HomeMy WebLinkAboutSHX2022-00044 ATF Dock Repair - SHX Application - 8/30/2022 t '
_ RECEIVED: RECEIVED
MASON COUNTY
COMMUNITY SERVICES AUG 3 0 2022
Building,Planning,Environmental Health,Community Health 615 W. Alder Street
615 W.Alder St.—Bldg.8,Shelton,Wa 98584
Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 PERMIT NO.: `/K
SHORELINE PERMIT APPLICATION PL
ANN
SHORELINE PERMITS
CONDITIONAL USE* SUBSTANTIAL DEVELOPMENT
VARIANCE* EXEMPTION
ACCESSORY DWELLING UNIT*
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 $7,047.00 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 may further describe the proposed development.
Incomplete applications will be returned.
*Shoreline Variances and Conditional uses require public hearings and have additional pages that shall be
attached to this application.
APPLICANT: Larry Sullivan
ADDRESS: 20631 SE 162nd Way
(street)
Renton WA 98059-9072
(city) (state) (zip)
TELEPHONE: 425-566-2580
(home) (business)
AUTHORIZED REPRESENTATIVE: Amanda Wolgemuth
ADDRESS: PO Box 1008
(street)
Hoodsport WA 98548
(city) (state) (zip)
TELEPHONE: 206-310-4239
PROPERTY DESCRIPTION:
General location(include property address, water body and associated wetlands—identify the name of the shoreline):
Rev. Nov. 30, 2021
The property address is 90 N Sundown Dr. Hoodsport, WA 98548 and to the west is Lake
Cushman.
Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude.
42318-50-00020
OWNERSHIP:
Contract ��
Applicant Owner � Lessee Purchaser (Identify) Other
Owner: Tacoma Power
3628 South 35th Street Tacoma WA 98409
(street) (city) (state) (zip)
DEVELOPMENT DESCRIPTON:
Development proposal (identify and describe the proposed project, including the type of materials to be used, construction
methods, principle dimensions, and other pertinent information):
Repair existing floating dock that had an outside beam split. Replace existing 4x10.5" PT beam in
kind. Cut existing beam where split, lift and brace to level, and install two 2x12s on outside of
existing beam; leave existing 4x12 in place. Install galvanized outside corner bracket on each
corner(4 in total).
Existing Use (identify current use of property with exist improvements):
Currently being used as a floating dock.
Reason for requesting development:
The existing floating dock had an outside beam split and needed repair.
Estimated Fair Market Value of Project to Closest $1,000: $3,000
The Applicant shall provide, at a minimum, the following information..
a. SITE PLAN -drawn to scale and including:
i. The boundary of the parcel(s)of land upon which the development is proposed;
ii. The ordinary high water mark (OHWM). This may be an approximate location provided, that for any development
where a determination of consistency with the applicable regulations requires a precise location of the OHWM the
mark shall be located precisely and the biological and hydrological basis for the location as indicated on the plans
shall be included in the development plan. Where the OHWM is neither adjacent to or within the boundary of the
project, the plan shall indicate the distance and direction to the nearest OHWM of a shoreline;
iii. Where appropriate, the proposed land contours using five-foot intervals in water area and ten-foot intervals on
areas landward of OHWM, if development involves grading, cutting, filling, or other alteration of land contours;
iv. The dimensions and location of existing structures which will be maintained;
v. The dimensions and locations of proposed structures; parking and landscaping;
vi. The location of proposed utilities, such as sewer, septic tanks and drain fields, water, gas and electricity;
vii.The location, source, composition, and volume of fill material;
viii. The location, composition and volume of any extracted materials, and proposed disposal area;
b. CROSS SECTION, drawn to scale including:
i. The existing ground elevations;
ii. The proposed ground elevations;
iii. The location and height of existing structures;
iv. The location and height of proposed structures;
V. The OHWM.
c. VICINITY MAP, including:
i. The location of subject parcel using natural points of reference (roads, state highways, prominent landmarks,
etc.).
ii. If the development involves the removal of any soils by dredging or otherwise, identify the proposed disposal
site on the map. If disposal site is beyond the confines of the vicinity map, provide another vicinity map
showing the precise location of the disposal site and its distance to nearest city or town.
iii. On the map, or separately, give a brief narrative description of the vicinity of the proposed project including
identification of the adjacent uses, structures and improvements, intensity of development and physical
characteristics.
d. ADJACENT LANDOWNERS. Provide names and mailing addresses of all real property owners within 300
feet of property line boundaries where development is proposed as mailing labels or pre-addressed
envelopes.
ACKOWLEDGEMENT:
hereby declare, to the best of my knowledge and belief, the forgoing information and all attached information is true and
correct.
8/3/22
(Applicant or Authorized Representative) (date)
PLANNING
SEPA Environmental Checklist Mason Counn,Permit Center Use:
❑ Single Family DNS: $600.00 SEP UU - 80 Ww1
U Other DNS: 0 to 9.99 acres: $730 Parcel #: 41316 v ob —000ZD
10 to 20 acres: $880
Over 20 acres: $1100 Date Revd:
❑ DS/EIS: $5000 + $90 per hour RECEIVED
AUG 3 0 2022
Purpose of checklist: .615 W__Alder Street
Governmental agencies use this checklist to help determine whether the environmental impacts of your
proposal are significant. This information is also helpful to determine if available avoidance, minimization
or compensatory mitigation measures will address the probable significant impacts or if an environmental
impact statement will be prepared to further analyze the proposal.
Instructions for applicants: iLgipi
This environmental checklist asks you to describe some basic information about your proposal. Please
answer each question accurately and carefully, to the best of your knowledge. You may need to consult
with an agency specialist or private consultant for some questions. You may use "not applicable" or
"does not apply" only when you can explain why it does not apply and not when the answer is unknown.
You may also attach or incorporate by reference additional studies reports. Complete and accurate
answers to these questions often avoid delays with the SEPA process as well as later in the decision-
making process.
The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of
time or on different parcels of land. Attach any additional information that will help describe your proposal
or its environmental effects. The agency to which you submit this checklist may ask you to explain your
answers or provide additional information reasonably related to determining if there may be significant
adverse impact.
Instructions for Lead Agencies:
Please adjust the format of this template as needed. Additional information may be necessary to
evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse
impacts. The checklist is considered the first but not necessarily the only source of information needed to
make an adequate threshold determination. Once a threshold determination is made, the lead agency is
responsible for the completeness and accuracy of the checklist and other supporting documents.
A. BACKGROUND LnM
1. Name of proposed project, if applicable:
Sullivan Float
2. Name of applicant:
Larry Sullivan
3. Address and phone number of applicant and contact person:
Integrated NW Construction, Inc., Caralyn Valdeman. 60 N Lake Cushman Rd, Suite 109,
Hoodsport, WA 98584. 206-319-4239 or 253-888-5315.
Caralyn@integratednwconstruction.com.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted). 2016 Page 1 of 11
4. Date checklist prepared:
7/29/22
5. Agency requesting checklist:
Mason County
6. Proposed timing or schedule (including phasing, if applicable): hf eM
Work was completed in one day, during daylight hours normal for a rural
neighborhood.
7. Do you have any plans for future additions, expansion, or further activity related to or connected with
this proposal? If yes, explain.
No.
8. List any environmental information you know about that has been prepared, or will be prepared,
directly related to this proposal.
None.
9. Do you know whether applications are pending for governmental approvals of other proposals
directly affecting the property covered by your proposal? If yes, explain.
No.
10. List any government approvals or permits that will be needed for your proposal, if known.
A Mason County Shoreline exemption permit and am after the fact building
permit.
11. Give brief, complete description of your proposal, including the proposed uses and the size of
the project and site. There are several questions later in this checklist that ask you to describe
certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead
agencies may modify this form to include additional specific information on project description.)
As per the engineered design by MET Engineering, PLLC, the existing 160 sf floating
dock had emergency repair work done. One of the original existing beams that had
split was cut, lifted and braced to level. Two 2x12s were installed on the outside of the
existing beam, leaving the existing 4x12 in place. Four galvanized corner brackets
were also added.
Activities were within the 100-year flood plain. The nearest waterbody is Lake
Cushman.
12. Location of the proposal. Give sufficient information for a person to understand the precise location
of your proposed project, including a street address, if any, and section, township, and range, if
known. If a proposal would occur over a range of area, provide the range or boundaries of the
site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably
available. While you should submit any plans required by the agency, you are not required to
duplicate maps or detailed plans submitted with any permit applications related to this checklist.
Parcel #(s): 42318-50-00020
Address: 90 N Sundown Dr., Hoodsport, WA 98548
Legal Description: Lake Cushman #3 TR 20 PCL
Twp/Range/Section and/or GPS location: 23N/4W/18
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 2 of 11
B. ENVIRONMENTAL ELEMENTS [help]
1. Earth
a. General description of the site hei
(circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
Other, Gentle Slope.
b. What is the steepest slope on the site (approximate percent slope)? hel
Greater than 100 percent at the shoreline toe.
c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)?
If you know the classification of agricultural soils, specify them and note any agricultural land of
long-term commercial significance and whether the proposal results in removing any of these
soils. h
Glacial till, cobble, rock, dirt.
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe. h( e21 l
No.
e. Describe the purpose, type, total area, and approximate quantities and total affected area of any
filling, excavation, and grading proposed. Indicate source of fill. 1tfjpj
None.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. hei
No.
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?Jhel
The project adds no new impervious surface area to the site.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: LLei
All HPA provisions and the WDOE's BMPs shall be adhered to during
construction.
2. Air
a. What types of emissions to the air would result from the proposal during construction, operation,
and maintenance when the project is completed? If any, generally describe and give
approximate quantities if known. LheM
N/A
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. [hLei
N/A
c. Proposed measures to reduce or control emissions or other impacts to air, if any: h[ el
N/A
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 3 of 11
3. Water
a. Surface Water:
1) Is there any surface water body on or in the immediate vicinity of the site (including year-
round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and
provide names. If appropriate, state what stream or river it flows into.
Lake Cushman
2) Will the project require any work over, in, or adjacent to (within 200 feet) the described
waters? If yes, please describe and attach available plans.
No, the lake was lowered during construction.
3) Estimate the amount of fill and dredge material that would be placed in or removed from
surface water or wetlands and indicate the area of the site that would be affected.
Indicate the source of fill material.
None.
4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known.
No.
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
Yes.
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge.
No.
b. Ground Water:
1) Will groundwater be withdrawn from a well for drinking water or other purposes? If so, give a
general description of the well, proposed uses and approximate quantities withdrawn from
the well. Will water be discharged to groundwater? Give general description, purpose, and
approximate quantities if known. thelp;
No.
2) Describe waste material that will be discharged into the ground from septic tanks or other
sources, if any(for example: Domestic sewage; industrial, containing the following
chemicals. . . ; agricultural; etc.). Describe the general size of the system, the number of
such systems, the number of houses to be served (if applicable), or the number of animals or
humans the system(s) are expected to serve.
None will be discharged
c. Water runoff(including stormwater):
1) Describe the source of runoff(including storm water) and method of collection and disposal,
if any(include quantities, if known). Where will this water flow? Will this water flow into other
waters? If so, describe. n
Any runoff would be from precipitation. WDOE's BMPs provisons shall
be adhered to during construction
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted). 2016 Page 4 of 11
2) Could waste materials enter ground or surface waters? If so, generally describe. ,
No.
3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so,
describe.
No.
d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern
impacts, if any:
WDOE's BMPs shall be adhered to.
4. Plants
a. Check the types of vegetation found on the site:
X deciduous tree: alder, maple, aspen, other
evergreen tree: fir, cedar, pine, other
X shrubs
x grass
pasture
crop or grain
orchards, vineyards or other permanent crops
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
None.
c. List threatened and endangered species known to be on or near the site.
Unknown.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any:
None.
e. List all noxious weeds and invasive species known to be on or near the site.
None.
5. Animals
a. List any birds and other animals which have been observed on or near the site or are known to
be on or near the site. Examples include:
birds: hawk, heron, eagle, songbirds, other:
mammals: deer, bear, elk, beaver, other: Deer
fish: bass, salmon, trout, herring, shellfish, other:
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 5 of 11
b. List any threatened and endangered species known to be on or near the site. JtgjPJ
Bull trout(Salvelinus confluentus), marbled murrelet(Brachyramphus marmoratus marmoratus), Puget Sound
Chinook salmon (Oncorhynchus tshawytscha), Puget Sound Steelhead (Oncorhynchus mykiss),yellow-billed cuckoo
(Coccyzus americanus),the spotted owl (Strix occidentalis),and the horned lark (Eremophila alpestris strigata).
c. Is the site part of a migration route? If so, explain. r,, elpl
Fish migrate from Lake Cushman to the North Fork of the Skokomish River, but migration to or from Puget Sound is not
possible due to major anthropogenic blockages. Tacoma Power transports salmonids manually from Lake Cushman to
thR s�roposec�measures to preserve or enhance wildlife, if any: lbty
c1 None.
e. List any invasive animal species known to be on or near the site.
None.
6. Energy and natural resources
a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the
completed project's energy needs? Describe whether it will be used for heating, manufacturing,
etc. he!
None.
b. Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe.
No.
c. What kinds of energy conservation features are included in the plans of this proposal?
List other proposed measures to reduce or control energy impacts, if any: ne pl
None.
7. Environmental health
a. Are there any environmental health hazards, including exposure to toxic chemicals, risk
of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal?
If so, describe. No
1) Describe any known or possible contamination at the site from present or past uses.
None.
2) Describe existing hazardous chemicals/conditions that might affect project development and
design. This includes underground hazardous liquid and gas transmission pipelines located
within the project area and in the vicinity.
None.
3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during
the project's development or construction, or at any time during the operating life of the
project.
None.
4) Describe special emergency services that might be required.
An ambulance in the event of a construction accident.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted) 2016 Page 6 of 11
5) Proposed measures to reduce or control environmental health hazards, if any:
WDOE's BMPs shall be adhered to.
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)? hel
None.
2) What types and levels of noise would be created by or associated with the project on a
short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi-
cate what hours noise would come from the site. nI el
N/A
3) Proposed measures to reduce or control noise impacts, if any: nei
N/A
8. Land and shoreline use
a. What is the current use of the site and adjacent properties?Will the proposal affect current land
uses on nearby or adjacent properties? If so, describe. jLei
Residential and recreational.
b. Has the project site been used as working farmlands or working forest lands? If so, describe.
No.
How much agricultural or forest land of long-term commercial significance will be converted to
other uses as a result of the proposal, if any?
None.
If resource lands have not been designated, how many acres in farmland or forest land tax
status will be converted to nonfarm or nonforest use? nI ei
None.
1) Will the proposal affect or be affected by surrounding working farm or forest land normal
business operations, such as oversize equipment access, the application of pesticides,
tilling, and harvesting? If so, how:
No.
c. Describe any structures on the site. nei
Existing shoreline appurtenances include a 20'fixed pier, hinged ramp, 20'floating
dock and an adjacent 20' floating dock.
d. Will any structures be demolished? If so, what?ILeM
No.
e. What is the current zoning classification of the site?lbkid
Unknown
f. What is the current comprehensive plan designation of the site? nL
Unknown.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 7 of 11
g. If applicable, what is the current shoreline master program designation of the site?
Residential.
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
hel Lake Cushman is a Fish and Wildlife Habitat Conservation Area.
i. Approximately how many people would reside or work in the completed project?
None.
j. Approximately how many people would the completed project displace? n
None.
k. Proposed measures to avoid or reduce displacement impacts, if any: hf elpl
None.
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: itttpj
None.
m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest
lands of long-term commercial significance, if any:
Over water structures are common to residences on Lake Cushman.
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-
income housing.
None.
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing.
None.
c. Proposed measures to reduce or control housing impacts, if any: _
None.
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed? .- ;_,,
The Pier will be slightly above the lake's surface when the lake is filled to ordinary high (7381).
b. What views in the immediate vicinity would be altered or obstructed?
None.
c. Proposed measures to reduce or control aesthetic impacts, if any:
None.
11. Light and glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
None.
b. Could light or glare from the finished project be a safety hazard or interfere with views? h!eel
No.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 8 of 11
C. What existing off-site sources of light or glare may affect your proposal?Jhem
None.
d. Proposed measures to reduce or control light and glare impacts, if any: [hemp]
None.
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?itfi2l
Boating, fishing, hiking, etc.
b. Would the proposed project displace any existing recreational uses? If so, describe. Lttm
No.
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any: hf eM
None.
13. Historic and cultural preservation
a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years old
listed in or eligible for listing in national, state, or local preservation registers located on or near
the site? If so, specifically describe. Lbei ]
No.
b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation?
This may include human burials or old cemeteries. Are there any material evidence, artifacts, or
areas of cultural importance on or near the site? Please list any professional studies conducted
at the site to identify such resources. hem
pj
None.
c. Describe the methods used to assess the potential impacts to cultural and historic resources on
or near the project site. Examples include consultation with tribes and the department of
archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc. hem
None.
d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance to
resources. Please include plans for the above and any permits that may be required.
None.
14. Transportation
a. Identify public streets and highways serving the site or affected geographic area and describe
proposed access to the existing street system. Show on site plans, if any. 1hem
State Routes 101 and 119.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 9 of 11
b. Is the site or affected geographic area currently served by public transit? If so, generally
describe. If not, what is the approximate distance to the nearest transit stop?
Unknown.
c. How many additional parking spaces would the completed project or non-project proposal have?
How many would the project or proposal eliminate?
None.
d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle
or state transportation facilities, not including driveways? If so, generally describe (indicate
whether public or private).
No.
e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air
transportation? If so, generally describe.
No.
f. How many vehicular trips per day would be generated by the completed project or proposal? If
known, indicate when peak volumes would occur and what percentage of the volume would be
trucks (such as commercial and nonpassenger vehicles). What data or transportation models
were used to make these estimates?
None.
g. Will the proposal interfere with, affect or be affected by the movement of agricultural and forest
products on roads or streets in the area? If so, generally describe.
No.
h. Proposed measures to reduce or control transportation impacts, if any: Lnl m
None.
15. Public services
a. Would the project result in an increased need for public services (for example: fire protection,
police protection, public transit, health care, schools, other)? If so, generally describe. hei
No.
b. Proposed measures to reduce or control direct impacts on public services, if any. _jr,ei
None.
16. Utilities
a. Circle utilities currently available at the site:
natural gas, ^,
sanitary sewer, other
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted). 2016 Page 10 of 11
b. Describe the utilities that are proposed for the project, the utility providing the service, and the
general construction activities on the site or in the immediate vicinity which might
be needed. _
None.
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand that the lead
agency is relying on them to make its decision.
Signature: C
Date Signed: 7/29/22
Print Name of Signee: Amanda Wolgemuth
If applicable, Position and Agency/Organization: Office Manager, Integrated NW Construction
Date Submitted: 8/3/22
SEPA Environmental checklist(WAC 197.11-960)(MC version-non project portion omitted). 2016 Page 11 of 11