HomeMy WebLinkAboutSHR2009-00003 Cancelled - SHR Permit / Conditions - 7/21/2009 STATE RECEIVED
JUL 2 3 80
STATE OF WASHINGTON MCCD - PLANNIN(
DEPARTMENT OF ECOLOGY
PO Box 47775 • Olympia, Washington 98504-7775 • (360) 407-6300
July 21 2009 .
iWOW
Jack Van Horn 1 ,
26314 Long Oak Drive
Santa Clarita CA 91321 as 3a7-�/ /
o-0i0v0
Dwight Sasten /a a 3 a C//167
1827 Rolling Hills Avenue SE
Renton WA 98055-3718 �:� „ iV,
Subject: Mason County Local Permit#SHR2009-00003 - Approved
VAN HORN, JACK/SASTEN, DWIGHT- Applicants
Shoreline Substantial Development Permit# 2009-SW- 03550
Dear Mr. Van Horn and Mr. Sasten:
Purpose: Notification of Receipt of Approved Substantial Development Permit(SDP)
On 7/16/2009, the Department of Ecology received notice that Mason County approved your
application for a Substantial Development Permit. Your permit authorizes the expansion of an
existing single use pier, ramp and float from 100-feet long to a I I5-feet long joint-use facility by
adding an 8-foot by 7-foot float extension to the existing float, and an 8-foot by 32-foot float as
an 'L'. All work will occur within shoreline jurisdiction of Case Inlet/South Puget Sound
(Chapter 90.58, RCW).
By law, local governments must review all SDPs for compliance with the following:
• The Shoreline Management Act (Chapter 90.58 RCW)
• Ecology's Substantial Development Permit approval criteria(Chapter 173-27-150 WAC)
• The Mason County Shoreline Master Program
Local governments, after reviewing the SDP for compliance, are required to submit the SDPs to
Ecology for filing.
Your approved SDP has been received and filed by Ecology.
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Print w:-
What Happens Next?
Before you begin activities authorized by this permit, the law requires you to wait at least 21
days from the date we received the decision letter from County/City on 7/16/2009. This waiting
period allows anyone who (including you) disagrees with any aspect of this permit, to appeal the
decision to the state Shorelines Hearings Board. You must wait for the conclusion of an appeal
before you can begin the activities authorized by this permit.
If no appeal is submitted you may begin activities any time after 8/6/2009.
The Shorelines Hearings Board will notify you by letter if they receive an appeal. We
recommend, however, you contact the Shorelines Hearings Board before you begin permit
activities to ensure no appeal has been received. They can be reached at(360) 459-6327 or
http://www.eho.wa.gov.
If vou want to appeal this decision, you can find appeal instructions (Chapter 461-08 WAC) at
the Shorelines Hearings Board website above. They are also posted on the website of the
Washington State Legislature at: http://apps.leg.wa ovg /wac.
Other federal, state and local permits may be required in addition to this shoreline permit.
If you have any questions,please contact Kim Van Zwalenburg at(360) 407-6520.
Sincerely,
/4%- l�
Kim Van Zw e urg
Shoreline Planner
Shorelands and Environmental Assistance Program
KV:dn
cc: Grace Miller, Mason County
Angela Butts, Marine Floats
Printedfrom Mason County DMS
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Planning Division
P O Box 279
Shelton, WA 98584
(360)427-9670
SHORELINE PERMIT
Case No.: SHR2009-00003 STATUS: ISSUED
Received: 3/24/2009 Issued: 7/10/2009 Expires: 7/10/2011
Tvoe of Permit: Sub. Dev.
Applicant: JOHN VANHORN AND �Pw'4k-r 5,,1 T&N
, (o01! Lo„i talc D!Z 18a7 2cr1;„'
Jaok �',laY,4� CA 913a1 0 r{a 644 9B 4�3 7(8
Location of Project: Grapeview Loop Rd. to Conquist Rd. to address.
Within Case Inlet and/or its associated wetlands. The projectwill not be
within shorelines of statewide significance.
Shoreline Designation: Urban
Parcel Number: 122324001040 aid A_�03,;t-yo- 9io57
Address: 390 E CRONQUIST RD ALLYN
Legal Description: TR 4 OF GOVT LOT 3 & TAX 1140
Project Description: Expansion of an existing pier, ramp and float system. The development
includes extension of the existing length and size of an existing pier, ramp
and float facility and changing the use from one single family residence to
joint-use by adding one adjacent property. The expansion will include the
construction of an 8' X 7' float as an extension of the existing 8' X 24' float
and construction of an 8' X 32' float at an "L" to the 8' X 7' float extension.
Install 3 chemonite treated wood piling.
CONDITIONS: AHAcl&i th 5fa terc4.
This permit has been granted by Mason County persuant to the Shoreline Management Act of 1971
and nothing in this permit shall Excuse the applicant from compliance with any other federal, state or
local statutes, ordinances or regulations applicable to this project but not inconsistent with the
Shoreline Management Act. (Chapter 90.58 RCW).
This permit may be rescinded pursuant to RCW 90.58.140(7) in the event the permittee fails to
comply with the terms and conditions hereof.
SHR2009-00003
:.a m
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Building III-426 west Cedar Street
P.O.Box 186,Shelton,WA 98584
(360)427-9670-Ext. 352
SHORELINE PERMIT APPLICATION
PERMIT NO. 5H2,)Dp -OOc- 3 SHORELINE SUBSTANTIAL DEVELOPMENT ZC
SHORELINE VARIANCE
DATE RECEIVED o9 SHORELINE CONDITIONAL USE
SHORELINE 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 $5,000.00 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 my further describe the proposed
development. Incomplete applications will be returned.
APPLICANT:
ADDRESS: .
(street)
(city) (state) (zip)
TELEPHONE: L L I - ?) PI I- <,�S C:,-1 L)n
(home) (business)
AUTHORIZED REPRESENTATIVE: t vX>L
ADDRESS: I b?,
(str t C)
'l.Cc Lr:��r t
(ci (state) (zip)
TELEPHONE: Cj 3 3?S j • -,;k '] -{ D
PROPERTY DESCRIPTION:
General location(include property address,water body and associated wetlands—identify the name of the
shoreline): b
(S'
tP
III"
s. ., �: a. v aa,,irs f a.'n
Legal description (include section, township, and range to the nearest quarter, quarter section or latitude and
longitude to the nearest minute. Projects located in open water areas away from land shall provide a longitude
location)—include all parcel numbers:
OWNERSHIP: Contract
Applicant�` Owner Lessee Purchaser (Identify) Other
Owner:
(street)
(city) (state) (zip)
DEVELOPMENT DESCRIPTON
Development(identify and describe the proposed project,including the type of materials to be used,construction
methods,principle dimensions,and other pertinent information):
I -t-loer. i a�, Ct YN �� ins turn of -P ���l►n`7
••� C ��a►�-,��; �-�.. �->,��� a ;., ,�Y�a �, l , �.
Use(identify current use of property with exist improvements:
Reason for requesting development:
1 y i1[A A 1 Z,--.e -V'. s!1 ►v.< i.r.. .,ti.ry. . ,A Ci y.C)
rin Ptedfrov%1^1
Countya onDMS
ACKOWLEDGEMENT
I hereby declare,to the best of my knowledge and belief,the forgoing information and all attached information is
true T"k
ect.
3
applicant or authorized representative) date
■■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�r�r��rrrrrrrrrrrrrrrrrrrrrr�rr���rrrrrr�
TO BE COMPLETED BY LOCAL OFFICIAL
Identify and describe existing features of the site and surrounding area:
_�Xis>linq C»�x✓('e�S have S:f• res��IQ�E�s �'o•�u�e�e bwll�tieuds �zh� -/e.rracz�f, roe_Kcd
0-*`ea5 behwee, -ke h„111 ead f a sd ge A4a,vs
/lY►olL Lf n SItyU/d!' �_7 I1.(LJ'1wyQ.�r,.� �,../••-L�tT�S��nN crUMtf / �uT5 TD�1 ur7�'l �l�'fl�itA
GzfYkS Sc�cltin, }��— J
If proposed structures will exceed a height of 35 feet above the existing grade level,indicate the location of any
residential units that will have an obstructive view:
If a Conditional Use or Variance is requested,make reference to the appropriate section in the Master Program:
1:\PLANNINGICHARELL&RENEF/SHORELINEPERMIT.APP REVISED: 01-05-2005
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RECEIVED
MAY 14 tun
AGREEMENT REGARDING JOINT-USE OVERWATER STRUCTURE MCCD - PLANNING
Effective Date: February 26, 2009 �}(.
This agreement regarding a joint-use pier, ramp,and float structure is made as of the date shown
above between the Jack Van Horn and Vivian Van Horn ,
husband and wife(hereinafter referred to as the owners of Parcel #(s) 122324001040 ),
the owners of the property commonly known as 390 East Cronquist Road, Allyn, WA 98524
more particularly described in Exhibit A attached hereto, and Dwight Sasten
and Ellen Sasten , husband and wife(hereinafter referred to as the owners of
Parcel#(s) 122324091051 ,the owners of the property commonly known as
380 East Cronquist Road, Allyn, WA 98524
more particularly described in Exhibit B attached hereto. Parcel#(s) 122324001040
and Parcel#(s) 122324091051 are shown on attached Plat map, Exhibit C attached
hereto.
Whereas,the owners of Parcel#(s) 122324001040 and 122324091051
have commenced with plans for the construction of a joint use pier, ramp, and float structure to be located
on the above-described properties on the property line between their respective parcels; and
Whereas,the parties wish to enter into an agreement to provide for the use,access, maintenance,
costs, and other such matters concerning the joint use pier,ramp, and float structure;
Now,therefore, in consideration of the mutual benefits to be derived herefrom, the parties
covenant and agree as follows:
1. Joint Use Restriction: The current and future owners of Parcel #(s) 122324001040
and 122324091051 (hereinafter referred to as the Joint Use Owners)voluntarily agree
to build no additional overwater structures on Parcel#(s) 122324001040 and 122324091051 ,
except for the maintenance or modification of the joint use pier, ramp, and float structure located
on Parcel# 1223240001040 , fiften feet from the north property line.
2. Joint Use DeOn and Construction: The current and future Joint Use Owners agree to and
recognize the requirements for construction,use, and mitigation requirements associated with the
joint use pier, ramp, and float structure located on Parcel# 1223240001040 , fiften feet from the
north property line. The current and future Joint Use Owners shall have and undivided one-half
interest in the joint use pier,ramp, and float structure and the water area contained within the
structure area attached hereto as Exhibit D.
3. Expenses: All expenses concerning the joint use pier,ramp, and float structure shall be shared
equally. Such costs include, but are not limmited to,the following:
a. Application and permit fees;
b. All taxes;
c. Design and construction costs;
d. Maintenance and repair costs; and
e. If applicable,premiums for the property insurance at replacement value or other insurance
stipulated.
4. Repairs and Maintenance: The Joint Use Owners agree to keep the joint use pier, ramp, and
float structure in good order and repair. All repair and maintenance cost not the result of one Joint
Use Owner's acts or omissions shall be shared in the proportion as set forth in items 3 above.
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5. Improvements: Any improvements shall be discussed prior to commencement of construction
and the sharing of costs shall be by further agreement. Such improvements are subject to all
applicable governmental permits and approvals.
6. Access Rights: The Joint Use Owners herby convey and warrant to the owners and future owners
of the affected parcels an access easement over and across the affected parcels as is reasonable
and desirable to gain ingress and egress to the joint use pier,ramp, and float structure.
7. Exclusive Use: The joint use pier,ramp, and float structure and any of its improvements are for
the exclusive and sole use and benefit of the Joint Use Owners and future owners of the affected
parcels.No Joint Use Owner shall grant rights of any kind whatsoever concerning the use and
benefit of the joint use pier,ramp, and float structure without the prior written consent of the
other Joint Use Owners.No Joint Use Owner shall occupy more than their respective one-half of
the water space located within the joint use pier,ramp, and float structure area, including bumpers
and/or pads, whether located on the joint use pier,ramp, and float structure itself or on the boat.
All boats moored at the joint use pier,ramp, and float structure shall be kept seaworthy and shall
be kept maintained by the Joint Use Owner mooring the boat.No boats shall be used as live-
aboards while moored at the joint use pier,ramp, and float structure.
8. Waiver of Responsibility: All Joint Use Owners shall carry and show proof of adequate liability
and casualty insurance for himself/herself and any authorized individuals, and will be required to
sign a liability waiver. The Joint Use Owners agree to keep the joint use pier,ramp, and float
structure and premises clean,orderly and as free as possible from all flammable substances. Each
Joint Use Owner shall indemnify and hold all other Joint Use Owners to this agreement harmless
from any loss, damage, injury, cause of action or claim resulting from any and all acts or
omissions of that Joint Use Owner,his or her agent, guest, or other persons or entities on or
utilizing the premises at the Joint Use Owners request.
9. Binding Effect: This agreement shall be binding upon and insure to the benefit of the current and
future Joint Use Owners,their heirs, successors and assigns of the affected parcels,and all
covenants contained herein shall run with the land and this joint use agreement shall be recorded
on the deed or title for each parcel.
10. In the event either Joint Use Owner to this agreement fails to pay his share of costs and expenses,
such share shall be a chare and lien on the property of the person liable and also the personal
obligation of the person who was the owner of the property at the time the costs were incurred.
Such chare and lien may be enforced by any Joint Use Owner to this agreement. There shall be
added to the amount of such charge all costs,expenses and attorneys' fees reasonably incurred in
enforcing the same. The lien provided for by this paragraph shall be subordinate to the lien of any
institutional mortgage or deed of trust.
11. In the event of any legal action or proceeding by either of the Joint Use Owners to enforce any
part of this agreement,the prevailing Joint Use Owner shall be entitled to its reasonable costs and
expenses of such action or proceedings, including reasonable attorneys' fees.
12. In the event of any dispute between the Joint Use Owners as to the necessity for repairs and
maintenance,the matter shall be referred to arbitration under the rules of the American
Arbitration Association and the result shall be binding on the Joint Use Owners.The prevailing
Joint Use Owner shall be entitled to his cost and expenses and reasonable attorneys' fees.
14. Anything in this agreement to the contrary notwithstanding,this agreement shall terminate on
,or such earlier time as both properties shall cease to
be actively used for residential purposes.Temporary cessation of use due to fire or other casualty,
ft AN
Printu,-- d froln,%I Mas(%) n Cou
acts of God,or other causes beyond the reasonable control of the Joint Use Owners shall not be
deemed a cessation of use within the meaning of this paragraph.
15. This is the entire agreement between the Joint Use Owners. There are no other understandings,
verbal or written. This agreement may not be amended without the written permission of all
governmental agencies having jurisdiction over the joint-use pier, ramp,and float structure.
SO AGREED
Current Owners of Parcel #(s): 1223 001040
Jack Van Horn r '�
Print Name :ASiture Date
Vivian Van Horn z
Print Name ture Date
STATE OF C/A^LIFOR/NIA )
County of �S �`tl7ge�QS SS.
&'rjhis day,p rsonal y appeared before me �—%nkYlV`+KAJ A 0-/%) VCtand n YLi/� V 1L.F1 ,to me known to be the individuals described in and who
executed the within and foregoing instrument,and acknowledged that they signed the same as their free
and voluntary act and deed, for the uses and purposes therein mentioned.
r n
Given under my hand and official seal this day of , 20 �'J9
**,.� - A'le'?dgll
NOTARY PUBLIC in and for the State of
Washington,residing at
My commission expires:
Current Owners of Parcel#(s): 122324091051
Dwight Sasten
Print Name ignature D to
17
Ellen Sasten �� �_�
Print Name Signature ate
STATE OF WASHINGTON )
) SS.
County of K t /y('-- )
On this day personally appeared before me D w I ci k (` 5te "`
and ,to me known to be the individuals described in and who
executed the within and foregoing instrument,and acknowledged that they signed the same as their free
and voluntary act and deed,for the uses and purposes therein mentioned.
Given under my hand and official seal this '4-t-IA _day of 20 y
N A►mot C 4 A .T E e-62
ZIOZ 'f;i� 3N(1f NOTARY PUBLIC in Vnd for the State of
S]81dX3 NOISSIVMOO Washington,residing at �-p� � t�
N0i9NIH3VM JO 31diS -Z"i_Zo ,z
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mission expires:
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eex�pires: �
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of LS
On /� r� before me, I�
Date Insert N e and Title of the Offi er
personally appeared hn Ir+i1F 4Ck ere fv
Name(s)of Signer(f)
1✓'a
who proved to me on the basis of satisfactory evidence to
be the person 5) whose nameO A6)subscribed to the
within instrument and acknowledged to me that
/sarfr/ a executed the same in hiSr/bef eir uthorized
capacity, and that by WW ei signatur qon the
JtIAN CARD�lv instrument the persoro, or the entity upon behalf of
Gamrnlubn# 1696266
which the persoro acted, executed the instrument.
N m'�.c `
Npeiw cots* I certify under PENALTY OF PERJURY under the laws
�N 1.19=S"2DIf of the State of California that the foregoing paragraph is
eaitrue and correct.
WITNESS my hand and se I.
Signature
Place Notary Seal Above Si r o otary Publi
OPTIONAL
Though the information below is not required by law,it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Docum nt: awarnea(Z G i" v 0vjywa&r ' e
Document Date: / Number of Pages:
n
Signer(s) Other Than Named Above: � h and eltav,
Capacity(ies) Claimed by Signer(s) nI_ V&11
Signer's Name�14 d �1s G n*tn Signer's Name: I✓Ct/1/ }-Urn
>C Individual Xindividual
❑ Corporate Officer—Title(s): ❑Corporate Officer—Title(s):
O Partner—❑ Limited ❑General ❑ Partner—❑ Limited ❑ General
❑ Attorney in Fact • ❑Attorney in Fact •
❑ Trustee Top of thumb here ❑Trustee Top of thumb here
❑ Guardian or Conservator ❑Guardian or Conservator
❑ Other: _:"~` ❑Other:
01(
Signer Is Representing:c Signer Is Representing:
02007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402•www.NationalNotaryorg Item 115907 Reorder:Call Toll-Free 1-800-876-6827
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EXISTING ROCK BULKHEAD
HOWARD AND BRENDA RIGGLEMAN
400 EAST CRONOUIST ROAD
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ALLYN WA 98524 o
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CASE INLET
1 S l2 11' iil' 9' Q' 7 6' 5' <' 3'
496.05'
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JACK VANHORN
PO BOX 226
o ALLYN WA 98524 1
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- - - EXISTING DRIVEWAY T EXISTING CONCRETE BULKHEAD
-- 491.30- - -- - - - - - -
EXISTING CONCRETE BULKHEAD
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DWIGHT AND ELLEN SASTEN W
1827 ROLLING HILLS AVE SE n
RENTON VA 9BO55
RAYMOND 6 JUDITH SCHAFER EXISTING CONCRETE BULKHEAD
1912 ROLLING HILLS AVE SE
0 10 20 40 RENTON WA 98055
SCALE: 1'=40'
4'X 4' AL�JMINUM RA P --
EX STI G DOCK
3
3
PLAN VIEW (3) NEW GALVANIZED STEEL
'VVV\
MHHW 1.5' UP
3' CONCRETE BULKHEAD
DATUM:
ON SEPTEMBER 14, 2005, MARINE
SURVEYS AND ASSESSMENTS DETERMINED
THE MHHW TO BE 1.5' UP THE BULKHEAD EXISTING FLOAT STOPS
NOAA BENCHMARKS THE MHHW AT FL❑AT STOPS -
14.16' FOR ALLYN.
SECTION AT HIGH AND LOW WATER
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AGENCY USE ONLY JARPA FORM LAST UPDATED:March 19,2007
Agency Reference k: Date Received:
Circulated by: (local govt.or agency) z 0(L/
Project Tracking Number:
Washington State JOINT AQUATIC RESOURCES PERMIT APPLICATION (JARPA) Form
XlFish Habitat Enhancement Projects per RCW 77.55.181. You must submit copy of completed JARPA form and Fish Habitat
Enhancement JARPA Addition to your Local Government Planning Dept and WA Dep't of Fish and Wildlife(WDFW)Area Habitat
Biologist on same day. Note for Local Governments:You must submit comments to WDFW within 15 working days.
Based on instructions at www.epermittinq.orq, I am sending copies of this application to the following: (check all that apply)
QLocal Government for Shoreline: nSubstantial Development nConditional Use Flyariance oExemption EIRevision
nFloodplain Management ❑Critical Areas Ordinance
Elwashington Department of Fish and Wildlife for Hydraulic Project Approval(Submit 2 copies to WDFW Region)
❑Washington Department of Ecology for 401 Water Quality Certification(to Regional Office-Federal Permit Unit)
[]Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification
QCorps of Engineers for: nSection 404 permit nSection 10 permit
[]Coast Guard for: nGeneral Bridge Act Permit OPrivate Aids to Navigation(for non-bridge projects)
E]For Department of Transportation projects only: This project will be designed to meet conditions of the most current
Ecology/Department of Transportation Water Quality Implementing Agreement
PROJECT TITLE. Van Hom/Sasten Float Extension
PROJECT DESCRIPTION. To construct a 15' long by 32' wide float extension to existing dock.
SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all
permit applications.
1.APPLICANT
Jack Van Horn and Dwight Sasten
MAILING ADDRESS
Van Horn —26314 Long Oak Drive, Santa Clarita, CA 91321
WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
661-877-8900
If an agent is acting for the applicant during the permit process,complete#2. Be sure agent signs Section C(Signature Block)for
all permit applications
2.AUTHORIZED AGENT
Marine Floats Corporation
MAILING ADDRESS
1208 East D Street, Tacoma, WA 98421
WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
283-383-2740 angels@marinefloats.com 1 253-383-1102
3. Relationshipof applicant toproperty: x OWNER PURCHASER LESSEE
PP ❑ ❑ ❑
4. Name, address and phone number of property owner(s)if other than applicant:
5. Location(street address,including city,county and zip code,where proposed activity exists or will occur)
390 and 380 East Cronquist Road, Allyn, WA 98524
Local govemment with jurisdiction (city or county) Mason County
Waterbody you are working in Case Inlet Tributary of Puget Sound WRIA#
Is this waterbody on the 303(d) List ❑ YES ❑ NO
If YES,what parameter(s)? g r1 I �,�A_
Shoreline designation lam(.,
Zoning designation
%Section Section Township Range Government Lot
2 DNR stream type if known
SE 32 2N 1 E
i d hu 1' !/ 2 °4 4 p Ta s Par L Number . „ ,1 � ?4t�01440/ 22 2, c r
- tt� . . 1, ,k r'
O ice o Re u at)TA ss'Vince A PA A /C F6RM CA 7 P1141T ` a fi 1 .2007 F ff Help c9 8 iD 51?-0 43 or sit ermltti br �t='
cXy
6. Describe(a)the current use of the property, (b)structures existing on the property,and(c)existing environmental conditions. Have you
completed any portion of the proposed activity on this property? ❑ YES x❑ NO
For any portion of the proposed activity already completed on this property, indicate month and year of completion.
The properties are currently used as a single family residences. Van Horn's currently have a single use 100' long
dock.
Is the property agricultural land? ❑ YES ❑x NO Are you a USDA program participant? YES ❑x NO
7a. Describe the proposed work that needs aquatic permits: Complete plans and specifications should be provided for all work waterward
of the ordinary high water mark or line, including types of equipment to be used. If applying for a shoreline permit,describe all work within
and beyond 200 feet of the ordinary high water mark. If you have provided attached materials to describe your project,you still must
summarize the proposed work here. Attach a separate sheet if additional space is needed.
To construct an 8'x7' float as an extension of the existing 8'x24' float and construct an 8'x32' float at an "L" to the
8'x7' float extension. Install (3) "Chemonite" treated wood piling. The Van Horn's currently have an existing 100'
long single use dock. (Approved by Mason County—SHR2006-00011, COE #200600467 and WDFW Log
No.105121-1.) This application is to request additional length and mooring spaces to accommodate
incorporating one additional property owner as Joint Use Owners.
PREPARATION OF DRAWINGS: See sample drawings and guidance for completing the drawings. ONE SET OF ORIGINAL OR GOOD QUALITY REPRODUCIBLE
DRAWINGS MUST BE ATTACHED. NOTE: Applicants are encouraged to submit photographs of the project site,but these DO NOT substitute for drawings. THE CORPS
OF ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER AGENCIES.
7b. Describe the purpose of the proposed work and why you want or need to perform it at the site. Please explain any specific needs that
have influenced the design.
The purpose of this dock is for recreational use: fishing, swimming and recreational boat moorage.
7c. Describe the potential impacts to characteristic uses of the water body. These uses may include fish and aquatic life,water quality,
water supply, recreation and aesthetics. Identify proposed actions to avoid, minimize,and mitigate detrimental impacts and
provide proper protection of fish and aquatic life. Identify which guidance documents you have used. Attach a separate sheet if
additional space is needed.
1. The area has a number of private docks.
2. The design of the float complies with WDFW criteria.
3. Flotation will be permanently encapsulated.
4. Piling proposed are "Chemonite"wood treated.
5. A floating vibratory pile drive will operate for about 6 hours; it does not go aground.
6. Care will be taken to contain all construction residue.
7. "Best Management Practices"will be exercised throughout the construction of this structure.
7d. For in-water construction work,will your project be in compliance with the State of Washington water quality standards for turbidity
(WAC 173-201A-410)? ®YES NO
8. Will the project be constructed in stages? YES NO
Proposed starting date: After all permits are obtained.
Estimated duration of activity: 6 days
9. Check if any temporary or permanent structures will be placed:
�x Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR
�x Waterward of the mean higher high water for tidal waters?
10. Will fill material(rock,fill, bulkhead,or other material)be placed:
Waterward of the ordinary high watermark or line for freshwaters?
If YES,VOLUME(cubic yards) /AREA (acres)
❑ Waterward of the mean higher high water for tidal waters?
3 If YES,V9LU (cubic yards`) A A (ices) °,.. �:.Y
n
i4 Rlg&Wt6,y As'sidILnce,J kFPAt, PA F RM ATb&D L1D:M'irch 49.607 elp II =9 -&4 jisit eoermi ing.org
I
SECTION B - Use for Shoreline and
Corps of Engineers permits onl
y
g
17a. Total cost of project. This means the fair market value of the project, including materials, labor, machine rentals,etc.
$45,293.94.11D
17b. If a project or any portion of a project receives funding from a federal agency,that agency is responsible for ESA consultation. Please
indicate if you will receive federal funds and what federal agency is providing those funds.
FEDERAL FUNDING ❑ YES Q NO If YES, please list the federal agency.
18. Local government with jurisdiction: Mason County
19. Provide names,addresses and telephone numbers of adjoining property owners, lessees,etc. Please node: Shoreline Management
Compliance may require additional notice—consult your local government.
NAME ADDRESS PHONE NUMBER
NvVAO PAqlaotol yob r CI111( ulsr Vcl, ail n, I,'\;il `1$5�j
Raymond & Judith Schafer 1912 Rolling Hills Avenue SE, Renton,WA 98055-3715 25-ZZ9-292Z
SECTION C-This section MUST be completed for any permit covered by this application
0. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the
information contained in this application,and that to the best of my knowledge and belief,such information is true,complete,
and accurate. I further certify that I possess a authority to undertake the proposed activities. I hereby grant to the agencies to
which this application is made,the right to ter the abov -described location to inspect the proposed, in-progress or completed
work. 1 agree to start work ONLY after al ecessary pe its have en received.
DATE
SIGNATURE OF APPLICANT
! DATE
12/16/08
AIGNATUAE OF AUTHORIZED AGENT
I HEREBY DESIGNATE Marine Floats Corporation TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION
FOR P RMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT.
SIGNATURE 6F APPLICANT DA E
SIG ATURE OF LANDOW ( XCEPT PUBLIC EWTIV LANDOW ERS,E.G. DNR)
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED TGENTiS DESIGNATED.
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.
COMPLETED BY LOCAL OFFICIAL
A. Nature of the existing shoreline. (Describe type of shoreline,such as marine, stream, lake,lagoon, marsh,bog,swamp,flood
plain,floodway,delta;type of beach, such as accretion,erosion,high bank, low bank,or dike; material such as sand,gravel, mud,clay,
rock,riprap;and extent and type of bulkheading, if any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view:
C. If the application involves a conditional use or variance, set forth in full that portion of the master program which provides that the
proposed use may be a conditional use,or,in the case of a variance,from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs,please contact the appropriate agency in the instructions
Printedfrom Masone0U1t
Offs of Re ulato Assistance,DARPA DARPA FORM LAST UPDATED:March 19 2007 Forp call 80iJ-91 sit www.eoe itti a. rg
ce �
11. Will material be placed in wetlands? YES ®NO
If YES:
A. Impacted area in acres:
B. Has a delineation been completed? If YES,please submit with application. YES NO
C. Has a wetland report been prepared? If YES, please submit with application YES NO
D.Type and composition of fill material (e.g.,sand,etc.)
E. Material source:
F. List all soil series(type of soil)located at the project site,and indicate if they are on the county's list of hydric soils. Soils information
can be obtained from the natural Resources Conservation Service(NRCS).
G.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? YES 0 NO
If YES, IMPACTED AREA IS ACRES OF DRAINED WETLANDS.
NOTE:If your project will impact greater than 1/10 of an acre of wetland,submit a mitigation plan to the Corps and Ecology for approval along with the JARPA form.
NOTE:A 401 water quality certification may be required from Ecology in addition to an approved mitigation plan if your project wetland impacts are greater than 1/10 acre in size.
Please submit the JARPA form and mitigation plan to Ecology for 401 certification review.
12. Stormwater Compliance: This project is(or will be)designed to meet ecology's most current
stormwater manual,or an Ecology approved local stormwater manual. YES �x NO
If YES—Which manual will your project be designed to meet?
If NO—For Clean Water Act Section 401 and 404 permits only—Please submit to Ecology for approval, along with this JARPA
application, documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality
standards,WAC 173-201 A
13. Will excavation or dredging be required in water or wetlands? YES NO
If YES:
A. Volume: (cubic yards) /area (acre)
B. Composition of material to be removed:
C. Disposal site for excavated material:
D. Method of dredging:
14. Has the State Environmental Policy Act(SEPA)been completed ❑ YES x❑ NO
SEPA Lead Agency: Mason County
SEPA Decision: DNS, MDNS, EIS,Adoption,Exemption Decision Date(end of comment period)
SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION
15. List other Applications,approvals or certifications from other federal, state or local agencies for any structures, construction discharges
or other activities described in the application(i.e. preliminary plat approval, health district approval, building permit, SEPA
review,federal energy regulatory commission license(FERC), Forest practices application,etc.). Also, indicate whether work
has been completed and indicate all existing work on drawings. NOTE: For use with Corps Nationwide Permits, identify whether
your project has or will need an NPDES permit for discharging wastewater and/or stormwater.
TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED?
NO.
Shoreline Substantial Development Mason Count
Hydraulic Pro'ect Approval WDFW
Letter of Permission Corps of Engineers
Building Permit Mason Count
16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described herein?
YES ® NO If YES, explain:
a § fr
ffi f saWAs s ance JRPIJARPI�FORM LAST U /TES:March 9. 007 or help call 8 0-917-0043 isit vwvw.eoermitting.orq 3
STgTF° MASON COUNTY P(15-
o P A C N DEPARTMENT OF COMMUNITY DEVELOPMENT
N Planning Division
7 N Y 0 P O Box 279, Shelton, WA 98584
(360)427-9670
1864
SHR2009-00003 NOTICE OF SHORELINE MANAGEMENT PERMIT
,,and DvvI j k -Sa s+e n
Notice is hereby given that JOHN VANHORN, who are the ownei5of the described property, haw filed an
application for a Shoreline Management Permit for the development of:
Expansion of an existing pier, ramp and float system. The development includes extension of the
existing length and size of an existing pier, ramp and float facility and changing the use from one
single family residence to joint-use by adding one adjacent property. The expansion will include the
construction of an 8' X 7' float as an extension of the existing 8' X 24' float and construction of an 8'
X 32' float at an "L" to the 8' X 7' float extension. Install 3 chemonite treated wood piling.
3$r3and
Site Address. 390 E CRONQUIST RD ALLYN
Parcel Number: 122324001040
Location of Project: Grapeview Loop Rd. to Conquist Rd. to address.
Within: SE (quarter section)of Section: 32 Township: 22 N Range: 1 W, W.M.
in , Mason County Washington.
Said development is proposed within Case Inlet and/or its associated wetlands. Any person desiring to
express their view or to be notified of the action taken on the application should notify:
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
P O BOX 279
SHELTON, WA 98584
in writing of their interest. The comment period is at least 30 days from the final date of publication given pursuant to WAC
173-14-020. The final date of publication, posting, or mailing of notice is 5/14/2009.
Written comments will be accepted up to the date of the hearing.
,a on Tuna Z3)2Wq 1:OD PM-
A public heariag'will be held on this permit request! Contact this office at(360)427-9670, ext. 360 for date and time of
hearing.
A Determination of Nonsignificance was issued on 5/7/2009 under WAC 197-11-340. Written comments regarding this
determination must be received by 5/21/2009,
SHR2009-00003
ri n te fro m �
� �
PUBLIC NOTICE
NOTICE OF SHORELINE MANAGEMENT PERMIT
SHR2009-00003
Notice is hereby given that JOHN VANHORN and
Dwight Sasten, who are the owners of the described
property, have filed an application for a Shoreline Management Permit for the development of: Affidavit Of Publication
Substantial Development
Expansion of an existing pier, ramp and float system.
The development includes extension of the existing
length and size of an existing pier,ramp and float facility STATE OF WASHINGTON 1 SS.
and changing the use from one single family residence to COUNTY OF MASON f
joint-use by adding one adjacent property.The expansion
will include the construction of an 8' X 7' float as an Koleen Wood being first duly sworn
extension of the existing 8'X 24'float and construction
of an 8'X 32'float at an'U to the 8'X T float extension. Ion oath deposes and says that she is the clerk
Install 3 chemonite treated wood piling.
Site Address: 380 and 390 E CRONQUIST RD of the SHELTON-MASON COUNTY JOURNAL, a weekly newspaper. That
ALLYN said newspaper is a legal newspaper and it is now and has been for more than six
Parcel Number:122324001040 months prior to the date of the publication hereinafter referred to, published in
Location of Project:Grapeview Loop Rd.to Conquist the English language continuously as a weekly newspaper in SHELTON, Mason
Rd.to address. County, Washington, and it is now and during all of said time was printed in an
22 N Range:Within: I W,W.M.(quarter section)of Section:32 Township: !office maintained at the aforesaid place of publication of said newspaper. That
l
in,Mason County Washington. I the said SHELTON-MASON COUNTY JOURNAL was on the 9th day of
Said development is proposed within Case Inlet I August, 1941, approved as a legal newspaper by the Superior Court of said
and/or its associated wetlands. Any person desiring to Mason County.
express their view onto be notified of the action taken on
the application should notify: That the annexed is a true copy of a Notice of Shoreline Mgmt Permit
MASON COUNTY DEPARTMENT OF COMMUNITY
DEVELOPMENT SHR 2009-00003-Vanhorn,John and Dwight Sasten
P 0 BOX 279 -
SHELTON;WA 9q84,
in writing of their interest. The'.commenf period is 2214
at least 30 days from the final date of publication given !as it was published in regular issues and not in supplement form of said
pursuant to WAG 173-14-020.The final date of publication,
posting,or mailing of notice is 5/14/2009. newspaper once each week for a period of two
Written comments will be accepted up to the date of the hearing. I consecutive weeks,commencing on the
A public hearing will be held on this permit request 7th day of May 20 09 and ending on the
on June 23,2009 at 1:00 PM.Contact this office at(360)
427-9670,ext.360 for date and time of hearing.
A Determination of Nonsignificanee was issued on 14th day of May 12009 both dates inclusive,
5/7/2009 under WAC 197-11-340. Written comments and that such newspaper was regularly distributed to its subscribers during all of
regarding this determination must be received by I the said period.That the full amount of the fee charged for the
5/21/2009.
2214 5/7-14 2t foregoing publication is the sum of$.300
00"49,�p0NNq Subscribed and sworn to before me this Z'S�t!�� day of
N �y9 v
+� CzL1 20
009
N s N�rtyOsi v
o > 666� l:� Notary Pdblic in and for the State of W hington
e(IC Residing at Shelton, Washington
o y
IV 4 20�.0`, My commission expires 20
oil 01111 1
Printed from Mason CountyDMS
.5—
AFFIDAVIT OF POSTING NOTICE
STATE OF WASHINGTON )
COUNTY OF MASON ) ss.
1, Colw V Bier do hereby certify that I posted 3 copies of
the attached ��l,;�
�4
on 117day of 20� in_ public places as follows:
one at f
one at
one at " a o
In witness whereof, the party has signed this Affidavit of Posting Notice this day
of , 2001
By. d�f
Address: P6 a _56&
STATE OF WASHINGTON )
ss.
COUNTY OF MASON )
Subscribed and sworn to me this /9 day of 20 p c
M ELL
co Notary Public for th State of ashington
APR 30, 2011 Residing at
�0, :2= Commission Expire -y o �ci�
pp1NASN
Printed from Mason County DMS
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VOL . I PG 23
19 TREASURE.