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HomeMy WebLinkAboutFPA2010-00003 - FPA Application - 2/28/2011 0u Cat, '� MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT FPA 010 - 00003 Mason County Bldg. III, 426 West Cedar Street PO Box 186, Shelton, WA 98584 www.co.masonma.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 FOREST PRACTICES APPLICATION/NOTIFICATION Type IV General This application should be accompanied with an Environmental Checklist(SEPA)as well as an activity map/site plan which addresses items listed below. TYPE OR PRINT IN INK: 1. Landowner,Timber Owner and Operator information. Legal Name of LANDOWNER Legal Name of TIMBER OWNER Legal Name of OPERATOR v SQirr S Mailing Address: Mailing Address: Mailing Address: ero #✓e-,-1 u�/"� Lila'41 Po- City,State,Zip City,State,Zip City,State,Zip 1Xe1V4,-3 G/4' 985934 Phone 74g Phone( ) Phone( ) Email: Email: Email: 2. Contact person information. Contact Person / Phone( ) 3 6 a— —eV?— F49 72n t 7¢8 i' Email; .- d 4)4, vS 3. If you are harvesting timber,enter the Forest Tax Reporting Account Number of the Timber Owner: For tax reporting information or to receive a tax number,call the Department of Revenue at(800)548-8829. 4. Legal description where the forest practices will occur. Parcel Number Sub Division %.'/. Section Township Range E/W 5. Answer each question as it applies to your proposed forest practice. a. []No. Yes. Is the activity within an urban growth area? b. KNo. [] Yes. Is the activity within a public park? C. bQ No. [] Yes. Is the activity within 500 feet of a public park? Park name: d. EQ No. [] Yes. Is the activity located on lands platted after January 1, 1960? e. JQ,No. [] Yes. Is the activity within 200 feet of saltwater lake river/creek/stream pond wetland seasonal runoff slopes which exceed 150/o? f. What is the expected duration of FPA?-7'u/p we e�S Proposed start date: i/l/ Proposed end date: Z 1B Page 1 of 4 i 6. Are you cutting or removing timber? []No. K Yes. Complete the table below and identify all timber harvest and salvage activity boundaries on the activity map. Acres Volume to be Steepest Slope in Unit# Harvest T e Yarding Method net Harvested mb Harvest Unit 7. Are you constructing or abandoning roads? KNO. (] Yes. Complete the table below. Show locations and identify all road activities on the activity map. Total Length Steepest Side Slope Abandonment Date Type of Activity feet % Mo/Yr Road Construction Does Not Apply Temporary Road Construction Road Abandonment Work in or over typed water may require a Hydraulic Project Approval(HPA)from the Washington Department of Fish and Wildlife (WDFW). If you have questions concerning the HPA,visit the WDFW website at www.wdfw.wa.gov/habitat.htm. 8. Are you installing or replacing water-crossings? 4No. [] Yes. Complete the table below. Show locations and identify all proposed water-crossings on the activity map. Crossing Crossing Dimensions Crossing Crossing Dimensions Identifier Type (width x length) Identifier T width x length) I 9. Mark the following activities that will be done in or over typed water. /V-4i I Activity in or over: Type I Stream Type II Stream Type III Stream Type IV Stream Type V Stream Removing culverts of bridges Equipment crossing Ground skidding Suspending cables Cable yarding Falling and bucking Other 10. Is any activity in a wetland or wetland buffer? KNo. [] Yes. Complete the table below. Show locations and identify all wetlands and buffers on the activity map. Wetland Wetland Type Activity Type in Activity Type in Total Wetland Total Area Total Area Identifier (I,II,III,IV, Wetland Buffer Area(acres) Drained(acres) Filled(acres) other �I 11. Describe how the following are identified on the grA und. • Harvest boundaries/unit comers: 001 i7k too i • Right-of-way limits and centerlines for road work,60UR16ts an ridges: A44 ■ Critical areas and critical area buffer boundaries: AA* Page 2 of 4 12. Have you reviewed this forest practices activity area to determine whether it may involve historic sites and/or Native American cultural resources? JQ No. [I Yes. 13. We affirm that the information contained herein is true,and understand that this proposed forest practice is subject to the Forest Practices Act and Rules and Mason County Forest Practices Conversion Ordinance as well as all other federal,state or local regulations. Compliance with the Forest Practices Act and Rules and the Mason County Forest Practices Conversion Ordinance does not ensure compliance with the Endangered Species Act or other federal state or local laws. Signature of LANDOWNER Signature of TIMBER OWNER Signature of OPERATOR (if different than land wn r) (If different that lan o er) AC Print name:�`�k�' Print name: .r�C's7" � Print name�-�-& Date:/L ZZ O Date: 1 Date: Additional information: (Optional) Per Mason County Ordinance 11.05,Section 11.05.120,a site map shall accompany this application which includes the following information. I Harvest boundaries and tree retention areas. II The approximate location of any structures. III The location of all existing and proposed streets,right-of-ways,easements,skid roads,haul roads, and landings within the proposal. IV The location of future land development including stormwater management facilities and vegetation to be retained for site landscaping,open space,wildlife habitat,screening,and/or buffers. i V Site topography at contour intervals of 40 feet. VI Critical areas and critical area buffers regulated pursuant to the Critical Areas Ordinance. VII Drainage ways and culverts. VIII Site area targeted for further harvest including proposed timing. IX North arrow and scale shall be shown on all site plans.The scale shall be no smaller than one inch to 200 feet. Staff asks that,at a minimum,the corners of the harvest unit(s)be flagged for clear identification. Page 3 of 4 y NOTE: Copies of all FPA Applications will be forwarded to Mason County Public Works for stormwater and erosion control review.Projects which disturb more than one acre(regardless of total lot size)will require an engineered stormwater plan consistent with the Mason County Stormwater Ordinance(Chapter 14.48.)and the 1992 WSDOE Stormwater Manual(2005 in Belfair&Allyn UGA's).Applicants will be charged for Public Works staff time to review these plans and applications. Property owners should also be aware that the Washington State Department of Ecology(WSDOE)might ask for a NPDES(National Pollution Discharge Elimination System)Permit.The threshold for such a permit is equivalent to Mason County's threshold. WSDOE will notify applicants through SEPA review if a NPDES is required.An NPDES is not a perquisite for FPA approval.It is the responsibility of the applicant to obtain this permit when required. FPA FEE: $255.00 with SEPA SEPA FEE: 0-9.99 Acres$630 $375.00 without SEPA 10 to 20 Acres$755 Over 20 Acres$945 EIS(DS)$2,525+70/hr Departmental Review (For Office Use Only) Site visit: Date approved: Mason County Community Development ITLANNINGTACTPA.DOC 12/15/2008 Page 4 of 4 r Lake r e a I 'll 0 ­T2 1 NR4W 35 36 r j V fj'f G) IW --x X JJohn Lake O ns LU 0 LU z CD D --L.W.DAYTON AIRPORT RD CL 12ONR4W 2 A. 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Box 279 Shelton,WA 98584 85f Rick Hirshberg Mason County Dept of Public Works P.O.Box 1850 Shelton,WA 98584 January 10,2011 Letter of Incompleteness RE: 42002-10-00010 Dear Mr.Hirshberg, I recently received your forest practices application(FPA)for your project on the above referenced parcel.I know that you worked hard to prepare a complete application but unfortunately it is incomplete and can not be processed in its current condition.Below is a list of the item(s)that need more attention before the application can be deemed complete: (1) According to your application this is a 2-acre harvest.Please be aware that a stormwater site plan is required for your application.When the total area of disturbance exceeds one-acre, such a plan will have to be engineered.Please provide me with a copy of you plan as well as a completed submittal checklist.Your plan should be consistent the 2005 WSDOE Stormwater Manual. (2) A site map conforming to the requirements of Mason County Ordinance 11.05, Section 11.05.120 is required for all Class IV G applications.You did submit vicinity map,but does not meet the requirements for an FPA site plan.Please review the list of the 9 items required for a FPA site plan and provide me with a suitable site plan. It is possible that additional information could be required once the review begins.In order to keep this case open,please respond within 180-days. If you have any questions,please contact me at extension 571 or by e-mail at: mms@co.mason.wa:us.Thank you. cerely, J Michael MacSems, FPA Reviewer cc: Loretta Swanson(MCPW)