HomeMy WebLinkAboutSHR2022-00007 Dock Replacement, Ramp, Boatlift - SHR Application - 5/16/2022 PLANNING
RECEIV.�ECEIVED
MASON COUNTY MAY 1
COMMUNITY SERVICES 6 2022
Building,Planning,Environmental Health,Community Health 615 W. Alder Street
615 W.Alder St.-Bldg.8,Shelton,Wa 98584
Phone:(360)427-9670 eat.352 ♦ Fax:(360)427-7798 PERMIT NO.J ,10
SHORELINE PERMIT APPLICATION
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. I
APPLICANT: JQE.4 1NaYIO 6-mVJe1�1
ADDRESS: E0. X 7rJV
(street) W A 5 8a . I
(city) (state) `-I (zip)
TELEPHONE: 3(a Q _
(home) N ((,,business)
AUTHORIZED REPRESENTATIVE: Vann �b� l��tJa►�Gu� , ` W/Irthnf 1 l0(uh h5 U-c
ADDRESS: QI
(city) (state) (zip)
TELEPHONE: 7 06 --500 7iU/�I TJ
PROPERTY DESCRIPTION:
General location (include property address, water body and associated wetlands—identify the name of the shoreline):
Z2�1� � 5p1°nr,�✓ l�� � I �I�e(-I�. 5�h ce� I,�,�-�
Rev. Nov. 30, 2021
Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude.
Z2132 . 50. 00033
41' 1 V O&, ( 3` N /- 122° 57L41. �Iq
OWNERSHIP:
Contract
Applicant Owner Lessee Purchaser (Identify) Other
Owner:
Jar. + N hGv �ny/I�y
Po V.;^
(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):
Ke, p I ar-e OJaGIK In +,hC same/� l oca,hr�l , [Dk+ -Yhe C1oa+ Wi R G
CA, I t 1
1 "hY 1 d [ 0- 5ola� o v�r-ere,0 6ac-+l 1-f f
h rn�h ?►dt o f _+tz floc 50 I►d 54r(,(4(15�jo c/r +o b& rep «&d
W 14-VI kKII °jYa�eA r'arwp anal 50 rakd oat.
Existing Use(identify current use of property with exist improvements):
Is r-e6 r&e,41ona 1 v4,<_ j-
Reason for requesting development:
Re P l&C"o aJ► n5 A d GK- " A'�d to off- I i ►av pVpv*eJ l►'��U�c e'
Estimated Fair Market Value of Project to Closest$1,000: 4 q 0 0 0
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:
I hereby declare,to the best of my knowledge and belief, the forgoing information and all attached information is true and
correct.
(Applicant or Authorized Representative) (date)
AFFIDAVIT OF POSTING NOTICE
STATE OF WASHINGTON )
) ss:
COUNTY OF MASON )
RE: (Parcel#or Address of Site): 2�yU E SD�nGir �. 2- 11J'I*��a11 6b,�-g-000,?3)
I, Julie Lewis , Planner for Mason County, do hereby certify that I have posted 1 copies
of the attached:
Notice of Application II
On this VA dayof n/OV,-Mber , 209, in conspicuous
places as follows:
o One at
o One at The Mason County Building One's Public Bulletin Board [411 N 5th St—Shelton,WA]
o One at
In witness whereof,the party has signed this Affidavit of Posting Notice this a day of
20�a
Signed by Julie Lewis
Mason County Community Services Department
615 W. Alder St—Shelton,WA 98584
Subscribed and sworn before me this day of MO%J&W%-be-Q, ,
20 2Z , I certify that Ilf- l."'O 15 signed this document.
e
m��e®
Notary PabHc
State of Washington NOTARY PUBLIC in and for the State of Washington,
ARIANE M PAYSSE
LMYCOMMISSION EXPIRES Printed Name of Notary: SriAvg,W'- �aH SSe,
I2/29/2025 residing at: 1/Vt0l/.�b"11
My Commission Expires: 12�2`I�Zo2�J
(Notary Seal)