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Home My WebLink AboutJARPA - SHX Application - 1/4/2000 1 '2- "✓`'J - jO- OOoo_5 GARY YANDO,DIRECTOR t P�oN.srgTFo o A o u DEPARTMENT OF COMMUNITY DEVELOPMENT ~ o T i PLANNING -SOLID WASTE - UTILITIES '> N y y BLDG. I • 411 N. 5TH ST. • P.O. BOX 578 of 1864 SHELTON,WA 98584 • (360) 427-9670 January 4, 2000 Chris Byrnes Department of Fish and Wildlife 502 High Street, Suite 112 Port Orchard, Washington 98366 RE: Bill Crites Tree Removal Proposal [260 NE Tiger Way West, Bremerton] Dear Mr. Byrnes: I have reviewed the proposed work to remove ten large trees that must be fallen into the waters of Tiger Lake. This work will need access to the lake but the work of removal will be done on the lake surface. This work would need a Hydraulic Project Approval to accomplish the proposed removal of these trees in the area of the lake. For the reasons of needed clearing of the trees and minimal impacts to the lake and beach by the needed equipment, the proposed work would be exempt from State Environmental Policy Act review and no SEPA checklist is needed for the project as proposed. Since the proposal involves work valued at less than $2500 value and is needed cleanup to remove the trees that pose a danger to the adjacent home, the planned work would be exempt from the requirement of a shoreline substantial development permit prior to the needed cleanup. If you have questions concerning the proposal, please contact Allan Borden of the Department of Community Development at (360) 427-9670 extension 365. Sincerely, 'Alit 6�V4/) Allan Borden Shoreline Planner AGENCY USE ONLY Agency Rsfe# Qate RFC ,_. "°,� Circulated bv: {focat aovt or acier►cy? ', ,: ... JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (DARPA) (for use in Washington State) h t .sty erwer+ h' h PLEASE TYPE OR PRINT W BLUE OR BLACK INK t �e Based on the instructions provided, I am sending copies of this application to the following: (check all that apply) Q Local Government for shoreline: a Substantial Development ❑Conditional Use ❑Variance ❑ Exemption • Revision ❑ Floodplain Management ❑Critical Areas Ordinance ❑ Washington Department of Fish and Wildlife for HPA ❑ Washington Department of Ecology for. ❑Approval to Allow Temporary Exceedance of Water Quality Standards(to Regional office); ❑401 Water Quality Certification Nationwide Permits(to Headquarters office) ❑ Washington Department of Natural Resources for. ❑Aquatic Resources Use Authorization Notification ❑ Corps of Engineers for. ❑ Section 404 ❑ Section 10 permit ❑ Coast Guard for ❑Section 9 Bridge Permit SECTION A-Use for all permits covered by this application. Be sure to also complete Section C(Signature Block)for all permit applications. t.APPLI 1 ',,i! Cri-1 e MAIUNG ADDRESS ;L6C) u� 455 Z WORK E-MAIL ADDRESS HOME PHONE FAX a 76-s b 7 n+ s - L7s (A If an agent is acting for the applicant during the permit process, complete*2- -AUTHORIZED AGENT G MAILING ADDRESS WORK PHONE E-MAIL ADDRESS HOME PHONE FAX A - , S 31 2-75--363 3.RELATIONSHIP OF APPLICANT TO PROPERTY: OWNER ❑PURCHASER O LESSEE ❑OTHER 4.NAME, ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(S),IF OTHER THAN APPLICANT: A V V 5.LOCATION(STREET ADDRESS,INCLUDING CITY,COUNTY AND ZIP CODE,WHERE PROPOSED ACTIVITY E)OSTS OR WILL OCCUR) ,A-, ATEABODY TRIBUTARY OF S4 SECTION I SECTION TOWNSHIP RANGE GOVERNMENT LOT SHORELINE DESIGNATION LATITUDE d LONGITUDE oNING DESIGNATION Form r JAR-P-6 Revised Date 7AM7 IF KNOWN: TAX PARCEL NO: DNR STREAM TYPE,IF KNOWN 6.DESCRIBE THE CURRENT USE OF THE PROPERTY,AND STRUCTURES EXISTING ON THE PROPERTY. IF ANY PORTION OF THE PROPOSED ACTIVITY IS ALREADY COMPLETED ON HIS PROPERTY.INDICATE MONTH AND YEAR OF COMPLETION. t IS THE PROPERTY AGRICULTURAL LAND? O YES O ARE YOU A USDA PROGRAM PARTICIPANT? D YES O 7a. DESCRIBE THE PROPOSED WORK 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 ATTACH A SEPARATE SHEET IF ADDITIONAL SPACE IS NEEDED. -r�le �rc?"ed WoKk tinv�IveS Tl�e fernnarrL �-� �c�� rrr �S Ak-�� s Inc `- c Incise -1fOf +-'eeS will be +"t I I in+c, -b�W LpKP fit A- -h,'AC� h t� ( are �e(I� �' rv�bb�r -brej c�;jjer vvi II cis, f4-, GN�" 09' 0--e- �C- q ►c� - - L �ol'c� - alp. GIVE REASON(S)FOR THE PROPOSED WQRK 'coo I's J)Ao 6.6re L rM bs `r /A k Q on hc,•✓►Se cr nee bcvs etc 51°. 4-c-, jhA nee,-J el S I vr°✓) �ssj bye Y -e /•t. 4 CGc.tP�P cT- ��a•' c. 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 ATTACH A SEPARATE SHEET IF ADDITIONAL SPACE IS NEEDED. PREPARATION OF DRAWINGS: SEE SAMPLE DRAWINGS AND GUIDANCE FOR COMPLETING THE DRAWINGS. ONE SET OF ORIGINAL OR GOOD OUAL/rY REPRODUCIBLE DRAWINGS MU ST BE ATTACHED. NOTE: APPLICANTS ARE ENCOURAGED TD SUBMIT PHOTOGRAPHS OF THE PROJECT SITE.BUT THESE DO NOT SUBSTITUTE FOR DRAWINGS. THE CORPS OF Form#JAR-P-6 Revised Date 7/9197 ' ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON 8-12 X 11 INCH SHEETS. LARGER DRAWINGS RAY BE REQUIRED BY OTHER AGENCIES. 8.WILL THE PROJECT BE CONSTRUCTED IN STAGES? DYES . NO PROPOSED STARTING DATE: ESTIMATED DURATION OF ACTIVITY: .CHECK IF ANY STRUCTURES WILL BE PLACED: ^+ ❑WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH OR TIDAL WATERS,AND/OR ❑WATERWARD OF MEAN HIGH WATER LINE IN TIDAL WATERS 10.WILL FILL MATERIAL(ROCK FILL,BULKHEAD,PILINGS OR OTHER MATERIAL)BE PLACED: ❑WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? �i IF YES.VOLUME(CUBIC YARDS) /AREA _(ACRES) ❑WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? IF YES,VOLUME(CUBIC YARDS) /AREA (ACRES) 11,WILL MATERIAL BE PLACED IN WETLANDS? ❑YES ❑NO IF YES: V A IMPACTED AREA IN ACRES: B. HAS A DELINEATION BEEN COMPLETED? IF YES,PLEASE SUBMIT WITH APPLICATION. ❑YES O NO C. HAS A WETLAND REPORT BEEN PREPARED? IF YES.PLEASE SUBMIT WITH APPLICATION, O YES ❑NO D. TYPE AND COMPOSITION OF FILL MATERIAL(E.G.,SAND,ETC.): E MATERIAL SOURCE F. UST ALL SOIL SERIES(TYPE OF SOIL)LOCATED AT THE PROJECT SITE,&INDICATE IF THEY ARE ON THE COUNTY'S LIST OF HYDRIC SOILS.SOILS INFORMATION CAN BE OBTAINED FROM THE NATURAL RESOURCES CONSERVATION SERVICE(NRCS): 12.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? OYESO IF YES.IMPACTED AREA IS ACRES. JJJJJJ 13,WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? ❑YES` 'NO IF YES: 'F A VOLUME (CUBIC YARDS)/AREA (ACRES) 8. COMPOSITION OF MATERIAL TO BE REMOVED: C. DISPOSAL SITE FOR EXCAVATED MATERIAL D. METHOD OF DREDGING: 14.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.FERC LICENSE,FOREST PRACTICES APPLICATION,ETC.) ALSO INDICATE WHETHER WORK HAS BEEN COMPLETED AND INDICATE ALL EXISTING WORK ON DRAWINGS. TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED? a SEPA LEAD AGENCY: EPA DECISION SEPA DECISION DATE: 5.HAS ANY AGENCY DENIED APPROVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY DESCRIBED HEREIN? D YES ❑NO IF YES,EXPLAIN: �J Form C 7 ��K P-6 Revised Date 7/9/97�( � SECTION B-Use for Shoreline and Corps o1 Engineers permits o. nly: T.LOCAL GOVERNMENT WITH JURISDICTION: 8,FOR CORPS,COAST GUARD.AND DNR PERMITS,PROVIDE NAMES.ADDRESSES,�TELEPHONE NUMBERS OF ADJOINING PROPERTY OWNERS,LESSEES,ETC.. PLEASE NOTE SHORELINE MANAGEMENT COMPLIANCE MAY REQUIRE ADOfnNSULT YOUR LOCAL GOVERNMENTNAME SS PHONE NUMBER SECTION C-This section MUST be completed for any permit covered by this application. 9.APPLICATION IS HEREBY MADE FOR A PERMIT OR PERMITS TO AUTHORIZE THE ACTIVITIES DESCRIBED HEREIN. 1 CERTIFY THAT I AM FAMILIAR WITH THE NFORMATION CONTAINED IN THIS APPLICATION,AND THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF,SUCH INFORMATKNI IS TRUE,COMPLETE,AND CCURATE. I FURTHER CERTIFY THAT I POSSESS THE AUTHORITY TO UNDERTAKE THE PROPOSED ACTIVITIES. I HEREBY GRANT TO THE AGENCIES TO WHICH IS APPLICATION IS MADE,THE RIGHT TO ENTER THE ABOVE-DESCRIBED LOCATION TO INSPECT THE PROPOSED,IN-PROGRESS OR COMPLETED WORK I AGREE TO START WORK ONLY AFTER ALL NECESSARY PERMITS HAVE BEEN RECEIVED. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT ATE I HEREBY DESIGNATE TO ACT AS MY AGENT IN MA RELATED TO S PERMfIT(S). 1 UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT. SIGNATURE OF APPLICANT DATE SIGNATURE OF LAN WNER(EXCEPT PUBLIC ENTITY LANDOWNERS DNR) ATE THIS APPLICATION�`T`T BE SIGNED BY TH PUCANT AND THE AGENT,IF AN AUTHORIZED AGENT 15 DESIGNATED. 18 U.S.0§1001 provides that Whoever,in within the junsdct�on of any department or agency of the Untied States knovnngy talsifies,conceals,or covers up by any trick,scheme,or device a material tact 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,fiicittsous,or fraudulent statement or entry,shall be fined not more than$10,000 or imprisoned rhd more than 5 years or both. rl COMPLETED BY LOCAL OFFlC[Ai.�' ', A. Nature of the e)dsting shoreline. Describe of shoreline;such as marine;sfreairr take rr arsft,} sw_ am flood floodwa delta,type.of beach,such as accretion,�ea i" :high bank,iow.banl;or dike, ��n r � p plain,. ,y,' - ostor� r � uch'as sand;" ravel,�e mud,cfayr�tock,riprap,acid extent and type of bulkheadin;'411any} B. In the event that any of the.proposed buildings orstiuictures will exceed a heighf of thirty-five feet.above the average grade level, indicate the approximate location of andriumber of residential units axisting:and potentiat;that will'have an obstructed - vieW - C. If the application involves a conditional use or variance,set forth ir►`fiitl that E orhorr of the master program_which provides that the proposed use.may be'a conditional use,or,in the case ofa variance,from wtu'° tie variance is being sought'. These Agencies are Equal Opportunity and Affirmative Action employers. For special accommodation needs,please contact the appropriate agency from Appendix B. Fomh♦JAR-P-6 Revised Date 7/9/97 y A ^i1 F � W dvi S,� S z b - "A'r'j-1 J,--�V-jo q P 2 an �� ►,� 'r'I �y� -�- �''�� )1��- as -��v�� (V41V �y P II rM af'IDA Jq � �- ('� voiA P a M•�a� �1 y � r V