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Home My WebLink AboutSHX2019-00001 JARPA - SHX Application - 5/3/2019 RECEI J�ECEIVED MASON COUNTY JAN 18 2019 COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 61 ��r' ef Street 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 PERMIT NO.: :54 U)q-6 d d 6 SHORELINE PERMIT APPLICATION DT SHORELINE PERMITS CONDITIONAL USE* SUBSTANTIAL DEVELOPMENT VARIANCE* EXEMPTION X 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: ROd I'1'Ieussner ADDRESS: 7DO5 2I $ +''' A.ve f1C r2pAmOtrtc4 (street) LL)A-. 9Ir05:9 (city) (state) (zip) TELEPHONE: Z06 --730—7ysg (home) (business) AUTHORIZED REPRESENTATIVE: ADDRESS: P. O. fox 1!?6 l�'%/T (street) (city (state) (zip) TELEPHONE: 360"— F-1145 PROPERTY DESCRIPTION: General location (include property address, water body and associated wetlands—identify the name of the shoreline): 8'S3z, s> -e✓ C94e1,0 W&I 66'71'0r7, Ct,4, 9,?,6e1z1 Rev. March 1, 2018 Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude. ,322. 34 -q41 - 90orZ-, IN2 3q -q u-76 1 Zf OWNERSHIP: Contract Applicant Owner X Lessee Purchaser (Identify) Other Owner: n ,/ DOS Z/��h G?v�. �E, /?Pc%•�rd, 4Jr¢. 98053 (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): cS b? le ;awl/ re�rl dm c-r-, PA ba17/, 40 2. 4oe- o-r `J' apt/< YAO-1-oA' ozz -Pee-k /n le.7qA- —1h-e .S'- 4ali� Gyi/1 Gc�00 d T•�Gt/1')� CpilS�i G(c�r o� 4/��ro X /l d s�.��- �4n�/Gvcrrc�O� J2 orc,�i'r�a� hi' h �vaj4e�, /j'1Q -l< wig, /P4 da6G)n S'70.i-s -7"-0 bPacLi /eve/. Existing Use (identify current use of property with exist improvements): LIX Reason for requesting development: a /lO2c�pro rev dcv7efs ae-CesS 6Pacl2 6w4r-�04-1- 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. {lla d. ADJACENT LANDOWNERS. Provide names and mailing addresses of all real property owners f t- within 300 feet of property line boundaries where development is proposed. �n �-It) ACKOWLEDGEMENT: I hereby declare, to the best of my knowledge and belief, the forgoing information and all attached information is true and correct. 7/ (Applicant or Authorized Representative) ( ate) i--------------------------------------- AGENCY USE ONLY Date received: a US Army Corps WASHINGTON STATE Se tte Dsec`3 Joint Aquatic Resources Permit Agencyreference#: Zc�Eq' Qd4C11 Tax Parcel#(s): Application (JARPA) Form' �2 ' USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. i RECEIVED ------------------------ JAN 18 2019 pLAEG Part 1—Project Identification 615 W.Alder Street 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hel Meussner stairs Part 2—Applicant The person and/or organization responsible for the project. nei 2a. Name (Last, First, Middle) Meussner, Rod 2b. Organization (If applicable) 2c. Mailing Address (Street or PO Box) 7005 218'Avenue NE 2d. City, State, Zip Redmond, WA. 98053 2e. Phone(1) 2f. Phone(2) 2 . Fax 2h. E-mail (206)730-7459 _f( ) ( ) '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. • If your project might affect species listed under the Endangered Species Act,you will need to fill out a Speck Project Information Form(SPIF)or prepare a Biological Evaluation. Forms can be found at http://www.nws.usace.army.mil/PublicMenu/Menu.cfm?sitename=REG&pagename=mainpacle ESA • 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.epermitting.wa.aov/site/alias resourcecenter/iarpa iarpa form/9984hama form.aspx. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or helpaora.wa.aov. JARPA Revision 2012.1 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.) of eM 3a. Name (Last, First, Middle) Peter Brockman 3b. Organization (if applicable) Brockman Builders Inc. 3c. Mailing Address (Street or PO Box) P.O. Box 186 3d. City, State, Zip Kingston, WA. 98346 3e. Phone(1) J3f. Phone(2) 3 Fax 3h. E-mail ( 360) 638-1125 ( ) ( ) pbrockman2@earthlink.net 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. nel ® 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) 4 Fax 4h. E-mail JARPA Revision 2012.1 Page 2 of 14 6a. Briefly summarize the overall project. You can provide more detail in 6b. hel Single family residence stairs from top of bank to the toe of bank approx. 22 feet in length. The stairs will be wood frame construction approx. 110 sq. ft., landward of the ordinary high water mark with let down stairs to beach level. See attached drawings. 6b. Describe the purpose of the project and why you want or need to perform it. hel To allow property owners access to their beach waterfront. 6c. Indicate the project category. (Check all that apply) [hel ❑ 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 ❑ Boat Launch ❑ Ditch ❑ Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift ❑ Dock/ Pier ❑ Marina / Moorage ® Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility ❑ Bulkhead ❑ Fence ❑ Outfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ❑ Other: JARPA Revision 2012.1 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. hf eid • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. All work will be done by hand/hand tools. See 8e. and drawings attached. 6f. What are the anticipated start and end dates for project construction? (MonthNear) hel • 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: Spring 2018 End date: 1 week ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [help $5,800 6h. Will any portion of the project receive federal funding? hel • If yes, list each agency providing funds. ❑ Yes ® 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.) [help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. hel ❑ Not applicable 7b. Will the project impact wetlands? hf eM ❑ Yes ❑ No ❑ Don't know JARPA Revision 2012.1 Page 6 of 14 7c. Will the project impact wetland buffers? LtLeM ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? i • 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? [heipi • 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? hel • 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 ❑ Not applicable 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. [ 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 type4 (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. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3Indicate 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: JARPA Revision 2012.1 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. hei 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. hei 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.) hLeAi ® 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. hel ❑ Not applicable All work by hand tools. 8b. Will your project impact a waterbody or the area around a waterbody? hei ® Yes ❑ No JARPA Revision 2012.1 Page 8 of 14 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? net • If Yes, submit the plan with the JARPA package and answer 8d. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ® No ❑ Not applicable 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. Eel 8e. Summarize impact(s) to each waterbody in the table below. Eel Activity (clear, Waterbody Impact Duration of Amount of material Area (sq. ft. or dredge, fill, pile name' location impact' (cubic yards) to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected waterbody Digging placing Hood Canal Adjacent, Permanent None None posts for stairs landward of OHWM 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. 2Indicate 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. h[ elpl JARPA Revision 2012.1 Page 9 of 14 None, adjacent 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. hel Digging for posts will be by hand 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. heI Agency Name Contact Name Phone Most Recent Date of Contact Mason County 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? hel • If Yes,list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: hftp://www.ecy.wa.gov/programs/Wq/303d/. ❑ Yes ® No JARPA Revision 2012.1 Page 10 of 14 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? Lkm • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110018 I 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? k • Go to http://www.ecy.wa.gov/services/gis/maps/wriatwria.htm to find the WRIA#. WRIA#15 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? heI • Go to http://wvvw.ecy.wa.gov/programs/wg/swgs/criteria.html 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? her • If you don't know,contact the local planning department. • For more information, go to: hftp://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. ® Residential ❑ Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? hem • Go to http://www dnr wa gov/BusinessPermitsfTopics/ForestPracticesApplications/Pages/fp watertyping.aspx 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? her • 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? her • If Yes, please describe below. ❑ Yes ® No 9j. If you know what the property was used for in the past, describe below. hf empl Single family residence 9k. Has a cultural resource (archaeological) survey been performed on the project area? her • If Yes, attach it to your JARPA package. ❑ Yes ® No JARPA Revision 2012.1 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. [ Unknown 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. hei Unknown 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.ecy.wa.gov/opas/. • Governor's Office of Regulatory Assistance at (800) 917-0043 or helpCaD_ora.wa.gov. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) [he • For more information about SEPA, go to www.ecy.wa.gov/programs/sea/sepa/e-review.htmi. ❑ 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 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) h[ elpl ® 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. JARPA Revision 2012.1 Page 12 of 14 10b. Indicate the permits you are applying for. (Check all that apply.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ 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 Effective July 10, 2012, you must submit a check for $150 to Washington Department of Fish and Wildlife, unless your project qualifies for an exemption or alternative payment method below. Do not send cash. Check the appropriate boxes: ❑ $150 check enclosed. (Check# ) Attach check made payable to Washington Department of Fish and Wildlife. ❑ Charge to billing account under agreement with WDFW. (Agreement # ) ❑ My project is exempt from the application fee. (Check appropriate exemption) ❑ HPA processing is conducted by applicant-funded WDFW staff. (Agreement # ) ❑ Mineral prospecting and mining. ❑ Project occurs on farm and agricultural land. (Attach a copy of current land use classification recorded with the county auditor, or other proof of current land use.) ❑ Project is a modification of an existing HPA originally applied for, prior to July 10, 2012. (HPA# ) Washington Department of Natural Resources: ❑ Aquatic Use Authorization Complete JARPA 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 GOVERNMENT United States Department of the Army permits (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 permits: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects) JARPA Revision 2012.1 Page 13 of 14 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help] 11a. Applicant Signature (required) hel I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby aut ize agent named in Part 3 of this application to act on my behalf in matters related to this application. (initial) By initialing herV stat*at I have the authority to grant access to the property. I also give my consent to the permitting agencies enterin property where the project is located to inspect the project site or any work related to the project. (initial) �,�� VV1e,.�ss ,v�e.✓ ti1�o ti ,& Applicant Printed Name Applicant S tore Date 11 b. Authorized Agent Signature (help) I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Brockman Builders Inc. Authorized Agent Printed Name Auth ¢ed Agent Signature Dat 11 c. Property Owner Signature (if not applicant). (help) Not required if project is on existing rights-of-way or easements. I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Name Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies, conceals, or covers up by any trick,scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact the Governor's Office of Regulatory Assistance (ORA)at(800)917-0043, People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341. ORA publication number: ENV-019-09 rev. 06-12 JARPA Revision 2012.1 Page 14 of 14 MASON COUNTY Department of Community Services Planning Division 615 W Alder St, Shelton WA 98584 lip, (360)427-9670 Exemption from Shoreline Management Act Case No: SHX2019-00001 Substantial Development Permit The Proposal By: Rod Meussner 7005 218th AVE NE Redmond, WA 98053 206.730.7459 Parcel Number: 322344470824; 322344490012/-90011 Site Address: 8532 E. SR106, Union, WA 98592 To undertake the following development: Construction of beach stairs and a landing located landward of the ordinary high water mark. Located within the Hood Canal shoreline jurisdiction and/or its associated wetlands is exempt from the requirement of substantial development because the development is categorized under WAC 173-27-040(2) as being category: a.) Development not exceeding $7,047 Please contact Ron at ext 287, if you have any questions. Issued:5 3 2019 Authorized Local Government Official 5/3/2019