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HomeMy WebLinkAboutSHX2012-00033 - SHX Permit / Conditions - 6/19/2012 PSI- _STgTFO� MASON COUNTY C DEPARTMENT OF COMMUNITY DEVELOPMENT o A o N Planning Division r U N Z P O Box 279, Shelton, WA 98584 7 N y Y (360)427-9670 OJ �O 1864 Exemption from Shoreline Management Act Case No.: SHX2012-00033 Substantial Development Permit Requirement The Proposal By: LESLIE OKONEK 3121 HOME ROAD BELLINGHAM,WA 98225 To undertake the following development: Replace existing failing wooden bulkhead with angular rock alignment for 126 ft.length, 5 ft. height, and keyed into beach grade; alignment backed with filter fabric and quarry spalls. Within CASE INLET and/or its associated wetlands is exempt from the requirement of substantial development because the development is categorized under WAC 173-27-040(2) as being category B-normal maintenance Please contact Allan Borden at ext 365 if you have any question Issued: 6/18/2012 Expires: 6/18/2014 Authorized Local Government Official cc: APPLICANT WDFW USACOE WDOE TRIBAL COUNCIL Q � F ' .r' ��'� .r r �'.t a 74• -74 -' - AOl limp-s ' 2&6 view of- D� ►e s� � �° t-"+ � FAA• - j� `�1,,�'l/� 9 tw Y - _ �- °� i fi 4L s i < -1T J r � a�•� , _ 1s .' y.zhrrlR. -t.v _ '� _r +_ lk �"•.�• r ai' �� e't. �'•at' r -. ../,�- �- `i - - �•r- As:7�yJ -..;y ( f -•.- e r� ,r _ ..1'- �• - _ .,�!•�� R,`�,`{� T�� ♦ rf c' 'V' i� 't .�'`'� _ t.,y��� , - _-c� I r „'�' a, L�Ly:�G;1�:_r�• 1 _ �. ' n_ '". .. •;.,, f � r:'�,•3 i•i. � �?T�•y�L•��y�tti,^��y4,. �'p 1..,+d.,�Y�i �"'-�•v.., t�i+r -.� r.Jf'�.r, �rtit�• ,1�'�"•'��• ��W''�'!r •r:.• ` s. .. .t �_y T'7�v1^,r., - 7 - h' _.:/'•7Y1"�Y'�,5� :.''iYi•�r�i-' �� ��•s -:y�• �J ;Lp q�?; ����l,y'K 7,ro._1; 1,``�...f�,.��,�� �.,r 1-� � •, •�; y',.yrf/��,�+�-Y....i �� 1t.. - !?. 3l�'.�US 5`�.' TT:1 �/77jj^^ •I! •. : ' '.1'��f�'�''.�. ..d"�i i¢'•Fy ` .. , n IFi. 1 Ila i :• ..:�.✓. . ..:n •T i- �� r �:i..N .fi• i AGENCY USE ONLY�/ 2 0 1 ©�" Date received: ���� US Army Corps WASHINGTON STATE of Engineers Seattle District t t Joint Aquatic Resources Permit ; Agency referencexC ?-..� Application (DARPA) Form' Tax Parcel#(s): 12-1c,P, -a4 -c-(Y)x,� USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. i i t i :------------------------------------ Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hel 2 Okonek Bulkhead Project. Part 2—Applicant The person or organization responsible for the project. h[ em 2a. Name (Last, First, Middle) and Organization (if applicable) Leslie Okonek TRSE 2b. Mailing Address (Street or PO Box) 3621 Home Rd 2c. City, State, Zip Bellingham, WA 98225 2d. Phone(1) 2e. Phone(2) 2f. Fax 2 . E-mail 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) and Organization (if applicable) Bay Marine Contractors, Inc. 3b. Mailing Address (Street or PO Box) 3348 Fishtrap Loop Rd NE Additional forms may be required for the following permits: . If your project may qualify for Department of the Army authorization through a Regional General Permit(RGP),contact the U.S.Army Corps of Engineers for application information(206)764-3495. . If your project might affect species listed under the Endangered Species Act,you will need to fill out a Specific Project Information Form(SPIF)or prepare a Biological Evaluation. Forms Can be found at http://www.nws.usace.army.mil/PublicMenu/Menu.cfm?sitename=REG&pagename=mainpage_ESA • If you are applying for an Aquatic Resources Use Authorization you will need to fill out and submit an Application for Authorization to Use State- Owned Aquatic Lands form to DNR,which can be found at http://www.dnr.wa.gov/Publications/agr_use_auth_app.doc • Not all cities and counties accept the JARPA for their local Shoreline permits. If you think you will need a Shoreline permit,contact the appropriate city or county government to make sure they will accept the JARPA. 2To access an online JARPA form with[help]screens,go to http://www.epermitting.wa.gov/site/alias_resourcecenter/jarpa_jarpa_form/9984/J*arpa_form.aspx. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or help@ora.wa.gov. JARPA 2010 v1 3/30/2010 Page 1 of 14 3c. City, State, Zip Olympia, WA 98506 3d. Phone(1) 3e. Phone(2) ±13f Fax 3 . E-mail (360) 956-3451 (253) 858-1022 0) 786-6644 Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. hel x❑ Same as applicant. (Skip to Part 5.) ❑ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) ❑ There are multiple property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. 4a. Name (Last, First,Middle)and Organization (if applicable) 4b. Mailing Address (street or PO Box) 4c. City, State, Zip 4d. Phone(1) 4e. Phone(2) 4f. Fax E-mail Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. hel ❑ There are multiple project locations (e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [LeIPJ ❑ State Owned Aquatic Land (If yes or maybe,contact the Department of Natural Resources(DNR)at(360)902-1100) ❑ Federal ❑ Other publicly owned (state,county,city,special districts like schools, ports, etc.) ❑ Tribal X❑ Private 5b. Street Address (Cannot be a PO Box. If there is no address,provide other location information in 5p.) hf p-m 283 E Okonek 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 East Grapeview,WA 5d. County heI Mason JARPA 2010 v1 3/30/2010 Page 2 of 14 1` 5e. Provide the section, township, and range for the project location. h( elal 1/4 Section Section Township Range 08 21 N 01 W 5f. Provide the latitude and longitude of the project location. hel • Example:47.03922 N lat./-122.89142 W long. (NAD 83) 47.32407 N 122.83756 W 5g. List the tax parcel number(s)for the project location. b"i j • The local county assessors office can provide this information. 12108-24-00000 51h. Contact information for all adjoining property owners. (if you need more space, use JARPA Attachment C.) hel Name Mailing Address Tax Parcel #(if known) Charles &Shirley Brown TRSE PO Box 547, Grapeview WA 98546 12108-24-40080 David McCallum Jr. ETAL 4135 158th Ave SE, Bellevue WA 98006 12108-24-00050 Patricia Palms et AL 4102 N 10th ST, Tacoma WA 98406 12108-23-02010 William Broich 611 Columbia St NW STE 2, Olympia WA 12108-24-00140 98501 51i. List all wetlands on or adjacent to the project location. h[ pm 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. hel Case Inlet 5k. Is any part of the project area within a 100-year flood plain? hel X❑ Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. hel Site is vegetated with native and ornamental vegetation. JARPA 2010 v1 3/30/2010 Page 3 of 14 5m. Describe how the property is currently used. k Residential/recreational. 5n. Describe how the adjacent properties are currently used. nei Residential/recreational. 5o. Describe the structures (above and below ground) on the property, including their purpose(s). of eM There is a SFR and a failed wood and concrete bulkhead. 5p. Provide driving directions from the closest highway to the project location, and attach a map. nei From Shelton take SR 3 north. Turn right on Grapeview Loop Rd. Turn right on E Okonek Rd. Follow to the end. Site is the house on the right. JARPA 2010 v1 3/30/2010 Page 4 of 14 „/e Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. hei Construct a replacement bulkhead using large angular rock along approx. 126' of shoreline. 6b. Indicate the project category. (Check all that apply) [hel ❑ Commercial X❑ Residential ❑ Institutional ❑ Transportation X❑ Recreational ❑ Maintenance ❑ Environmental Enhancement 6c. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam /Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike / Levee / Jetty ❑ Land Clearing Measurement Device ❑ Boat Launch ❑ Ditch ❑ Marina / Moorage ❑ Stairs ❑ Boat Lift ❑ Dock / Pier ❑ Mining ❑ Stormwater facility ❑ Bridge ❑ Dredging ❑ Outfall Structure ❑ Swimming Pool X❑ Bulkhead ❑ Fence ❑ Piling ❑ Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall ❑ Channel Modification ❑ Fishway (upland) ❑ Other: -- -------- - - - 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. h( dd • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. A replacement bulkhead shall be constructed using large angular rock, running in the same location as the existing wood bulkhead and landward of MHHW, along approx. 126 lineal feet of frontage. Height of the bulkhead to be a maximum of 5.0 feet above the existing beach grade. Base rock to be keyed into beach a minimum of 18-24” below the existing beach grade. Entire bulkhead to be backed with 4-8" quarry spalls and filter fabric. Minimal vegetation shall be disturbed. Any existing woody debris to remain on beach. Existing manmade debris, including the existing failed bulkhead, to be removed from the beach. All activities are within the 100-year flood plain. The nearest waterbody is Case Inlet. 6e. What are the start and end dates for project construction? (month/year) hl e • 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. JARPA 2010 v1 3/30/2010 Page 5 of 14 'wA#t - FDe date: _unknown End date: _14 days, after issuance of all required ❑ See JARPA Attachment D e the purpose of the project and why you want or need to perform it. hel posed replacement bulkhead, as per the owner's request, is for protection from wave and ion that is eroding the shoreline. 69. Fair market value of the project, including materials, labor, machine rentals, etc. hf eU $30,000. 61h. Will any portion of the project receive federal funding? [held • If yes, list each agency providing funds. ❑ Yes X❑ 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.) hel 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. net X❑ Not applicable 7b. Will the project impact wetlands? h[ gM ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? hl eV ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? hel • If yes, submit the report, including data sheets,with the JARPA package. ❑ Yes ❑ No JARPA 2010 v1 3/30/2010 Page 6 of 14 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? hf eM • 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[ elp] • If yes, submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ Not applicable 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. hel III - 7h. Use the table below to list the type and rating of each wetland impacted; the extent and duration of the impact; and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below) where we can find this information in the plan. h[_e 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. 3 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. [tgipj JARPA 2010 v1 3/30/2010 Page 7 of 14 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. hf M Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) hel X❑ 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 proposal is landward of MHHW and will have minimal negative impacts on aquatic habitat or on any other uses of the waterbody. BMPs shall be followed during construction to protect water quality at the site. The WDFW's HPA provisions and marine construction rules shall also be strictly adhered to. 8b. Will your project impact a waterbody or the area around a waterbody? hf eM X❑ Yes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? hf eip • 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 X❑ Not applicable JARPA 2010 v1 3/30/2010 Page 8 of 14 The project is exempt as per the WAC 173-27-040. 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. hf elpl i i 8e. Summarize impact(s) to each waterbody in the table below. heI Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' location of impact3 to be placed in or linear ft.) of drive, etc.) removed from waterbody waterbody directly affected Case Inlet shoreline Approx. Bulkhead to be Approx. 126' 14days constructed landward of MHHW If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent, provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 3Indicate the days,months or years the waterbody will be measurably impacted by the work. Enter"permanent"if a licable. 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. hf eV No fill shall be placed in the waterbody. 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. heI JARPA 2010 v1 3/30/2010 Page 9 of 14 No dredging will be done in this project. Any natural substrate excavated during construction shall be used to feed the beach (as per the HPA provisions), providing it is not clay, which will be removed from the site. 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. hf eV Agency Name Contact Name Phone Most Recent Date of Contact 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 on the Washington Department of Ecology's 303(d) List? hel • If yes, list the parameter(s) below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecy.wa.gov/programs/wq/303d/. X❑ Yes ❑ No Fecal coliform, dissolved oxygen, and PCBs. 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? hel • Go to http://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? heI • Go to http://www.ecy.wa.gov/services/gis/maps/wria/wria.htm to find the WRIA#. WRIA 14 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? hf eV • Go to http://www.ecy.wa.gov/programs/wq/swgs/criteria.html for the standards. JARPA 2010 v1 3/30/2010 Page 10 of 14 X❑ Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? hel • If you don't know, contact the local planning department. • For more information, go to: http://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations html X❑ Rural lkrban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? hf eM • Go to http://www dnr.wa.gov/BusinessPermitsfTopics/ForestPracticesApplications/Pages/fp watertyping aspx for the Forest Practices Water Typing System. X❑ 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? hl eM • If no, provide the name of the manual your project is designed to meet. X❑ Yes ❑ No Name of manual: Stormwater Management Manual for Western Washington. 9i. If you know what the property was used for in the past, describe below. hei Property is recreational. 9j. Has a cultural resource (archaeological) survey been performed on the project area? hf elp • If yes, attach it to your JARPA package. ❑ Yes X❑ No 9k. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. hl eM The Chinook salmon, the bull trout, the Puget Sound steelhead, the killer whale, the leatherback turtle, the humpback whale, the marbled murrelet, the green sturgeon, the Puget Sound rockfish, and the Steller sea lion are the ESA listed aquatic threatened or endangered species in the area. JARPA 2010 v1 3/30/2010 Page 11 of 14 91. Name each species or habitat on the Washington Department of Fish and Wildlife's Priority Habitats and Species List that might be affected by the proposed work. hel Marine shoreline. See above, plus chum, coho, cutthroat trout, sand lance, and surf smelt. 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.ecy.wa.gov/opas/. • Governor's Office of Regulatory Assistance at (800) 917-0043 or help c(D.ora.wa.gov. • For a list of agency addresses to send your application, click on the "where to send your completed JARPA" at http://www.epermitting.wa.gov. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) hf elp] • For more information about SEPA,go to www.ecy.wa.gov/programs/sea/sepa/e-review.htmi. X❑ A copy of the SEPA determination or letter of exemption is included with this application. X❑ A SEPA determination is pending with _Mason County (lead agency). The expected decision date is *_, 7". ( 2 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) hf elpl X❑ This project is exempt (choose type of exemption below). X❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? WAC 173-27-040 ❑ Other: ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) hel LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X❑ Shoreline Exemption Type (explain): Replacement bulkhead as per WAC 173-27-040_ Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT JARPA 2010 v1 3/30/2010 Page 12 of 14 Washington Department of Fish and Wildlife: X❑ Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption Washington Department of Ecology: ❑ Section 401 Water Quality Certification Washington Department of Natural Resources: ❑ Aquatic Resources Use Authorization FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coast Guard permits: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects) Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. hel 11 a. Applicant Signature (required) hel I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby authorize the agent named in Part 3 of this application to act on my behalf in matters related to this application. (initial) By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the permitting agencies entering the property where the project is located to inspect the project site or any work related to the project. (initial) Applicant Printed Name Applicant Signature Date 11 b. Authorized Agent Signature hf eM I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Printed Name Authorized Agent Signature Date 11 c. Property Owner Signature (if not applicant). hf eM JARPA 2010 v1 3/30/2010 Page 13 of 14 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The DARPA package includes the DARPA form, project plans, photos, etc. [blipj Ila. 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 the agent named in Part 3 of this application to act on my behalf in matters related to this application.L4Me (initial) By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the permitting agencies entering the property where the project is located to inspect the project site or any work related to the project. 7 a (initial) Applicant Printed me pplican Signature Date 4Z 1 1 b. Authorized Agent Signature [heipl I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Printed Name Authorized Agent Signature Date I I c. Property Owner Signature (if not applicant). [tpiRl Not required if project is on existing rights-of-way or easements. I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Name Property er Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner w4hin the jurisdiction of any department or agency of the United States knowingly falsifies, conceals, or covers up by any trick, scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact The Governor's Office of Regulatory Assistance(ORA). People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341. ORA publication number: ENV-019-09