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ABOUT THE SHORELINE CONDITIONAL USE PERMIT Code Reference (City of Sammamish)

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801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-SCUP Page 1 of 5
SHORELINE CONDITIONAL USE
PERMIT APPLICATION
ABOUT THE SHORELINE CONDITIONAL USE PERMIT
Code Reference
Shoreline Management
Title 25 SMC
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 Conditional Use Permit should be used to request one of the
conditional uses outlined in the Sammamish Shoreline Master Program.
Sammamish’s Shoreline Master Program helps protect the community’s
health and the natural environment by regulating developments and uses
of water bodies and the associated upland areas.
The Sammamish Shoreline Master Program contains development
regulations including conditional uses that may be allowed when specified
conditions are met.
APPLICATION REVIEW PROCESS
A Shoreline Conditional Use 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)
Fire Review
See current fee schedule
2020-01-SCUP Page 2 of 5
SHORELINE CONDITIONAL USE 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-SCUP Page 3 of 5
SHORELINE CONDITIONAL USE PERMIT APPLICATION
PROPERTY INFORMATION CONTINUED
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
☐
03. Preapplication Conference Letter
☐
04. Acceptance of Financial Responsibility - Affidavit of Applicant Status
☐
05. Historic Resources Affidavit
☐
06. Water Availability Certificate
☐
07. Sewer Availability Certificate
☐
08. Preliminary Septic Approval (if required)
☐
09. Eastside Fire & Rescue Plan Review Sheet
☐
10. Title Report (<30 days old)
− Must be less than 30 days old
− Must be for the parcel(s) related to this application
☐
11. Legal Description
− Must be for parcel(s) related to this application
− Must be a title verified description by a Washington State licensed surveyor
☐
12. 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
☐
13. SEPA Checklist
Submittal Checklist continued next page
2020-01-SCUP Page 4 of 5
SHORELINE CONDITIONAL USE PERMIT APPLICATION
SUBMITTAL CHECKLIST CONTINUED
☐
14. JARPA Form
☐
15. FEMA BiOp Habitat Assessment
☐
16. No Net Loss of Ecologic Function Analysis
☐
17. Floodplain Compliance Narrative
☐
18. Critical Area Affidavit
☐
19. Critical Area Study (if applicable)
☐
20. Geotechnical Report
☐
21. Criteria Compliance Narrative (if required)
Detail how the application meets the criteria listed in WAC 173-27-160 including:
− Consistency with RCW 90.58.020 policies and the Shoreline Master Program
− How the proposed use will not interfere with the normal public use of public shorelines
− How the proposed site use and project design are compatible with other authorized uses in the
area & with the Comprehensive Plan’s and Shoreline Master Program’s planned uses for the area
− How the proposed use won’t cause significant adverse effects to the shoreline environment
where the project is located
− How public interest won’t suffer a substantial detrimental effect
☐
22. Traffic Concurrency Certificate
☐
23. Traffic Impact Analysis Report
− For proposals generating 10 or more new vehicle trips during AM or PM peak hour
− May also be required for projects not generating 10 AM or PM peak hour vehicle trips (see the
Public Works Standards for requirements)
☐
24. Storm Drainage Analysis (Technical Information Report)
☐
25. Stormwater Facility Information Form
☐
26. Storm Water Pollution Prevention Plan (SWPPP)
☐
27. PW Standards Deviation (if proposed)
☐
28. Plan Set
2020-01-SCUP Page 5 of 5
SHORELINE CONDITIONAL USE PERMIT APPLICATION
1
4
3
2
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
Conditional Use
Complete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
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ABOUT THE SHORELINE CONDITIONAL USE PERMIT Code Reference (City of Sammamish)

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Completed 24 January 2021

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