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Home My WebLink AboutSHX2009-00056 JARPA - SHX Permit / Conditions - 12/31/2009 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Courthouse Annex P.O.Box 279,Shelton,WA 98584 (360)427-9670 SHORELINE PERMIT APPLICATION PERMIT NO. SHORELINE SUBSTANTIAL DEVELOPMENT SHORELINE VARIANCE DATE RECEIVED SHORELINE CONDITIONAL USE SHORELINE EXEMPTION 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$5,000.00 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 my further describe the proposed development. Incomplete applications will be returned. t APPLICANT: �TP t)f11 &'K t— S-'I I ADDRESS: dLQp F a��.t, � (street) $� (city) (state) (Zip) TELEPHONE: 3`0".Z7S"3I S4 got."713 SkSS (}tee) (business) AUTHORIZED REPRESENTATIVE: 'D L ❑� � - f.� ADDRESS: 1 0 \(�C�0X `-'�S5 ` n .�Q (s eet AkS t r,A�t't �a(d (orty) } (state) (2ip) TELEPHONE: 3�0- Sao- C�O)A PROPERTY DESCRIPTION: General location(include property address,water body and associated wetlands—identify the name of the shoreline): Legal description (include section, township, and range to the nearest quarter, quarter section or latitude and longitude to the nearest minute. Projects located in open water areas away from land shall provide a longitude location)—include all parcel numbers: OWNERSHIP: Y Contract Applicant—X Owner 1\ Lessee Purchaser (Identify) Other Owner: C�G��-`1C11 1�t C e•+ I ZOO -Vo 1� VNG. (s ed) $S •afoA 1 ITO,VNV WR (city) (state) (Zip) d DEVELOPMENT DESCRIPTON Development(identify and describe the proposed project,including the type of materials to be used,construction methods,principle dimensions,and other pertinent information): r mil' "a�- = J) '�f r w; l. Use(identify current use of property with exist improvements: Reason for requesting development: J ACKOWLEDGEMENT I hereby declare,to the best of my knowledge belief,the forgoing information and all attached information is true and correct. (applicant or authorized repr ntative) ( ) ....■.■■........■■.■■.■..■..■■..■...■..........■■..■.■.....■■.■.■.■.■....■.■■.. TO BE COMPLETED BY LOCAL OFFICIAL Identify and describe existing features of the site and surrounding area: If proposed structures will exceed a height of 35 feet above the existing grade level,indicate the location of any residential units that will have an obstructive view: If a Conditional Use or Variance is requested,make reference to the appropriate section in the Master Program: tF�vtgEb: ur>_2s-u3 w 0 0 A , AGENCY USE ONLY L y M WASHINGTON STATE US Army Corps ; Date received: of of Engineers• Seattle Distxt l Joint Aquatic Resources Permit I 1 1 I , 1 I Application (JARPA) Form hel l , Agency reference#: ; l t Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Part 1—Project Identification Unique project information that makes it easy to identify. hei -------------------------------------' 1a. Unique Project Identifier Number(UPI #) hei • Don't have one yet?Get one at httn:/twww.ei)ermitting.wa.gov or call the Washington Governor's Office of Regulatory Assistance at(800)917-0043. 702257-09-01 1 b. Project Name (Examples: Smith's Dock or Seabrook Lane Development) hel Bird Property Shoreline Re-establishment Part 2—Applicant The person or organization responsible for the project. hei 2a. Name (Last, First, Middle)and Organization(if applicable) Vaden, Jill & Bird, Steven 2b. Mailing Address (Street or PO Box) 2000 NE Tahuya Blacksmith Road 2c. City, State, Zip Tahuya, WA 98588 2d. Phone(1) 2e. Phone(2) 2f. Fax 2 . E-mail (31 o )al a—6856 c ) c ) Part 3—Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b. of this application.) hei 3a. Name (Last,First, Middle) and Organization (if applicable) Boad, Lee Michael 3b. Mailing Address (Street or PO Box) PO Box 2854 3c. City, State, Zip Belfair, WA 98528 3d. Phone(1) 3e. Phone(2) 3f. Fax 3 E-mail (360) 620-0618 (360) 372-2421 ( 360)277-3216 wetlandcorps@hotmail.com JARPA 2009 Page 1 of 11 Part 4—Property Owner(s) gipi Contact information for people or organizations owning the property(ies) where the project will occur. [help] X Same as applicant. (Skip to Part 5.) ❑ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) ❑ There are multiple property owners. Complete the section below and use JARPA Attachment A for each additional property owner. 4a. Name (Last, First, Middle)and Organization (if applicable) 4b. Mailing Address (street or PO Box) 4c. City, State, Zip 4d. Phone(1) 4e. Phone(2) 4f. Fax 4 . E-mail Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. heI ❑ There are multiple properties or project locations (e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional property. 5a. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5n.) heI 2000 NE Tahuya Blacksmith Road 5b. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) heI Tahuya, WA 98588 5c. County heI Mason 5d. Provide the section, township, and range for the project location. heI '/4 Section Section Township Range NW 30 23 2 5e. Provide the latitude and longitude of the project location. hel • Example:47.03922 N lat./-122.89142 W long 42.461681 N lat. / 122.988017 W long 5f. List the tax parcel number(s)for the project location. heI • The local county assessor's office can provide this information. 223305000217 5g. Indicate the type of ownership of the property. (Check all that apply.) hel ❑ State Owned Aquatic Land ❑ Tribal X Private ❑ Other publicly owned (federal,state,county, city, special districts like schools, ports,etc.) JARPA 2009 Page 2 of 11 5h. Contact information for all adjoining property owners, lessees, etc. (if you need more space, use JARPA Attachment C.) hel Name Mailing Address Tax Parcel # (if known) Robert Sargent 307 S 210"' Street 223195000111 Des Moines, WA 98198 Doris Ryan Trust PO Box 689 223305000216 Brinnon WA 98320 5i. Is any part of the project area within a 100-year flood plain? hel ❑ Yes X No ❑ Don't know 5j. Briefly describe the vegetation and habitat conditions on the property. hel The parcel consists of an SFR surrounded by lawn, extending to the shoreline of Haven Lake. There is little to no native vegetation currently within the parcel. 5k. Describe how the property is currently used. hel Single-family residential use. 51. Describe how the adjacent properties are currently used. hel Single-family residential and seasonal recreation. JARPA 2009 Page 3 of 11 Sm. Describe the structures (above and below ground) on the property, including their purpose(s). hei A Single-Family Residence (SFR) occupying 1466 square feet, which includes an 893 square foot basement. 5n. Provide driving directions from the closest highway to the project location, and attach a map. heid From Highway 3 turn right on to WA-300/North Shore Road in Belfair. Go 3.6 miles and turn right on NE Belfair Tahuya Road. Go 6.5 miles and turn right onto NE Tahuya Blacksmith Road. Go 1.9 miles, property is on the right. Part 6-Project Description 6a. Summarize the overall project. You can provide more detail in 6d. hei The December 2007 flood event deposited approximately 15 cubic yards of gravel material down an existing drainage channel into the lake. This material has filled what used to be open water and has severely reduced the function and use of the existing dock. This plan outlines the removal of the deposited material from the lake. 6b. Indicate the project category. (Check all that apply.) el ❑ Commercial ❑ Residential ❑ Institutional ❑ Transportation X Recreational ❑ Maintenance X Environmental Enhancement 6c. Indicate the major elements of your project. (Check an that apply.) hel ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam /Weir ❑ Geotechnical Survey ❑ Scientific Measurement ❑ Boat House ❑ Dike/ Levee/Jetty ❑ Land Clearing Device ❑ Boat Launch ❑ Ditch ❑ Marina/ Moorage ❑ Stairs ❑ Boat Lift ❑ Dock/ Pier Mining ElStormwater facility ❑ ❑ Bridge ❑ Dredging ❑ Outfall Structure ❑ Swimming Pool ❑ Bulkhead ❑ Fence ❑ Piling ❑ Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall (upland) ❑ Channel Modification ❑ Fishway X Other: Removal of material from the lake DARPA 1001 Page 4 of 11 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. Rubber tracked mini excavator will reach in, remove the gravel material, and disperse it evenly throughout adjacent upland areas. Removed gravel will be covered with wood chip mulch and planted with native vegetation. 6e. What are the start and end dates for project construction? (month/year) [ ] • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date: December 2009 End date: December 2009 ❑ See JARPA Attachment D 6f. Describe the purpose of the work and why you want or need to perform it. hel This material has filled what used to be open water and has severely reduced the function and use of the existing dock. 69. Fair market value of the project, including materials, labor, machine rentals, etc. hel $3500.00 6h. Will any portion of the project receive federal funding? hel • If yes, list each agency providing funds. ❑ Yes x No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation ❑ Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.) 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. ❑ Not applicable i JARPA 2009 Page 5 of 11 7b. Will the project impact wetlands? hel ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? hel ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? hel • If yes,submit the report, including data sheets,with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? Ltp] • If yes,submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? hel • If yes,submit the plan with the JARPA package. ❑ Yes ❑ No ❑ Not applicable 7g. Use the table below to list the type and rating of each wetland that will be impacted; the extent and duration of the impact; and the type and amount of compensatory mitigation proposed. If you are submitting a compensatory mitigation plan with a similar table, you may simply state (below) where we can find this information in the mitigation plan. nei Activity causing Wetland type Impact area Duration Proposed Wetland impact(fill, and rating (sq. ft. or acres) of impact2 mitigation mitigation area drain, excavate, category type' (sq. ft. or acres) flood, etc. Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 2 Indicate the time(in months or years,as appropriate)the wetland will be measurably impacted by the activity. Enter"permanent"if applicable. 3 Creation(C), Re-establishment/Rehabilitation (R), Enhancement(E), Preservation(P), Mitigation Bank/In-lieu fee(B) Page number(s) for similar information in the mitigation plan, if available: 7h. For all filling activities identified in 7g., describe the source and nature of the fill material, the amount in cubic yards that will be used, and how and where it will be placed into the wetland. hel i 7 describe the excavation method type and amount of material in 71. For all excavating activities identified n g , yp cubic yards you will remove, and where the material will be disposed. bgjpj JARPA 2009 Page 6 of 11 _ J 7j. Summarize what the compensatory mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. hel Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) hel X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. hel ❑ Not applicable Strict application of Best Management Practices (BMP's), native planting within adjacent upland. 8b. Will your project impact a waterbody or the area around a waterbody? [held X Yes ❑ No 8c. Summarize impact(s)to each waterbody in the table below. hel Activity Waterbody Impact Duration of Amount of Area (sq. ft. or causing impact name location' impact' material to be linear ft.) of (clear, dredge, placed in or waterbody fill, pile drive, removed from directly affected etc.) waterbody Material Haven Lake Shoreline permanent 15 cubic yards 450 sq. ft. Removal Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. z Indicate the time(in months or years,as appropriate)the waterbody will be measurably impacted by the work. Enter"permanent"if applicable. 8d. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? hel • If yes, submit the plan with the JARPA package. ❑ Yes ❑ No X Not applicable 8e. Summarize what the compensatory mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7j., you do not need to restate your answer here. hel JARPA 2009 Page 7 of 11 I� 8f. For all activities identified in 8c., describe the source and nature of the fill material, amount (in cubic yards) you will use, and how and where it will be placed into the waterbody. [ ] No fill will be placed into Haven Lake. I 8g. For all excavating or dredging activities identified in 8c., describe the method for excavating or dredging, type and amount of material you will remove, and where the material will be disposed. [helpi Rubber tracked mini excavator will reach in, remove the gravel material, and disperse it evenly throughout adjacent upland areas. Removed gravel will be covered with wood chip mulch and planted with native vegetation. Part 9—Additional Information Any additional information you can provide helps the reviewer(s) understand your project. 9a. If you have already worked with any government agencies on this project, list them below. [ ] Agency Name Contact Name Phone Most Recent Date of Contact 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 on the Washington Department of Ecology's 303(d) List? [ ] • If yes, list the parameter(s) below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: hftp://www.ecV.wa.gov/programs/wq/303d/. ❑ Yes X No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? heI • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110018 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? hel • Go to to find the WRIA#. JARPA 2009 Page 8 of 11 WRIA# 15 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? heI • Go to hftp:/twww.ecy.wa.gov/programs/wq/swqs/criteria.htmi for the standards. X Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? bpip • If you don't know, contact the local planning department. • For more information, go to: hftp://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. ❑ Rural X Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? heI • Go to http://www dnr wa gov/BusinessPermits/Topics/ForestPracticesApplications/Pages/fp watertyping aspx for the Forest Practices Water Typing System. X❑ S El ❑ Np ❑ Ns 9h. Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? heI • If no, provide the name of the manual your project is designed to meet. X Yes ❑ No Name of manual: 9i. If you know what the property was used for in the past, describe below. g1eiA 9j. Has a cultural resource (archaeological) survey been performed on the project area? hel • If yes, attach it to your JARPA package. ❑ Yes X No 91k. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. eI Hood Canal Summer Chum, Puget Sound Chinook and Puget Sound Steelhead. 91. Name each species or habitat on the Washington Department of Fish and Wildlife's Priority Habitats and Species List that might be affected by the proposed work. heM See attached list. JARPA 2009 Page 9 of 11 Part 10—Identify the Permits You Are Applying For Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at http://apps.ecy.wa.gov/opas/. • Governor's Office of Regulatory Assistance at (800) 917-0043 or helpA-ora.wa.gov. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) hel • For more information about SEPA, go to www.ecy.wa.gov/programs/sea/sepa/e-review.htmi. X A copy of the SEPA determination or letter of exemption is included with this application. ❑ A SEPA determination is pending with (lead agency). The expected decision date is ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 1 Ob.) • Submit the Fish Habitat Enhancement Project form with this application. The form can be found at: http://www.epermifting.wa.gov/site/alias resourcenter/jarpa_jarpa_form/9984/jarpa_form.aspx. ❑ This project is exempt (choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted by federal law. hel 10b. Indicate the permits you are applying for. (Check all that apply.) hel LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance x Shoreline Exemption Type (explain): to Mason County_ Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: ❑ Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption Washington Department of Ecology: ❑ Section 401 Water Quality Certification Washington Department of Natural Resources: ❑ Aquatic Resources Use Authorization FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coast Guard permits: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects) JARPA 2009 Page 10 of 11 Part 11—Authorizing Signatures Signatures required before submitting the JARPA package. 11 a. Applicant Signature (required) I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby authprize the agent named in Part 3 of this application to act on my behalf in matters related to this application., ,Y. (initial) By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the permitting agencies entering t e pr perty where the project is located to inspect the project site or any work related to the project. (initial) (�32?J- Applicant Date 11 b. Authorized Agent Signature hel I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Date 11 C. Property Owner Signature (if not applicant) hel I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Date 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 $10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact The Governor's Office of Regulatory Assistance(ORA). People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341. ORA publication number: ENV-019-09 JARPA 2009 Page 11 of 11