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HomeMy WebLinkAboutJARPA-Fuel Tank Storage - SHX Application - 10/24/2006 5- 2 AGENCY USE ONLY Agency Reference#: Date Received: Circulated By:: local govt. or agency) Y,c� JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (DARPA) (for use in Washington State) PLEASE TYPE OR PRINT IN BLACK INK ❑lama applying f FihH i pp y g or a s Habitat Enhancement Project per requirements of RCW 75.20.350. You must submit a copy of this completed JARPA application from, 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) ❑O Local government for shoreline: ❑x Substantial Development ❑Conditional Use ❑Variance ❑Exemption;❑Revision ❑Floodplain Management ❑Critical Areas Ordinance ©Washington Department of Fish and Wildlife for HPA(Submit 3 copies to WDFW Region) ❑x Washington Department of Ecology for 401 Water Quality Certification Nationwide Permits(to Regional office-Federal Permit Unit) ❑Washington Department of Natural Resources for: ❑Aquatic Resources Use Authorization Notification ❑ Corps of Engineers for: ❑Section 404 ❑Section 10 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 permh applications. 1.APPLICANT Jimmy Chen (Chen Shou Jen) and Dana Chen (Hu Deh Fung) MAILING ADDRESS 106 N Meridian, Puyallup WA 98371 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX If an agent is acting for the applicant during the permit process,complete#2. 2.AUTHORIZED AGENT Kimberly Schaumburg MAILING ADDRESS 10112 Bayview Rd. KPN, Vaughn WA 98394 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# (253) 225-2973 kimberly035@centurytel.net (253) 884-5776 3.RELATIONSHIP OF APPLICANT TO PROPERTY: 0 OWNER ❑PURCHASER ❑LESSEE ❑OTHER: 4.NAME,ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(S),IF OTHER THAN APPLICANT: 5.LOCATION(STREET ADDRESS,INCLUDING CITY,COUNTY AND ZIP CODE,WHERE PROPOSED ACTIVITY EXISTS OR WILL OCCUR) 5101 E SR 106, Union, Mason County, 98592 LOCAL GOVERNMENT WITH JURISDICTION(CrrY OR COUNTY Mason Count v WATERBODY TRIBUTARY OF WRIA# Hood Canal Puget Sound 1/4 SECTION SECTION TOWNSHIP RANGE GOVERNMENT LOT SHORELINE DESIGNATION NW of NW 32 22N 03W 4 Urban Commercial LATITUDE AND LONGITUDE IF KNOWN ZONING DESIGNATION N47.213 W123.051 RC-3 . TAX PARCEL NO: DNR STREAM TYPE,IF KNOWN 322325001001 JARPA,Revised 12/98,contact Ecology's Permit Assistance Center for Latest Version,360/407-7037 1 of 4 6.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. A Marina with a ramp and floating dock, a 6,000 sq. ft. building, and a 1, 440 sq. ft. mobile home are located on the site. IS THE PROPERTY AGRICULTURAL LAND? ❑YES ®NO ARE YOU A USDA PROGRAM PARTICIPANT? ❑YES 0 NO 7a. DESCRIBE THE PROPOSED CONSTRUCTION AND/OR FILL WORK FOR THE PROJECT YOU WONT 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 6LL WORK WITHIN AND BEYOND 200 FEET OF THE ORDINARY HIGH WATERMARK. ATTACH A SEPARATE SHEET IF ADDITIONAL SPACE IS NEEDED. A 6,000 gallon above grade marine fuel storage tank shall be added to the site, including a 449 square foot concrete pad and a fence, plus fuel lines from the tank to the dock. The fence, pad, and tank shall be located 75 feet landward of the ordinary high water line and MHHW. A below grade, 1200 gallon sewage pumpout tank shall also be added to the site, including a pump out line from the tank to the dock. A standpipe for Fire Department hookup will also be installed. An existing 1,440 square foot mobile home shall be removed from the site. The proposed project shall only add approximately 449 square feet of new impervious 7 Y PP Y q P surface, which means the project will result in a loss of 991 square feet of impervious surface. 7b. DESCRIBE THE PURPOSE OF THE PROPOSED WORK AND WHY YOU WANT OR NEED IT AT THE SITE. PLEASE EXPLAIN ANY SPECIFIC NEEDS THAT HAVE INFLUENCED THE DESIGN.: To restore marine fuel to the Union Marina and provide a much needed service to south Hood Canal. 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 SPACE IS NEEDED. The proposal will provide marine fuel and a pumpout service for boaters on south Hood ,Canal. This should eliminate spillage from boaters fueling up using a can or discharging organic waste into Hood Canal, because there is no nearby facility offering fuel and pumpout services. 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 84/2 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BYOTHER AGENCIES. 8.WILL THE PROJECT BE CONSTRUCTED IN STAGES? ❑ YES ® NO PROPOSED STARTING DATE: As soon as possible after receipt of all permits and approvals. ESTIMATED DURATIONOF ACTIVITY:_ Within 30 days after the start of work. 9.CHECK IF ANY STRUCTURES WILL BE PLACED: ® 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,PILINGS OR OTHER MATERIAL)BE PLACED: ❑WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? No IF YES,VOLUME(CUBIC YARDS) /AREA (ACRES) ❑WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? NO IF YES,VOLUME(CUBIC YARDS) /AREA (ACRES) JARPA,Revised 12/98,contact Ecology's Permit Assistance Center for Latest Version,360/407-7037 2 of 4 11.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): coastal beach, yes. 12.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑YES El NO IF YES,IMPACTED AREA IS ACRES. 13.WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? ❑YES ®NO 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 ONO SEPALEADAGENCY: Mason County. SEPADECISION: 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,FERC LICENSE,FOREST PRACTICES APPLICATION,ETC.) ALSO INDICATE WHETHER WORK HAS BEEN COMPLETED AND INDICATE ALL EXISTING WORK ON DRAWINGS. TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION NO. DATE OF APPLICATION DATE APPROVED COMPLETED? None at this time 16. HAS ANY AGENCY DENIED APPROVAL FOR THE ACTIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY DESCRIBED HEREIN? ❑ YES ®NO IF YES,EXPLAIN: SECTION B-Use for Shoreilns and Corps of Engineers penalls on 16.TOTAL COST OF PROJECT.THIS MEANS THE FAIR MARKET VALUE OF THE PROJECT,INCLUDING MATERIALS,LABOR,MACHINE RENTALS,ETC. $200, 000 17.LOCAL GOVERNMENT WITH JURISDICTION: Mason County 18.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 Julie Saari et vir William Mizer 5001 E State Route 106 Union WA 98592 William W. Lomen et al Lynne M. Hunter 3912 Sunnyside Ave N Seattle WA 98103 Michael J Sr & Sharon A Fox 7120 41't Ave NW Olympia WA 98502 Goldberg Canal Properties PO Box 960 Aberdeen WA 98520 Thelma L Busch 3016 N Narrows Dr Apt 513 Tacoma WA 98407 Richard & Voanne Anderson 2226 Fairview Ave E Seattle WA 98102 Judith Ross Swanson 17580 Treetop Way Lake Oswego OR 97034 JARPA,Revised 12/98,contact Ecology's Permit Assistance Center for Latest Version,360/407-7037 3 of 4 1 :WJ11Ak �113 ion. SMt�ba+ Chs�.. f� aw ti .!!1 WhAM Pat GOMM. w......._.dam .�- .....__,. mill Rwr Mr19roM4 or = ?dry �31 �R�t •a SOT I� '1 O. 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