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HomeMy WebLinkAboutJARPA - SHX Application - 4/18/2005 AGENCY USE ONLY11 . — Agency Reference#: Date Received: Q,irculated by: (local govt.or agency) JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (DARPA) (for use in Washington State) PLEASE TYPE OR PRINT IN BLACK INK �E M f ❑ lam applying for a Fish Habitat Enhancement Project per requirements of RCW 75.20.350. You must submit a copy of this completed JARPA application form, and the (Fish Habitat Enhancement JARPA Addition) to your local Government Planning Department and Washington Department of Fish & Wildlife Area Habitat Biologist on the same day. NOTE: LOCAL GOVERNMENTS —You must submit any comments on these projects to WDFW within 15 working day! Based on the instructions provided, I am sending copies of this application to the following: (check all that apply) Local Government for shoreline: ❑ Substantial Development ❑ Conditional Use ❑ Variance ❑ Exemption ❑ Revision ❑ Floodplain Management C4 Critical Areas Ordinance Washington Department of Fish and Wildlife for HPA(Submit 3 copies to WDFW Region) Washington Department of Ecology for 401 Water Quality Certification Nationwide Permits (to Regional office-Federal Permit Unit) CR Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification ❑ Corps of Engineers for: ❑ Section 404 ❑ Section 1.0 permit ❑ Coast Guard for Section 9 Bridge Permit ❑ US Fish&Wildlife Service or National Marine Fisheries Service for Endangered Species Act(ESA)Consultation SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all permit applications. 1.APPLICANT , MAILING ADDRESS W RK PHONE E-NJAIL ADDRESS -A HOME PHONE FAX (:ryLlry 11P,r � If an agent is acting for the applicant during the permi rocess,complete#2. 2.AUTHORIZED AGENT MAILING ADDRESS WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# 3.RELATIONSHIP OF APPLICANT TO PROPERTY: AI NNER ❑PURCHASER ❑LESSEE ❑OTHER: 4.NAM ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(S),IF OTHER THAN APPLICANT: F6y h1e���:��rus�n �� 3C11 '.r YN ,)4WZlA 5.LOCATION(STREET ADDRESS,INCLUDING CITY,COUNTY AND ZIP CODE,WHERE PROPOSED ACTIVITY EXISTS OR WILL OCCUR) 4- 0 160t,,:LCV Aq_ br-.ram e�E�• \r.�}1 ��bti�.� LOCAL GOVERNMENT WITH JURISDICTION(CITY OR COUNTY) WATERBODY TRIBUTARY OF W RIA# Vq SECTION SECTION TOWNSHIP RANGE GOVERNMENT LOT SHORELINE DESIGNATION I a.3 LATITUDE&LONGITUDE ZONING DESIGNATION IF KNOWN: TAX PARCEL NO: DNR STREAM TYPE,IF KNOWN JARPA, Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 1 of 4 G.DESCRIBE THE CURRENT USE OF THE PROPERTY,AND STRUCTURES EXISTING ON THE PROPERTY, IF ANY PORTION OF THE PROPOSED ACTIVITY IS ALREADY COMPLETED ON THIS PROPERTY,INDICATE MONTH AND YEAR OF COMPLETION. R(Y,*a IS THE PROPERTY AGRICULTURAL LAND? ❑YES 4,,No ARE YOU A USDA PROGRAM PARTICIPANT? ❑YEA E NO 7a. DESCRIBE THE PROPOSED CONSTRUCTION AND/OR FILL WORK FOR THE PROJECT THAT YOU WANT TO BUILD THAT NEEDS AQUATIC PERMITS: 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. �0rhk 1�@ 7b. DESCRIBE THE PURPOSE OF THE PROPOSED WORK AND WHY YOU WANT OR NEED TO PERFORM IT AT THE SITE. PLEASE EXPLAIN ANY SPECIFIC NEEDS THAT HAVE INFLUENCED THE DESIGN 7c. 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. NonL PREPARATION OF DRAWINGS: SEE SAMPLE DRAWINGS AND GUIDANCE FOR COMPLETING THE DRAWINGS. ONE SET OF ORIGINAL OR GOOD QUALITY REPRODUCIBLE DRAWINGS MUST BE ATTACHED. NOTE: APPLICANTS ARE ENCOURAGED TO SUBMIT PHOTOGRAPHS OF THE PROJECT SITE.BUT THESE DO NOT SUBSTITUTE FOR DRAWINGS. THE CORPS OF ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER AGENCIES. 8.WILL THE PROJECT BE CONSTRUCTED IN STAGES? 140 ❑YES 1 NO PROPOSED STARTING DATE: ESTIMATED DURATION OF ACTIVITY: 9.CHECK IF ANY STRUCTURES WILL BE PLACED: NO ❑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,OR OTHER MATERIAL)BE PLACED: No ❑WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? IF YES,VOLUME(CUBIC YARDS) /AREA (ACRES) ❑WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? IF YES,VOLUME(CUBIC YARDS) AREA (ACRES) JARPA, Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 2 of 4 1r1.WILL MATERIAL BE PLACED IN WETLANDS? ❑YES NO IF YES: A. IMPACTED AREA IN ACRES: B. HAS A DELINEATION BEEN COMPLETED? IF YES,PLEASE SUBMIT WITH APPLICATION. ❑YES NO C. HAS A WETLAND REPORT BEEN PREPARED? IF YES.PLEASE SUBMIT WITH APPLICATION. ❑YES NO D. TYPE AND COMPOSITION OF FILL MATERIAL(E.G..SAND,ETC.): E. MATERIAL SOURCE: F. LIST 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? ❑YES �NO IF YES,IMPACTED AREA IS_ACRES. 13.WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? 0 YES O IF YES: A. VOLUME: (CUBIC YARDS)/AREA (ACRES) B. COMPOSITION OF MATERIAL TO BE REMOVED: C. DISPOSAL SITE FOR EXCAVATED MATERIAL: D. METHOD OF DREDGING: 14.HAS THE STATE ENVIRONMENTAL POLICY ACT(SEPA)BEEN COMPLETED? ❑YES O SEPA LEAD AGENCY: SEPA DECISION: DNS,MDNS,EIS,ADOPTION,EXEMPTION DECISION DATE(END OF PERIOD): "> SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION 15.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,FEDERAL ENERGY REGULATORY COMMISSION LICENSE(FERC).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? NO. 16.HAS ANY AGENCY DENIED APPROVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY DESCRIBED HEREIN? ❑YES 6 NO IF YES,EXPLAIN: SECTION 8-Use for Shoreline and Corps of Engineers permits only: 17.TOTAL COST OF PROJECT. THIS MEANS THE FAIR MARKET VALUE OF THE PROJECT,INCLUDING MATERIALS,LABOR,MACHINE RENTALS,ETC. 18.LOCAL GOVERNMENT WITH JURISDICTION: 19.FOR CORPS,COAST GUARD,AND DNR PERMITS,PROVIDE NAMES,ADDRESSES,AND TELEPHONE NUMBERS OF ADJOINING PROPERTY OWNERS,LESSEES,ETC.. PLEASE NOTE: SHORELINE MANAGEMENT COMPLIANCE MAY REQUIRE ADDITIONAL NOTICE-CONSULT YOUR LOCAL GOVERNMENT. NAME ADDRESS PHONE NUMBER 1ARPA,Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 3 of 4 SECTION C-This section MUST be completed for any permit covered by this application -0.APPLICATION IS HEREBY MADE FOR A PERMIT OR PERMITS TO AUTHORIZE THE ACTIVITIES DESCRIBED HEREIN. I CERTIFY THAT I AM FAMILIAR WITH THE INFORMATION CONTAINED IN THIS APPLICATION,AND THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF,SUCH INFORMATION 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 HIS 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. S E TOR AUTHORIZED AGENT AT (� I HEREBY DESIGN TE J TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR PERMIT(S). 1 UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT. SIGNATURE OF APPLICANT DATE ATE SIG T WNER(EXCEPT PUBLIC ENTITY LANDOWNERS,E.G.DNR) J/ L, '��� O�J THIS APPLICATION MUST BE I NED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED. 18 U.S.0§1001 provides that: Whoever,in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme,or device a material fact 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,fictitious,or fraudulent statement or entry,shall be fined not more than S10.000 or imprisoned not more than 5 years or both. COMPLETED BY LOCAL OFFICIAL A. Nature of the existing shoreline. (Describe type of shoreline, such as marine, stream, lake, lagoon, marsh, bog,swamp,flood plain,floodway, delta; type of beach, such as accretion, erosion, high bank, low bank,or dike; material Such as sand,gravel, mud,clay, rock, riprap;and extent and type of bulkheading, if any:) B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level, indicate the approximate location of and number of residential units, existing and potential, that will have an obstructed view: C. If the application involves a conditional use or variance, set forth in full that portion of the master program which provides that the proposed use may be a conditional use,or, in the case of a variance,from which the variance is being sought: These Agencies are Equal Opportunity and Affirmative Action employers. For special accommodation needs,please contact the appropriate agency in the instructions. DARPA,Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 4 of 4 o 'Section 10 Permit from the Corps of Engineer is required for: • any work in or affecting navigable waters of the United States(e.g.,floats, piers, docks,dredging,excavation, piling, buoys, overhead power lines, etc.). 11 Section 9 Permit from the Coast Guard is required for: • construction of a new bridge or modification to an existing bridge over a navigable waterway. USEFUL DEFINITIONS The following definitions are presented to help applicants in completing the JARPA. They may not necessarily represent specific language from the laws implemented through JARPA. Ordinary High Water Mark or Line means the visible line on the banks where the presence and action of waters are so common as to leave a mark upon the soil or vegetation: Provided, that in any area where the ordinary high water line cannot be found the ordinary high water line adjoining saltwater shall be the line of mean higher high water and the ordinary high water line adjoining freshwater shall be the elevation of the mean annual flood. Mean Lower Low is the 0.0 tidal elevation, determined by averaging each day's lowest tide at a particular location over a period of 19 years. It is the tidal datum for vertical tidal references in the salt water area. Mean High Water and Mean Higher High Water Tidal Elevations at any specific location can be found in tidal benchmark data compiled by the United States Department of Commerce, Environmental Science Services Administration, Coast and Geodetic Survey, dated January 24, 1979. This information can be obtained from the Corps of Engineers at(206) 764-3495. The determination of tidal elevation is obtained by averaging each day's highest tide at a particular location over a period of 19 years, measured from mean lower low water,which equals 0.0 tidal elevation. Shorelands or shoreland areas means those lands extending landward for two hundred feet in all directions as measured on a horizontal plane from the ordinary high water mark;floodways and contiguous floodplain areas landward two hundred feet from such floodways; and all wetlands and river deltas associated with the streams, lakes, and tidal waters which are subject to the provisions of 90.58 RCW. Shorelines means all water areas of the state, including reservoirs, and their associated wetlands,together with the lands underlying them,except stream segments upstream of the point where mean annual flow is less than 20 cubic feet per second, and lakes less than 20 acres in size. Wetlands means areas that are inundated or saturated by surface water or ground water at a frequency and duration sufficient to support, and that under normal circumstances do support, a prevalence of vegetation typically adapted for life in saturated soil conditions. Wetlands generally include swamps, marshes, bogs,and similar areas. Bridge means any structure including pipelines and conveyor belts,which transports traffic or materials across a navigable water. Aquatic Tidelands means the area between the ordinary high tide line and extreme low tide line, unless otherwise established. Aquatic Shorelands means the shore areas of non-tidal navigable lakes or rivers between the ordinary high water line and the line of navigability unless otherwise established. Aquatic Bedlands means the area waterward of and below the line of navigability on non-tidal rivers and lakes,or below the extreme low tide mark in navigable tidal waters,or below the outer harbor line where a harbor has been created. Nationwide Permit issued by the Corps of Engineers for projects with minimal impacts. For a complete packet of nationwide permits and application information,contact the Corps Regulatory branch at(206)764-3495. ,JARPA, Revised 12/98,contact Ecology's Permit Assistance Center for latest version,360/407-7037 Page 2 of 4 GUIDANCE FOR COMPLETION OF DRAWINGS General Information. Three types of illustrations are needed to properly depict the proposed activity: Vicinity Map, Plan View,and Cross-Sectional View. Drawings to scale should be prepared using clear printing, black ink, and the fewest number of sheets possible. Include the scale. The importance of clear accurate drawings cannot be overstated. At a minimum, drawings must contain the following information; other information may be required depending on project type. If you have questions regarding completing the drawings, call the appropriate agency. 1.Vicinity Map. A copy of a county or city road map,or a U.S. Geological Survey topographic map may be used. Include: a. North arrow. b. Name of waterbody(and river mile if appropriate). C. Location of the proposed activity(indicate with a circle, arrow,X, or similar symbol). d. Provide latitude and longitude of the site to the nearest second. e. Provide directions to the site. 2. Plan View. This drawing illustrates the proposed project area as if you were looking down at the site from overhead. a. North arrow. b. Name of waterbody and direction of water flow. C. Location of existing shoreline. Tidal Waters: Show the Ordinary High, Mean High, Mean Low, Mean Higher High, and Mean Lower Low Water Marks or Lines, and/or wetland boundaries. Indicate elevation above datum. Non-tidal waters: Show the Ordinary High Water Mark or Line, Meander Line, and/or wetland boundary. d. Dimensions of the activity or structure and impervious surfaces, distance from property lines, and the distance it extends into the waterbody beyond the Ordinary High, Mean High, Mean Higher High, and Mean Low Water Mark or Line, and/or wetland boundaries, as appropriate. e. For Corps permits, indicate the distance to Federal projects and/or navigation channels (if applicable). To ascertain, call the Corps Regulatory Branch Office at(206)764-3495. f. Show existing structures on subject and adjoining properties. g. Indicate adjoining property ownership. h. If fill material is to be placed, identify the type of material, amount of material (cubic yards),and area to be filled (acres). i. If project involves dredging, identify the type of material, amount of material (cubic yards), area to be dredged, method of dredging, and location of disposal site. Dredging in areas shallower than-10 feet needs to be clearly identified on drawings. j. Identify any part of the activity that has been completed. k. Indicate types and location of aquatic, wetland, riparian and upland vegetation. I. Erosion control measures, stabilization of disturbed areas, etc. M. Utilities, including water, sanitary sewer, power and stormwater conveyance systems(e.g., bioswales). n. Indicate stormwater discharge points. o. Proposed landscaping where applicable(for complex landscape plans, please attach a separate drawing). P. Where applicable, plans for development of areas on or off site as mitigation for impacts associated with the proposal. q. On all variance applications the plans shall clearly indicate where development could occur without approval of a variance, the physical features and circumstances on the property that provide a basis for the request, and the location of adjacent structures and uses. 3. Cross-Sectional View. This drawing illustrates the proposed activity as if it were cut from the side and/or front. Include: a. Location of water lines. Tidal Waters: Show the Ordinary High, Mean High, Mean Higher High, and Mean Lower Low Water Marks or Lines, and/or wetland boundary. Non-tidal waters: Show the Ordinary High Water Mark or Line, and/or wetland boundary. b. Water depth or tidal elevation at waterward face of project. C. Dimensions of the activity or structure, and the distance it extends into the waterbody beyond the Ordinary High, the Mean High,the Mean Higher High and Mean Low Water Mark or Line, and/or wetland boundaries. d. Indicate dredge and/or fill grades as appropriate. e. Indicate existing and proposed contours and elevations. f. Indicate types and location of aquatic,wetland, and riparian vegetation present on site. g. Indicate type and location of material used in construction and method of construction. h. Indicate height of structure. 4. Clearance and Elevations. Applies to Coast Guard Bridge Permits only. a. Vertical clearance measured from Mean Higher(tidal waters)or Ordinary High (non-tidal water). b. ,Horizontal clearance between piers or pilings. C. Bottom elevation of the waterway at the bridge. AGENCY CONTACTS Below is a list of agencies to which a copy of the Joint Application may be sent, and which permit each agency issues. Technical assistance and information is also available from these offices. Department of the Army Permit(Section 404 or Section 10) U.S.Army Corps of Engineers, Telephone (206)764-3495 Seattle District FAX (206) 764-6602 Regulatory Branch Post Office Box 3755 Seattle,WA 98124-2255 U.S.Army Corps of Engineers Telephone (509)238-4570 Eastern Washington Information FAX (509)238-4570 P.O. Box 273 Chattaroy, WA 99003-0273 U.S. Army Corps of Engineers Telephone (509)682-7010 Central Washington Information FAX (509) 682-7710 P.O. Box 2829 Chelan, WA 98816-2829 Department of Ecology Permits—401 Water Quality Certification Washington State Department of Ecology—Headquarters Permit Assistance Center 300 Desmond Drive, Lacey Telephone(360)407-7037 Post Office Box 47600 FAX (360)407-6904 Olympia, WA 98504-7600 Central Region Telephone (509)575-2490 15 West Yakima Avenue, Ste 200 FAX (509) 575-2809 Yakima, WA 98902-3401 Eastern Region Telephone (509)456-2926 4601 North Monroe, Suite 202 FAX (509)456-6175 Spokane, WA 99205-1295 Northwest Region Telephone(425)649-7000 3190 - 160th Avenue S.E. FAX(425)649-7098 Bellevue, WA 98008-5452 Southwest Region Telephone (360)407-6300 Mailing Address: FAX(360)407-6305 P.O. Box 47775 Olympia, WA 98504-7775 Physical Address 300 Desmond Drive Lacey, WA 98504 Department of Fish and Wildlife (Hydraulic Project Approval)-Submit 3 copies of the JARPA application to Regional offices. Contact regional offices for questions or assistance. Headquarters Washington State Department of Fish and Wildlife Telephone(360)902-2534 600 Capitol Way North TDD (360)902-2207 Olympia,Washington 98501-1091 FAX(360)902-2946 Region 1 (Pend Oreille, Ferry,Stevens, Spokane, Lincoln,Whitman, Columbia, Garfield,Asotin,and Walla Walla Counties) Washington State Department of Fish and Wildlife Telephone(509)456-4082 8702 North Division Street FAX(509)456-4071 Spokane,WA 99218-1199 Region 2 (Okanogan, Douglas, Grant,Adams, and Franklin Counties) Washington State Department of Fish and Wildlife Telephone(509)754-4624 1550 Alder Street NW FAX(509)754-5257 Ephrata, WA 98823-9652 . q6� Ab Cam` At roAl �IKY ;WAOC�MY, Mar 31 05 02s56p Bud Jones 360•-83O-2235 p. 2 `c • * Maintain a minimum of 100' between drain fields and " the seasonal stream, • * There are no known wells within 100 ' of the propose drain field sites. * This septic system must we t °c or exceed treatment stands d two. Disinfection is requi ed. Y Recommend the Norweco 960- U. * The proposed garage will +?, have a one bedroom guess unit above. Making a total 3r 4\ of three bedrooms for this entire project. * Operation and Maintenance is required. { I �i �C f y+ I 1 lr•• � � i l t 8 N.tl j,j �D�SiGNFJ4 i �R� � � I arm I. I 1 / I 1 I t J{\ t 1 k � I % r i+h� � f ITo, �-•r- r=�,d -- i z.., tiW TavNF1Lv�L1� Dle.'u� ga.gg' i"- DATE JOB NAME BILL TO ADDRESS ADDRESS PHONE (ZIP CODE) PHONE ORDERED BY GEN.CONTR. CUSTOMER ORDER NO. U .b v • 1100 N.300 W.,P.O.Box 280,Spanish Fork,LIT 84660,(801)798-8676 •3500 Bassett Street,P.O.Box 329,Santa Clara,CA 95052,(408)988-3000 i •4005 E.Church Street,P.O.Box 11188,Fresno,CA 93772,(559)442-1410 e- , •3535 East Myrtle Street,P.O.Box 310,Stockton,CA 95201,(209)943-0513 • 1250 Kleppe Lane,P.O.Box 50430,Sparks,NV 89435,(775)358-1441 • 1785 Schurman Way • Woodland,WA 98674 • (360)225-1133 Steel Service Centers,Inc. •22659 Pacific Hwy South•Suite 302•Des Moines,WA 98198•(206)824-4041 •3328 Losee Road•North Las Vegas,NV 89030•(702)413-0067 _ I f a w� f st r i I } i I I r obt\ ' 'iii U ,J !� ! TOPOGRAPHY PROFILE: ^� h goo � aid aa© Direction: Scale: Approval: for office use Building Permit number: M = 36 Building: Owner/Applicant: .�' �ccc c c ee^��ezcK cateof Planning: "application: Env. Health: Parcel Number: