heel CRIA-16-011 Page 9 of 14 8g. For all excavating or dredging activities identified in 8e, describe the method for excavating or dredging, type and amount of material you will remove, and where the material will be disposed. L Part 9—Additional Information Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. It is ok if you cannot answer a question. 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 of this JARPA on the Washington Department of Ecology's 303(d) List? dpi • If Yes, list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: https://ecoiogy.wa.gov/Water- Shorelines/Water-quality/Water-im prove men t/Assessment-of-state-waters-303d. N Yes ❑ No Bacteria, temperature, dissolved oxygen 9c. What U-S. Geological Survey Hydrological Unit Code (HUC) is the project in? hf eM • Go to http://cfpub.epa.gov/surf/locate/index cfm to help identify the HUC. 1711 001 90900 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [km • Go to https://ecology.wa.gov[Water-Shorelines/Water-supply/Water-availabilitv/Watershed-look-up to find the WRIA#. 14-KENNEDY-GOLDSBOROUGH ORIA-16-011 Page 10 of 14 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? hf elpl • Go to https://ecology wa gov/Water-Shorelines/Water-quality/Freshwater/Surface-water-quality-standards/Criteria for the standards. ❑ Yes ® No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? h�elpl • If you don't know, contact the local planning department. • For more information, go to:httys://ecology.wa.gov/Water-Shorelines/Shoreline-coastal-management/Shoreline-coastal- planning/Shoreline-laws-rules-and-cases. ❑ Urban ❑ Natural ® Aquatic ❑ Conservancy ❑ Other: 9g. What is the Washington Department of Natural Resources Water Type? hel • Go to http://www.dnr.wa.gov/forest-practices-water-typing for the Forest Practices Water Typing System. ® Shoreline ❑ Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal 9h. Will this project be designed to meet 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: 9L Does the project site have known contaminated sediment? hf elpl • If Yes, please describe below. ❑ Yes ® No 9j. if you know what the property was used for in the past, describe below. heI DON'T KNOW 9k. Has a cultural resource (archaeological) survey been performed on the project area? [nejp, • If Yes,attach it to your JARPA package. ❑ Yes ® No ORIA-16-011 Page 11 of 14 91. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. h� eipl 9m. 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. h�ei Part 10—SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at http://apps.oria.wa.gov/ol)as/. • Governor's Office for Regulatory Innovation and Assistance at(800) 917-0043 or help cDoria.wa.gov. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. I Oa. Compliance with the State Environmental Policy Act (SEPA). (check all that apply.) h[ eld • For more information about SEPA,go to httr)s:Hecoloay.wa.gov/regulations-permits/SEPA-environmental-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 ❑ 1 am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) h[ eld ❑ 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. ORIA-16-011 Page 12 of 14 10b. Indicate the permits you are applying for. (Check all that apply.) [nelpa LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development M Conditional Use ❑ Variance ❑ Shoreline Exemption Type (explain): Other City/County permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: ❑ Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption —Attach Exemption Form Washington Department of Natural Resources: ❑ Aquatic Use Authorization Complete DARPA Attachment E and submit a check for$25 payable to the Washington Department of Natural Resources. Do not send cash. Washington Department of Ecology: ® Section 401 Water Quality Certification FEDERAL AND TRIBAL GOVERNMENT United States Department of the Army (U.S. Army Corps of Engineers): ® Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coast Guard: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects) United States Environmental Protection Agency: ❑ Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do not have treatment as a state (TAS) Tribal Permits: (Check with the tribe to see if there are other tribal permits, e.g.,Tribal Environmental Protection Act,Shoreline Permits, Hydraulic Project Permits, or other in addition to CWA Section 401 WQC) ❑ Section 401 Water Quality Certification (discharges into waters of the U.S.) where the tribe has treatment as a state (TAS). ORIA-16-011 Page 13 of 14 � DE'PANTMEti'i :;'< T 7 , 1• EtALOGY �;i,: n��sttc, sf.��E� .cifl.:Aa! Atilas Map N 1 Ststa of W,lWrr ?u?y5 Find i-3orne Print Share Guide Basemap Oi if 44 IN ,�M� ',mod s}�•� .- _ ,��.ty � A '�'�!c' � = ar ��q'p�'�' �•o � *�'i �� Y! 3 R y �' �t rg�$}, �.� _ • > �lid •M � � JS P` 1fl.^-Y � •tiSU tis ��- � '�: li ' ,Y' � •.'y�¢` -� �� '•� q � r ti y ► : i[ .4' byte * no t.�y�� # + All � L� � ' ' � t 'fi!}� Y� ' r "p +tr,;�Ti� s���ssss ��>E� :� _ ��` ' tc "vt $, �• 44 AM .. 6 I [. ,y=-'U`.a•.�'�r�-�s-=fib• � -+n�^P'"*`w�``.`.r "�,�-"'iym'�,`p n-�r yam' � .. - _ b. '■r r# 14 • IC rqyk:L -L of- c. N �► MASON COUNTY PARCEL#: 27020-�31- 1 Go tO PROJECT NAME: MORRIS3-CALM COVE SHELLFISH WATER BODY: HAMMERSLEY INLET I V I Al P R`Qj ECT AREA: 1 ACRE Skore-1 roe-7- _t Culf;vi s+a� 22.94 ai *b. o 4i d'- ke v-1 Slko I"e i►'� _t o r_"1-fi V OL or` �' S-1�o1• �oi�+ 2 fee f D 1-H an A h arvt s+ only" boo �( o p • o dams o ° 47.2,041!o � bn - 11.2.gco2S(A x o0 C9 Z+ 4.0 - p V © 0) c' G X co O a-o o 2053.5 0 Q © a Q5 © © � © Q - 122.1&110 X � Qa a o © ate o. 47.2ay y x � � '(�. � -1`z2. 9i yS9 �( x Purpose:Grow oysters and clams for human consumption Date:6-3-21 County:Mason 2 — 22. 96� 9 y In:Hammersley State:WA I Q v Q ' PURPOSE: GROW OYSTERS AND APPLICANT: CALM COVE PURPOSE: CULTIVATE 1 CLAMS SHELLFISH (MORRIS3) ACRE OF OYSTERS AND FOR HUMAN CONSUMPTION CLAMS ADJACENT PROPERTY OWNERS: LOCATION ADDRESS: IN: HAMMERSLEY INLET UNDEVELOPED LAND NEAR/AT: SHELTON ONLY TIDELANDS 1. FRANK REINHARDT COUNTY: MASON 3822 SO. 116T" ST LATITUDE: 47.20721 STATE: WA TUKWILA, WA 98168 LONGITUDE: -122.96236 DATE: 6-3-21 2. WILLIAM HALSTEAD 12705 STANDRING LN SW BURIEN WA 98146-3067 RECEIVED: ECEIVED MASON COUNTY JUL 2 6 2021 COMMUNITY SERVICES 615: A;der Street Building,Planning,Environmental Health,Community Health 615 W.Alder St.-Bldg.8,Shelton,Wa 98584 Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798 PERMIT NO.: SHORELINE PERMIT APPLICATION SHORELINE PERMITS CONDITIONAL USE* SUBSTANTIAL DEVELOPMENT VARIANCE* EXEMPTION The Washington State Shoreline Management Act (RCW 90.58) requires that substantial developments within designated shorelines of the state comply with its administrative procedures (WAC 173-14) and the provisions of the Mason County Shoreline Management Master Program. The purpose of this Act and local program is to protect the state's shoreline resources. The program requires that substantial development (any development of which the total cost or fair market value exceeds $7,047.00 or materially interferes with the normal public use of the water or shorelines of the State be reviewed with the goals, polices, and performance standards established in the Master Program. Answer all questions completely. Attach any additional information that may further describe the proposed development. Incomplete applications will be returned. *Shoreline Variances and Conditional uses require public hearings and have additional pages that shall be attached to this application.APPLICANT: n,�Troy /''� orri.S - c-aim Cove Skel lfis k ADDRESS: ZD Z / f er S7 (street) bti'/f Sk el q, SS y (city)f 2 (� 2 ? (state) (zip) TELEPHONE: 3 b a-yJ 2` % �JJ (home) (business) AUTHORIZED REPRESENTATIVE: ADDRESS: (street) (city) (state) (zip) TELEPHONE: PROPERTY DESCRIPTION: General location (include property address, water body and associated wetlands—identify the name of the shoreline): l 1j a m Imac (5/C2 j 1 Q f- (_� attach _Ta rpa f}pPll ca fioh) Rev. Match 1,2018 loe"40111Ve 3) -70/0 Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude. OWNERSHIP: Contract Applicant Owner Lessee Purchaser (Identify) Other Owner. (street) (city) (state) (zip) DEVELOPMENT DESCRIPTON: Development proposal (identify and describe the proposed project, including the type of materials to be used, construction methods, principle dimensions, and other pertinent information): Existing Use(identify current use of property with exist improvements): Reason for requesting development: The applicant shall provide, at a minimum, the following information: a. SITE PLAN -drawn to scale and including: i. The boundary of the parcel(s)of land upon which the development is proposed; ii. The ordinary high water mark(OHWM). This may be an approximate location provided, that for any development where a determination of consistency with the applicable regulations requires a precise location of the OHWM the mark shall be located precisely and the biological and hydrological basis for the location as indicated on the plans shall be included in the development plan. Where the OHWM is neither adjacent to or within the boundary of the project, the plan shall indicate the distance and direction to the nearest OHWM of a shoreline; iii. Where appropriate, the proposed land contours using five-foot intervals in water area and ten-foot intervals on areas landward of OHWM, if development involves grading, cutting, filling, or other alteration of land contours; iv. The dimensions and location of existing structures which will be maintained; V. The dimensions and locations of proposed structures; parking and landscaping; vi. The location of proposed utilities, such as sewer, septic tanks and drain fields, water, gas and electricity; vii. The location, source, composition, and volume of fill material; viii. The location, composition and volume of any extracted materials, and proposed disposal area; b. CROSS SECTION, drawn to scale including: i. The existing ground elevations; ii. The proposed ground elevations; iii. The location and height of existing structures; iv. The location and height of proposed structures; V. The OHWM. c. VICINITY MAP, including: i. The location of subject parcel using natural points of reference(roads, state highways, prominent landmarks, etc.). ii. If the development involves the removal of any soils by dredging or otherwise, identify the proposed disposal site on the map. If disposal site is beyond the confines of the vicinity map, provide another vicinity map showing the precise location of the disposal site and its distance to nearest city or town. iii. On the map, or separately, give a brief narrative description of the vicinity of the proposed project including identification of the adjacent uses, structures and improvements, intensity of development and physical characteristics. d. ADJACENT LANDOWNERS. Provide names and mailing addresses of all real property owners within 300 feet of property line boundaries where development is proposed. ACKOWLEDGEMENT: I hereby declare, to the best of my knowledge and belief, the forgoing information and all attached information is true and correct. (Appl' nt or u orized Representative) (date)