The URL can be used to link to this page

Home My WebLink AboutMEP2015-00035 - MEP Application - 9/1/2015 RECEIVED SEP 0 1205 MASON ENVIRONMENTAL PERMIA9�,AAQW&permit) Mason County Permit Center Use: ❑ CONDITIONAL USE($1520) MEP 2 01.5 - 60036 ❑ HABITAT MANAGEMENT PLAN REVIEW($445) Date Rcvd !• 1- ZQ15 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Resource Ordinance(Chapter 17.01 MCC) ENVIRONMENTAL PERMIT APPLICATION The purpose of the Resource Ordinance is to protect Mason County's natural resource lands and critical areas and is under the authority of Chapters 36.32, 36.70A, 39.34, 58.17,76.09, 84.33, 84.34 and 90.58 RCW. PLEASE PRINT 1. PROPERTY /OWNER f Name: Mailing Address: l v S 3 v �� w v d rX i u✓�C 3 S Work Phone: 2573Email Address: Home/Cell Phone: Fax#: If an agent is acting for the property ou,ner during the permit process, complete #2. 2.AUTHORIZED AGENT Name: Y � ,e o F— 1APPrL 1 L Mailing Address: 1,V (�� 13 ��. a,-+- Work Phone: 3G v c�6 , �77() Email Address: e ()5-Qn g I (c�f i Home/Cell Phone: U, Fax# 3. PROJECT SITE Site Address: S7Z: — {Z , 54, 302 5-d LJ A— �5ZS Parcel#: j2'2 3'j - 5 D - `pop Z Legal Description:W. I DDT zoo' C-,U) L► Directions to Site: `:Q, 33 cT Z-L A) (Z, (�� lJ�►'► . eo0 302 5 �., ou A rc 1, Attach a site plan showing the following: Lot Dimensions, Flood Zones,Existing Structures,Fences, Water Lines,Driveways,Drainage Plans,Shorelines,Septic System,Topography,Proposed Improvements,Easements,North Arrow, and Scale. Also draw a separate topography diagram. r 4. State which section requires permit: ❑ Long Term Commercial Forest,Chapter 17.10.060 ❑ Frequently Flooded Areas,Chapter 17.01.090 ❑ Mineral Resource Lands,Chapter 17.01.066 ❑ Landslide Hazard Area,Chapter 17.01.100 ❑ Aquifer Recharge Area,Chapter 17.01.080 ❑ Seismic Hazard Areas,Chapter 17.01.102 ❑ Erosion Hazard Area,Chapter 17.01.104 )kn Fish&Wildlife Habitat Conservation Areas,Chapter ❑ In-Holding Lands,Chapter 17.01.062 17.01.110 ❑ Wetlands,Chapter 17.01.070 5. Identify current use of the property with existing improvements: 6. Identify and describe the proposed project, including the type of materials to be used, construction methods, principle dimensions,and other pertinent information(attach additional sheets, if needed): Co1%5fcU_C'44 a- Wooa2•m" (;-WVWuM t�b,n 'o(2 c4- exii5t;/q 4oncA&4� k,.Whegd to :k 0 '0'�I& &6 7ki n q . 4 w ` Go n C Le_4:.c. d 4e-A f /,. s A0/•2/,y,, 4/- 7. Describe why the action requiring this permit cannot be avoided. f..e 5 li c cam,'f �-p �e o c A 1&6y\c -tQ b c, Ae G GCS IL 3f 4-,5> ri kb,-.e 8. Will there bean alteration of a wetland and/or wetland vegetation area(circle one)? Yes No 9. Identify any surface water on or adjacent to property (circle one): Saltwater Lake Stream Pond Wetland Drainage Ditch 10. Identify existing septic/sewer connection(circle one): If septic is located on project site, include records. CC nnected to Septic Connected to Community Septic 11. Identify existing water supply(circle one): Public Water Supply Well 11. Type of Job circle one): New Add Alteration Repair Demolition Other: (1voi,a a)cP'J\IV", 130 /-/ S Print Name Signatur Date Rebecca Hersha - Notice of Habitat Management Plan A From: Rebecca Hersha To: Jeff Dickison; Joshua (DFW) Benton Date: 9/18/2015 1:17 PM Subject: Notice of Habitat Management Plan Attachments: HMP and Notice Ancich Stairs.pdf Good Afternoon, Please see the attached Habitat Management Plan for a small set of wood stairs to the beach. A SEPA DNS with site plan will be emailed separately. Sincerely, Rebecca her.56, Planner Mason Countq DCD 426 W. Cedar jkeIton,WA 98584 3 60-427-9 670 ext. 287 AH3AV-09-008-L .1 )wdn-dod pjogau al JalanaJ juaurabjeW f @09L5®AH3Av 1pege6 al zesimn T wog AjeAe•mmm ; ap ule amy3ey el @ zalldaa ap�a5 ; jaled a selpe;sanar& Pierce Count i a is Pie Y Mason County , Labels Labels �� REYNOLDS, PAT A SOFTICH, ANTHONY J Hewitt, Charles W. & Jean M 19713 STATE ROUTE 302 KPN 5730 E STATE ROUTE 302 P.O. Box 1842 GIG HARBOR WA 98329-4661 BELFAIR WA 98528-9394 Belfair, WA 98528-1842 ANCICH-SMITH CHERYL& WILSON CHALENE V ANCICH-SMITH ET AL;CHERYL >Belf Charles Jean M 5722 E STATE ROUTE 302 23730 NE State Rt. 3 Suite F-PMB #40 x 1 BELFAIR WA 98528-9394 Belfair, WA 98528 A 98528-1842 MYERS JOSEPH &APRIL ANCICH-SMITH ET A RYL 19717 STATE ROUTE 302 KPN 23730 NE St 3 Suite F-PMB #40 GIG HARBOR WA 98329-466 Belfa' 98528 A70l, �p HERRON, THOMAS M &VERNA L 5108 CROMWELL Dr. NW Gig Harbor, WA 98335-7545 ��Mo n of WfI 98051 S67o HERRON, THOMAS M &VE 5108 CROMWELL Gig Harbor 98335-7545 William C &Audrey A O'Leary TRS A O'Leary Srvrs Trust 5690 E State Route 302 Belfair, WA 98528-9317 OLYMPIC SHORE WATER CO-OP INC C/O JOANNE L WICKLUND 5662 E STATE ROUTE 302 BELFAIR WA 98528-9317 Mecham, Aileen 1828 212th Ave. SE Sammamish, WA 98075-9518 Bell, Donna M. 5671 E State Route 302 Belfair, WA 98528-9317 j r pua6P3 dn-dod asodxa jaded paa�j 009L5 ajeldwq ekaw as0 i ®09L5® mod 1 01 cull 6uole puce ♦ ; slege'1®laad Ase3 T A113AV-0"08-1, r )wdn-dod pjogaa al AalaAga ;uaP ues4: @09L5®AH3AV;!jege6 al zeslirm wortiane nnnnnn ep u0e ajn43e4 el q zalideg ; salad sall�e;sa anbl;51 Pierce County Mason County Labels Labels Hewitt, Charles Jean M P.O. Box 1 Belf ' , A 98528-1842 ANCICH-SMITH ET A RYL 23730 NE St 3 Suite F-PMB #40 Belfa' 98528 :Gig ERRON, THOMAS M &VE 108 CROMWELL Harbor 98335-7545 T r wla6P3 dn-dod esodxa jaded paad 009Ls a;eldwal®A(aaAd ash i 009Ls®AH3A�/ o W auli 6uoie puae slOgel®lead Ase3 A►VE Y* Basic Printing Tips,visit avery.com/printingtips for more information • PLEASE NOTE:Adjust printer settings for"Paper Type"to"Labels"and"Quality"to"Best"to optimize print quality, • Check the alignment of your printed layout by first printing on a plain sheet of paper. Hold the printed sheet behind the Avery product to confirm alignment then print onto the Avery product. • When printing label products,do not feed labels through your printer more than once.The Avery satisfaction guarantee extend!;onty to a sheet of labels that has been fed through a printer a single time. • Use only Avery brand products for guaranteed results. FREE Avery Templates A Software at avery.com/templates NEED HELP? We have the answers to all your product and templates questions. overy.com 800-GO-AVERY(800.462.8379) Conseils d'impression de base,visitez avery.ca/impression pour plus d'information • VEUILLEZ NOTER:Rbglez to paramitre«Type de papier(Paper Type)a de('imprimante i a ttiquattes(Lal#ts)o,et to pararn0tre R<QualltO(Quality) ,>A f,Stup6rieur(Best)Y,pour optimiser to quaM6 d"imp_ress[on. • V6rifiez l'alignement de votre mise en page en imprimant d'abord sur une feuille de papier ordinaire.Tenez la feuille imprimee derriere.;a feullie du produit Avery.SI vous etes satisfait avec la mise en page,Imprimez sur le product Avery. • Lors de I'Impresslon,n'lntroduisez iamais la feuille d'etiquettes plus d'une fols clans votre imprimante.La garantle de performance Avery Dennison s'applique seulement aux feullles d'ktiquettes qui ont&6 introduites dans Pimprimante une seine fols. • Pour des r6sultats garantis,utillsez seulement les products de marque Avery. Gabarits et logiciels Avery® GRATUITS A avery.ca/gabarits MOI N D'AI DE? Nous avons les r6ponses i toutes vos questions au sujet des products et des gabarits. avery.ca 800 GO-AVERY(800 462-8379) Consejos Bfisicos de Impresl6n;visits alvery.com.mx para mis information • MUY IMPORTANTE:Selecclona"Etiquetas"dentro de las opciones"Tipp de Pape["y dentro de"Calidad de Impresi6n"elige"optima"para obtener�los mejores resultados. • Revise la alineacibn de to documento haciendo una prueba en una hoja en blanco.Sost6n la hoja detr6s del producto Avery para verificar la alineacibn antes de imprimir en el producto Avery. • Al imprimir etiquetas.no alimentes la impresora con la misma hoja m6s de una vez.La garantis de satisfacci6n Avery s6lu se extiende a holas de etiquetas que han pasado por la Impresora una sola vez. • Utilize solamente productos Avery par&resultados garantizados. iGRATiSi Software y Plantillas en avery.com.mx INECESITAS AYUDA? M6xico y Centro Am6rics 01.800.52.28379 Argentina 0800.777.2837 (52 55)5093.0108 Chile 800.83.5105 Carl be y Vonezuela (787)753.3135 ttesto de Sud Am6rica asistencla*averydennison,com C2012 every Cow tlon.Ali Hants`wam rG va+y st,) !a,- A u inds c �e o c n. he tw I,— aA,,,,0 mix ! t A.:;y fie, .;Corncreclan.T-iid It 4 e A ry 1. eu. ..qust.no n p 'I .,1 e� d �:_rq J-cm {0. re C [ a`�>�; i htu' (%vrt..1F1 LM Ctol.Avery Uern son Cory:,atla 1.Tcdoe ba�vrec.-:,re.,ervaJu..A+-er,y a r.cto d. w+:none., a prcc;<,;.,1.Jnlg frery,en.....reg � L 11.. P�`drJb.yft 4A.6 t JY`u Rnrt•KrN°.rs .a� Rev052512 -SC;'4tC/27� r� Nnich - 1223350900 2 e_ Count, Parcel # MYERS JOSEPH &APRIL 19717 STATE ROUTE 302 KPN GIG HARBOR WA 98329-466 Pierce 0022346001 REYNOLDS PAT A 19713 STATE ROUTE 302 KPN GIG HARBOR WA 98329-4661 Pierce 0022346002 ANCICH-SMITH CHERYL&WILSON CHALENE V 5722 E STATE ROUTE 302 BELFAIR WA 98528-9394 Pierce 0022273023 REYNOLDS ANDY P & REYNOLDS JEFFREY TTEE 17428 NE 40TH PL UNIT C-2 REDMOND WA 98052-5670 Pierce 0022342005 SOFTICH, ANTHONY J 5730 E STATE ROUTE 302 BELFAIR WA 98528-9394 Mason 122335000008 ANCICH-SMITH ET AL, 10530 W ood-D- : ity, AZ 85351 ---� Mason 122335000009 ANCICH-SMITH ET AL, CHERYL 10530 W Edgewood Dr. Sun City, Az 85351 Mason 122335090011 HERRON,THOMAS M &VERNA L 5108 CROMWELL DR NW Gig Harbor, WA 98335-7545 Mason 122335000011 A O'Leary Srvrs Trust 5690 E STATE ROUTE 302 BELFAIR WA 98528-9317 Mason 122335000013 OLYMPIC SHORE WATER CO-OP INC C/O JOANNE L WICKLUND 5662 E STATE ROUTE 302 BELFAIR WA 98528-9317 Mason 122335000014 Mecham, Aileen 1828 212th Ave. SE Sammamish, WA 98075-9518 Mason 122335000015 --------_ l Mecham.'ii�2rr` 1828 21 e. SE _ mamish, WA 98075-9518 Mason 122335000017 Bell, Donna M. 5671 E State Route 302 Belfair, WA 98528-9317 Mason 122335000039 Hewitt, Charles W. &Jean M P.O. Box 1842 Belfair, WA 98528-1842 Mason 122335000041 &Je P.O. Box r, WA 98528-1842 Mason 122335000042 i PARCEL# PARCEL# 122335000041 122335000042 PARCEL# Z122335000039 RCEL# 0022273023 SR 302 PARCEL# PARCEL# 122335090011 122335000009 _ LO N O O O O O O N O r C" �_ M M I p O CDN N CD0 CD CD CD CD CD O CD O CD CD O CDO LO Lo CD (0 O� co I C) N �$ co co coW N N N D' CD UW I CDo � a O U IU� Q UM 0 o � N w U o Df w T C0 U Q IY Q U U N d Q w J m CWj it w a_ U Q d 300 WestSou nd Engineering , Inc R O C KY� 217 S.W.W lkins Drive Port Orchard,Wa. 98366 Phone(360)876-3770 Fax(360)876-0439 BAYE-mail.wse@wsengineering com http://www.wsengineering com JOB No. 2421 SHT 1 OF--!—SHTS Publication Cost Agreement Publication cost is the responsibility of the applicant. Final permit processing will not occur until advertising fees have been paid to the newspaper by the applicant. The Shelton-Mason County Journal will bill the applicant directly. I/WE understand that I/WE must sign and date the attached acknowledgment indicating and that I/WE understand that is MY/OUR responsibility. I/WE must submit the signed page as part of application in order for it to be considered as complete. Cheryl Ancich-Smith ign a of Property Owner ate Print Name OR / �a to � Cheryl Anchich-Smith ,Signature of Applicant ate Print Name shoreline 2011 app.doc Rebecca Hersha - Re: Notice From: Mason County Journal Legals <jlegals@masoncounty.com> To: "Rebecca Hersha" <RebeccaH@co.mason.wa.us> Date: 10/5/2015 4:28 PM Subject: Re: Notice The cost is $180 and the legal number is 8199. On Oct 5, 2015, at 4:17 PM, Rebecca Hersha wrote: Good Afternoon, Please publish the attached Notice of Hearing in the Journal for two weeks (October 8th and October 15th). The following person is responsible for the cost: Cheryl Ancich-Smith 10530 W. Edgwood Dr. Sun City, Arizona 85351 (253) 318-7488 Thank you. Sincerely, Rebecca Hersha, Manner Mason County DCD 426 W. Cedar jhelton, WA 98584 360-427-9670 ext. 287 <NOH Ancich to journal.doc> LIMITED SPECIAL POWER OF ATTORNEY OF CHERYL ANCICH-SMITH 1. Designation. The undersigned (the "Principal") designates GLEN PETER PSZCZOLA as her Attorney-in-Fact for the Principal, hereunder, for the limited purposes and duration set forth below, in and of acting on her behalf for the limited matter set forth here below. 2. Effectiveness. This Power of Attorney shall become immediately effective upon its execution by Principal Cheryl Anchich-Smith. 3. Powers. The Attorney-in-Fact shall have all of the powers of Principal, including speaking authority, and may act in her stead as fully as if she herself was so present and so acting, in the matter of the application and prosecution of permit(s), development, correspondence to and with neighbors, Mason County officials, surveyors, engineers, and all persons and parties involved in the permitting of a beach stairway and retaining wall, on the subject real property, as described hereunder. 4. Real Property. The real property herein, over which Principal grants Attorney-in-Fact the above Powers, is described as: Mason County Parcel Number 12233-50-90012, commonly known as "5772 State Route 302, Belfair, WA 98528. The Legal Description of the subject property, Attachment "A" hereto, is fully incorporated by reference, hereby. 5. Duration. This Limited Special Power of Attorney shall terminate under its own terms no later than six (6) months from the date of its execution, unless terminated by action of Principal. 5. Termination. This Limited Special Power of Attorney may be terminated by (a) the Principal by written notice to the attorney-in-fact and, if this power of attorney has been recorded, by recording the written instrument of revocation in the office of the recorder or auditor of the place where the power was recorded; (b) a Guardian of the estate of the Principal upon actual knowledge or receipt of written notice by the attorney-in-fact. 6. Accounting. The Attorney-in-Fact shall account for all the actions taken by the Attorney-in-Fact for or on behalf of Principal. 7. Reliance. Any pers cting without negligence and in good faith in Page 1 of 2. Initials: Date: reasonable reliance on this power of attorney shall not incur any liability thereby. Any action so taken, unless otherwise invalid or unenforceable, shall be binding on the heirs and personal representatives of the Principal. Dated:----11a� -- ------------- Principal, CHER ANCICH<SMITF .__---'' State of Washinan ) t� �' ) ss. County of Pierceo ) I certify that I know or have satisfactory evidence that CHERYL ANCICH-SMITH is the person who appeared before me, and said person acknowledged that she signed this instrument and acknowledged it to be her free and voluntary act for the uses and purposes mentioned in the instrument. GIVEN under y hand and official seal on 1 --- ---------------------------- ,,4 SANDRA HERNANDEZ N tary public in and for the State. Notary PLbe-state OfArLmna ! ;`� MARICOPA COUNTY�ns t1�CY 1 j �_ My Commws on Expires residing at:— (ILI, L i L2L-) - '----- DeCember27,2018 Commission expires. 2�L Page 2 of 2. Inii Date: APPOINTMENT OF AGENT/COUNSEL UNDER GENERAL DURABLE POWER OF ATTORNEY OF CHALENE V. WILSON 1. Designation. The undersigned, Attorney-in-Fact Cheryl Ancich-Smith, acting under that certain General Durable Power of Attorney dated December 30, 2013, from Chalene V.Wilson, Principal there under, a true and accurate copy of which is hereto attached and incorporated by reference, and it's authority granted in Paragraph 2.8, engages and designates GLEN PETER PSZCZOLA as Agent/Counsel, for the limited purposes and duration set forth below, in and of acting on her behalf for the limited matter set forth here below. 2. Effectiveness. This Appointment of Agent/Counsel pursuant to the General Durable Power of Attorney, dated December 30, 2013 shall become immediately effective upon its execution by Attorney-in-Fact Cheryl Anchich-Smith. 3. Powers. The Agent/Counsel shall have all of the powers of Attorney-in-Fact, including speaking authority, and may act in her stead as fully as if she herself was so present and so acting, either as Agent, or in his role as Attorney at Law, (Washington State Bar Association Member Number 15587), in the matter of the application and prosecution of permit(s), development, correspondence to and with neighbors, Mason County officials, surveyors, engineers, and all persons and parties involved in the permitting of a beach stairway and retaining wall, on the subject real property as described hereunder. 4. Real Property. The real property herein, over which Principal grants Agent/Counsel the above Powers, is described as: Mason County Parcel Number 12233-50-90012, commonly known as "5772 State Route 302, Belfair, WA 98528. The Legal. Description of the subject property, Attachment "A" hereto, is fully incorporated by reference, hereby. 5. Duration. This Appointment of Agent/Counsel shall terminate under its own terms no later than six (6) months from the date of its execution, unless terminated by action of Principal. 5. Termination. This Appointment of Agent/Counsel may be terminated by (a) the ey-in-Fact by written notice to the Page I of 2. Initialsts. Date: t attorney-in-fact and, if this power of attorney has been recorded, by recording the written instrument of revocation in the office of the recorder or auditor of the place where the power was recorded; (b) a Guardian of the estate of the Attorney-in-Fact upon actual knowledge or receipt of written notice by the attorney-in-fact. 6. Accounting. The Agent/Counsel shall account for all the actions taken by the attorney-in-fact for or on behalf of Attorney-in-Fact. 7. Reliance. Any person acting without negligence and in good faith in reasonable reliance on this power of attorney shall not incur any liability thereby. Any action so taken, unless otherwise invalid or unenforceable, shall be binding on the heirs and personal representatives of the Attorney-in-Fact and her Principal. Dated:---� —��- -------------- General Durable Power of At-torne of Chalene V. Sm her, f1 r -----------in — -------- ------------ Attorney- -g"act, CHERYL ANCICH-SMITH State of 6, ) AMo C-- ) ss. County of Pierce ) I certify that I know or have satisfactory evidence that CHERYL ANCICH-SMITH is the person who appeared before me, and said person acknowledged that she signed this instrument and acknowledged it to be her free and voluntary act for the uses and purposes mentioned in the instrument. GIVEN under my hand and official seal on -------------- Nrw Public in and for the State T SANDRA HERNANDEZ Notary PubfiC•�3ie of Arizona Ory )AV tZCtI� KivCo� Oummon��s residing at: 5 1 _ i z �� °� DecWnNfer 27,201e Commission expires: 1Z I Page 2 of 2. Initials: Date: