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Home My WebLink AboutFPA2023-00004, 00007, 00008 - FPA Permit / Conditions - 8/25/2023 Mason County Planning Division of Community Development 615 W.Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov F AA2023-00004 FOREST PRACTICES PROJECT DESCRIPTION: FOREST PRACTICE APPLICATION ISSUED: 08/25/2023 SITE ADDRESS: UNKNOWN MASON COUNTY EXPIRES: 08/25/2025 PARCEL: 123214300130 APPLICANT: MASON COUNTY UTILITIES AND WASTE OWNER: MASON COUNTY UTILITIES AND WASTE MANAGEMENT MANAGEMENT 100 W PUBLIC WORKS DR 100 W PUBLIC WORKS DR SHELTON,WA 98584 SHELTON,WA 98584 1.360.427.9670 X 652 FEES: Paid Due Forest Practice Review $300.00 $0.00 Totals : $300.00 $0.00 CONDITIONS Archaeological or historical resources, such as ruins, sites, buildings, artifacts,fossils, or other objects of antiquity that may have significance from an historical or scientific standpoint, which may be encountered by the developer/contractor, shall not be further disturbed. If the developer/contractor encounters any such artifacts, he/she shall immediately stop work and notify Mason County and the Washington State Department of Archaeology and Historic Preservation. Failure to do so may result in civil penalties. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions kn; ofany other state/local law regulating construction or the performance of construction.Issued By: e �J '&mD 2 Contractor or Authorized Agent: 1_ Date: Printed by:Annie Wilson on:08/25/2023 02:19 PM Page 1 of 1 MASON COUNTY ICOMMUNITY ER I E Buildin% Planning,biviromnental Humith, Cornmunity IieA i Forest Practice Application . . . FPA2023 = 00004 Issued Date 08/25/2023 Expiration 08/25/2025 Date F PA Type yp FOREST PRACTICE APPLICATION Parcel... 123214300130 Site... UNKNOWN Applicant MASON COUNTY UTILITIES AND WASTE... Issued By: POST THIS IN A CONSPICUOUS PLACE AT THE FRONT OF THE PREMISES General Questions:(360)427-9670 ext 352 615 W Alder St Bldg 8,Shelton,WA 98584 v m.co.masonma.us RECEIVED M MASON COUNTY MAY 2 3 2023 600 COMMUNITY SERVICES 615 W. Alder Street Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 FPA' OZ Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 FOREST PRACTICES APPLICATION/NOTIFICATION Type IV General This application should be accompanied with an Environmental Checklist (SEPA) as well as an activity map/site plan which addresses items listed below. TYPE OR PRINT IN INK: 1. Landowner Timber Owner and O erator information. Legal Name of LANDOWNER Legal Name of TIMBER OWNER Legal Name of OPERATOR Overton &Associates Overton &Associates E.E. Overton Mailing Address: Mailing Address: Mailing Address: PO Box 1477 PO Box 1477 PO Box 1477 City,State,Zip City, State,Zip City, State,Zip Tacoma, WA, 98401 Tacoma, WA, 98401 Tacoma, WA, 98401 Phone:3608090659 Phone:3608090659 Phone:3608090659 Email: Shawn@eeoverton.com Email: Shawn@eeoverton.com Email: Shawn@eeoverton.com 2. Contact person information. Contact Person 3608090659 Shawn Fontana Phone: Email: shawn@eeoverton.com 3. If you are harvesting timber,enter the Forest Tax Reporting Account Number of the Timber Owner: 800-007-011 For tax reporting information or to receive a tax number,call the Department of Revenue at(360)705-6133. 4. Legal description where the forest practices will occur. arc er Sub Division ''A%. Section Township Range E/W 123214300130 SW 1/4 SE1/4 21 23 01 w SW 1/4 SE1/4 21 23 01 w 5. Answer each question as it applies to your proposed forest practice. a. ❑No. 0 Yes. Is the activity within an urban growth area? b. E]No. ❑ Yes. Is the activity within a public park? C. No. ❑ Yes. Is the activity within 500 feet of a public park? Park name: d. ❑No. Yes. Is the activity located on lands platted after January 1, 1960? e. 0 No. ❑ Yes. Is the activity within 200 feet of saltwater=lake=river/creek/stream= pond Q wetland=seasonal runoff=slopes which exceed 15%?_ f. What is the expected duration of FPA? 2023-2026 Proposed start date: July 2023 Proposed end date: July 2026 6. Are you cutting or removing timber? ❑No. E] Yes. Complete the table below and identify all timber harvest and salvage activity boundaries on the activity map. Rev.August 2017 Acres Volume to be Steepest Slope in Unit# Harvest Type Yarding Method net Harvested mb Harvest Unit 1 Even Age Shovel/Ground Base 5 30mbf 2% 7. Are you constructing or abandoning roads? El No. ❑ Yes. Complete the table below. Show locations and identify all road activities on the activity map. Total Length Steepest Side Slope Abandonment Date Type of Activity feet % Mo/Yr Road Construction Does Not Apply Temporary Road Construction Road Abandonment Work in or over typed water may require a Hydraulic Project Approval(HPA)from the Washington Department of Fish and Wildlife (WDFW). If you have questions concerning the HPA,visit the WDFW website at www.wdfw.wa.gov/habitat.htm. 8. Are you installing or replacing water-crossings? 0 No. ❑ Yes. Complete the table below. Show locations and identify all proposed water-crossings on the activity map. Crossing Crossing Dimensions Crossing Crossing Dimensions Identifier T width x length) Identifier T width x length) 9. Mark the following activities that will be done in or over typed water. Activity in or over: Type i Stream Type II Stream T e III Stream Type IV Stream Type V Stream Removing culverts of bridges Equipment crossing Ground skidding Suspending cables El 1:1 Cable yarding Falling and bucking Other 10. Is any activity in a wetland or wetland buffer? (]No. ❑ Yes. Complete the table below. Show locations and identify all wetlands and buffers on the activity map. Wetland Wetland Type Activity Type in Activity Type in Total Wetland Total Area Total Area Identifier (1,II,III,IV, Wetland Buffer Area(acres) Drained(acres) Filled(acres) other 11. Describe how the following are identified on the ground. • Harvest boundaries/unit corners: Orange Flagging/Paint • Right-of-way limits and centerlines for road work,culverts and bridges: N/A • Critical areas and critical area buffer boundaries: NSA Page 2 of 4 12. Have you reviewed this forest practices activity area to determine whether it may involve historic sites and/or Native American cultural resources? ❑No. E] Yes. 13. We affirm that the information contained herein is true,and understand that this proposed forest practice is subject to the Forest Practices Act and Rules and Mason County Forest Practices Conversion Ordinance as well as all other federal,state or local regulations. Compliance with the Forest Practices Act and Rules and the Mason County Forest Practices Conversion Ordinance does not ensure compliance with the Endangered Species Act or other federal state or local laws. Signature of NDOWNER Signature of T BER OWNER Signature of OPERATOR (if differ t a owner) (If different that �r) Print name: Shawn Fontana Print name: Overton&Associates Print name: v on Date: 05/23/2023 Date: OS/23/2023 Date: 05/23/2023 Additional information: (Optional) E.E. Overton is conducting a 5 acre even-age timber havest. Class IV general in conjuction with a Mason County Clearing and Grading Permit. Future storm water management facility. All landings will be along exsisting roadways. No Streams or Wetlands within or within proximity to harvest area. Per Mason County Ordinance 11.05, Section 11.05.120, a site map shall accompany this application which includes the following information. I Harvest boundaries and tree retention areas. II The approximate location of any structures. III The location of all existing and proposed streets, right-of-ways, easements, skid roads,haul roads, and landings within the proposal. IV The location of future land development including stormwater management facilities and vegetation to be retained for site landscaping,open space, wildlife habitat, screening, and/or buffers. V Site topography at contour intervals of 40 feet. VI Critical areas and critical area buffers regulated pursuant to the Critical Areas Ordinance. VII Drainage ways and culverts. VIII Site area targeted for further harvest including proposed timing. IX North arrow and scale shall be shown on all site plans. The scale shall be no smaller than one inch to 200 feet. Staff asks that,at a minimum,the corners of the harvest unit(s)be flagged for clear identification. Page 3 of 4 NOTE: Copies of all FPA Applications will be forwarded to Mason County Public Works for stormwater and erosion control review.Projects which disturb more than one acre(regardless of total lot size)will require an engineered stormwater plan consistent with the Mason County Stormwater Ordinance(Chapter 14.48.)and the 2012 WSDOE Stormwater Manual.Applicants will be charged for Public Works staff time to review these plans and applications. Property owners should also be aware that the Washington State Department of Ecology(WSDOE)might ask for a NPDES(National Pollution Discharge Elimination System)Permit.The threshold for such a permit is equivalent to Mason County's threshold. WSDOE will notify applicants through SEPA review if a NPDES is required.An NPDES is not a perquisite for FPA approval.It is the responsibility of the applicant to obtain this permit when required. FPA FEE: $300 SEPA FEE: 0-9.99 Acres$730 10 to 20 Acres$880 Over 20 Acres$1,100 EIS(DS)$5,000+90/hr Departmental Review (For Office Use Only) Site visit: Date approved: Mason County Community Services Page 4 of 4 Forest Practices Activity Map -Application # I —t- I 1 ' I a� r M t r 17087W 21 + 35 y/o 35 y/o N/O f 1 r T23 �r Z f t r N/O _ / 8 y/o S 1 1 t 7 Esri,HERE,Garmin,(c)OpenStreet ontributors,and the GIS us ! - community,Office of the Chief Information t .y+ 11jIResources(DNR),Forest Practices Divi n,Department of►jJatar Resources(DNR),Department_ofJNaturalRe roes(DNR),,Etagm@erin y �� _._ t X Diyisio Map Symbols EEO StormPond Additional Information Legal Description -- Harvest Boundary 19 Landing ,S21 T23.ON R01.OW Road Construction 0 Waste Area Stream ® 1 Clumped RMZ/WMZ Buffers WRTS/GRTS Rock Pit * Existing Structure .„� Extreme care was used during the compilation of this map to ensure Approximate Scale: 1:4,8W i :e«cru.:r.,e�..,..E.,a its accuracy. However,due to changes in data and the need to 0 200 400 800 a 11ATURiiL RESOURCES rely on outside information,the Department of Natural Resources Feet cannot accept responsibility for errors or omissions, and therefore, there are no warranties that accompany this material. Date:5/22/2023 Time:1:00 PM Mason County Planning Division of Community Development 615 W.Alder St. Building 8 Igo Shelton, WA 98584 360A27-9670 ext 352 www.masoncountywa.gov F AA2023-00007 FOREST PRACTICES PROJECT DESCRIPTION: FOREST PRACTICE APPLICATION ISSUED: 08/25/2023 SITE ADDRESS: UNKNOWN MASON COUNTY EXPIRES: 08/25/2025 PARCEL: 123214400000 APPLICANT: MASON COUNTY UTILITIES AND WASTE OWNER: MASON COUNTY UTILITIES AND WASTE MANAGEMENT MANAGEMENT 100 W PUBLIC WORKS DR 100 W PUBLIC WORKS DR SHELTON,WA 98584 SHELTON, WA 98584 1.360.427.9670 X 652 FEES: Paid Due Forest Practice Review $300.00 $0.00 Totals : $300.00 $0.00 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ,,of, any other state/ll law regulating construction or the performance of construction. Issued By: TI"J ial%I kh"1-50 Contractor or Authorized Age Date: Printed by:Annie Wilson on:08/25/2023 02:23 PM Page 1 of 1 �r MASON COUNTY li ' COMMUNITY E VI E '�. Building,Planning,En•viromnQntal t°I,L-aIth, Cornmumly Hebith Forest Practice Application . . . FPA2023 =00007 Issued Date 08/25/2023 Expiration 08/25/2025 Date FPA Type FOREST PRACTICE APPLICATION Parcel... 123214400000 Site... UNKNOWN Applicant MASON COUNTY UTILITIES AND WASTE... Issued By: POST THIS IN A CONSPICUOUS PLACE AT THE FRONT OF THE PREMISES General Questions: (360)427-9670 ext 352 615 W Alder St Bldg 8,Shelton,WA 98584 www.co.mason.wa.us MASON COUNTY COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 FPA ZD23 - � Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 FOREST PRACTICES APPLICATION/NOTIFICATION Type IV General This application should be accompanied with an Environmental Checklist (SEPA) as well as an activity map/site plan which addresses items listed below. TYPE OR PRINT IN INK: 1. Landowner,Timber Owner and Operrator information. Legal Name of LANDOWNER Legal Name of TIMBER OWNER Legal Name of OPERATOR Overton &Associates Overton &Associates E.E. Overton Mailing Address: Mailing Address: Mailing Address: PO Box 1477 PO Box 1477 PO Box 1477 City,State,Zip City, State,Zip City,State,Zip Tacoma, WA, 98401 Tacoma, WA, 98401 Tacoma, WA, 98401 Phone:3608090659 Phone:3608090659 Phone:3608090659 Email: Shawn@eeoverton.COm Email: shawn@eeoverton.com Email:Shawn@eeoverton.com 2. Contact person information. Contact Person 3608090659 Shawn Fontana Phone: Email: shawn@eeoverton.com 3. If you are harvesting timber,enter the Forest Tax Reporting Account Number of the Timber Owner: 800-007-011 For tax reporting information or to receive a tax number,call the Department of Revenue at(360)705-6133. 4. Legal description where the forest practices will occur. Parcel Number Sub Division '/.'/. Section Township Range FJW Q82+490&M SW 1/4 SE-1/4 21 23 01 w 23214400000 SW 1/4 SE1/4 21 23 01 w 5. Answer each question as it applies to your proposed forest practice. a. ❑No. E] Yes. Is the activity within an urban growth area? b. 0 No. ❑ Yes. Is the activity within a public park? C. 0 No. ❑ Yes. Is the activity within 500 feet of a public park? Park name: d. ❑No. 0 Yes. Is the activity located on lands platted after January 1, 1960? e. 0 No. ❑ Yes. Is the activity within 200 feet of saltwater=lake=river/creek/stream= pond= wetland seasonal runoff=slopes which exceed 15%?_ f. What is the expected duration of FPA? 2023-2026 Proposed start date: July 2023 Proposed end date: July 2026 6. Are you cutting or removing timber? ❑No. 0 Yes. Complete the table below and identify all timber harvest and salvage activity boundaries on the activity map. Rev.August 2017 Acres Volume to be Steepest Slope in Unit# Harvest Type Yarding Method net Harvested mb Harvest Unit 1 Even Age ShoveliGround Base 6.5 52.5 MBF 4% 7. Are you constructing or abandoning roads? E]No. ❑ Yes. Complete the table below. Show locations and identify all road activities on the activity map. Total Length Steepest Side Slope Abandonment Date Type of Activity feet % Mo/Yr Road Construction Does Not Apply Temporary Road Construction Road Abandonment Work in or over typed water may require a Hydraulic Project Approval(HPA)from the Washington Department of Fish and Wildlife (WDFW). If you have questions concerning the HPA,visit the WDFW website at www.wdfw.wa.p-ov/habitat.htm. 8. Are you installing or replacing water-crossings? 0 No. ❑ Yes. Complete the table below. Show locations and identify all proposed water-crossings on the activity map. Crossing Crossing Dimensions Crossing Crossing Dimensions Identifier T width x length) Identifier T width x length) 9. Mark the following activities that will be done in or over typed water. Activity in or over. Type 1 Stream Type II Stream Type III Stream Type IV Stream Type V Stream Remox ing adverts of bridges ❑ 0 L1 ❑ Equipment crossing ❑ ❑ El ❑ ❑ Ground skidding ❑ ❑ ❑ &spending cables ❑ ❑ ❑ Cable yarding ❑ ❑ ❑ ❑ Falling and bucking ❑ ❑ ❑ ❑ El Other ❑ El ❑ ❑ 10. Is any activity in a wetland or wetland buffer? E]No. ❑ Yes. Complete the table below. Show locations and identify all wetlands and buffers on the activity map. Wetland Wetland Type Activity Type in Activity Type in Total Wetland Total Area Total Area Identifier (I,Il,III,IV, Wetland Buffer Area(acres) Drained(acres) Filled(acres) other 11. Describe how the following are identified on the ground. • Harvest boundaries/unit corners: Orange Flagging/Paint • Right-of-way limits and centerlines for road work,culverts and bridges: N/A • Critical areas and critical area buffer boundaries: N/A Page 2 of 4 12. Have you reviewed this forest practices activity area to determine whether it may involve historic sites and/or Native American cultural resources? [3 No. E] Yes. 13. We affirm that the information contained herein is true,and understand that this proposed forest practice is subject to the Forest Practices Act and Rules and Mason County Forest Practices Conversion Ordinance as well as all other federal,state or local regulations. Compliance with the Forest Practices Act and Rules and the Mason County Forest Practices Conversion Ordinance does not ensure compliance with the Endangered Species Act or other federal state or local laws. Signature of IANDOWNER Signature of ER OWNER Signature of OPERATOR (if Jiff owner) (if different iT ) Print name:Shawn Forma Print name: Overton&Associates Print name: Date: 06WQ4= Date: 06//08M23 Date:06M2o23 Additional information: (Optional) E.E. Overton is conducting a 6.5 acre even-age timber havest. Class IV general in conjuction with a Mason County Clearing and Grading Permit. All landings will be along exsisting roadways. No Streams or Wetlands within or within proximity to harvest area. Per Mason County Ordinance 11.05, Section 11.05.120,a site map shall accompany this application which includes the following information. I Harvest boundaries and tree retention areas. II The approximate location of any structures. The location of all existing and proposed streets,right-of-ways,easements,skid roads,haul roads,and landings within the proposal. IV The location of future land development including stormwater management facilities and vegetation to be retained for site landscaping,open space,wildlife habitat, screening,and/or buffers. V Site topography at contour intervals of 40 feet. VI Critical areas and critical area buffers regulated pursuant to the Critical Areas Ordinance. VU Drainage ways and culverts. VM Site area targeted for further harvest including proposed timing. lX North arrow and scale shall be shown on all site plans.The scale shall be no smaller than one inch to 200 feet. Staff asks that,at a minimum,the corners of the harvest unit(s)be flagged for clear identification. Page 3 of 4 1 NOTE: Copies of all FPA Applications will be forwarded to Mason County Public Works for stormwater and erosion control review. Projects which disturb more than one acre(regardless of total lot size)will require an engineered stormwater plan consistent with the Mason County Stormwater Ordinance(Chapter 14.48.)and the 2012 WSDOE Stormwater Manual.Applicants will be charged for Public Works staff time to review these plans and applications. Property owners should also be aware that the Washington State Department of Ecology(WSDOE)might ask for a NPDES(National Pollution Discharge Elimination System)Permit.The threshold for such a permit is equivalent to Mason County's threshold.WSDOE will notify applicants through SEPA review if a NPDES is required.An NPDES is not a perquisite for FPA approval.It is the responsibility of the applicant to obtain this permit when required. FPA FEE: $300 SEPA FEE: 0-9.99 Acres$730 10 to 20 Acres$880 Over 20 Acres$1,100 EIS(DS)$5,000+90/hr 0 Departmental Review (For Office Use Only) Site visit: Date approved: Mason County Community Services Page 4 of 4 Forest Practices Activity Map -Application # i I i i 4 l 2- 7 � ♦ w�,...r, Y r� 1 \� I 21 0876� ��P � I I TM01W ! J 1 I I o a i \p , A ! I , i 28 Esr, E,Garmin,(c)OpenStreetMap contributors, thcIS ter community, i of the Chief Information Officer(QCI partment of Natural Resources R),Forest Practices Division,D pa nt of Naturar Resources(DNR)IEng'neering Division X .w Map Symbols Additional Information Legal Description S21 T23.ON R01.OW, -- �eoumy & L� .V/D --- Road ca skuCkin v vine Area iv cream Ckar"d ® RW/YAW eutas VWTISCRTs X RockF f r- Sr,dae ----- = Az�Ex ►may �D E,,6erne care was used during the compilation of this map to ensure APPI f Scale t:4,eoo w.:�uwcro.:r re wt....rarr w ifs accuracy However,due to changes in data and the need to 0 200 400 800 nATURAL RESOURCES rely on outside information,the Department of Natural Resources Feet cannot accept responsiti ft for errors or omissions, and therefore, there are no warranties that accompany this material. Date:6/14/2023 Time:8:36 AM 1 Mason County Planning Division of Community Development 615 W.Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov F AA2023-00008 FOREST PRACTICES PROJECT DESCRIPTION: FOREST PRACTICE APPLICATION ISSUED: 08/25/2023 SITE ADDRESS: UNKNOWN MASON COUNTY EXPIRES: 08/25/2025 PARCEL: 123214100010 APPLICANT: MASON COUNTY UTILITIES AND WASTE OWNER: MASON COUNTY UTILITIES AND WASTE MANAGEMENT MANAGEMENT 100 W PUBLIC WORKS DR 100 W PUBLIC WORKS DR SHELTON,WA 98584 SHELTON,WA 98584 1.360.427.9670 X 652 FEES: Paid Due Forest Practice Review $300.00 $0.00 Totals : $300.00 $0.00 CONDITIONS Archaeological or historical resources, such as ruins, sites, buildings, artifacts,fossils, or other objects of antiquity that may have significance from an historical or scientific standpoint,which may be encountered by the developer/contractor, shall not be further disturbed. If the developer/contractor encounters any such artifacts, he/she shall immediately stop work and notify Mason County and the Washington State Department of Archaeology and Historic Preservation. Failure to do so may result in civil penalties. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: OM111r W 1(50 o Contractor or Authorized Age : Date: Printed by:Annie Wilson on:08/25/2023 02:25 PM Page 1 of 1 MASON COUNTY COMMUNITY SERVICES Building Planning,Eriwironmental H�ealth, Com munIty Ilea€th Forest Practice A lication . . . pp FPA2023 =00008 Issued Date 08/25/2023 Expiration 08/25/2025 Date FPA Type FOREST PRACTICE APPLICATION Parcel... 123214100010 Site... UNKNOWN Applicant MASON COUNTY UTILITIES AND WASTE... Issued By: POST THIS IN A CONSPICUOUS PLACE AT THE FRONT OF THE PREMISES General Questions: (360)427-9670 ext 352 615 W Alder St Bldg 8,Shelton,WA 98584 www.co.mason.wa.us MASON COUNTY COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 FPA ZO'L3 - Phone:(360)427-%70 ext.352 ♦ Fax:(360)427-7798 _ occcb FOREST PRACTICES APPLICATION/NOTIFICATION Type IV General This application should be accompanied with an Environmental Checklist (SEPA) as well as an activity map/site plan which addresses items listed below. TYPE OR PRINT IN INK: 1. Landowner,Timber Owner and Operator information. Legal Name of LANDOWNER Legal Name of TIMBER OWNER Legal Name of OPERATOR Overton &Associates Overton &Associates E.E. Overton Mailing Address: Mailing Address: Mailing Address: PO Box 1477 PO Box 1477 PO Box 1477 City,State,Zip City,State,Zip City,State,Zip Tacoma, WA, 98401 Tacoma, WA, 98401 Tacoma, WA, 98401 Phone:3608090659 Phone:3608090659 Phone:3608090659 Email: shawn@eeoverton.com Email: Shawn@eeoverton.com Email:shawn@eeoverton.com 2. Contact person information. Contact Person 3608090659 Shawn Fontana Phone: Email: shawn@eeoverton.com 3. If you are harvesting timber,enter the Forest Tax Reporting Account Number of the Timber Owner: 800-007-011 For tax reporting information or to receive a tax number,call the Department of Revenue at(360)705-6133. 4. Legal description where the forest practices will occur. Parcel Number Sub Division '/.'/. Section Township Range F/W 42321 QW4-39 SW 1/4 SE1/4 21 23 01 w > 21 49996A SW 1/4 SE-1/4 21 23 01 W SW 1/4 SE 1/4 21 23 01 w is - �- 5. Answer each question as it applies to your proposed forest practice. a. ❑No. E) Yes. Is the activity within an urban growth area? b. 0 No. ❑ Yes. Is the activity within a public park? C. 0 No. ❑ Yes. Is the activity within 500 feet of a public park? Park name: d. ❑No. E] Yes. Is the activity located on lands platted after January 1, 1960? e. E]No. ❑ Yes. Is the activity within 200 feet of saltwater Q lake Q river/creek/stream Q pond Q wetland=1seasonal runoff Oslopes which exceed 15%?Q f. What is the expected duration of FPA? 2023-2026 Proposed start date: July 2023 Proposed end date: July 2026 6. Are you cutting or removing timber? ❑No. El Yes. Complete the table below and identify all timber harvest and salvage activity boundaries on the activity map. Rev.August 2017 Acres Volume to be Steepest Slope in Unit# Harvest Type Yarding Method net Harvested mb Harvest Unit 1 Even Age ShoveliGround Base 4.25 20 MBF 4% 7. Are you constructing or abandoning roads? 0 No. ❑ Yes. Complete the table below. Show locations and identify all road activities on the activity map. Total Length Steepest Side Slope Abandonment Date Type of A feet % o/Yr Road Construction Does Not Apply Tem Road Construction Road Abandonment Work in or over typed water may require a Hydraulic Project Approval(HPA)from the Washington Department of Fish and Wildlife (WDFW). Ifyou have questions concerning the HPA,visit the WDFW website at www.wdfw.wa.gov/habitat.htm. 8. Are you installing or replacing water-crossings? 0 No. ❑ Yes. Complete the table below. Show locations and identify all proposed water-crossings on the activity map. Crossing Crossing Dimensions Crossing Crossing Dimensions Identifier T width x length) Identifier T width x length) 9. Mark the following activities that will be done in or over typed water. Activity in or over. TVpe I Stream Type 11 Stream Type III Stream Type IV Stream Type V Stream Removing adverts of bridges ❑ 0 L1 ❑ El Equtownt crossing El 11 0 ❑ ❑ Ground skidding El ❑ Li ❑ Suspending cables ❑ Cable yarding ❑ ❑ ❑ Falling and bucking ❑ ❑ ❑ Other ❑ 10. Is any activity in a wetland or wetland buffer? E]No. ❑ Yes. Complete the table below. Show locations and identify all wetlands and buffers on the activity map. Wetland Wetland Type Activity Type in Activity Type in Total Wetland Total Area Total Area Identifier (I,11,III,Iv, Wetland Buffer Area(acres) Drained(acres) Filled(acres) other 11. Describe how the following are identified on the ground. • Harvest boundaries/unit corners: Orange Flagging/Paint ■ Right-of-way limits and centerlines for road work,culverts and bridges: N/A • Critical areas and critical area buffer boundaries: N/A Page 2 of 4 l NOTE: Copies of all FPA Applications will be forwarded to Mason County Public Works for stormwater and erosion control review.Projects which disturb more than one acre(regardless of total lot size)will require an engineered stormwater plan consistent with the Mason County Stormwater Ordinance(Chapter 14.48.)and the 2012 WSDOE Stormwater Manual.Applicants will be charged for Public Works staff time to review these plans and applications. Property owners should also be aware that the Washington State Department of Ecology(WSDOE)might ask for a NPDES(National Pollution Discharge Elimination System)Permit.The threshold for such a permit is equivalent to Mason County's threshold.WSDOE will notify applicants through SEPA review if a NPDES is required.An NPDES is not a perquisite for FPA approval.It is the responsibility of the applicant to obtain this permit when required. FPA FEE: $300 SEPA FEE: 0-9.99 Acres$730 10 to 20 Acres$880 Over 20 Acres$1,100 EIS(DS)$5,000+90/hr Departmental Review (For Office Use Only) Site visit: Date approved: Mason County Community Services Page 4 of 4 12. Have you reviewed this forest practices activity area to determine whether it may involve historic sites and/or Native American cultural resources? []No. El Yes. 13. We affirm that the information contained herein is true,and understand that this proposed forest practice is subject to the Forest Practices Act and Rules and Mason County Forest Practices Conversion Ordinance as well as all other federal,state or local regulations. Compliance with the Forest Practices Act and Rules and the Mason County Forest Practices Conversion Ordinance does not ensure compliance with the Endangered Species Act or other federal state or local laws. Signature of WNER Signature of T BER OWNER Signature of OPERATOR (if diffe owner) (If different th ) Print name:Shams Fontana Print name: Overton&Associates Print name: Date: 06m/2023 Date: O6/08/2023 Date:06AR o23 Additional information: (Optional) E.E. Overton is conducting a 4.25 acre even-age timber havest. Class IV general in conjuction with a Mason County Clearing and Grading Permit. All landings will be along exsisting roadways. No Streams or Wetlands within or within proximity to harvest area. Per Mason County Ordinance 11.05, Section 11.05.120,a site map shall accompany this application which includes the following information. I Harvest boundaries and tree retention areas. U The approximate location of any structures. III The location of all existing and proposed streets,right-of-ways,easements,skid roads,haul roads,and landings within the proposal. IV The location of future land development including stormwater management facilities and vegetation to be retained for site landscaping,open space,wildlife habitat,screening,and/or buffers. V Site topography at contour intervals of 40 feet. V1 Critical areas and critical area buffers regulated pursuant to the Critical Areas Ordinance. V11 Drainage ways and culverts. V111 Site area targeted for further harvest including proposed timing. IX North arrow and scale shall be shown on all site plans.The scale shall be no smaller than one inch to 200 feet. Staff asks that,at a minimum,the corners of the harvest unit(s)be flagged for clear identification. Page 3 of 4 1 r Forest Practices Activity Map -Application # i 1 \V �^M•A�P .yam`.w`4rM rr,is ,ti ..ti ^M r 21 o 1708760 6A\10 rr 23R01W y 47 o t A\10 - �� I r i 1 , 1 , - 1 w I 1 l._ 28 Esr, E,Garmin,(c)OpenStreetMap contrib+rs,find theRS tisgr community, of the Chief Information Officer(QCIOJ,Department Natural Resources R),Forest Practices Division, pagment of Nature Resources(DNR)IEngineering Division Map Sin gwls N I G Addhional Information Legal Desuip6m -- Harms!Bou,aary B La*q = A/OT O.,coS21 T23.ON 11101.0111111, Raved Caelmctim V1t ske Area / ..le Sraan Y o _ yca.ts olb ® RW r YMrZ Boas veers x RockP f g S&UckwePz"x, faclsntx� �F Extreme rare was used during the compilation of this map to ensure APProA^0te Scale- 1 4,800 r ,,,,a its accuracy. However,due to c tonges in data and the reed to 0 200 400 800 nOTURRL RESOURCES rely on outside information,the Department of Natural Resources Feet canrwt accept responsibility for errors or omissions, and therefore, there are no warranties that accompany this material. Date;611412023 Time:8:36 AM