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HomeMy WebLinkAboutFPA2400844 - FPA Application - 4/12/1994 .�6 a FOREST PRACTICES APPLICATION NOTIFICATION FPA Number: PROCESS AND CONDITIONS ay CC<3 L c)(' Date Received: Reviewer Comments Final Due Date: Shutdown Zone: Due: NAME OF OPERATOR NAME OF LANDOWNER NA>1LE OF TONER OWNER SubdivisionlSection(s) TWP Nth RGE E/W CLASS OF APPLICATION S 1 ao �i ❑ CLASS I ❑ CLASS I «.y Type of Operation Total Acres / CLASS IV-G L ❑ CLASS IV-S ❑ APPLICATION APPROVED CONDITIONS TO THIS APPLICATION / NOTIFICATION THIS OPERATION IS SUBJECT TO: G HrdrauheaPro)ettApproval G Shortw a G Eavuaommtai Cbwklut G Comolned FPA Form Mmasemeat wet Map G Addiuooal Caodittorta Auaehed G Other APPROVAL CONDITIONS: `IoaS kVE j U L 0 8 1994 �'«sroiV;V�DEK ❑ PRE-FILE REVIEW COMPLETE ❑ APPLICATION INCOMPLETE APPLICATION COMPLETE ❑ APPLICATION ON HOLD ❑ APPLICATION DISAPPROVED DEPARTMENT OF NATURAL RESO 7CES SIGNATURE TITLE DATE: INIT A— LA 7fs ION: A;; COPIES SENT: `` FINAL COPIES SENT: II EFFECTIVE DATE: EXPIRATION DALl TE COPIES DISTRIBUTED TO: FORESTER C"mLOGy �@ F(S�S --EkWILDLIFE AFFECTED INDIAN TRIBE- S�',,��\ OTHERS LOCAL GOVFRNi¢NTVN\ V AFFECTED INDIAN TRIBE:_ S � OTHERS LOCAL OOVERNMFNi AFFECTED INDIAN TROIE• OTHERS LOCAL GOVERNMFNNI' FPA NUMBER: ,,wnsttu�croNSTn7EDePnR1l�r:roF � FOREST PRACTICES Natural Resources APPLICATION / NOTIFICATION IP11M m6nt I Q# 1. GENERAL INFORMATION SECTION REFER TO THE INSTRUCTIONS TO ASSIST IN THE COMPLETION OF THIS FORM. TYPE OR PRINT IN PERMANENT INK. 1. FULL LEGAL NAME AND /OR 2. FULL LEGAL NAME AND/OR 3. FULL LEGAL NAME AND/OR COMPANY /DIVISION NAME OF OPERATOR COMPANY/DIVISION NAME OF LANDOWNER COMPANY/DIVISION NAME OF TIMBER OWNER HAROLD L. WILSON HAROLD L. WILSON BUSINESS ADDRESS BUSINESS ADDRESS BUSINESS ADDRESS E 6971 Highway #106 E 6971 Highway 4106 CI1 Y STATE ZIP CITY STATE ZIP CITY STATE ZIP Union JA7% 98592 Union WA 99592 PHONE: ( ) PHONE: (206 ) 898-3000 PHONE: ( 206 ► 898-3000 Unified Business Identifier (or SSN #) UBI l I Unified Business Identifier (or SSN #) UBI IX Unified Business Identifier for SSN #) UBI I I SSN I I C 232 002 493 SSN I I C 232 002 493 SSN ( I 4.TYPE OF LEGAL ENTITY TYPE OF LEGAL ENTITY TYPE OF LEGAL ENTITY l I CORPORATION ( I OTHER (specify) ( I CORPORATION I I OTHER(specify) I I CORPORATION I I OTHER (specify) II PARTNERSHIP II PARTNERSHIP II PARTNERSHIP l I SOLE OWNER N1 SOLE OWNER IX SOLE OWNER FOR TAX INFORMATION CALL 1-800-548-8829 5. FOREST TAX REPORTING ACCOUNT No: 6. [ ] YES X NO - IS THE OPERATION WITHIN CITY LIMITS? NAME OF CITY(s): 7. [ 1 YES t�4 NO IS THE OPERATION WITHIN A PUBLIC PARK? If yes, an Environmental Checklist is required. [ ] YES [A NO IS THE OPERATION WITHIN 500 FEET OF A PUBLIC PARK? NAME OF PARK' 8. LEGAL SUB-DIVISION OF OPERATION(S): (INCLUDE PARCEL OR TAX LOT NUMBER) SUB-DIVISION, (1/4, 1/4) SECTION TWP RANGE LOT NUMBERIS) PARCEL OR TAX (W) 9. [ ] YES R NO - WAS THE LAND PLATTED AFTER JANUARY 1, 1960 (INCLUDING SHORT PLATS)? (You May Contact County Assessor for Verification). If Yes, Environmental Checklist Is Required. 10. [}Q YES [ I NO - LANDOWNER INTENDS TO CLEAR, IMPROVE OR DEVELOP LAND WITHIN THREE YEARS? NOTE: 1. If yes, attach a completed Environmental Checklist. 2. A local government clearing and/or grading �ermit may be required. 3. See the instructions for more information re ating to conversions. 11. [ ] YES f ' NO - DO YOU HAVE AN APPROVED CONVERSION OPTION HARVEST PLAN (COHP)? If yes, include a copy of the approved plan. NOTE: Not all Local Governments accept COHP's. (For FPA Fee Information see the Instructions) FORM ONR 00-19 (6-93) 11 1 swa.rs.1~1 (i) y,Is %6n II. WATER SECTION f, ` � Y must answer all questions in this Section. C - . ou t All work within Type 1-3 Waters will require a Hydraulics Project Approval (HPA). Work within Type 4-5 Waters may require an HPA. Completion of this section will serve as your request for an HPA from the Department of Fisheries or Wildlife. If you are operating within 200 feet of a Type 1 or 1 + Water, contact the local government for shoreline management information. 12. LIST ANY ACTIVITIES THAT WILL BE WITHIN OR OVER THE ORDINARY HIGH WATER MARK OF ANY WATER. Check V) the activities you will be doing in each type of water. The location of all culverts and bridges must be shown on the base map. Culvert Base Map information must Include culvert length, diameter, and type (round or half pipe). Bridge location information must show whether the bridge is temporary or permanent. (AI (B) (C) IDI (E) (F) (G) (H) I11 Water Road Water Felling / Yarding I Suspend Yarding / Operate Apply Other Activity Type Constr. Crossing Bucking Cable Cables Ground Equipment Chemicals (Show under uestion 29 1 2 3 4 5 13. [ ] YES YA NO WILL THERE BE ANY ACTIVITIES WITHIN 200 FEET OF A TYPE 1 - 3 WATERS? FEET If Yes, how close? 14. [ 1 YES VNO WILL THERE BE ANY ACTIVITIES WITHIN 25 FEET OF TYPE 4-5 WATERS? 15. [ ] YES VNO ARE YOU AWARE OF ANY WATER INTAKES IN YOUR UNIT OR WITHIN 1/2 MILE DOWNSTREAM OF THIS OPERATION? III. WETLAND SECTION You must answer all questions in this section. 16. [ ] YES N NO DO WETLANDS EXIST WITHIN OR ADJACENT TO YOUR FOREST PRACTICE? If YES, check 1 1 the appropriate squares in the following table describing your work within a Wetland or Wetland Management Zone, and show the location and classification of all Forested Wetlands over 5 acres in size, and all Class A and B Wetlands on the Activity Map. (For wetland typing information see WAC 222-16-035.)) Wetland (A) IBI IC) (D) IEI (EI Type Road Water Yarding / Operate Apply Other Constr. Crossing Ground Equipment Chemicals (Show under question 29) A B Forested 17. [ ] YES D4 NO - WILL YOUR PROJECT BE FILLING OR DRAINING A WETLAND? { ACRES) If Yes, how many acres will you be filling or draining? A mitigation plan and a SEPA checklist must accompany this application if you are filling or draining more than 1/2 acre of any wetland. FORM DNR QQ-19 (e-93) 2 IV. ROAD CONSTRUCTION SECTION No Road Construction or Reconstruction. (If you will not be doing any work Involving roads go to Section V.) 18. ROAD CONSTRUCTION: (Complete all blocks that apply and LABEL EACH TYPE SEPARATELY ON MAP.) TYPE OF CONSTRUCTION TOTAL LENGTH LENGTH OF ENDHAUL STEEPEST SIDE IN FEET CONSTRUCTION SLOPE ROAD (in linear feet) CROSSES inpercent) NEW PERMANENT ROAD ( 1 NEW TEMPORARY ROAD EXISTING ROAD RECONSTRUCTION EXISTING ROAD MAINTENANCE I I ROAD ABANDONMENT V. TIMBER HARVEST SECTION [ 1 No Timber Harvest Under This Application. (If you will not be harvesting timber, go to Section VI.) 19. TIMBER HARVEST INFORMATION UNIT TYPE OF POST METHOD OF ACRES PERCENT OF ESTIMATED # HARVEST 14ARVEST HARVEST VOLUME TO VOLUME TO BE '(Even-aged, TREES (per BE CUT HARVESTED Uneven-aged PER ACRE (see #19 in the type of Salvage and/or instructions harvest) (in MBF) Right of Way) FOR for choices) UNEVEN- Show the location of each AGED harvest t eon Ma . HARVEST // /v /} �v be- I N Sly ,k, ('02o 7s " For even-aged harvests, provide surrounding stand information on the map as required under WAC 222-30-025. See instructions. 20. YES [ ] NO - WILL YOU BE HARVESTING TIMBER OR LEAVING TREES WITHIN TWO TREE LENGTHS OF ANY OVERHEAD POWER LINES? (If yes, the applicant needs to notify the appropriate Power Company.) 21. FOR EVEN-AGED HARVESTS, INDICATE HOW THE FOLLOWING WILDLIFE TREES WILL BE LEFT: (Check all that apply) WILDLIFE RESERVE TREES GREEN RECRUITMENT TREES [ ] CLUMPED (Show on Map) [ 1 CLUMPED (Show on Map) [ 1 EVENLY DISTRIBUTED (Throughout Unit) [ ] EVENLY DISTRIBUTED (Throughout Unit) 22. [ 1 YES V NO - WILL YOU BE REMOVING TREES WITHIN THE MAXIMUM WIDTH RIPARIAN MANAGEMENT ZONE THAT ARE PROVIDING CANOPY COVER TO THE STREAM? IF YES, GIVE THE MIDPOINT ELEVATION AND EXISTING CANOPY COVER OF ALL STREAM REACH(s) AND LABEL THE STREAM REACH(s) ON THE MAP: STREAM REACH #1. 'ELEV., — % COVER. STREAM REACH #2. 'ELEV., _ % COVER. STREAM REACH #3. 'ELEV., _ % COVER. STREAM REACH #4. 'ELEV., _ % COVER. 23. [ 1 YES 0 NO - WILL YOU BE LEAVING A DOUBLE-WIDE RMZ(s) FOR GREEN-UP? INDICATE DOUBLE-WIDE RMZ LOCATION(s) ON MAP 24. REFORESTATION METHOD: Reforestation is required for lands harvested after January 1, 1975 as shown under WAC 222-34-010 (West of Cascades Summit), or WAC 222-34-020 (East of Cascades Summit). [ ] PLANTING (Species: ) [ ] NATURAL (Applicant must submit a Reforestation Plan - See Instructions.) FORM DNR On-19 M 93) 3 VI. AERIAL CHEMICAL APPLICATION SECTION _ M This Forest Practice Does Not Involve The Application Of Any Pesticides Or Fertilizer. (If no, go to Section VII.) 2.5. TYPE OF CHEMICAL APPLICATION: [ ] FERTILIZER APPLICATION - For fertilizer applications answer question 28. [ ] PESTICIDE TREATMENT - NET ACRES ( ] - For pesticide applications answer questions 26, 27 and 28. s (Please describe the type of pesticide treatrrlent you are proposing in the "General Description Section".) 26. LIST THE EPA REGISTRATION NUMBERS, TRADE NAMES, AND RATES OF APPLICATION FOR ALL CHEMICALS PROPOSED, INCLUDING ALL ADJUVANTS. EPA REG. No. Trade Name of Chemical 7 Application Unit of Measure Rate per acre 27. [] YES [ ] NO - WILL THIS PESTICIDE BE USED UNDER A DEPARTMENT OF AGRICULTURE EXPERIMENTAL USE PERMIT? If yes, include a copy of the Experimental Use Permit. 28. CHEMICAL INFORMATION CONTACT PERSON PHONE # ( 1 VIL GENERAL DESCRIPTION SECTION 29. Provide any details that will give a better understanding of your project. Compliance with this application/ notification does not ensure compliance with the Endangered Species Act, or other federal, state, or local laws. SIGNATURE BLOCKS We affirm that the information contained herein is true, and understand that this proposed Forest Practice is subject to the current rules and regulations of the forest practices act, as well as any applicable Federal, State or Local rules and regulations. OPERATOR LANDOWNER TIMBER OWNER Signature Signature Signature Same as land owner Print Print Print H.ARnLD L. [^TIT,S0r1 FORM DNR 00-19 (0-93) n FOREST PRACT I CE BASE MAP TOWNSHIP 20 NORTH RANGE 04 WEST W . I . SECTION 01 APPLICATION i> EB 8 3 2 3 7 2 2 2 ® 6 253 27 " 2 t pcf 1© SCALE 0 1000 2000 3000 4000 5000 6000 FEET 1 Mile 15200 ni MAP DATE: Much 1t FA4 CONTOUR INTERVAL: 40 Feet LEGEND: See Instructions NAD 27 DISCLAIMER: See Legend ,:10i:c N!11I11 Ff:; JE 7 1 1 A Cr Is 1 I NI-11 100 Fr-. :`tr7 7 OiT) 5E.>S)t71} rG^0C' 5t/�._yi)tl 1 1 1 1 1 1 s + 227 30 30 s e iS- 7'E / . S I/i 7-S7-?. 2a► lo7-,SO-P.3 j; V , 78 N q 5 ' r C s -3 2 4�, lop 2 4)-3 (v to E p. i. 5 370C S�Uc:)!a , ��i)U 560()c,) :::,:,1.i).:) 56200 03-2a-1994 13 : 44 : 58 PROGRAM CALTAR BY C.J .CHAMBERS 4-10-91 1206 ) 753 0671 CALCULATION OF THE AVERAGE TARIF NUMBER BY SPECIES WITH A STANDARD ERROR OF THE MEAN. REGRESSION BY SPECIES AND THE CORRELATION IS CALCULATED. 01-ENTER DATA FROM KEYBOARD OR DATA FROM ASCII FILE, INPUT KEY OR FILE ? KEY 02KB-FOR EACH TREE INPUT, SPECIES, DBH, HT WHEN INPUT OF DATA I S COMPLETED, ENTER DONE, i�,0 '''°� fir SP DBH HT TARIF: ' w • DF, 14, 110 DF 14 110 41 . 6 SP DBH HT TARIF ? DF, 15, 111 DF 15 111 41 SP DBH HT TARIF ? DF, 13. 6, 94 DF 13. 6 94 35. 7 SP DBH HT TARIF ? DF, '22, 1 10 DF 22 110 35. 3 SP DBH HT TARIF ? DF, 14, 113 DF 14 113 42. 8 SP DBH HT TARIF DF, 15. 4, 107 DF 15. 4 107 39. 1 SP DBH HT TARIF ? DF, 15. 2, 145 DF 15. 2 105 38. 5 SP DBH HT TARIF ? DF, 20, 1 16 DF 20 116 30.6 SP DBH HT TARIF DF, 16. 2, 99 DF 16. 2 99 35. 4 SP DBH HT TARIF DF, 11 . 4, 84 DF 11 . 4 84 33.9 SP DBH HT TARIF ? DF, 13. 5, 98 DF 13. 5 98 37. 4 SP DBH HT TARIF ? DF, 19. 4, 110 DF 19.4 110 37 SP DBH HT TARIF DF, 1472, 90 DF 14. 2 90 33. 6 SP DBH HT TARIF ? uF,`'C>, 1 15 DF� 20% 415 38. J ' SP DBH HT TARIF ? DF, 20, 105 DF 20 105 34. 8 SP DBH HT TARIF ? DONE, 0, 0 SP SAMPLE AVE % * ++++REGRESSION+++++ RSUR CORBEL_ FTEST NAME SIZE TARIF ERROR INTERCEPT SLOPE COEFF PROB DF 15 37. 5 1 . 9 39. 13 -0. 099030 0. 013 0. 1 1 . 975 SUGGEST USING AVERAGE TARIF OVER REGRESSION EQUATION FOR DF * THE STANDARD ERROR OF THE MEAN BASED ON ONE STANDARD DEVIATION OR THE TRUE MEAN WILL BE + OR - 68. 3 TIMES OUT OF 100. DOUBLE THE VALUE AND THE TRUE MEAN WILL BE + OR - 95. 4 TIMES OUT OF 100. 'n 13: 50: 20 r ``