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HomeMy WebLinkAboutHPA JARPA - SHR Application - 8/6/2002 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Planning Mason County Bldg.1 411 N.5th P.O.Box 279 Shelton,WA 98584 (360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 August 6, 2002 Bruce R. Christopherson P.O. Box 4520 Bremerton, WA 98312 Dear Sir: Mason County has recently received a copy of your Hydraulic Project Approval from Washington Department of Fish and Wildlife (WDFW). Mason County also has permit authority and responsibility for the proposed placement of beach gravel to protect a bulkhead footing. This activity constitutes normal repair and maintenance of the bulkhead structure under the Mason County Shoreline Master Program (SMP) and therefore requires review under the State Environmental Policy Act (SEPA) and the issuance of a formal Shoreline Exemption. Enclosed please find a SEPA checklist and a JARPA form, the latter is used by Mason County as application for the Exemption. Please note the SEPA fee is $200.00 and the Exemption fee is $125.00. The SEPA process requires a minimum of 14-day comment period to allow input from the public and pertinent government agencies. If you have questions or require clarification on these issues, please contact me. Respectfully, Rick Mraz Senior Planner Mason County Department of Community Development Cc: Grace Miller, Senior Planner, DCD/ Kim VanZwalenburg, Department of Ecology Margie Shirato, WDFW JUL_ 03 '02 83:59PM WDFW PCRT ORCHARD P•4 --- AGENCY USE ONLY Agency Ref4rence#: Date Received!_ Circulated by: (ioeal govt. or agency) 1 JOIN' AQUATIC RESOURCES PERMIT APPLICATION FORM (JARPA) (for use In Wa0ington State) amP U$rz TYKE 08 PRINTCK 1NK [�l am applying to+'a Fish Habitat Enhancement Project per requirements of RCW 76,20.350. You must submit a copy of this completed'JARPA application form, and the (Fish Habitat Enhancement JARPA Addition) to your local Govemment Planning Department and Washington Department of Fish & Wildlife Area Habitat Biologist an ftggarrte day, NOTE; LOCAL(GOVERNMENTS—You must submit any comments on these projects to WDFW within 16 working ciray Based on tine htstructions provided, I aM Sending copies of this application to the foikWng: (chock all that eppiy) ❑ Local Govemment for shoreline: C7 Substantial Development M Conditional Use ❑Yarianw © Exemption ❑Revision U Floodplain Management © Critical Areas Ordinance © Washingion Department of Fish and Wildlife for HPA(Submit 3 copies to WOFW Region) 0 WashinMon Department of Ecology for 401 Water Quality Certification Natlonwide Permits(to Regional office-Federal Permit Unit) Q Washington Deparmnt of Naturai Resources for Aquatic Resources Use Authorizatton Notification ❑ Corpa of Engineers for C] Section 404 p Section 10 permit ❑ Coast Guard for Section 9 Bridge Permit �] U5 Fish ii WildlVe Service or National Marine Fisheries Service for Endangered Species Act(58A)Cgnsultation RENEWAL OF EXISTING HPA — Log �100—C1875-02 SECTION A-rise for all permits covered by this apPileadon. 8*Sure to ALSO complete Section C(Signature Blocks)for all permit applications. 1.APPLICANT Bruce R. Christopherson MAILING ADORM P.O. Box 4520, Bremerton, WA 98312 WORK PHONE 9*WLA,?VFIESS .7MEPHOINE :AFC 78-60 M (360) 479-4200 (360) 698-8500277-0256 If an agent is acting for the apprrcent dur9ng tine permit process,complete 92. 7 AUTHORIZED AOf;HT None MAlLIN��ESS WORK( �PHONE F.4ANLADDRESS HOME PHONE ;:A,st L� 3.RELATIONSHIP OF APPLICANT TO PROPEAM120MER G PURCV"fiR O LESSEE MOTHER a N"E,ADDRESS.AND P*)NE NUMUER OF PROPERTY OWNERS),IT OTHER Tf4AN APPLICANT; i5 LOCATION(5TRE17 ADDRESS,INCLUDING CITY.COUNTY AND ZIP CODE.WHERE PROPOSED ACTMTY EXISTS OR WILL OCCUR) N.E. 8041 North Shore Rd. Belfair LOCAL GOvERNMENR WITH JURISDICTION ICrY OR COUNTY) WATERPIODY IaUTARY OF A M Hood Canal Admiralty Inlet 15.NL%R1 SECTION I SECTION 'r0YYN9MIP RANGE I 60VEkNMENrL0T SHORELINE DESIGNATION 07 21.N 102W pTR1J0E 8 LONGIY(JOE ZONING DESIGNATION I IF KNOWN ONR STREAM TYPE,IF KNOWN TAX PARCEL NO� JARPA,Revised 1219&comact Ecology's Permit Assistance Center for latest version,360/407-1037 JUL 03 '02 04:30P11 WDFW PORT ORCHARD P.5 6.DESCRIBE TFiE CURRENITUSE OF THE PROPERTY.AMC)STRUCTURES EX(STING ON THE PROPER-Y. IF ANY PORTION OF THE PROPOSED ACTIVITY 16 ALREADY COMPLMD ON IS PROPERTI,WOICATE MONTH AND YEAR OF COMP66TION, Recreational 15 THE PROPERTY AGRICULTURAL LAND? ❑YES ❑NO ARE YOU A USDA PROGRAM PARTICIPANT? ❑YES E7 NO 7a. DESCRIBE THE PROPOSED CONSTRUCTION ANCIOR FILL WORK FOR THE PRL7.JECT THAT YOU WANT TO BUILD THAT NEEDS AQUATIC PERMITS: COMPLETE PLANS AND SPECIFICATIONS SHOULD BE PROVIDED FOR ALL WORK WATERWARO pf THE ORDINARY HIGH WA-MR MARK OR LINE,INCT.UDING TYPES OF EOUIPURNT TO EE USED, IF APPLYING FOR A SHORELINE P£RIArr,DESCRIBE ALL WORK WfTHN AND BEYOND 200 FEET OF THE ORDINARY NKTH WATER MARK. ATTACH A SEPARATI:SHEET T ADDITIONAL.SPACE IS NEEDED. Place pea gravel along face of an existing bulkhead to protect footings. t i 76 DESCRIBE THE PURPOSE OF T1iE PROPOSED WORK AND WHY YOU WANT OR NEED TO PERFORM IT AT THE SITE, PLEASE EXPLAIN ANY SPECIFIC NEEDS THAT HAVE INFLUENCED THE DESIGN, Bulkhead footing protection. 7C 0E3CRI8E THE POTFWrm%L,IMPACTS 70 CHARACTERISTIC USES OF THE WATER BODY, THESE USES MAY INCLUDE FISH AND AQUATIC L'.FE WATER QUALITY.WATER SUPPLY. RECREATION,and AESTHETICS, IDENTIFY PROPOSED ACTIONS TO AVOID,MINIMIZE..AND MITIGATE DETRIMENTAL IMPACT".AND PROVIDE PROPER PROTECTION OFFISH AND AIIUATIC LIFE, ATTACH A SEPARATE SHCE7 11 ADDITIONAL SPACE IS NEEDED. I N/A I PREPARATION OF DRAYInNGS: SEE SAMPLE DRAWINGS AND GUIDANCE FOR COMPLETING THE DRAWINGS ONE SET OF ORICINAL OR GOOD OUAUTY REPAOOUC48LE ORAVtWGS AIW 88 ATTACHED. NOTE. APPLICANTS ARE EN--OURAGED TO SUBMIT PHOTOGRAPHS OF THE PROJECT SITE,BUT THESE 00 NOT SUBSTITUTE FOR DRAWINGS THE CORPS OF ENGINEERS AND COAST'GUARD REQUIRE DRAWNGS ON}t/7 Z r1 WCH SHEETS. LAAcEp aRAw/NGsYAY BE REgLN"-D 8Y OTHER AGaNCHSS. 6 WILL THE PROJECT BE,CONSTRUCTED IN STAGES; D YES C NO PROPOSED STARTING DATE: \/A ESTIMATED DURATION OF ACTIVTY: l CHECK IF ANY STRUCTURES WILL BE PLACED, ❑WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH OR TIDAL WATERS;ANDrOR O WATERWARID OF MEAN HIGH WATER LINT;IN TIDAL WATERS in WILL FILL.MATERIAL(ROCK FILL,BULKHEAD,OR OTHER MATERIAL)BE PLACED, O ❑WATERWARD OF THE ORDINARY 1116H WATER MARK OR LINE FOR FRESH WATERS? IF YES,VOLUME(CUBIC YARDS) !AREA_ (ACRES) ❑WATERWAAO Of TMe MEAN HIGHER NiGH WATER FOR TIDAL.WATERS7 If YES,VOLUME(CUBIC YARDS}_. AREjy (ACRES) 7 ARPA, Revised l;t/98, COnfAct Ecology's Per'fnit Assistance Centel for latest version, 3601407-1037 ..JUL 03 '02 04:01PM WDFW PORT ORCHARD P.6 fI.WILL MATERIAL St?PLACED IN WETLANCS7 O'ER YdNo IF YES; A MAPACTE,D AREA IN S. NASA DELINEATION KEEN COMPLETED? IF YES,PLEASE SUBMIT WITH APPLICATION G TU G NO C HAS A WETIANO REPORT BEEN PREPARED? IF YES,PLEASE SUBMIT WTA APPLICATION. G VON ENO 0-TYPE AND COMPOSTTiONOF FILL MATERIA;(F.G-,SANO.M.) Placement of beach gravel to protect bulkhead footing. 6- MATERIAL SOURCE. Gravel shall be clean round "Pea Gravel" not crushed. F LIST ALL SAIL SERIES(TYPE OF SOIL)LOCATED AT THE PROJECT SITE.d INDICATE IF TM6Y ARE ON THE COUNWS LAST OF HyDRIC SOILS SOILS iNF~TWN CAN BE 09TAINED FROM THE NATURAL I11,11SOURCES CONSERVATION SERVICE INRCS; 12.WILL M'ROPOSED ACT IVYTY CAUSE FL.00OING OR DRAINING OF WETLANDS? c YES X&NO IP YES.IMPACTED AREA IS_ACRES. 19 WILL EXCAVAYION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? M YES XPRO IR YES; A VOLUME: (CUBIC 1fARDS)1ARE4 (ACRES) B COOAPOSrtION OF MATERIAL TO BE REMOWO' C DISPOSAL SITE FOR EXCAVATED MATERIAL D, METHOD OF DFEW1Na 1.,HAS THE STATE EWR0NMENTAL POLICY ACT(SEPA)BEEN COMPLEM? N/A D YES 0 NO SEPA LEAD AGENCY: SEPA DECISION; DNS.MONS,EIS,ADOPTION,EXEMPTION DECISION OATS(END OF PERIOD); SUBMIT A COPY OF YOLR SEPA DECISION LETTER TO W OFW AS R6011MD FORA COMPLETE APPLICATION 15.LIST OTHER AFIPLICATICMS.APPROVALS,OR CERTIFICATIONS FROM OTHER FEDERAL,STATE OR LOCAL AGENCIES FOR ANY STRUCTURES.CONSTRUCTION,DISCHARGES.OR OTHER ACTNIT(E;I DESCRIBED IN THE APPLICATION(LE,PROLURNARY PLAT APPROVAL,HEALTH DISTRICT APPROVAL.BUILDING PERMIT,SEPA REVIEW,FECERAL ENERGY REGULATOkY COFAMIS81ON LICENSE(FERC),FOREST PRACTICES APPLICATION,ETC,)ALSO INDICATE W"rWR WOM KM BEEN COMPLETED AND INDICATE ALL EXtSTtNa WORK ON DRAWINGS TYPI:Or APPROVAL ISSUING AGENCY ZENTIFICAT10N DATE OF APPLICATION DATE APPROVED COMPLETED? NON K 16_HAS ANY AGENCY D$N1ED APPROVAL FOR THE ACTMTY DESGRISED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY DESCRIBED HEREIN? C;YES 1ffNQ IF YES,EXPLAIN' I 1 SEC'TfON B-U-so for ShorQNn*and Corps of EngMQers PemNts on14 17.TOTAL COST OF PROJE(,T. THIS MEANS THE FAIR MARKET VALUE Or THE PROJECT,INCLUDING MATERLA:S,LABOR,MACHINE RENTALS,ETC, $1010 `0'0 per year '•B,LOCAL GOVERNMENT WITH JURISDICTION' Mason ntv 1S FOR CORPS COAST GUARD,AND DNR PEAMMS,PROVIDE NAMES,ADDRESSES,AND TELEPHONE NUMBERS OF ADJOINING PROPERTY OWNERS,LESSEES,ETC., PLEASRNO'E IIHOREGN,="MAGEMBNTCOMPUANCE WAY REGOREADOITIONALNOrICE—CON$I YOURLCCAL GOVERNMENT , l NAME ADDRESS PHONE NVMSER DARPA,Revised 12/9$L contact EC0108y's Permit Assistance Censer COr lateSt VCrsion, MO/407-7037 JUL 03 '02 04:01PM WDFW PORT ORCHARD P.7 Sb'C170N C-This s*cdon MUSt be complotodkrany permit covemdby this 1100000 O.APRL1CATfQN f3 HEREBY MADE FOR A PERMIT OA PERMITS TO AUTHORIZE THE ACT1vrrlEs DESCRIBED HEREIN, I CERTIFY TIMAT 1 AM FAMILIAR WITH INFORAIATI0I4 CONTAINED iN THIS APPLICATION,AND TFIAT TO THE BEST Or MY KNOWLEW31F AND 9EUEF.SUCH INPOAMATION*TRUE,COMPLETE,AND CCURATE. I FURTHER CERTIFY THAT I POSSESS THE AUtHORrry TO UNWTAKE THE PROPOSED ACnVMES, I HEREBY GRANT To THE AIZENGIES TO WHICH 16 APPLICATION 18 M CE,THE RIGHT TO ENTER THE ABOVE-DESCRIBED LOCATION TO INSPECT TIME PROPOSED.IWPROGRESS OR COMPLETED WORK, t AGREE To tLIARt wORK 2W AFTER ALL NECESSARY PERMITS HAVE BEEN RECEIVED. StOMATURE OF APPUCAut OR AUTHORIZED AGENT ATE 7/9/Q 2 i HEREBY DESIGNATE, w TO ACT AS MY AGENT IN ItA P jrVm FOR PER 5). I UNO£RSTAND THAT IF A FEDERAL PB13MfT Ili ISSUED, I MU ION THE PERM 17, — �2 Or . 3 !pF ApPLI DAT6 SIGNATURF,OF LANDOWNER{ PUBUC ENTITY LANDOWNERS,£0,ONR1 � 7/9/Q2 THIS APPLICATION UZ RF$IGNQD BY THE APPLIC WT AND THE AGENT.IF AN AUTHORMED AGENT 18 DESIGNATED. f a3 U.S.0 A1001 prorldu Gus' W wom,in arry me4WN wvf ft M+04400e of trh dtlpNmwm of 6"Wy of fha Unlud Stan frnoA"Iy faladisA.e&n iL,or t WNI UP by B^t hiek,acf+ertb a devks a tr"twiml NO a makes arry fat",riQ7td A.W 4ptKl Aarlt r1 WWK#W nll"011415"Or"It"or taws e"p totes*yd"p or doament Mrlo v ftMna to MmAln ply II".AdM&A.a frallrfyW71 gw-, ant x enttY,"I ba rrnd"ct mae tlan 510,000 er 0q*Xr ad rlol man Haan 5 ran a bcM, COMPLETED BY LOCAL OFFICIAL A. Nature!of the existing shoreline, (Describe type of shoreline, such as marine,stream,take, lagoon,mersh,bog,swamp,,flood ptain,floodway,delta;type of beach,such as accretion,erosion,high bank,low bank, or dike;material such at,sand,gravel, mud,clay,rock,tlprap;and axtent Ind 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 glade level,indicate the approximate location of and nuf er of residential units,existing and potential,that will have an obstructed view: C. if the opplieation involves a Conditional use or variance, set forth in full that portion of the master program which provides that 4 the proposed use may be a conditional use, or,in the case of a variance,from which the variance is being sought. Tnese Agencies ere Equel gppotWnity Ind Affirmative Action emplOYOM. Fvr avealrt accommodation needs,please contact the Approprials AgencY in the iins CLOns. )ARPA, Revised 1219g,Contact Ecology's Permit AssistsnCe COnter for latest version, 3601407-7037