HomeMy WebLinkAbout058-700-025le SITE PLAN REVIE\V
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Ex. #
Date of Receipt
Date Accepted
Date Expires _
FOR ADMIN. USE ONLY
LESS THAN 3 ACRE CONVERSION EXEMPTION
STATE OF CALIFORNIA
DEPARTMENT OF FORESTRY AND FIRE PROTECTION
NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM -
CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS
RM -73(1104.1x)(9/99)
VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF
TIMBER OPERATIONS CANNOT START UNTIL VALID COPY
OF A`NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF
The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the re-quirements of 14
CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres.
(See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information
that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice.,
1. TIMBER OWppNER(S) OFAARECORD: Name
Address 164,5 v • W, J
city AyIlyiItL StateCA Zip�Phone(53D1 , •I�L�
r
SIGNATURE Date i 1- 2 t - aoo `:.
TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when thk harvest trees unless the harvest is exempt (Revenue
and Taxation Code sec. 38116) _Some small or low value harvests may be exempt from timber yield tax: Timber removed from an
operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you
believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or
for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section,
MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web Page on the
Internet at http:/hvww.boe.ca.gov.
A: Circle the option that most closely estimates t o e for this harvest, in thousands of board feet (mbf -
Net Scribner short log): Under 8 mbf 815 mbf 16-25 mbf Over 25 mbf
B. Estimate.what percentage of timber to be removed durina_this harvest will be;
Redwood _ %; Ponderosa pine/Sugar ?.S %; Douglas -fir Zs %; Fir %;
Port -Orford Cedar __%; Cedar (IC, WRC) %; Other, conifer %;
Other hardwood %.
2. TIMBERLAND OWNER(S) OF RECORD: Names ✓1' 19 ���f y
Address 213q T t� aq-C,A "5+-
City �%' i9U; `` � State �� �, Zip Phone �����
I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a
"bona ride intent" [14 CCR 1100 (b)] to convert to koc .,s F
and that I have mailed a'letter of notice of intent to harvest timber, prepared by the Registered Professional
Forester, to all adjacent landowners within 300 feet of the boundaries of the exemption.
l
SIGNATURE -7.C- Date S oS
The TIMBERLAND OWNER is responsible, at his or her own expense, for locating the property lines and corners. It is understood
that the RPF may locate the converstion boundary along the approximate or actual property line as determined by the TIMBY RL; ND
OWNER or previous surveyor. It is further understood that the RPF is not a licensed surveyor and that conversion bounds ies are
not considered true property lines. Any error in the property line, property comer location or conversion boundary (ies) along
property lines is the TIMBERLAND OWNERS sole responsibility. The TIMBERLAND OWNER shall defend, indemnify, and hold
harmless the RPF, its elected and appointed councils, boards, commissions, officers,'agents, and employees from any liability for
damage or claims for damage for any economic loss or personal injury, including death, as well as for property damage, which may
arise from property line location. The RPF shall not be held responsible or liable in any way for trespass or other related matters. ��
3. LICENSED TIMBER OPERATOR(S): Name
Address IbLA5� r �' `'�'
No.�—
�.I 1 1State (-A —Zip CI5 91 bb Phone
Za
City 1"
Date D
SIGNATURE
4. Designate the legal land description of the loca ion of timberland cohubision. A map showing the location of the timberland
conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of
the conversion, location and classification of all watercourses, and landing locations.
Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number
11ZIP �n . —6-u 1---M 2-0 1 os -7W- 0z5
5. The following are limitations or'requirements for timber operations conducted under a Less Than Three Acre
Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption):
A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general
plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's
Web Page on the Internet at http://www.fire.ca.gov.
B. All timber operations shall be complete within one year from the date of acceptance by the Director.
C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by
local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report
requirements of the Act and board regulations.
D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The .
timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the
Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the
acknowledgement.
E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices require
by Forest Practice regulations are specified within (attached to) this Notice. .
F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit
(e.g. county, city).
G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice and
theDirector's acceptance shall be kept on site during timber operations.
H. No sites of rare,, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or
damaged.
I. No timber operations are allowed on significant historical or archeological sites.
J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work
Completion Report to the Director.
6. I,
declare as the authorized designee of the County Board of Supervisors
that this conversion exemption is in conformance with all county regulatory requirements, including public notice.
( If the county as autho 'zn ed a "§ignee this item MUST be completed. If it has not, see item 7.)
Date n%� Z
SIGNATURE
7. Registered Professional Forester preparing Notice: Name Brian Wayland Number 2396
Address P.O. Box 374
City Quincy State CA Zip 95971 Phone (530) 283-1921
1 certify that I, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and /lagged the
boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR
1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5
days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not
designated a represent authorized to sign in Item 6., that 1, r my supervised designee, contacted the county and
the Notice is in confo hance wounty regulations
SIGNATURE of RPF 1 _ Date
8. NOTICE SUBMITTER(S): Name �� �I(� 184—
Address M+- �Q
City y t State _Zip 1 �0 b Phone �5 -. Ld
Submitter must be either 1, 2, or 3 above, and must sign.
SIGNATURE
Date
FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL OCCUR:
Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda,
_> 135 Ridgway Avenue
San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties.
_> Santa Rosa, CA 95401
Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn; Butte, Sutter, Plumas,
_> 6105 Airport Road
Yuba, Sierra, Nevada, and Placer Counties.
_> Redding, CA 96002
EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare,
Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties.
Ventura, Los Angeles, San Bemadino, Orange, Riverside, Inyo, Mono, San Diego and
Imperial Counties.
_> 1234 East Shaw Avenue
_> Fresno, CA 937.10
_> 2524 Mulberry Street
_> Riverside, CA 92501
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Wayland Resource Management, Inc.
P.O. Box 374
Quincy, CA 95971
530-283-1921 j
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Butte Pounty Asses s Mop
7 118 j}
12113 , �0 1
CREATED BY 08 CREA ON 1-7-2007
N07E NL MEbR1M710N AIDNTI ON A4ESSOR REVISED BY DBIREVISED ON I -7-2001
58 PIR•..Ei SUPS IBE roR /SSF550R'$ o1T1cE vsE nLc NAME 58-70EFFECTNE 2007 -Oa ROCL ,
AND w !vD7 N="EE�vear prtmnrtE ti„u Previous Book 52, Portion 0/ Pa a OJ
LOIS. NO LUBMY 6 ASSUUFD EOR iXE
AC�IRA,'Y s 7xE aT^ __ Comoifed The Butte Counf Assesso/s 0/Fice
SITE PLAN REVIEW APPLICATION
Date: � ,4,u' , �i , �2-o ca 3 AP# � 220
Permit Number (if applicable)
Owners Name:
Owners Address:
Telephone No.:
Situs Address: A.
Proposed Use:
Parcel Size: Q��s
i
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
Residential Accessory
❑ Permanent Second Dwelling
Temporary Mobile Home (Aunt Minnie)
` ❑Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
Septic
❑ Agricultural Exempt Building
❑ Other.
Brief Explanation (if necessary):
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
11 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Pla Stamped Approved'
01 or
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area:_ 0 0 TU 2 SQQ -
Land Conservation Act Minimum Acreage: V
❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
® Expansive Soils (Test for expansive soils and if verified proper foundation design required) mo—K—'
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (Seeattached)
• Flood Zone:
• Flood Panel No.: _ 0(, 0e- ZO o0 Index Date: (P
❑ Sacramento River Reclamation District (Approval must be obtained from the ' orn'a Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ -Use Permit ❑ Minor Use Permit ❑ Administrative Permit.
Y� : — ❑ Minor.Variance ❑ Variance
❑ Detached Building Use Form ❑Encroachment Permit
�4� < ❑ Agricultural Worker Affidavit -_ _ ❑ :Agricultural Acknowledgement Statement
Zoning: -.2-0 -
Applicable Building Setbacks:
Zoning Code Streets & Highways Fire Prevention Subdivision Map
Front �
Side S 1
Side Street
Rear i
Height
Waterway N/A N/A N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Applicable Development Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Subdivision Map Special Fees
Amount Formula
❑ Water Tender
- Road Improvement _
❑ North Oroville Area
- - - ❑ Other -(per map):.
*
Check -with, school district to verify actual fee if pre -application review. A final determination will be made at the timeof -
_... the iiuldmg permit:
Parcel Created By
Deeds: --
Date of Creation: PLtoi -b / ? 7.2Legal Access Provided:. ❑ No ❑ Yes
Deed of Reference: / Y1 I - Q0 Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments: (--)a-5 gal Ca' �" d&;? -63O-0�
8 Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: Page;
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, -with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ p Wood stoves'and fire lace''-shall
inserts shalTbe EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provi'de'an erosion coniiol plan"for building and land disturbance. The Erosion Control Plan _� _.
must be prepared' by` a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures. shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
C
0
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CMarrys\Building Permit Site Plan Reviewl.doc
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FOR OFFICE USE ONLY PROVIDE FOR ALL
Zoning: ADJACENT PARCELS
SIZE (AC):
General Plan Desig: ZONING:
Size, Acres GEN PLAN:
4.0(r USES: