HomeMy WebLinkAboutVAR2016-00004 Forest Moratorium Waiver - VAR Application - 2/17/2016 A� 2-0 0000�}
Ark 15 2016
Forest Moratorium Waiver/Release Application 615 W. Alder Street
This application is to be used to waiver a portion of a parcel for development permits or to release
the entire tract from the six year moratorium for development permits. This process was created
under the guidance of RCW 76.09.060. This application needs to be filled out completely, so
that we have all the information to process this in an expedient manner.
Are you requesting a Waiver or a Release from the Moratorium?
Waiver Release
Applicant's Name:
Applicant's Address: .U ,
Operator's Address: �50))?C- /I- S aei)VQ
Parcel number of effected Parcel: - -WOW
Parcel size in acres: + V
Identi what t pe of timber as removed e: Douglas Fir Western Red Cedar Alder, Maple,
etc: M g F1 K I l�T�_I2� RED ��--�—
Was the timber harvest done under an approved forest practice application)(Yes ❑No
Was there 1p enforcement action taken by the Department of Natural Resources (DNR):
❑ Yes // o
Forest Practice Application Number: a4 1139 9
Forest Practice Application Date of Approval: gj— 1
What is your 0(14 int nti�Ur to do
I 1 6 LE ith e effected parcel:
I C C&
Are there any critical areas on your site? ie: wetlands-}streams, creeks, steep slopes, etc..:
Yes 0 No Identify the type critical area/s:
Please 9ITL .-TO
conditions of approvals DNR for ou forest practice application:
E�C .t T
Were any of the buffer areas effected by the timber harvest? ❑ Yes K o
Identify if you harvested any timber in the critical areas on your site: ❑ Yes 7NO
Did you replant per DNR standards: ' s ❑ No
APPLICATION SIGNATURE
1) 1 certify that I am the forest land owner, as that term is defined in RCW 76.09.020 and
WAC 222-16-010, and that am familiar with the requirements of the Forest Practices Act, RCW
76.09 and the forest practices rules, WAC Title 222. I am specifically familiar with RCW
76.09.060(3) and its effects.
2) I certify and declare under penalty of perjury under the laws of the state of Washington
that the foregoing is true and correct.
Signed this VS-day of '�Y,\ , 4�_at
(month)
(City) (State)
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STATE OASHINGTON)
INeA C-L—
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COUNTY OF NLkSON )
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On this day of 'M , before me, the undersigned, a
Notary Public in and for the State of Washington, duly commissioned and sworn, personally
appeared ,, Fk z1T 1 _ `'�QA;j to me known to be the individual described in
and who executed the within and foregoing instrument, and acknowledged that
signed the same as free
and voluntary act and deed, for the uses and purposes therein mentioned.
GIwVEN under my hand and officials (this day of ��
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M
KEON LICNOTARY PUBLIC in and for the St tGTON of Washington residing at �,\bIRES2018
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FPA Construction SWPPP Elements Narrative
(Follows Template Guidelines)
Project Description:
The project involves the application for waiver of forest moratorium (VAR2016-00004) for
construction of a single family residence on a recently harvested 4.5-acre parcel under FPA#
2418399. The property is located approximately% mile north of Victor on SR 302 in Belfair, WA
and is under Mason County jurisdiction.
The project is accessed directly off of SR-302E. No new road construction is necessary.
The parcel is bordered to the north by a residential parcel and to the south and east by larger
forested ownerships. The completed road accesses an elevated flat portion of the property
outside the stream buffer. The wetland is associated with a type F-stream and meanders
through a forested ravine within the central portion of the site. Soils are comprised of sand and
gravel and are well draining.
The project planned start date is to be determined and will take approximately 6 months to
complete.
Logging project on this parcel is complete and and has been replanted. Expected future single
family residence.
Element 1:
F-Stream boundary areas have been marked by blue and white flagging. Construction area
limits will be clearly marked and/or ribboned off. Any natural vegetation and native topsoil will
be retained in an undisturbed state to the maximum extent possible. In addition to the already
planted trees, native shrubs will be installed to provide a diverse, multi-layer vegetative
community within the portion of the 150' stream buffer outside of the road location.
Element 2:
Construction access shall occur on existing pavement and access from SR-302E. Sediment
control is unlikely however, shoveling or sweeping will be used if necessary.
Element 3:
Silt fencing and straw will be installed as necessary between the work area and the stream to
prevent erosion and siltation of waters. Any equipment on site will be checked daily for leaks
and refueling and/or lubrication of equipment will occur off site. Fuel, lubricants, chemicals or
hazardous substances will not be stored outside overnight, within the project area. Any
chemicals used outside will not be applied when there is a possibility of rain.
Element 4:
No additional BMP's are proposed. See Element 3.
J
Element 5:
N/A, no new road construction or cut and fills.
Element 6:
N/A no cut and fill slopes.
Element 7:
N/A for same reasons stated above.
Element 8:
N/A for same reasons stated above.
Element 9:
Any onsite pollutant sources will be handled and disposed of in a manner that does not cause
contamination of storm water. Good housekeeping and preventative measures will be taken to
ensure the site will be kept clean, organized and free of unnecessary debris.
Element 10:
N/A
Element 11:
All erosion and sediment control BMP's shall be maintained. Seedlings have been replanted
and site will be thoroughly monitored to maintain all ESC measures.
Element 12:
Project management shall incorporate practices stated in Element 12. Construction to be
completed prior to December 31, 2017