HomeMy WebLinkAboutSHX2009-00030 JARPA - SHX Permit / Conditions STgTFO MASON COUNTY
�P C DEPARTMENT OF COMMUNITY DEVELOPMENT
o A M o H Planning Division
o T i P O Box 279, Shelton,WA 98584
ZP0 N Y O~ (360)427-9670
J a
1864
Exemption from Shoreline Management Act
Case No.: SHX2009-00030 Substantial Development Permit Requirement
The Proposal By: MADRONA BEACH WATER SYSTEM
21971 N HIGHWAY 101
SHELTON,WA 98584 TO BE KEPT IN THE
To undertake the following development: 1 L L FILE
Install water lines relative to water system upgrade
Within HOOD CANAL and/or its associated wetlands is exempt from the requirement of substantial development
because the development is categorized under WAC 173-27-040(2) as being category
B-normal maintenance
Please contact Kell McAboy at ext 363 if you have any questions.
Issued: 7/8/2009
Expires: 7/8/2011 Authorized Local Government Offici
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cc: J(APPLICANT 4WDFWI USACOE %(WDOE I1(rRIBAL COUNCIL/
�. ,--------5_OX uoD '--Q LLB--,
2009 ' ' AGENCY USE ONLY
WASHINGTON STATE o E4nycOfp• Date received: ;
of Engineers. ,
Seattle District
Joint Aquatic Resources Permit
Application (JARPA) Form hel
Agency reference#: ',
USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. 'Tax Parcel#(s):
t ,
Part 1—Project Identification
Unique project information that makes it easy to identify. hel '
1a. Unique Project Identifier Number(UPI#) rhem
• Don't have one yet?Get one at hftp://www.epermifting.wa.gov or call the Washington Governor's Office of Regulatory Assistance
at(800)917-0043.
783984-09-01
1 b. Project Name (Examples:Smith's Dock or Seabrook Lane Development) LbeM
Madrona Beach Water System upgrade
Part 2—Applicant
The person or organization responsible for the project. hel
PJ
2a. Name (Last, First, Middle)and Organization(if applicable)
Taylor, Steve Mason County Public Utilities District#1
2b. Mailing Address (Street or PO Box)
21971 N Highway 101
2c. City, State, Zip
Shelton, WA 98584
2d. Phone(1) 2e. Phone(2) 2f. Fax 2g. E-mail
(360) 877-5249 ( ) ( )
Part 3-Authorized Agent or Contact
Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b. of this
application.) (help]
3a. Name (Last, First, Mddle)and Organization (if applicable)
Missildine, Brian R Skillings Connolly Inc.
3b. Mailing Address(Street or PO Box)
5016 Lacey Blvd
3c. City, State, Zip
Lacey, WA 98541
3d. Phone(1) 3e. Phone(2) 3f. Fax 3g. E-mail
(360)491-3399 ( )
( ) bmissildine@skillings.com
JARPA 2009
Page 1 of 12
Part 4—Property Owner(s) h[ e
Contact information for people or organizations owning the property(ies)where the project will occur. heI
® Same as applicant. (Skip to Part 5.)
® Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.)
® There are multiple property owners. Complete the section below and use JARPA Attachment A for each
additional property owner.
4a. Name(Last, First, Middle)and Organization (if applicable)
Madrona Inc C/O Norm Swick
4b. Mailing Address(Street or PO Box)
2822 W Viewmont Way
4c. City, State, Zip
Seattle, WA 98199-2431
4d. Phone(1) 4e. Phone(2) 4f. Fax 4g. E-mail
( )n/a ( ) ( )
Part 5—Project Location(s).
Identifying information about the property or properties where the project will occur. LtLeM
® There are multiple properties or project locations (e.g., linear projects). Complete the section below and use
JARPA Attachment B for each additional property.
5a. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5n.) help)
South of Madrona Beach Lane and East State Route 106 (See section 5n)as well as all the residence along
Madrona Beach Lane from 180 E Madrona Lane to 10 E Madrona Lane and 6031 through 6051 State Route
106 (See Figures 1 and 3)
5b. City, State, Zip(If the project is not in a city or town,provide the name of the nearest city or town.) bp1d
Union, WA 98592
5c. County heI
Mason
5d. Provide the section, township, and range for the project location. [helm
Section Section Township Range
32 22N 03W
5e. Provide the latitude and longitude of the project location. hel
pi
• Example:47.03922 N lat./-122.89142 W long
47.35463 N lat/-123.083289 W long
5f. List the tax parcel number(s)for the project location. fheigl
• The local county assessor's office can provide this information.
322321400030
5g. Indicate the type of ownership of the property. (check all that apply.) heI
❑ State Owned Aquatic Land ❑ Tribal ® Private
JARPA 2009 Page 2 of 12
Other publicly owned (federal,state, county, city, special districts like schools, ports, etc.)
5h. Contact information for all adjoining property owners, lessees, etc. (If you need more space, use JARPA
Attachment C.) heI
Name Mailing Address Tax Parcel#(if known)
RAJACICH TR,NICHOLAS & 619 N I ST 322325300001
MELINDA TACOMA WA 98403-2009
...................................................................................................................................................................................................................................................
JOYCELLA M EDWARDS 628 COTTONWOOD DR 322324200000
RICHLAND WA 99352-3663
........................................................... ....... ........................................ ........................................................................
TIBBETTS, JAMES G & CYNTHIA 8621 FAUNTLEE CREST SW 322325073001
M SEATTLE WA 98136-2536
...................................................................................................................................................................................................................................................
....................................................................................................._................................................................................. _....................................
5i. Is any part of the project area within a 100-year flood plain? heI
❑ Yes ® No ❑ Don't know
5j. Briefly describe the vegetation and habitat conditions on the property. heI
Vegetation on the property consists of mature Douglas fir, Big leaf maple, cedar and alder. The understory
consists of fern, Oregon grape, salal, immature deciduous and conifers, as well as a variety of grasses.
5k. Describe how the property is currently used. h[elPl
The property where the storage tank and pump house is primarily unused forest land. There are approximately
20 permanent residences where the meters are being placed.
51. Describe how the adjacent properties are currently used. rhelpi
All property except to the north is forested with no structures. The property to the north is the Madrona Beach
community which consists of approximately 20 houses. SR 106 nuns adjacent to the property on the northern
border.
JARPA 2009
Page 3of12
5m. Describe the structures (above and below ground)on the property, including their purpose(s). hem
There are two structures above ground. One structure is a water storage tank and the other structure is a pump
house that contains the pump and small chlorination station. There are 20 houses on the north side of the
property where water meters are being installed as part of this project. All houses are inhabited.
5n. Provide driving directions from the closest highway to the project location, and attach a map. [help]
From SR 101 take a right on the Purdy Cutoff Road. At the end of the Purdy Cutoff Road, take a right onto SR
106. Follow SR 106 through the town of Union. Find Madrona Beach Lane which is a left off of SR 106. The
water meter replacement portion of the project is located at the houses. The water tank and pump are located
across SR 106 from the Madrona Beach community.
Palm 6—Project Description
6a. Summarize the overall project. You can provide more detail in 6d. hem
The Madrona Beach Water System is located near Union, Washington, and is operated by Mason County
Public Utility District# 1. The existing system is served by a single, 50-gpm capacity well that pumps to a
6,000-gallon redwood storage tank. The existing redwood storage tank and foundation are deteriorating,
potentially allowing birds and other wildlife to defecate inside the tank through holes in the roof. This is
thought to be the cause of coliform bacteria contamination. Because of past total coliform violations, the
system is currently under a bilateral agreement with DOH to replace the existing tank and to provide
temporary disinfection until the tank is replaced (Figures 2 and 3).
The proposed new tank will be an 11,500-gallon concrete tank. It will be a gravity tank located near the
existing tank site. The existing tank is supplied and emptied by a single 3-inch PVC pipe. With the proposed
design, the tank will be filled and emptied from two different waterlines. This will allow for better mixing in
the tank.
Mason County PUD#1 proposes to install 4,500 feet of new 4-inch waterline and a 14-foot diameter water
tank to replace the existing system located roughly in the same footprint. Service meters will also be
installed for water conservation.
6b. Indicate the project category. (Check all that apply.) hel
❑ Commercial ❑ Residential ❑ Institutional ❑ Transportation ❑ Recreational
® Maintenance ❑ Environmental Enhancement
6c. Indicate the major elements of your project. (Check all that apply.) hel
❑ Aquaculture ❑ Culvert ❑ Float
❑ Road
❑ Bank Stabilization ❑ Dam /Weir
❑ Geotechnical Survey El Scientific Measurement
❑ Boat House ❑ Dike /Levee /Jet Device
Jetty El Clearing
❑ Boat Launch ❑ Ditch ❑ Marina /Moorage ❑ Stairs
❑ Boat Lift ❑ Dock/Pier ❑ Mining ❑ Stormwater facility
❑ Bridge ❑ Dredging ❑ Outfall Structure ❑ Swimming Pool
❑ Bulkhead ❑ Fence
❑ Piling ® Utility Line
❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall (upland)
❑ Channel Modification ❑ Fishway
JARPA 2009
Page 4of12
® Other: replacement/upgrade of an existing water system
6d. Describe how you plan to construct each project element checked in 6c. Include specific construction
methods and equipment to be used. hel
• Identify where each element will occur iri relation to the nearest waterbody.
• Indicate which activities are within the 100-year flood plain.
A platform will be leveled off using bull dozers for the new water tank. A trench will be dug using a trenching unit
from the new water tank down to the pump house. Neither of these project components are within the 100 year
flood plain. Service meters will be installed at each of the houses along Madrona Beach Lane. This will be
conducted using a small backhoe and hand tools.
6e. What are the start and end dates for project construction?(month[year) [hgp)
• If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or
stage.
Start date: June 2009 End date:_June 2011 ❑ See JARPA Attachment D
The proposed project is expected to be constructed between the above dates. Actual work will take
approximately 3 months to complete.
6f. Describe the purpose of the work and why you want or need to perform it. heI
pj
The existing redwood storage tank and foundation are deteriorating, potentially allowing birds and other wildlife
to defecate inside the tank through holes in the roof. This is thought to be the cause of coliform bacteria
contamination. Because of past total coliform violations, the system is currently under a bilateral agreement with
DOH to replace the existing tank and to provide temporary disinfection until the tank is replaced.
6g. Fair market value of the project, including materials, labor, machine rentals, etc. hel
$18,500.00
6h. Will any portion of the project receive federal funding? heI
• If yes, list each agency providing funds.
® Yes ❑ No ❑ Don't know
The Environmental Protection Agency is providing funding through the Washington Department of Health.
Part 7—Wetlands: Impacts and Mitigation
❑ Check here if there are wetlands or wetland buffers on or adjacent to the project area.
(If there are none, skip to Part 8.)
7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. FheIDI
® Not applicable
JARPA 2009 Page 5 of 12
7b. Will the project impact wetlands? hel
❑ Yes ® No ❑ Don't know
7c. Will the project impact wetland buffers? hel
❑ Yes ® No ❑ Don't know
7d. Has a wetland delineation report been prepared? Lb&j
e If yes, submit the report, including data sheets,with the JARPA package.
❑ Yes ❑ No
7e. Have the wetlands been rated using the Western Washington or Eastem Washington Wetland Rating
System? hel
• If yes,submit the wetland rating forms and figures with the JARPA package.
❑ Yes ❑ No ❑ Don't know
7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? hel
• If yes,submit the plan with the JARPA package.
❑ Yes ❑ No ® Not applicable
7g. Use the table below to list the type and rating of each wetland that will be impacted; the extent and duration
of the impact; and the type and amount of compensatory mitigation proposed. If you are submitting a
compensatory mitigation plan with a similar table, you may simply state (below)where we can find this
information in the mitigation plan. hel
Activity causing Wetland type Impact area Duration Proposed Wetland
impact (fill, and ratin
drain, excavate, category (sq• ft. or acres) of impact2 mitigation mitigation area
flood, etc.) type (sq. ft. or acres)
Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland
rating forms with the JARPA package.
2 Indicate the time(in months or years,as appropriate)the wetland will be measurably impacted by the activity. Enter"permanent"if
applicable.
3 Creation(C), Re-establishment/Rehabilitation(R), Enhancement(E), Preservation(P), Mitigation Bank/In-lieu fee(B)
Page number(s)for similar information in the mitigation plan, if available:
7h. For all filling activities identified in 7g., describe the source and nature of the fill material, the amount in
N/A cubic yards that will be used, and how and where it will be placed into the wetland. "el
JARPA 2009
Page 6of12
7i. For all excavating activities identified in 7g., describe the excavation method, type and amount of material in
cubic yards you will remove, and where the material will be disposed. het
N/A
7j. Summarize what the compensatory mitigation plan is meant to accomplish, and describe how a watershed
approach was used to design the plan. [heiDi
N/A
Part 8—Waterbodies (other than wetlands): Impacts and Mitigation
In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) hel
® Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.)
8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment.
[help]
® Not applicable
The proposed project is located adjacent to Hood Canal; however, no in-water work is required for completion of
this project. Furthermore, none of the construction activities will impact Hood Canal.
8b. Will your project impact a waterbody or the area around a waterbody? hel
pj
❑ Yes ® No
8c. Summarize impact(s)to each waterbody in the table below. hel
Activity causing Waterbody im—pact Duration Amount of material Area (sq. ft. or
impact(clear, name location' of impact2 to be placed in or linear ft.) of
dredge, fill, pile removed from waterbody
drive, etc.) waterbody directly affected
Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the
2 waterbody and indicate whether the impact will occur within the 100-year flood plain.
Indicate the time(in months or years,as appropriate)the waterbody will be measurably impacted by the work. Enter"permanent'if
applicable.
8d. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland
waterbodies? [hem
• If yes, submit the plan with the JARPA package.
❑ Yes ❑ No ® Not applicable
JARPA 2009
Page 7of12
8e. Summarize what the compensatory mitigation plan is meant to accomplish. Describe how a watershed
approach was used to design the plan.
• If you already completed 7j.,you do not need to restate your answer here. hel
N/A
8f. For all activities identified in 8c., describe the source and nature of the fill material, amount(in cubic yards)
you will use, and how and where it will be placed into the waterbody. h t
N/A
8g. For all excavating or dredging activities identified in 8c., describe the method for excavating or dredging,
type and amount of material you will remove, and where the material will be disposed. h[�
N/A
Part 9—Additional Information
Any additional information you can provide helps the reviewer(s) understand your project.
9a. If you have already worked with any government agencies on this project, list them below. hel
PJ
Agency Name Contact Name Phone Most Recent
Date of Contact
9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 on the Washington Department of
Ecology's 303(d) List? hel
• If yes,list the parameter(s)below.
• If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at:
http://www.ecv.wa.aov/proorams/wa/303d/
❑ Yes ❑ No
N/A
9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? hel
pj
• ,Go to http://cfr)ub.epg_ov/surfAocate/index cfm to help identify the HUC.
17110018
JARPA 2009 Page 8 of 12
9d. What Water Resource Inventory Area Number(WRIA#) is the project in? hem
• Go to http://www.ecy.wa.gov/services/-qis/mar)s/wria/wria.htm to find the WRIA#.
WRIA 14
9e. Will the in-water construction work comply with the State of Washington water quality standards for
turbidity? [help)
• Go to http://www.ecy.wa-ciov/programs/wo/swos/cdteria.html for the standards.
❑ Yes ❑ No ® Not applicable
9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline
environment designation? hel
• If you don't know,contact the local planning department.
• For more information,go to: hftp://www.ecy.wa.ciov/i)Lograms/sea/smaAaws rules/173-26/211 designations html
® Rural ❑ Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other
9g. What is the Washington Department of Natural Resources Water Type? h[_pel
• Go to http://www.dnr.wa.00v/BusinessPermits/Topics/ForestPracticesAoi)lications/Pages/ft) watertvpino aspx for the Forest
Practices Water Typing System.
® S El ❑ Np ❑ Ns
91h. Will this project be designed to meet the Washington Department of Ecology's most current stormwater
manual? '[heiDi
• If no, provide the name of the manual your project is designed to meet.
® Yes ❑ No
Name of manual:
91. If you know what the property was used for in the past, describe below. hf elpl
There is no knowledge of past property uses
9j. Has a cultural resource (archaeological)survey been performed on the project area? h[ elp]
• If yes, attach it to your JARPA package.
® Yes ❑ No
9k. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project
area or might be affected by the proposed work. [hjl ]
Hood Canal Summer Chum may occur adjacent to the proposed project but will not be affected by the proposed
project.
91. Name each species or habitat on the Washington Department of Fish and Wildlife's Priority Habitats and
Species List that might be affected by the proposed work. el
JARPA 2009
Page 9of12
Table 1. Priority Species and Habitats
Priority Species State Sttus Federal
a
and/or Habitat Status Comments
SPECIES
Chum (Summer) Candidate Threatened
Coho salmon __ Species of
Concern
Dungeness Crab
Pandalid shrimp
Pacific oyster
Subtidal Geoduck
HABITAT
Surf Smelt/Sand
Lance Spawning __ __ Potential &
Area documented
Coastal salt
Wetlands __ __ marshes, salt
meadows, brackish
marshes
JARPA 2009 Page 10 of 12
Part 10—Identify the Permits You Are Applying For
Use the resources and checklist below to identify the permits you are applying for.
• Online Project Questionnaire at http://apps.ecy.wa.gov/opas/.
• Governor's Office of Regulatory Assistance at (800) 917-0043 or help(&-ora.wa.gov.
10a. Compliance with the State Environmental Policy Act(SEPA). (Check all that apply.) hf a oll
• For more information about SEPA,go to www.ecy.wa.gov/prggrams/sea/sepa/e-reviMwLhtmi.
❑ A copy of the SEPA determination or letter of exemption is included with this application.
® A SEPA determination is pending with_Department of Health (lead agency). The expected
decision date is August 2009 ._
❑ 1 am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.)
• Submit the Fish Habitat Enhancement Project form with this application. The form can be found at
http://www.epermitting.wa.gov/Portals/ JarpaResourceCenter/images/default/fishenhancement.doc
❑ This project is exempt (choose type of exemption below).
❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt?
❑ Other:
❑ SEPA is pre-empted by federal law. [hell
10b. Indicate the permits you are applying for. (Check all that apply.) hel
LOCAL GOVERNMENT
Local Government Shoreline permits:
❑ Substantial Development ❑ Conditional Use ❑ Variance
® Shoreline Exemption Type (explain): Based on County Regulations, only 600 sq. feet of disturbance.
Main cost is equipment. Work is described as maintenance.
Other city/county permits:
❑ Floodplain Development Permit ❑ Critical Areas Ordinance
STATE GOVERNMENT
Washington Department of Fish and Wildlife:
❑ Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption
Washington Department of Ecology:
❑ Section 401 Water Quality Certification
Washington Department of Natural Resources:
❑ Aquatic Resources Use Authorization
FEDERAL GOVERNMENT
United States Department of the Army permits (U.S. Army Corps of Engineers):
❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters)
United States Coast Guard permits:
❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects)
JARPA 2009 Page 11 of 12
Part 11—Authorizing Signatures
Signatures required before submitting the JARPA package.
11a. Applicant Signature (required) h[ eM
I certify that to the best of my knowledge and belief, the information provided in this application is true, complete,
and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work
only after I have received all necessary permits.
I hereby authorize the agent named in Part 3 of this application to act on my behalf in matters related to this
application. (initial)
By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the
permitting agencies entering the property where the project is located to inspect the project site or any work
related to the project. (initial)
Applicant Date
11 b. Authorized Agent Signature h[ elpl
I certify that to the best of my knowledge and belief, the information provided in this application is true, complete,
and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work
only after all necessary permits have been issued.
Authorized Agent Date
11c. Property Owner Signature (if not applicant) hf eM
I consent to the permitting agencies entering the property where the project is located to inspect the project site
or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the
landowner.
Property Owner Date
18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies, conceals, or covers up by any trick, scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or
entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both.
If you require this document in another format,contact The Governor's Office of Regulatory Assistance(ORA). People with hearing loss
can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341.
ORA publication number: ENV-019-09
JARPA 2009 Page 12 of 12
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