HomeMy WebLinkAboutTimber Harvest, Road Work, Culvert - FPA Letters / Memos - 11/8/2004 WASHINGTON STATE DEPARTMENTOF Forest Practices
Natural Resources
Commissioner of Public Lands Notice to Compl
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1. F.P. App. No. 2. Region 4. Class of Forest Practice 5. Legal Subdivision
S PS ❑ Class 11 Class IV General 0/Z 0 j N 1C)Act/
no in e- 3. County ❑ Class III ❑ Class IV Special Section Togwnship IRge. E/W
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6. Landowner 7. Timber Owner 8. Operator
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Under Authority of Ch. 76.09 RCW, Title 222 WAC- Name of Violator You are hereby given this
NOTICE TO COMPLY in connection with violation(s), deviation(s), damage(s), or otential damage(s) described below.
9. Reasons ❑ Deviation from approved application 10. Damage Amount $ nn for 0 Authorized 0 Unauthorized 11. D�eI
Notice Violation of Forest Practices Act and/or Rules A
❑ Immediate action is necessary to prevent continuation NOV 0 8 2004
of or to avoid material damage to a public resource.
12. Description of violation(s), deviation(s), damage(s), or potential damage(s): MCCD - P ANNI C
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13. Violation of WAC(s): 14. Violation Observed: _/,O_/.�'5 /,Wy at A'00
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22 0�� C15 15. Steps described in #16 must be completed by: - r -,o5
Date
16. You must complete the following steps:
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17. The operator, timber owner or forest landowner may request a hearing before the DNR to review this Notice iQ Comply. To
be valid, any such request must be filed in writing with the DNR within fifteen (15) calendar days of .�-
Date of Service.
CONTACT s Region Office with any questions, phone (, �)
18. Signature of Person Order Given/Mailed to: 19. Date of Service 20. 'gnature om iance Officer
21. (Office Use Only) Date Initials 22. Title of Complianc ffi r 23. Position No.
Copies sent to
❑ Timber Owner, I- Land Owner, 4FPDM �FP Coord. ther Agencies
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002, 11180
Rev 2i97 r,c White-Region Canary-operator Pink--Compliance Officer ® ® � �
RECYCLED PAPER
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Forest Practices
db WASHINGTON STATE DEPARTMENTOF
Natural Resources Informal Conference Note
Subdivisions , / Sections/Townships/Ranges (ENV)' Application/Notification# Class
Landowner Timber Owner Operator
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Mailing Ad r ss Mailing Address Mailing Address
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City, State (Province), Zip(Postal Code) City, State(Province),Zip(Postal Code) City, State(Province), Zip(Postal Code)
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Meeting Location T lephone Date Time Region
Conference
Subjects Discussed:
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Decisions Made:
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PRINT Participants' Names *SIGNATURES of Participants Representing Copies
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Position No. Sign r &Titie f D=Rentative Date Work Phone
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* (Participant signature a ote " correct for sub ects iscussed an decisions made at the meeting.)
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[ ] Timber'Owner [ ] Landowner XO
ther Parties:QQ38
Rev.02/02 White—Region Canary--Operator Pink—DNR Representative
® 12141
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