DNR Forest Practices application 08-02-06 001For DNR Region Office Use Only
WASHINGTON STATE DEPAaIMENT W
__ Natural Resources FpAIN#;
ix
Forest Practices Application/Notification Reglpn.
Western Washington Receivetl Date:
YOU MUST USE THE INSTRUCTIONS TO COMPLETE THIS APPLICATION.
TYPE OR PRINT IN INK:
d. l.andoEVrrer, Timber Owner, and Oceratm Information.
Leoal Name d LANDOWNER Leoal Name of TIMBER OWNER Leaal Named OPERATOR
FHd, LLC Erickson Logging, Inc. SAME AS TIMBER OWNER
AAaing Address:
4200 Sih Ave. SE #301 Mailing Address:
41306 9041 Ave. E Mailing Address:
Oily. State. ZIP
Lacey, WA 98503 City, Skte, Zip
Eatonville, WA. 98328-9569 City, Skte, Zip
~0r1e 1360 )z3L-Sb61
Email Phone 1360) 832-8627
Email: encksonlo i aol.com Phone ( )
Email:
2 CarldR person information.
Cadaq Pelson Phone (360) 507-8628
Paul Graves; Cascade Resource Management
Em ~r cascadeserviceslrDcomcast net
3. Are you a perpeWal timber owneR
[14 No. [ ]Yes. Include the Notice O/ Moratorium On Non-Foreslry Use Of Lantl /orm and written evidence that fhe
landowner has been nofilred.
L Myou are llarvestlrlg timber, enter the Forest Taz Reporting Amount Number dthe Timber Owner: 800049455
For far reportig infwmefion or to receive a tax number, call fhe Department o/Revenue at i-804548-8828
i Are you a smag forest IantlownerT (Optional)
]!d No. [ ]Yes.
6. Aro you subsptutlng prescriptions from an approved skk or federal conservation agreement or wakrshed
arWys"sT
bd No. [ ]Yes. Onry complete those portions of this application that do rwf have attemative prescriptions and see
instructions /or atltlitiona/ requirements.
7. Levaldcuinaon and munN where Mw r.,.e.r.sr.o-e...,~u .........
Sub Division ('/.'/.) Section Township Range ENV County
PISW114NE1/4 25 17N 1 E Thurston:21725130300
ao+awfperamos)
toN
WESTENN WASNINGTON
8. Nsarer eatlr question as g applies to your proposed forest pradiee. Refer to instructions.
a [ J No. [>q Yes. Is the activity within city limits or an urban growth area? City name: Yelm
~. [l9 No. [ ]Yes. Is the activity within a public park?
v [IQ No. [)Yes. Is the actlviry within 500 feet of a public park? Park name:
d [ ] No. P9 Ves. Is the activity located on lands platted after January 1, 1960?
e. [ ] No. [1Q Yes. Does the activity convert forestland to a use dher than growing tmber within 3 years?
f gq No. [ ]yes. Is Me activity part d an approved Conversion Opfion Harvest Plan (COHP)? I/yes, incude a copy
o/the appoved COHP
¢ [1Q No_ [ ]Yes. Is the activity within 200' of the Ortlinary High Water Mark (OHWM) or goodway of Type S water?
M yes, contact the county for a Shorelines Permit or a written exemption and incude a ropy welh
this app/irofion.
k g9 No. [ ]Yes. Are you apdYing for a multi-year permit? I/yes, length requested:- (Specify 3, 4, or 5 years.)
~ [K] No. [ ]Yes. Are you including an Alternate Plan? l/yes, include a copy of the Attemate Plan.
1 [r] No. [ ]Yes. Do you have a DNR approved Road Maintenance and Abandonment Plan (RMAP) for your haul
routes? HYes, RMAP #
l1 No, is a Checklist RMAP required? [ ] No. [ ] Yes_
k [1Q No. [ ]Yes. Is the actlvrty wRhin 50 miles d saltwater? AND do you own more than 500 acres of forest land?
M Yes, indutle a rompleted MarD/etl Murre/et Form with your FPAM
9. Are you crrltirrg or removing timheYl
[ ] No. [%[ Yes. Complete the fable below antl identity all timber harvest and salvage activity bouMades on the
Adivity Map.
Uriti Harvest
Type Yardng
Method Aces
(net) Volume
to be
Harvested
(mbf) Volume
to be
Harvested
(%) Number of Trees Per Acre
Remaining After Harvest
Less than Greater than
12' dbh or equal to Steepest
Slope in
Harvest Unit
(A)
12' dbh
1 Even a eel Grountl 10 20 90 5 5 4
yQ yylsat nloresGpon method will you use9
[1t] Reforestation rs not required.
[ 1 RarOng Proposed species
[ ] Nabaal. b>CNrtle a Nature/ Regerreretion Plen.
11. Do you quaky 1'or the Foreal Ezciu lax Credit (Salmon Cretlit)?
P9 No. [ ]Yes.
72 Are you oonstrueting or abandoning forest roads?
OQ No. [ ]Vas. Comp/ate the table be/ow Show locations antl idenfifv all mad acrivaiee nn rho a,y;~a~ nse.,
Type ofAttlvity Total Length
(feet) Steepest Side Slope
(%) Abandonment Date
(MolYr)
Road Carebumon Oros Nd Appty
Temporary Road Construction
Road Abandonment
13. Arc you delWpirlg a spoil area, a new rock pit or espantling an existing rock pit for forestry use?
[sr] No. [ ] Ves. Comdata the fable below Slaw locations o/all spells areas and rock pds on the Actively Map
Spuds Area Volume
(wtic yards) New Rock Pit Area
(acres) Rock Pit Expaceion Area
(acres)
L ~
gQ~eW ab14211p5) 2 at 9
WESTERN WASHINGTON
Work fn or over typed wafer may require a Hydraulic Project Approval (HPA) Irom Me Washington Deparonenl of Fish antl
Wiltlllfe (WDFl1~. H you have questions coneeming the NPA, visit the l1'DFW webslre at www.wtl/w. wa.aowhabitathfm
1d. Are you installing or replacing watertrossings7
i)c] No. [ ]Yes. Complete the table below Show locations and idenfi/y all proposed walervcrossings on the Activity
Map.
Crowing
Identifier Crossing
Type Dimensions
(vndth x IengN) Crossing
Identifier Crossing
Type Dimensions
(width x length)
15. Mark the following activities that will be tlone in or over typed wateY!
Acdvlty in or over: Type S Water Type F Water Type Np Wa[er Type Ns Water
Removing CWerls or Bridges
Eouipmem Crossing
Ground Slatlding
Suspen6ng Cables
Cade Yarding
Falling and Bucking
OBrer
16. Are you using Me exempt 20acre parcel RMZ rule on type S, F, or Np waters?
hd No. [ ]Yes. Complete the table below and go to Question 79.
Stream Segment Identifier Water Type Stream Wd[h
(feet) How dose to the banMull
width will you harvest?
17. Are you harvesting in the RMZ of Type S or F waters?
(>r] No. [ ]Yes. Complete the fable below. Show locations antl itlentiry all stream segments on the Adivity Map.
See the inslrudions for RMZ Harvest Codes.
Stream
Segmcvd
IderCrfier Water Type Site Class Seam Width
(feet) Is there a
CMZ? RMZ Harvest
Code Total Width of
RMZ
(feet)
18. Are you harvesting within W feet of Type ND water?
[)Q No. [ ]Yes. Complete the table below Show locations and idenliry all slmam secmenfs on the Activity Mao
Strwm Segment
Identifier Total Stream
Length in
Harvest Unit
(feet) Length of RMZ in
Harvest Unit
(feet) Stream Segment
Identifier Total Stream
LengM in
Harvest Unit
(feet) Length of RMZ in
Harvest Unit
(feet)
00-06W IoS14-2005) 3014 WESTERN Wq$HINGTON
1A k arty activity in a wetlantl or a WMlantl Management Zone (WMZ)7
~ No. (J Ves. Complete the fable below. Show bcarions end idemAy all wet/aMS and WMZs on the Activity Map.
Sea the instructions Pot adtlttional imwmerion that may be required wdh your FPA/N
Wetlartl
Iderrifs Nbeand Type
(A, B, or Forested) Activity Type in
Wetland Activity Type in
WMZ Total Wetland
Area (acres) Total Area
Drained (saes) Total Area
Filled (acres)
711. Deaabe how ihefdbwingore itlentified on Ne ground.
• Hane>Q tNwntlaties: Surveyor's flaoainD on all sides
• Clumped WiAffe Reserve Trees (WRTs) and Clumped Green Recruitment Trees (GRTs): n/a
• f5¢nor-way limits and centerlines for roadwork culverts and bridges:
• Ripadan Managemem Zone (RMZ) boundaries and leave and/or take trees:
• Clwrard Migration Zone (CMZJ
• Wetland Management Zone (WMZ) boundaries and leave and/or take trees:
N. have you revievree this forest practices activity area to determine whether it may involve historic sites antl/or
Native American atiural resourcesT Read the instructions before answering this question.
~ No. [) Ves.
YL Mle aTirm brat the imormation containetl herein is true, antl undersWntl that this proposed forest practice is subject
b the Poregt Practices Am and Rules as wdl as all other fetleral, state or local regulations. Compliance witA the
Faett Practices Ad antl Rules tloes not ensure complianrx with the Endangeretl Species Act or other federal,
states bcal laws.
reo/ WNER Signature of TIMBER OWNER Signature oT OPERATOR
(If diff~nt tha ndowneQ (If dMthan IantlowneQ
Prim Name: Far FH7, LLC Print Name: For Erickson Logging Print Name: For Erickson Logging
:~N.~yEL L c.E~ Pains. C--6z~4vc-s 9aw~ E.~akves
__ ./ _ ..,
AdAitional Irrformation: (Optional)
~~BYyl~t~"gP05) aofa WESTERN WASHINGTON
FOREST PRACTICE ACTIVITY MAP
TOWNSHIP 17 NORTH HALF 0, RANGE 1 EAST (W.M.) HALF 0, SECTION 25
Application #:
\~ ^
2! ~. ~r .a
19
i--___T__ a"ba FieOeq Lake
._. _.-_____.__.___.__ X
Iii +5/902 ~ ~ 18f9120 1Gp~~
`F F X~.`. Wv~
9
I
519009 y51 90 ;519102
\\
~I 518088 ;519180 +518182
ii
D
J1
'~ - --- ®~-~a- --- --
Phase ice me b9ertl hom tlc FPA Insirucibn or provitle a list of symbols asap.
N N.V Rervest Unit BOUndBrV YYetlnestlay. August 02.20068:1941 AM
Existing Road NAD e3
~ Landing I,oca6ons Coraow Interval: 40 Feet
http://www3.wader.gov/dnrapp5/servlet/com.esri.esrimap.Esrimap?ServiceName~parsactb... S/2/2006