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ABOUT SHORELINE SUBSTANTIAL DEVELOPMENT PERMITS Code Reference development (City of Sammamish)

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801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-SSDP Page 1 of 5
SHORELINE SUBSTANTIAL
DEVELOPMENT PERMIT APPLICATION
ABOUT SHORELINE SUBSTANTIAL DEVELOPMENT PERMITS
Code Reference
Permit Criteria &
Administrative Standards
Chapter 25.08 SMC
Substantial Development Permit
Requirement Exemptions
WAC 173-27-040
Resources
King County iMap
Sammamish Property Tool
Questions?
Submit Project Guidance
Visit the Permit Center
City of Sammamish
801 228th Ave SE
Sammamish, WA 98075
www.sammamish.us
A Shoreline Substantial Development permit is required for all
development that doesn’t meet the exemptions in WAC 173-27-040.
APPLICATION REVIEW PROCESS
A Shoreline Substantial Development Permit is a Type 4 decision subject to
a hearing and decision by the Hearing Examiner based on the
recommendation of the Director. The Hearing Examiner then forwards the
application to the Department of Ecology and the state Attorney General
for further review and approval or disapproval.
FEES
Applicants are responsible for providing an initial deposit (as well as
additional deposits as needed) to cover all application review costs.
FEES APPLICABLE TO THIS PROJECT
Counter Service Intake, Type 4
Preliminary Review Deposit
Legal Notice – Publication & Mailing Deposit
Environmental Consultant Services (if applicable)
Environmental Checklist Review (if applicable)
See current fee schedule
2020-01-SSDP Page 2 of 5
SHORELINE SUBSTANTIAL DEVELOPMENT
PERMIT APPLICATION
OWNER INFORMATION
☐
Owner is organized as an LLC*
Name:
Company:
(if applicable)
Address:
Phone:
APPLICANT/REPRESENTATIVE INFORMATION ☐
Applicant is organized as an LLC*
Name:
Company:
(if applicable)
Address:
Phone:
E-Mail:
*O2020-513 requires owners/applicants organized as a single-member or multiple-member LLC to provide the
names and addresses of all members, including all individuals who hold transferable interests in the applicant
or its members. Please provide this information using the supplemental form on www.MyBuildingPermit.com.
PROPERTY INFORMATION
Property Address:
Parcel Number(s):
Total Lot Area(s):
Total Critical Areas on Property:
(Square Feet)
(Square Feet)
Please complete the below for any critical areas on property:
Type
Total Area
Type
Total Area
(Square Feet)
(Square Feet)
☐
Frequently flooded area
☐
Lake
☐
Landslide area
☐
Critical aquifer recharge area
☐
Seismic hazard area
☐
Wetland
☐
Erosion hazard area
☐
Stream
☐
Erosion hazard near sensitive
water bodies overlay
☐
Fish & wildlife habitat
conservation area
Do you control the property where the work is being proposed (lease, easement, or fee-ownership)?
☐
Yes
☐
No
Property Information continued on next page
2020-01-SSDP Page 3 of 5
SHORELINE SUBSTANTIAL DEVELOPMENT
PERMIT APPLICATION
PROPERTY INFORMATION
Is the proposed project located on a parcel that abuts the King County Trail Corridor?
☐
Yes
☐
No
Does the proposal require the use of or crossing the King County East Lake Sammamish Regional Trail for
access to the project site?
☐
Yes
☐
No
SUBMITTAL CHECKLIST
A PDF of each document is required at time of submittal. Please label files as numbered and listed below:
(For example: 02 Project Narrative)
☐
01. Signed Application Form
☐
02. Project Narrative
Please include the following items as outlined in WAC 173-27-180:
‒ Longitude and latitude location (for projects located in open water areas away from land only)
‒ The name of the shoreline (water body) that the site of the proposal is associated with
‒ A general description of the proposed project (proposed use(s), the activities necessary to
accomplish the project)
‒ A general description of the property as it now exists (physical characteristics, improvements,
and structures)
‒ A general description of the vicinity of the proposed project (identification of adjacent uses,
structures and improvements, intensity of development, and physical characteristics)
☐ 03. Preapplication Conference Letter
☐ 04. Acceptance of Financial Responsibility - Affidavit of Applicant Status
☐ 05. Historic Resources Affidavit
☐ 06. Eastside Fire & Rescue Plan Review Sheet
☐ 07. Title Report (<30 days old)
− Must be less than 30 days old
− Must be for the parcel(s) related to this application
☐ 08. Legal Description
− Must be for parcel(s) related to this application
− Must be a title verified description by a Washington State licensed surveyor
S
ubmittal Checklist continued on next page
2020-01-SSDP Page 4 of 5
SHORELINE SUBSTANTIAL DEVELOPMENT
PERMIT APPLICATION
SUBMITTAL CHECKLIST CONTINUED
☐ 09. Mailing List, Map, and Labels
− Include all property owners within 1,000 feet of the site (2,000 feet for properties within the
Erosion Hazard Near Sensitive Water Bodies overlay)
− Utilize the Excel template provided and upload a PDF version, with the map, under “Mailing List,
Map, and Labels” in MyBuildingPermit.com
− After submittal, the City will request the Excel version of the template via email
☐ 10. SEPA Checklist (if applicable)
☐ 11. JARPA Form
☐ 12. FEMA BiOp Habitat Assessment (for development within Lake Sammamish only)
☐ 13. Critical Area Affidavit
☐ 14. Critical Area Study (if applicable)
☐ 15. Ordinary High-Water Mark Survey
‒ Mu
st be surveyed by a professional land surveyor licensed in the State of Washington
‒ Ordinary High-Water Mark Determination (for development related to in-water structures only
(bulkheads, other shoreline stabilization, docks, etc.))
☐ 16. Traffic Concurrency Certificate
☐ 17. Storm Drainage Analysis (Technical Information Report)
☐ 18. PW Standards Deviation (if proposed)
☐ 19. Plan Set
De
monstrate the following information as outlined in WAC 173-27-180:
− The boundary of the parcel(s) of land upon which the development is proposed
− The ordinary high-water mark of all water bodies located adjacent to or within the project
boundary. If the ordinary high-water mark is neither adjacent to or within the project boundary,
indicate the distance and direction to the nearest ordinary high-water mark of a shoreline
− Existing and proposed land contours at intervals sufficient to accurately determine the existing
character of the property and the extent of proposed change to the land that is necessary for
the development
− A delineation of all wetland areas that will be altered or used as a part of the development
− A general indication of the character of vegetation found on the site
− The dimensions and locations of all existing and proposed structures and improvements
including but not limited to; buildings, paved or graveled areas, roads, utilities, septic tanks and
drainfields, material stockpiles or surcharge, and stormwater management facilities
Pl
an Set continued on next page
Submittal Checklist continued on next page
2020-01-SSDP Page 5 of 5
SHORELINE SUBSTANTIAL DEVELOPMENT
PERMIT APPLICATION
1
4
2
3
SUBMITTAL CHECKLIST CONTINUED
19. Plan Set (Continued)
− Landscaping plan for the project (if applicable)
− Plans for development of areas on or off the site as mitigation for impacts associated with the
proposed project (if applicable)
− Quantity, source and composition of any fill material that is placed on the site
− Quantity, composition and destination of any excavated or dredged material
− A vicinity map showing the relationship of the property and proposed development or use to
roads, utilities, existing developments and uses on adjacent properties
− A depiction of impacts to views from existing residential uses and public areas (if applicable)
CERTIFICATIONS & SIGNATURES
I have read this application in its entirety and certify that all information submitted, including any
supplemental information, is true and complete to the best of my knowledge. I acknowledge that willful
misrepresentation of information will terminate this permit application. I understand that my submittal will be
reviewed for completeness and, if found to be complete, will be processed pursuant to Chapter 20.05 SMC.
Owner Signature:
Date:
Applicant/Representative Signature (if applicable)
Date:
ONLINE SUBMITTAL INSTRUCTIONS
Create an account on MyBuildingPermit.com.
Select “Apply For Permit” and then select “Sammamish” as the jurisdiction.
Select the following:
Application Type
Land Use
Project Type
Any Project Type
Activity Type
Shoreline Development
Scope of Work
Shoreline Substantial
Development
Co
mplete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
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Completed 24 January 2021

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