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HomeMy WebLinkAboutA_Master Application_ Korean Antioch Presbyterian Church_CAE_1701 NE 43rd StI..1Lu1C.)-ICuIZI1HHII-Iv,I—1c1a)C-’CDIrIII.c—0)Z0:b0wUzzI<zI—-0.._QiOUt.30‘-I0)toCurn00wU>UVjI.U0z0I—zUU0Uz0U-J0U]U]U]D0z-J LANDUSEPERMITMASTERAPPLICATIONSQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):LIAQUIFERPROTECTIONAREAONELIAQUIFERPROTECTIONAREATWOOFLOODHAZARDAREA_______________SQ.FT.0SHORELINESTREAMS&LAKES_______________SQ.FT.0GEOLOGICHAZARD______________SQ.FT.WETLANDS______________SQ.FT.0HABITATCONSERVATION_______________SQ.FT.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE__________________QUARTEROFSECTION,TOWNSHIPN,RANGE_____W.MINTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPI,(PrintName/s)_______,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.417-----frLSignatureofOwner/RepresntIDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTON)55COUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatCWA9DPCt(1t’hsignedthisinstrumentandacknowledgeittobehis/hittteTrfreeandvoluntaryactfortheusesandpurp&.bementionedintheinstrument.DatedNotaryPubliclortheStateofWashingtonISACGOIEA[&(5Oe4fNotaryPublicStateofWashingtonNotary(Print):Commission#153572MyComm.ExpiresMay16,2027wwwWWWWMyappointmentexpires:__________________________________________rentonwa.gov/permitservicesIp)jncustomerservice@rentonwa.ov425-430-729410/24/2023IPage2of2 CITYOFRENTONIPERMITSERVICES__CRITICALAREASEXEMPTION(FORSEPAEXEMPTACTIVITIES)INFORMATIONPROJECTNAME:t1-o‘p4k;-:-WAT-Q.p6d.APPLICANTNAME:cH0tPHONE:—9-ic—oCooPARCELNUMBER:,00PROJECFADDRESS9.ePM.4c4T.(1.rroNwABRIEFDESCRIPTIONOFPROJECT:wA-r-ft.IAv’•FPALt-.WORKOCCURSINI]WORKOCCURSINTYPEOFCRITICALAREA:/1vJ?iTLJ(CRITICALAREABUFFERPURPOSEExemptactivitiesprovidedwithaletterofexemptionfromtheAdministratormayintrudeintoacriticalareaorrequiredbuffer(SubjecttoanyconditionsorrequirementsprovidedbytheAdministrator).APPLICABILITYOFEXEMPTIONSThefollowingisagenerallistofactivitiesthatmaybeexemptfromthecriticalareasregulations.MotespecificdescriptionsoftheactivitiesarecontainedintheCriticalAreasRegulations.Someofthelistedactivitiesmaynotbeexemptincertaincriticalareas.ThePlanningDivisionwillevaluateyourequestaccordingtotheCityofRentonCriticalAreasRegulationsinRMC4-3-050C,J,L,andN.IAMREQUESTINGACRITICALAREASEXEMPTIONFORONEOFMOREOFTHEFOLLOWINGACTIVITIESDConservation,Enhancement,andRelatedActivities:•Conservationorpreservationofsoil,water,vegetation,fishandotherwildlife•Enhancementactivitiesasdefinedinchapter4-11RMAD’•Anycriticalarea,bufferrestoration,orothermitigationactivitiesthathavebeenapprovedbytheCityDResearchandSiteInvestigation:•Nondestructiveeducationandresearch•Siteinvestigativeworknecessaryforlanduseapplicationsubmittalssuchassurveys,soillogs,etc.DAgricultural,Harvesting,andVegetatIonManagement;•Harvestingwildfoods•Existing/Ongoingagriculturalactivities’•Removalofdead,terminallydiseased,damaged)ordangerousgroundcoverorhazardoustreeswhichhavebeencertifiedassuchbyaforester,registeredlandscapearchitect,orcertifiedarboristDSurfaceWaterAlteration.NewsurfacewaterdischargesprovidedthedischargemeetstherequirementsoftheStormandSurfaceWaterDrainageRegulations123rentonwa.gov/permftservkesIplannIncustgmrservice@rentonwa.gov1425-430-729410/23/2023IPage1of3 CRITICALAREASEXEMPTIONSHORTFORM•Newormodifiedregionalstormwaterfacilities123•Floodhazardreduction1346)Roads,Parks,PublicandPrivateUtilities:•RelocationofExistingUtilitiesoutofCriticalAreaandBuffer•Maintenance,operation,andrepairofexistingparks,trails,roads,facilities,andutilities12•Installation,construction,replacement,oroperationofutilities,trafficcontrol,andwalkwayswithinexistingimprovedright-if-wayoreasement12•Modificationofexistingutilitiesandstreetsby10%orless125•Managementandessentialtreeremovalforpublicorprivateutilities,roadsandpublicparks’DWetlandDisturbance,Modification,andRemoval•AnyactivityinsmallCategory3wetlands12345•Temporarydisturbancesofawetlandduetoconstructionactivitiesthatdonotincludepermanentfilling1235DMaintenanceandConstructionforExistingUsesandFacilities:•Remodeling,replacing,orremovingexistingstructures12•Normalandroutinemaintenanceandrepairofanyexistingpublicorprivateusesandfacilitieswherenoalterationofthecriticalareaandrequiredbufferoradditionalfillmaterialswillbeplaced12•Constructionactivityconnectedwithanexistingsinglefamilyresidenceorgarage,providedthatnoportionofthenewworkoccursclosertothecriticalareaorrequiredbuffersthantheexistingstructureand/orthedevelopedareaofthesite12•Existingactivitieswhichhavenotbeenchanged,expandedoralteredprovidedtheycomplywiththeapplicablerequirementsofchapter4-10RMC1C]EmergencyActivities:•RemovaloftreesorgroundcoverbyaCitydepartment,agency,public,orprivateutilityinanemergencysituation•Publicinterestemergencyuse,storage,andhandlingofhazardousmaterialsbygovernmentalorganizationsinanAquiferProtectionAreaADDITIONALPERMITS:Additionalpermitsfromotheragenciesmayberequited.Itistheapplicant’sresponsibilitytoobtaintheseotherapprovals.Informationregardingtheseotherrequirementsmaybefoundathttp://apps.ecy.wa.gov/opas/‘ExemptiondoesnotapplyinAquiferProtectionAreas2ExemptiondoesnotapplyinFloodHazardAreas3ExemptiondoesnotapplyinGeologicHazardAreas4ExemptiondoesnotapplyinHabitatConservationAreas5ExemptiondoesnotapplyinStreamsandLakes:Class2to46ExemptiondoesnotapplyinWetlandsI,theundersigned,declareunderpenaltyofperjuryunderthelawsoftheStateofWashington,thattothebestofmyknowledgetheaboveinformationistrueandcomplete.APPLICANT’SSIGNATURE:DATE:_________________rentonwa.gov/pemitseMcesIplanningcustomerserncePrentonwa.govI425-430-729410/23/2023IPage2of3 CRITICALAREASEXEMPTIONSHORTFORMFORCITYUSEONLYDEXEMPTIONGRANTEDDEXEMPTIONDENIEDMatthewHerreraDateInterimPlanningDirectorPlanningDivisionCONDONSOFAPPROVAl:rentonwa.gov/permitservices)pIanningcustomerservicerentonwa.govI425-430-729410/23/2023IPage3of3