HomeMy WebLinkAboutMLA17-00064 shoreline supplemental permit applicationDEPARTMENT OF COMMUNITY
621 Sheridan Street, Port Townsend, WA 98368
Tel: 360.379.4450 1 Fax: 360.379.4451
Web: �t'ttY.I'[elterSlxli.[V.IItiICi)ti71iti1[31t[I[ V['�r1i7177Ixnt
E-mail: dcdtt. -o jKffersrxi.ova.us
SUPPLEMENTAL APPLICA'�R
SHORELINE DEVELOPMENT CoulyrYocD
A completed application form is a requirement of submittal. Include "N/A" in spaces that do not apply.
MLA # Case #
Application Type (select one):
Statement of Exemption- I J Variance* I Substantial Development*
F] See Examples on back side - J
of application Conditional Use (administrative)* I Conditional Use (discretionary)*
1) Does your proposal require in water work and/or works below ordinary high watermark? Yes [ ] No [ ]
2) Does your pronnral require 1n,000 sq/ft or more of impervious surface and/or non -single family structures of 5,000 sq/ft or
more? Yes [ ] No [ V/ ]
* If either of the boxes for 1 or 2 above are checked yes or if the permit type above has an asterisk then a. pre -application
conference_ is required prior to submitting for a shoreline permit.
Site Information
Assessor Tax Parcel #: 502291005 J Name of Body of Water: Hood Canal
Property Owner Name(s): Steven P. and Marilyn F. Barnowe-Meyer
Project Description
Describe the existing property use and condition:
Existing land use is vacant land, with the following improvements: 1) an existing 12 -foot wide paved driveway along the eastern edge of but
Wally within We parrwl, ppoviding acGass W this proporly & hvG immodialaly adjawnt neighbor rms �A ------ 2.) ap exiswRo two-bodrogm
septic system; 3) existing Mason County PUD 1 / Centuryl-ink poles, lines & meter; 4) an existing power panel and 5) existing buried
rock outcrops and native mixed -conifer / hardwood forest cover (with pockets of non-native (Scotch broom, English ivy & Himalayan
bigckben) and more extensive native understory vegetatmon I that regenerated naturally following cQj�k auaay m1nong o2oralions that ended
prior to 1976. Several revegetated segments of old rock quant' benches and push roads also exist within the property boundaries.
Proposed distance from ordinary high water mark to use/devfeet
Describe the proposed work that requires a shoreline permit or permit exemption:
The proposal is development of a single-family two-bedroom residence with covered / uncovered decks, a new driveway and a new
single-family residence development is 84 feet from ordinary high water mark at its closest point, which is less than the buffer reduction
provisions of the Shoreline Master Program, since at its widest point, the distance from Hood Canal and McDaniel Cove ordinary high
water macks to the insido adqu of the 50 -foot Highway 101 WAtage setback is greater th2a the 150-foof shoralipe buffer The proposed
residence also falls entirely within a Natural Shoreline Environmental Designation, with the proposed reduced buffer straddling
ConsemancV and Nat—' clesionation-atuas. 1hem is -go exisling b4ax;bedroom septic system on the site See Site Plan Map "A"
By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the
best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application
packet may result in making any issued permit null and void.
Owner Signature: dp ".. Date: 9 % 7
Print Name: VWCA P' ,BarnoW�– l�'�P-ler