HomeMy WebLinkAboutSHX2020-00024 for BLD2020-00740 - SHX Application - 7/21/2020 bLy )i C0 60 RECEIVED:
MASON COUNTY
c COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
6I5 W.Alder St.-Bldg.8,Shelton,Wa 98584
Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 C 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.
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APPLICANT: L
ADDRESS: Q `
a6 street) B �-
(city) (state) (zip)
TELEPHONE: �j�
(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):
Rev.March 1,2018
Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude.
?D2a36-- 4:�9i -00140
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 pe rtinent information):
PODUM 01AY' I ic
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Existing Use (identify current use of property ith exist i prov_ements):
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Reason for requesting development:
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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 mZirk (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 ONWM 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 de fare,to the best of my knowledge and belief,the forgoing information and all attached information is true and
correct
(Applicant o uthorized Representative) (date)