Submittal Standards Number in each box indicates the number of copies required

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See reverse side for submittal standard instructions. Parcel Number PIERCE COUNTY PLANNING AND LAND SERVICES DEPARTMENT FOREST PRACTICES Submittal Standards Number in each box indicates the number of copies required Class-IV General Forest Practices Permit Conversion Option Harvest Plan (COHP) Single Family Dwelling Exception** Removal of Development Moratoria Letter of Authorization 1 1 1 1 Environmental Checklist (SEPA Review) 5 5 Forest Practices Data Sheet 1 1 1 1 Right of Entry 1 1 1 1 Vicinity Map 5 5 3 5 Site Plan 5 See Instructions 5 3 See Instructions 3 1 5 2 Received Site Plan (8 ½ x 11 ) Property Listing, Labels, and Map One for each property listing One for each property listing One for each property listing 1 2 3 CARLS 1 1 1 1 Forest Practices Application (County or DNR) 5 County Application Review Fee* $500. $567. 6 $1,000. 6 $3,150. 6 FIELD MARKING OF SITE FEATURES: At the time of submittal of a Class IV-General Forest Practices Permit Application or a COHP, the following site features shall have been clearly marked with flagging or colored paint: Critical Areas and Critical Area Buffers; Landing Areas; Tree Retention Areas; Cutting Boundaries; Property Boundaries; and Building Site. *Additional fees may be required for the review of any special studies or technical reports required by Pierce County. (See footnote #5) **At least one (1) year must elapse from the date the forest practices permit or notification expires before an application may be submitted when harvest permitted through DNR Class II or Class III permit. A minimum of two (2) years must elapse from date moratorium imposed by Pierce County when harvest unpermitted. 1) Site Plan must show area(s) logged on parcel and must indicate area subject to request (Area must be whole and undivided and may not exceed 2 acres in size). 2) Site plan must show area(s) logged in relation to parcel boundaries. 3) Application must also include a written narrative describing: objectives of timber harvest; relationship of harvest to future development of the site; built and natural features; measures to be taken to preserve and protect critical areas; harvest method; and expected dates of commencement and completion. 4) Required if a Forest Practices Permit (Class II or Class III) was issued by the DNR in association with the forest practice activities that resulted in the development moratorium. 5) SEPA Review Fees: One parcel SEPA review fee based on acreage under Forest Practices Application in the FEE SCHEDULE. Multiple contiguous parcels Single SEPA application and review fee required for all parcels. SEPA review fee based on total acreage under Forest Practices Application in the FEE SCHEDULE. Multiple non-contiguous parcels Separate SEPA application and review fee required for each parcel. SEPA review fee based on acreage under Forest Practices Application in the FEE SCHEDULE. 6) A separate application and fee must be submitted for each parcel, regardless of whether they are contiguous. See the current FEE SCHEDULE for a complete list of fees. 3 4 DNR 5 4 DNR Signature of Planner, application complete Pierce County Planning and Land Services, 2401 South 35 th Street, Tacoma, WA 98409 Hours: M-F 8-4:30, W 9-4:30 Phone: (253) 798-7200 www.piercecountywa.org Revised 03-01-07 Date

Forest Practices Submittal Standard Instructions Letter of Authorization: The landowner must provide a signed letter of authorization for the applicant/agent in the event the applicant/agent is not the landowner. Letter may be typed or printed in ink and must have signature of landowner. Environmental Checklist: SEPA environmental review, which includes the submittal of an environmental checklist, is required for all Class IV-General Forest Practices Permit applications. Environmental review may have already been performed in association with the proposed development, in which case no additional environmental (SEPA) review would be required (Examples of projects typically required to undergo environmental review include preliminary plats (subdivisions) and commercial buildings). An environmental checklist will be required at the time of submittal for every Class IV-General Forest Practices Permit Application unless the Pierce County Planning & Land Services Department finds that: Environmental review has been performed, including the issuance of a threshold determination (DNS or MDNS), for the proposed forest practices in association with the proposed development and the threshold determination was issued subsequent to January 1, 1995. Checklists are available at the Planning & Land Services Department, the Development Center, and on the PALS Website (www.piercecountywa.org/pals) under Permits. Forest Practices Data Sheet: Provide all applicable information for your application. Right of Entry Agreement: Must be signed and notarized prior to submittal of application. Vicinity Map: Should show location of project site in relation to surrounding area, including access road(s) to project site. The vicinity map can be included on the site plan. Site Plan: Site plan must be drawn to scale and show North arrow. All Class IV-General and COHP applications must include a site plan containing the following information, as applicable: Harvest boundaries and tree retention areas; The approximate location of any existing structures; The location of all existing and proposed streets, right-of-ways, easements, skid roads, haul roads, and landings within the proposal; The location of future land development including stormwater management facilities, and vegetation to be retained for site landscaping, open space, wildlife habitat, screening, and/or buffers; Site topography at contour intervals of 40 feet; Critical areas and critical area buffers regulated pursuant to Title 18E Critical Areas; Drainage ways and culverts; Site area targeted for further harvest including proposed timing; North arrow and scale must be shown on all site plans. The scale must be no smaller than one inch to 200 feet. Site Plan 8 ½ x 11 : Required for written Notice of Application which is sent to adjacent property owners by Pierce County to inform them of this application. Forest Practices Applications Submittal Standard Page 2 of 9

Property Listing, Labels, and Map: A list, labels, and map for each property owner/taxpayers within 300 of the subject parcel and a minimum of two parcels deep is required for mailing of the Notice of Application (NOA) and site plan. These can be obtained from the Pierce County Assessors Treasurer s Office or a title company. All contiguous property owned by the applicant(s) should be noted, even if an action is not being requested on the entire site. Property Posting: Per Title 18 Development Regulations General Provision, Section 18.80.040 Notice shall be posted by the applicant on the subject property in accordance with specifications provided by the Department. In accordance with Department property posting requirements, applicants shall submit affidavits of posting to the Department within 28 days from the filing of a complete application. This does not apply to Single-Family Dwelling Exception applications which do not require a NOA or posting. CARLS: A Critical Area and Resource Lands (CARLS) Checklist can be obtained at the Pierce County Development Center, either before or at the time of application. Forest Practices Application: You must submit an original signed copy of a Pierce County Class IV- General Forest Practices Permit application when applying for a Class IV-General Forest Practices Permit. You must submit an approved copy of a DNR Forest Practices Application, if one was issued in association with the forest practices, when applying for Removal of a Development Moratoria or a Single- Family Dwelling Exception. Copies of approved Forest Practices Applications are available at the State of Washington Department of Natural Resources South Puget Sound Region office of the DNR located at: 950 Farman Street North, Enumclaw, WA 98022-0068. Phone: (360) 825-1631 or 1(800) 527-3305 Page 3 of 11

FOREST PRACTICES DATA SHEET FOREST PRACTICES APPROVALS Conversion Option Harvest Plan (COHP); or Class IV General Forest Practices Permit 1. How much timber will be harvested? (Provide best estimate in thousand board feet (mbf)) 2. How much land area (in acres) is subject to request? DEVELOPMENT MORATORIA Single Family Dwelling Exception; or Request Removal of Development Moratorium 1. Was a forest practices permit issued by the Washington Department of Natural Resources (DNR) in association with the timber harvest? if no, proceed to Question #3. If yes, indicate permit number and effective date. 2. Was reforestation required by the approved forest practices permit? if no, proceed to Question #3. If yes, indicate method (natural or planting). 3. When was development moratorium imposed on parcel by Pierce County? 4. What parcel number(s) was development moratorium imposed on? (See Notice of Moratorium in forest practices permit or Pierce County Moratorium Letter, if no forest practices permit). 5. How much timber was harvested? (See forest practices permit if one was issued, if no permit please provide estimate). 6. Have forest practices, such as logging and associated road construction, occurred in, and/or adjacent to, any wetlands, streams, or steep slopes? If yes, please describe. 7. How much land area (in acres) is subject to request? (Area subject to request for Single Family Dwelling Exception may not exceed two acres). Page 4 of 11

TITLE 18H DEVELOPMENT REGULATIONS FOREST PRACTICES Application General Requirements and Review Criteria FOREST PRACTICES APPROVALS CLASS IV-GENERAL FOREST PRACTICES PERMIT APPLICATION Class IV-General forest practices are those forest practices, other than Class I, occurring on lands within Urban Growth Areas (UGA), on lands platted or short platted after January 1, 1960, or on lands which are being converted to a use other than commercial timber production. General Requirements 1. An application for a Class IV-General approval shall be submitted concurrent with an application for a site development permit, if one is required, and prior to conducting forest practices on the project site. 2. A Class IV-General approval will not be issued until any pending development permit applications that are associated with the site have been approved. 3. Where an interlocal agreement regarding tree preservation has been entered into between a city or town and Pierce County, the city's or town's tree preservation standards shall be applied to forest practices occurring within their designated urban growth area or urban service area, if those standards are more restrictive. 4. Class IV-General forest practices shall comply with all applicable provisions of the Pierce County Code, including Chapter 18H.40 of this Title, and RCW 76.09. 5. Class IV-General forest practices shall comply with any conditions of approval established through the associated development permit or approval. 6. Class IV-General forest practices conducted on vacant land that are not associated with an application for land division or subdivision, use permit, commercial building permit, or singleor two-family residential building permit shall be limited to the removal of not more than 35 percent of the total volume of trees throughout the gross area of the site during any six-year period. For the purposes of this Section, parcels developed solely with accessory structures such as storage buildings or other similar structures shall be considered to be vacant. APPLICATION REVIEW REQUIREMENTS The following items must be completed before a Class IV-General forest practices permit application may be approved: The proposed forest practices activities must undergo an environmental review by Pierce County, in accordance with the State Environmental Policy Act (SEPA). An environmental determination (DNS, MDNS), which concludes the environmental review process, will not be issued until any and all studies required by Title 18E, Critical Areas (wetlands, streams, wildlife habitat) have been reviewed and approved; Page 5 of 11

A Notice of Application (NOA) must be provided to surrounding landowners. This is prepared and distributed by Pierce County. The NOA provides a 28 day review and comment period; The property must be posted by the landowner/applicant with a Pierce County Public Notice Sign within 14 days of filing application. (The sign is yellow, measuring 1-1/2- by 2 feet, and is purchased at the Pierce County Planning and Land Services Department Development Center for $4.35.) The sign must remain posted until the NOA comment period has expired; A Tree Conservation Affidavit must be submitted for property which is subject to a previously approved Tree Conservation Plan; A Site Development permit addressing clearing, or written documentation that a Site Development permit is not required in association with the proposed logging must be issued by Pierce County; and Any pending development permit application, such as a preliminary plat, short plat, use permit, commercial building permit, or single or two-family residential building permit that is associated with the project must be approved/issued. CONVERSION OPTION HARVEST PLAN (COHP) A Conversion Option Harvest Plan (COHP) is a voluntary plan developed in conjunction with a Class II or III forest practices operation that is designed to preserve the forest landowners option to convert that forestland to a non-commercial forest use, as well as exempt the forest landowner from the six-year development moratorium associated with Class II and III forest practices. A COHP application must comply with all applicable Pierce County Codes, including, but not limited to Title 18E, Development Regulations Critical Areas (Wetland, Fish and Wildlife Habitat Areas, Landslide Hazard Areas, and Erosion Hazard Areas). Review Criteria: (Section 18H.20.030) 1. A COHP shall include a narrative description of the objectives of the timber harvest, relationship of the harvest to future development of the site, built and natural features present at the site, measures to be taken to preserve and protect critical areas, harvest method, including type of equipment to be used, and the expected dates of commencement, and completion of all harvest activity. 2. The COHP shall be submitted prior to application for development and/or conducting forest practices on the project site. 3. Upon approval of a COHP, a memorandum of agreement between the applicant and the County shall be recorded with the Pierce County Auditor. 4. The COHP shall be approved by the Department prior to the submittal of the associated forest practices permit to the DNR. 5. The approval of a COHP shall not release a landowner from the requirement to reforest a site pursuant to WAC 222-34. 6. The COHP shall comply with all applicable standards and provisions of the Pierce County Code and RCW 76.09. 7. The COHP shall result in the removal of not more than 70 percent of the total volume of trees throughout the gross area of the parcel. Retained trees shall consist of timber that is equivalent to the average size, species, and age of the harvested trees. Trees should be Page 6 of 11

selected for retention based upon a consideration of windthrow potential, wildlife value, aesthetics, and compatibility with future development. Narrow strips of trees along a parcels perimeter boundaries should be avoided due to windthrow potential. 8. Trees proposed for retention. Trees proposed for retention must meet the following minimum standards: a. Must have a post-development life expectancy of greater than 10 years; b. Must have a relatively sound and solid trunk with no extensive decay or hollow and no significant trunk damage; c. Must have no major insect or pathological problem; d. Must have no significant crown damage; e. Must be fully branched and generally proportional in height and breadth for the tree age; f. Individual trees and groupings of trees proposed for retention must be windfirm in their post logging state; and g. At a minimum, 30 percent of significant Garry (Oregon White) Oak and 10 percent of all other significant trees, as identified in Table 18H.40.040, shall be retained. DEVELOPMENT MORATORIA A development moratoria prohibits Pierce County from accepting permit applications for the development of land (i.e. building permit, site development permit, formal subdivision, short plat, large lot division, Conditional Use Permit, and Site Plan Review). The development moratorium lasts for a period of six years or until a request to remove or waive the moratorium is approved by Pierce County. A six-year development moratorium is imposed on a parcel as a result of one of two actions: 1. Approval by the DNR of a Class II or Class III forest practices permit where no associated Conversion Option Harvest Plan (COHP) has been approved by Pierce County. The development moratorium extends to the harvest area indicated in the forest practices permit; 2. Activity meeting the definition of a Class II, III, or IV-General forest practice occurs on a parcel without an approved Class II, III, or IV-General forest practices permit. The development moratorium extends to the entire parcel. Title 18H, Forest Practices provides two avenues for seeking relief from a development moratorium: Request for Removal of Development Moratoria. Used to lift development moratorium from entire parcel. Public hearing and Hearing Examiner approval required. Review Criteria: (Section 18H.30.040) 1. The forest practices conducted on the site meet the standards set forth in subsection 18H.10.080. 2. Corrective actions are implemented which would bring the forest practices into compliance with this Title. 3. If critical areas or critical area buffers have been damaged, the critical areas and buffers shall be restored as required by Title 18E. Additionally, the Examiner may impose increased critical area buffer standards together with additional requirements to mitigate the damage beyond that specified in Title 18E when it is determined that such additional action is necessary to adequately address the damage caused by the forest practice activity. Page 7 of 11

4. The entire harvest area shall be reforested, if required pursuant to WAC 222-34, when the moratorium was imposed as a result of permitted harvesting. 5. The entire harvest area shall be reforested pursuant to WAC 222-34 when the moratorium was imposed under Subsection 18H.30.020.B.5. Request for Single-Family Dwelling Exception. Used to allow development of a single-family residence and accessory structures/uses on an undivided area up to 2 acres in size. Development moratorium remains in effect on remainder of parcel until it expires. Review Criteria: (Section 18H.30.050) 1. The construction of the single-family dwelling, lawn and landscaping area, accessory structures, and access road are in compliance with all applicable County regulations; 2. The landowner mitigates any damage to critical areas resulting from the forest practices in accordance with the requirements set forth in Title 18E. The mitigation requirement shall apply to the entire parcel, including those areas outside of the maximum two acre exception area set forth in the request; 3. Reforestation of the parcel has occurred (if required pursuant to WAC 222-34) when the moratorium was imposed as a result of permitted harvesting. Reforestation shall not be required in the area subject to the Single-Family Dwelling Exception application. 4. The harvest area, excepting the area subject to the Single-Family Dwelling Exception application, shall be reforested pursuant to WAC 222-34 when the moratorium was imposed under Subsection 18H.030.020.B.5. Page 8 of 11

Right of Entry Agreement to Allow County Representatives Entry to Perform Inspections, Monitoring, Corrective Actions, and Construction (Individual and Representative) Grantor and Grantee: For purposes of this Agreement and for indexing by the Pierce County Auditor as required by R.C.W. Ch. 65.04, the parties to this agreement are, Grantor(s), and Pierce County, Grantee. Legal Description of Property: (Note: include abbreviated legal description if complete legal will not fit here and reference to where complete legal can be found.) Assessor Parcel No(s): A. Recitals 1. Grantor is the owner of certain real property in Pierce County, Washington, described above and referred to in this agreement as "the subject property". 2. Grantor is applying for:. Permit(s)/approval(s) associated with the development of a proposed project on the subject property. The permit numbers are: 3. Grantor acknowledges that there may be additional permits/approvals required prior to completion of the proposed project such as but not limited to: site development permits, final plat approval, wetland permits, etc. Grantor acknowledges that this right of entry agreement applies to all permits/approvals related to the proposed project even if the permits/approvals occur after the execution of this agreement. 4. In conjunction with the Grantor's proposed project referenced in Section A.2 above, the Grantor agrees to allow Pierce County personnel and its representative's access in accordance with Section B below. Page 9 of 11

B. Access 1. Grantor hereby grants to Pierce County Personnel and its representatives access to the subject property for the purpose of inspection and monitoring. 2. Grantor further grants to Pierce County personnel and its representatives access to the subject property for the purpose of completing requirements that have been financially guaranteed, such as but not limited to: site stabilization, completion of road and storm drainage construction, completion of conditions of approval, completion of mitigation measures, installation of wetland mitigation, correcting defective work, correcting defective facilities, etc. 3. Nothing in this agreement grants Pierce County the right to enter into any structure without the express consent of the property owner(s) or resident(s). C. Life of Agreement This agreement is temporary. It shall commence on the date of signing of this agreement and shall expire automatically when the County deems that all necessary conditions of approval, permit requirements, ordinance requirements, financial guarantee requirements, monitoring periods, and mitigation measures have been fulfilled and the proposed project referenced in Section A.2. has been completed. D. Successors and Assigns This agreement is intended to protect the value and desirability of the subject property and to benefit all citizens of Pierce County. It shall run with the land and during the life of the agreement be binding on all parties having or acquiring any right, title, interest, or any part thereof, of the subject property, including the grantor, heirs, successors and assigns. This agreement shall inure to the benefit of each present or future successor in interest of the subject property or any part thereof, or interest therein, and to the benefit of the citizens of Pierce County. Dated this day of, 20. Signature Signature Signature Address Address Address City, State, Zip City, State, Zip City, State, Zip Page 10 of 11

STATE OF WASHINGTON ) ) County of Pierce ) Individual I certify that I know or have satisfactory evidence that is/are the person(s) who appeared before me, and that said person(s) acknowledged that he/she/they signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. Or Representative I certify that I know or have satisfactory evidence that is/are the person(s) who appeared before me, and that said person(s) acknowledged that he/she/they signed this instrument, on oath stated that he/she was authorized to execute the instrument and acknowledged it as the of to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. Dated this day of, 20. Signature Print Name Title My Appointment Expires: Page 11 of 11