HomeMy WebLinkAboutSEP2021-00096 - SEP Application - 12/27/2021 SEP2021 - L100�1L0
RECEIVED
SEPA ENVIRONMENTAL CHECKLIST DEC 2 7 2021
Purpose of checklist:
615 W. Alder Street
Governmental agencies use this checklist to help determine whether the environmental impacts of your
proposal are significant. This information is also helpful to determine if available avoidance, minimization
or compensatory mitigation measures will address the probable significant impacts or if an environmental
impact statement will be prepared to further analyze the proposal.
Instructions for applicants:
This environmental checklist asks you to describe some basic information about your proposal. Please
answer each question accurately and carefully, to the best of your knowledge. You may need to consult
with an agency specialist or private consultant for some questions. You may use "not applicable" or
"does not apply" only when you can explain why it does not apply and not when the answer is unknown.
You may also attach or incorporate by reference additional studies reports. Complete and accurate
answers to these questions often avoid delays with the SEPA process as well as later in the decision-
making process.
The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of
time or on different parcels of land. Attach any additional information that will help describe your proposal
or its environmental effects. The agency to which you submit this checklist may ask you to explain your
answers or provide additional information reasonably related to determining if there may be significant
adverse impact.
Instructions for Lead Agencies:
Please adjust the format of this template as needed. Additional information may be necessary to
evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse
impacts. The checklist is considered the first but not necessarily the only source of information needed to
make an adequate threshold determination. Once a threshold determination is made, the lead agency is
responsible for the completeness and accuracy of the checklist and other supporting documents.
Use of checklist for nonproject proposals:
For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable
parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please
completely answer all questions that apply and note that the words "project," "applicant," and "property or
site" should be read as "proposal," "proponent," and "affected geographic area," respectively. The lead
agency may exclude (for non-projects) questions in Part B - Environmental Elements —that do not
contribute meaningfully to the analysis of the proposal.
A. Background HELP
1. Name of proposed project, if applicable:
Morris-Ratterree Joint-Use Dock
2. Name of applicant:
Marc Morris
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 1 of 13
,
3. Address and phone number of applicant and contact person:
Applicant: Marc Morris—
PO Box 145
Grapeview WA 98546-0145
Agent : Jogn Kavanaugh—Marine Floats
313 East F Street
Tacoma, WA 98421
(253)383-2740
john(&marinefloats.com
4. Date checklist prepared:
10-15-21
5. Agency requesting checklist:
Mason County
6. Proposed timing or schedule (including phasing, if applicable):
As soon as permitting allows
7. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal? If yes, explain.
No.
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal.
JARPA, SEPA Checklist,
9. Do you know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes, explain.
Unknown
10. List any government approvals or permits that will be needed for your proposal, if known.
Mason County, WDFW, U.S>Army Corps of Engineers
11. Give brief, complete description of your proposal, including the proposed uses and the size
of the project and site. There are several questions later in this checklist that ask you to
describe certain aspects of your proposal. You do not need to repeat those answers on this
page. (Lead agencies may modify this form to include additional specific information on project
description.)
Furnish and drive(4)pier piling(8 Y" diameter galvanized steel with .322 wall thickness)
Furnish and drive(4) float piling(10 3/"diameter galvanized steel with .365 wall thickness)
Install prefabricated pier, ramp and float, including the following:
(1) 6'x 61' aluminum pier with all welded truss(a 6'x 44' section and 6'x 17'section)
(1) fabricated aluminum ramp with Y x 40' inside dimension
(1) 8'x 30' float with polyethylene foam filled tub flotation
This dock project will provide access to opportunities for the enjoyment of water dependent activities
such as fishing, swimming,boating for these two residential homes..
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 2 of 13
12. Location of the proposal. Give sufficient information for a person to understand the precise
location of your proposed project, including a street address, if any, and section, township, and
range, if known. If a proposal would occur over a range of area, provide the range or
boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic
map, if reasonably available. While you should submit any plans required by the agency, you
are not required to duplicate maps or detailed plans submitted with any permit applications
related to this checklist.
261 & 263 E Stretch Island Rd
Grapeview WA 98546
Parcel #'s: 121087590013 & 121087590012
Section: 8 Township: 21 N Range: 1 W
Lat/Long.: 47.330249, -122.829851
B. Environmental Elements FHELP1
1. Earth hj el
a. General description of the site:
(circle one): Flat, rolling, hilly, steep slopes, mountainous, other
b. What is the steepest slope on the site (approximate percent slope)? 6 to 15 percent slopes
c. What general types of soils are found on the site (for example, clay, sand, gravel, peat,
muck)? If you know the classification of agricultural soils, specify them and note any
agricultural land of long-term commercial significance and whether the proposal results in
removing any of these soils.
Harstine gravelly ashy loam
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
Unknown
e. Describe the purpose, type, total area, and approximate quantities and total affected area of
any filling, excavation, and grading proposed. Indicate source of fill.
N/A—no excavation or fill
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
No.
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?
Same as before the project
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 3 of 13
2. Air 1LpjpJ
a. What types of emissions to the air would result from the proposal during construction,
operation, and maintenance when the project is completed? If any, generally describe and
give approximate quantities if known.
Temporary exhaust from boats and construction equipment during construction
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe.
No.
c. Proposed measures to reduce or control emissions or other impacts to air, if any:
N/A
3. Water hf eM
a. Surface Water: hf elpl
1) Is there any surface water body on or in the immediate vicinity of the site (including
year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe
type and provide names. If appropriate, state what stream or river it flows into.
Case Inlet
2)Will the project require any work over, in, or adjacent to (within 200 feet)the described
waters? If yes, please describe and attach available plans.
Yes. Please see attached plans/documentation.
3) Estimate the amount of fill and dredge material that would be placed in or removed
from surface water or wetlands and indicate the area of the site that would be affected.
Indicate the source of fill material.
N/A
4)Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known.
No.
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
No.
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge.
No.
b. Ground Water: hf elpl
1)Will groundwater be withdrawn from a well for drinking water or other purposes? If so,
give a general description of the well, proposed uses and approximate quantities
withdrawn from the well. Will water be discharged to groundwater? Give general
description, purpose, and approximate quantities if known.
No.
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 4 of 13
2) Describe waste material that will be discharged into the ground from septic tanks or
other sources, if any(for example: Domestic sewage; industrial, containing the
following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the
number of such systems, the number of houses to be served (if applicable), or the
number of animals or humans the system(s)are expected to serve.
N/A
c. Water runoff(including stormwater):
1) Describe the source of runoff(including storm water)and method of collection
and disposal, if any (include quantities, if known). Where will this water flow?
Will this water flow into other waters? If so, describe.
N/A
2) Could waste materials enter ground or surface waters? If so, generally describe.
No.
3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If
so, describe.
No.
d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage
pattern impacts, if any:
N/A
4. Plants hel
a. Check the types of vegetation found on the site:
_X_deciduous tree: alder, maple, aspen, other
_X_evergreen tree: fir, cedar, pine, other
_X_shrubs
_X_grass
_pasture
crop or grain
Orchards, vineyards or other permanent crops.
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
None
c. List threatened and endangered species known to be on or near the site.
Unknown
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 5 of 13
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any:
None proposed at this time.
e. List all noxious weeds and invasive species known to be on or near the site.
Unknown
5. Animals h[ el
a. List any birds and other animals which have been observed on or near the site or are known
to be on or near the site.
Examples include:
birds: hawk, heron, eagle, songbirds, other: Waterbirds
mammals: deer, bear, elk, beaver, other: Raccoons, Rodents
fish: bass, salmon, trout, herring, shellfish, other
b. List any threatened and endangered species known to be on or near the site.
Unknown
c. Is the site part of a migration route? If so, explain.
Unknown
d. Proposed measures to preserve or enhance wildlife, if any:
None
e. List any invasive animal species known to be on or near the site.
Unknown
6. Energy and Natural Resources IbLeM
a. What kinds of energy(electric, natural gas, oil, wood stove, solar)will be used to meet
the completed project's energy needs? Describe whether it will be used for heating,
manufacturing, etc.
N/A
b. Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe.
None.
c. What kinds of energy conservation features are included in the plans of this proposal?
List other proposed measures to reduce or control energy impacts, if any:
N/A
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 6 of 13
7. Environmental Health hf eM
a. Are there any environmental health hazards, including exposure to toxic chemicals, risk
of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal?
If so, describe.
No.
1) Describe any known or possible contamination at the site from present or past uses.
None
2) Describe existing hazardous chemicals/conditions that might affect project development
and design. This includes underground hazardous liquid and gas transmission pipelines
located within the project area and in the vicinity.
N/A
3) Describe any toxic or hazardous chemicals that might be stored, used, or produced
during the project's development or construction, or at any time during the operating
life of the project.
N/A
4) Describe special emergency services that might be required.
N/A
5) Proposed measures to reduce or control environmental health hazards, if any:
N/A
b. Noise
1)What types of noise exist in the area which may affect your project(for example:
traffic, equipment, operation, other)?
Residential noises
2)What types and levels of noise would be created by or associated with the project on a
short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi-
cate what hours noise would come from the site.
None
3) Proposed measures to reduce or control noise impacts, if any:
None Proposed
8. Land and Shoreline Use [Lel
a. What is the current use of the site and adjacent properties? Will the proposal affect current
land uses on nearby or adjacent properties? If so, describe.
Shoreline residential/No effet
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 7 of 13
b. Has the project site been used as working farmlands or working forest lands? If so, describe.
How much agricultural or forest land of long-term commercial significance will be converted
to other uses as a result of the proposal, if any? If resource lands have not been designated,
how many acres in farmland or forest land tax status will be converted to nonfarm or
nonforest use?
No.
1)Will the proposal affect or be affected by surrounding working farm or forest land normal
business operations, such as oversize equipment access, the application of pesticides,
tilling, and harvesting? If so, how:
No.
c. Describe any structures on the site.
Single family homes on both parcels.
d. Will any structures be demolished? If so, what?
No.
e. What is the current zoning classification of the site?
R-1
f. What is the current comprehensive plan designation of the site?
Unknown
g. If applicable, what is the current shoreline master program designation of the site?
Residential
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
No.
i. Approximately how many people would reside or work in the completed project?
None.
j. Approximately how many people would the completed project displace?
None.
k. Proposed measures to avoid or reduce displacement impacts, if any:
N/A
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:
Obtin permits and approvals from applicable jurisdictions.
m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term
commercial significance, if any:
N/A
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 8 of 13
9. Housing hf elpl
a. Approximately how many units would be provided, if any? Indicate whether high, mid-
dle, or low-income housing.
N/A
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing.
N/A
c. Proposed measures to reduce or control housing impacts, if any:
N/A
10. Aesthetics hf elpl
a. What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed?
The Y high railing on the pier.
b. What views in the immediate vicinity would be altered or obstructed?
None.
c. Proposed measures to reduce or control aesthetic impacts, if any:
Project will be built to current standards and regulations
11. Light and Glare hf pbl
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
None.
b. Could light or glare from the finished project be a safety hazard or interfere with views?
No.
c. What existing off-site sources of light or glare may affect your proposal?
None.
d. Proposed measures to reduce or control light and glare impacts, if any:
N/A
12. Recreation h[ pM
a. What designated and informal recreational opportunities are in the immediate vicinity?
Water dependant recreational activities, such as boating, fishing and swimming.
b. Would the proposed project displace any existing recreational uses? If so, describe.
No.
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any:
N/A
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 9 Of 13
13. Historic and cultural preservation hf el
a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years
old listed in or eligible for listing in national, state, or local preservation registers ? If so,
specifically describe.
Unknown
b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation?
This may include human burials or old cemeteries. Are there any material evidence, artifacts,
or areas of cultural importance on or near the site? Please list any professional studies
conducted at the site to identify such resources.
No known studies; site is developed and has been for quite some time.
c. Describe the methods used to assess the potential impacts to cultural and historic resources
on or near the project site. Examples include consultation with tribes and the department of
archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc.
N/A
d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance
to resources. Please include plans for the above and any permits that may be required.
Should archaeological materials (e.g. bones, shell, stone tools, beads, ceramics, old bottles,
hearths, etc.)or human remains be observed during project activities, all work in the immediate
vicinity should stop. The State Department of Archaeology and Historic Preservation (360-586-
3065), the County/City planning office, the affected Tribe(s) and the county coroner(if applicable)
should be contacted immediately in order to help assess the situation and determine how to
preserve the resource(s). Compliance with all applicable laws pertaining to archaeological
resources (RCW 27.53, 27.44 and WAC 25-48) is required. Failure to comply with this
requirement could constitute a Class C Felony
14. Transportation hf [
a. Identify public streets and highways serving the site or affected geographic area and
describe proposed access to the existing street system. Show on site plans, if any.
N/A
b. Is the site or affected geographic area currently served by public transit? If so, generally
describe. If not, what is the approximate distance to the nearest transit stop?
No public transit in the area.
c. How many additional parking spaces would the completed project or non-project proposal
have? How many would the project or proposal eliminate?
None
d. Will the proposal require any new or improvements to existing roads, streets, pedestrian,
bicycle or state transportation facilities, not including driveways? If so, generally describe
(indicate whether public or private).
No
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 10 of 13
e. Will the project or proposal use (or occur in the immediate vicinity of)water, rail, or air
transportation? If so, generally describe.
No.
f. How many vehicular trips per day would be generated by the completed project or proposal?
If known, indicate when peak volumes would occur and what percentage of the volume would
be trucks (such as commercial and nonpassenger vehicles). What data or transportation
models were used to make these estimates?
None.
g. Will the proposal interfere with, affect or be affected by the movement of agricultural and
forest products on roads or streets in the area? If so, generally describe.
No.
h. Proposed measures to reduce or control transportation impacts, if any:
N/A
15. Public Services hf elpl
a. Would the project result in an increased need for public services (for example: fire protection,
police protection, public transit, health care, schools, other)? If so, generally describe.
No.
b. Proposed measures to reduce or control direct impacts on public services, if any.
N/A
16. Utilities hf elpl
a. Circle utilities currently available at the site:
electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system,
other
b. Describe the utilities that are proposed for the project, the utility providing the service,
and the general construction activities on the site or in the immediate vicinity which might
be needed.
N/A
C. Signature ltELpj
The above answers are true and complete to the best of my knowledge. I understand that the
lead agency is relying on them to make its decision.
Signature:
Name of signee
Position and Agency/Organization
Date Submitted:
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 11 of 13
D. Supplemental sheet for nonproject actions HELP
(IT IS NOT NECESSARY to use this sheet for project actions)
Because these questions are very general, it may be helpful to read them in conjunction
with the list of the elements of the environment.
When answering these questions, be aware of the extent the proposal, or the types of
activities likely to result from the proposal, would affect the item at a greater intensity or
at a faster rate than if the proposal were not implemented. Respond briefly and in
general terms.
1. How would the proposal be likely to increase discharge to water; emissions to air; pro-
duction, storage, or release of toxic or hazardous substances; or production of noise?
Proposed measures to avoid or reduce such increases are:
2. How would the proposal be likely to affect plants, animals, fish, or marine life?
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
3. How would the proposal be likely to deplete energy or natural resources?
Proposed measures to protect or conserve energy and natural resources are:
4. How would the proposal be likely to use or affect environmentally sensitive areas or
areas designated (or eligible or under study) for governmental protection; such as parks,
wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or
cultural sites, wetlands, floodplains, or prime farmlands?
Proposed measures to protect such resources or to avoid or reduce impacts are:
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 12 of 13
5. How would the proposal be likely to affect land and shoreline use, including whether it
would allow or encourage land or shoreline uses incompatible with existing plans?
Proposed measures to avoid or reduce shoreline and land use impacts are:
6. How would the proposal be likely to increase demands on transportation or public
services and utilities?
Proposed measures to reduce or respond to such demand(s)are:
7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or
requirements for the protection of the environment.
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 13 of 13
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Part 1—Project Identification
1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) [he
Morris-Ratterree Joint-Use Dock
Part 2—Applicant
The person and/or organization responsible for the project. heI
2a. Name (Last, First, Middle)
MORRIS, MARC A
2b. Organization (If applicable)
2c. Mailing Address (Street or PO Box)
PO BOX 145
2d. City, State, Zip
GRAPEVIEW WA 98546-0145
2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail
(253) 405-8345 mmorris640@gmail.com
'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.
• Not all cities and counties accept the JARPA for their local Shoreline permits.If you need a Shoreline permit,contact the appropriate city or county
government to make sure they accept the JARPA.
2To access an online JARPA form with[help]screens,go to
hftp://www.epermifting.wa.gov/site/alias resourcecenter/jarpa iarpa form/9984/jarpa form aspx.
For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help(a)-oria.wa.gov.
ORIA-revised 02/2020 Page 1 of 13
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.) heI ]
3a. Name (Last, First, Middle)
Kavanaugh, John
3b. Organization (If applicable)
Marine Floats Corp.
3c. Mailing Address (street or Po Box)
313 E F Street
3d. City, State, Zip
Tacoma, WA 98421
3e. Phone(1) :J3f. Phone(2) 3g. Fax 3h. E-mail
(253) 383-2740 john@marinefloats.com
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 ownership because the upland owners may not own the adjacent aquatic land. 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 upland property owners. Complete the section below and fill out JARPA Attachment A for
each additional property owner.
❑ Your project is on Department of Natural Resources (DNR)-managed aquatic lands. If you don't know, contact
the DNR at (360) 902-1100 to determine aquatic land ownership. If yes, complete JARPA Attachment E to
apply for the Aquatic Use Authorization.
4a. Name (Last, First, Middle)
MORRIS, MARC A & JENNIFER L
4b. Organization (If applicable)
4c. Mailing Address (street or Po Box)
PO BOX 145
4d. City, State, Zip
GRAPEVIEW WA 98546-0145
4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail
(253) 405-8345 Mmorris640@gmail.com
ORIA-revised 02/2020 Page 2 of 13
Part 5—Project Location(s)
Identifying information about the property or properties where the project will occur. [n�)J
❑ There are multiple project locations (e.g. linear projects). Complete the section below and use DARPA
Attachment B for each additional project location.
5a. Indicate the type of ownership of the property. (Check all that apply.) hel ]
® 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 (Cannot be a PO Box. If there is no address, provide other location information in 5p.) hel
261 & 263 E Stretch Island Rd. —
5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) hel
Grapeview WA 98546
5d. County hel
Mason
5e. Provide the section, township, and range for the project location. hel
'/4 Section Section Township Range
8 21N 1W
5f. Provide the latitude and longitude of the project location. nel
• Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees-NAD 83)
47.330249, -122.829851
5g. List the tax parcel number(s)for the project location. n[ 00
• The local county assessor's office can provide this information.
121087590013 & 121087590012
5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) hel
Name Mailing Address Tax Parcel # (if known)
MONTGOMERY, JAMES D & PO BOX 592 ___ _
_... _ ___...___-- 121087590011
NANCY GRAPEVIEW WA 985460592
GELONECK LIVING TRUST, PO BOX 475
WILLIAM KARL GRAPEVIEW WA 98546 121087590014
WILLIAM KARL GELONECK
TRUSTEE
ORIA-revised 02/2020 Page 3 of 13
5r i. List all wetlands on or adjacent to the project location. h�
None known
5j. List all waterbodies (other than wetlands) on or adjacent to the project location. Lei
Case Inlet
5k. Is any part of the project area within a 100-year floodplain? hel
® Yes ❑ No ❑ Don't know
51. Briefly describe the vegetation and habitat conditions on the property. Lei
Ornamental plants, shrubs, trees, grasses etc.
5m. Describe how the property is currently used. hf eip]
Residential- single family residence and residential shoreline.
5n. Describe how the adjacent properties are currently used. hf eld
Residential- single family residence and residential shoreline.
5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current
condition. h[ eM
Residential home in good condition
5p. Provide driving directions from the closest highway to the project location, and attach a map. Lei
From Shelton WA take WA-3 North
Turn on to E Grapeview Loop Rd
Follow E Grapeview Loop Rd until you reach E Eckert Rd
Follow E Eckert Rd over the bridge on to Stretch Island
Turn left onto Wilkes Rd which will become Stretch Island Rd N
Follow Stretch Island Rd N until you reach 261& 263 Stretch Island Rd N on the left
Part 6—Project Description
6a. Briefly summarize the overall project. You can provide more detail in 6b. h[ eiA
Furnish and drive(4)pier piling (8 Y44" diameter galvanized steel with .322 wall thickness)
Furnish and drive(4) float piling(10 3/" diameter galvanized steel with .365 wall thickness)
Install prefabricated pier, ramp and float, including the following:
(1) 6'x 61' aluminum pier with all welded truss (a 6'x 44' section and'6'x 17' section)
(1) fabricated aluminum ramp with Y x 40' inside dimension
(1) 8'x 30' float with polyethylene foam filled tub flotation
6b. Describe the purpose of the project and why you want or need to perform it. h[ e�
This dock project will provide access to opportunities for the enjoyment of water dependent activities such as
fishing, swimming, boating.
ORIA-revised 02/2020 Page 4 of 13
C.InIndicate the project category. (Check all that apply) [hel
❑ Commercial ® Residential ❑ Institutional ❑ Transportation ❑ Recreational
❑ Maintenance ❑ Environmental Enhancement
6d. Indicate the major elements of your project. (Check all that apply) [help)
❑ Aquaculture ❑ Culvert ® Float ❑ Retaining Wall
❑ Bank Stabilization ❑ Dam /Weir ❑ Floating Home (upland)
❑ Boat House ❑ Dike / Levee /Jetty ❑ Geotechnical Survey ❑ Road
❑ Boat Launch ❑ Ditch ❑ Land Clearing ❑ Scientific
Measurement Device
❑ Boat Lift ® Dock / Pier ❑ Marina / Moorage ❑ Stairs
❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility
❑ Bulkhead ❑ Fence ❑ Outfall Structure ❑ Swimming Pool
❑ Buoy ❑ Ferry Terminal ® Piling/Dolphin ❑ Utility Line
❑ Channel Modification ❑ Fishway ❑ Raft
❑ Other:
6e. Describe how you plan to construct each project element checked in 6d. Include specific construction
methods and equipment to be used. Lb,eIp
• Identify where each element will occur in relation to the nearest waterbody.
• Indicate which activities are within the 100-year floodplain.
Marine Floats will fabricate and assemble the pier, ramp, float and all relevant hardware at their facility in
the Port of Tacoma.
Once the dock components are fabricated, the pier, ramp and hardware will be loaded onto a construction
barge along with the piling and the necessary tools and equipment needed for on-site installation. The float
system will be lowered into the water and securely attached to the construction barge to be towed behind
the barge to the project work site. A work boat will then tow the loaded barge and floats to the project site
for installation.
Once the boat, barge and floats are on site, the pilings for the pier and float will be driven using an impact
hammer. A bubble curtain and 6" wood block will be used for sound attenuation. Once the pilings are in
place, the pre-constructed pier and float sections will be put in place and securely attached to the pilings
using the pile hoops and/or pile boxes that were prefabricated for the dock. The float will not be allowed to
ground (float stops and/or stub pile will be installed as needed).
u Once the pier and float are in place, the ramp will be lifted into place and connected/secured to the pier
and float.
The construction barge will not be allowed to ground out at any time.
Once all components have been installed, the construction barge and all equipment and tools will be towed
from the project site and return to Marine Floats Port of Tacoma facility.
6f. What are the anticipated start and end dates for project construction? (MonthNear) nel
• 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: End Date: ❑ See JARPA Attachment D
ORIA-revised 02/2020 Page 5 of 13
6g Fair market value of the project, including materials, labor, machine rentals, etc. hem
$120,000
6h. Will any portion of the project receive federal funding? hel
• If yes, list each agency providing funds.
❑ Yes 171 No ❑ Don't know
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.) hf elo
7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. hei
® Not applicable
7b. Will the project impact wetlands? het
❑ Yes ® No ❑ Don't know
7C. Will the project impact wetland buffers? hf d
❑ Yes ® No ❑ Don't know
7d. Has a wetland delineation report been prepared? h[ eU
• 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? hf elpl
• 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? h[ eld
• 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 ❑ Don't know
7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was
used to design the plan. h( M
N/A
ORIA-revised 02/2020 Page 6 of 13
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. hel
Activity (fill, Wetland Wetland Impact Duration Proposed Wetland
drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area
flood, etc.) rating ft. or type (sq. ft. or
category2 Acres) acres
'If no official name for the wetland exists,create 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 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. h[ elo
None N/A
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[ eid
None 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.) h[ eA1
❑ 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
• The overall project complies with all regulatory agencies to minimize environmental impacts.
• The grating on the pier, ramp, and float allow for deeper light penetration beneficial to fish and SAV.
• The flotation tubs are fully encapsulated and filled with polyethylene foam.
• The piling (s) are made of galvanized steel to not release anything into the environment.
• The piling (s) are driven with an impact pile hammer, utilizing a 6" wooden block and bubble curtain for
sound attenuation (Longmuir and Lively 2001).
• The barge will not ground out at any time.
• Regulatory in-water work windows will be observed.
Best management practices will be utilized throughout the project
8b. Will your project impact a waterbody or the area around a waterbody? [help]
® Yes ❑ No
ORIA-revised 0212020 Page 7 of 13
8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland
waterbodies? hel
• 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 ❑ Don't know
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. [he
8e. Summarize impact(s) to each waterbody in the table below. [held
Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or
dredge, fill, pile name' location' of impact3 (cubic yards) to be linear ft.) of
drive, etc.) placed in or removed waterbody
from waterbody directly affected
Install prefabricated Case Inlet Overwater Permanent 6' x 61' aluminum pier 366 sq ft
aluminum pier
Install prefabricated Case Inlet Overwater Permanent Tx 40' aluminum 120 sq ft
aluminum ram ram
Install prefabricated Case Inlet Overwater Permanent 8'x 30' float 240 sq ft
float
(4) 8 3/" diameter
Drive pier piling Case Inlet Overwater Permanent galvanized steel pier 1.4 sq ft
(galvanized steel) _piling
Drive float piling (4) float piling 10 3/"
(galvanized steel) Case Inlet Overwater Permanent diameter galvanized 2.2 sq ft
steel float piling
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.
s Indicate 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. hel
N/A
ORIA-revised 02/2020 Page 8 of 13
8g 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. hel
N/A
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. hei
Agency Name Contact Name Phone Most Recent
Date of Contact
Mason County
CORPS
WDFW
DNR
9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 of this JARPA on the Washington
Department of Ecology's 303(d) List? h[ eel �
• If Yes, list the parameter(s)below.
• If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: https://ecology.wa.gov/Water-
S horelines/Water-quality/Water-improvement/Assessment-of-state-waters-303d.
❑ Yes ® No
9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? hel
• Go to hftp://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC.
17110019
9d. What Water Resource Inventory Area Number (WRIA#) is the project in? Lbeipj
• Go to https:Hecology wa qov/Water-Shorelines/Water-supply/Water-avai lability/Watershed-look-up to find the WRIA#.
WRIA#15 - Kitsap
9e. Will the in-water construction work comply with the State of Washington water quality standards for
turbidity? hel
• Go to https://ecologv wa qov/Water-Shorelines/Water-quality/Freshwater/Surface-water-quality-standards/Criteria 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? [help]
• If you don't know, contact the local planning department.
• For more information, go to: https//ecologv wa gov/Water-Shorelines/Shoreline-coastal-management/Shoreline-coastal-
planning/Shoreline-laws-rules-and-cases.
❑ Urban ❑ Natural ® Aquatic ❑ Conservancy ❑ Other:
ORIA-revised 0212020 Page 9 of 13
9g What is the Washington Department of Natural Resources Water Type? hel
• Go to http://www.dnr.wa.gov/forest-practices-water-typing 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? hf ip]
If No, provide the name of the manual your project is designed to meet.
Z Yes ❑ No
Name of manual:
GIL Does the project site have known contaminated sediment? hel
• If Yes,please describe below.
❑ Yes Z No
9j. If you know what the property was used for in the past, describe below. h[ eM
Unknown
9k. Has a cultural resource (archaeological) survey been performed on the project area? h( eel .)
• If Yes,attach it to your JARPA package.
❑ Yes Z No
Should archaeological materials (e.g. bones, shell, stone tools, beads, ceramics, old bottles, hearths, etc.) or
human remains be observed during project activities, all work in the immediate vicinity should stop. The State
Department of Archaeology and Historic Preservation (360-586-3065), the County/City planning office, the
affected Tribe(s) and the county coroner (if applicable) should be contacted immediately in order to help assess
the situation and determine how to preserve the resource(s). Compliance with all applicable laws pertaining to
archaeological resources (RCW 27.53, 27.44 and WAC 25-48) is required. Failure to comply with this
requirement could constitute a Class C Felony
91. 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. h( eld
Puget Sound Chinook Salmon (Oncorhynchus tshawytscha), Puget Sound Steelhead Trout (Oncorhynchus
mykiss), Puget Sound Coho Salmon (Oncorhynchus kisutch), Southern Resident Killer Whale (Orcinus orca),
Marbled Murrelet (Brachyramphus marmoratus), Leatherback Sea Turtle (Dermochelys coriacea), Western
Snowy Plover (Charadrius nivosus nivosus), and Puget Sound Bocaccio (Sebastes paucispinis).
9m. 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
Estuarine and Marine Wetlands (NWI —Aquatic Habitat), Esturine Zone (PHS Region), Dungeness Crab
(Presence), Geoduck (Presence), Surf Smelt (Breeding Areas).
Part 10-SEPA Compliance and Permits
Use the resources and checklist below to identify the permits you are applying for.
• Online Project Questionnaire at http://apps.oria.wa.gov/opas/.
• Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or help(cDoria.wa.gov.
• For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA.
ORIA-revised 02/2020 Page 10 of 13
Oa. Compliance with the State Environmental Policy Act(SEPA). (Check all that apply.) hf eel..]
• For more information about SEPA,go to https•//ecology wa gov/regulations-permits/SEPA-environmental-review.
❑ A copy of the SEPA determination or letter of exemption is included with this application.
® A SEPA determination is pending with MASON COUNTY (lead agency). The
expected decision date is
❑ I am 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:
❑ SEPA is pre-empted by federal law.
10b. Indicate the permits you are applying for. (Check all that apply.) [LeIpj
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 —Attach Exemption Form
Washington Department of Natural Resources:
❑ Aquatic Use Authorization
Complete JARPA Attachment E and submit a check for$25 payable to the Washington Department of Natural Resources.
Do not send cash.
Washington Department of Ecology:
❑ Section 401 Water Quality Certification ❑ Non-Federally Regulated Waters
FEDERAL AND TRIBAL GOVERNMENT
United States Department of the Army (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:
For projects or bridges over waters of the United States, contact the U.S. Coast Guard at: d13-pf-dl3bridges@uscg.mil
❑ Bridge Permit ❑ Private Aids to Navigation (or other non-bridge permits)
United States Environmental Protection Agency:
❑ Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do
not have treatment as a state (TAS)
ORIA-revised 0212020 Page 11 of 13
Tribal Permits: (Check with the tribe to see if there are other tribal permits, e.g.,Tribal Environmental Protection Act,Shoreline
Permits, Hydraulic Project Permits,or other in addition to CWA Section 401 WQC)
❑ Section 401 Water Quality Certification (discharges into waters of the U.S.)where the tribe has treatment
as a state (TAS).
ORIA-revised 02/2020 Page 12 of 13
Part 11--Authorizing Signatures
Signatures are required before submitting the DARPA package. The DARPA package includes the JARPA
— form, project plans, photos, etc. Lelpj
11a. Applicant Signature (required) [help]
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 he acient named in Part 3 of this application to act on my behalf in matters related to this
application. X (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 t e property where the project is located to inspect the project site or any work
related to the project. X (initial)
Applica t Printed Name Applicant Signature Date
11 b. Authorized Agent Signature pleb)
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.
John Kavanaugh___________ —/•�•�`� - -- ------ -
Authorized Agent Printed Name Authorized Agent Signature Date
11c. Property Owner Signature(if not applicant)Lela)
Not required if project is on existing rights-of-way or easements (provide copy of easement with JARPA).
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.
>c _f
Property Owner Printed Name Property 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 formal,contact the Governor's Office for Regulatory Innovation and Assistance(ORIA)at I
(800)917-0043. People with hearing loss can call 711 for Washington Relay Service People with a speech disability can call(877)
833-6341. ORIA publication number: ORIA-16-011 rev.09/2018
RECEIVED
DEC 27 2021
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