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Home My WebLink AboutHydraulic Project Plan - PLN General - 9/27/2016 --� HYDRAULIC PROJECT APPROVAL AGENCY USE ONLY SIMPLIFIED APPLICATION Date Received: I I WASHINGTON DEPARTMENT OF FISH AND WILDLIFE I APP ID#: Ila;hingion Ikpar!mrnt of L— — FISH and WILDLIFE -- —- - NOTE: If your project requires a federal permit or you have an agent, discontinue using this form and submit the completed Joint Aquatic Resources Permit Application (JARPA)(www.epermitting.org). You can find more information about federal permits at http:llapps.ecy.wa.gov/opas/index.asp. Project Name(A name for your project that you create. Examples Smith's Dock or Seabrook Lane Development) 49 eJ1rie-- - )t_ J r-7 Ott. Business Name P&rSd Applicant First Name Middle Initial Last Name Mailing Address (Street or PO Box) 0. wood Cree k �2eA-d City State Zip Iq s /Z art f ern Phone (Primary) Phone (Mobile) Fax E-mail Property Owner(s) (Check appropriate box) 10 Same as Applicant (skip to Project Type and Plan) ❑ There are multiple upland owners. Complete Multiple Owner Attachment form for each additional property owner. Available at http://wdfw.wa-gov/licensing/hpa/simplified_hpa_application.html El Project occurs on public land (identify the Agency name below under Business Name and skip to Project Type and Plan) Business Name Property Owner First Name Middle U Jame Mailing Address (Street or PO Box) City State Zip Phone(Primary) Phone (Mobile) Fax E-mail HPA SIMPLIFIED APPLICATION Version 2.0 Page 1 of 3 �° s Project Type and Plan Please indicate project type(s)for which you are requesting an HPA(check all that apply). Attach plans for the project type(s) indicated below.You can find more detail on project plan requirements at http://wdfw.wa.gov/licensing/hpa/hpa_criteria.html. Project Type Description ❑ Road maintenance work (Plans required) Activities to repair existing structures associated with roads,such as bridge surface repairs,culvert cleaning,and ditch maintenance ❑ Mineral prospecting (Plans required) Activities not covered by the Gold and Fish pamphlet, including _ panning,dredging, sluicing,and hi hbankin Activities to alter or remove existing beaver dams,such as ❑ Beaver dam modification (Plans required) breaching the dam to relieve water pressure,full removal of the dam,or installing levelers or deceivers Repositioning or removal of large wood Activities to relocate or remove one or more pieces of large woody material(logs,trees, or large limbs Activities to repair existing docks and associated structures such ❑ Dock maintenance/repair(Plans required) as piers, ramps,and floats,including decking or piling repair or replacement,or relocation of a dock Activities to place, move,or remove small scientific instruments ❑ Scientific instrument installation (beyond hand tools) such as flow meters,thermometers,and staff gauges using more than simple hand tools Activities to install electrical,water,gas,or other conduits using ❑ Trenchless conduit(utility)crossing(Plans required) trenchless methods such as directional drilling ❑ Fish screen maintenance or replacement(Plans Activities to repair or clean existing fish screen structures required) Project Site Location (If multiple project sites, attach additional site location information separately) Site Addresses Driving Directions:�� A- S r wvo ork'Xd wPr�oX� af�lyjyQFa..m' County y�N. !uo n �t w o`'`�^_ hj t•.0 Coun K, 9 M S01? c�riIW-ai of f 12 z /;Je fn►K R lr►y Latitude Longitude Section Q ucirrter Section / 6 ,vr 2 as h oru�o c u. )1d Water body Name WRIA Township Range ..Ste w,,r-1 j:.�r k , W Project Description Summary of project: l c- rid- --kre e S w�s- Gz e n , v� d IPPi/n v v n�c fJ S d ;,�� Jh down s f r>✓�.� b y �; � fi�� -S�°�' �n � ��-., , ,--�-: V 17pl e,r vu N d r t'V-e l t2 ._3'G✓e ►^c`l /P �' e-S Will you be operating equipment in water? If yes, whit type of equipment? No When do you plan to do the work? .C.� How will you accomplish the work and minimize impacts to fish life and fish habitat? v HPA SIMPLIFIED APPLICATION Version 2.0 Page 2 of 3 State Environmental Policy Act (SEPA) Attach the final State Environmental Policy Act(SEPA)determination for the project. If your project does not require SEPA review, please attach written documentation from the lead agency(usually city or county) stating the SEPA exemption or explain why your project is exempt. For more information on SEPA go to: www.ecy.wa.gov/programs/sea/sepa/e- review.html SEPA Exemption ❑ Categorical Exemption Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other Provide explanation for Other Exemption: Signature and $150 Payment (See Fee Exemptions below) ❑ $150 check enclosed. Check# ❑ 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# ) ❑ Project is a cooperative fish and wildlife project that will be conducted by a volunteer group defined in RCW 77.100.020 under agreement with the department. I hereby certify that this application is made with the consent of the lawful property owner(s)and that all information submitted with this application is complete and correct False statements, errors, and/or omissions may be sufficient cause for denial of the request I consent to representatives of the Washington Department of Fish and Wildlife entering and inspecting the project area(s) listed above and any work or equipment related to the project. Such inspections shall occur at reasonable times, and if practical, with prior notice. Applicant Printed Name (Required) Applicant Signature(Required) Date(Required) 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 (Required) (Required) Proiects on Public Lands do not Require Date(Required) Signature Submit completed Mailing Address: Email: HPAapplications@dfw.wa.gov application and Washington Department of attachments through Fish and Wildlife Phone: (360) 902-2422 mail, hand delivery, FAX, Habitat Program or email and if required, PO Box 43234 your $150 payment. Olympia,WA 98504-3234 FAX (360) 902-2946 HPA SIMPLIFIED APPLICATION Version 2.0 Page 3 of 3 1 MASON COUNTY (360)427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352 BUILDING o PLANNING o FIRE MARSHAL (360)482-5269 Elma ext. 352 Mason County Bldg. 8, 615 W.Alder Street, Shelton, WA 98584 1854 www.co.mason.wams Sept , 2016 James Sellers PO Box 646 Allyn, WA 98524 RE: Parcel No. 12230-11-00070 Address: 770 E Sherwood Creek RD, Allyn. Dear Mr Sellers: The Mason County Planning Department understands that you have applied for Hydraulic Project Approval through the Washington State Dept of Fish & Wildlife in order to remove brush and debris from Stewert Creek. The purpose of the brush removal is to avoid potential flood damage to your property caused by the brush possibly clogging the culvert during the winter months. Based upon review of your DARPA Application, Mason County has determined that neither a Mason County Environmental Permit or SEPA are required for this project. The work will be subject to your WDFW Hydraulic Project Approval conditions. Thank you. Sincerely, Grace Miller, Planner DEPT OF COMMUNITY SERVICES CC: Margie Bigelow, WDFW Mason County Map Output Page 1 Mason County Map M� 1t0 100 a E� :3r DISCLAIMER AND LIMITATION Of LIABILITY. The data used to make this map have been tested for accuracy,and every effort has been made to LEGEND ensure that these data are timely,accurate and reliable.However,Mason County makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are approximate,and are not necessarily P099$ Federal Land$ accurate to surveying or engineering standards,and are intended for informational purposes only. p Mason County does not assume any legal liability or responsibility arising from the use of this map Highways City of Shelton in a manner not intended by Mason County.In no event shall Mason County be liable for direct, indirect,incidental,consequential,special,or tort damages of any kind,including,but not limited to, - Rovers 9 Streams County Boundary(OHR) loss of anticipated profits or benefits arising from use of or reliance on the information contained herein Parcels Commtt:SlOrter PSMtts Sections 'f Lakes A -Mason County GIS 100 W.W.Public Works Dr � Townships Sp Puye!Sound 6 Major Lak45 Shelton,WA 98584 http://mapmason.co.mason.wa.us/servlet/com.esri,esrimap.Esrhnap?ServiceName=wnason_ov&ClientVersion... 9/27/2016 e I Grace Miller-Removing brush from Sherwood From: 'Bigelow,Margaret M(DFV)"<Margaret.Bigelow@dfw.wa.gov> To: "Gbm@co.mason.wa.us"<Gbm@co.mason.wa.us> Date: 9/27/2016 7:57 AM Subject: Removing brush from Sherwood Attachments: SKM_C554e16091216050.pdf These folks want to remove brush that may clog the culvert, would they need SEPA and if not could you give me something in writing for Olympia to be able to process the HPA. Thanks Pkase f r €o: -c&070 Bate:l�stit to Na: file:///C:/Users/gbm/AppData/Local/Temp/XPgrpwise/57EA2664Masonmai1100167376E138B5C1/GW 00001... 9/27/2016