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J A R P A FORM OCT 21 2002 1 �
(to(use in Washington State)PLEASE TYPE OR PRINT IN BLUE OR BLACK INK 426 w% CEDAR STJ
Based on the preceding checidist,I am sending copies of this application to the following: (check all that apply)
Local Government for shoreline: ❑ Substantial Development ❑ Conditional Use ❑Variance ] Exemption,or,if applicable
❑Floodplain Management ❑Critical Areas Ordinance
Washington Department of Fish and Wildlife for HPA
�Q Washington Department of Ecology for: W Approval to Allow Temporary Exceedance of Water Quality Standards
[]401 Water Quality Certification Nationwide Permits
❑_ Washington Department of Natural Resources for:❑Aquatic Resources Use Authorization Notification
Corps Engineers for:0 Section 404 ®Section 10 permit
❑ Coast Guard for: ❑Section 9 Bridge Permit
SECTION A -Use for all permits covered by this application. Be sure to also complete Section C(Signature Block)for all permit
appllcatfons.
1.APPLICANT 1. AN
02. A•rm& M.'Lh 654-it r
MAILING ADDRESS �. �+�0 /u. yt O�J 'I r /
7
4, 150 mw lo6lb st., Seetif--, Wf} 981 •5�D1
WORK PHONE A;r� HOI V oONE -7 7„ pA1� FAX# ��^
78A1- 70t6
Kan agent Is acting for the applicant during the permit process,complete#2.
2.AUTHORIZED AGENT C,/ra.1'C)Vj Motj—
MAILING ADDRESS /a/,Oo IC2q 4 0
Ki t-K I a414, WA 0034
WORK PHONE HOME PHONE FAX#
C4,20 k"V- T59a
3.RELATIONSHIP OF APPLICANT TO PROPERTY'OWNER ❑PURCHASER O LESSEE O OTHER:
4.NAME,ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(S),IF OTHER THAN APPLICANT:
-J
5 LOCATION(STREET ADDRESS.INC DING CITY,COUNTY AND ZIP CODE,WHERE PROPOSED ACTIVITY S OR WILL OCCUR)
I. 40 At. A o�lt✓ each ®r: .c; 1-;wig u P" Wla. 9�5 'y
A a N. r. ki,ct
WATERBODV /,{�') � TRIBUTARY OF lam.
1/4 SECTION TOWNSHIP RANGE GOVERNMENT LOT SHORELINE DESIGNATION
ZONING DESIGNATION
r
TAX PARCEL NO. J,�02 t✓ O I DNR STREAM TYPE,IF KNOWN
4' 3;,3 t) 3 50 oto
Application Pape 1 of 4
IF YM WACTEO AREA IS_ACRES
I&WILL EXCAVATION OR DREDGNG BE REQUIRED IN WATER OR WETLANDS? O YES NO
F YES:
A.VOLUME_(CUBIC YARDS)IAREA_(ACRES)
B.COMPOSITION OF MATERIAL TO BE REMOVED:
C.DISPOSAL SITE FOR EXCAVATED MATERIAL:
O.METHOD OF DREDGING:
14.UST OTHER APPLICATIONS.APPROVALS,OR CERTIFICATIONS FROM OTHER FEDERAL,STATE OR LOCAL AGENCIES FOR ANY STRUCTURES,CONSTRUCTION,DISCHARGES,
OR OTHER ACTIVITIES DESCRIBED IN THE APPLICATION Q.E.,PRELIMINARY PLAT APPROVAL,HEALTH DISTRICT APPROVAL,BUILDING PERMIT,SEPA RCVIEW,FERC LICENSE,
FOREST PRACTICES APPLICATION,ETC.)ALSO INDICATE WHETHER WORK HAS BEEN COMPLETED AND INDICATE,ALL EXISTING WORK ON DRAWINGS.
TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION NO. DATE OF APPLICATION DATE APPROVED COMPLETED?
r
iovi
SEPA LEAD AGENCY SEPA DECISION: SEPA DECISION DATE:
15. HAS ANY AGENCY DENIED APPgOVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTMTY
DESCRIBED HEREIN?❑YES PJ NO IF YES,EXPLAIN:
SEC77ON B-Use fw Shoreline and Corps of Engineers permits only:
16. TOTAL COST OF PROJECT. THIS MEANS THE FAIR MARKET VALUE OF THE PROJECT,INCLUDING MATERIALS,LABOR,MACHINE RENTALS,ETC.
17. LOCAL GOVERNMENT WITH JURISDICTION:
16. FOR CORPS,COAST GUARD,940 DNR PERMITS,PROVIDE NAMES,ADDRESSES,AND TELEPHONE NUMBERS OF ADJOINING PROPERTY OWNERS,LESSEES.ETC.PLEASE
NOTE SHORELINE MANAGEMENT COMPLIANCE MAY REWIRE ADDITIONAL NOTICE—CONSULT YOUR LOCAL GOVERNMENT.
NAME ADDRESS PHONE NUMBER
Za Ll-biraq IAPA55 77 Y
! xaso Alakl3arA Dr Z;L1,; %)huj2S ~Sa
Application Page 3 of 4
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