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ABOUT THE SHORELINE EXEMPTION LETTER Code Reference Chapter (City of Sammamish)

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801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-SEL Page 1 of 4
SHORELINE EXEMPTION
LETTER APPLICATION
ABOUT THE SHORELINE EXEMPTION LETTER
Code Reference
Shoreline Management
Chapter 25.08 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
In Sammamish, a shoreline exemption may be granted from construction
when undertaken by any person on the shorelines of Lake Sammamish,
Beaver Lake, or Pine Lake for the following activities:
ALLOWABLE FOR SHORELINE EXEMPTION
ACTIVITY
VALUE
Construction of new docks for private use
less than $11,200
Normal maintenance or repair of existing
docks and bulkheads
less than $22,500
Construction of normal protective
bulkheads and other work
less than $7,047
(PER WAC 173-27-040)
Other local, state and federal permits, including but not limited to the Joint
Aquatic Resource Permit Application (JARPA) process may be required.
APPLICATION REVIEW PROCESS
A Shoreline Exemption Letter is a Type 1 decision made by the Director.
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 1
Shoreline Exemption Letter
Environmental Checklist Review (if applicable)
See current fee schedule
2020-01-SEL Page 2 of 4
SHORELINE EXEMPTION LETTER APPLICATION
OWNER INFORMATION
☐
Owner is organized as an LLC*
Company:
(if applicable)
E-Mail:
APPLICANT/REPRESENTATIVE INFORMATION ☐
Applicant is organized as an LLC*
Company:
(if applicable)
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-SEL Page 3 of 4
SHORELINE EXEMPTION LETTER 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
Total Project Valuation:
$
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 provide the following information:
− Briefly describe the site and the project
− The boundary of the parcel and land upon which the development is proposed
− The name of water body and the Ordinary High-Water Mark (OHWM) location
− Critical area delineations
− Identify the locations and dimensions of structures, improvements, and uses (both existing and
proposed) for the subject site and adjacent properties
− Fill and grading, including quantity, source, composition & destination
− Land contours, including existing & proposed, 100-year flood at 33 feet per FIRM datum
☐ 03. Acceptance of Financial Responsibility - Affidavit of Applicant Status
☐ 04. Historic Resources Affidavit
☐ 05. Title Report (<30 days old)
− Must be less than 30 days old
− Must be for the parcel(s) related to this application
☐ 06. Legal Description
− Must be for parcel(s) related to this application
− Must be a title verified description by a Washington State licensed surveyor
☐ 07. SEPA Checklist
☐ 08. JARPA Form
☐ 09. Critical Area Affidavit
☐ 10. Storm Drainage Analysis (Technical Information Report)
☐ 11. PW Standards Deviation (if proposed)
☐ 12. Plan Set
2020-01-SEL Page 4 of 4
SHORELINE EXEMPTION LETTER 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
Shoreline Exemption
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 EXEMPTION LETTER Code Reference Chapter (City of Sammamish)

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Completed 24 January 2021

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