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Home My WebLink AboutJARPA 5-MILE CREEK STREAM ENHANCEMENT - SHX Application - 8/15/2011 ------------- AGENCY USE ONLY ' 2010 Date received: WASHINGTON STATE a Joint Aquatic Resources Permit ; Agency reference#: Application (JARPA) Form' Tax Parcel#(s): , USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. !___________________________________; Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) h[tel 2 5-Mile Creek Stream Enhancement Part 2—Applicant The person or organization responsible for the project. nLlpj 2a. Name (Last, First, Middle)and Organization (if applicable) Toal, Charles 2b. Mailing Address (Street or PO Box) W 5040 Skokomish Valley Road#150 2c. City, State, Zip Shelton, WA 98584 2d. Phone(1) 20. Phone(2) 2f. Fax 2 . E-mail (360) 427-7308 (360) 407-6297 work (360) 407-6305 Ctoa461@ecy.wa.gov 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.) [he] Pame (Last, First, Middle) and Organization (if applicable) r, Richard J., PE, District Engineer, Mason Conservation District ailing Address (Street or PO Box) est Business Park Road Additional forms may be required for the following permits: • If your project may qualify for Department of the Army authorization through a Regional General Permit(RGP),contact the U.S.Army Corps of Engineers for application information(206)764-3495. • If your project might affect species listed under the Endangered Species Act,you will need to fill out a Specific Project Information Form(SPIF)or prepare a Biological Evaluation. Forms can be found at http://www.nws.usace.a"y.mil/PublieMen u/Men u.cfm?sitename=REG&pagename=mainpage_ESA • If you are applying for an Aquatic Resources Use Authorization you will need to fill out and submit an Application for Authorization to Use State- Owned Aquatic Lands form to DNR,which can be found at http://wewu.dnr.wa.gov/Publicationslagr_use_auth_app.doc • Not all cities and counties accept the JARPA for their local Shoreline permits. If you think you will need a Shoreline permit,contact the appropriate city or county government to make sure they will accept the JARPA. 2To access an online JARPA form with[help]screens,go to http://www.epermitting.wa.gov/site/alias resourcecenter/jarpaJarpa_form/9984/jarpa_forn.aspx. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or help@ora.wa.gov. JARPA 2010 v1 3/30/2010 Page 1 of 14 ........... . 3c. City, State, Zip Shelton, WA 98584 3d. Phone(1) 3e. Phone(2) 3f. Fax 3 E-mail (360) 427-9436, x18 1 (360 789-4676) (360) 427 4396 rjgeiger@masoncd.org Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. h(pm ® 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 fill out JARPA Attachment A for each additional property owner. 4a. Name (last, First, Middle)and Organization (if applicable) Baze, Justin 4b. Mailing Address (Street or PO Box) 5040-121 W Skokomish Valley Road 4c. City, State, Zip Shelton, WA 98584 4d. Phone(1) 4e. Phone(2) 4f. Fax 4 . E-mail ( 360 ) 426-8382 ( ) ( ) Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. Lkm ❑ There are multiple project locations (e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (check all that apply.) he(�il ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources(DNR) at(360)902-1100) ❑ Federal ❑ Other publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal ® Private 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) h( elp] 5040-101, 5040-121 & 5040-150 W Skokomish Valley Road 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) hem Shelton, WA 98584 5d. County Iwo Mason JARPA 2010 v1 3/30/2010 Page 2 of 14 P the section, township, and range for the project location. ftW ction Section Township Range 12 21Nthe latitude and longitude of the project location. hf elolple:417.03922 N lat./-122.89142 W long. (NAD 83) 47d 19' 19.2" N lat./123d 15' 40.7"W long. —or-47.32199 N/123.26129 W 5g. List the tax parcel number(s) for the project location. LhqM • The local county assessor's office can provide this information. 52112-31-00250, 52112-31-00240, 52112-31-00260 5h. Contact information for all adjoining property owners. (if you need more space, use JARPA Attachment C.) h[ email Name Mailing Address Tax Parcel #(if known) Edward & Donna Long 3334 N Defiance Street 52112-42-00020 Tacoma, WA 98407 Skokomish Farms, Inc. PO Box 557 52112-24-00000 __ Union, WA 98592 61. List all wetlands on or adjacent to the project location. h(� None 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. lbelol 5-Mile Creek & Skokomish South Fork 5k. Is any part of the project area within a 100-year flood plain? elelw ® Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. hel Upstream channel has a dense riparian area with mature trees, downstream right bank has been cleared for lawn with some mature trees remaining along the eroding bank. Streambed material is primarily cobble and well graded streambed gravel. JARPA 2010 v1 3/30/2010 Page 3 of 14 5m. Describe how the property is currently used. hLel 7 Area is zoned rural residential. 5n. Describe how the adjacent properties are currently used. hM All adjoining properties are rural residential except parcel #52112-24-00000, Skokomish Farms, which is agricultural. 5o. Describe the structures (above and below ground) on the property, including their purpose(s). hip] There is an old cabin within 40' of the river right bank on the Toal property (5040-150 W. Skokomish Valley Road). The Baze and Twiss properties have residences set well back (over 200') from 5-Mile Creek. 5p. Provide driving directions from the closest highway to the project location, and attach a map. Fhelpi Proceed North on US 101 to the Skokomish Valley Road at George Adams Fish Hatchery. Turn West on Skokomish Valley Road and proceed 5.2 miles. Turn Right at the local access road (Look for fish-shaped address sign for Toal) to the project site. JARPA 2010 v1 3/30/2010 Page 4 of 14 Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. h[ eIo] Project proposes to install up to 5 engineered log jams along the right bank of 5-Mile Creek at the confluence with the Skokomish South Fork. This is a SRFB & NRCS stream restoration project to maintain the stream connection between 5-Mile Creek and the Skokomish South Fork during summer low-flow periods. 6b. Indicate the project category. (Check all that apply) h[ gm ❑ Commercial ❑ Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ® Environmental Enhancement 6c. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam /Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike / Levee /Jetty ❑ Land Clearing Measurement Device ❑ 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 ® Channel Modification ❑ Fishway (upland) ❑ Other: 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. rheiDl • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. Log jams will be constructed by anchoring 35' rootwad stems to 6-man rock anchors. Log jams will have no more than 12 stems and 14 ea 6-man rock anchors each. The top of the log jams will then be tied back to existing trees or dead-man anchors to minimize movement during high flow events. Anchor rocks will be set individually using an excavator with a sling. Logs will be placed in stream using an excavator with a thumb, either set directly or floated into place and then tied down. 6e. What are the start and end dates for project construction? (month/year) [help] • 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: As soon as possible End date: Approx. 10 working days❑ See JARPA Attachment D JARPA 2010 v1 3/30/2010 Page 5 of 14 6f. Describe the purpose of the project and why you want or need to perform it. hel Purpose of the project is to restore maintain an open channel connection between the mouth of 5-Mile Creek and the Skokomish South Fork. This channel connection has been filled with sediment in past years, blocking fish access to cool, spring-fed & shaded water during summer low flow periods. This has blocked critical fish refuge when Skokomish South Fork water temperatures have risen and caused heat stress to endangered fish species. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. hel —$40,000 6h. Will any portion of the project receive federal funding? h�iel ] • If yes, list each agency providing funds. ® Yes ❑ No ❑ Don't know Federal Agencies: NRCS & USFS 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.) hip] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. hf M ❑ Not applicable 7b. Will the project impact wetlands? hell ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? het ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? hel • 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 Eastern Washington Wetland Rating System? Le j • If yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know JARPA 2010 v1 3/30/2010 Page 6 of 14 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? heel j • If yes, submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ Not applicable 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. h( elp] 7h. Use the table below to list the type and rating of each wetland impacted; the extent and duration of the impact; and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below) where we can find this information in the plan. h� Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact' mitigation mitigation area flood, etc.) rating ft. or type (sq. ft. or category' Acres) acres) If no official name for the wetland exists,create a unique name(such as'Welland 1"). The name should be consistent with other project documents,such as a wetland delineation report. f Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the JARPA package. Indicate the days,months or years the wetland will be measurably impacted by the activity. Enter"permanent"if applicable. '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: 7i. For all filling activities identified in 7h., describe the source and nature of the fill material, the amount in cubic yards that will be used, and how and where it will be placed into the wetland. hel 7j. For all excavating activities identified in 7h., describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. h(>w JARPA 2010 vt 3/30/2010 Page 7 of 14 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.) Ltpm ® 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. hel ❑ Not applicable Most work will be done from the top of the right bank along the creek and river. There may be a need to cross 5-Mile Creek with an excavator to move rock anchors and logs into final position. Large logs will be laid in the creek and the excavator will walk over the logs, staying out of the wetted stream. This crossing will be made only if necessary to install the engineered log jams as designed. 8b. Will your project impact a waterbody or the area around a waterbody? hLelp ® Yes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? hLel�i • If yes, submit the plan with the JARPA package and answer 8d. • If No, or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ® No ❑ Not applicable By lowering the rock and logs into place from the right bank, disturbance to the stream should be minimized by using low energy and preventing material from scraping against bare soils and the streambed. If an excavator must cross 5-Mile Creek, large logs will be laid in the creek and the excavator will walk over the wetted stream. These logs should not interfere with fish passage, and they may either be left in place to float out naturally or they can be removed, if desired. Logs placed for excavator crossing will be moved using an excavator with a thumb to minimize disturbance and sedimentation. JARPA 2010 vt 3/30/2010 Page 8 of 14 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7g., you do not need to restate your answer here. hel Not applicable. The purpose of this project is to maintain fish passage during summer low flow periods. Gravel blockage of side channel entrances has been identified as a habitat deficiency for this and other tributaries of the Skokomish by the USACE general investigation, and installation of ELJ's is the recommended corrective action. 8e. Summarize impact(s) to each waterbody in the table below. heI Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile 'name location of impact' to be placed in or linear ft.) of drive, etc.) removed from waterbody warterbody directly affected Place LWD & 5-Mile Creek Mouth of -5 days Up to 24 LWD Stems -70 linear feet rock anchors Stream and 28 ea 6-man rock Place LWD & Skokomish 5-Mile Z5 days Up to 36 LWD Stems -105 linear feet rock anchors South Fork Creek and 42 ea 6-man rock Confluence If no official name for the waterbody exists,create a unique name(such as-Stream 1')The name should be consistent with other documents provided. 2Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 3Indicate the days,months or years the waterbody will be measurably impacted by the work. Enter"permanent"if applicable. 8f. For all activities identified in 8e., 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. hLem Clean, 6-man rock from a commercial quarry will be used to anchor the log jams. No more than 70 rocks total will be placed. Each rock has a volume of-1.8 cubic yards, for a total volume not to exceed 126 cubic yards. 89. For all excavating or dredging activities identified in 8e., describe the method for excavating or dredging, type and amount of material you will remove, and where the material will be disposed. elelp� JARPA 2010 v1 3/30/2010 Page 9 of 14 Not applicable. Part 9—Additional Information Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. It is ok if you cannot answer a question. 9a. If you have already worked with any government agencies on this project, list them below. h[ @M Agency Name Contact Name Phone Most Recent Date of Contact WDFW Gloria Rogers (360) 249-1293 08-10-11 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? rheipi • If yes, list the parameters)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: hftr):/Avww.ecy.wa.gov/programs/wo/303d/. ❑ Yes ® No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? neI • Go to http:/Icfpub.eoa aov/surf/locatelindex chn to help identify the HUC. 17110018 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? hmm • Go to hffp:/Avww.ecy.wa.ciov/services/ciis/maps/wria/wria.htm to find the WRIA#. WRIA 16 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? rheipi • Go to-hftp://www.ecy.wa.gov/i)roaramstwa/swas/criteria.htmf for the standards. JARPA 2010 v1 3/30/2010 Page 10 of 14 ® 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.gov/programstsea/sma/laws rules/173 26/211 designations html ® Rural ❑ Urban ❑ Natural ❑Aquatic ❑ Conservancy [I Other 9g. What is the Washington Department of Natural Resources Water Type? Fhelpi • Go to httr)://www dnr wa aov/BusinessPermits/Tonics/ForestPracticesAoolications/Paces/fo watertvoinc asox for the Forest Practices Water Typing System. ❑ Shoreline ® Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal 9h. Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? hel • If no, provide the name of the manual your project is designed to meet. ® Yes ❑ No Name of manual: 2005 Stormwater Manual for Western Washington and Puget Sound 9i. If you know what the property was used for in the past, describe below. hE@_V Rural residential property 9j. Has a cultural resource (archaeological) survey been performed on the project area? hel • If yes,attach it to your JARPA package. ® Yes ❑ No Performed by NRCS as a condition of funding 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. hel Puget Sound Chinook, Hood Canal Summer Run Chum, Steelhead, and Bull Trout 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. hel JARPA 2010 v1 3/30/2010 Page 11 of 14 FPugetound Chinook, Hood Canal Summer Run Chum, Steelhead, and Bull Trout Part 10—SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at hftp://apps.ecy.wa.gov/opas/. • Governor's Office of Regulatory Assistance at (800) 917-0043 or helpa-ora.wa.aov. • For a list of agency addresses to send your application, click on the "where to send your completed JARPA" at http://www.epermitting.wa.gov. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) help • For more information about SEPA, go to www ecv wa aov/oroarams/sea/sepa/e review html. ❑A copy of the SEPA determination or letter of exemption is included with this application. ❑ A SEPA determination is pending with (lead agency). The expected decision date is ® lam applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) hel ❑ This project is exempt (choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: Storm Damage caused by Declared Emergency Event ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) hem LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance ❑ Shoreline Exemption Type (explain): 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 JARPA 2010 v1 3/30/2010 Page 12 of 14 F hington Department of Ecology: ection 401 Water Quality Certification ington Department of Natural Resources: uatic 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) Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. EtLeM 11a. Applicant Signature (required) hel 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. 6 7— (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. C T— (initial) Applicant Printed Name {AppuEant ure Date 11 b. Authorized Agent Signature hei 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 rmits have been issued. Authorized Agen rinted Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant). hel Not required if project is on existing rights-of-way or easements. JARPA 2010 v1 3/30/2010 Page 13 of 14 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 Printed Name P operty Owner Signature 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 2010 vt 3/30/2010 Page 14 of 14 ;. -------------------------------------- 2 0 1 0 AGENCY USE ONLY WASHINGTON STATE � W Enginearc a Date received: ; Joint Aquatic Resources Permit Application (JARPA) Form hei , Agency reference#: ; Tax Parcel#(s): JARPA Attachment A: - - AN ------ For additional property owner(s) heI ; TO-BE--COMPL---E-TED---BY--AP-P-LIC--ANT-hL-e- Project Name: Bridge at Dinning Rd Washout -------------------------------------• Use this attachment one if you have more than one property owner. Complete one attachment for each additional property owner impacted by the project. Signatures of property owners are not needed for repair or maintenance activities on existing rights-of-way or easements. Use black or blue ink to enter answers in whites aces below. 4a. Name (Last, First, Middle)and Organization (if applicable) Twiss, Ronald 4b. Mailing Address (Street or PO sox) 5040-101 W Skokomish Valley Road 4c. City, State, Zip Shelton, WA 98584 4d. Phone(1) 4e. Phone(2) 4f. Fax �4g. E-mail ( 360 )427-9333 ( ) ( ) Address or tax parcel number of property you own: 52112-31-00250 Signature of (Property Owner Printed Name Signature If you require this document in another format, contact The Govemor'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. 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