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HomeMy WebLinkAbout2021/04/27 - Regular Packet Board of Mason County Commissioners ♦� � ��^� Draft Meeting Agenda Commission Chambers 411 N 511 St, Shelton, WA 98584 April 27, 2021 Y 9:00 a.m. Ali Our Commission meetings are live streamed at http://masonwebtv.com/ Pursuant to Proclamation by the Governor 20-28.15, in person attendance to Commission meetings is temporarily restricted. During this time, we will accept public comment and testimony using Zoom. Please click the Zoom meeting link posted on the Mason County homepage and use the"raise hand"feature to be recognized by the Chair to provide your comments and testimony. You can also e-mail msmithO)co.mason.wa.us; mail in to the Commissioners'Office at 411 N 5tn St, Shelton, WA 98584; or call (360)427-9670 ext. 230. If you need to listen to the Commission meeting via telephone, please provide your telephone number to the Commissioners'Office no later than 4:00 p.m. the Friday before the meeting. These options are available only while COVID-19 Open Public Meetings Act(OPMA) meeting restrictions are in place. 1. Call to Order 2. Pledge of Allegiance 3. Roll Call 4. Correspondence and Organizational Business 4.1 Correspondence 4.2 News Release—Temporary Weekend Closure of MCRA Park for Field Weed Treatment by Ross McDowell 5. Open Forum for Citizen Input Please see above options to provide public comment. These options are only available while COVID-19 OPMA meetings restrictions are in place. 6. Adoption of Agenda Items appearing on the agenda after'Item 10. Public Hearings"maybe be acted upon before 9:15 a.m. 7. Approval of Minutes— March 22, 2021 Briefing Minutes and April 13, 2021 Regular Minutes 8. Approval of Action Agenda Items listed under'Action Agenda"maybe enacted by one motion unless a Commissioner or citizen requests an item be removed from the Action Agenda and considered a separate item. 8.1 Approval of Warrants &Treasure Electronic Remittances Claims Clearing Fund Warrant # 8078968-8079425 $ 1,391,563.67 Direct Deposit Fund Warrant # 76586-76979 $ 751,751.72 Salary Clearing Fund Warrant # 7005843-7005878 $ 1,048,607.80 Treasure Electronic Remittances $ 8.2 Approval of an Order of Sale allowing the Mason County Treasurer to schedule an online auction with Bid4Assets to sell certain Tax Title properties. 8.3 Approval for the Chair to sign the Letter of Intent to Comply with the Washington State Department of Transportation (WSDOT)Title VI Plan, the United States Department of Transportation (USDOT) Standard Title VI/Non-Discrimination Assurances and all related Title VI documents covering the reporting period from April 1, 2020 to March 31, 2021. 8.4 Approval for the County Engineer to submit the Highway Safety Improvement Program (HSIP) grant to WSDOT by April 30, 2021 for safety improvements throughout Mason County as well as approval to authorize the Chair to sign all pertinent documents for the grant. 8.5 Approval to delegate signature authority to Richard Dickinson and Justin Phelps to submit reports or documents for permitted County wastewater facilities. 9. Other Business (Department Heads and Elected Officials) 10. 9:15 a.m. Public Hearings and Items Set for a Certain Time Please see above options to provide public testimony. These options are available only while COVID-19 OPMA meeting restrictions are in place. No Public Hearings set at this time. 11. Board's Calendar and Reports 12. Adjournment %1-47,Ice MASON COUNTY TO: BOARD OF MASON COUNTY COMMISSIONERS Reviewed: FROM: Ginger Kenyon Ext. 380 DEPARTMENT: Support Services Action Agenda DATE: April 27, 2021 No. 4.1 ITEM: Correspondence 4.1.1 Washington State Liquor and Cannabis Board sent in the following a Marijuana and Liquor License due to expire, Change of Corporate Officers for Green State Indoor Inc., Special Occasion Liquor License for Summit Pacific Medical Foundation to be held at Salish Cliffs Golf Club. 4.1.2 Mission Real Estate Group, LLC sent in a letter regarding 18285 E St. Rt. 3 Allyn WA Sewage Spill. Attachments: Originals on file with the Clerk of the Board. GciuwviKa weaineiuii, 01JULLy, u.,. Clerk Washington State Liquor and Cannabis Board NOE P 0 BOX 43098 www.liq.wa.gov Fax #: (360) 753-2710 April 06, 2021 Dear Local Authority: RE: Marijuana License Renewal Applications in Your Jurisdiction - Your Objection Opportunity Enclosed please find a list of marijuana licensed premises in your jurisdiction whose marijuana licenses will expire in abount 90 days. This is your opportunity to object to these license renewal requests as authorized by RCW 69.50.331 (7) . 1 ) Objection to License Renewal To object to a marijuana license rnewal: This letter must: fax or mail a letter to the Washington State Liquor and Cannabis Board (WS-LCB) Licensing Division. o Detail the reason(s) for your objection, including a statement of all the facts upon which your objection or objections are based. o You may include attachments and supporting documents which contain or confirm the facts upon which your objections are based. o Please note that whether a hearing will be granted or not is within the Board's discretion per RCW 69.50.331 (7) (c) . Your letter of objection must be received by the Board's Licensing Division at least 30 days prior to the _license expiration date (WAC 314-55-165) . If you need additional time you must request that in writing. Please be aware, however, that it is within the Board's discretion to grant or deny any requests for extension of time to submiti objections. Your request for extension will be granted or denied in writing. If the objection is received within thirty days of the expiration date or the licensee has already renewed the license, the objection will be considered as a complaint and possible license revocation may be pursued by the enforcement division. A copy of your objection and any attachments and supporting materials will be made available to the licensee, therefore, it is the Local Authority's responsibility to redact any confidential or non-disclosable information (see RCW 42.56) prior to submission to the WSLCB. 2) Status of License While Objection Pending During the time an objection to a renewal is pending, the permanent marijuana license is placed on hold. 3) Procedure Following Licensing Division Receipt of Objection After we receive your objection, our licensing staff will prepare a report for review by the Licensing Director. The report will include your letter of objection, as well as any attachments and supporting documents you send. The Licensing Director will then decide to renew the marijuana license, or to proceed with non-renewal. 4) Procedure if Board Does Not Renew License (WAG 314-55-165 (2) (b) ) If the Board decides not to renew a license, we will notify the licensee in writing, stating the reason for this decision. The licensee also has the right to request a hearing to contest non-renewal of their marijuana license. If the licensee makes timely request for a hearing, we will notify you. The Board's Licensing Division will be required to present evidence at the at the hearing before an administrative law judge to support the non-renewal recommendation. You may present evidence in support of your objection or objections. The administrative law judge will consider all of the evidence and issue an initial order 9nnothei0gatH6!rrde¢twiorfbe Board members have final authority to renew the marijuana license and will enter a final 5) Procedure if Board Renews License Over Your Objection (WAC 314-55-165 (2) (a) ) If the Board decides to renew the license over your objection, you will be notified in writing. At that time, you may be given an opportunity to request a hearing. An opportunity for a hearing is offered at the Board's discretion. If a hearing is held, you will be responsible for presenting evidence before an Administrative Law Judge in support of your objection to license renewal. The Board's Licensing Division will present evidence in support of license renewal. The Licensee may also participate and present evidence if the licensee desires. The administrative law judge will consider all of the evidence, and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision. For questions about this process, contact the WSLCB Licensing Division at (360) 664-1600 or email us at wslcb@liq.wa.gov. 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This approval is for: Individual/Entity Position Units Joey Scigliano Mbr 10 Holly Scigliano Spouse Calvin Kirby Mbr 90 Sean Kirby Financier Kristen Kirby Financier Total 100 5)0a ad" GAWBAM Marijuana Licensing Specialist 360-664-1605 cc: Enforcement Office Mason County Commissioners Business License Service File cco 11/10 Decisions Cc:CMMRS Neatherlin, Shutty, Trask Clerk ,0 l4)117d8'iv+ A,stye S:'��I REVISED DUE TO COVID-19—PLEASE EMAIL TO SPECIALOCCASIONS@LCB.WA.GOV OR FAX TO 360-753-2710 WASHINGTON STATE LIQUOR AND CANNABIS BOARD - License Services 1025 Union Ave SE - P 0 Box 43075 Olympia WA 98504-3075 FAX:360-753-2710 EMAIL:specialoccasions@lcb.wa.gov TO: MASON COUNTY COMMISSIONERS APRIL 13TH 2021 SPECIAL OCCASION #: 092017 SUMMIT PACIFIC MEDICAL FOUNDATION 600 EAST MAIN STREET rv! Snr �-nt ty ELMA WA 98541 DATE: MAY 7T" 2021 TIME: 8 AM TO 6 PM PLACE: SALISH CLIFFS GOLF CLUB- IN PERSON EVENT-91 WEST STATE ROUTE 108, SHELTON CONTACT: NATALIE JENSEN (D.O.B. 10.29.82) 360.346.2345 SPECIAL OCCASION LICENSES * _Licenses to sell beer on a specified date for consumption at a specific place. * _License to sell wine on a specific date for consumption at a specific place. * _Beer/Wine/Spirits in unopened bottle or package in limited quantity for off premise consumption. * _Spirituous liquor by the individual glass for consumption at a specific place. If return of this notice is not received in this office within 20 days from the above date, we will assume you have no objections to the issuance of the license. If additional time is required please advise. 1. Do you approve of applicant? YES NO 2. Do you approve of location? YES NO 3. If you disapprove and the Board contemplates issuing a license, do you want a hearing before final action is taken? YES NO OPTIONAL CHECK LIST EXPLANATION YES NO LAW ENFORCEMENT YES NO HEALTH & SANITATION YES NO FIRE, BUILDING, ZONING YES NO OTHER: YES NO If you have indicated disapproval of the applicant, location or both, please submit a statement of all facts upon which such objections are based. DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMIONERS OR DESIGNEE Mission Real Estate Group, LLC P.O. BOX 232 Cc:CMMRS Neatherlin, Shutty, Trask Allyn, WA 98524 Clerk Al. w!/Jh--,, April 7, 2021 Re: 18285 E St Rt 3, Allyn, WA Sewage Spill(s) Dear Mason County officials: 'Cis I am the principal owner and manager of Mission Real Estate Group, LLC, which owns the Sherwood Hills commercial and RV park located at 18285, 18281, and 18271 State Highway 3 in Allyn. We are in receipt of correspondence from Jovan Cruz,Claims Analyst,Washington Counties Risk Pool. In essence, they have provided a preliminary settlement concept to pay for mitigation costs for cleanup and repair only. Rather than respond directly to the Risk Pool, I feel it is prudent to respond directly to the decision makers. Since the fall of 2017,there have been two major incidents of sewage overflows onto these Mission properties from the County's inadequate and antiquated system serving the surrounding area. The properties are identified as Mason County tax parcels 12220-50-72001, -72004, and -80009. The properties support eleven residential RV tenants and spaces for three commercial tenants. As some of you know,on January 13,2021,these properties were inundated with water and sewage springing up from the backflow device. The sewage flooded A Class Act Hair Salon and the office of Ayers Automotive. The sewage sprawled out and around two residential RV's. A very similar sewage flooding event happened on November 23, 2017. Mission's dollar loss is substantial. For years, its vacancy rate was zero. But after the January sewage flooding, the hair salon had to cease its operations and has vacated the premises, leaving about 1,536 square feet of rentable space unoccupied. Ayer's Automotive occupies an office that is about 200 square feet. Average commercial leases with triple net for this property had been about$1.00 per square foot per month. Mission is now losing a revenue stream of approximately $20,832 annualized. This is not just a temporary loss. The properties are now stigmatized as the area that gets overrun by raw sewage from time to time. My property manager, talking with someone he had hoped would rent space, was met with the response, "You mean that place that gets flooded with sewage?"It is difficult to calculate the loss in market value,but it has to be staggering. Who wants to rent or buy a property in this condition? NEWS RELEASE April 27,2021 MASON COUNTY COMMISSIONERS' OFFICE 411 N 5T" ST, BLDG 1, SHELTON, WA 98584 TO: KMAS, KRXY, SHELTON- MASON COUNTY JOURNAL, THE OLYMPIAN, SHELTON CHAMBER OF COMMERCE, NORTH MASON CHAMBER OF COMMERCE, CITY OF SHELTON, ECONOMIC DEVELOPMENT COUNCIL, THE SUN RE: Temporary Weekend Closure of MCRA Park for Field Weed Treatment Mason County will be temporarily closing the MCRA Park, located at 2100 E. Johns Prairie Road, Shelton the weekend of Saturday, May 1 through Sunday, May 2, 2021, in order to provide a weed treatment system on the 7-ball diamond's outfields and interior park grounds. Due to there being chemical work being performed in MCRA Park, we are asking that your refrain from using the park during this project. Citizen's safety is the top priority for the County and we would appreciate compliance with the temporary park closure and ask all residents to avoid entering the park. No events have been scheduled on these days to assist with citizen's safety. For further information please contact the Mason County Parks and Trails Office at (360) 427- 9670 extension 535. BOARD OF MASON COUNTY COMMISSIONERS Kevin Shutty Randy Neatherlin Sharon Trask Commissioner Chair Commissioner BOARD OF MASON COUNTY COMMISSIONERS' BRIEFING MINUTES Mason County Commission Chambers,411 North 5th Street,Shelton,WA Week of March 22,2021 Monday,March 22,2021 9:00 A.M. Interviews for Lewis-Mason Thurston Area Agency on Aging Advisory Board Commissioners Neatherlin,Shutty and Trask attended via Zoom. • The Commissioners interviewed Diane McLean;Jamie Queen requested to be rescheduled. Commissioners will discuss the two applicants later this morning. 9:15 A.M. WSU Extension—Dan Teuteberg Commissioners Neatherlin,Shutty and Trask attended via Zoom. • Request to amend the current MOU to bring Kathy Fuller's position to full time was approved. 9:25 A.M. Superior Court—Judge Goodell Commissioners Neatherlin, Shutty and Trask attended via Zoom. • A re-organization to eliminate Superior Court Administrator and to create,post,and fill a Chief Superior Court Administrator and Finance Manager was brought forward. Salary Range would be 43. Phase 1,2,and 3 were also presented. Commissioners would like to have further discussion regarding budget and the re-organization. Approval to move forward with Phase 1. • The Juvenile Detention Center has safety and staffing concerns. There are two detention officers each working a 12-hour shift—one in the booth and one on the floor. Average daily population is three with a high of six or seven. Two additional detention officers were requested for a noon to midnight shift. Commissioners asked to wait until the Legislative Session is finished to see what changes may happen before deciding. Commissioners asked that the requests for re-organization and additional deputies be prioritized due to potential budget issues. Judge Goodell will discuss with the other two judges and Jim Madsen and brief next Monday. 10:00 A.M. Community Services—Dave Windom Commissioners Neatherlin,Shutty and Trask attended via Zoom. • Reappointment of two current members,Keith Fuller and James Medcalf,to the On-Site Sewage Advisory Board approved to move forward. • PowerPoint on the Mason County website regarding the WRIA process. 10:10 A.M. Public Works—Loretta Swanson Utilities&Waste Management Commissioners Neatherlin,Shutty and Trask attended via Zoom. • 2020 Annual Certification,Certification of Expenditures for Traffic Law Enforcement, and Certification of Expenditures for Fish Passage Barrier Removal approved to move forward. • Request for a Private Line Occupancy Permit from Tina Fite approved to moved forward. • 2020 County Force Construction Projects and Notification of Final Costs approved to move forward. • Mike Collins presented the 2021 Annual Bridge Report. 10:30 A.M. Public Defense—Peter Jones Commissioners Neatherlin,Shutty and Trask attended via Zoom. • Contract with Karpel Solutions for Defender software and installation approved to move forward. This contract was anticipated in the 2021 budget. 10:40 A.M. Support Services—Frank Pinter Commissioners Neatherlin,Shutty and Trask attended via Zoom. Board of Mason County Commissioners' Briefing Meeting Minutes March 22,2021 • Chief Beau Bakken with North Mason Regional Fire Authority reported on the 20-year bond for$10 million that was voter approved in 2019 for a new emergency management campus. This centrally located facility will hopefully be completed by December of 2021. There is a non-binding letter with the County for location of County services at the old fire station. • Extending the contract with Mendoza Texas Style Food vendor for MCRA to March 2023 was approved to move forward. • Board of Equalization applicants will be interviewed for the alternate position. • Dawn reported she will bring forward a revised Telework Policy to add to the Personnel Policy. • Jenn presented a comparison of ER&R and Motor Pool. Estimated cost savings are over $1 million over a 10-year period for the Sheriff PPV Fleet Planning Analysis and$1.3 million for the Non-ERV Fleet Planning Analysis. Budget impact is an estimated cost savings of about$230k a year. A$267k over payment from ER&R to Current Expense was noted. • The 2021/2022 Vehicle Lease Order Request and 2022 Draft Motor Pool Rates was presented and approved to move forward. 16 Leased vehicles are being requested to bring the total leased fleet to 79. • Diane presented the request to delete the following obsolete chapters from the County Code:Chapter 3.04 Admissions Tax;Chapter 3.152 Chaplains Fund;Chapter 3.178 Volunteer Fund;Chapter 5.04 Merchant Patrolmen;Chapter 5.08 Junk Dealers, Secondhand Dealers and Pawnbrokers;Chapter 5.12 Carnivals and Circuses and Chapter 9.40 Alarm Systems. The Commissioners agreed to move the request forward. • Diane and Auditor Paddy McGuire presented the request to create a citizens committee to complete the required redistricting based on census population. Cmmr. Shutty believes involving the public would allow opportunity for input. Due to the delay of census data, only the Commissioner and PUD Commission districts will be redone in 2021;the remaining districts(fire districts,school districts,etc.)will be done in 2022. The Commissioners agreed to create the citizen redistricting committee comprising of two members from the Mason County Democratic Party,two members from the Mason County Republican Party and those four members select a non-voting Chair. Auditor's office will provide staff support to the committee. • Commissioner Correspondence Policy will be brought forward at next week's briefing. • The process for replacement of Support Services Director was continued. Job descriptions for Human Resources Administrate,Budget Manager,and Support Services Director were provided for review and comment. Commission requested Frank to explore options for using a hiring service and brief again next week. • The American Rescue Plan Act(ARPA)funding was discussed. About$13 million will be provided. Frank reviewed the many potential uses of the funding and will bring forward additional information. • Public access to County buildings pursuant to Phase 3 of Roadmap to Recovery was discussed. Opening Building 1 was agreed upon and Diane will ask the departments under the Commissioners' supervision to report their open status at next week's briefing. • The Board agreed to reschedule Jamie Queen's interview for the LMTAAA and to appoint Diane McLean. 11:50 A.M. Closed Session—RCW 42.30.140(4)Labor Discussion Commissioners Neatherlin,Shutty and Trask met in Closed Session with Frank Pinter for a labor discussion for approximately 30 minutes. Board of Mason County Commissioners'Briefing Meeting Minutes March 22,2021 Respectfully submitted, Diane Zoren,Administrative Services Manager BOARD OF MASON COUNTY COMMISSIONERS Randy Neatherlin Sharon Trask Kevin Shutty Chair Commissioner Commissioner Board of Mason County Commissioners Proceedings Commission Chambers 411 N 5th St, Shelton, WA 98584 April 13, 2021 1. Call to Order—The Chairperson called the regular meeting to order at 9:01 a.m. 2. Pledge of Allegiance— Cmmr. Trask led the flag salute. 3. Roll Call — Present: Present: Commissioner District 1 — Randy Neatherlin; Commissioner District 2— Kevin Shutty; Commissioner District 3— Sharon Trask. 4. Correspondence and Organizational Business 4.1 Correspondence 4.1.1 Jim Morrell, CEO of Peninsula Credit Union, sent in a letter regarding House Bill 1590. 4.1.2 Washington State Liquor and Cannabis Board sent in the following: a Marijuana License Application for Laughing Grass Marijuana Productions, a Change of Location for Twisted Sisters Garden, and a Liquor License for Westside Pizza in Belfair. 4.1.3 Federal Energy Regulatory Commission sent in an emergency action plan update and annual status report for the Cushman Project. 4.1.4 Public Utility District No. 1 of Mason County sent in a letter regarding Canyonwood Beach Water System. 4.2 Cmmr. Shutty presented a Proclamation for National Public Safety Telecom m u nicators Week. 5. Open Forum for Citizen Input No citizen input. 6. Adoption of Agenda Cmmr. Trask/Shutty moved and seconded to adopt the agenda as published. Motion carried unanimously. N-aye; S-aye; T-aye. 7. Approval of Minutes Cmmr. Shutty/Trask moved and seconded to adopt the March 2, 2021; March 16, 2021; and March 30, 2021 Regular Minutes as presented. Motion carried unanimously. N-aye; S-aye; T-aye. 8. Approval of Action Agenda 8.1 Approval of Warrants &Treasure Electronic Remittances Claims Clearing Fund Warrant # 8078593-8078967 $ 477,427.47 Direct Deposit Fund Warrant # $ Salary Clearing Fund Warrant # $ Treasure Electronic Remittances $ 166,899.82 8.2 Approval to call for a Request for Proposals to obtain a contractor to provide $5,000 worth of essential items or services equally split between the North end of the County and the South end of the County to the poor or infirm with a preference towards veterans. 8.3 Approval of the Resolution creating a five-member Redistricting Citizens Advisory Committee consisting of two members nominated by the Mason County Democratic Party, two members nominated by the Mason County Republican Party, and a non-voting Chair selected by the previous four members. The Mason County Auditor's Office shall provide staff to support this Committee. (Exhibit A, Resolution # 2021-016) 8.4 Approval of the contract between Karpel Solutions and the Mason County Public Defender's Office for Defender software and installation. 8.5 Approval to apply for a grant from Homeland Security/Federal Emergency Management Agency for a fully-equipped 29' Lifeproof Response patrol vessel suitable for operation in the Puget Sound. 8.6 Approval to set a Public Hearing for Tuesday, May 25, 2021 at 9:15 a.m. to inform citizens of the availability of funds and eligible uses of the state Community Development Block Grant (CDBG) and receive comment on proposed activities specifically funding the Community Action Council of Lewis, Mason, and Thurston Counties as well as receive comments on the 2020 program. 8.7 Approval of the Resolution adopting the Mason County Commission Correspondence Policy for inclusion in the Mason County Code. (Exhibit B, Resolution # 2021-017) 8.8 Approval of the Consolidated Homeless Grant for the Housing and Essential Needs Program Contract # 20-46108-20 Amendment B with the Department of Commerce and Contract # CAC:2019-2021.1 Amendment 3 with Community Action Council. 8.9 Approval to set a Public Hearing for Tuesday, May 11, 2021 at 9:15 a.m. to consider approval of an Ordinance combining existing shellfish protection districts into a single district model and establish a reliable funding mechanism. The Ordinance includes revisions to Mason County Code Titles 3 and 6, adding Chapter 6.88 and revising Chapter 3.172. 8.10 Approval to designate the Mason County Economic Development Council as Mason County's Associate Development Organization (ADO) for the 2021-2023 Biennium. 8.11 Approval of Subaward Agreement # GRT21689 between Washington State Administration Office of the Courts and Mason County Superior Court to increase services to Family Recovery Court with funding for additional staff hours. 8.12 Approval of the Private Line Occupancy Permit granting permission to run utility lines under and across NE North Shore Road for address 9661 NE North Shore Road parcel # 32224-51-01002. 8.13 Approval to set a Public Hearing for Tuesday, May 11, 2021 at 9:15 a.m. to amend the 2021 Annual Construction Program and 2021-2026 Six-Year Transportation Improvement Program. 8.14 Approval to authorize the Deputy Director for Public Works/Utilities and Waste Management to advertise a Request for Proposals for the hauling of biosolids and execute a two-year agreement with the option to renew. 8.15 Approval to subcontract with Crossroads Housing and She/ton Youth Connection to administer the Treasury Rent Assistance Program Grant for funds/n the amount of$3,459,027 intended to prevent evictions. Funds are administered by the Local Government Corona virus Relief fund through the Washington State Department of Commerce. 8.16 Approval to authorize Frank Pinter, Support Services Director, to apply to the Department of Commerce via the Zoom Grant Application Process by April 30, 2021 for the CARES Act Community Development Block Grant(CDBG)CV2 Coronav/rus grant to extend and enhance the CVI program for Mason&Lewis Counties through Community Action Council of Lewis, Mason, and Thurston Counties as subrec/pient using CV2 funds. 8.17 Approval to reclassify the Administrator, Probation&Juvenile Services from Salary Range 40 on the Non-Represented Salary Scale to Chief Superior Court Administrator at Salary Range 43 and place the incumbent in Step 3 4 effective April 16, 2021;eliminate the Superior Court Administrator position on the Non-Represented Salary Scale, upon retirement of the incumbent; and create,post, and fill a Juvenile Detention Manager position at Salary Range 29 on the Non- Represented Salary Scale. (Exhibit C, Resolution # 2021-018) 8.18 Approval for the Chair to sign the letter to the County Road Administration Board that returns Rural Arterial Program grant funding for County Road Project 1993—She/ton Matlock culvert replacement project at milepost 8.03. Cmmr. Shutty/Trask moved and seconded to approve action items 8.1 through 8.18. Motion carried unanimously. N-aye; S-aye;T-aye. Frank clarified that item 8.17 should have shown a 10% increase moving it to Salary Range 43 Step 4. 9. Other Business (Department Heads and Elected Officials) 2 1 April 13 , 2021 Commission Minutes No other business. 10. 9:15 a.m. Public Hearings and Items Set for a Certain Time Please see above options to provide public testimony. These options are available only while COVID-19 OPMA meeting restrictions are in place. No Public Hearings set. 11. Board's Calendar and Reports—The Commissioners reported on meetings attended the past week and announced their upcoming weekly meetings. 12. Adjournment—The meeting adjourned at 9:25 a.m. BOARD OF COUNTY COMMISSIONERS ATTEST: MASON COUNTY, WASHINGTON McKenzie Smith, Clerk of the Board Randy Neatherlin, Chair Kevin Shutty, Commissioner Sharon Trask, Commissioner 3 1 April 13 , 2021 Commission Minutes uelll-K MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS From: Ginger Kenyon Action Agenda _X_ Public Hearing Other DEPARTMENT: Support Services EXT: 380 DATE: April 27, 2021 Agenda Item # . (Commissioner staff to complete) BRIEFING DATE: BRIEFING PRESENTED BY: [X] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency ITEM: Approval of Warrants &Treasure Electronic Remittances Claims Clearing Fund Warrant # 8078968-8079425 $ 1,391,563.67 Direct Deposit Fund Warrant # 76586-76979 $ 751,751.72 Salary Clearing Fund Warrant # 7005843-7005878 $ 1,048,607.80 Treasurer Electronic Remittances $ Background: The Board approved Resolution No. 80-00 Payment of Claims Against County: Procedure Authorizing Warrant Issue and Release Prior to Board Claim Approval. Mason County Code 3.32.060(a) requires that the board enter into the minutes of the County Commissioners the approval of claims listing warrant numbers. Claims Clearing YTD Total $ 14,648,154.34 Direct Deposit YTD Total $ 5,332,403.53 Salary Clearing YTD Total $ 5,812,090.25 Approval of Treasure Electronic Remittances YTD Total $ 9,845,381.96 RECOMMENDED ACTION: Approval to: Move to approve the following warrants Claims Clearing Fund Warrant# 8078968-8079425 $ 1,391,563.67 Direct Deposit Fund Warrant # 76586-76979 $ 751,751.72 Salary Clearing Fund Warrant # 7005843-7005878 $ 1,048,607.80 Treasurer Electronic Remittances $ Attachment(s): Originals on file with Auditor/Financial Services (Copies on file with Clerk of the Board) MASON COUNTY AGENDA ITEM SUMMARY FORM To: Board of Mason County Commissioners From: Frank Pinter/McKenzie Smith Action Agenda X Public Hearing Other Department: Support Services Ext: 589 Commission Meeting Date: Agenda Item #�3,j (Commissioner staff to complete) Briefing Date: April 27, 2021 Briefing Presented By: Frank Pinter/McKenzie Smith [ ] Item was not previously briefed by the board Please provide explanation of urgency Item: Approval of an Order of Sale allowing the Mason County Treasurer to schedule an online auction with Bid4Assets to sell certain Tax Title properties. Background: This is the third year that an online Tax Title only auction will be held. In 2018, 44 parcels were listed at auction and 29 parcels sold paying back taxes, penalties, and utilities in the amount of $93,040. In 2019, 49 parcels were listed at auction and 38 parcels sold paying back taxes, penalties, and utilities in the amount of$301,967. In 2021, a total of 31 parcels will be listed for auction. Those that do not sell will be listed with Richard Beckman Realty, LLC for private negotiation. Budget Impacts: If all parcels sell for the minimum bid amount, $106,285.49 would go towards delinquent taxes, penalties, and any other fees owed for the parcel. Recommended Action: Approval of an Order of Sale allowing the Mason County Treasurer to schedule an online auction with Bid4Assets to sell certain Tax Title properties. Attachment(s): Order of Sale 4/12/2021 ORDER OF SALE STATE OF WASHINGTON } COUNTY OF MASON WHEREAS, the real property; described below, was heretofore, acquired by Mason County for delinquent taxes under foreclosure suit, and a deed for said real property was duly and regularly executed by the Mason County Treasurer in accordance with the laws of the State of Washington; and WHEREAS, the Board of County Commissioners of Mason County deem it to be in the best interest of said County to sell the said real property hereinbefore described. NOW, THEREFORE, IT IS HEREBY ORDERED by the Mason County Board of Commissioners, State of Washington, that the County Treasurer be and is hereby directed to sell, in conformity with the requirements of the laws of the State of Washington, the following described parcels of real property at not less than the minimum prices specified after each respective parcel. Legal Minimum Bid Assessed Parcel # (includes fees and Market Description taxes) Valu Tr 6 of Survey 6/1 Section 29 Township 21 Range 2 22129-75-00060 140 E Royce Rd Gra eview �47,326.98 $69,875.00 22212-54-02006 Lakewood Plat E Blk 2 Lot 6-10 $2,205.80 $1,340.00 22213-50-10009 Lakewood Plat F BIk 10 Lot 9-10 $2,173.15 $130.00 31908-31-03010 W 10' of S 209' of E'/Z E'/2 NE SW $1,733.95 $9,885.00 32017-51-01010 Amended&Corrected Plat of Shelton Blk 1 Lot 10-12 $1,223.11 $4,735.00 Ex Pm Tr 1 Amended&Corrected Plat of Shelton Blk 31 Lot 1 Ex 32017-51-31001 R/W $1,184.73 $8,115.00 Amended&Corrected Plat of Shelton Blk 31 Lot 2 Ex 32017-51-31002 R/W $1,184.73 $7,765.00 Amended&Corrected Plat of Shelton Blk 31 Lot 3 Ex 32017-51-31003 R/W $1,184.73 $8,285.00 3201941-00320 Tr 32 of NE SE Section 19 Township 20 Range 3 $3,064.42 $30,190.00 32019-56-19001 Needham&Days Blk 19 Lot 1-6 $3,682.13 $3,795.00 32019-56-24008 Needham&Days Blk E Lot 1-4 Int 31 St&Kineo Ave $8,755.49 $34,350.00 32030-51-08026 2040 Lake Blvd Beverly Heights Blk 8 Lot 26-27 $1,045.00 $12,865.00 32105-50-33004 McReavy Rd Adj to Transfer Station Union-McReavy's $570.96 $75,155.00 3rd Add Blk 11 Lot 4 32106-50-11004 32 E SR 106 Union-Ba view Add Blk 11 Lot 4 $1,162.83 $17,450.00 32225-51-00035 Patricia Beach Tr 33 Exc Tr 33A Section 25 Township $1,571.32 $13,020.00 22 Range 3 32225-52-00900 Patricia Beach#2 Tr 4 A $2,763.84 $4,200.00 32232-50-04008 Next to 4841 E SR 106 Union Hood Canal Land&Imp $271.25 $16,000.00 Co Blk 4 Lot 7 W'/2&Lot 8-11 32330-52-67008 Lilliwaup I I Add Blk 67 Lot 8 $2,836.31 $4,815.00 32330-52-67009 Lilliwaup 11 Add Blk 67 Lot 9 $2,836.31 $4,815.00 32330-52-67010 Lilliwaup 11 Add Blk 67 Lot 10-12 Vac Troutman Ave $3,277.25 $13,755.00 Ad'Lot 12 42012-56-00012 Correction Plat of Kneeland Plaza Lot LL $4,023.39 $634,325.00 42024-13-00480 Prop under 101 overpass behind Miles Sand&Gravel $628.01 $17,875.00 Tr 48 of NE 4211041-00011 Tr I of SE Section 10 Township 21 Range 4 $1,688.96 $12,660.00 42212-50-01051 North Hill Rd Hoods port Blk 1 Lot 51-55 Ex State R/W $300.72 $14,365.00 42212-51-10901 2300 Blk of Hwy 101 Hoodsport-McReavy's Add Blk $539.12 $2 200.00 10 Tr 4 1/2Int ' 42331-50-93164 Lake Cushman Westside 1 Lot D of SP 817 Ptn Blk 3 $261.50 $30,655.00 Lot 16 42333-51-06045 Lake Cushman Eastside 1 Blk 6 Lot 45 $3,101.81 $43,480.00 5202441-00040 Little Egypt Rd S '/z N'/2 S'h NE SE See Survey 1/233 $1,355.18 $27,085.00 52024-41-00050 Little Egypt Rd S 'h S '/z NE SE See Survey 1/233 $1,914.61 $36,640.00 61930-51-00005 River Haven Tr 5 $2,188.13 $3,030.00 61930-51-00007 River Haven Tr 7 $3,479.77 $3,030.00 THIS ACTION WAS ENTERED upon Commissioners' records and dated at Shelton, Washington, on the 271h day of April, 2021. ATTEST: McKenzie Smith, Clerk of the Board Randy Neatherlin, Chair MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Mike Collins RE, PLS, County Engineer Hearin DEPARTMENT: Public Works EXT: 450 COMMISSION MEETING DATE: Aril 27 2021 Agenda Item # BRIEFING DATE: Aril 19 2021 BRIEFING PRESENTED BY: Mike Collins [ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency ITEM: Title VI of the Civil Rights Act Requirements BACKGROUND: Each year Public Works prepares a Title VI Annual Accomplishment and Goal report to be submitted to the Washington State Department of Transportation (WSDOT). This report is required for all agencies receiving federal funds. All of the agency programs and activities are reported, regardless of their funding source. WSDOTs Title VI Program is responsible for providing leadership, direction and policy to ensure compliance with Title VI and Environmental Justice and Limited English Proficiency principles and to ensure that social impacts to communities and people are recognized and considered throughout the transportation planning and decision-making process. With this report is the Letter of Intent to Comply with WSDOT Title VI Plan and the County USDOT Standard Title VI/Non-Discrimination Assurances document that is part of the agreement. RECOMMENDED ACTION: Request the Board authorize the Chair to sign the Letter of Intent to Comply with WSDOT Title VI Plan, the USDOT Standard Title VI/Non-Discrimination Assurances and all related Title VI documents covering the reporting period from April 1, 2020 to March 31, 2021. ATTACHMENTS: 1. Letter of Intent 2. USDOT Standard Title VI Assurances DOT Order No 1050.2A 3. Annual Update and Accomplishment Report Exhibit 1 w7Washington State ir Department of Transportation Appendix 28.92 Letter of Intent to Comply with WSDOT Title VI Plan In lieu of adopting a Title VI Plan, the (County of Mason) agrees to comply with the WSDOT Title VI Plan. The (County of Mason) assures that no person shall on the grounds of race, color, or national origin, as provided by Title VI of the Civil Rights Act of 1964, and the Civil Rights Restoration Act of 1987 (P.L. 100.259) be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity. The (County ofM) further assures every effort will be made to ensure nondiscrimination in all of its programs and activities, whether those programs and activities are federally funded or not. The Civil Rights Restoration Act of 1987, broadened the scope of Title VI coverage by expanding the definition of terms "programs or activities" to include all programs or activities of federal aid recipients, sub-recipients, and contractors/consultants, whether such programs and activities are federally assisted or not (Public Law 100259 [S.557] March 22, 1988). In the event the (County of Mason) distributes federal aid funds to a sub- recipient, the (County) of will include Title VI language in all written agreements and will monitor for compliance. The (County of Mason) is responsible for initiating and monitoring Title VI activities, collecting data, preparing reports (including Appendix 28.93) and other responsibilities as required by 23 Code of Federal Regulation(CFR) 200 and 49 Code of Federal Regulation, WSDOT Title VI Plan, and the WSDOT Local Area Guidelines manual. Signature Title Date Executed Required Attachment: signed, unaltered USDOT1050.2a, Standard Title VI Assurances DOT Form App.28.92 Revised 03/2020 Page 33 The United States Department of Transportation (USDOT)Standard Title VI/Non-Discrimination Assurances DOT Order No. 1050.2A The Mason Couny(herein referred to as the "Recipient"), HEREBY AGREES THAT, as a condition to receiving any Federal financial assistance from the U.S. Department of Transportation (DOT), through Washington State Department of Transportation, is subject to and will comply with the following: Statutory/Regulatory Authorities • Title VI of the Civil Rights Act of 1964(42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); • 49 C.F.R. Part 21 (entitled Non-discrimination In Federally-Assisted Programs Of The Department Of Transportation-Effectuation Of Title VI Of The Civil Rights Act Of 1964); • 28 C.F.R. section 50.3 (U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil Rights Act of 1964); The preceding statutory and regulatory cites hereinafter are referred to as the "Acts" and "Regulations," respectively. General Assurances In accordance with the Acts,the Regulations, and other pertinent directives, circulars, policy, memoranda, and/or guidance, the Recipient hereby gives assurance that it will promptly take any measures necessary to ensure that: "No person in the United States shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity, 'for which the Recipient receives Federal financial assistance from DOT, including the Washington State Department of Transportation,. The Civil Rights Restoration Act of 1987 clarified the original intent of Congress,with respect to Title VI and other Non-discrimination requirements (The Age Discrimination Act of 1975, and Section 504 of the Rehabilitation Act of 1973), by restoring the broad, institutional-wide scope and coverage of these non- discrimination statutes and requirements to include all programs and activities of the Recipient, so long as any portion of the program is Federally assisted. Specific Assurances More specifically, and without limiting the above general Assurance,the Recipient agrees with and gives the following Assurances with respect to its Federally assisted program: 1. The Recipient agrees that each "activity," "facility," or"program," as defined in §§ 21.23(b) and 21.23(e) of 49 C.F.R. § 21 will be (with regard to an "activity")facilitated, or will be (with regard 511 Page to a "facility")operated, or will be (with regard to a "program") conducted in compliance with all requirements imposed by,or pursuant to the Acts and the Regulations. 2. The Recipient will insert the following notification in all solicitations for bids, Requests For Proposals for work,or material subject to the Acts and the Regulations made in connection with all the Federal-Aid Highway Progrms and, in adapted form, in all proposals for negotiated agreements regardless of funding source: "The Mason County, in accordance with the provisions of Title VI of the Civil Rights Act of 1964(78 Stat. 252,42 U.S.C. §§ 2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award." 3. The Recipient will insert the clauses of Appendix A and E of this Assurance in every contract or agreement subject to the Acts and the Regulations. 4. The Recipient will insert the clauses of Appendix B of this Assurance,as a covenant running with the land, in any deed from the United States effecting or recording a transfer of real property, structures, use, or improvements thereon or interest therein to a Recipient. 5. That where the Recipient receives Federal financial assistance to construct a facility, or part of a facility,the Assurance will extend to the entire facility and facilities operated in connection therewith. 6. That where the Recipient receives Federal financial assistance in the form, or for the acquisition of real property or an interest in real property,the Assurance will extend to rights to space on, over, or under such property. 7. That the Recipient will include the clauses set forth in Appendix C and Appendix D of this Assurance, as a covenant running with the land, in any future deeds, leases, licenses, permits, or similar instruments entered into by the Recipient with other parties: a. for the subsequent transfer of real property acquired or improved under the applicable activity, project, or program;and b. for the construction or use of, or access to, space on, over,or under real property acquired or improved under the applicable activity, project, or program. 8. That this Assurance obligates the Recipient for the period during which Federal financial assistance is extended to the program, except where the Federal financial assistance is to provide, or is in the form of, personal property, or real property, or interest therein, or structures or improvements thereon, in which case the Assurance obligates the Recipient, or any transferee for the longer of the following periods: 521Page a. the period during which the property is used for a purpose for which the Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits; or b. the period during which the Recipient retains ownership or possession of the property. 9. The Recipient will provide for such methods of administration for the program as are found by the Secretary of Transportation or the official to whom he/she delegates specific authority to give reasonable guarantee that it,other recipients, sub-recipients, sub-grantees, contractors, subcontractors, consultants,transferees,successors in interest, and other participants of Federal financial assistance under such program will comply with all requirements imposed or pursuant to the Acts,the Regulations, and this Assurance. 10. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to any matter arising under the Acts,the Regulations,and this Assurance. By signing this ASSURANCE, Mason County also agrees to comply(and require any sub-recipients, sub- grantees, contractors, successors, transferees, and/or assignees to comply) with all applicable provisions governing Mason county access to records, accounts, documents, information, facilities, and staff.You also recognize that you must comply with any program or compliance reviews, and/or complaint investigations conducted by Mason County.You must keep records, reports, and submit the material for review upon request to Mason County, or its designee in a timely, complete, and accurate way. Additionally,you must comply with all other reporting, data collection, and evaluation requirements, as prescribed by law or detailed in program guidance. Mason County gives this ASSURANCE in consideration of and for obtaining any Federal grants, loans, contracts, agreements, property,and/or discounts, or other Federal-aid and Federal financial assistance extended after the date hereof to the recipients by the U.S. Department of Transportation under the Federal-Aid Highway Program.This ASSURANCE is binding on Washington State, other recipients, sub- recipients,sub-grantees, contractors, subcontractors and their subcontractors',transferees, successors in interest, and any other participants in the Federal-Aid Highway Program.The person(s) signing below is authorized to sign this ASSURANCE on behalf of the Recipient. Randy Neatherlin, Chair by Mason County Chair DATED 531Page APPENDIX A During the performance of this contract,the contractor, for itself, its assignees, and successors in interest(hereinafter referred to as the "contractor") agrees as follows: 1. Compliance with Regulations:The contractor(hereinafter includes consultants) will comply with the Acts and the Regulations relative to Non-discrimination in Federally-assisted programs of the U.S. Department of Transportation,Washington State Department of Transportation, as they may be amended from time to time, which are herein incorporated by reference and made a part of this contract. 2. Non-discrimination:The contractor, with regard to the work performed by it during the contract,will not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The contractor will not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices when the contract covers any activity, project, or program set forth in Appendix B of 49 CFR Part 21. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all solicitations,either by competitive bidding, or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials, or leases of equipment,each potential subcontractor or supplier will be notified by the contractor of the contractor's obligations under this contract and the Acts and the Regulations relative to Non- discrimination on the grounds of race, color, or national origin. 4. Information and Reports:The contractor will provide all information and reports required by the Acts, the Regulations, and directives issued pursuant thereto and will permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the Recipient or the Washington State Department of Transportation to be pertinent to ascertain compliance with such Acts, Regulations, and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish the information,the contractor will so certify to the Recipient or the Washington State Department of Transportation, as appropriate, and will set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance: In the event of a contractor's noncompliance with the Non- discrimination provisions of this contract, the Recipient will impose such contract sanctions as it or the Washington State Department of Transportation may determine to be appropriate, including, but not limited to: a. withholding payments to the contractor under the contract until the contractor complies; and/or b. cancelling,terminating, or suspending a contract, in whole or in part. 6. Incorporation of Provisions:The contractor will include the provisions of paragraphs one through six in every subcontract, including procurements of materials and leases of equipment, 541Page unless exempt by the Acts,the Regulations and directives issued pursuant thereto.The contractor will take action with respect to any subcontract or procurement as the Recipient or the Washington State Department of Transportation may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided,that if the contractor becomes involved in, or is threatened with litigation by a subcontractor, or supplier because of such direction,the contractor may request the Recipient to enter into any litigation to protect the interests of the Recipient. In addition, the contractor may request the United States to enter into the litigation to protect the interests of the United States. A 551 Page APPENDIX B CLAUSES FOR DEEDS TRANSFERRING UNITED STATES PROPERTY The following clauses will be included in deeds effecting or recording the transfer of real property, structures, or improvements thereon, or granting interest therein from the United States pursuant to the provisions of Assurance 4: NOW,THEREFORE,the U.S. Department of Transportation as authorized by law and upon the condition that Mason County will accept title to the lands and maintain the project constructed thereon in accordance with Title 23, United State Code, the Regulations for the Administration of program, and the policies and procedures prescribed by the Washington State Department of Transportation of the U.S. Department of Transportation in accordance and in compliance with all requirements imposed by Title 49, Code of Federal Regulations, U.S. Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Non-discrimination in Federally-assisted programs of the U.S Department of Transportation pertaining to and effectuating the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252;42 U.S.C. § 2000d to 2000d-4), does hereby remise, release, quitclaim and convey unto Mason County all the right,title and interest of the U.S. Department of Transportation in and to said lands described in Exhibit A attached hereto and made a part hereof. (HABENDUM CLAUSE) TO HAVE AND TO HOLD said lands and interests therein unto Mason County and its successors forever, subject, however,to the covenants, conditions, restrictions and reservations herein contained as follows,which will remain in effect for the period during which the real property or structures are used for a purpose for which Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits and will be binding on the Mason County, its successors and assigns. The Mason County, in consideration of the conveyance of said lands and interests in lands, does hereby covenant and agree as a covenant running with the land for itself, its successors and assigns,that(1) no person will on the grounds of race, color,or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination with regard to any facility located wholly or in part on,over, or under such lands hereby conveyed [,] [and]* (2)that the Mason County will use the lands and interests in lands and interests in lands so conveyed, in compliance with all requirements imposed by or pursuant to Title 49, Code of Federal Regulations, U.S. Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Non-discrimination in Federally-assisted programs of the U.S. Department of Transportation, Effectuation of Title VI of the Civil Rights Act of 1964, and as said Regulations and Acts may be amended [, and (3)that in the event of breach of any of the above- mentioned non-discrimination conditions,the Department will have a right to enter or re-enter said lands and facilities on said land, and that above described land and facilities will thereon revert to and vest in and become the absolute property of the U.S. Department of Transportation and its assigns as such interest existed prior to this instruction].* (*Reverter clause and related language to be used only when it is determined that such a clause is necessary in order to make clear the purpose of Title VI.) B 561Page APPENDIX C CLAUSES FOR TRANSFER OF REAL PROPERTY ACQUIRED OR IMPROVED UNDER THE ACTIVITY, FACILITY, OR PROGRAM The following clauses will be included in deeds, licenses, leases, permits, or similar instruments entered into by the Mason County pursuant to the provisions of Assurance 7(a): A. The (grantee, lessee, permittee,etc. as appropriate)for himself/herself, his/her heirs, personal representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree [in the case of deeds and leases add "as a covenant running with the land"] that: 1. In the event facilities are constructed, maintained, or otherwise operated on the property described in this(deed, license, lease, permit, etc.)for a purpose for which a U.S. Department of Transportation activity,facility, or program is extended or for another purpose involving the provision of similar services or benefits,the (grantee, licensee, lessee, permittee, etc.) will maintain and operate such facilities and services in compliance with all requirements imposed by the Acts and Regulations(as may be amended) such that no person on the grounds of race, color, or national origin,will be excluded from participation in, denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities. B. With respect to licenses, leases, permits, etc., in the event of breach of any of the above Non- discrimination covenants, Mason County will have the right to terminate the (lease, license, permit, etc.) and to enter, re-enter, and repossess said lands and facilities thereon, and hold the same as if the (lease, license, permit, etc.) had never been made or issued.* C. With respect to a deed, in the event of breach of any of the above Non-discrimination covenants, the Mason Countywill have the right to enter or re-enter the lands and facilities thereon, and the above described lands and facilities will there upon revert to and vest in and become the absolute property of the Mason County and its assigns.* (*Reverter clause and related language to be used only when it is determined that such a clause is necessary to make clear the purpose of Title VI.) C 571Page APPENDIX D CLAUSES FOR CONSTRUCTION/USE/ACCESS TO REAL PROPERTY ACQUIRED UNDER THE ACTIVITY, FACILITY OR PROGRAM The following clauses will be included in deeds, licenses, permits, or similar instruments/agreements entered into by Mason County pursuant to the provisions of Assurance 7(b): A. The (grantee, licensee, permittee,etc.,as appropriate)for himself/herself, his/her heirs, personal representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree (in the case of deeds and leases add, "as a covenant running with the land") that (1) no person on the ground of race, color,or national origin,will be excluded from participation in, denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2)that in the construction of any improvements on, over, or under such land, and the furnishing of services thereon, no person on the ground of race,color, or national origin, will be excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination, (3)that the (grantee, licensee, lessee, permittee, etc.) will use the premises in compliance with all other requirements imposed by or pursuant to the Acts and Regulations, as amended, set forth in this Assurance. B. With respect to (licenses, leases, permits, etc.), in the event of breach of any of the above Non- discrimination covenants, Mason County will have the right to terminate the (license, permit, etc., as appropriate) and to enter or re-enter and repossess said land and the facilities thereon,and hold the same as if said (license, permit, etc., as appropriate) had never been made or issued.* C. With respect to deeds, in the event of breach of any of the above Non-discrimination covenants, Mason County will there upon revert to and vest in and become the absolute property of Mason County and its assigns.* (*Reverter clause and related language to be used only when it is determined that such a clause is necessary to make clear the purpose of Title VI.) D 58 1 Page APPENDIX E During the performance of this contract,the contractor,for itself, its assignees,and successors in interest(hereinafter referred to as the "contractor") agrees to comply with the following non- discrimination statutes and authorities; including but not limited to: Pertinent Non-Discrimination Authorities: • Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21. • The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. §4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects); • Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on the basis of sex); • Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits discrimination on the basis of disability); and 49 CFR Part 27; • The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits discrimination on the basis of age); • Airport and Airway Improvement Act of 1982, (49 USC §471, Section 47123), as amended, (prohibits discrimination based on race, creed, color, national origin, or sex); • The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964,The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms "programs or activities"to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors,whether such programs or activities are Federally funded or not); • Titles II and III of the Americans with Disabilities Act,which prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities(42 U.S.C. §§ 12131-12189) as implemented by Department of Transportation regulations at 49 C.F.R. parts 37 and 38; • The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. §47123) (prohibits discrimination on the basis of race, color, national origin, and sex); • Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations, which ensures Non-discrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; • Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of Limited English proficiency(LEP).To ensure compliance with Title VI,you must take reasonable steps to ensure that LEP persons have meaningful access to your programs(70 Fed. Reg. at 74087 to 74100); • Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities(20 U.S.C. 1681 et seq). E 591 Page MASON COUNTY TITLE VI ANNUAL UPDATE AND ACCOMPLISHMENT REPORT APRIL 1 , 2020 THROUGH MARCH 31 , 2021 Table of Contents Title VI Notice to the Public ........................................................................................................................... Page 3 Title VI Accomplishments&Goals Report.............................................................................................. Page 4-16 Project Summary Forms& EJ ACS Summary Reports........................................................................ Page 17-32 Exhibit 1: Letter of Intent to Comply with WSDOT Title VI Plan ............................................................ Page 33 Standard Title VI Assurance................................................................................................. Page 34-42 Exhibit 2: Title VI Program Organizational Chart—Reporting Relationships............................... Page 43-44 Exhibit 3: Deegan Road W. Culvert Replacement Project Flyer(English and Spanish) ..................Page 45-46 Exhibit 4: Shelton Valley Road Culvert Replacement Project Flyer(English and Spanish) ........... Page 47-48 Exhibit 5: Deegan Road West Culvert Replacement Closure Resolution and map........................ Page 49-50 Exhibit 6: Shelton Valley Road Culvert Replacement Closure Resolution and map...................... Page 51-52 Exhibit 7: Flyer translation—Spanish and Invoice............................................................................... Page 53-54 Exhibit 8: County Road Project Resolutions/Notification of completion........................................ Page 55-57 APPENDIX A-1: Title VI Complaint Procedures(English and Spanish) ............................................................... Page 59-64 A-2:Title VI Complaint Form ................................................................................................................ Page 65-67 Page 12 �r9pN COlit,TA T' 1854 MASON COUNTY PUBLIC WORKS TITLE VI NOTICE TO THE PUBLIC Mason County hereby gives public notice that it is the County's policy to assure full compliance with Title VI of the Civil Rights Act of 1964, as amended, the Civil Rights Restoration Act of 1987, and related statutes and regulations in all programs and activities. Title VI and related laws requires that no person shall, on the grounds of race, color, sex, or national origin be excluded from the participation in, be denied the benefits of, or be otherwise subjected to discrimination under any Federal Aid Highway program or other activity for which Mason County receives Federal financial assistance. Any person who believes they have been aggrieved by an unlawful discriminatory practice under Title VI has a right to file a formal complaint with Mason County. Any such complaint must be in writing and filed with the Mason County Title VI Coordinator within one hundred eighty (180) days following the date of the alleged discriminatory occurrence. The Title VI Complaint Procedures and Form may be obtained from the Title VI Coordinator at no cost to the complainant by calling 360-427-9670. Page 13 wI/ WSDOT Report for April 1, 2020 through March 31, 2021 TITLE VI ACCOMPLISHMENTS • REPORT This outline is for LPA and other governmental entities to report Title VI activities that occurred over the past year and report Title VI goals for the upcoming year. Reports must be returned on or before due date to meet eligibility requirements for federal funding.Send to TitleVl@WSDOT.wa.gov DUE DATES: Refer to Section 28.3 for scheduled reporting period and due date Contact Information Name and title of administrator (signature on Standard Assurances): RANDY NEATHERLIN, CHAIR OF THE BOARD OF COUNTY COMMISSIONERS Mailing Address:411 N.5T"STREET City:SHELTON WA Zip Code:98584 County:MASON Phone#:360.427.9670, EXT.419 email address: RANDYN@CO.MASON.WA.US Name and title of head of transportation-related services: LORETTA SWANSON, PUBLIC WORKS DIRECTOR Mailing Address:100 W. PUBLIC WORKS DRIVE City:SHELTON WA Zip Code:98584 County: MASON Phone#:360.427.9670, EXT450 email address: LORETTAS@CO.MASON.WA.US Name and title of designated Title VI coordinator: FRANK PINTER,SUPPORT SERVICES MANAGER Mailing Address:411 N.5T"STREET City:SHELTON WA Zip Code:98584 County: MASON Phone#:360.427.9670, EXT.530 email address: FRANKP@CO.MASON.WA.US *When the Title VI coordinator changes,notify TitleVl@WSDOT.wa.gov within 30 days. To comply with Title VI requirements, each annual report submission must include signed Standard Assurances (USDOT1050.2A). Accomplishments 1. Have there been any changes to the approved Title VI Plan that have not been reported to OEO? If Yes, please submit an update to the Title VI Plan with a new signature. Yes,The Chief Executive Officer has changed to Randy Neatherlin(County Commissioner). Also,the Road Operations&Maintenance Manager has been removed from the Title VI Organization Chart. All of the decision making of transportation related programs and services are now being handled by the Engineering&Construction Division/Manager. Exhibit 1 is the Letter of Intent to Comply with WSDOT Title VI Plan and Exhibit 2 is the Title VI Organization Chart. Page 14 Appendix 28.93 2. Organization, Staffing, Structure—Describe the Title VI Program reporting structure including the Title VI Coordinator,Administrative Head, and transportation-related staff.The list should include name, race, color, and national origin of each individual. Include the same details if your LPA has a volunteer or appointed board related to transportation decision making. Exhibit 2 is the Mason County Title VI Organization chart that displays the staffing structure of the County's Title VI Program and what report responsibilities are required for each of the areas. Below includes information on each staff member currently involved in the Title VI reporting program. ORGANIZATION STRUCTURE REPORT RESPONSIBILITIES NAME GENDER/ETHNICITY TITLE Randy Neatherlin Male/Caucasian Chief Executive Office Frank Pinter Male/ Title VI Coordinator Caucasian Dawn Twiddy Female/ Administrative Support to the Support Services Manager Caucasian Title VI Specialist Tim Whitehead Male/Caucasian Complaint Investigation Support Loretta Swanson Female/ Public Works Director Caucasian Mike Collins Male/Caucasian County Engineer Kelle Medcalf Female/Caucasian Title VI Specialist Dave Smith Male/Caucasian Title VI Specialist Fred Perryman Male/Caucasian Title VI Specialist Alan Berbisco Male/Caucasian Title VI Specialist Jesse San Nicolas Male/Caucasian Title VI Specialist Mike Ringgenberg Male/Caucasian Transportation Improvement Program Citizen Advisory Panel (TIP-CAP) P a g e 1 5 Appendix 28.93 3. Community Demographics— Using a map of the LPA's boundaries, describe the demographics of the LPA's service area (e.g., race, color, national origin, low-income). List, by individual languages, the percent of the population(s) that is limited English proficient. According to the Washington Office of Finance Management, Mason County,Washington's population for this reporting year is estimated to be around 65,650. The last Census, done in 2010, population was 60,669; leaving the county with an estimated growth of 8.2%in the last ten- years. Mason County,Washington is the 21st largest county in Washington. 40,000 Ten-Year Comparable 35,000 ■Current ■2010 Population breakdown 30,000 Current: 25,000 • Male: 33,805(51%) 20,000 • Female: 31,845 (48%) • Under the age of 20: 14,004(21%) 15,000 • Between 20-64: 35,310(53%) 10,000 • 65 and over: 16,336(24%) 5,000 2010 • Male: 31,400(26%) 0 • Female: 29,299(24%) Male Female Under Btwn 65& s• Under the age of 20: 13,836(11%) 20 20-64 over 4 • Between 20-64: 35,751(30%) 10-Yea r • 9%65 and over: 11,112(9%) Comparable ---Average Median Age 45 (43 Males and 48 Females)--- ---8.6%of the population,age 25 plus, has graduated from High School or higher--- --- 17.6%of the pollution has a Bachelor's Degree or higher--- Household information listed below: Mason County Total Percentage Total Households 24,278 100% Average Household Size 2 1 Person Households 6,233 26.98% 2 or More Person Households 16,866 73.02% Family Households(Families) 15,821 65.2% Average Family Size 3 Married-Couple Family 12,064 52.23% Nonfamily Households 7,941 34.38% Appendix 28.93 The income and poverty in Mason County(data from the EJ SCREEN map of Mason County Report/2019 National Environmental Public Heath Tracking Network)shows a median household income of$58,239 (Washington$74,023)with 13.7%of the population below poverty (Washington is 10.3%). - WHITES 11% - BLACK 37% - ASIAN 6% - HISPANICS 50% - NATIVE 29% - MULTIPLE 20% The racial groups within Mason County's population are broken down into seven groups and are listed below with the number and percentage of individual racial status (information on Racial Identity pie- chart from OFM). Racial Identity M ■White(57,384) ■Black(834) Hispanic or Latino(6,870) 7 1 Asian(1,011) ■American Indian or Alask Native(3,016) ■2 or more races(3,082) ■Native Hawiian or Other Pacific Islander(323) 4. Complaints—Provide a copy of the LPA's Title VI complaint log, including new Title VI complaints received during this reporting period and any still pending. Include the basis of the complaint (race, color, national origin) and describe the disposition (status/outcome). Mason County has not received any Title VI complaints during this reporting period. Mason County's Title VI complaint procedures and complaint form are available on the County's website (See Appendix A-1 and A-2). Appendix 28.93 5. Planning—Describe the transportation planning activities performed this reporting period. Describe the actions taken to promote Title VI compliance regarding transportation planning, including monitoring and review processes, community involvement, their outcome or status. Include examples of community outreach. The Engineering Division is responsible for putting together both short-and long-range engineering and construction plans for transportation services to Mason County citizens. The division coordinates with other government agencies at the federal, state and local levels, with junior taxing districts, private groups and the public to organize and advance comprehensive plans to meet Mason County's transportation needs.The department offers and makes staff available for technical assistance to regional transportation groups and serves on technical committees with the Regional Planning Organization. Liaisons for Title VI Coordinator, traffic, utilities,construction, survey and design meet regularly to discuss projects, schedules, and funding. At these meetings,Title VI requirements are discussed and integrated into the upcoming projects. Title VI is contained in all advertisement for consultants and construction contracts. Public outreach includes Title VI Public Involvement and Title VI notice to the Public. As reported in last year's report,the county was working on the development of a Project Summary form. The Engineering &Construction team has started using the form with the Environmental Justice EJSCREEN ACS Summary Reports for the project site areas during the development of a project to assess what kinds of impacts the project will have on the community and what types of public outreach will need to be done or planned before and during the project.The Project Summary forms and EJSCREEN ACS Summary Reports for the projects during this report period are attached in this report. No community meetings were held during this report period due to COVID. However,the two (2) projects completed during this period had impacts to a number of residents. These projects required the County to close the roads a couple of weeks to complete the project. Below describe the activities performed by Public Works to ensure community outreach. PROJECT NAME PUBLIC OUTREACH 1.Public zoom meeting with Commissions to approve a road closure for each of these projects.The resolution was published in local newspaper for two consecutive weeks. 2.Project flyers for each project were mailed out to property owners in the vicinity that would be impacted by each of these projects,notifying them of CRP 2014 the upcoming project and expected road closures.These flyers were in both Deegan Road West English and Spanish(Exhibits 3&4). Culvert Replacement Project 3.Flyers were posted on the County Facebook page. 4.Reader board signs were placed on each road to notify the traveling public of the upcoming closure with contract information. 5.Emails were sent to approximately 75 business,citizens,schools, emergency services,local newspapers,local radio stations on our Public Works Road Closure email list. CRP 2015 6.Closure information was added to the County Channel 3 TV station. Shelton Valley Road 7.Closure was on the County Road Closure/Restriction hotline and on the Culvert Replacement Project Public Works webpage under Road Closures/Restrictions. Page 1 8 Appendix 28.93 Both of these projects are in the same vicinity of the County, only a few miles apart and both benefitting the Goldsborough Creek habitat. The Transportation Improvement Program—Citizen Advisory Panel (TIP-CAP) has been limited to public outreach due to the COVID pandemic.The committee has been working on a PowerPoint presentation that will provide information on public works and transportation projects needs/unfunded needs and hope to move forward sometime in the near future. 6. Right-of-way actions— Describe activities during this reporting period associated with the purchase, sale, lease/use, or transfer of real property (related to highway transportation/public right-of-way use). Include demographic information of affected populations. For example, the race, color, national origin of affected property/business owners(s)/tenant(s). CRP 2014 -Deegan Road culvert replacement protect: The County purchased a .039-acre temporary construction easement and 0.03 acres of permanent right of way easement from Michael Mclrvin, Caucasian, property owner, male, best guess of origin is American. Also, on this project we purchased a .036-acre Temporary Construction easement from John & Elizabeth Winkowski, Caucasian, property owner, husband and wife, she is from Canada and he is from the Northeastern US, around New Hampshire. The third purchase on this project was from Dale & Sharon Tahja, husband and wife, purchased both right of way and temporary construction easement from them. The total right of way was .01 acres and the total temporary construction easement was .006 acres. Mr. and Mrs. Tahja are Caucasian and are of American origin. CRP 2015 Shelton Valley Road culvert replacement project: Right of Way and temporary construction easements were purchased from two property owners on this project.The first property owner is Laura Caldwell. She is the owner of project parcel number 201505-93-00002. Mason County purchased 0.09 acres of right of way from Ms. Caldwell and 0.05 acres of temporary construction easement. Ms. Caldwell is female, Caucasian and American in origin. From the second property owner, Edward and Pamela Murphy,the County purchased two temporary construction easements. One of the temporary construction easements was for the actual downstream construction area and the other was a water bypass temporary construction area. The Murphy's property is identified, as project parcel number is 2015-05930-0001, on the project plan sheet. The water bypass temporary construction easement was approximately .08 acres and the temporary construction easement for the downstream construction area was approximately 0.03 acres. Mr. and Mrs. Murphy are Caucasian, and of nation of origin is American. 7. Identify right-of-way appraisers and acquisition staff(used during this reporting period) by race, color, national origin. No appraisals were needed to accomplish the two projects list in question number 6. All project funding and right of way purchases and temporary construction easements purchased were performed by Phil Franklin, Right of Way Agent for Mason County Public Works, and Dave Smith, Construction and Engineering Supervisor,for Mason County Public Works. Both Mr. Smith and Mr. Franklin are Caucasian and are American in origin. Appendix 28.93 8. Studies and Plans—Were any transportation studies (including environmental reviews) conducted or transportation plans completed during this reporting period? Identify the data source(s) and provide data summary (Title VI/Environmental Justice Analysis) relative to ethnicity, race, languages spoken, neighborhoods, income levels, physical environments, and/or travel habits. Explain how data was used in these studies/reviews/plans. No transportation studies were completed during this report period.A study was started for the Romance Hill Road extension to SR- Freight Corridor and some hydraulic studies started at Cady Creek Culvert, North Island Drive Culvert, Lower Uncle Johns Culvert; however,all of these studies are still underway. The Romance Hill Road extension to SR-Freight Corridor will be a project that will impact most of the northern part of Mason County(Belfair).The transportation study,along with an EJSCREEN mapping and summary report will give us the data to identify the demographic information needed for any environmental justice concerns in this area. 9. Project Location and Design—Provide a list of construction projects that began during this reporting period. Using a map of the LPAs service area, identify project locations, and a brief description of the projects' benefits/burdens to affected populations. If possible, provide a map that overlays projects with the racial composition of affected neighborhoods. CRP 2014 Deegan Road, Culvert replacement project-Milepost 2.3Z This project involved the removal of existing undersized culvert that is restricting flow under the roadway. Detour routes for local residents and other users due to road closure from July 6, 2020 through July 17, 2020 (Exhibit 5-Road Closure Resolution and map). EJSCREEN summary report for project is attached in the report. The County published the road closure in the local newspaper,sent notification to local businesses, schools, emergency services, and others on our road closure notification email,County Facebook page,website and County channel 3 TV station and sent-road closure/project informational flyers out to 43 property owners that were in English and Spanish. Laminated copies of the road closure resolution were also posting in the area and reader boards where placed in area 3-days before the closure. CRP 2015 Shelton Valley Road, Culvert replacement project-Milepost 2.13.This project involved the removal of existing undersized culvert that is restricting flow under the roadway. Detour routes for locals and other users due to road closure from July 20,2020 through August 7,2020(Exhibit 4-Road Closure Resolution and map). EJSCREEN summary report for project is attached in the report. The County reached out to those affected property owners in the area, publishing,as required, in the local newspaper, but also sent out to local businesses, schools, emergency services and others on our road closure notification email, County Facebook, website and County channel 3 TV station and sent flyers out to 48 property owners that were in English and Spanish. Laminated copies of the road closure resolution were also posting in the area and reader board where placed in area 3-days before the closure. Page 1 10 Appendix 28.93 10. Other Public Meetings—list other public meetings held during this reporting period. Identify efforts used to encourage citizen participation at those meetings. Detail dates, times, locations, attendance, and provide examples of outreach materials. Identify members of the LPA's transportation planning and/or advisory groups by race, color, and national origin Specify methods used to collect demographic information from the transportation-related public meetings. (Self-identification surveys, notes by staff, etc.) Include summaries of Public Involvement Forms collected at each meeting, listing the demographics of those who attended by meeting. List any language assistance services requested. For which languages? Who provided the service? In addition, list vital documents translated during the reporting period and identify the languages. This reporting period occurred during the COVID pandemic when in person public meetings and activities were not allowed, many of the normal outreach activities did not occur. However,the County has held ZOOM meeting,sent out project information fliers, used facebook, local newspaper/radio,webpage, hotline and reader boards to notify the commuters of upcoming closures or projects starting in an area. 1. Road Closure Flyer—County Road Project 2014—Shelton Valley Road (Flyer)-Spanish Used the Deegan Road West project translation information to produce the Spanish version for this project Language Assistants—Total cost$130(Exhibit 7) 2. Road Closure Flyer—County Road Project 2015—Deegan Road West (Flyer)-Spanish Carlo Tanne, Certified Court Interpreter 3. Reader Boards used for COVID saying in English and Spanish "Stay home, Limit travel,Save Lives—Quedarse en casa, Limitar viajes,Salva vidas Matt Colbenson, Mason County Deputy/School Resource Deputy County Agendas, notices, minutes,Advisory committee meetings and Briefing/Commission meeting videos are available via the Mason County website: www.co.mason.wa.us County Briefings and Commission meeting due to COVID have been Zoom and the public is able to connect via ZOOM,telephone or provide email testimony before the meetings. Special accommodations could be requested from our Support Services Department. 11. Transportation-related Construction and Consultant Contracts (if applicable) — Briefly describe the process used to advertise and award construction contracts during this reporting period. Include the process for negotiated contracts (e.g., consultants). Zero (0)consultant contracts for planning were awarded during this reporting period. Page 1 11 Appendix 28.93 The County's regular process for consultant solicitations and selection processes are negotiated according to the procedures found in RCW 39.80 and for Federally assisted projects, Local Agency Guidelines (LAD) Manual. Mason County Public Work's Engineering and Construction Division encourages all consulting firms registered in Washington State to conduct business and possess the necessary professional licenses when presenting their qualifications for roadway design projects. The County's process for construction contracts are procured following state and federal competitive bidding statues and requirements. For the two (2) projects completed during this report period (Deegan Road and Shelton Valley Road), the County was able to utilize county forces to complete the projects. With these projects both over the $10k to construct, per statues,the county was required to publish a description and estimated cost of the project in the county official newspaper and after the project was completed a notice of completion with actual project cost was also published. (Exhibit 8). The County either advertises construction or consultant contract through the County MRSC Consultant or Small Works Rosters or advertises a Notice to Bidders/Request for Proposals/Qualifications in the local paper and Daily Journal of Commerce, on the County website and with Builders Exchange. The Title VI Coordinator reviews all contracts for consulting and construction to ensure compliance with the Title VI plan. It is the policy of Mason County to comply with 49 Code of Federal Regulations, Part 26,to ensure that Disadvantaged Businesses, including minority and women, have an equal opportunity to receive and participate in federally assisted contracts. Mason does not exclude any person from participation in, does not deny any person the benefit of, or otherwise discriminate in connection with the award or performance of any contract covered by 49 CFR Part 26 on the basis of race, sex, or national origin. Mason County efforts made to use minority and female consultants during FY 2020 include the following activities: Disadvantaged Business Enterprise (DBE/UDBE)Goals. As part of Mason County's outreach efforts to use minority and female consultants, when appropriate, proposals include a Disadvantaged Business Enterprise (DBE/UDBE)goal. These firms that are certified can encompass small, minority and women -owned firms. As a condition of award, the successful bidder must make good faith efforts to meet this DBE/UDBE goal.The proposer establishes good faith efforts when it documents that it has obtained enough DBE/UDBE participation to meet the DBE/UBDE goals; or documents that it has made efforts to so, although unsuccessful. 12. Describe the actions taken to promote construction contractor/consultant compliance with Title VI by construction contractors/consultants, including monitoring and review processes, and their outcomes/status(e.g. what Title VI language was included in contracts and agreements; were contractors and consultants reviewed to ensure compliance;what Title VI responsibilities are explained to contractors and consultants?) Additional outreach efforts that were previously planned, pre COVID pandemic restrictions,that will be implemented when allowed by law,that will support the use of female and minority consultants, contractors, and sub-contractors by conducting public pre-proposal meetings to provide information concerning the scope of work and available sub-contracting opportunities associated with projects. These meetings will open to all interested parties. Page 1 12 Appendix 28.93 The results of these outreach programs will be monitored to measure the success of such efforts. Based on the success rates,the program will be tuned to maximize the desired outcomes of more DBE/UDBE participation in construction contractor/consultant compliance. Construction contractors and consultants that we retain agreements with are required to comply with all Title VI provisions. All formal Notice to Bidder and consultant advertisements are solicited in County's newspaper of record, posted on the Builders Exchange website and County website.All agreements include the following language(the last paragraph was added this year): The(Local Agency)in accordance with Title Vl of the Civil Rights Act of 1964, 78 Stot.252,42 U.S.C. 2000d to 2000d-4 and Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Part 21, nondiscrimination in federally assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all bidders that it will affirmatively insure that in any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award. Mason County assures that no person shall on the grounds of race, color, national origin or sex, as provided by Title Vl of the Civil Rights Act of 1964 and related statues, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any Mason County program or activity. For additional information regarding Title VI compliant procedures and/or information,please contact the Mason County Title Vl Coordinator at(360)427-9670. 13. List construction, right-of-way, and consultant contracts with your LPA/MPO/entity for this report period with dollar value of each. Identify funding sources (federal, state, local, other), and how many were awarded to certified disadvantaged contractors (as a prime contractor/consultant). The MPO is PRTPO Peninsula Regional Transportation Planning Organization. Project's on our current State Transportation Improvement Program (STIP)are as follows: • Bear Creek Dewatto Road Clear Zone Improvements ---------- All work done In-House • Clear Zone Improvements --------------------------------------------- All work done In-House • E.Agate Road Resurfacing Project (MP 3.1 to 3.75) ------------ All work done In-House • Harstine Island Bridge -------------------------------------------------- No work has started yet • Old Belfair Highway Resurfacing Project -------------------------- All work done In-house No other projects listed in the MPO STIP. 14. Education &Training—Describe actions taken to promote Title VI compliance through education and trainings, including monitoring and review processes, and their outcomes/status. List Title VI training/webinars your Title VI Coordinator attended this reporting period. Include dates and entity that conducted the training. When was Title VI internal training provided to staff? Who conducted the training? What was the subject of the training? Provide the job titles and race/color/national origin of attendees. Page 1 13 Appendix 28.93 List other civil rights training conducted locally. Provide dates and a list of participants byjob title and Title VI role, if applicable. With limited training opportunities for Title VI due to the COVID pandemic, staff involved in Title VI compliance and reporting were required to do the following online training: 1. "Title VI/Nondiscrimination: Background and Purpose of Civil Rights Act", Nondiscrimination Assurances, Implementation Plan and Compliance and Enforcement FHWA online videos and review the recently updated Ch. 28—Title VI Program from the LAG Manual. Date: February 2021 Mike Collins, County Engineer, Caucasian Loretta Swanson, Public Works Director, Caucasian Dave Smith, E&C Manager, Caucasian Fred Perryman, E&C Assistant Mgr., Caucasian Phil Franklin, ROW Agent, Caucasian Sheree Jankowski, Engineer, Caucasian Alan Berbisco, Project Engineer, Filipino Jesse San Nicholas, Engineer, Filipino Kelle Medcalf, PW Office Administrator, Caucasian 2. Managers/Supervisors have taken "Harassment, Discrimination and Retaliation Prevention for Supervisors" training that covered equal employment opportunity (EEO/non-discrimination). Training provided by WCRP. Job titles and rac%olor/national origin of attendees have been previously listed above. Date: February 2021 Mike Collins Loretta Swanson Dave Smith Kelle Medcalf Fred Perryman 3. Engineering & Construction staff have also held monthly meeting, and sometimes more/less depending on project needs to discuss project needs. This meeting is held by the County Engineer and the Engineering & Construction Manager. Job titles and rac%olor/national origin of attendees have been previously listed above. Mike Collins Dave Smith Phil Franklin Sheree Jankowski Alan Berbisco Jesse San Nicholas Page 1 14 Appendix 28.93 4. WSDOT DBE Training for Local Agencies Webinar Date: March 2, 2021 Lucy Castillo,Administrative Asst., Hispanic Amy Braakman, Administrative Asst., Caucasian Dave Smith, E&C Mgr., Caucasian Victor Rhett, Finance Mgr., Black Phil Franklin, ROW Agent, Caucasian Richard Dickinson, Deputy Director/ U&W Mgmt., Caucasian Grant Dishon, Road Supervisor, Caucasian Jeremy Seymour, Road Maint. Mgr., Caucasian Kelle Medcalf, PW Office Administrator, Caucasian Mike Mclrvin, Surveyor Mgr., Caucasian The county requires all projects notices and contracts to include language relating to the requirements for nondiscrimination with a Title VI compliance and policy statement. The County recently added a "Title VI Notice to Public" with complaint procedures and how to seek information regarding non- discrimination obligations. WSDOT Local Programs establishes goals for the participation of Underutilized Disadvantaged Business Enterprises (UDBE), where applicable. All federally funded projects administered by the County contain Title VI provisions (FHWA Form 1273). County actions on Federally funded County projects are monitored with the assistance of WSDOT. WSDOT Local Programs conducts and reviews Subcontracting/Apprenticeship Availability Analysis Worksheets for projects. The worksheet identifies the specific scopes of work, if any, which may be available for performance by subcontractors, Specifications (FHWA Form 1273) defining Title VI requirements are included in the contract documents with a requirement that these provisions be included in all amendments, supplements and lower tier contracts entered into by the contractor. Contract documents are also GSP 1-07.11 language relating to the Requirements for Non- Discrimination. Title VI Goals for Upcoming Year What area(s) of Title VI does your agency plan to focus on in the upcoming year? Describe by particular program area what your agency hopes to accomplish. Include any significant problem areas to focus on and plans to address those. The Department will focus on the improvement of existing rights-of-ways and corridors. Currently there are three new road in the Mason County's 6-Year Transportation Improvement Program. 1. Belfair Connector—Log Yard Road (new construction) 2. Belfair Connector Romance Hill Road (new construction) 3. Razer Road Extension (new construction) These projects will have significant impact to the northern part of Mason County (Belfair area) and the transportation/environmental studies and public involvement will be key the success of these projects. Page 1 15 Appendix 28.93 Another focus that we hope to have up and running is a virtual county project mapping tool on the County webpage that citizen can use to get information of upcoming and current projects, with project descriptions, locations, funding information and construction pictures. The County will also continue Title VI and/or civil rights training, especially for new staff and those involved in Title VI reporting. This will depend on what is being offered by WSDOT, however,we will explore possible offerings from other providers/resources and continue look for potential webinars as we did for this year. irEPA °`° EJSCREEN ACS Summary Report Location: User-specified point center at 47.181048,-123.160448 Ring(buffer): 1-miles radius Description: Deegan Road CRP 2014 Summary of ACS Estimates 2013-2017 Population 190 Population Density(per sq.mile) 39 Minority Population 21 %Minority 11% Households 63 Housing Units 76 Housing Units Built Before 1950 6 Per Capita Income 28,001 Land Area(sq. miles) (Source:SF1) 4.90 %Land Area 97% Water Area (sq. miles)(Source:SF1) 0.13 %Water Area 3% 2013-2017 Percent MOE(±) ACS Estimates Population by Race Total 190 100% 330 Population Reporting One Race 178 93% 409 White 170 89% 311 Black 0 0% 12 American Indian 0 0% 12 Asian 8 4% 50 Pacific Islander 0 0% 12 Some Other Race 0 0% 12 Population Reporting Two or More Races 13 7% 107 Total Hispanic Population 1 0% 12 Total Non-Hispanic Population 189 White Alone 169 89% 311 Black Alone 0 0% 12 American Indian Alone 0 0% 12 Non-Hispanic Asian Alone 8 4% 50 Pacific Islander Alone 0 0% 12 Other Race Alone 0 0% 12 Two or More Races Alone 13 7% 107 Population by Sex Male 92 48% 164 Female 98 52% 191 Population by Age Age 0-4 9 5% 51 Age 0-17 40 21% 111 Age 18+ 150 79% 167 Age 65+ 32 17% 74 Data Note:Detail may not sum to totals due to rounding. Hispanic population can be of any race. N/A meansnot available.Source:U.S.Census Bureau,American Community Survey(ACS) 2013-2017 Page 1 17 EPA; °'°"""'° EJSCREEN ACS Summary Report Location: User-specified point center at 47.181048,-123.160448 Ring(buffer): 1-miles radius Description: Deegan Road CRP 2014 2013-2017 Percent MOE(±) ACS Estimates Population 25+by Educational Attainment Total 141 100% 187 Less than 9th Grade 2 1% 20 9th-12th Grade, No Diploma 15 11% 58 High School Graduate 32 23% 61 Some College, No Degree 57 41% 108 Associate Degree 14 10% 57 Bachelor's Degree or more 35 25% 96 Population Age 5+Years by Ability to Speak English Total 181 100% 295 Speak only English 169 93% 256 Non-English at Home1.2.3.4 12 7% 54 'Speak English"very well" 8 5% 51 2Speak English"well" 3 2% 32 3Speak English"not well" 1 1% 18 °Speak English "not at all" 0 0% 12 3+4Speak English"less than well" 1 1% 18 2.314Speak English "less than very well" 4 2% 32 Linguistically Isolated Households' Total 1 100% 18 Speak Spanish 0 0% 12 Speak Other Indo-European Languages 0 0% 12 Speak Asian-Pacific Island Languages 1 100% 14 Speak Other Languages 0 0% 12 Households by Household Income Household Income Base 63 100% 105 <$15,000 7 11% 45 $15,000-$25,000 7 11% 44 $25,000-$50,000 9 14% 40 $50,000-$75,000 19 30% 66 $75,000+ 22 35% 84 Occupied Housing Units by Tenure Total 63 100% 105 Owner Occupied 53 84% 98 Renter Occupied 10 16% 44 Employed Population Age 16+Years Total 152 100% 207 In Labor Force 92 60% 179 Civilian Unemployed in Labor Force 7 4% 34 Not In Labor Force 61 40% 118 Data Note: Datail may not sum to totals due to rounding. Hispanic population can be of anyrace. N/A means not available.Source:U.S.Census Bureau,American Community Survey(ACS) `Households in which no one 14 and over speaks English"very well"or speaks English only. Page 18 OEPA '°"`°" EJSCREEN ACS Summary Report Location: User-specified point center at 47.181048,-123.160448 Ring(buffer): 1-miles radius Description: Deegan Road CRP 2014 2013-2017 Percent MOE(±) ACS Estimates Population by Language Spoken at Home' Total (persons age 5 and above) N/A N/A N/A English N/A N/A N/A Spanish N/A N/A N/A French N/A N/A N/A French Creole N/A N/A N/A Italian N/A N/A N/A Portuguese N/A N/A N/A German N/A N/A N/A Yiddish N/A N/A N/A Other West Germanic N/A N/A N/A Scandinavian N/A N/A N/A Greek N/A N/A N/A Russian N/A N/A N/A Polish N/A N/A N/A Serbo-Croatian N/A N/A N/A Other Slavic N/A N/A N/A Armenian N/A N/A N/A Persian N/A N/A N/A Gujarathi N/A N/A N/A Hindi N/A N/A N/A Urdu N/A N/A N/A Other Indic N/A N/A N/A Other Indo-European N/A N/A N/A Chinese N/A N/A N/A Japanese N/A N/A N/A Korean N/A N/A N/A Mon-Khmer,Cambodian N/A N/A N/A Hmong N/A N/A N/A Thai N/A N/A N/A Laotian N/A N/A N/A Vietnamese N/A N/A N/A Other Asian N/A N/A N/A Tagalog N/A N/A N/A Other Pacific Island N/A N/A N/A Navajo N/A N/A N/A Other Native American N/A N/A N/A Hungarian N/A N/A N/A Arabic N/A N/A N/A Hebrew N/A N/A N/A African N/A N/A N/A Other and non-specified N/A N/A N/A Total Non-English N/A N/A N/A Data Note:Detail may not sum to totals due to rounding.Hispanic popultion can be of any race. N/A meansiot available.Source: U.S.Census Bureau,American Community Survey(ACS) 2013-2017. 'Population by Language Spoken at Home is available at the census tract summary level and up. Page 19 PROJECT REVIEW - TITLE VI COMPLIANCE Mason County must ensure that no person shall, on the grounds of race, color, or national origin, be excluded from participating in, or be denied the benefits of, or be subject to discrimination under any program or activity receiving Federal financial assistance without regard to whether specific projects or services are federally funded. The County must ensure that all transit services and related benefits are distributed in an equitable manner. Recipients of Federal funds are required to take reasonable steps to ensure meaningful access to their programs and activities by LEP persons. While designed to be a flexible and fact- dependent standard, the starting point is an individualized assessment that balances the four factors analysis (see Q&A). 1. PROJECT TITLE: CRP 2014 -Deegan Road West 2. PROJECT DESCRIPTION: Culvert replacement project at milepost 2.35 that involves removing an existing undersized culvert that is currently restricting flow under the roadway. 3. DESIGN/ENVIRONMENT ACTIVITIES: In-house design and environmental permitting 4. FUNDING: Recreation and Conservation Office (RCO) funding 5. ANY WBWBE CONTRACTS? ❑ Y ❑X N If yes please list: Click or tap here to enter text. REVIEW OF PROJECT DEMOGRAPHICS OF IMPACTED AREA: Download LEP population map and attached to answer the following questions. Environmental Justice Screening and Mapping Tool https://e*screen.epa.gov/mapper/ (Select Location. Under pop-up select Get Census Report) 6. DOES THE LEP POPULATION MAP SHOW LANGUAGE GROUP THAT EXCEEDS 5% OF THE SERVICE AREA OR 1,000 PERSONS? ❑Y X N If yes, which ethnicity/race: Click or tap here to enter text. 7. IS LANGUAGE ASSISTANCE OR SPECIAL LANGUAGE NEEDS GOING TO BE NEEDED FOR THIS PROJECT? ❑Y X N 8. HOW DOES THIS PROJECT IMPACT THE COMMUNITY? Project involves an approximately 2-week road closure that will require all traffic to use alternate routes when traveling. 9. HOW WAS STATISTICAL DATA COLLECTED AND ANALYZED FOR THOSE IMPACTED BY THE PROJECT? Used the current OFM data base information that collects and compiles census information. Page 120 PROJECT REVIEW - TITLE VI COMPLIANCE 10. HOW WILL LOW INCOME AND LEP POPULATION GROUPS BE PROVIDED EQUAL OPPORTUNITY TO PARTICIPATE IN OUTREACH ACTIVITIES (EX. PROVIDING MATERIAL IN OTHER LANGUAGES, MET WITH SOCIAL SERVICES AGENCIES, ADVERTISE IN MINORITY PUBLICATIONS): • Project will have flyers that will be mailed out to resident in the area. • Reader Boards will be placed three (3) days in advance of the project start date. • Public Meeting with County Commissioners to discuss the road closure and seek approval of the road closure. Notice will be in the county newspaper prior to the closure dates. • Project will be listed on the Public Works Road hotline, Public Works Road Closure/Restrictions webpage, County Facebook page and will be emailed out to our current road closure email list (schools, businesses, law enforcement, MACECOM, fire districts, newspapers, radio stations, citizens, emergency agencies...etc.). • Closure information to be placed on County Channel 3 tv station 11. PLANNED PUBLIC OUTREACH ACTIVITIES FOR THE PROJECT (CHECK THOSE THAT WILL APPLY BELOW): ❑ Public meetings with break-out sessions ® Web Page/Social Media/Community billboards/Reader Boards ® Folios/Emails/Press Releases/Newsletters/Mailings/Television/Radio/Survey ❑ Workshops/Open houses/Presentation to local groups/Skype ❑ Advisory/Stakeholder/Community/Groups/ RTPO/MPO/Tribal ❑ Consultation/Governmental or Quasi-Governmental Meetings ❑ Not applicable for this project. ADDITIONAL COMMENTS: Click or tap here to enter text. 12. ANY CONSULTANT AGREEMENTS FOR PLANNING, DESIGN, ENGINEERING, ENVIRONMENTAL, ETC., IF SO LIST. Not applicable to this project. Page 21 PROJECT REVIEW - TITLE VI COMPLIANCE FREQUENTLY ASKED QUESTION REGARDING LEP GUIDANCE Question: Who are limited English proficient (LEP) persons? Answer: For persons who, as a result of national origin, do not speak English as their primary language and who have a limited ability to speak, read, write, or understand. For purposes of Title VI and the LEP Guidance, persons may be entitled to language assistance with respect to a particular service, benefit, or encounter. Question: What is the four-factor analysis? Answer: Recipients are required to take reasonable steps to ensure meaningful access to LEP persons. This "reasonableness" standard is intended to be flexible and fact-dependent. It is also intended to balance the need to ensure meaningful access by LEP persons to critical services while not imposing undue financial burdens on small businesses, small local governments, or small nonprofit organizations. As a starting point, a recipient may conduct an individualized assessment that balances the following four factors: The number or proportion of LEP persons served or encountered in the eligible service population ("served or encountered" includes those persons who would be served or encountered by the recipient if the persons received adequate education and outreach and the recipient provided sufficient language services); The frequency with which LEP persons come into contact with the program; The nature and importance of the program, activity, or service provided by the program; The resources available and costs to the recipient. Question: What is expected of recipients under the Guidance? Answer: Federally assisted recipients are required to make reasonable efforts to provide language assistance to ensure meaningful access for LEP persons to the recipient's programs and activities. To do this, the recipient should: (1) conduct the four-factor analysis; (2) develop a Language Access Plan (LAP); and (3) provide appropriate language assistance. The actions that the recipient may be expected to take to meet its LEP obligations depend upon the results of the four-factor analysis including the services the recipient offers,the community the recipient serves, the resources the recipient possesses, and the costs of various language service options. All organizations would ensure nondiscrimination by taking reasonable steps to ensure meaningful access for persons who are LEP. Page 122 PROJECT REVIEW - TITLE VI COMPLIANCE Question: What are examples of language assistance? Answer: Language assistance that a recipient might provide to LEP persons includes, but is not limited to: • Oral interpretation services; • Bilingual staff; • Telephone service lines interpreter; • Written translation services; • Notices to staff and recipients of the availability of LEP services; or • Referrals to community liaisons proficient in the language of LEP persons. Question: Where can I find more information on LEP? Answer: You should review HUD's LEP Guidance. Additional information may also be obtained through the federal-wide LEP website and HUD's LEP website. Question: What is a safe harbor? Answer: A "safe harbor," in the context of this guidance, means that the recipient has undertaken efforts to comply with respect to the needed translation of vital written materials. If a recipient conducts the four-factor analysis, determines that translated documents are needed by LEP applicants or beneficiaries, adopts an LAP that specifies the translation of vital materials, and makes the necessary translations, then the recipient provides strong evidence, in its records or in reports to the agency providing federal financial assistance, that it has made reasonable efforts to provide written language assistance. Question: What is a Language Access Plan (LAP) and what are the elements of an effective LAP? Answer: After completing the four-factor analysis and deciding what language assistance services are appropriate, a recipient may develop an implementation plan or LAP to address identified needs of the LEP populations it serves. Some elements that may be helpful in designing an LAP include: • Identifying LEP persons who need language assistance and the specific language assistance that is needed; • Identifying the points and types of contact the agency and staff may have with LEP persons; • Identifying ways in which language assistance will be provided; • Outreaching effectively to the LEP community; • Training staff; • Determining which documents and informational materials are vital; Page 123 4k PROJECT REVIEW - TITLE VI COMPLIANCE • Translating informational materials in identified language(s) that detail services and activities provided to beneficiaries (e.g., model leases, tenants' rights and responsibilities brochures, fair housing materials,first-time homebuyer guide); • Providing appropriately translated notices to LEP persons (e.g., eviction notices, security information, emergency plans); • Providing interpreters for large, medium, small, and one-on-one meetings; • Developing community resources, partnerships, and other relationships to help with the provision of language services; and • Making provisions for monitoring and updating the LAP, including seeking input from beneficiaries and the community on how it is working and on what other actions should be taken. Question: What "safe harbors" may recipients follow to ensure they have no compliance finding with Title VI LEP obligations? Answer: The table below sets forth safe harbors for written translations. Size of Language Group Recommended Provision of Written Language Assistance 1,000 or more in the eligible population in the market area or Translated vital documents among current beneficiaries More than 5% of the eligible population or Translated vital documents beneficiaries and more than 50 in number More than 5% of the eligible population or Translated written notice of right to receive free beneficiaries and 50 or less in oral interpretation of documents. number 5% or less of the eligible population or beneficiaries and less than 1,000 No written translation is required. in number Page 24 to °° EJSCREEN ACS Summary Report Location: User-specified point center at 47.168417,-123.155213 Ring(buffer): 1-miles radius Description: Shelton Valley CRP 2015 Summary of ACS Estimates 2013-2017 Population 213 Population Density(per sq. mile) 86 Minority Population 16 Minority 7% Households 71 Housing Units 76 Housing Units Built Before 1950 10 Per Capita Income 26,283 Land Area(sq.miles) (Source:SF1) 2.48 %Land Area 96% Water Area (sq.miles)(Source:SF1) 0.09 %Water Area 4% 2013-2017 Percent MOE(±) ACS Estimates Population by Race Total 213 100% 385 Population Reporting One Race 208 98% 477 White 202 95% 371 Black 0 0% 12 American Indian 1 0% 20 Asian 5 2% 50 Pacific Islander 0 0% 12 Some Other Race 0 0% 12 Population Reporting Two or More Races 5 2% 107 Total Hispanic Population 4 2% 54 Total Non-Hispanic Population 209 White Alone 198 93% 369 Black Alone 0 0% 12 American Indian Alone 1 0% 20 Non-Hispanic Asian Alone 5 2% 50 Pacific Islander Alone 0 0% 12 Other Race Alone 0 0% 12 Two or More Races Alone 5 2% 107 Population by Sex Male 112 53% 246 Female 101 47% 199 Population by Age Age 0-4 13 6% 71 Age 0-17 45 21% 125 Age 18+ 168 79% 250 Age 65+ 41 19% 135 Data Note:Detail may not sum to totals due to rounding. Hispanic population can be of any race. N/A meansnot available.Source:U.S.Census Bureau,American Community Survey(ACS) 2013-2017 Page 25 ci ° "'" EJSCREEN ACS Summary Report EPA Location: User-specified point center at 47.168417,-123.155213 Ring(buffer): 1-miles radius Description: Shelton Valley CRP 2015 2013-2017 Percent MOE(±) ACS Estimates Population 25+by Educational Attainment Total 151 100% 274 Less than 9th Grade 7 4% 86 9th-12th Grade,No Diploma 16 11% 58 High School Graduate 57 38% 151 Some College,No Degree 53 35% 127 Associate Degree 16 10% 67 Bachelor's Degree or more 19 12% 96 Population Age 5+Years by Ability to Speak English Total 200 100% 353 Speak only English 194 97% 326 Non-English at Home1+2+3.4 6 3% 54 'Speak English"very well" 3 2% 51 2Speak English"well" 2 1% 32 3Speak English"not well" 0 0% 18 °Speak English"not at all" 0 0% 12 3+4Speak English "less than well" 0 0% 18 21314Speak English "less than very well" 3 1/0 32 0 Linguistically Isolated Households* Total 0 100% 18 Speak Spanish 0 0% 12 Speak Other Indo-European Languages 0 0% 12 Speak Asian-Pacific Island Languages 0 100% 14 Speak Other Languages 0 0% 12 Households by Household Income Household Income Base 71 100% 105 <$15,000 5 7% 45 $15,000-$25,000 8 11% 44 $25,000-$50,000 12 17% 40 $50,000-$75,000 18 26% 66 $75,000+ 28 39% 102 Occupied Housing Units by Tenure Total 71 100% 105 Owner Occupied 58 81% 100 Renter Occupied 14 19% 63 Employed Population Age 16+Years Total 173 100% 339 In Labor Force 100 58% 179 Civilian Unemployed in Labor Force 7 4% 55 Not In Labor Force 73 42% 221 Data Note: Datail may not sum to totals due to rounding. Hispanic population can be of anyrace. N/A means not available.Source:U.S.Census Bureau,American Community Survey(ACS) *Households in which no one 14 and over speaks English"very well"or speaks English only. Page 26 IiEPA °°"`�" EJSCREEN ACS Summary Report Location: User-specified point center at 47.168417,-123.155213 Ring(buffer): 1-miles radius Description: Shelton Valley CRP 2015 2013-2017 Percent MOE(±) ACS Estimates Population by language Spoken at Home' Total (persons age 5 and above) N/A N/A N/A English N/A N/A N/A Spanish N/A N/A N/A French N/A N/A N/A French Creole N/A N/A N/A Italian N/A N/A N/A Portuguese N/A N/A N/A German N/A N/A N/A Yiddish N/A N/A N/A Other West Germanic N/A N/A N/A Scandinavian N/A N/A N/A Greek N/A N/A N/A Russian N/A N/A N/A Polish N/A N/A N/A Serbo-Croatian N/A N/A N/A Other Slavic N/A N/A N/A Armenian N/A N/A N/A Persian N/A N/A N/A G ujarathi N/A N/A N/A Hindi N/A N/A N/A Urdu N/A N/A N/A Other Indic N/A N/A N/A Other Indo-European N/A N/A N/A Chinese N/A N/A N/A Japanese N/A N/A N/A Korean N/A N/A N/A Mon-Khmer,Cambodian N/A N/A N/A Hmong N/A N/A N/A Thai N/A N/A N/A Laotian N/A N/A N/A Vietnamese N/A N/A N/A Other Asian N/A N/A N/A Tagalog N/A N/A N/A Other Pacific Island N/A N/A N/A Navajo N/A N/A N/A Other Native American N/A N/A N/A Hungarian N/A N/A N/A Arabic N/A N/A N/A Hebrew N/A N/A N/A African N/A N/A N/A Other and non-specified N/A N/A N/A Total Non-English N/A N/A N/A Data Note:Detail may not sum to totals due to rounding.Hispanic popultion can be of any race. N/A meansnot available.Source: U.S.Census Bureau,American Community Survey(ACS)2013-2017. 'Population by Language Spoken at Home is available at the census tract summary level and up. Page 27 PROJECT REVIEW - TITLE VI COMPLIANCE Mason County must ensure that no person shall, on the grounds of race, color, or national origin, be excluded from participating in, or be denied the benefits of, or be subject to discrimination under any program or activity receiving Federal financial assistance without regard to whether specific projects or services are federally funded. The County must ensure that all transit services and related benefits are distributed in an equitable manner. Recipients of Federal funds are required to take reasonable steps to ensure meaningful access to their programs and activities by LEP persons. While designed to be a flexible and fact- dependent standard, the starting point is an individualized assessment that balances the four factors analysis (see Q&A). 1. PROJECT TITLE: CRP 2015 -Shelton Valley Road 2. PROJECT DESCRIPTION: Culvert replacement project at milepost 2.13 that involves removing an existing undersized culvert that is currently restricting flow under the roadway. 3. DESIGN/ENVIRONMENT ACTIVITIES: Design and Environmental permitting done in-house 4. FUNDING: Recreation and Conservation Office (RCO) funding 5. ANY WBWBE CONTRACTS? ❑ Y ❑X N If yes please list: Click or tap here to enter text. REVIEW OF PROJECT DEMOGRAPHICS OF IMPACTED AREA: Download LEP population map and attached to answer the following questions. Environmental Justice Screening and Mapping Tool https://e*screen.epa.gov/mapper/ (Select Location. Under pop-up select Get Census Report) 6. DOES THE LEP POPULATION MAP SHOW LANGUAGE GROUP THAT EXCEEDS 5% OF THE SERVICE AREA OR 1,000 PERSONS? ❑Y X N If yes, which ethnicity/race: Click or tap here to enter text. 7. IS LANGUAGE ASSISTANCE OR SPECIAL LANGUAGE NEEDS GOING TO BE NEEDED FOR THIS PROJECT? ❑Y X N 8. HOW DOES THIS PROJECT IMPACT THE COMMUNITY? Project involves a approximately 2-week road closure that will require all traffic to use alternate routes when traveling. 9. HOW WAS STATISTICAL DATA COLLECTED AND ANALYZED FOR THOSE IMPACTED BY THE PROJECT? Latest OFM data base and 2019 National Environmental Public Health Tracking Network Information. Page 1 28 4k PROJECT REVIEW - TITLE VI COMPLIANCE 10. HOW WILL LOW INCOME AND LEP POPULATION GROUPS BE PROVIDED EQUAL OPPORTUNITY TO PARTICIPATE IN OUTREACH ACTIVITIES (EX. PROVIDING MATERIAL IN OTHER LANGUAGES, MET WITH SOCIAL SERVICES AGENCIES, ADVERTISE IN MINORITY PUBLICATIONS): • Project will have flyers that will be mailed out to resident in the area. • Reader Boards will be placed three (3) days in advance of the project start date. • Public Meeting with County Commissioners to discuss the road closure and seek approval of the road closure. Notice will be in the county newspaper prior to the closure dates. • Project will be listed on the Public Works Road hotline, Public Works Road Closure/Restrictions webpage, County Facebook page and will be emailed out to our current road closure email list (schools, businesses, law enforcement, MACECOM, fire districts, newspapers, radio stations, citizens, emergency agencies...etc.). • Closure information to be placed on County Channel 3 tv station 11. PLANNED PUBLIC OUTREACH ACTIVITIES FOR THE PROJECT (CHECK THOSE THAT WILL APPLY BELOW): ❑ Public meetings with break-out sessions ® Web Page/Social Media/Community billboards/Reader Boards ❑X Folios/Emails/Press Releases/Newsletters/Mailings/Television/Radio/Survey ❑ Workshops/Open houses/Presentation to local groups/Skype ❑ Advisory/Stakeholder/Community/Groups/ RTPO/MPO/Tribal ❑ Consultation/Governmental or Quasi-Governmental Meetings ❑ Not applicable for this project. ADDITIONAL COMMENTS: Click or tap here to enter text. 12. ANY CONSULTANT AGREEMENTS FOR PLANNING, DESIGN, ENGINEERING, ENVIRONMENTAL, ETC., IF SO LIST. Not applicable to this project. Page ( 29 PROJECT REVIEW - TITLE VI COMPLIANCE FREQUENTLY ASKED QUESTION REGARDING LEP GUIDANCE Question: Who are limited English proficient (LEP) persons? Answer: For persons who, as a result of national origin, do not speak English as their primary language and who have a limited ability to speak, read, write, or understand. For purposes of Title VI and the LEP Guidance, persons may be entitled to language assistance with respect to a particular service, benefit, or encounter. Question: What is the four-factor analysis? Answer: Recipients are required to take reasonable steps to ensure meaningful access to LEP persons. This "reasonableness" standard is intended to be flexible and fact-dependent. It is also intended to balance the need to ensure meaningful access by LEP persons to critical services while not imposing undue financial burdens on small businesses, small local governments, or small nonprofit organizations. As a starting point, a recipient may conduct an individualized assessment that balances the following four factors: The number or proportion of LEP persons served or encountered in the eligible service population ("served or encountered" includes those persons who would be served or encountered by the recipient if the persons received adequate education and outreach and the recipient provided sufficient language services); The frequency with which LEP persons come into contact with the program; The nature and importance of the program, activity, or service provided by the program; The resources available and costs to the recipient. Question: What is expected of recipients under the Guidance? Answer: Federally assisted recipients are required to make reasonable efforts to provide language assistance to ensure meaningful access for LEP persons to the recipient's programs and activities. To do this, the recipient should: (1) conduct the four-factor analysis; (2) develop a Language Access Plan (LAP); and (3) provide appropriate language assistance. The actions that the recipient may be expected to take to meet its LEP obligations depend upon the results of the four-factor analysis including the services the recipient offers, the community the recipient serves, the resources the recipient possesses, and the costs of various language service options. All organizations would ensure nondiscrimination by taking reasonable steps to ensure meaningful access for persons who are LEP. Page 1 30 PROJECT REVIEW - TITLE VI COMPLIANCE Question: What are examples of language assistance? Answer: Language assistance that a recipient might provide to LEP persons includes, but is not limited to: • Oral interpretation services; • Bilingual staff; • Telephone service lines interpreter; • Written translation services; • Notices to staff and recipients of the availability of LEP services; or • Referrals to community liaisons proficient in the language of LEP persons. Question: Where can I find more information on LEP? Answer: You should review HUD's LEP Guidance. Additional information may also be obtained through the federal-wide LEP website and HUD's LEP website. Question: What is a safe harbor? Answer: A "safe harbor," in the context of this guidance, means that the recipient has undertaken efforts to comply with respect to the needed translation of vital written materials. If a recipient conducts the four-factor analysis, determines that translated documents are needed by LEP applicants or beneficiaries, adopts an LAP that specifies the translation of vital materials, and makes the necessary translations, then the recipient provides strong evidence, in its records or in reports to the agency providing federal financial assistance, that it has made reasonable efforts to provide written language assistance. Question: What is a Language Access Plan (LAP) and what are the elements of an effective LAP? Answer: After completing the four-factor analysis and deciding what language assistance services are appropriate, a recipient may develop an implementation plan or LAP to address identified needs of the LEP populations it serves. Some elements that may be helpful in designing an LAP include: • Identifying LEP persons who need language assistance and the specific language assistance that is needed; • Identifying the points and types of contact the agency and staff may have with LEP persons; • Identifying ways in which language assistance will be provided; • Outreaching effectively to the LEP community; • Training staff; • Determining which documents and informational materials are vital; 4 1 PROJECT REVIEW - TITLE VI COMPLIANCE • Translating informational materials in identified language(s) that detail services and activities provided to beneficiaries (e.g., model leases, tenants' rights and responsibilities brochures,fair housing materials, first-time homebuyer guide); • Providing appropriately translated notices to LEP persons (e.g., eviction notices, security information, emergency plans); • Providing interpreters for large, medium, small, and one-on-one meetings; • Developing community resources, partnerships, and other relationships to help with the provision of language services; and • Making provisions for monitoring and updating the LAP, including seeking input from beneficiaries and the community on how it is working and on what other actions should be taken. Question: What "safe harbors" may recipients follow to ensure they have no compliance finding with Title VI LEP obligations? Answer: The table below sets forth safe harbors for written translations. Size of Language Group Recommended Provision of Written Language Assistance 1,000 or more in the eligible population in the market area or Translated vital documents among current beneficiaries More than 59/8 of the eligible population or Translated vital documents beneficiaries and more than 50 in number More than 5% of the eligible population or Translated written notice of right to receive free beneficiaries and 50 or less in oral interpretation of documents. number 5% or less of the eligible population or beneficiaries and less than 1,000 No written translation is required. in number Page 1 32 Exhibit 1 Agft Washington State Department of Transportation Appendix 2 8.9 2 Letter of Intent to Comply with WSDOT Title VI Plan In lieu of adopting a Title VI Plan, the (County of Mason) agrees to comply with the WSDOT Title VI Plan. The (County of Mason) assures that no person shall on the grounds of race, color, or national origin, as provided by Title VI of the Civil Rights Act of 1964, and the Civil Rights Restoration Act of 1987 (P.L. 100.259) be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity. The (County ofM) further assures every effort will be made to ensure nondiscrimination in all of its programs and activities, whether those programs and activities are federally funded or not. The Civil Rights Restoration Act of 1987, broadened the scope of Title VI coverage by expanding the definition of terms "programs or activities" to include all programs or activities of federal aid recipients, sub-recipients, and contractors/consultants, whether such programs and activities are federally assisted or not (Public Law 100259 [S.557] March 22, 1988). In the event the (County of Mason) distributes federal aid funds to a sub- recipient, the (County) of will include Title VI language in all written agreements and will monitor for compliance. The (County of Mason) is responsible for initiating and monitoring Title VI activities, collecting data, preparing reports (including Appendix 28.93) and other responsibilities as required by 23 Code of Federal Regulation(CFR) 200 and 49 Code of Federal Regulation, WSDOT Title VI Plan, and the WSDOT Local Area Guidelines manual. Signature Title Date Executed Required Attachment: signed, unaltered USDOT1050.2a, Standard Title VI Assurances DOT Form App.28.92 Revised 03/2020 Page 33 1 The United States Department of Transportation (USDOT)Standard Title VI/Non-Discrimination Assurances DOT Order No. 1050.2A The Mason Couny(herein referred to as the "Recipient"), HEREBY AGREES THAT, as a condition to receiving any Federal financial assistance from the U.S. Department of Transportation (DOT),through Washington State Department of Transportation, is subject to and will comply with the following: Statutory/Regulatory Authorities • Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); • 49 C.F.R. Part 21 (entitled Non-discrimination In Federally-Assisted Programs Of The Department Of Transportation-Effectuation Of Title VI Of The Civil Rights Act Of 1964); • 28 C.F.R. section 50.3 (U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil Rights Act of 1964); The preceding statutory and regulatory cites hereinafter are referred to as the"Acts" and "Regulations," respectively. General Assurances In accordance with the Acts, the Regulations, and other pertinent directives, circulars, policy, memoranda, and/or guidance, the Recipient hereby gives assurance that it will promptly take any measures necessary to ensure that: "No person in the United States shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity, 'for which the Recipient receives Federal financial assistance from DOT, including the Washington State Department of Transportation,. The Civil Rights Restoration Act of 1987 clarified the original intent of Congress, with respect to Title VI and other Non-discrimination requirements (The Age Discrimination Act of 1975, and Section 504 of the Rehabilitation Act of 1973), by restoring the broad, institutional-wide scope and coverage of these non- discrimination statutes and requirements to include all programs and activities of the Recipient, so long as any portion of the program is Federally assisted. Specific Assurances More specifically, and without limiting the above general Assurance,the Recipient agrees with and gives the following Assurances with respect to its Federally assisted program: 1. The Recipient agrees that each "activity," "facility," or"program," as defined in §§ 21.23(b) and 21.23(e)of 49 C.F.R. § 21 will be (with regard to an "activity") facilitated, or will be (with regard Page 134 to a "facility") operated, or will be (with regard to a "program") conducted in compliance with all requirements imposed by, or pursuant to the Acts and the Regulations. 2. The Recipient will insert the following notification in all solicitations for bids, Requests For Proposals for work, or material subject to the Acts and the Regulations made in connection with all the Federal-Aid Highway Progrms and, in adapted form, in all proposals for negotiated agreements regardless of funding source: "The Mason County, in accordance with the provisions of Title VI of the Civil Rights Act of 1964(78 Stat. 252,42 U.S.C. §§2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award." 3. The Recipient will insert the clauses of Appendix A and E of this Assurance in every contract or agreement subject to the Acts and the Regulations. 4. The Recipient will insert the clauses of Appendix B of this Assurance, as a covenant running with the land, in any deed from the United States effecting or recording a transfer of real property, structures, use, or improvements thereon or interest therein to a Recipient. 5. That where the Recipient receives Federal financial assistance to construct a facility,or part of a facility,the Assurance will extend to the entire facility and facilities operated in connection therewith. 6. That where the Recipient receives Federal financial assistance in the form, or for the acquisition of real property or an interest in real property,the Assurance will extend to rights to space on, over, or under such property. 7. That the Recipient will include the clauses set forth in Appendix C and Appendix D of this Assurance, as a covenant running with the land, in any future deeds, leases, licenses, permits, or similar instruments entered into by the Recipient with other parties: a. for the subsequent transfer of real property acquired or improved under the applicable activity, project, or program; and b. for the construction or use of, or access to, space on, over,or under real property acquired or improved under the applicable activity, project, or program. 8. That this Assurance obligates the Recipient for the period during which Federal financial assistance is extended to the program, except where the Federal financial assistance is to provide, or is in the form of, personal property, or real property, or interest therein, or structures or improvements thereon, in which case the Assurance obligates the Recipient, or any transferee for the longer of the following periods: Page 1 35 a. the period during which the property is used for a purpose for which the Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits; or b. the period during which the Recipient retains ownership or possession of the property. 9. The Recipient will provide for such methods of administration for the program as are found by the Secretary of Transportation or the official to whom he/she delegates specific authority to give reasonable guarantee that it, other recipients, sub-recipients, sub-grantees,contractors, subcontractors, consultants, transferees, successors in interest, and other participants of Federal financial assistance under such program will comply with all requirements imposed or pursuant to the Acts,the Regulations, and this Assurance. 10. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to any matter arising under the Acts, the Regulations,and this Assurance. By signing this ASSURANCE, Mason County also agrees to comply(and require any sub-recipients, sub- grantees, contractors, successors, transferees, and/or assignees to comply) with all applicable provisions governing Mason county access to records, accounts, documents, information, facilities, and staff. You also recognize that you must comply with any program or compliance reviews, and/or complaint investigations conducted by Mason County.You must keep records, reports,and submit the material for review upon request to Mason County, or its designee in a timely, complete, and accurate way. Additionally,you must comply with all other reporting, data collection, and evaluation requirements, as prescribed by law or detailed in program guidance. Mason County gives this ASSURANCE in consideration of and for obtaining any Federal grants, loans, contracts, agreements, property, and/or discounts, or other Federal-aid and Federal financial assistance extended after the date hereof to the recipients by the U.S. Department of Transportation under the Federal-Aid Highway Program.This ASSURANCE is binding on Washington State,other recipients, sub- recipients,sub-grantees, contractors,subcontractors and their subcontractors',transferees, successors in interest, and any other participants in the Federal-Aid Highway Program.The person(s) signing below is authorized to sign this ASSURANCE on behalf of the Recipient. Randing Neatherlin, Chair by Mason County Chair DATED Page 1 36 APPENDIX A During the performance of this contract,the contractor, for itself, its assignees,and successors in interest(hereinafter referred to as the "contractor") agrees as follows: 1. Compliance with Regulations:The contractor(hereinafter includes consultants) will comply with the Acts and the Regulations relative to Non-discrimination in Federally-assisted programs of the U.S. Department of Transportation, Washington State Department of Transportation, as they may be amended from time to time, which are herein incorporated by reference and made a part of this contract. 2. Non-discrimination:The contractor,with regard to the work performed by it during the contract,will not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The contractor will not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices when the contract covers any activity, project, or program set forth in Appendix B of 49 CFR Part 21. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all solicitations,either by competitive bidding, or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials, or leases of equipment, each potential subcontractor or supplier will be notified by the contractor of the contractor's obligations under this contract and the Acts and the Regulations relative to Non- discrimination on the grounds of race, color, or national origin. 4. Information and Reports:The contractor will provide all information and reports required by the Acts,the Regulations, and directives issued pursuant thereto and will permit access to its books, records, accounts,other sources of information, and its facilities as may be determined by the Recipient or the Washington State Department of Transportation to be pertinent to ascertain compliance with such Acts, Regulations, and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish the information,the contractor will so certify to the Recipient or the Washington State Department of Transportation, as appropriate, and will set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance: In the event of a contractor's noncompliance with the Non- discrimination provisions of this contract, the Recipient will impose such contract sanctions as it or the Washington State Department of Transportation may determine to be appropriate, including, but not limited to: a. withholding payments to the contractor under the contract until the contractor complies; and/or b. cancelling,terminating, or suspending a contract, in whole or in part. 6. Incorporation of Provisions:The contractor will include the provisions of paragraphs one through six in every subcontract, including procurements of materials and leases of equipment, Page 1 37 unless exempt by the Acts, the Regulations and directives issued pursuant thereto.The contractor will take action with respect to any subcontract or procurement as the Recipient or the Washington State Department of Transportation may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided,that if the contractor becomes involved in, or is threatened with litigation by a subcontractor,or supplier because of such direction,the contractor may request the Recipient to enter into any litigation to protect the interests of the Recipient. In addition, the contractor may request the United States to enter into the litigation to protect the interests of the United States. A Page 1 38 APPENDIX B CLAUSES FOR DEEDS TRANSFERRING UNITED STATES PROPERTY The following clauses will be included in deeds effecting or recording the transfer of real property, structures, or improvements thereon, or granting interest therein from the United States pursuant to the provisions of Assurance 4: NOW,THEREFORE, the U.S. Department of Transportation as authorized by law and upon the condition that Mason County will accept title to the lands and maintain the project constructed thereon in accordance with Title 23, United State Code, the Regulations for the Administration of program, and the policies and procedures prescribed by the Washington State Department of Transportation of the U.S. Department of Transportation in accordance and in compliance with all requirements imposed by Title 49, Code of Federal Regulations, U.S. Department of Transportation,Subtitle A, Office of the Secretary, Part 21, Non-discrimination in Federally-assisted programs of the U.S Department of Transportation pertaining to and effectuating the provisions of Title VI of the Civil Rights Act of 1964(78 Stat. 252;42 U.S.C. § 2000d to 2000d-4), does hereby remise, release, quitclaim and convey unto Mason County all the right,title and interest of the U.S. Department of Transportation in and to said lands described in Exhibit A attached hereto and made a part hereof. (HABENDUM CLAUSE) TO HAVE AND TO HOLD said lands and interests therein unto Mason County and its successors forever, subject, however,to the covenants, conditions, restrictions and reservations herein contained as follows, which will remain in effect for the period during which the real property or structures are used for a purpose for which Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits and will be binding on the Mason County, its successors and assigns. The Mason County, in consideration of the conveyance of said lands and interests in lands, does hereby covenant and agree as a covenant running with the land for itself, its successors and assigns, that(1) no person will on the grounds of race, color,or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination with regard to any facility located wholly or in part on, over, or under such lands hereby conveyed [,] [and]* (2)that the Mason County will use the lands and interests in lands and interests in lands so conveyed, in compliance with all requirements imposed by or pursuant to Title 49,Code of Federal Regulations, U.S. Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Non-discrimination in Federally-assisted programs of the U.S. Department of Transportation, Effectuation of Title VI of the Civil Rights Act of 1964, and as said Regulations and Acts may be amended [, and (3)that in the event of breach of any of the above- mentioned non-discrimination conditions,the Department will have a right to enter or re-enter said lands and facilities on said land, and that above described land and facilities will thereon revert to and vest in and become the absolute property of the U.S. Department of Transportation and its assigns as such interest existed prior to this instruction].* (*Reverter clause and related language to be used only when it is determined that such a clause is necessary in order to make clear the purpose of Title VI.) B Page 1 39 APPENDIX C CLAUSES FOR TRANSFER OF REAL PROPERTY ACQUIRED OR IMPROVED UNDER THE ACTIVITY, FACILITY, OR PROGRAM The following clauses will be included in deeds, licenses, leases, permits, or similar instruments entered into by the Mason County pursuant to the provisions of Assurance 7(a): A. The (grantee, lessee, permittee, etc. as appropriate) for himself/herself, his/her heirs, personal representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree [in the case of deeds and leases add "as a covenant running with the land"] that: 1. In the event facilities are constructed, maintained, or otherwise operated on the property described in this(deed, license, lease, permit, etc.)for a purpose for which a U.S. Department of Transportation activity,facility, or program is extended or for another purpose involving the provision of similar services or benefits,the (grantee, licensee, lessee, permittee,etc.) will maintain and operate such facilities and services in compliance with all requirements imposed by the Acts and Regulations(as may be amended) such that no person on the grounds of race, color, or national origin, will be excluded from participation in,denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities. B. With respect to licenses, leases, permits, etc., in the event of breach of any of the above Non- discrimination covenants, Mason County will have the right to terminate the (lease, license, permit, etc.) and to enter, re-enter, and repossess said lands and facilities thereon, and hold the same as if the (lease, license, permit, etc.) had never been made or issued.* C. With respect to a deed, in the event of breach of any of the above Non-discrimination covenants, the Mason Countywill have the right to enter or re-enter the lands and facilities thereon, and the above described lands and facilities will there upon revert to and vest in and become the absolute property of the Mason County and its assigns.* (*Reverter clause and related language to be used only when it is determined that such a clause is necessary to make clear the purpose of Title VI.) C 4 . APPENDIX D CLAUSES FOR CONSTRUCTION/USE/ACCESS TO REAL PROPERTY ACQUIRED UNDER THE ACTIVITY, FACILITY OR PROGRAM The following clauses will be included in deeds, licenses, permits,or similar instruments/agreements entered into by Mason County pursuant to the provisions of Assurance 7(b): A. The (grantee, licensee, permittee,etc., as appropriate) for himself/herself, his/her heirs, personal representatives, successors in interest, and assigns, as a part of the consideration hereof,does hereby covenant and agree (in the case of deeds and leases add, "as a covenant running with the land")that (1) no person on the ground of race, color, or national origin, will be excluded from participation in,denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2)that in the construction of any improvements on,over,or under such land, and the furnishing of services thereon, no person on the ground of race, color, or national origin, will be excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination, (3)that the (grantee, licensee, lessee, permittee, etc.)will use the premises in compliance with all other requirements imposed by or pursuant to the Acts and Regulations, as amended, set forth in this Assurance. B. With respect to (licenses, leases, permits, etc.), in the event of breach of any of the above Non- discrimination covenants, Mason County will have the right to terminate the (license, permit, etc., as appropriate) and to enter or re-enter and repossess said land and the facilities thereon,and hold the same as if said (license, permit, etc., as appropriate) had never been made or issued.* C. With respect to deeds, in the event of breach of any of the above Non-discrimination covenants, Mason County will there upon revert to and vest in and become the absolute property of Mason County and its assigns.* (*Reverter clause and related language to be used only when it is determined that such a clause is necessary to make clear the purpose of Title VI.) D Page 141 APPENDIX E During the performance of this contract,the contractor,for itself, its assignees, and successors in interest (hereinafter referred to as the "contractor") agrees to comply with the following non- discrimination statutes and authorities; including but not limited to: Pertinent Non-Discrimination Authorities: • Title VI of the Civil Rights Act of 1964(42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21. • The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. §4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects); • Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on the basis of sex); • Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits discrimination on the basis of disability); and 49 CFR Part 27; • The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits discrimination on the basis of age); • Airport and Airway Improvement Act of 1982, (49 USC §471, Section 47123), as amended, (prohibits discrimination based on race, creed,color, national origin, or sex); • The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964,The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms "programs or activities" to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors, whether such programs or activities are Federally funded or not); • Titles II and III of the Americans with Disabilities Act,which prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities(42 U.S.C. §§ 12131-12189) as implemented by Department of Transportation regulations at 49 C.F.R. parts 37 and 38; • The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. §47123) (prohibits discrimination on the basis of race, color, national origin, and sex); • Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations,which ensures Non-discrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; • Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of Limited English proficiency(LEP).To ensure compliance with Title VI,you must take reasonable steps to ensure that LEP persons have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100); • Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities (20 U.S.C. 1681 et seq). E Exhibit 2 Mason County's Title VI Program Organizational Chart — Reporting Relationships County Commissioners Chair Chief Executive Officer Support Services Support Services Manager HR/Risk Manager Title VI Coordinator --I Prosecuting Attorneys Office Administrative Support to Complaint Investigation the Support Services __- _._1 Support Manager I Public Works Director Title VI Specialist County Engineer Engineering& Construction I Public Works Manager Office Administrator Transportation planning, Administrative Division design & Construction.Traffic Assistant to the PW Director operations,environmental and County Engineer service and Right of Way Title VI Specialist Title VI Specialist Page 43 CHIEF EXECUTIVE OFFICER: Signs the Title VI Agreement, annual reports and policy statement that is circulated throughout the County organization and published on the County website. TITLE VI COORDINATOR The County expert on the Title VI Program and Plan. Plays a lead and participatory role in the development and implementation of the FHWA Title VI Compliance Program countywide;ensuring compliance with provisions of the County's policy of non-discrimination and with the law, including the requirements of 23 CFR Part 200 and 49 CFR Part 21. Providing adequate training opportunities for applicable staff. PUBLIC WORKS DIRECTOR Understand the application of Title VI to their respective program areas and are responsible for ensuring Title VI compliance in their respective divisions through policy development, procedures, and monitoring. Providing the Title VI Coordinator with information for the annual report of Title VI accomplishments and upcoming goals including program update that reflects project, organizational, policy and inclusion in the annual Title VI Program Plan update. TITLE VI SPECIALISTS Department areas that are subject to receiving federal assistance through grants or other types of transportation related funding, or are responsible for implementing Agency directives and policies to ensure civil rights compliance and equal opportunity.The Specialists works with the Public Works Director and County Engineer to ensure their respective division's programs comply with Title VI regulations and assurances, meet the objectives of the Title VI Plan, meet federal and state reporting requirements, Each of the Specialists will maintain data relative to their respective special emphasis program area. Information is compiled for reporting requirements. Page 144 Exhibit 3 Mason • unty Public Works Deegan Road West Culvert Replacement Project Deegan Road West Road Closure Starts July 6th, 2020 Mason County Public Works will begin the replacement of a culvert on Deegan Road West at MP 2.35 on Monday, July 6th, 2020. All traffic will be restricted from entering the work zone. This closure will help expedite the replacement, minimizing the inconvenience to the traveling public. Please become familiar with the alternate routes and allow for extra travel time to use them. We estimate that the road will reopen to traffic around July 17th, 2020. If you have questions, please feel free to contact the Public Works Department. Follow @masoncountywa on Facebook for project updates and County notices. .NS)�F1TOly MA7LOCK- b 1 h �WYandotteA F I 9Sj i Detour/ Evacuation Route aw Shelton Valley Road Q? w �N Shelton Value 2� /1 �'�1gOWtVA11EYDR " / Road Closure on WCOBLE�°DOR WCLARKRD Deegan Road West ,cEPL at MP2.35. Rvpy wAv: � No access through wn WeULtDOZERFU, usr � the work zone. Project site / work',zone i All traffic must use alternate routes. W ����° o 3 �SA� w�NSEL W BEAR, RD ROO m W CLOQUALLUM RE)W DOG GONE D� C Mason •unty Public Works 11 W Public • - Shelton, ` 98584 Phone- 360-427-9670 ext. 450 Web site- www.co.mason.wa.us/public-works Facebook- @rnasoncountywa Page 45 El Proecto para Reemplazo del Alcantarillado del Camino Deegan West ' El Cierre del Camino Deegan West Road �. Comenzara el 6 de juilio del 2020 oN co El Departamento de Obras Publicas del Condado de Mason comenzara el reemplazo del alcantarillado en el Camino de Deegan Road West al millaje punto 2.35 (MP 2.35) el dia tunes 6 de julio, 2020. Se va a restringir la entrada a todo el trafico dentro de la zona de trabajo. El cierre ayudara a expediter el reemplazo para minimizer el inconveniente a la circulacion del publico. Haga el favor de familiarizarse con las rutas alternas y darse el tiempo extra para transportarse en estas. Se estima que el Camino volvera a abrir al transito cerca del 17 de julio, 2020. Si tiene alguna pregunta, comuniquese con el Departamento de Obras Publicas. Tambien nos podra seguir en @masoncountywa en Facebook para ver los reportes al dia del proyecto y las notificaciones del Condado. NT OELTONMATLOCK� v 4WYandotteA � 9sT 1 Desviio I Ruta de Evacuaci6n Carretera de Shelton Valley Road � �4 4:FcA Shelton Val* -•-' - -••; Cierre del Camino Do de Deegan road WCOB LE�� o WCLARKRD West al millaje pi(�Y w punto 2.35. , t { WBULLDDZERFLTS YyyT,�UST�j,tyl Ningun acceso Sitio del proyecto / zona de trabajo dentro de la zona de trabajo. Todo el w °l o trafico debera usar w#ftL rutas alternas. wRM, ,j�ROo� ft" W CLOQUALLUM RD W Dp0 D Departamento, de Obras P6blicas 11 W Public • - Shelton, 98584 - - • • 61 •• 0 ext. 450 Sitio -• www.co.mason.wa.us/public-works Facebook- @masoncountywa Exhibit 4 Mason County Public Works Shelton Valley Culvert Replacement Project Shelton Valley Road Closure Starts July 20th, 2020 Mason County Public Works will begin the replacement of a culvert on the Shelton Valley Road at MP 2.13 on Monday, July 20th, 2020. All traffic will be restricted from entering the work zone. This closure will help expedite the replacement, minimizing the inconvenience to the traveling public. Please become familiar with the alternate routes and allow for extra travel time to use them. We estimate that the road will reopen to traffic around August 7th, 2020. If you have questions, please feel free to contact the Public Works Department. Follow @masoncountywa on Facebook for project updates and County notices. Y � ■ N y4ELTCN NATLG ■ p r � ♦ r Project site / work zone -__ _ - • - Detour/Evacuation Route _ Deegan Road West ♦ ;-rc�'.E r," Road Closure on . 1-- � Shelton Valley Road #� at MP 2.13. ,c� • ►ti ,';�t ♦ � ~ * V t: No access through . T r1 the work zone. All traffic must use alternate routes. Mason County Public Works 100 W Public Works Drive Shelton, WA 98584 Phone: 360-427-9670 ext. 450 Website: www.co.mason.wa.us/public-works Facebook: @masoncountywa Page 47 Obras Publicas del Condado de Mason El Proecto para Reemplazo del Alcantarillado del Camino Shelton Valley El Cierre del Camino Shelton Valley Road Comenzara el 20 de juillio del 2020 41 El Departamento de Obras Nblicas del Condado de Mason comenzara el reemplazo del alcantarillado en el Camino de Shelton Valley Road al millaje punto 2.13 (MP 2.13) el dia lunes 20 de julio, 2020. Se va a restringir la entrada a todo el trafico dentro de la zona de trabajo. El cierre ayudara a expeditar el reemplazo para minimizar el inconveniente a la circulacion del publico. Haga el favor de familiarizarse con las rutas alternas y darse el tiempo extra para transpor- tarse en estas. Se estima que el camino volvera a abrir al transito cerca del 7 de agosto, 2020. Si tiene alguna pregunta, comuniquese con el Departamento de Obras Publicas. Tambien nos podra seguir en @masoncountywa en Facebook para ver los reportes al dia del proyecto y las notificaciones del Condado. (/ Y � ■ 94ELT-34 Ma1Tl�R ■ � r � I M ♦ / ♦ r 1 Sitio del proyecto / zona de trabajo - IIB-u3 Desvio/ Ruta de Evacuac'on by -F RD Cierre del Camino Carretera de Deegan Road West de Shelton Valley4R •• w, „ Road al millaje • WAY punto2.13. 9 ) .00d wI Ningun acceso L-w 10 dentro de la zona de trabajo. Todo el trafico debera usar rutas alternas. Departamento de Obras Publicas 100 W Public Works Drive Shelton, WA 98584 Telefono: 360-427-9670 ext. 450 Website: www.co.mason.wa.us/public-works Facebook: @masoncountywa Page 48 Exhibit 5 RESOLUTION NUMBER ao,,)0 q COUNTY ROAD CLOSURE DEEGAN ROAD WEST NOTICE IS HEREBY GIVEN that pursuant to RCW 47.48.010,Deegan Road West, County Road No. 06110, shall be closed to all through traffic at approximate Milepost 2.35 starting on Monday, July 6, 2020 reopening prior to Friday, July 17, 2020. Commuters should become familiar with alternate routes and allow for extra travel time during the closure. A detour route will be posted during the closure. NOW THEREFORE, BE IT RESOLVED, the Board of County Commissioners has declared the above described road closure a public necessity to facilitate the Deegan Road West culvert replacement project, CRP 2014. THEREFORE, the County Engineer is hereby ordered and authorized to proceed as prescribed by law. ADOPTED this 9 day of 12020. BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON 4 AZ' 'r:;Z1 Sharon Tr�.sk, Chair ATTEST: L. ` R y Neatherli ,Vice Chair Me is— rewry, Clerl of the Board APPROVED AS TO FORM: Kevin Shutty, Co ssioner Tim Whit&,cad-Cfiief Deputy Prosecuting Attorney cc: Commissioners Engineer JOURNAL: Publ. 1t.: 6/18/20 (Bill Road Dept.) POST: At Least three(3) days prior to closure. Page 49 CRP 2014 - DEEGAN RD WEST CULVERT REPLACEMENT Deegan Rd W MP 2.37 $ MP 2.37 ( _�v 0a 1 � Ot�,`� Nw�•���a � W MEGAN� } J IIMty t I drn 3 W CLOQUALLUM Rp elta,r x Sources: Esri, USG' S,ZOAA ♦ �� Skoko"r+h 'Rrrr�.�lon 1 G ♦ ♦ �a ♦ ♦ IPrai ' rt,u,;t ♦ � Joh i—� ♦ �"-� .J.. � ��ra r,- Hart <r Squ axin ♦ C Island Indian Reservation GOOSE PRAIRIE Wrs[air -ki Vaaey o-� '�I01 3 L rairie Prairie 8u k Prairi pa Moat„n �a Harbor I '- r 5•a s� FF M 4 = wSiS» M SchenideI r° Prairi o- g i . p P1 S „e°•'" ' 1 SB th Ave NE a W Y »s g = is aprkal skit, � `m lean:,�?,-C A ` k" ti 1 L L ' ,-�.. ..... N R L r* Sources: Esn,HER 8 CAN, Esri Japan 0 1.252.5 5 7.5 10 Culvert Re placement mTom, Mapmyln Miles S. P Immunity, Source Page 50 Exhibit 6 RESOLUTION NUMBER,2oao-4 7 COUNTY ROAD CLOSURE SHELTON VALLEY ROAD NOTICE IS HEREBY GIVEN that pursuant to RCW 47.48.010, Shelton Valley Road, County Road No. 05930, shall be closed to all through traffic at approximate Milepost 2.13 starting on Monday,July 20, 2020 reopening prior to Friday, August 7, 2020. Commuters should become familiar with alternate routes and allow for extra travel time during the closure. A detour route will be posted during the closure. NOW THEREFORE, BE IT RESOLVED, the Board of County Commissioners has declared the above described road closure a public necessity to facilitate the Shelton Valley Road culvert replacement project, CRP 2015. THEREFORE, the County Engineer is hereby ordered and authorized to proceed as prescribed by law. ADOPTED this 2�day of ) 2020. BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON "%�L?- Sharon Trask, Chair ATTEST: -1 Z'4' 'c4 / R&6dy Neatherl' ,Vice Chair Mel a wry, CIA'of the Board APPROVED AS TO FORM: Kevin Shutty, C mmissioner Tim Wliiteh`Mad;Chief Deputy Prosecuting Attorney cc: Commissioners Engineer JOURNAL: Publ. It.: 6/18/20 (Bill Road Dept.) POST: At Least three(3Ldays prior to closure. Page 51 CRP 2015 - W SHELTON VALLEY RD CULVERT REPLACEMENT Muncaster Sea' 5eal,rd Shelton Valley Rd MP 2.13 MPjVOc�FtO W SHE00 1A -------------- _i r ON VPL�EY RD Id". 5 ' - -- MP2.13 O 1 1 � e�lta. Sources:Esri, USGS, NOAA `� f ♦♦ ` - -- ,,_. ♦ 1 -11;., t ♦ ♦ ` IndJn ♦ Rr•Frn Minn f ♦ ` koko C� ♦ ♦ I ♦ ` n a rid mot, ♦ Joh ,11 Sh r' . sr.�7+ •) _- Syuatin ♦ j Island Indian ♦ ?-J� Resr•rc ati nn GOOSE PRAIRIE /As Valk3y ' Carstaf 1 - Pta'� Bu k P L raffleraih n 0.� Ra+inn liarbm R r+►sr . �e"J, ' -Schenider y Pra%ne 362,Orr NE tv q / - r FoRst 5 . / � eLACK N / LL 'Sources: Esri, HER / w GAN,�Esri Japan 0 1.252.5 5T` 7.5 10 Culvert Replacement mTom, Mapmyln Miles mmunity, Source Page 152 Exhibit 7 INVOICE 05272020-MCPW-MlY1 WA VEN SWV0068524-01 Due: Friday,June 5,2020 Page 1 of 1 MAY 2020 CIVIL DOCKET From: Carlo Tanne Certified Court Interpreter Sp/En—WA AOC#9842 Date: May 27,2020 To: Mason County Public Works c/o Admin:Kelle Medcalf 100 W Public Works Drive Shelton,WA 98584 Phone:(360)427-9670,Ext.462 Regarding: Deegan Road West Closure—Flyer Translation,Spanish A 2020 Scheduled Cases Rate ubtotals Travel Case Type May 27 Flyer Translation: $65 hr.—2 hrs.min. 130 0.575C OFM 2020 Copy Translation Deegan Road W.Closure Y:hr.inc. /a Culvert Repair Requested by Kelle Medcalf Mason C.Public Works Travel: /c in town IT OTAL: 130 B Travel Address: Olympia-Shelton n/a C TOTAL: $130.00 DUE DATE: Please submit by Friday,June 5,2020 PLEASE MAIL TO: Carlo Tanne P.O.Box 11543,Olympia,WA 98508 Accept digital signature only from: acapelladejure@gmail.com Id THANK YOU FOR YOUR BUSINESS! Please call or write if you have any questions: 206 355 9991/acapelladejure@gmail.com 5 Spanish/English Language Services•Accurate Verbatim Interpreting for Trial Court Court Hearings Interpreting•Legal Conferencing•On-Site International Dialing Service•On-Site&Remote Phone Interpreting•Administrative Hearings Depositions•Investigations•ELIO•IME•Forensic and Legal Transcription•Legal Assistance•Translating Legal/Medical/Technical•Copywriting Carlo Tanne • P.O.Box 11543 • Olympia,WA 98508 • cell phone:206 355-9991 • acapelladejure@gmail.com Page 53 Obras P6blicas del Condado de Mason El Proyecto para el Reemplazo del Alcantarillado del Camino Deegan West El Cierre del Camino Deegan West Road Comenzara el 6 de julio del 2020 El Departamento de Obras 136blicas del Condado de Mason comenzara el reemplazo del alcantarillado en el Camino de Deegan Road West al millaje punto 2.35 (MP 2.35)el dia lunes 6 de julio, 2020.Se va a restringir la entrada a todo el trafico dentro de la zona de trabajo. El cierre ayudara a expeditar el reemplazo para minimizar el inconveniente a la circulaci6n del p6blico. Haga el favor de familiarizarse con las rutas alternas y darse el tiempo extra para transportarse en estas.Se estima que el camino volvera a abrir al transito cerca del 17 de julio, 2020.Si tiene alguna pregunta,comuniquese con el Departamento de Obras P6blicas.Tambien nos podra seguir en @masoncountywa en Facebook para ver los reportes al dia del proyecto y las notificaciones del Condado. Detour/Evacuation Route Shelton Valley Road Desvio/Ruta de Evacuaci6n Carretera de Shelton Valley Road Road Closure on Deegan Road West at MP 2.35 Cierre del Camino de Deegan Road West al millaje punto 2.35 No access through the work zone.All traffic must use alternate routes. Ning6n acceso dentro de la zona de trabajo.Todo el trafico debera usar rutas alternas. Project site/work zone Sitio del proyecto/zona de trabajo Departamento de Obras 136blicas 100 W Public Works Drive, Shelton, WA 98584 Telefono:360-427-9670 ext.450 Sitio Web: www.co.mason.wa.us/public-works Facebook: @masoncountywa Page 54 Exhibit 8 MASON COUNTY COMMISSIONERS RESOLUTION NO:,��v COUNTY ROAD PROJECT NO. 2014 WHEREAS,on Mason County Road No. 06110, known locally as the Deegan Road West and more specifically located in Sec. 35,T.20 N.R 4 NN WM,at approximately mile post 2.37; work defined as"construction'in the BARS Manual,Page 11-63,et seq,is determined to be necessary and proper; and, THEREFORE,BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS that it is their intention to: Replace existing undersized culvert with a single structure that will carry flows under this critical roadway. SAID WORK is to be performed by Contract and/or County Forces in accordance with Washington State Standard Specifications for Road and Bridge Construction as adopted by Mason County. (RCW 36.77.060 and/or RCW 26.77.065) BE IT FURTHER RESOLVED that the described County Road Project is necessary and proper,and the estimated costs of said project are herewith set out as follows: Engineering: $52,150 Right of Way $20,000 Construction $511,325 The County Road project herein described in HEREBY DECLARED to be a public necessity,and the County Road Engineer is HEREBY ORDERED AND AUTHORIZED to report and proceed thereon as by law, provided and in accordance with RCW 36.77.070 et. seq. kd ADOPTED this_,3�Lday of h 2018. BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON X/ Ra y Neatherli , hair ATTEST: 411'1 L^Ifc LPIJ;��Q� Terri Drexler,Commis oner N1 iss wry,Cle c of the Board !7" Kevin Shutty, ommissioner APPROVED AS TO FORM: T Tim Whitehead, Deputy Prosecuting Attorney cc: Co.Commissioners Engineer I JOURNAL: Publ. It: `, ! Z I Pagel 55 MASON COUNTY COMMISSIONERS RESOLUTION NO: �y"�� COUNTY ROAD PROJECT NO. 2015 WHEREAS,on Mason County Road No.05930,known locally as the Shelton Valley Road and more specifically located in Sec. 27,T.20 N,R 4 W.WM,at approximately mile post 2.13;work defined as"construction"in the BARS Manual,Page II-63,et seq,is determined to be necessary and proper; and, THEREFORE,BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS that it is their intention to: Replace existina undersized culvert with a single structure that will carry flows under this critical road��ay. SAID WORK is to be performed by Contract and/or County Forces in accordance with Washington State Standard Specifications for Road and Bridge Construction as adopted by Mason County. (RCW 36.77.060 and/or RCW 26.77.065) BE IT FURTHER RESOLVED that the described County Road Project is necessary and proper,and the estimated costs of said project are herewith set out as follows: Engineering: 50,700 Right of Way $ 20,000 Construction $405,000 The County Road project herein described in HEREBY DECLARED to be a public necessity,and the County Road Engineer is HEREBY ORDERED AND AUTHORIZED to report and proceed thereon as by law,provided and in accordance with RCW 36.77.070 et.seq. ADOPTED this _LEday of TAP.L 2018. BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON Ra y Neatherlin,Ch ATTEST: Terri Drexler,Vic air Me 1ss ewry,Clerl of the Board Kevin Shutty, ommissioner APPROVED AS TO FORM: Tim Whitehead, Deputy Prosecuting Attorney cc: Co.Commissioners Engineer Pagel 56 JOURNAL: Publ. It: BY ORDER OF THE BOARD OF COUNTY COMMISSIONERS OF MASON COUNTY,WASHINGTON NOTIFICATION OF FINAL COST COUNTY ROAD CONSTRUCTION—2020 BE IT HEREBY ORDERED,that the undersigned Board of County Commissioners of Mason County,Washington,gives official notification in conformance to RCW 36.77.070 of the actual construction expenditures for county force construction projects in Mason County for year 2020 where the estimated cost of the work exceeds$10,000. CRP NO. COUNTY ROAD NAME COUNTY FORCES PROJECT TOTAL DATE 2014 Deegan Rd.W $362,334. $413,364. 12/31/20 Culvert Replacement'.• 2015 Shelton Valley Rd. $255,244. $312,640. 12/31/20 Culvert Replacement **Total County Forces Expenditures: $617,578.00 *The preliminary cost estimate,covering the above-named project(sywas formerly ordered on the indicated days,as provided by RCW 36.77.070. **This figure satisfies the requirement of RCW 36.77.065.Mason County's 2020 County Forces Construction limit was$1,269,483.75. DATED this , U'day of 2021. BOARD OF COMMISSIONERS CERTIFIED BY: MASON CO , Y,WASHINGTON COLLINS,P8 County Engineer Y NEATHE N,Chair ATTEST: KErN S Vice Chair LldC J_ — MCKENZIE S TH,CWrlc of the Board - APPROVE AS TO FORM TIM ief DPA cc: Commissioners Finance JOURNAL: Publ.It.:4/1/2021(Bill: Mason County Dept.of Public Works) Page 57 Page 158 1 ON CoUH2, MASON COUNTY PUBLIC WORKS TITLE VI COMPLAINT PROCEDURES Date: 9/12/18 These procedures apply to all complaints filed under Title VI of the Civil Rights Act of 1964 and the Civil Rights Restoration Act of 1987, or under Executive Order 12898 on Environmental Justice, or under any related statutes and regulations, relating to any program or activity administered by the Mason County Department of Support Service or its sub-recipients, consultants, and/or contractors.The Mason County Department of Support Services is responsible for ensuring that all Title VI discrimination complaints occurring within the Federal-aid transportation program or its activities are investigated. If a complaint is against the Department of Public Works, the Washington Department of Transportation (WSDOT) Office of Equal Opportunity(OEO) will investigate the complaint. Intimidation or retaliation of any kind is prohibited by law. INSTRUCTIONS TO CLAIMANTS: 1) Please submit your complaint within 180 calendar days of the alleged occurrence or from when the alleged discrimination became known to you. 2) Please use the Mason County Department of Public Works Title VI Complaint Form and submit it to: Mason County Department of Support Services Forms available via Email Public Works Title VI Attention:Title VI Coordinator Website 411 N 51h Street Shelton, WA 98584 PROCESSING OF COMPLAINTS: 1) Upon receipt of the complaint, the Title VI Coordinator will determine whether the Mason County Department of Public Works has jurisdiction over the complaint, the acceptability of the complaint, whether additional information is needed, and the Title VI Coordinator may investigate the merit of the complaint. 2) The Title VI Coordinator will send the Complainant a written notice of receipt of the complaint within five (5)working days from receipt of the complaint, and will forward a copy of the complaint to the Mason County Equal Employment Opportunity(EEO) Office. Pagel 59 Mason County Public Works Title VI Complaint Procedures Page 2 3) A complaint may be dismissed for the following reasons: a) The Complainant requests withdrawal of the complaint. b) The Complainant fails to respond to repeated requests for additional information needed to process the complaint. c) The Complainant cannot be located after reasonable attempts. 4) If the complaint is against the Mason County Department of Public Works, the complaint will be forwarded and referred to the WSDOT Office of Equal Opportunity(OEO)for proper disposition pursuant to its Title VI complaint procedures. S) The Mason County Department of Support Services will assume jurisdiction and will investigate, in consultation with the County's EEO Officer and the Prosecuting Attorney's Office, any complaints against one of the Department of Public Works' sub-recipients of federal funds. 6) In cases where the Mason County Department of Support Services conducts the investigation (vs. WSDOT), the Title VI Coordinator or EEO Investigator will provide the respondent with the opportunity to respond in writing to the allegations made in the complaint. The respondent will have 10 working days from receipt of notification to provide a response to the allegations. 7) Once an investigative report and its findings are finalized by Mason County Department of Support Services, the County's EEO Officer, EEO Investigator and Prosecuting Attorney's office for review by WSDOT, a copy will be forwarded to WSDOT's OEO within 60 calendar days of acceptance of the complaint. WSDOT's OEO will share the report with FHWA as part of its Annual Title VI Update and Accomplishment Report. 8) The Mason County Department of Support Services will notify the parties of its preliminary findings, which are subject to concurrence from WSDOT's OEO. WSDOT's OEO will issue the final decision to the Mason County Department of Support Services based on the Department of Support Services' investigative report. 9) Once WSDOT's OEO issues its final decision, the Department of Support Services will notify all parties involved about such determination. 10) Appeals. If the Mason County the Department of Support Services conducts the investigation and a party is not satisfied with the outcome, the party may appeal to WSDOT pursuant to WSDOT's procedures. Contact WSDOT's OEO at 360-705-7090 for information on their most current appeal procedures and any time limits for bringing an appeal. All findings from state or local investigations are preliminary and subject to the concurrence of the Federal Highway Administration (FHWA). FHWA will render final decisions in all cases including those investigated by WSDOT.The FHWA does not provide any additional administrative appeal forums in Title VI complaints. Once the FHWA issues its final agency decision, a party in disagreement with such determination may file an appeal with the appropriate U.S. District Court. Page 1 60 Mason County Public Works Title VI Complaint Procedures Page 3 These procedures do not deny the right of the complainant to file formal complaints with other local, state or federal agencies, or to seek legal counsel for complaints alleging discrimination.These procedures are part of an administrative process and remedies do not include punitive damages or compensatory remuneration for the complainant. Every effort will be made to obtain early resolution of complaints at the lowest level possible.The Title VI Coordinator will make every effort to pursue a resolution to the complaint.The option of informal mediation meeting(s) between the affected parties and the Title VI Coordinator or EEO Investigator or Officer may be utilized for resolution. KEY DEFINITIONS for these specific procedures: Aggrieved Party—a person with a legally recognized interest who claims they were discriminated against. Complainant—a person who brings forth or makes the Title VI complaint. A complainant does not have to be the same person as the aggrieved party. Respondent—a person who allegedly did the discriminatory act or actions and who responds to the complaint or someone who acts on their behalf to respond to the complaint. Page 1 61 �A9OP CO& Y IR51 MASON COUNTY Fomento Titulo VI Quela Procedimientos Fecha: 12/09/18 Estos procedimientos se aplican a todas las reclamaciones presentadas bajo el titulo VI de la ley de derechos civiles de 1964 y la ley de restauracion de los derechos civiles de 1987, o bajo la orden ejecutiva 12898 de justicia ambiental, o de cualquier relacionados con estatutos y reglamentos, relativos a cualquier programa de o actividad administrada por el Mason County Departamento de servicio de apoyo o sus sub-receptores,consultores y contratistas. El Mason County Departamento de servicios de apoyo es responsable de asegurar que se investiguen todas las denuncias de discriminacion de titulo VI que ocurren dentro de sus actividades o el programa de transporte de la ayuda Federal. Si una queja es contra el Departamento de obras publicas, el Departamento de transporte de Washington (WSDOT) Oficina de igualdad de oportunidades (OEO) investigara la queja. Intimidacion o represalias de cualquier tipo esta prohibido por la ley. INSTRUCCIONES Para Demandantes: 1) por favor envie su queja dentro de 180 dias calendario de la supuesta aparicion o desde cuando conocio la discriminacion alegada a usted. 2) Utilice el Mason County Departamento de obras publicas titulo VI formulario de reclamacion y enviarlo a: Mason County Departamento De apoyo Servicios Formularios disponibles a traves de correo Atencion: Coordinador del titulo VI electronico obra publica titulo VI Webzine 411 N 5th Calle Shelton, WA 98584 PROCESAMIENTO De Reclamaciones: 1)Al recibir la denuncia, el Coordinador del titulo VI va a determinar si el Departamento de obras publicas del Condado de Mason tiene jurisdiccion sobre la queja, la admisibilidad de la queja,ya sea para obtener mas informacion es necesario,y el Coordinador del titulo VI pueden investigar el merito de la denuncia. 2)Titulo VI Coordinador enviara al denunciante una notificacion por escrito de la recepcion de la queja dentro de 5 cinco dias desde la recepcion de la queja y remitira una copia de la queja a la oficina de Mason County igual empleo oportunidad (EEO) e. 3) una queja puede ser despedido por las siguientes razones: a) el demandante pide la retirada de la queja. b) el demandante no respondio a repetidas solicitudes de informacion adicional necesaria para procesar la denuncia. Page 162 Obras p6blicas de Mason County Titulo VI Procedimientos Pagina 2 c) la organizaci6n querellante no puede ser localizada despues de intentos razonables. 4) si la queja es contra el Departamento de obras p6blicas del Condado de Mason, la denuncia se remiti6 y se refirio a la oficina de WSDOT de igualdad de oportunidades (OEO) para la disposici6n adecuada con arreglo a sus procedimientos de quejas del titulo VI. 5) el Departamento de servicios apoyo del Condado de Mason, asumirA jurisdicci6n a investigar6, en consulta con el Condado de EEO oficial y oficina de la Fiscalia General, quejas contra uno de los subreceptores del Departamento de obras p6blicas de fondos federales. 6) en casos donde el Mason County Departamento de servicios de apoyo realiza la investigacion (vs. WSDOT), el Coordinador del titulo VI o EEO investigador proporcionara al demandado la oportunidad de responder por escrito a las acusaciones en la queja. El demandado tendra 10 dias habiles desde la recepcion de la notificaci6n para dar respuesta a los alegatos. 7) una vez que un informe de la investigacion y sus conclusiones sean finalizados por Mason County Departamento de servicios de apoyo, el Condado oficial EEO EEO investigador y Fiscalia General Oficina para revision de WSDOT, una copia sera enviada al OEO de WSDOT dentro de 60 ca lendar dias de aceptaci6n de la queja. OEO de WSDOT compartira el informe con FHWA como parte de su titulo VI actualizaci6n anual y el informe de cumplimiento. 8) el Mason County Departamento de servicios de apoyo notificara a las partes en sus conclusiones preliminares, que estan sujetas a concurrencia de OEO de WSDOT. OEO de WSDOT emitirA la decision final para el Mason County Departamento de servicios de apoyo basado en el informe del Departamento de servicios de apoyo de la investigacion. 9) una vez OEO de WSDOT emite su decision final, el Departamento de servicios de apoyo notificara a todas las partes involucradas acerca de tal determinacion. 10)Apelaciones de. Si el Condado de Mason Ileva a cabo el Departamento de servicios de apoyo la investigacion y un partido no esta satisfecho con el resultado, la parte puede apelar a WSDOT con arreglo al procedimiento de WSDOT. Contacto OEO de WSDOT en 360-705-7090 para obtener informaci6n sobre sus procedimientos de recurso mas actuales y cualquier limitaci6n de tiempo para Ilevar un recurso de apelaci6n.Todos los resultados de estado o de las investigaciones locales son preliminares y estan sujetas a la concurrencia de la Administraci6n Federal de carreteras (FHWA). FHWA hard que las decisiones finales en todos los casos incluyendo aquellos investigados por WSDOT. La FHWA no proporciona cualquier foros de recurso adicional en las quejas del titulo VI. Una vez que la FHWA emite su decision final de la agencia, un partido en desacuerdo con dicha determinacion puede presentar una apelaci6n con la corte de districto de Estados Unidos apropiado. Estos procedimientos no niegan el derecho del demandante a presentar quejas formales con otros organismos locales, estatales o federales, o a buscar a asesoria legal para quejas por discriminaci6n. Estos procedimientos forman parte de un proceso administrativo y remedios no incluyen danos punitivos o remuneraci6n compensatoria por el querellante. Se hard todo to posible para obtener la pronta resolucion de las quejas en el nivel mas bajo posible. El Coordinador del titulo VI harA todo to posible para buscar una resolucion a la queja. La opci6n de las reuniones de mediaci6n informal entre Page 1 63 Obras p6blicas de Mason County Titulo VI Procedimientos Pagina 3 las partes afectadas y el Coordinador del titulo VI o investigador EEO u oficial puede ser utilizada para la resoluci6n. Definiciones claves para estos procedimientos especificos: Parte agraviada—una persona con un interes juridicamente reconocido que afirma que fueron discriminados. Querellante-persona que Baca o hace la denuncia de titulo VI. Demandante no tiene que ser la misma persona como la parte agraviada. Demandado—una persona que presuntamente hizo el acto discriminatorio o acciones y que responde a la denuncia o quien act6a en su nombre para responder a la queja. Page 64 2 *IX14 MASON COUNTY TITLE VI COMPLAINT FORM This form may be used by anyone who believes she or he has experienced discrimination based on race, color, national origin or sex in violation of Title VI of the Civil Rights Act of 1964 and the Civil Rights Restoration Act of 1987, or under Executive Order 12898 on Environmental Justice, or under any related statutes and regulations. Please submit this completed form to: Questions— call: Mason County Department of Support Services (360) 427-9670 Voice Attention: Title VI Coordinator 411 N 5th Street Shelton, WA 98584 or via E-Mail You do not need an attorney to file or pursue this complaint. However, you may wish to seek legal advice regarding your rights under the law. Complainant 1. Name (please print): 2. Mailing Address (street, city, state, zip): 3. Work Phone, Home Phone, Message Phone: 4. E-mail Address: Aggrieved party contact information if different from complainant: 5. Name: 6. Mailing Address (street, city, state, zip): 7. Work Phone, Home Phone, Message Phone: 8. E-mail Address: 9. If applicable and known, name, location and position/title of person(s) who you allege discriminated against you: 10. Date(s) and location(s) of incident(s)giving rise to the complaint: 11. Identify the alleged basis of discrimination: Race_ Color_ National Origin_ Sex Other Page 65 Mason County Title VI Complaint Form Page 2-3 12. Please state how you believe you were discriminated against. Include all facts upon which the complaint is based. Indicate who was involved and include how you feel the other persons were treated differently than you. Attach additional written material if needed. 13. If you think there is other information relevant to the complaint, please describe. 14. Please list below any person(s) we may contact for further information to support or . Clarify your complaint (witnesses, fellow employees, supervisors, others): Name: Position/Title: Mailing Address: Phone No: 15. What action do you, the complainant, request of the Mason County Department of Public Works? Can you provide a suggested resolution of the complaint? Page 66 Mason County Title VI Complaint Form Page 3 of 3 16. Have you filed a lawsuit or complaint regarding this matter anywhere else? If yes, give the name and address of each place where you have filed, and status of that process: I affirm under penalty of perjury that the information provided is true to the best of my knowledge. I understand that all information I provide becomes a matter of public record after the filing of this complaint. Signature of Complainant Date And/or Signature of Aggrieved Party (if different) Date Page 67 MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Mike Collins P.E, PLS, County Engineer Hearin DEPARTMENT: Public Works EXT: 450 COMMISSION MEETING DATE: Aril 27 2021 Agenda Item # 6.f BRIEFING DATE: Aril 19 2021 BRIEFING PRESENTED BY: Mike Collins [ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency ITEM: 2021 WSDOT Highway Safety Improvement Program (HSIP) Grant BACKGROUND: Public Works requests approval to submit a HSIP grant application to WSDOT for the purpose of seeking safety project funding. The funding request is based on a county-wide systematic safety analysis presented in a safety plan. Applications are due April 30t' and funding awards are announced fall 2021. A request of N $ 1.4M is proposed with a local match of 10% from the Road Fund. The estimated award to Mason County is $ 600,000 - $700,000. If the construction phase is authorized by April 30, 2023 that phase is eligible for 100% funding (no local match required). A local road safety plan must be prepared to apply for funding. The safety plan: 1. Identifies the type of crash that represents the greatest number of severe crashes and risk factors. 2. Screens and prioritizes system-wide locations. 3. Selects countermeasures that will reduce severe crashes. 4. Prioritizes system-wide safety improvement projects. WSDOT reviewed the draft and commented on April 13, 2021. TIP-CAP was briefed on this grant application on April 14, 2021. RECOMMENDED ACTION: Recommend the Board of County Commissioners authorize the County Engineer to submit the HSIP grant to WSDOT by April 30, 2021 for safety improvements throughout Mason County, as well as approval to authorize the Chair to sign all pertinent documents for the grant. ATTACHMENTS: 1. Grant Questionnaire Mason County GRANT QUESTIONNAIRE Date: April 19, 2021 Office/Department: Public Works Contact Person: Mike Collins, PLS, PE 1. Name of Grant/Program: Highway Safety Improvement Program 2. New Grant X Renewing Grant _ Term (# of years) 2 3. Is the grant unchanged, and does not require Current Expense funding? (If Y, please skip to number 24) Y _ N X 4. How will this grant benefit the County's citizens? The grant will provide funding for safety projects throughout the county based on our systemic safety analysis and existing collision 5. Is this a program grant or an equipment grant? Program Grant 6. Is this a "one-time only grant" or is it renewable? If renewable, how long is grant anticipated to last? One-time Grant 7. If this is a new grant how will the grant support a current program OR how will the program change? The grant funds would be applied to improve roadway safety throughout Mason County based on what grant items are awarded 8. Does this grant require upfront funds? Y X N If so, what is the source of the up-front funds needed to cover costs prior to initial and continuing reimbursements being received? The Road Fund will cover the costs and be reimbursed. 9. How many employees (new or current) will be paid by the grant?The grant will cover the cost of employees working on this project a. If this grant requires new hire(s) and grant ends, how will unemployment costs be funded? NIA 10. Will the grant require matching funds; i.e., in-kind, cash, Employment Security, Social Security, FICA, PERS, etc.? The grant could require no match or 10% match, all depends on if the construction phase meets the is authorized date. 11. Would the grant allow for an annual COLA in salary, increase in medical insurance premiums or increases in any personnel benefits? Covers salary increases, but not benefits. Page 1 12. What fund would support a cash match (if required)? Road Fund 13. If required what is the TOTAL cost of the match over the life of the grant? If the 10% match is required and the entire grant proposal is funded the match would be up to the following amounts, plus any amounts the project goes over the grant award: Design $ Right of Way $ Construction $ Maximum County Road Funds $ Total Grant Request - $ The grantor will likely award a portion of what is applied for and therefore only a portion of the match would be needed. 14. What fund would support the administration of the grant? Road Fund 15. Will the grant allow for the County cost allocation plan to be funded? N/A 16. Would the grant require the county to provide office space and/or additional equipment to administer the program? If so, what are the requirements? No 17. Would the program require use of a county vehicle or personal vehicle? Y X N 18. If so, would the grant provide for the cost of the automobile and/or liability insurance? Y N X . 19. Would the grant require activities by other county offices/departments? (i.e. legal review, technology services assistance, new BARS numbers.) Y N X If so, what activities? 20. Would acceptance and completion of the grant project in any way OBLIGATE the County to create/enact new ordinance or policies? Y _ N X If so, what obligations? 21. Does this grant project include any activities that may fall outside the county's standard policies (personnel policies on travel, hours of work, training required, reimbursement for meeting refreshments, paying for meeting space, etc.?) No 22. Will outside consultants be solicited to work on the grant and if so, is a process in place for appropriate selection and oversight of consultant activities? Y X N_ If so, what is the funding source for consultant fees? If a consultant is needed to help with the project(s) selected the Road Fund would cover the fees and then the grant would reimburse for 90% or 100% of the expense The road fund would be responsible for any amounts spent over the grant award. Page 2 23. For a program grant, how would the program be funded after the grant expires? (It should be understood that once grant funding ends, either the program ceases OR the funding for the program needs to be absorbed within the department's or office's existing budget) OR justification must be provided that the program has been and will continue to save or benefit taxpayers. Program would cease, maintenance of the safety improvements would be covered through the road fund as it is today. 24. Please provide (attached to questionnaire) a synopsis of the grant or a copy of the fact sheet. Please feel free to submit additional information as needed. Information regarding the Highway Safety Improvement Program and a copy of the County Safety Program: Call for Projects is attached. Official signature of requesting office/department: d 1-//¢/2o2-/ Elected O icial/Department Head Date Approved by: Chair, Board of County Commissioners Date Page 3 COVID-19 For the latest COVID-19 health guidance,statistics and resources,visit Coronavirus.wa.gov. County Safety Program: Call for Projects Call for projects-Open Closes Friday,April 30,2021 Available Funding $30 million of federal Highway Safety Improvement Program(HSIP)funds. Program Purpose The purpose of this program is to reduce fatal and serious injury(pdf 2.78 mb)crashes on county roads using engineering improvements/countermeasures. Learn more about the Highway Safety Improvement Program. Eligibility • Only counties in Washington State are eligible to apply. Other organizations may work with a county to propose/develop a project. • Preliminary engineering/design, right-of-way, and construction phases of projects are eligible for funding. • Data collection projects should be consistent with local road safety plan needs. Infrastructure-related improvement projects are eligible for these funds. (Maintenance, enforcement, and education activities are not eligible.) • When upgrading an intersection's control type from traffic signs, the county must evaluate a roundabout and provide justification if a roundabout is not selected. • Counties must submit a local road safety plan that addresses fatal and serious injury crashes in the county to be eligible to apply. Using specific information about the risk factors present at specific crash locations, the county must identify locations where those risk factors are present. They then must identify and prioritize improvements/countermeasures/projects to address the highest priority locations. This prioritized list of projects must be presented in the local road safety plan, which must be submitted with the application. A local road safety plan is a risk-based way to prioritize locations for engineering improvements to reduce fatal and serious injury crashes based on data. The local road safety plan must document how and why the priorities were selected. Crash Data Summary Local Programs is providing each county with a crash data summary.The summary shows information about the fatal,serious injury,and total crashes in the county. It also shows how the county compares with other counties in the state.The summary does not include detailed crash data. Training on Local Road Safety Plans A recording of the Local Road Safety Plan Webinar is now available for viewing.The training is for counties to learn/review how to develop a local road safety plan Other Requirements • Projects require a ten percent local match per phase (preliminary engineering/design, right-of-way, and construction) for all eligible federal expenditures. If the construction phase is authorized by April 30, 2023, then the construction phase is eligible for 100%funding (no local match required). Federal funds cannot be used as match for any phase. • Projects must be fully funded between this funding and other funding sources, as applicable. • Only one application per county may be submitted. All prioritized projects should be shown on the application. • There is no maximum funding level for the application. • Projects must comply with all necessary federal and state requirements as detailed in the Local Agency Guidelines Manual. • Once a project has been awarded funds, the county shall complete the project as selected. • Project recipients must report quarterly on the status and expenditures of each project. • Project recipients are required to submit monthly progress billings to ensure timely reimbursement of eligible federal expenditures. • Project costs incurred prior to federal fund obligation are not eligible for reimbursement. • Agencies that do not actively pursue the awarded project are at risk of the project being cancelled and the funds reprogrammed. Selection Process • All properly submitted applications will be reviewed to ensure they are complete and eligible for funding. • All projects will be prioritized based on how effective the proposed work is anticipated to be in reducing fatal and serious injury crashes. • WSDOT may conduct site visits with the applicant, as needed. • WSDOT's Local Programs Director will select the final County Safety projects by October 2021. Project Applications 1. A completed application (docx 42 kb) A completed application (pdf 113 kb). 2. Applications must include • A vicinity map showing the location of all improvements/countermeasures/projects. • A local road safety plan for the county applying for funding. The information in the application must match what is in the plan. • A conceptual plan and cross section showing the existing and final configurations - for projects that add or revise travel lanes or sidewalks. • A detailed cost estimate for each phase (preliminary engineering, right of way, and construction). The cost estimate for construction must be determined assuming that the project is design-bid-build and not constructed by the agency's forces. Submittal Process Application forms and the above items can be completed electronically or in writing but must be submitted electronically by 11:59 p.m.on Friday, April 30,2021 by email to HLPGrants@wsdot.wa.gov. Paper submittals will not be accepted.Applications received after the deadline will not be considered. Program Contacts • Matthew Enders Technical Services Manager 360-705-6907 • Region Local Programs Engineer Copyright WSDOT©2021 COVID-19 For the latest COVID-19 health guidance,statistics and resources,visit Coronavirss.vYa.gov. Highway Safety Improvement Program (HSIP) Federal Funding The Highway Safety Improvement Program(HSIP) is a federal program that allows states,and the local governments within them,to target safety funds to their most critical safety needs.The goal of the program is to reduce fatal and serious injury crashes,following Washington state's Strategic Highway Safety Plan(Target Zero)and each agency's local road safety plan(pdf 276 kb). WSDOT's programs for local governments include the County Safety program,the City Safety program,and the Railway-Highway Crossing program. Injury Levels for Crashes • Fatal - One or more persons in a crash died at the scene of the crash, on arrival to a hospital or medical facility, or at a hospital or medical facility. • Suspected serious injury (serious injury) - One or more persons in a crash had one or more of the following: Severe laceration resulting in exposure of underlying tissue/muscle/organ or resulting in significant loss of blood; broken or distored extremity; crush injury; suspected skull, chest, or abdominal injury other than bruises or minor laceration; significant burn; unconsciousness when taken from the scene; or paralysis. • Suspected minor injury: One or more persons in a crash had a non life threatening injury such as: lump on the head, abrasion, bruise, or minor laceration. • Possible injury: One or more persons in a crash had: momentary unconsciousness, claim of injury, limping, complaint of pain, or nausea.These injuries are those reported by the person or indicated by their behavior, but where no wounds or injuries are readily evident. • No injury: The officer at a crash scene has no reason to believe that the person(s) involved in the crash received any bodily harm from the crash. County Safety Program Call for projects: Open accepting applicataions Closes Friday,April 30,2021. The County Safety program provides funding for projects that reduce fatal and serious injury crashes on county roads using engineering improvements/countermeasures. Projects are identified through each county's local road safety plan,that identifies and prioritizes projects based on the top crash type(s)in the county. Projects can be at intersection(s),spot or mid-block location(s),and/or on corridor(s)throughout a county or over wide areas within a county. Funded projects: • 2019 County Safety Awards (pdf 99 kb) For more information: Contact the Technical Services Manager City Safety Program Call for projects: Closed March 6, 2020 Next call for projects will be announced in Fall 2021. The City Safety program provides funding for projects that reduce fatal and serious injury crashes on city/town streets and state highways using engineering improvements/countermeasures.The 2020 program includes two subprograms: • Spot Location: Projects must be at a specific intersection(s), spot or mid-block location(s), or corridor(s) and must address at least one fatal or serious injury crash in the most recent five year period. • Systemic: Projects are identified through a city/town's local road safety plan, that identifies and prioritizes projects based on the top crash type(s) in the city/town. Projects can be at intersection(s), spot or mid-block location(s), and/or on corridor(s) throughout a city/town or over wide areas within a city/town. Cities must submit a local road safety plan that addresses fatal and serious injury crashes and systemic safety needs to be eligible to apply.Learn more about local road safety plans: Brochure(pdf 276 kb). Funded projects: • 2020 City Safety Awards (pdf 74 kb) • 2018 City Safety Awards (pdf 455 kb) For more information: Contact the City Safety and Traffic Programs Manager Railway-Highway Crossings Program Call for projects:Closed May 29,2020 Future calls are anticipated every 2-3 years. The Railway-Highway Crossing program provides funding for safety improvements to reduce the number of fatalities,injuries,and crashes at public grade crossings.The program must use at least 50%of these funds to install or upgrade protective devices at railroad crossings.Examples include gates, pedestrian crossings,signal systems,and signing. Funds may also be used to eliminate grade crossings by closing them or providing grade separation. Funded projects: • 2017 Local Railway-Highway Crossings Awards (pdf 75 kb) For more information: Contact the Safety Analyst HSIP Funding Details and Program Performance HSIP funds are split between local government and state programs based on the priority one areas within Washington state's Strategic Highway Safety Plan (Target Zero).Those priority one areas are currently lane departure crashes and intersection crashes.The numbers of serious and fatal crashes are used to develop a program split,which currently equals 30%for WSDOT programs and 70%for local governments,primarily cities and counties.The local responsibility includes crashes on city streets designated as state highways, in cities that exceed 27,500 population.Also,the City Safety program and the County Safety program include a percentage for high risk rural roadways and approximately$2 million per state biennium for the Safe Routes to School program. The federal Transportation Act(Fixing America's Surface Transportation(FAST)Act),established five safety performance measures for State Departments of Transportation to establish targets and report on annually.Targets are set based on the five-year rolling averages for: (1)number of fatalities, (2) rate of fatalities per 100 million vehicle miles traveled(VMT),(3)number of serious injuries, (4) rate of serious injuries per 100 million VMT,and(5)number of non-motorized fatalities and non-motorized serious injuries.States must report annually and their programs must meet at least four of the five targets to maintain compliance. Copyright WSDOT©2021 MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Richard Dickinson, Deputy Director/U&W Hearin DEPARTMENT: Public Works EXT: 450 COMMISSION MEETING DATE: Aril 27, 2021 Agenda Item # cj BRIEFING DATE: Aril 19, 2021 BRIEFING PRESENTED BY: Richard Dickinson [ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency ITEM: Delegation of Signature Authority for Required Ecology Submittals BACKGROUND: The Department of Ecology requires submittal of reports or documents for permitted wastewater facilities using Ecology's WQWebPortal with an electronic signature. The Board previously delegated signature authority to Robert Choate, Water and Wastewater Manager, who is retiring. Public Works requests the authority be granted to Richard Dickinson, Deputy Director of Utilities and Waste, and Justin Phelps recently hired as the Water and Wastewater Manager. This authorization applies to the submittal of Discharge Monitoring Reports (DMRs), Notice of Intent, and Certificates of No Exposure for Rustlewood Wastewater Treatment Plant, North Bay/Case Inlet Water Reclamation Facility, and Belfair Wastewater and Water Reclamation Facility. RECOMMENDED ACTION: Request the Board delegate signature authority to Richard Dickinson and Justin Phelps to submit reports or documents for permitted County wastewater facilities. ATTACHMENTS: 1. Electronic Signature Agreement Forms for Rustlewood, North Bay/Case Inlet and Belfair 2. Dept. of Ecology Letters Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: im Water Quality Program Form Reviewed Entered Verified DEPAR-NA,n- c Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Rustlewood Wastewater Treatment Plant Site Location Address: 111 East Rustle Way City/State/Zip: Grapeview,WA 98546 Permit Number: WA0038075 2. Electronic Signer Contact Information Role: 2 Facility Signer El Facility Coordinator Signature Account User Name: Full Name: Richard L Dickinson Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670(652) Work Email Address: rdickinson@co.mason.wa.us 3. Proof of Identity Please include a copy of one of the following documents, with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. p Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. R.D. Agree: R.D. initial here Agree: (initial here) 9 ( ) l Richard L Dickinson (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer This form cannot be processed without a handwritten signature. Electronic Signer's Signature Date Richard L Dickinson PW Deputy Director - U&W Mgt Name(print or type) Title 8. Signature of Permittee(Responsible Official) This form cannot be processed without a handwritten signature. I, _(insert name of permittee or responsible official)acknowledge that the individual named above works at/for (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401, Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator This section cannot be processed without a handwritten signature. I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities—Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia,WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Cla/lam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams,Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia,WA 98504-7775 Spokane, WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: Water Quality Program Form Reviewed Entered Verified PAR T NE n Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Rustlewood Wastewater Treatment Plant Site Location Address: 111 East Rustle Way City/State/Zip: Grapeview,WA 98546 Permit Number: WA0038075 2. Electronic Signer Contact Information Role: 0 Facility Signer 0 Facility Coordinator Signature Account User Name: Full Name: Justin Phelps Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670(457) Work Email Address: jphelps@co.mason.wa.us 3. Proof of Identity Please include a copy of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. p Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. J.P• Agree: J•P• initial here Agree: (initial here) 9 (� ) Justin Phelps (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer Electronic Signer's Signature Date Justin Phelps Water-Waste Water Manager Name(print or type) Title 8. Signature of Permittee (Responsible Official) I, (insert name of permittee or responsible official)acknowledge that the individual named above works at/for (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities—Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia,WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane, WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: im Water Quality Program Form Reviewed Entered Verified DEPARTMENT O� Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/i)ro�ramslwg ESAF sta te of W.sW.gton 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: North Bay/Case Inlet Water Reclamation Facility Site Location Address: 1001 E Reclamation Ridge Road City/State/Zip: Allyn,WA 98524 Permit Number: SR 6039 2. Electronic Signer Contact Information Role: ❑� Facility Signer (] Facility Coordinator Signature Account User Name: Full Name: Richard L Dickinson Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670(652) Work Email Address: rdickinson@co.mason.wa.us 3. Proof of Identity Please include a cOPV of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. p Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and/am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I a ree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. R.D. Agree: R.D. (initial here Agree: (initial here) 9 (i ) Richard L Dickinson (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer Electronic Signer's Signature Date LWIPIAMIll Richard L Dickinson PW Deputy Director - U&W Mgt Name(print or type) Title 8. Signature of Permittee(Responsible Official) till I, (insert name of permittee or responsible official)acknowledge that the individual named above works at/for (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities—Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia, WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. C/allam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia,WA 98504-7775 Spokane, WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: im Water Quality Program Form Reviewed Entered Verified oePARTMeNr c Headquarters:(360)407 7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF State of WasMngton 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: North Bay/Case Inlet Water Reclamation Facility Site Location Address: 1001 E Reclamation Ridge Road City/State/Zip: Allyn,WA 98524 Permit Number: SR 6039 2. Electronic Signer Contact Information Role: El Facility Signer Facility Coordinator Signature Account User Name: Full Name: Justin Phelps Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670(457) Work Email Address: jphelps@co.mason.wa.us 3. Proof of Identity Please include a copy of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. p Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: /certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and/am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. J.P. Agree: J.P. initial here Agree: (initial here) 9 ( ) Justin Phelps (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer Electronic Signer's Signature Date Justin Phelps Water-Waste Water Manager Name(print or type) Title 8. Signature of Permittee(Responsible Official) I, (insert name of permittee or responsible official)acknowledge that the individual named above works at/for (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities—Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia, WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane, WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 Electronic Signature Agreement Form Eg Washington State Department of Ecology For Ecology Use Only Date Received: im Water Quality Program Form Reviewed Entered Verified DEPARTMENT OF Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Belfair Water Reclamation Plant Site Location Address: 25200 NE State Route 3 City/State/Zip: Belfair,WA 98528 Permit Number: SR 6224 2. Electronic Signer Contact Information Role: ❑� Facility Signer Facility Coordinator Signature Account User Name: Full Name: Richard L Dickinson Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670(652) Work Email Address: rdickinson@co.mason.wa.us 3. Proof of Identity Please include a cOpV of one of the following documents,with your name on the document, with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. p Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5.Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification, as required by federal and state regulations: /certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6.Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. Agree: R.D. (initial here) Agree: R.D. (initial here) Richard L Dickinson (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer This form cannot .• processed Electronic Signer's Signature Date Richard L Dickinson PW Deputy Director - U&W Mgt Name(print or type) Title B. Signature of Permittee (Responsible Official) This form cannot be processed I, (insert name of permittee or responsible official)acknowledge that the individual named above works at/for (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities—Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia, WA 98504-7696 Olympia,WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane,WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue,WA 98008-5452 425-649-7000 Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: im Water Quality Program Form Reviewed Entered Verified DEPARTMENT o Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF State of WazMngton 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Belfair Water Reclamation Plant Site Location Address: 25200 NE State Route 3 City/State/Zip: Belfair,WA 98528 Permit Number: SR 6224 2. Electronic Signer Contact Information Role: E] Facility Signer Facility Coordinator Signature Account User Name: Full Name: Justin Phelps Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670(457) Work Email Address: jphelps@co.mason.wa.us 3. Proof of Identity Please include a col)v of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. p Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and/am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. Agree: J•P• (initial here) Agree: J•P (initial here) Justin Phelps (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer Electronic Signer's Signature Date Justin Phelps Water - Waste Water Manager Name(print or type) Title 8. Signature of Permittee(Responsible Official) I, (insert name of permittee or responsible official)acknowledge that the individual named above works at/for (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-40 7-640 1. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s) to one of the following Ecology office. Stormwater Permit Facilities—Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia, WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Cla/lam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane, WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program - CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 April 27, 2021 Department of Ecology Southwest Regional Office Attn: Mr. Kyle Dorsey P.O. Box 47775 Olympia,WA 98504-7775 RE: Biosolids General Permit (BSGP), Permit No. BA0038075 Rustlewood Wastewater Treatment Plant Dear Mr. Dorsey, This letter authorizes, Richard Dickinson, Deputy Director Utilities and Waste Management, and Justin Phelps, Water/Wastewater Manager,to sign all reports, Notices of Intents and all other correspondence that may be required by the Department of Ecology as per our BSGP permit as described below. Any person signing documents related to BSGP Permit No. BA0038075 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified --- personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Randy Neatherlin, Mason County Commissioner, District 1,Chair Date Kevin Shutty, Mason County Commissioner, District 2,Vice Chair Date Sharon Trask,Mason County Commissioner, District 3 Date April 27, 2021 Department of Ecology Southwest Regional Office Attn: Carey Cholski P.O. Box 47775 Olympia, WA 98504-7775 RE: National Pollutant Discharge Elimination System (NPDES), Permit No.WA0038075, Rustlewood Wastewater Treatment Plant Dear Ms. Cholski, This letter authorizes, Richard Dickinson, Deputy Director Utilities and Waste Management, and Justin Phelps, Water/Wastewater Manager,to sign monthly Discharge Monitoring Reports (DMRs) and all other reports and correspondence that may be required by the Department of Ecology as per our NPDES permit as described below. Any person signing documents related to NPDES Permit No. WA0038075 agrees to the following statement: "I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Randy Neatherlin, Mason County Commissioner, District 1, Chair Date Kevin Shutty,Mason County Commissioner, District 2,Vice Chair Date Sharon Trask, Mason County Commissioner, District 3 Date April 27, 2021 Department of Ecology Southwest Regional Office Attn: Mr. Kyle Dorsey P.O. Box 47775 Olympia, WA 98504-7775 RE: Biosolids General Permit(BSGP), Permit No. BT6039 North Bay/Case Inlet Water Reclamation Facility (WRF) Dear Mr. Dorsey, This letter authorizes, Richard Dickinson, Deputy Director Utilities and Waste Management, and Justin Phelps,Water/Wastewater Manager,to sign all reports, Notices of Intents and all other correspondence that may be required by the Department of Ecology as per our BSGP permit as described below. Any person signing documents related to BSGP Permit No. BT6039 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Randy Neatherlin, Mason County Commissioner, District 1,Chair Date Kevin Shutty,Mason County Commissioner, District 2,Vice Chair Date Sharon Trask, Mason County Commissioner, District 3 Date April 27, 2021 Department of Ecology Southwest Regional Office Attn: Carey Cholski P.O. Box 47775 Olympia,WA 98504-7775 RE: State Waste Discharge Permit (SWDP), Permit No. ST6039 North Bay/Case Inlet Water Reclamation Facility (WRF) Dear Ms. Cholski, This letter authorizes, Richard Dickinson, Deputy Director Utilities and Waste Management, and Justin Phelps, Water/Wastewater Manager,to sign monthly Discharge Monitoring Reports (DMRs) and all other reports and correspondence that may be required by the Department of Ecology as per our SWDP permit as described below. Any person signing documents related to SWDP Permit No. ST6039 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Randy Neatherlin, Mason County Commissioner, District 1,Chair Date Kevin Shutty, Mason County Commissioner, District 2,Vice Chair Date Sharon Trask, Mason County Commissioner, District 3 Date April 27, 2021 Department of Ecology Southwest Regional Office Attn: Mr. Kyle Dorsey P.O. Box 47775 Olympia, WA 98504-7775 RE: Biosolids General Permit (BSGP), Permit No. BT6224 Belfair Water Reclamation Facility(WRF) Dear Mr. Dorsey, This letter authorizes, Richard Dickinson, Deputy Director Utilities and Waste Management, and Justin Phelps, Water/Wastewater Manager,to sign all reports, Notices of Intents and all other correspondences that may be required by the Department of Ecology as per our BSGP permit as described below. Any person signing documents related to BSGP Permit No. BT6224 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties forsubmitting false information, including the possibility of fine and imprisonment." Sincerely, Randy Neatherlin, Mason County Commissioner, District 1,Chair Date Kevin Shutty,Mason County Commissioner, District 2,Vice Chair Date Sharon Trask,Mason County Commissioner, District 3 Date April 27, 2021 Department of Ecology Southwest Regional Office Attn: Carey Cholski P.O. Box 47775 Olympia, WA 98504-7775 RE: State Waste Discharge Permit (SWDP), Permit No. ST6224 Belfair Water Reclamation Facility (WRF) Dear Ms. Cholski, This letter authorizes Richard Dickinson, Deputy Director Utilities and Waste Management, and Justin Phelps, Water/Wastewater Manager,to sign monthly Discharge Monitoring Reports (DMRs) and all other reports and correspondence that may be required by the Department of Ecology as per our SWDP permit as described below. Any person signing documents related to SWDP Permit No. ST6224 agrees to the following statement: "I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Randy Neatherlin, Mason County Commissioner, District 1, Chair Date Kevin Shutty,Mason County Commissioner, District 2,Vice Chair Date Sharon Trask,Mason County Commissioner, District 3 Date