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Home My WebLink AboutSHX2016-00043 JARPA, HPA - SHX Permit / Conditions - 6/7/2016 �0%1-STA Fo MASON COUNTY �P Department of Community Services o A N Planning Division o T i 615 W Alder St, Shelton, WA 98584 N T ti (360)427-9670 OJ �O 1864 Exemption from Shoreline Management Act Case No.: SHX2016-00043 Substantial Development Permit Requirement The Proposal By: STEVE COLGAN 502 SUMNER AVE SU NER, WA 98390 Parcel Number: 423185000 36 Site Address: 110 N ISCO ERY DR HOODSPORT To undertake the following development: NEW BULKHEAD, A DING ENCLOSED FLOATATION TO EXISTING DOCK FLOATS and ATF BUOY. Within Cushman and/or its associated wetlands is exempt from the requirement of substantial development because the d velopment is categorized under WAC 173-27-040(2) as being category: C-normal protective bulkhead Please contact Kell M Aboy t ex t 365 if you have any questions. Issued-1/20/2017 Authorized Local Gover4ment Official I p M P[jlnotp Jna ' ..01, t--------------------------------------- AGENCY USE ONLY M : Date received: W SHI GTON STATE ofEnr neesrp9 9 Seattle District Joint Aq atic Resources Permit Agency reference#: - 60 0 Application (JARPA) Form' hel ? Tax�Parcel#(s)` -fit$=S0 --Ocd 3f USE BLACK OR BLUE 11 4K TO EN ER ANSWERS IN THE WHITE SPACES BELOW. i t Part 1—Project IdOntifillation Project Name (A,nam f r yo project that you create. Exafriples:Smith's Dock or Seabrook Lane Development) h[ elpl Colgan Bulkhead. T is is a updated JARPA containing Imu 9 p g o�al ,r�oc�,�C. . d e cfG�rt4VV►r' Part 2—Applicant The person and/or organization responsible for the project. [held 2a. Name (Last, First, Mid Ile Colgan, Steve J 2b. Organization (If apple a le) NA 26. Mailing Address (st ie or"P Box) 502 Sumner Ave. 2d. City, State, Zip Sumner, WA 98390 `2e. Phone(1) Ph rp(2) 2g. Faz 2h E-mail ( 253)863-9118 ( 253) 1-1539 ( ) cushmancove @ q.com Additional forms may be requir d for the ollowing permits: • If your project may qualify or epadnent of the Army authorization through a Regional General Permit(RGP),contact the U.S.Army Corps of Engineers for application il ifo matio (206)764-3495. • If your project might affect'5penes li ted under the Endangered Species Act,you will need to fill out a Specific Project Information Form(SPIF)or prepare a Biological Evalu tion. Fo s can be found at htt ://www.nws.usace.ar it/Mis ns/Civi[Works/Re ulato /PermitGuidebook/Endan eredS ecies.as x. • Not all cities and counties' c*pt thE JARPA for their local Shoreline permits. If you need a Shoreline permit,contact the appropriate city or county government to make sure'he�accel it the JARPA. 2To access an online JARPA fo .ith[he ]screens,go to http://www.eper Alias sourcecenter/ear a 'ar a form/9984/0ar a form.as x. For other help,contact the Gove nof's Offi for Regulatory Innovation and Assistance at(800)917-0043 or help oria.wa.clov. JARPA Revision 2015.1 Page 1 of 16 Part 3—Authorized Age nt or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b of this application.) hei 3a. Name (Last; First, Mi dl ) - NA 3b. Organization (if app c ble)3 3c. Mailing Address (stet or Pb Box) 3d. City, State, Zip 3e.,Phone`O 3 . Ph( ne(2) 3g. Fax 3h. E=mail Part 4—Property Owner s) Contact information for people or organizations owning the property(ies) where the project will occur. Consider both upland and aquatic owiership because the upland owners may not own the adjacent aquatic land. h[ eAl ❑ Same as applicant. Skip to Part 5.) ❑ Repair or maintenance activ ties on existing rights-of-way or easements. (Skip to Part 5.) ❑ There are multiple ur iland pr perty owners. Complete the section below and fill out JARPA Attachment A for each additional prop rty ow ier. ❑ Your project is on D pprtm nt of Natural Resources (DNR)-managed aquatic lands. If you don't know, contact the DNR at (36 )1902- 100 to determine aquatic land ownership. If yes, complete JARPA Attachment E to apply for the Aquatic Use A thorization. 4a. Name (Last, First, 11 ' 4b. Organization (if app c le) Tacoma Power: Contact pers Wynnae Wright 4c. Mailing Address (St a or Box) 3628 South 35th Street 4d. City, State, Zip Tacoma, WA 98409-31 2 4e. Phone( ) If. P one(2) 49. Fax 4K E=meil (253) 441-4180 (?53) 18-2527 ( ) wwright@cityoftacoma.org JARPA Revision 2015.1 Page 2 of 16 Part 5—Project L catio (s) Identifying information about thE property or properties where the project will occur. hel ❑ There are multiple project to ations (e.g. linear projects). Complete the section below and use JARPA Attachment B for each addit onal project location. 5a. Indicate the type do ner, hip of the property. (Check all that apply.) 'hl gM ® Private ❑ Federal ❑ Publicly owned (state county,city,special districts like schools, ports,etc.) ❑ Tribal ❑ Department of Natural Resources (DNR) -managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Ca n t be PO Box. If there is no address, provide other location information in 5p.) hl gM 110 N Discovery Dr. 5c. City, State, Zip(If th p oject,s not in a city or town,provide the name of the nearest city or town.) h[ elp] Hoodsport. WA 98548 5d. County hI eM Mason 5e. Provide the section d18 ip, and range for the project location. hhpip] 1/4 Section Section Township Range 23 North 4 West, W.M. 5f. Provide the latitude d to` itude of the project location. hL M •` Example:47.03922 N lat./ 22.89142 W long. (Use decimal degrees-NAD 83) 47.48788 N lat/-123.24 263W I ng 5g. List the tax parcel r umber )for the project location. hl elp] • The local county as a sor's fFice can provide this information.` 42318-50-00036 5h. Contact informatio f r all=; djoining property owners. (If you need more space, use'JARPA.Attachment C) tiel Name Mailing Address Tax Parcel #(if known) Eric Flo 4014 18th Lane NW 42318-50-00022 Olympia, WA 98502 Pat Molloy 8903 2"d Ave. NE 42318-50-00037 Seattle, WA 98115 ..._............_......................................__......._..._.._....-_-.-......_..._............ _..._.. JARPA Revision 2015.1 Page 3 of 16 5L List all wetlands on r adj, `ent to the project location. NA 5j. List all waterbodies ( her,. han wetlands) on or adjacent to the project location. hl er Lake Cushman, small tream ordering one side of property 5k. Is any part of the p ojiect ea within a 100-year floodplain? hey ❑ Yes ® No ❑ qon't know 61. Briefly describe thew Beta ion and habitat conditions on the property. hL eip] Wooded with a mix of t r, hem ck, cedar Shrubs including vine aple, ododendron Ground cover mainly trailing b rry vines Plantings of assorted native pl ants around the dwelling 5m. Describe how the Pr pe is currently used. hel Single family dwelling, nd hon e 5n. Describe how the dj ce properties are currently used. [he[ Al Single family dwelling, "d hory es 50. Describe the struct Ar sj( ove and below ground) on the'property, including their purpose(s) and current condition. hf 61 Single family home, 2"d home, 3 bedroom, 2.5 bath, approx. 1950 sq. ft., completed in Spring 2013 5p. Provide driving dirE ct ons*rom the closest highway to the project location, and attach a map. h[ ep� From Hoodsport: Hwy 19 to t. Rose Village (Div. 2,3,4) approximately 11 miles; left turn into Mt. Tebo Way; down the hill to Potlach Dr.; le on Potlach Dr. to Discovery Dr.; right on Discovery Dr; 2"d driveway on the right. 110 N Discovery Dr.; D v. 3 L 36 JARPA Revision 2015.1 Page 4 of 16 Part 6—Project D scri ion 6a. Brieflysummarize ove all project. You can provide more detail in 6b. h[ eM 1) Installation of n w rip-r ip rockery erosion control bulkhead along approx. 75' of shoreline between 736- 738 lake elevation. AvE rage height of bulkhead 2.5' plus 1.0' underground. Material will be 2-man rock. 2) Repair of fixed rpier anc floating dock. This includes replacement of existing wood decking, upgrade exposed Styrof am flol ation on the dock to encased or enclosed flotation, and maintenance performed on one of the a fisting C Dricrete float stops which is being undermined. 3) Existing mooring buoy inchor to be used as off shore moorage be permitted and modified per Tacoma Power guidelines utilizi ig the existing anchor with no permanent ball structure.. 61b. Describe the purpAla of t project and why you want or need to perform it. h[ elpl 1) Lake Cushman high wE ter mark (738' elevation) is causing erosion along the shore. Installation will follow the contour of th existing shoreline and will prevent erosion. 2) Existing floating dock n eds to be up to existing code regarding Styrofoam flotation, wood decking needs replacing, and the concrete float stop needs leveling. 3) Mooring buoy needs PE rmitting an upgraded to a non-permanent ball set-upper Tacoma Power guidelines.(, I 6c. Indicate the project c teg0 . (Check all that apply) hel' ❑ Commercial Residential ❑ Institutional ❑ Transportation ❑ Recreational ® Maintenance ❑ En ironmental Enhancement e.21Lof your project. (check all that apply) [help] 6d. Indicate the major I+ ❑ Aquaculture E I Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization E I Dam /Weir ❑ Floating Home (upland) ❑ Boat House E I Dike/ Levee/Jetty ❑ Geotechnical Survey ❑ Road ❑ Boat Launch El Ditch ❑ Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift Dock/ Pier ❑ Marina / Moorage ❑ Stairs ❑ Bridge El Dredging ❑ Mining ❑ Stormwater facility ® Bulkhead E I Fence ❑ Outfall Structure ❑ Swimming Pool ® Buoy E I Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification E I fishway ❑ Raft ❑ Other: JARPA Revision 2015.1 Page 5 of 16 6e.'Describe how you p la i to onstruct each project element checked in 6d. Include specific construction methods and equir m ant f be used. hhpM • Identify where each el menu ill occur in relation to the nearest waterbody. • Indicate which activ tie are` ithin the 100-year floodplain. 1) Bulkhead Shoreline protection wil be cor structed using medium (approx. two-man) angular rock located at or slightly waterward of the OHWI A fora prox. 75 feet of frontage. The new bulkhead will be backed with quarry spalls and filter fabric. Height of th bulkh Dad to be a maximum of 4.0 feet above grade but will average 2.5 feet above grade. Base rock to be eyed i ito beach a minimum of 12" below the existing beach grade. Bulkhead will follow the contour of the existi ig shoi eline. Approximately 50' of the bulkhead will be at the 738' elevation, which is the OHWM, and 40' will foil' w the ontour of apiece of land extending to the 737' elevation of the lake. A small backhoe will be used in this project. All materials and equipment will be transported to and from the site in cars or trucks. Geo-t xtile fa ric will be spread over the dry lakebed during demolition to contain any manmade construction ebris. All existing manmade debris and project debris will be removed from the shoreline at the site following nstruction. No construction will occur unless the waters of Lake Cushman are lowered and the unnamed Type F stream is flowing at or below its average bankfull width. All activities are within the 100 year flood plain. The nearest waterbodies are Lake Cushman and an unnamed Type F stream. (see attacheddrawing) 2) Dock/Pier The dock structure me s the E ize requirements in the SUSPG, and is an allowable use per Appendix B Section 4 of the SUSPG. The ck rrent mood decking is exhibiting sings of rot and will be replaced. The current Styrofoam flotation material used n the fl ating dock section is prohibited with an encased or enclosed flotation. Additionally, the outer c)ncrete float rest is being undermined and will require repair. 3) Mooring buoy Per Tacoma Power guidelines see attached drawing). System consists of permanent anchor, anchor chain, removable non-floating ine, o Tonal small line recovery float. 6f. What are the anticiplated st rt and end dates for project construction? (MonthNear) h[ elip� • If the project will be o strue d in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date: Mar 21317 End date: Apr 2017 ❑ See JARPA Attachment D Construction will take a proximately two weeks and needs to be scheduled with the builder 6g. Fair market value o t e pr Ject, including materials, labor, machine rentals, etc. hf eM $15,000 6h. Will any portion of t e prof` ct receive federal funding? hl'elpl • If yes, list each age icy prov11 ling funds. ❑ Yes ® No ❑ Do 't know Part 7—Wetlands: Impacts and Mitigation ❑ Check here if there ace wetl ds or wetland buffers on or adjacent to the project area. (If there are none, sk!p to P rt 8.) n[ elp� 7a. Describe how the p oj6ct h s been designed to avoid and minimize adverse impacts to wetlands'. h[ eld ® Not applicable JARPA Revision 2015.1 Page 7 of 16 7b.Will the project im a t we ands? tW ❑ Yes ❑ No ❑ D n't know 7c. Will the;project irri" t we and buffers? hI elA7' ❑ Yes ❑ No ❑ D n't know 7d. Has a wetland deli a do report been prepared?' eAl If Yes,'submit the' p h in uding data sheets,with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands b en r ted using the Western Washington or Eastern Washington Wetland Rating System? hf elan • If Yes,submit the tlan` sting forms and figures with the JARPA package. ❑ Yes ❑ No ❑ D r know 7f. Have you prepare miff ation plan to compensate for any adverse impacts'to wetlands? hel • If.Yes submit the a with he JARPA package and answer 7g. • If No,or Not appli 'a le,a lain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ N t applicable 79. Summarize what ti iti gtion plan is meant to accomplish, and describe how a watershed approach was used to design thp Ian hLPa 7h. Use the table belo "Io lis the type and rating of each wetland impacted, the extent and duration of the impact, and the ty a and mount of mitigation proposed. Or if you are submitting a mitigation plan'with a similar table, you a sta (below) where we can find this information in the 'plan. `hel' Activity (fill, I Vetlz nd Wetland Impact Duration Proposed Wetland drain, excavate, Narn el type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type' (sq. ft. or category2 Acres) acres) JARPA Revision 2015.1 Page 8 of 16 If no official name for the wetland exists, reate a unique name(such as"Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report. 2 Ecology wetland category basE J on curr nt Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the JARPA pa age. 3Indicate the days,months or y ars the w tland will be measurably impacted by the activity.Enter"permanent"if applicable. 4 Creation(C), Re-establishmen Rehabilit tion(R),Enhancement(E),Preservation(P),Mitigation Bank/In-lieu fee(B) Page number(s) fo simila information in the mitigation plan, if available: 7i. For all filling activitie enf led in'7h, describe the source and nature of the fill material, the amount in cubic yards that will be us , an .how and where it will be placed into the wetland. h� er 7j.For all excavating ai ti itiesidentified in 7h, describe the excavation method, type and amount of material in cubic yards you will a ov_ and where the material will be disposed. hf eIPI Part 8—Waterbodi s (01 her than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers t non-wetland waterbodies. (See Part 7 for information related to wetlands.) hf eM ® Check here if there are Ovate bodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the p.oj ctI designed to avoid and minimize adverse impacts to the aquatic environment. hf elal ❑ Not applicable JARPA Revision 2015.1 Page 9 of 16 All work will be done d ring lary level of Lake Cushman, completion in Spring 2017. BMPs will be followed during construction to Alleviate impacts to water quality. Further mitigation is included in a Biological Evaluation that has been completed fort is project. 8b. Will your project i p ct,' aterbody or the area around a;waterbody? h[ elp] ® Yes ❑ No 8c. Have you prepare miti ation plan to compensate for the project's adverse impacts to non-wetland waterbodies? !e • If Yes,submit the 1 la i with he JARPA package and answer 8d. • If No, or Not appli a le,a plain below why a mitigation plan should not be required. ® Yes ❑ No ❑ N applicable Biologist Kim Schaumburg prE pared a Biological Evaluation submitted with this package. 8d. Summarize what the miti tion plan is meant to accomplish. Describe how a watershed approach was used to design the pla • If you already com ple ed 7 ou do not need to restate your answer here. hf elpl The primary goal of thE mitiga ion plan is to enhance the diversity of the existing native vegetation along the shoreline at the site. N�itive v etation will be planted in an approx. thirty by twenty-foot (30' x 20') area along the eastern extent of&e prop rty's shoreline, where vegetation is currently lacking (Attachment 12). The exact location of the planting will b at the applicants' discretion. Due to the potential for the roots of trees and large shrubs to damage the bulkheE d, especially during summer drought conditions, it is recommended that any trees or large shrubs be inst Iled at least ten feet (10') landward of the bulkhead. At least 20 plants and five different species will be installe . Plant ng will occur in the fall (after the cessation of drought conditions) or in the early spring. Vegetation will a in oi ie or two gallon pots, bare root, or harvested from the site or locally. 8e. Summarize impacts to ch.waterbody in the table below., hf elp) Activity (clear, ater ody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile nary e' location of impact3 (cubic yards) to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected waterbody Bulkhead a e Shoreline 2 weeks Approx. 3.5 to 7 cubic 75 linear feet ushm n & yds out and approx. n unn med 20 cubic yds in. ype F Itrearn JARPA Revision 2015.1 Page 10 of 16 Dock repair L ake Waterbody 2 weeks NA 269.5 sq. ft. ushm n & (area under pier n unnamed and dock) Type F tream If no official name for the wate ody exist ,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2Indicate whether the impact will occur in i ir adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur wit in the 100-year flood plain. 3Indicate the days,months or rs the w terbody will be measurably impacted by the work. Enter"permanent'if applicable. 8f. For all activities ider ti ed ir 8e,describe the source and nature of the fill material, amount (in cubic yards) you will use, and ho imv nd fhere it will be placed into the waterbody. hf e�d Approx. 20 cubic yards Df Med um angular rock and quarry spalls will be placed along the shoreline. 8g. For all excavating red' ng activities identified in 8e, describe the method for excavating or dredging, type and amount o ate, ,I you will remove, and where the,material will be disposed. Excavating for b se rocks will be done using a small backhoe. Approx. 3.5 to 7 cubic yards will be excavated. A srr all amount of excavated material will be used to fill any depressions created during construction, wh le the i emainder will dispersed upland of the bulkhead as Tacoma Power does not allow excavated sedin ients tc be spread over the shoreline. Part 9—Additional I nforriation Any additional information you c an provide helps the reviewer(s) understand your project. Complete as much of this section as you can. It is ok i you cannot answer a question. 9a. If you have alread orke I with any government agencies on this project, list them below. km Agency Name Contact Name Phone Most Recent Date of Contact Mason County Kelly McAboy (360) 427-9670 ext. 365 Dec. 2016 Tacoma Power Wy ae Wright (253) 441-4180 Dec. 2016 JARPA Revision 2015.1 Page 11 of 16 9b. Are any of,the we a ids waterbodies identified in Part 7 or Part 8 of this JARPA on the Washington Department of Eci k by's' 03(d) List? h[ eM • If Yes, list the par m ter(s below. • If you don't know, s Was ington Department of Ecology's Water Quality Assessment tools at: htt ':%/www.ec".wa `o / ro ams/w`/303d/ ❑ Yes ® No 9c. What U.S. Geolog Su ey Hydrological Unit Code (HUC) is the project in? hf elp • Go to htt ://cf ub. ov/' rf/locate/index.cfm to help identify the HUC. 17110017: Skokomish River 9d. What Water Reso r. In ntory,Area Number (WRIA#) is the project in? h[ gM • Go to htt :1/www.e a. %services/ is/ma s/wria/wria.htm to find the WRIA#. 16: Skokomish-Dosew Ilips 9e. Will the in-water c n trucLL on work comply with the State of Washington water quality standards for turbidity? h( eW • Go to htt //www.e a: ro `rams/vir %sw s%iiteria.htmI for the standards. ® Yes ❑ N ❑ Not applicable 9f: If the project is with ri he j risdiction of the Shoreline Management Act, what is the local shoreline environment desig ion [held • If you don't know, o tact a local planning department. • For more informat n go t; http://www.egy.wa.gov/programs/sea/sma/laws rules/173-26/2l 1 designations htmi. ❑ Rural ❑ U an ❑ Natural ❑ Aquatic ❑ Conservancy ® Other Urban Residential 9g. What is the Washi g on partment of Natural Resources Water Type? h[ elp� • Go to htt ://wwvw.d a. orest- ractices-water in for the Forest Practices Water Typing System. ❑ Shoreline R Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal 9h. Will this project be ign', d to meet the Washington Department of Ecology's most current stormwater manual? • If No, provide the*n of t,; manual your project is designed to meet. ® Yes ❑ No Name of manual: 9i. Does the project sit ave.= nown contaminated sediment? hf elpJ'- If Yes',`please~des ri4 a be w. ❑ Yes No JARPA Revision 2015.1 Page 12 of 16 9j. If you know what th Jefor y was used,for in"the past, describe below.Property was undevelo st land in the past. 9k. Has a cultural reso r (a' haeological) survey been performed on the,project area? h[ M • If Yes, attach it to y ur,JARF, package. M Yes ❑ No 91. Name each species Ii ed ' der the federal Endangered Species Act that occurs in the vicinity of the project area or might be aff 'c ed b, the proposed work. hlJ The Chinook salmon, t e bull trout, the Puget Sound steelhead, the marbled murrelet, streaked horned lark, yell w-bille I cuckoo, and the Northern spotted owl are the ESA listed threatened or endangered SPE cies in the area. 9m. Name each specie r ha itat on the Washington Department of Fish and Wildlife's Priority Habitats and Species List that n 1i ht b affected by the proposed work. h[ elp] See above, plus cutthro t trout Kokanee, and fisher. Part 10—SEPA Compliance and Permits Use the resources and dheckli below to identify the permits you are applying for. • Online Project QI, estion afire at http://apps.oria.wa..qov/opas/. • Governor's Office for R gulatory Innovation and Assistance at (800) 917-0043 or helpCa-,oria.wa.gov. • For a list of addr sses to send your JARPA to, click on agency addresses for completed JARPA. JARPA Revision 2015.1 Page 13 of 16 10a. Compliance with hill State Environmental Policy Act (SEPA). (Check all that apply.) hhje p] • For more informati n about EPA, go to www.egy.wa.gov/12rograms/sea/sepa/e-review.html. ❑ A copy of the SEPA d ermination or letter of exemption is included with this application. ® A SEPA determi nations pending with Mason County (lead agency). The expected decision date is Submitted for review 1 6/17 ❑ I am applying for a Fis Habitat Enhancement Exemption. (Check the box below in lob.) [help ❑ This project is exempt thoose type of exemption below). ❑ Categorical xemp on. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted b federal law. P JARPA Revision 2015.1 Page 14 of 16 10b Indicate the perm is you re applying for. (check all that apply.) hL e ] LOCAL GOVERNMENT Local Governmeni Shor ine permits: ❑ Substantial Dev lopmei t ElConditional Use ElVariance ❑ Shoreline Exemption T pe (explain): Other City/County permi ❑ Floodplain Deve opmen Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Departmentof Fish and Wildlife: ❑ Hydraulic Project Appro al (HPA) ❑ Fish Habitat Enhancement Exemption —Attach Exemption Form You must submit a check for$ 50 to Washington Department of Fish and Wildlife, unless your project qualifies for an exemption or alternative payment method below. Do not send cash. Check the appro riate boxes: ❑$150 check encl sed. C heck# This was submitted with the pr vP iou JARPA Attach check made payable to Washington Department of Fish and Wildlife. ❑My project is exempt frc m the application fee. (Check appropriate exemption) ❑ HPA proces ing is onducted by applicant-funded WDFW staff. Agreement it ❑ Mineral proc pectin and mining. ❑ Project OCCL rs on f irm and agricultural land. (Attach a copy of currer t land use classification recorded with the county auditor, or other proof of current land use.) ❑ Project is a modific.ition of an existing HPA originally applied for, prior to July 10, 2012. HPA# Washington Depar ment C f Natural Resources: ❑ Aquatic Use Aut orizati In Complete JARPA At a hme t E and submit a check for$25 payable to the Washington Department of Natural Resources. Do not send cash. Washington DepatIment C f Ecology: ❑ Section 401-Water Quali y Certification FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): ❑ Section 404 (discharges in waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coast Guard permits: ❑ Private Aids to N vigatio i (for non-bridge projects) JARPA Revision 2015.1 Page 15 of 16 Part 11 Autho uings Signatures Signatures are req fired be ore submitting the DARPA package. The JARPA package includes the JARPA form, project plans, photo, ,etc. I leir)l 11a.Applicant Signature( uired) het I certify that to the st of knowledge and belief, the information provided in this application is true, complete, and accurate. I also,certify at I have the authority to cant'out the proposed activities, and I agree to start work only after I have re iured necessary permits. I hereby authorize t e ogerd named in Part 3 of this application to act on my behalf in matters related to this application. (in ) By initialing here, I slate tha 1 have the authority to grant access to the property. I also give my consent to the permitting agencies ininteriN the property where the project is located to inspect the project site or any work related to the project. (nit1eq Applicant Printed Name Applicant Signatu Date- - 11 b.Authorized AgentOign Lure belp I certify that to the be st of my knowledge and belief,the information provided in this application is true, complete, and accurate. I also reify ff at I have the authority to carry out the proposed activities and I agree to start work only after all necessary perrr its have been issued. Authorized Age---W-P—rin—tedl4arne Authorized Agent Signature Date 11 C. Property Owner Signa re(if not applicant) ei pi Not required if rdject on existing rights-of-way or easements. f consent to the perm ing a ncies entering the property where the project is located to inspect the project site or any work. These in pecti s shall occur at reasonable times and, if practical,with prior notice to the landowner. Property Owner Printed N ! Property Owner Signature Date 18 U.S.0§1001 provides Whoi iver,in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or cove s L p by ay trick,scheme,or device a material fact or makes any false,fictitious,or fraudulent statements or representations or makes 4 r v ses at y false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry,shall be fined not mc re ban 0,000 or imprisoned not more than 5 years or both. If you require this documen t ir anott r format,contact the Governor's Office for Regulatory Innovation and Assistance(ORIA)at(800) 917-0043. People with hvirin g loss can call 711 for Washington Relay Service.People with a speech disability can call(877)833-6341. ORIA publication number. EN V-01 9 09 rev.09/2015 DARPA Revision 2015.1 Page 16 of 16 i J Washington Department of Fish&Wildlife „r' x 43234 Bo O �YbPMULIC PROJECT APPROVAL P Bo 4-3234 n%n� �n� or Olympia,W NSH..dRILDLUE (360)902-2200 Issued Date: Febr ary 24, 017 Permit Number: 2017-6-67+01 Project End Date: pril 30,j 021 FPA/Public Notice Number: N/A Application ID: 8192 _. AUTHORIZED AGENT OR CONTRACTOR E� MI EE Steve Colgan 502 Sumner Ave. i Sumner,WA 98390 II 1 Project Name: Colgan 3ulkhead Project Project Description: In talla on of new rip-rap rockery erosion control bulkhead along approx. 75'of shoreline b twee 736-738 lake elevation.Average height of bulkhead 2.5' plus 1.0' underground. M teria will be 2-man rock. PROVISIONS 1.This HPA is for the nstru Iron of approximately 75'of new rock bulkhead only. Removal of shoreline vegetation is not permitted. TIMING-PLANS- IN ASIVE PECIES CONTROL 2. TIMING LIMITATION:You n ay conduct the project at any time as long as the work area is dry and at least 5' from the water. 3.APPROVED PLAN :you m ist accomplish the work per plans and specifications submitted with the application and approved by the Was noton C partment of Fish and Wildlife, entitled"project Plans", submitted 01/30/2017, except as modified by this Hydra ilic Prof ct Approval.You must have a copy of these plans available on site during all phases of the project constructio i. 4. INVASIVE SPECIE QONT OL:Thoroughly clean all equipment and gear before arriving and leaving the job site to prevent the transport E n intro uction of aquatic invasive species. Properly dispose of any water and chemicals used to clean gear and equipn ie t.Yo can find additional information in the Washington Department of Fish and Wildlife's Invasive Species Man g�men Protocols(November 2012), available online at http://wdfw.wa.gov/pu li ation /01490/wdfw01490.pdf. NOTIFICATION REQ IREME 4TS 5. PRE-AND POST-C ONSTR CTION NOTIFICATION:You, your agent,or contractor must contact the Washington Department of Fish ar d WVildli by e-mail at HPAapplications@dfw.wa.gov; mail to Post Office Box 43234, Olympia, Washington 98504-3 4C or fa K to (360)902-2946 at least three business days before starting work, and again within seven days after coin lefing t work.The notification must include the permittee's name, project location, starting date for work or date thew rK was ompleted,and the permit number. The Washington Department of Fish and Wildlife may conduct inspecti ns4 durir and after construction; however,the Washington Department of Fish and Wildlife will notify you or your age it befor conducting the inspection. 6. FISH KILL/WATE OUALI Y PROBLEM NOTIFICATION: If a fish kill occurs or fish are observed in distress at the job site, immediately top all tivities causing harm. Immediately notify the Washington Department of Fish and Wildlife of the problen i. If the I Kely cause of the fish kill or fish distress is related to water quality, also notify the Washington Military E epartmE t Emergency Management Division at 1-800-258-5990.Activities related to the fish kill or fish distress must r otresun ie until the Washington Department of Fish and Wildlife gives approval.The Washington Page 1 of 6 Washington Department of Fish&Wildlife ` HYDRAULIC PROJECT APPROVAL PO Box 43234 `v.'n�a'n,O� F7SHamWILDLIFE Olympia,OI m ia,WA 98504-3234 (360)902-2200 Issued Date: February 24,2017 Permit Number: 2017-6-67+01 Project End Date: April 30, 2021 FPA/Public Notice Number: N/A Application ID: 8192 Department of Fish and Wildlife may require additional measures to mitigate impacts. STAGING, JOB SITE ACCESS,AND EQUIPMENT 7. Establish staging areas(used for equipment storage, vehicle storage,fueling, servicing, and hazardous material storage)in a location and manner that will prevent contaminants such as petroleum products, hydraulic fluid, fresh concrete, sediments, sediment-laden water, chemicals, or any other toxic or harmful materials from entering waters of the state. 8. Use existing roadways or travel paths. 9. Limit the removal of native bankline vegetation to the minimum amount needed to construct the project. 10. Retain all natural habitat features on the bed or banks including large woody material and boulders.You may move these natural habitat features during construction but you must place them near the preproject location before leaving the job site. 11. Station and operate equipment used for this project landward of the ordinary high water line. 12. If wet or muddy conditions exist, in or near a riparian zone or wetland area, use equipment that reduces ground pressure. 13. Check equipment daily for leaks and complete any required repairs in an upland location before using the equipment in or near the water. 14. Use environmentally acceptable lubricants composed of biodegradable base oils such as vegetable oils, synthetic esters, and polyalkylene glycols in equipment operated in or near the water. CONSTRUCTION-RELATED SEDIMENT, EROSION AND POLLUTION CONTAINMENT 15.Work in the dry. 16. Protect all disturbed areas from erosion. Maintain erosion and sediment control until all work and cleanup of the job site is complete. 17.All erosion control materials that will remain onsite must be composed of 100% biodegradable materials. 18. Stop all hydraulic project activities except those needed to control erosion and siltation, if flow conditions arise that will result in erosion or siltation of waters of the state. 19. Prevent project contaminants, such as petroleum products, hydraulic fluid,fresh concrete, sediments, sediment- laden water, chemicals, or any other toxic or harmful materials,from entering or leaching into waters of the state. 20. Deposit waste material from the project, such as construction debris, silt, excess dirt, or overburden, in an upland area above the limits of anticipated floodwater unless the material is approved by the Washington Department of Fish and Wildlife for reuse in the project. 21. Deposit all trash from the project at an appropriate upland disposal location. CONSTRUCTION MATERIALS 22. Store all construction and deconstruction material in a location and manner that will prevent contaminants such as petroleum products, hydraulic fluid, fresh cement, sediments, sediment-laden water, chemicals, or any other toxic or harmful materials from entering waters of the state. 23. Do not stockpile construction material waterward of the ordinary high water line. 24. Use only clean, suitable material as fill material (no trash, debris, car bodies,tires, asphalt, concrete, etc.). BULKHEAD 25. The length of the bank protection must not exceed--75'. 26. Install the toe to protect the integrity of bank protection material. Page 2 of 6 w Washington Department of Fish&Wildlife I Y'D ULIC PROJECT APPROVAL PO Box43234 Olympia,WA 98504-3234 nsH.,d WTLUN (360)902-2200 Issued Date: Febrl arty 24, 017 Permit Number: 2017-6-67+01 Project End Date: Noril 30,2021 FPA/Public Notice Number: N/A Application ID: 8192 27. Bury the base of thi i structu a deep enough to prevent undermining. 28. Use clean angular ck to c instruct the bank protection. 29. Do not release ovei burden naterial into the waters of the state when resloping the bank. 30. Do not use bed gra A fore terior armor or backfill unless approved by the Washington Department of Fish and Wildlife. 31.Avoid damaging ex sting vegetation when placing bank protection material. DEMOBILIZATION AN CLEA UP 32. Upon completion o the pro ect, restore the disturbed bed, banks,and riparian zone to preproject condition to the extent possible. 33. Restore bed and b nk elev itions and contours to preproject condition. 34. To prevent fish froi strand ng, backfill trenches, depressions, and holes in the bed that may entrain fish during high water or wave action. 35. Replace native rip rian zor and aquatic vegetation, and wetland vascular plants (except noxious weeds)damaged or destroyed by constriction u ing a proven methodology. 36. Complete replanti g of riparian vegetation during the first dormant season (late fall through late winter)after project completion per the approved p an. Maintain plantings for at least three years to ensure at least eighty percent of the plantings survive. Fail rei to ac iieve the eighty percent survival in year three will require you to submit a plan with follow-up measures to a9hieve requirements or reasons to modify requirements. 37. Install fencing or other stru tures to prevent livestock,wildlife, or unauthorized persons from accessing the replanted riparian and wetland sites until the plantings are well established. 38. Upon completion f the pr 'ect, remove all materials or equipment from the site and dispose of all excess spoils and waste materials ir an uplaid area above the limits of anticipated floodwater. 39. Remove tempora erosio and sediment control methods after job site is stabilized or within three months of project completion,will ichever s sooner. LOCATION#1: Site N me: Lai a Cushman 110 D'3covery Dr., Hoodsport,WA 98548 �m _ ... °�"' WORK END `April 30,2021 WRIA ry 24, 2 17 r WORK START e ru aterbod Tributary to: �16-SkokomisIh-Dose h , alli s Lake Cushman �Skokomish River NF wa Latitude: Longitude: !County: 1C Secti Ran e:/4 SE : ,M . ,..._ ... � Mason 18 23 N 04 W 47.48788 123.24263 Location#1 Drivin Dir ct ons Page 3 of 6 Washington Department of Fish&Wildlife v' HYDRAULIC PROJECT APPROVAL PO Box43234 SH..dWILDLar Olympia,WA98504-3234 TTiSHandWILDLIFE (360)902-2200 Issued Date: February 24, 2017 Permit Number: 2017-6-67+01 Project End Date: April 30, 2021 FPA/Public Notice Number: N/A Application ID: 8192 APPLY TO ALL HYDRAULIC PROJECT APPROVALS This Hydraulic Project Approval pertains only to those requirements of the Washington State Hydraulic Code, specifically Chapter 77.55 RCW. Additional authorization from other public agencies may be necessary for this project. The person(s)to whom this Hydraulic Project Approval is issued is responsible for applying for and obtaining any additional authorization from other public agencies(local, state and/or federal)that may be necessary for this project. This Hydraulic Project Approval shall be available on the job site at all times and all its provisions followed by the person (s)to whom this Hydraulic Project Approval is issued and operator(s)performing the work. This Hydraulic Project Approval does not authorize trespass. The person(s)to whom this Hydraulic Project Approval is issued and operator(s)performing the work may be held liable for any loss or damage to fish life or fish habitat that results from failure to comply with the provisions of this Hydraulic Project Approval. Failure to comply with the provisions of this Hydraulic Project Approval could result in a civil penalty of up to one hundred dollars per day and/or a gross misdemeanor charge, possibly punishable by fine and/or imprisonment. All Hydraulic Project Approvals issued under RCW 77.55.021 are subject to additional restrictions, conditions, or revocation if the Department of Fish and Wildlife determines that changed conditions require such action. The person(s) to whom this Hydraulic Project Approval is issued has the right to appeal those decisions. Procedures for filing appeals are listed below. MINOR MODIFICATIONS TO THIS HPA: You may request approval of minor modifications to the required work timing or to the plans and specifications approved in this HPA unless this is a General HPA. If this is a General HPA you must use the Major Modification process described below.Any approved minor modification will require issuance of a letter documenting the approval.A minor modification to the required work timing means any change to the work start or end dates of the current work season to enable project or work phase completion. Minor modifications will be approved only if spawning or incubating fish are not present within the vicinity of the project.You may request subsequent minor modifications to the required work timing. A minor modification of the plans and specifications means any changes in the materials, characteristics or construction of your project that does not alter the project's impact to fish life or habitat and does not require a change in the provisions of the HPA to mitigate the impacts of the modification. Minor modifications do not require you to pay additional application fees or be issued a new HPA. If you originally applied for your HPA through the online Aquatic Protection Permitting System (APPS), you may request a minor modification through APPS. A link to APPS is at http://wdfw.wa.gov/licensing/hpa/. If you did not use APPS you must submit a written request that clearly indicates you are seeking a minor modification to an existing HPA.Written requests must include the name of the applicant,the name of the authorized agent if one is acting for the applicant, the APP ID number of the HPA,the date issued,the permitting biologist,the requested changes to the HPA, the reason for the requested change, the date of the request, and the requestor's signature. Send by mail to:Washington Department of Fish and Wildlife, PO Box 43234, Olympia,Washington 98504-3234, or by email to HPAapplications@dfw.wa.gov. Do not include payment with your request.You should allow up to 45 days for the department to process your request. Page 4 of 6 r Washington Department of Fish&Wildlife HYDR ULIC PROJECT APPROVAL PO Box 43234 �;,Urt��nmRn,a Olympia,WA 98504-3234 RSH..dWILDL0 (360)902-2200 Issued Date: Febr ary 24, 017 Permit Number: 2017-6-67+01 Project End Date: pril 30,1 021 FPA/Public Notice Number: N/A Application ID: 8192 MAJOR MODIFICATI TO HIS HPA:You may request approval of major modifications to any aspect of your HPA. Any approved change th r tha i a minor modification to your HPA will require issuance of a new HPA. If you paid an application fee for your x ginal IPA you must pay an additional $150 for the major modification. If you did not pay an application fee for the i 'nal A, no fee is required for a change to it. If you originally applied for your HPA through the online Aquatic Proti ct on Pi rmitting System (APPS),you may request a major modification through APPS.A link to APPS is at http:Hwdfw. a'gov/1 ensing/hpa/. If you did not use APPS you must submit a written request that clearly indicates you are requ sting a i iajor modification to an existing HPA.Written requests must include the name of the applicant,the name of he auth rized agent if one is acting for the applicant, the APP ID number of the HPA,the date issued,the permitting L ologist, he requested changes to the HPA, the reason for the requested change, the date of the request, payment if the original application was subject to an application fee, and the requestor's signature. Send your written request and pa m nt, if applicable, by mail to: Washington Department of Fish and Wildlife, PO Box 43234, Olympia,Washington 5p4-32 34.You may email your request for a major modification to HPAapplications@dfw. vaj.gov, ut must send a check or money order for payment by surface mail.You should allow up to 45 days for the depa tryient tc process your request. i APPEALS INFORMATION If you wish to appeal th D issua e, denial, conditioning, or modification of a Hydraulic Project Approval (HPA), Washington Departmei it of Fist and Wildlife (WDFW)recommends that you first contact the department employee who issued or denied the H Aito dic cuss your concerns. Such a discussion may resolve your concerns without the need for further appeal action. Ill you pro eed with an appeal,you may request an informal or formal appeal.WDFW encourages you to take advantage f he in rmal appeal process before initiating a formal appeal.The informal appeal process includes a review by dE pE rtmer t management of the HPA or denial and often resolves issues faster and with less legal complexity than the for ne I appeal process. If the informal appeal process does not resolve your concerns, you may advance your appeal t tl e forr ial process.You may contact the HPA Appeals Coordinator at(360)902-2534 for more information. i A. INFORMAL APPEALS:WA 220-660-460 is the rule describing how to request an informal appeal of WDFW actions taken under Chapter 7 .5� RCI V. Please refer to that rule for complete informal appeal procedures. The following information summarizes that ru e. i A person who is aggri ed by t e issuance, denial, conditioning, or modification of an HPA may request an informal appeal of that action. u,must send your request to WDFW by mail to the HPA Appeals Coordinator, Department of Fish and Wildlife, Habi atiProg m, 600 Capitol Way North, Olympia, Washington 98501-1091; e-mail to HPAapplications@dfw a.gov; ax to (360)902-2946; or hand-delivery to the Natural Resources Building, 1111 Washington St SE, Ha iitat Pro iram, Fifth floor.WDFW must receive your request within 30 days from the date you receive notice of the d ci$ion. I you agree, and you applied for the HPA, resolution of the appeal may be facilitated through an informal co forence with the WDFW employee responsible for the decision and a supervisor. If a resolution is not reached through he informal conference,or you are not the person who applied for the HPA,the HPA Appeals Coordinator or designE rill co iduct an informal hearing and recommend a decision to the Director or designee. If you are not satisfied with tl e result of the informal appeal, you may file a request for a formal appeal. B. FORMAL APPEALS:WAC 0-660-470 is the rule describing how to request a formal appeal of WDFW actions taken under Chapter 7 r.55 RC . Please refer to that rule for complete formal appeal procedures. The following information summarizes that rue. Page 5of6 Washington Department of Fish&Wildlife HYDRAULIC PROJECT APPROVAL PO Box43234 An a ueut-t�f Olympia,WA 98504-3234 FISH..d WILDLIFE (360)902-2200 Issued Date: February 24, 2017 Permit Number: 2017-6-67+01 Project End Date: April 30, 2021 FPA/Public Notice Number: N/A Application ID: 8192 A person who is aggrieved by the issuance, denial, conditioning, or modification of an HPA may request a formal appeal of that action. You must send your request for a formal appeal to the clerk of the Pollution Control Hearings Boards and serve a copy on WDFW within 30 days from the date you receive notice of the decision.You may serve WDFW by mail to the HPA Appeals Coordinator, Department of Fish and Wildlife, Habitat Program, 600 Capitol Way North, Olympia, Washington 98501-1091; e-mail to HPAapplications@dfw.wa.gov;fax to(360)902-2946; or hand-delivery to the Natural Resources Building, 1111 Washington St SE, Habitat Program, Fifth floor. The time period for requesting a formal appeal is suspended during consideration of a timely informal appeal. If there has been an informal appeal, you may request a formal appeal within 30 days from the date you receive the Director's or designee's written decision in response to the informal appeal. C. FAILURE TO APPEAL WITHIN THE REQUIRED TIME PERIODS: If there is no timely request for an appeal,the WDFW action shall be final and unappealable. Habitat Biologist joshua.benton@dfw.wa.gov for Director Joshua Benton 360-602-0364 j WDFW Page 6 of 6