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HomeMy WebLinkAboutSPI99-00023; JARPA, SEP2002-00058 - PLN General SHORELINE PRE—INSPECTION CHECKLI Permit Number b&6fq- 6137 Type of Use SPI # Owner Parcel # /a6 1. Saltwate�I�Lale >_ Acres /��� � ' SMP Designation Name of ter body 62. Rivers, streams, or creeks 'u L`�`�'`�� ���"``��� can, ew Type of Water ❑ 3. Lakes or ponds less than 20 acres in size? (Check if yes.) ❑ 4. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted for life in such conditions as the following: Marshes, bogs, and swamps. (Check if yes.) ❑ 5. Slopes greater than 15% or 8.5°? If yes, degree of slope ° IJ 6. Floodplain? (Check if yes). 7. Seismic Hazard Area? (Check if yes). ❑ 8. Aquifer Recharge Area? (Check if yes). �1 9. Landslide Hazard Area? (Check if yes). 10. Comprehensive Plan Designation �c�c ❑ 11. Other Comments: way m. t c Mee <. 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INLET —osl.o. :Me .o::; y 2 Pt Md Me old a v, `L1 _ FLo*o .�', ••}�,�j.-'::• 'Gl f�y� .1 tOSLAIMID ;f#i - } - ♦ N wineY NiN ♦ r_ 7 ` N�atbo,l .o " oant +) 130/ IL -40 Mix 1 4 afr..� .•i- V i _ - J� i r -e ESA LISTED SALMONIDS CHECKLIST Applicant Information Project Information Name QI' ' OW d' / ,r- Name rr Phone 0& Location E r S'hP11ok?L J (36b)9s6-3Y S'1 Description This worksheet was designed to help project proponents and government agencies identify when a project needs further analysis regarding adverse effects on ESA (Endangered Species Act) listed salmonids . Salmonids are salmon, trout and chars, e.g. bull trout. For our purposes, "ESA listed salmonids" is defined as fish species listed as endangered, threatened or being considered for listing. If ESA listed species are present or ever were present in the watershed where your project will be Iocated,your project has the potential for affecting them, and you need to comply with the ESA. The questions in this section will help determine if the ESA listings will impact your project. The Fish Program Manager at the appropriate Department of Fish and Wildlife (DFW) regional office can provide information for the following two Questions 1. Are ESA listed salmonids currently present in the watershed in which your project will be located? Yes No 1), Please describe. 2 . Has there ever been an ESA listed salmonid stock present in this watershed? Yes No uncertain Please describe. If you answered "yes" to either of the above questions, you should complete the remainder of this checklist. September 1999 1 PROJECT SPECIFICS: The Questions in this section are specific to • the project and vicinity. 1. Name of watershed: 2 . Name of nearest waterbody: 3 . What is the distance from this project to the nearest body of water? Often a buffer between the project and a stream can reduce the chance of a negative impact to fish. 4 . What is the current land use between the project and the Potentially affected water body (parking lots, farmland, etc) 5. Is the project above a: • natural permanent barrier (waterfall) Yes No • natural temporary barrier (beaver pond) Yes No • man-made barrier (culvert, dam) Yes No • other (explain) : 6. If yes, are there any resident salmonid populations above the blockage? Yes No Don' t know 7 . What percent of the project will be impervious surface (including pavement & roof area) ? September 1999 2 FISH M GRATIONt The following questions will help determine if this project could interfere with migration of adult and Juvenile fish. Both increases and decreases in water flows can affect fish migration. 1. Does the project require the withdrawal of : i . Surface water? Yes No Amount Name of surface water body ii . Ground water? Yes No Amount From where Depth of well 2 . Will any water be rerouted? Yes No If yes, will this require a channel change? 3 . Will there be retention or detention ponds? Yes No If yes, will this be an infiltration pond or a surface discharge to either a municipal storm water system or a surface water body? If to a surface water discharge, please give the name of the waterbodv. 4 . Will this project require the building of new roads? Yes No Increased road mileage may affect the timing of water - reaching a stream and may impact fish habitat. 5 . Are culverts proposed as part of this project? Yes No 6. Will topography changes affect the duration/direction of runoff flows? Yes No If ves, describe the changes . 7 . Will the project involve any reduction of the floodway or floodplain by filling or other partial blockage of flows? Yes No If yes, how will the loss of flood storage be mitigated by your project? September 1999 3 WATER QUALSTY: The following questions will help determine if this project could adversely impact water quality. Such impacts can cause problems for listed species. hater Quality can be made worse by runoff from impervious surfaces, altering water temperature, discharging contaminants, etc. 1 . Do you know of any problems with water quality in any of the streams within this watershed? Yes No If yes, describe. 2 . Will your project either reduce or increase shade along or over a waterbody? Yes T"r- Removal of shading vegetation or the building of structures such as docks or floats often result in a change in shade. 3 . Will the project increase nutrient loading or have the potential to increase nutrient loading or contaminants (fertilizers, other waste discharges, or runoff) to the waterbody? Yes No 4 . Will turbidity be increased because of construction of the project or during operation of the project? Yes No In-water or near water work will often increase turbidity. 5. Will your project require long term maintenance, i .e. bridge cleaning, highway salting, chemical sprays for vegetation management, clearing of parking lots? Yes No If yes, please describe . September 1999 4 VEQETAT=ONz The following questions are designed to determine , if the project will affect riparian vegetation, thereby, adversely impacting salmon. 1. Will the project involve the removal of any vegetation from the stream banks? Yes No If yes, please describe the existing conditions, and the amount and type of vegetation to be removed. 2 . If any vegetation is removed, do you plan to re-plant? Yes No If yes, what types of . plants will you use? September 1999 - 5 1 RESOURCES Washington Department of Fish and Wildlife Webs"ite www.wa.gov/wdfw/ This site has useful information on fish habitat. Washington Department of Ecology Website www.wa.gov/ecology/ Click on the Water Quality button on the left side of this page . National Marine Fisheries Services Website Evolutionarily Significant Unit (ESU) maps can be found at www.nwr.noaa.gov Go to this site and then click on the ESA Salmon button. NOTE: Most applicants should have the information necessary to answer most of. the questions in this checklist. Additional information will need to be obtained by local and state agencies if it appears that the project is likely to affect ESA listed species. September 1999 6 JOINT AQUATIC RESOURCES PERMIT APPLICATION FO (lo►w.in wa.IrttyDon S1tNs) � Ic PLEASE TYPE OR PRINT N BLUE OR BLACK MAC MAY! Based on the instructions provided,I am sending copies of this application to the following: (check all that apply) Local Government for shoreline: Q Substantial Development 0 Conditional Use O Variance ❑Exemption • Revision 0 Floodplain Management 0 Critical Areas Ordnance Washington Department of Fish and Wildlife for HPA 0 Washington Department of Ecology for. 0 Approval to Allow Temporary Exceedance of Water Quality Standards(to Regional office); 0 401 Water Quality Certification Nationwide Pemuts(to Headquarters office) D Washington Department of Natural Resources for. 0 Aquatic Resources Use Authorization Notification Corps of Engineers for. JA Section 404 (Section 10 permit b Coast Guard for. 0 Section 9 Bridge Pbrm_it SECTION A-Use for all permhs covered by this application. Be sure to also complete Section C(Signature Bloch)for all permit applications. 1.APPL CANT / MAILING ADDRESS WORK PHONE E-MAIL ADDRESS HOAR:PHONE FAX a H an agent is acting for the applicant during the permit process,complete III 2.AUTHORIZED AGENTHigy MAP,/ z�—' /2 kAC 02.a5 MAIuw. 3319 F1S1-1T"Pj-cv,6 , W VK PHONE _ E-MAIL ADDRESS HOME PHONE FAX• 3 _ RELATIONSHIP OF APPLICANT TO PROPERTY: d OWNER 0 PUR04ASM O LESSEE C]OTHER: o 4.NAME.ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(S).IF OTHER THAN APPLICANT: S.LOCATION(STREET ADDRESS,INCLUDING CITY.COUNTY AND ZIP CODE,WHERE PROPOSED ACTNRY DaSTS OR WILL OCCUR) ATERBODY TRIBUTARYOF SEC S7 TOWNSHIP, �RANGE GOIMENT LOT SHORELINE DESIGNATION LATITUDE A LONGITUDE DESONAMON Form.JAR-P-I Rt- Dw 7111w F KNOWN: AN PARCEL No: 5 O v r DNASTREAM TYPE,IF KNOWN 3 30005-0 DESCRIBE THE cummir use OF THE PROPERTY.AND STT>I;ICRJRFs EXISTANG ON THE PROPERTY.F ANY PORTION OF THE PROPOSED ACTIVITY IS ALREADY COUK ETED ON THIS PROPERTY.INDICATE MONTH AM YEAR OF COMPLETION. �/0/llc' wiry ftTTcK�� G2.¢6c - NoT y6.7"r e� Pt IS THE PROPERTY AGRICLILTMAL LAND?O YES RIO ARE YOU A USDA PROGRAM PARTICIPANT? DYES ELM$' & DESCRIBE THE PROPOSED WORK COLPLETE PLANS AND SPECIFICATIONS SHOULD BE PROVIDED FOR ALL WORK WATERWARD OF THE ORDINARY HIGH WATER MARK OR.UNE. INCLUDING TYPES OF EQUIPMENT TO BE USED. IF APPLYING FOR A SHORELINE PERMIT.DESCRIBE IL WORK WITHIN AND BEYOND 200 FEET OF THE ORDINARYHKGIj WATER MAI ATTACH A SEPARATE SHEET IF ADDITIONAL SPACE IS NEEDED. - T-O V6 /¢ COW 52IfCl id!L Cl` ��✓ 2/P-/zR P(pcc r)RA.1 b BAc)f FtGG NI=Al��L b, TN c yw N✓T / N r u P Td r"flt glUrr. �� /ti'>G1 Q✓/�L BL fk6r_" B y e - 4V#r0 2 i9(�i�.I/C- .7 5'UGT Cl F G2aT" wigd ,6:FA Sid- . ,l/e✓kJ 7 J SNv2cL/A.J,6 /S4114 jufn►C o/'� O��/a� - R�T�o v �S wo2S�. �Li✓L� w/Lt, Ta S7a� �2os/u�c. P oT g r%AF EGTE� /z'p--Palo TEE ��cv 75` wAs P vT/�N�xT Dav 2. T at��j4S�� B aKa�vP,evA-'krY -7 3300CY1, T/,//S e0tz, DO,6 �•4,vw.¢s 216-H7-010 "'y PX01&*2 ry — o/2- GIVE REISONM FOR THE PROPOSED WQRIc /1� �,r.,4 r h i- UL L�/!J �5' 6dLN N� 6✓_ u p/,/4C 6 ._Ll JJ E D/ qN D /T///4S f��/SG1p D/F�2��vT rib 4N; +AAA w t__ 'V 40� igcrio.v ge�inS re g6 ci.��a✓JZ cw7TT�c/ 77 cv0 6 L/yf c 7-0 p/Lc�r�-r-7- lh y /�zN�i� t 7-Na SilD,e�UVL ��onr ey c DESCRIBE THE POTENTIAL WACTS TO CHARACTERISTIC USES OF THE WATER BODY.THESE USES MAY INCLUDE FISH AND AQUATIC LIFE WATER DUALITY.WATER SUPPLY. RECREATION,MKI AESTHETICS IDENTIFY PROPOSED ACTIONS TO AVOID.MMMZE,AND MITIGATE DETRIMENTAL IAPACTS,AND PROVIDE PROPER PROTECTION OF FISH AND AQUATIC LIFE ATTACH A SEPARATE SHEET F ADDITIONAL SPACE IS NEB. ,IP .,�p,��Ts ARATIDN OF DRAWINIM.SEE SAMPLE DRAWINGS ANDGUNDANCE FOR cowmnma THE DRAWINGS. OIIE SETOFONC.K4L oR GOOD OWALJf rREPRODUC81ELAmwwsGSm ATfACREA NOTE APPLICANTS ARE ENcou RALGED TO SUBWT PHOTOGRAPHS OF THE PROJECT SITE.BUT THESE DO NOT SUBSTITUTE FOR DRAWINGS. I E COWS OF Form f JAiR-P6 RNimd DmM 7AWV EAGWEERS AAVCQ&BrQIA4ADREOLgMDRAWMSCN&"2X"NWMVSHEETS LAMM MUMNGS MAYBE REQUIRED BYOTHERA4B� WILL THE PROJECT BE CONSTRUCTED IN STAGES? O YES PROPOSED STARTING DATE ESTIMATED DURATION OF ACTIVITY: .CHECK IF ANY STRUCTURES WILL BE PLACED: O WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH OR TIDAL WATERS.MOM O WATERWARD OF MEAN HIGH WATER LWE IN TIDAL WATERS 0.WILL FILL MATERIAL W0M FILL,BULKHEAD,PILINGS OR OTHER MATERNAL)BE PLACED,. O WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? IF YES.VOLUME(CUBIC YARDS) /AREA (ACRES) O WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? IF YES.VOLUME(CUBIC YARDS) /AREA (ACRES) I I.WILL MATERIAL BE PLACED IN WETLANDS? O IF YES YES B A IMPACTED AREA IN ACRES- 8. HAS A DELINEATION BEEN COMPLETED? IF YES.PLEASE SUBMIT WITH APPLICATK)pL OYES 1716 C. HAS A WETLAND REPORT BEEN PREPARED?IF YES.PLEASE SUBMIT WITH APPLICATK*L O YES D. TYPE AND COMPOSITION OF FILL MATERIAL(E.G_,SAND.ETC.): E. MATERIAL SOURCE F. LIST ALL SOIL SERIES(TYPE OF SOIL)LOCATED AT THE PROJECT SITE.R INDICATE IF THEY ARE ON THE COUNTY S UST OF HYDRIC SOILS.SOILS INFORMUITION CAN BE OBTAINED FROM THE NATURAL RESOURCES CONSERVATION SERVICE(MRCS): 12 WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? OYES m lND' IF YES.IMPACTED AREA IS ACRES 13.WILL EXCAVATION OR DREDGING BE REQUIRED 14 WATER OR WETLANDS? OYES IF YES: A VOLUME. (CLINIC YARDS)/AREA (ACRES) B.COMPOSITION OF MATERIAL TO BE REMOVED- C. DISPOSAL SITE FOR EXCAVATED MATERIAL D. METHOD OF DREDGING: 14.LIST OTTER APPLICATIONS.APPROVALS,OR CERTIFICATIONS FROM OTHER FEDERAL.STATE OR LOCK AGENCIES FOR ANY STRUCTURES.CONSTRUCTION,DISCHARGES.OR THER ACTIVITIES DESCRIBED IN THE APPLICATION(I.E.PRELIMINARY PLAT APPROVAL,HEALTH DISTRICT APPROVAL BUILDING PERMIT.SEPA REVIEW.FERC LICENSE.FOREST PRACTICES APPLICATION.ETC.) ALSO INDICATE WHETHER WORK WAS BEEN COMPLETED AND INDICATE ALL EXISTING WORK ON DRAWINGS. TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED? V( UA✓o Nt �,�lT/4L r/1t✓(c1 i v4 sr D eOr FISEP A LEAD AGENCY: A DECISION: PEPA DECISION DATE S.HAS ANY AGENCY DENJED APPROVAL FOR THE ACIIVITY DESCRIBED HEREIN OR FOR ANY ACTIVITY DIRECTLY RELATED TO THE ACTIVITY DESCRIBED HEREIN? OYES QX0 IF YES,EXPLAIN: Fam a JAR-P-6 Revind Drb 712W SECTION B-Use for Shoreline and Corps of Engineers permits gW 7.LOCAL GOVERNMENT WITH JURISDICTION: a.FOR Conn.COAST GUARD.AND DNR PERMITS,PROVIDE NAMES,ADDRESSES,AND TELEPHONE WA SERS OF ADJOINING PROPERTY OWNERS,LESSEES,ETC_ PLEASE NOTE-ShVREIA EMANAGEMENT COANPUAMC E A&4Y REQUIRE NOTICE—CONSULT YOUR LOCAL GOI� HAM ADDRESS PHONE NUMBER D L Of VC A PZ LT71 W r'4 SECTION C-This section MUST be completed for any permit covered by this application. B.APPUCAT10N IS HEREBY MADE FOR A PEAM[T OR PERMITS TO/1 nimiZE THE ACTIVITIES DESDRIBED HEREIN.f CERTIFY THAT I AM FAMILIAR WITH THE INFORMATION CONTAINED IN THIS APPLICATION,AND THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF,SUCH INFORMATION IS TRUE,COMPLETE,AND TE. I FURTHER CERTIFY THAT 1 POSSESS THE AUTHORITY 70 UNDERTAKE THE PROPOSED ACTIVITIES. 1 HEREBY GRANT TO THE AGENCIES TO WHICH APPLICATION IS MADE,THE RIGHT TO ENTER THE LOCATION TO INSPECT THE PROPOSED,"PROGRESS OR COMPLETED WORK 1 AGREE TO START WORK Q=Y AFTER ALL NECESSARY PERMITS HAVE BEEN RECEIVED. SIGNATURE OR - ? �i}s9 lr�, S zaw ,y,t /ors rut F� f'h. %moo- � S ?•4 4 I HEREBY DESIGNATE IAA Y A/71G 1��O N U&C 15 r N TO ACT AS MY AGENT I N MATTERS RELATED TO THIS APPLICATION FOR PER101I I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED. 1 THE PERMtT. ev TUBE APPLICANT DATE SIGNATURE OF lA1NDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS,EG.UK� TE THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT.IF AN AUTHORIZED AGENT IS DESIGNATED. to U.S.0§toot prwidos tlae VVtx~,In any marrar«;Arita to(uriecktion of"dspwVtWjt or agency of**Untied Spas knowingly falsifies,ocnceals,of cowers up by"1I sctnanr.or do a meterial Ica or makes any tabs,fictitious.«fraudulent state mart,«repre>.nbtlor I«wrabs Of uses any false writing or dome m knowing sans b contain any hhe,ficGrious or fraudulent statewneM I entry.shall be fined not morn Man$10,000 of knprborad not awe than S years«both � "n� Ir ,x. ,+� - wT ,�:._ 1 � ,gym � 3•"�.». !�� + •aA 3y� 4l _ .Na it �� is 3 -- C Gown+. � MW ►� n - . . r . -e.+. �t � These Agmxms are Equal Opporaawty and Affir mauve Action ernplaym& For special acoonrnodamon neeft please contact the appropriate agency fmm Nppendx B. Form 0 JAR-P-B Revised Deb 7/&W AUG-02-2002 FRI 02:06 PM DOE SW REGIONAL OFFICE FAX NO. 3604076305 P. 01 5 A k, STATE OF WAS14INGTON DEPARTMENT OF ECOLOGY P.O, no. 47775 • Olympia, Washington 98SO4.7775 0 (360) 407-6300 August 2,2002 Your address Ms.Grace Miller Planning Division is in the Kenne4y. t of Community Development A .*_:, I . L* Mason County Department ...... PO Box 279 watershed Shelton,WA 98584 Dear Ms.Miller, Thank you for the opportunity to comment on the determination of nonsignificance for the proposed Hillier Bulkhead project(SEP2002-00058), located at 240 Vineyard Drive, as proposed by Barry Hillier. We reviewed the environmental checklist and have the following comments: The applicant should contact the U.S. Army Corps of Engineers in Seattle at(206) 764-3495 regarding additional. permit information. A water quality certification may be required from the Department of Ecology in conjunction with the U.S. Army Corps of Engineers'permit for this project. If you have any questions or would like to respond to these comments,please call MS. Helen Pressley with the Shorelands and Fnvironme'lltal.Assistance Program at(360)407-6926. Sincerely, post-Ir Fax Note 7671 Dater #1paatges TO From Co./Dept, CO- Opal Sinithen-nan hone Phone Administrative Coordinator Fax Southwest Regional Office III Fez# OS:le(02-4510) cc: Helen Pressley, SWRO/SEA