Applications and Originals
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0~ THE p CITY OF YE LM OFFICIAL USE ONLY
ti~ r,Q
a4 r¢, PO Box 479 Fee
Date Received
Yelm WA 98597 By
458-3244 File No.
55
YE LM C'-
WASHINGTON ? - APPLICATION FOR 1-5
SHORELINE MANAGEMENT
SUBSTANTIAL DEVELOPMENT
Fee: $500.00 (In addition, any professional
service charges per Resolution No. 358.)
TO THE APPLICANT: This is an application for substantial development as authorized by the Shoreline
Management Act of 1971. It is suggested that you check with appropriate local, state, or federal officials to
determine whether your project falls within any other permit systems.
NAME OF APPLICANT: Gtr' ~aS f
MAILING ADDRESS: /r k-, RELATION OF APPLICANT TO PROPERTY (Specify Relationship)
® Owner ? Purchaser ? Lessee ? Other
NAME AND ADDRESS OF OWNER, IF OTHER THAN APPLICANT
GENERAL LOCATION O P WP SED ROJEC (Pie~se list se ti . on to the nearest quarter section township
and range) S ' f T t tl S zr~,
_4j, IF
NAME O WATER APAl!A AN /OR WETLANDS WITHIN WHICH DEVELOPMENT IS PROPOSED
i
CURRENT USE OF THE PROPERTY WITH EXISTING IMPROVEMENTS
PROPOSED USE OF PROPERTY (Please be specific)
(To be completed by local official.) Nature of the existing shoreline. (Describe type of shoreline, such as marine,
stream, lake, lagoon, marsh, bog, swamp, flood plain, floodway, delta; type of beach, such as accretion, erosion,
high bank, low bank, or dike; material such as sand, gravel, mud, clay, rock, nprap; and extent and type of
bulkheading, if any) :
r
G:\Web Content\community development\ShorelineApp.doc
8(01
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(To be completed by local official.) In the event that any of the proposed buildings or structures will exceed a
height of thirty-five feet above the average grade level, indicate the approximate location of and number of
residential units, existing and potential, that will have an obstructed view.
(To be completed by local official.) If the application involves a conditional use or variance, set forth in full that
portion of the master program which provides that the proposed use may be a conditional use, or, in the case of a
variance, from which the variance is being sought.
PROJECT DIAGRAMS: Draw all site plans and maps to scale, clearly indicating scale on lower right-hand corner
and attach them to the application.
(A) SITE PLAN. Include on the plan:
(1) Site boundary.
(2) Property dimensions in vicinity of project.
(3) Ordinary high-water mark.
(4) Typical cross section or cross sections showing:
(1) Existing ground elevations.
(II) Proposed ground elevation.
(111) Height of existing structures.
(IV) Height of proposed structures.
(5) Where appropriate, proposed land contours using five-foot intervals in water area and ten-foot
intervals on areas landward of ordinary high-water mark, if development involves grading,
cutting, filling or other alteration of land contours.
(6) Show dimensions and locations of existing structures that will be maintained.
(7) Show dimensions and locations of proposed structures.
(8) Identify source, composition, and volume of fill material.
(9) Identify composition and volume of any extracted materials, and identify proposed area.
(10) Location of proposed utilities, such as sewer, septic tanks and drain fields, water, gas, electricity.
(11) - If the development proposes septic tanks, does proposed development comply with local health
and state regulations?
(12) _ Shoreline designation according to master program.
(13) Show which areas are shorelines and which are shorelines of statewide significance.
(B) VICINITY MAP.
(1) Indicate site location using natural points of reference (roads, state highways, prominent land
marks, etc.)
(2) If the development involves the removal of any soils by dredging or otherwise, please identify the
proposed disposal site on the map. If the disposal site is beyond the confines of the vicinity map,
provide another vicinity map showing the precise location of the disposal site and its distance to
the nearest city or town.
(3) Give a brief narrative description of the general nature of the improvements and land use within
one thousand feet in all directions from development site. (i.e., residential to the north,
commercial to the south, etc.)
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8/01
Page 1 of 1
WAC 173-27-200 Department review of conditional use and variance permits. (1) After local
government approval of a conditional use or variance permit, local government shall submit the permit
to the department for the department's approval, approval with conditions, or denial. The department
shall render and transmit to local government and the applicant its final decision approving, approving
with conditions, or disapproving the permit within thirty days of the date of submittal by local
government pursuant to WAC 173-27-110.
(2) The department shall review the complete file submitted by local government on conditional use
and variance permits and any other information submitted or available that is relevant to the application.
The department shall base its determination to approve, approve with conditions or deny a conditional
use permit or variance on consistency with the policy and provisions of the act and, except as provided
in WAC 173-27-210, the criteria in WAC 173-27-160 and 173-27-170.
(3) Local government shall provide timely notification of the department's final decision to those
interested persons having requested notification from local government pursuant to WAC 173-27-130.
[Statutory Authority: RCW 90.58.140(3) and 90.5[ 81.200. 96-20-075 (Order 95-17), § 173-27-200, filed 9/30/96, effective
10/31/96.]
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Page 1 of 1
WAC 173-27-190 Permits for substantial development, conditional use, or variance. (1) Each
permit for a substantial development, conditional use or variance, issued by local government shall
contain a provision that construction pursuant to the permit shall not begin and is not authorized until
twenty-one days from the date of filing as defined in RCW 90.58.140(6) and WAC 173-27-130, or until
all review proceedings initiated within twenty-one days from the date of such filing have been
terminated; except as provided in RCW 90.58.140 (5)(a) and (b).
(2) Permits for substantial development, conditional use, or variance may be in any form prescribed
and used by local government including a combined permit application form. Such forms will be
supplied by local government.
(3) A permit data sheet shall be submitted to the department with each shoreline permit. The permit
data sheet form shall be as provided in Appendix A of this regulation.
[Statutory Authority: RCW 90.58.140(3) and [90.581.200. 96-20-075 (Order 95-17), § 173-27-190, filed 9/30/96, effective
10/31/96.]
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