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Home My WebLink About9-18-17 SSD ApplicationsPLANNING DEPARTMENT SHORELINE SETBACK APPLICATION ' FOR OFFICUL USE ONLY: SSD 201� - Acceptance Date: - ' Website Postin Date: - D-' Determination Date: Planning Commission Date: 21,11 Expirat'on Dale: Planner Assi ed: Instructions: File all information requested under Part A for processing the Deternnination of Applicability (§8-27.1), including signature page. Fill out Parts A and B if you know that your parcel will require a Certified Shoreline Survey, due to the proximity to the shoreline. If you are proposing a permitted structure or subdivision within the shoreline setback area fill in Part C. For applications involving a variance, complete Part D. A licant Informafios / Applicant: / �.. to 2 - IC tm. AlA� _ Mailing Address: L) '> r, 428 Phone: Sc' S a--?Z4 `y n 't Email: A plicant's Status: (Check one) ❑ Owner of the Property (Holder of at least 75% of the equitable and legal title Lessee of the Property Lessee must have an unexpired and recorded lease of five (5) years or more from the Authorized Agent date of filing of this application. If not, Owner(s) must provide a Letter of Authorization. Attach Letter of Authorization Transmittal Date: Project Information (attach additional sheets, if necessary) County Zoning District: Tax Map Key(s): 0$ ;` r Land Area: Nature of Development: (Description of proposed ;ert At. it LA piA� structure or subdivision) % NO PERMITS WILL BE ISSUED WITHOUT PLANNING COMMISSION ACCEPTANCE, EXCEPT AS PROVIDED IN §5-27.8(c)(8) Part A Shoreline Setback Determination of Applicability (§8-27.1) Check all that apply, fill in applicable information. Any box checked must be accompanied by additional information, photos and/or documentation. 1. Pro rty is Abutting the Shoreline M Proposed project's approximate distance from shoreline (based on aerial map): ft. 2. Prope is Not Abutting the Shoreline TP roposed project's approximate distance from shoreline (based on aerial map): ft. 3. Additional Information: Shoreline Change (Erosion/Accretion) Rate: ftJyear (Information available here: wesNw.soest.hawai i.edu/coasts/kaiiaicountp/KCom1t ® Number and description of parcels (including roads, buildings, structures) between Shoreline and this parcel: -1- PLANNING DEPARTMENT SHORELINE SETBACK APPLICATION i Topography (undulating, flat, slope, etc.) and ground elevation of subject parcel (Le Shoreline type (e.g. beach, dune, rocky, sandy with f ( V Artificially armored Shoreline If checked, what type of armoring (e.g. seawall, revetment, bulkhead): Is the armoring permitted/amhorized? Date of authorization (attach copy of authorization letter): Is property in coastal floodplain (if checked, what zone)? Has this property been subject to coastal hazards (i.e. flooding, erosion, is PLEASE NOTE: Any misrepresentation of information in this shoreline setback application will result in revocation of this determination and may result in fines and criminal prosecution. Applicants Signa ure IS , 0 W C� � 0 na Sigure Date A icabiti (to be wens leted by Planning Department) Setback Determination necessary. Requirements of Ordinance No. 979 are applicable. ❑ Setback gtmina n i ' OT necessary. Requirements of Ordinance No. 979 are not applicable, etor or esignee ate If Part A has been de _ a Determination will be necessary, the additional information will be required for submission of this application. Part B A non-refundable processing fee of one hundred dollars "$1dit.00 P shall accompany a request for determination. --"'' (§8-27.8(e)) An aerial map/image (ex. Google Maps or Google Earth) with a line drawn from the shoreline/vegetation line (approximate shoreline) to the proposed project and the calculated distance in feet. �fl A detailed Plot Plan to scale with all existing and proposed structures including driveways, visible lot coverage, 1� setbacks and measurement details, fences, gates, and walls, etc. Building Permit Number (if building plans submitted) -2- 6/21/1] PLANNING DEPARTMENT SHORELINE SETBACK DETERMINATION Exemption 1• Exemption 1 In cases where the proposed structure or subdivision satisfies the following four criteria: (A) In cases where the proposed structure or subdivision is located outside of the Federal Emergency Management Agency (FEMA) Flood Insurance Rate Map (FIRM) `V' or `VE' flood zones; (B) The proposed structure or subdivision is located at an elevation which is thirty (30) feet above sea level or greater; (C) The applicant can demonstrate to the satisfaction of the Planning Director that the property is clearly _ adjacenLto a rocky shoreline and that it will not affect or be affected by coastal erosion or hazards; and horeline setback shall be sixty (60) feet from the certified shoreline which has been established not more than twelve (� 12from the date of the application for the exception under this section. Exemption 2 In cases where the applicant can demoJ�strate to the satisfaction of the Planning Director that the applicant's proposed structure or subdivision 'kt not affect beach processes, impact public beach access, or be affected by or contribute to coastal erosion o ards, excluding natural disasters. Factors to be considered shall include, but not be limited to, proxi . the shoreline, topography, properties between shoreline and applicant's property, e history of coastal hazards in the area. Exemption 3 Pursuant to §8-27.7, those structures and uses found exempt in Table 3 (see pg. 7) including repairs and renovations to a lawfully existing structure, including nonconforming structures, provided that: (A) The repairs DO NOT enlarge, add to or and the structure; increase the size or degree ofnon -conformity; or intensify the use of the structure or its impact on coastal processes; (B) The repairs DO NOT constitute a substantial improvement of the structure; and (C) The repairs are permitted by the Comprehensive Zoning Ordinance, Development Plans, building code, floodplain management regulations, special management area requirements under FURS Chapter 205A and any other applicable rule or law. ❑ Letter from the Department of Public Works stating that the proposed project does NOT constitute "Substantial Improvement," pursuant to §8-27.2 (If applicable, will require valuation of project). Exemption Determination (€o be completed bv.Plammne Devartment)` ® Pursuant to §8-27.3 the Kauai County Code, 1987 as amended, the Planning Department hereby certifies the proposed snvc[ure r.subdivision(s) as exempC from those shoreline setback determination requirements established under §8-27.8_ ❑ Pur t to -27.7 the a ' County Code, 1987 as amended, the proposed structure(s) is pennitted within the shoreline se A ack a While xe pt fro.a those shoreline setback determination requirements established under §8-27.8, the p pose structures is s 'ec to th - 7(b). (See pg. 8) I \ g Di ' for r design e Date �J[f Additional co nts onditio -3- sn�nr