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HomeMy WebLinkAboutSEP2019-00009 SHX2019-00007 Trident Aquaculture - SEP Application - 2/15/2019 RECEIVED WAC 197-11-960 Environmental checklist. FEB 15 2019 ENVIRONMENTAL CHECKLIST 615 W. Alder Street Purpose of checklist: The State Environmental Policy Act(SEPA),chapter 43.21C RCW,requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement(EIS)must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal,if it can be done)and to help the agency decide whether an EIS is required. Instructions for applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly,with the most precise information known,or give the best description you can. You must answer each question accurately and carefully,to the best of your knowledge. In most cases,you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer,or if a question does not apply to your proposal,write"do not know" or"does not apply." Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems,the governmental agencies can assist you. The checklist questions apply 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 help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklist for nonproject proposals: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN ADDITION,complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS(part D). For nonproject actions,the references in the checklist to the words"project," "applicant," and "property or site" should be read as"proposal," "proposer," and"affected geographic area,"respectively. A. BACKGROUND 1. Name of proposed project,if applicable:Fercoq/Trident Marine Services Inc.Geoduck Aquaculture 2. Name of applicant:Trident Marine Services,Inc.(Matt Smith) 3. Address and phone number of applicant and contact person: 2851 East South Island Drive,Shelton,WA 98584;(360)701- 4887. Contact: Marine Surveys &Assessments (Meg Amos); 267 Hudson Street,Port Townsend,WA 98368; (360)385- 4073. 4. Date checklist prepared:January 2,2019 5. Agency requesting checklist: Mason County 6. Proposed timing or schedule(including phasing,if applicable): Spring 2019—on going. 7. Do you have any plans for future additions,expansion,or further activity related to or connected with this proposal? If yes, explain. It is the goal of Trident Marine Services Inc.to manage its beaches on a 6-year cycle; planting initially in the summer months,and harvesting 5.5 years later in the winter to spring for about 6 months total. 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Specific Project Information Form for Shellfish Activities in Washington State Inland Marine Waters (includes a habitat survey)—for Army Corps of Engineers;Habitat Management Plan Addendum for Mason County. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes,explain.No 10. List any government approvals or permits that will be needed for your proposal,if known.Mason County Conditional Use Permit; Army Corps of Engineers Section 10 (work in navigable waters) and Section 404 (discharges into waters of the U.S.); WA Department of Fish & Wildlife - Aquatic Farm Registration; Department of Health - Shellfish Operation License and Harvest Site Certificate. 11. Give brief,complete description of your proposal,including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) Geoduck cultivation will occur within a 130 ft x 130 ft plot(0.37 acres)on privately owned tidelands between the depths of approximately+2.5 feet MLLW to-3.5 feet MLLW. The planting area will begin approximately 135 feet seaward(northeast)of MIH[HW and extend out another 130 feet to-3.5' MLLW deep. The planting area will span the width of Pierce County parcel 120077590023 Seed will be brought by boat from a remote nursery location and hand planted. Mesh sleeves will be installed throughout the beach and the beach will be planted at a density of 3 geoducks/sq ft. After sleeves are planted,they will be covered with 40'x40' area nets 1/2 inch diameter to keep algal fouling to a minimum. For more details,please refer to the Specific Project Information Form for Shellfish Activities in Washington State Inland Marine Waters(pages 3-8)included with this application. 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project,including a street address,if any,and section,township,and range,if known. If a proposal would occur over a range of area,provide the range or boundaries of the site(s). Provide a legal description,site plan,vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency,you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. The site is located at 91 East Buffington Lane, Shelton,WA 98584;Mason County parcel number 12007-75-90023;Section 07,T20N,RO1W. 2 B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site(circle one): Flat,rolling,hilly,steep slopes,mountainous, other. . . . . . Gently sloping beach. b. What is the steepest slope on the site(approximate percent slope)?Not more than 5%. c. What general types of soils are found on the site(for example,clay,sand,gravel,peat, muck)? If you know the classification of agricultural soils,specify them and note any prime farmland.The substrate consists mostly of sand and cobble. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe.No e. Describe the purpose,type,and approximate quantities of any filling or grading proposed. Indicate source of fill.No fill,just flexible plastic mesh sleeves 2.5 inches in diameter and 13 inches long will be placed in the substrate.The mesh sleeves will be placed on 10"centers. f. Could erosion occur as a result of clearing,construction,or use? If so,generally describe. No g.About what percent of the site will be covered with impervious surfaces after project construction(for example,asphalt or buildings)?Does not apply. h. Proposed measures to reduce or control erosion,or other impacts to the earth,if any:Does not apply. a.Air a. What types of emissions to the air would result from the proposal(i.e.,dust,automobile, odors,industrial wood smoke)during construction and when the project is completed? If any,generally describe and give approximate quantities if known.The only anticipated emissions are from the occasional use of a boat and a motorized pump that will be used for harvesting. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe.No 3 c. Proposed measures to reduce or control emissions or other impacts to air,if any:None 3. Water a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. Yes, Case Inlet in the Puget Sound. 2)Will the project require any work over,in,or adjacent to(within 200 feet)the described waters? If yes,please describe and attach available plans. Yes,work will take place on 0.37 acres below the OHWM between,between+2.5 MLLW and-3.5 MLLW.(See associated site plan) 3)Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material.No fill or dredge material,only PVC tubes pushed vertically into the beach substrate,not more than one per square foot. 4)Will the proposal require surface water withdrawals or diversions? Give general description,purpose,and approximate quantities if known.No 5)Does the proposal lie within a 100-year floodplain? If so,note location on the site plan.Yes,Zone AE. 6)Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge.No b. Ground: 1) Will ground water be withdrawn,or will water be discharged to ground water? Give general description,purpose,and approximate quantities if known.No 2)Describe waste material that will be discharged into the ground from septic tanks or other sources,if any (for example: Domestic sewage;industrial,containing the 4 following chemicals. . . ;agricultural;etc.). Describe the general size of the system,the number of such systems,the number of houses to be served(if applicable),or the number of animals or humans the system(s)are expected to serve.Does not apply. c. Water runoff(including stormwater): 1) Describe the source of runoff(including storm water)and method of collection and disposal,if any(include quantities,if known). Where will this water flow? Will this water flow into other waters? If so,describe. Does not apply. 2)Could waste materials enter ground or surface waters? If so,generally describe.No d. Proposed measures to reduce or control surface,ground,and runoff water impacts,if any: 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder,maple,aspen,other evergreen tree: fir,cedar,pine,other shrubs grass pasture crop or grain wet soil plants: cattail,buttercup,bullrush,skunk cabbage,other water plants: water lily,eelgrass,milfoil,other X—other types of vegetation: Ulva and<1%Gracilaria b. What kind and amount of vegetation will be removed or altered?Loose Ulva will be raked from immediate planting areas prior to adding seed.Incoming tides will redistribute the ulva after planting. c. List threatened or endangered species known to be on or near the site.None d. Proposed landscaping,use of native plants,or other measures to preserve or enhance vegetation on the site,if any:Does not apply. 5. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk,heron,eagle,songbirds,other: mammals: deer,bear,elk,beaver,other: 5 fish: bass, salmon, trout, herring, shellfish, other: Pacific sand lance are documented near by and surf smelt have been found to spawn at the site. b.List any threatened or endangered species known to be on or near the site.According to an IPaC query,the following species are potentially affected by activities in/near the project area:North Amermican Wolverine(Gino gulo luscus) proposed threatened; Olympia Pocket Gopher(Thomomys mazama pugetensis)threatened;Tenino Pocket Gopher (Thomomys mazama tumuli)threatened; Yelm Pocket Gopher(Thomomys mazama yebnensis)threatened;Marbled Murrelet(Brachyramphus marmoratus)threatened;Streaked Horned Lark(Eremophila alpestris strigata)threatened; Yellow-billed Cuckoo(Coccyzus americanus)threatened and Bull Trout(Salvelinus confluents)threatened. c. Is the site part of a migration route? If so,explain.Yes,fish migrate through the area. d. Proposed measures to preserve or enhance wildlife,if any:Avoid extraction harvest between November and February.If harvest must take place during the spawning window for surf smelt,avoid rising tides and high tides;extract during falling tides and with water levels below+5 feet MLLW. Do not access the site from the upland areas between November and February. 6. Energy and natural resources a. What kinds of energy(electric,natural gas,oil,wood stove,solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing,etc.A diesel engine will be used to operate compressor during harvesting during higher tides. b. Would your project affect the potential use of solar energy by adjacent properties? If so,generally describe.No c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts,if any:None 7. Environmental health a. Are there any environmental health hazards,including exposure to toxic chemicals,risk of fire and explosion,spill,or hazardous waste,that could occur as a result of this proposal? If so,describe.Potential fuel leak from work-boat(s). 1)Describe special emergency services that might be required.None,but a spill kit shall he kept available. 2)Proposed measures to reduce or control environmental health hazards,if any:The boat(s)will be well maintained and they will be fueled 150 ft.away from a water body or at a fuel dock. 6 b. Noise 1)What types of noise exist in the area which may affect your project(for example: traffic,equipment,operation,other)?None 2)What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis(for example: traffic,construction,operation,other)?Indi- cate what hours noise would come from the site. Short-term noise during harvesting from motorized water pump. 3)Proposed measures to reduce or control noise impacts,if any:None 8. Land and shoreline use a. What is the current use of the site and adjacent properties?Single family residences with with adjacent tidelands. Both north and south tidelands are occupied by existing aquatic farms. b. Has the site been used for agriculture? If so,describe.No c. Describe any structures on the site. Single-family residence on upland portion of site. d. Will any structures be demolished? If so,what?No e. What is the current zoning classification of the site?Rural Residential 5 f. What is the current comprehensive plan designation of the site?Unknown g. If applicable,what is the current shoreline master program designation of the site?Conservancy h. Has any part of the site been classified as an"environmentally sensitive" area? If so,specify.Yes,all of Puget Sound. 7 i. Approximately how many people would reside or work in the completed project?None j. Approximately how many people would the completed project displace?None k. Proposed measures to avoid or reduce displacement impacts,if any:None 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans,if any: Compliance with local,state and federal regulations.WDFW'Best Management Practices Compliance." 9. Housing a. Approximately how many units would be provided,if any? Indicate whether high,mid- dle,or low-income housing.Does not apply. b. Approximately how many units,if any,would be eliminated?Indicate whether high, middle,or low-income housing.Does not apply. c. Proposed measures to reduce or control housing impacts,if any:Does not apply. 10. Aesthetics a. What is the tallest height of any proposed structure(s),not including antennas;what is the principal exterior building material(s)proposed?3 to S inches of PVC tube above substrate,approximately one every square foot. b. What views in the immediate vicinity would be altered or obstructed?View obstruction will be no more than the existing farms to the north and south.Only 2-5 inches of PVC tube will be visible above substrate during low tides.When the clams are mature enough,tubes will be removed,leaving a natural beach with no visible sign of farm activity other than addition of geoduck alongside other natural beach life. c. Proposed measures to reduce or control aesthetic impacts,if any:None 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainlyoccur?When needed,night lighting on the beach will be kept to individual LED headlamps and flashlights;standard navigational lights will be used on vessels. 8 b. Could light or glare from the finished project be a safety hazard or interfere with views?No,it is unlikely. c. What existing off-site sources of light or glare may affect your proposal?None d. Proposed measures to reduce or control light and glare impacts,if any:None 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity?Boating,swimming,fishing and beach walking. b. Would the proposed project displace any existing recreational uses? If so,describe.No,tubes will only extend 3-5 inches above substrate and will mostly be covered by water. c. Proposed measures to reduce or control impacts on recreation,including recreation op- portunities to be provided by the project or applicant,if any:None 13. Historic and cultural preservation a. Are there any places or objects listed on,or proposed for,national,state,or local preser- vation registers known to be on or next to the site? If so,generally describe.Unknown b. Generally describe any landmarks or evidence of historic,archaeological,scientific,or cultural importance known to be on or next to the site.Unknown c. Proposed measures to reduce or control impacts,if any: Should archaeological materials(e.g.bones,shell,stone tools, beads, ceramics, old bottles, hearths, etc.) or human remains be observed during project activities,all work in the immediate vicinity should stop.The State Department of Archaeology and Historic Preservation (360-586-3065),the County/City planning office,the affected Tribe(s) and the county coroner (if applicable) should be contacted immediately in order to help assess the situation and determine how to preserve the resource(s). Compliance with all applicable laws pertaining to archaeological resources(RCW 27.53,27.44 and WAC 25-48)is required.Failure to comply with this requirement could constitute a Class C Felony. 14. Transportation a. Identify public streets and highways serving the site,and describe proposed access to the existing street system. Show on site plans,if any.East Buffington Lane. b. Is site currently served by public transit? If not,what is the approximate distance to the nearest transit stop?Does not apply. 9 c. How many parking spaces would the completed project have? How many would the project eliminate?Does not apply. d. Will the proposal require any new roads or streets,or improvements to existing roads or streets,not including driveways? If so,generally describe(indicate whether public or private).No e. Will the project use(or occur in the immediate vicinity of)water,rail,or air transporta- tion? If so,generally describe.No f. How many vehicular trips per day would be generated by the completed project?If known,indicate when peak volumes would occur. Transportation will occur mostly by boat during harvest. g. Proposed measures to reduce or control transportation impacts,if any:None 15. Public services a. Would the project result in an increased need for public services(for example:fire pro- tection,police protection,health care,schools,other)? If so,generally describe.No b. Proposed measures to reduce or control direct impacts on public services,if any.None 16. Utilities a. Circle utilities currently available at the site: electricity,natural gas,water,refuse serv- ice,telephone,sanitary sewer,septic system,other.Does not apply. b. Describe the utilities that are proposed for the project,the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed.Does not apply. C. SIGNATURE The above answers are true an complete to the best of my knowledge. I understand that the lead agency is relying on th to a its decision. Signature: v Date Submitted: ' 10 ' Y RECEIVED: MASON COUNTY ( COMMUNITY SERVICES 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.:UL%2D . SHORELINE PERMIT APPLICATION RECE 7-91 SHORELINE PERMITS 615 W. Alde: CONDITIONAL USE* SUBSTANTIAL DEVELOPMENT x 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: Matt Smith-71 ident Marine Services,Inc. ADDRESS: 2851 East South island,Drive (street) Shelton WA 98584 (city) (state) (zip) TELEPHONE: 360.701.4887 (home) (business) AUTHORIZED REPRESENTATIVE: Marine Surveys&Assessments-Meg Amos ADDRESS: 267 Hudson Street (street) Port Townsend WA 96368 (city) (state) (zip) TELEPHONE: 360.385.4073 PROPERTY DESCRIPTION: General location (include property address,water body and associated wetlands—identify the name of the shoreline): 91 East Buffington Lane,Shelton,WA 98584;East side of Harstlne Island in Case Inlet Rev. March 1, 2016 r 1 Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude. Mason County parcel#120077590023;47.237789 N Lat./-122.863463 long. OWNERSHIP: Contract Applicant Owner Lessee x Purchaser (Identify) Other Owner: Anna Fercoq 91 East Burlington lane, Shelton, WA 98584 (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): Commercial geoduck aquaculture is proposed on 0.3 acres of privately owned tidelands between+2.5'MLLW and-3.5'MLLW. Existing Use (identify current use of property with exist improvements): Single family residence and associated tidelands. Adjacent properties on both sides are also single family residences with tidelands that are currently being used for aquatic farming. Reason for requesting development: The puprpose of this proposal is to grow geoducks for a wholesale market. 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; f ` 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.). H. 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 be of my k owedge and belief, the forgoing information and all attached information is true and correct. etc (A licant or Authorized Representative) ( ate) r Publication Cost Agreement Publication cost is the responsibility of the applicant. Final permit processing will not occur until advertising fees have been paid to the newspaper by the applicant.The Shelton-Mason County Journal will bill the applicant directly. I/WE understand that I/WE must sign and date the attached acknowledgment indicating and that I/WE understand that is MY/OUR responsibility. I/WE must submit the signed page as part of application in order for it to be considered as complete. Signaturj of Propert er Date Print Name OR -3• 3 - ) yr, 4-rT S rn 1 Tt-J Signs r of Applic t Date Print Name A MASON COUNTY COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7799 ADDITIONAL INFORMATION FOR SHORELINE CONDITIONAL USE The purpose of Conditional Use Permit is to allow greater flexibility in varying the new application of the Use Regulations of the Master Program. Conditional Use Permits should also be granted in circumstances where denial of the permit would result in a thwarting of the policy enumerated in R.C.W. 90.58. In authorizing a Conditional Use, special conditions may be attached to the permit by local government or the Department of Ecology to prevent undesirable effects of the proposed use. Uses that are classified, or set forth in the Master Program as conditional uses, may be authorized provided the applicant can demonstrate all of the following: 1. That the proposed use will be consistent with the policies of R.C.W. 90.58. and the policies of the Master Program. As stated in RCW 90,58.200 "The department and local governments are authorized to adopt such rules as are necessary and appropriate to carry out the provisions of this chapter." The Mason County SMP contains policies and regulations to ensure that aculture operations are "properly managed This application follows the SMP policy and regt_lation guidelines. 2. That the proposed use will not interfere with the normal public use of the shoreline. The c)rnl)n.-,Pd apnirli irk farm is located between the parcel bol inclaries on private tidelands and there are active geoduck farms on the abutting parcels to north and south, also private tidelands. I he farming practices should not be inhibitive to public use, as the tubes to be placed in the substrate wall not interfere with ,,-mail craft passing through when these tidelands are inundated with water. 3. That the proposed use of the site and design of the project will be compatible with other permitted uses within the area and with uses planned for the area under the comprehensive plan and shoreline master program. Aquaculture is allowed on the conservancy shoreline and as stated in SMP 17.50.210, "Aquaculture is of statewide interest." There are existing, permitted geoduck farms abutting is parcel o th outh. Rev_ March 1, 2018 4. That the proposed use will cause no significant adverse effects to the shoreline environment in which it is to be located. While temporary effects may occur (nnise, suspended -sediment) and some long term effects (diversity, nutrient flow), geoduck aquaculture is generally not considered a negative impact in ecological unc ion. the proposed activity avoids a-d verse impacts through conserva-tion measures pre s-ente d- in the Speciffic ProjeGt Information Form (included with this application) as Programmatic Conditions, all of which will e met with this project. 5. That the public interest suffers no substantial detrimental effect. This project does not propose structures or other impedimental elements that would cause significant adverse impacts to the normal public use of surface waters. This program does not attempt to identify or foresee all conceivable shoreline uses or types of development. When a use or development is proposed which is not readily classified within an existing use or development category, the unspecified use may be authorized as a conditional use provided that the applicant can demonstrate consistency with the criteria set forth above, and the General Use regulations of the Master Program. Uses, which are specifically prohibited by the Master Program, may not be authorized. In the granting of all Conditional Use Permits, consideration shall be given to the cumulative impact of additional requests for like actions in the area. For example, if Conditional Use Permits were granted for other developments in the area where similar circumstances exist, the total of the conditional uses should remain consistent with the policies of the Master Program and should not produce substantial adverse effects to the shoreline environment. Please attach any additional information, as needed. ACKOWLEDGEMENT I hereby declar to the best of my knowledge and belief, the forgoing information and all attached information is a and correct. (propel o r or a orized representative) (da e) 7 Page 2 of 2