HomeMy WebLinkAboutSHX Seattle Shellfish Aquaculture Case Inlet SGI Geoduck Farm #1 - SHX Application - 3/9/2016 MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING o PLANNING o FIRE MAR.SHAL (360)482-5269 Clma ext. 352
Mason County Bldg. 8, 6.15 W.Alder Street, Shelton, WA 98584
7654 mm.Co.mason.wa.Us
March 9, 201-6
Jim Gibbons
Seattle Shellfish LLC
2101 4th AVE, Suite 201
Olympia, WA 98506
RE: Application for geoduck aquaculture on Case Inlet, Mason County.
Project Name: SGl Geoduck Farm #1.
Parcel No. 12131-23-70050.
Dear Mr. Gibbons:
After review of your submitted Joint Aquatic Permit Application (JARPA) form,
Mason County concludes that the proposed geoduck operation, on marine tidelands
on Case Inlet, does not constitute development under the Mason County Shoreline
Master Program and does not cause substantial interference with the normal public
use of the water (AGO 2007 No. 1). Therefore, a Substantial Development Permit
is not required nor a letter of Shoreline Exemption.
Mason County has determined that the proposed geoduck farm is consistent with
the Mason County Shoreline Master Program Policies and Use Regulations for
Aquaculture and the Shoreline Management Act. Please let me know if you have
any questions. Thank you.
Sincerely,
Grace Miller, Planner
DEPT OF COMMUNITY DEVELOPMENT
1 ,
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RECEIVED
JAN 2 8 2016
426 W. CEDAR ST.
November 20,2015
Mason County,Dept of Community Development
Planning Division
PO Box 279
Shelton WA 98584
Attention:Grace Miller
Reference: New aquatic farm JARPA Application
Dear Grace,
Accompanying this letter is the application for a new aquatic geoduck farm that is located in the tidelands
of Harstine Island just north of Harstine Island State Park off Yates Road. The JARPA include figures and
photos of the proposed project area. The Squaxin tribe has already surveyed this site and a cultural
resource assessment was conducted in preparation for submittal to the USACE. The tideland owner is
Second Growth LLC and the managers are Richard and Russell Scott.
At this time we are not submitting a biological evaluation with this application as we are expecting that the
services,NOAA and National Marine Fisheries,may be shortly issuing a programmatic biological
evaluation that will be acceptable to the USACE in lieu of individual BE's. In any case if an individual BE
is required it will be essentially identical to other BE's submitted for farms now permitted by Mason
County and the USACE. We respectfully request that Mason County review this JARPA and attachments
without a submitted BE for this application.
If there are questions about this application please contact me.
Best regards,
Tn C so
t
Seattle Shellfish LLC
trcarlson(i,seattleshelifish.com
360-790-8093
Seattle Shellfish LLC
2101 4"Ave E•Suite 201•Olympia,WA 98506•(360)236-0462•Fax(360)236-0471
1--------------------------------------1
RECEIVED
C Date received:
Y z
WASHINGTON STATE oSEngineesrPs JAN 2 g 2016
Seattle District
Joint Aquatic Resources Permit Agency regx8b
Application (JARPA) Form' 2 1 Tax Parcel##(s): t;
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lz1�l- x� oO50 '
USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW.
------------------------
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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) hel
SGI Geoduck Farm #1
Part 2—Applicant
The person and/or organization responsible for the project. hel
2a. Name (Last, First, Middle)
Gibbons, Jim
2b. Organization (If applicable)
Seattle Shellfish LLC
2c. Mailing Address (Street or PO Box)
2101 4th Ave E Suite 201
2d. City, State, Zip
Olympia, WA 98506
2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail
(360) 236-0462 ( ) (360) 236-0471 jlgibbons@seattleshellfish.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.
• 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/Missions/CiviIVVorks/Regulatory/PermitGuidebook/EndangeredSpecies.asl)x.
• 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.
ZTo access an online JARPA form with[help]screens,go to
http://www epermittin-g wa gov/site/alias resourcecenter/iarpa iarpa form19984/iarpa form.aspx.
For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help(cD_ora.wa.gov.
JARPA Revision 2012.2 Page 1 of 16
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.) hel
3a. Name (Last, First,Middle)
Carlson, Tristan R
3b. Organization (If applicable)
Seattle Shellfish LLC
3c. Mailing Address (Street or Po Box)
2101 4th Ave E Suite 201
3d. City, State, Zip
Olympia, WA 98506
3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail
(360) 790-8093 ( ) ( ) trcarlson@seattleshelifish.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. hel
❑ 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)
SCOTT, RICHARD
4b. Organization (If applicable)
SECOND GROWTH INVESTORS LLC
4c. Mailing Address (Street or Po Box)
PO BOX 190
4d. City, State, Zip
BELFAIR WA 98528
4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail
360-731-2652 ( ) ( )
JARPA Revision 2012.2 Page 2 of 16
Part 5-Project Location(s)
Identifying information about the property or properties where the project will occur. hf gld
❑ 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.) hel
0 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.) h[ elpl
2"d CLASS TIDELANDS of Gov Lot 1 Sec 31 T21N R1W Mason County Parcel # +2031-31-7DD60
5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) hf elpl
Shelton, WA
5d. County hf elp�
Mason
5e. Provide the section, township, and range for the project location. hf elPl
1/4 Section Section Township Range
NW %4 31 21N 1W
5f. Provide the latitude and longitude of the project location. neI
• Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees- NAD 83)
N47.26643 W-122.86519
5g. List the tax parcel number(s) for the project location. hf eV
• The local county assessor's office can provide this information.
l2131 - a 3 - -70050
5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) hf elpl
Name Mailing Address Tax Parcel # (if known)
Peterson, Jon & Kim 1450 E Yates Rd. Shelton WA 12131-23-00050
WA State Parks and Recreation PO Box 42650 Olympia WA 98504 22136-00-62000
............._..............._..............................-......................... ......................................................................................_........................................
Seattle Shellfish LLC 2104 4t'Ave E. Olympia WA 98506 22136-14-00000
Wa State DNR PO Box 47000 Olympia WA 98504 12131-88-88888
JARPA Revision 2012.2 Page 3 of 16
5i. List all wetlands on or adjacent to the project location. [help
l
None
5j. List all waterbodies (other than wetlands) on or adjacent to the project location. hf eM
Case Inlet
5k. Is any part of the project area within a 100-year floodplain? hei
❑ Yes ' ® No ❑ Don't know
51. Briefly describe the vegetation and habitat conditions on the property. h� gid
The project area includes floating seaweed (Ulva sp). No native eelgrass is present (T. Carlson preliminary
visual survey August 2015). The closest native eelgrass bed is located 1.5 miles north on the east side of
Harstine Island (Gaeckle et al 2009). The project area is defined with cobble, coarse sands and gravels in the
higher elevation with finer sands in the lower elevations. The farm project area is located in elevations between
+1 ft and -4.5 ft MLLW
5m. Describe how the property is currently used. hei
Vacant Tidelands. There is no current use and the property is undeveloped.
5n. Describe how the adjacent properties are currently used. hf eM
Uplands north of the project area have a single-family residence located on high bank above the tidelands.
Adjacent parcels have no beach access from the uplands other than through Harstine State Park. The parcel to
the south is State Park and the upland to the west is designated forest lands.
5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current
condition. hei
No structures are present
JARPA Revision 2012.2 Page 4 of 16
5p. Provide driving directions from the closest highway to the project location, and attach a map. hei
To access by land: Drive to Harstine Island State Park off Yates Rd. Take the trail to the beach, walk north to the
site. Farming operations will be accessed by boats.
Part 6-Project Description
6a. Briefly summarize the overall project. You can provide more detail in 6b. of eM
Seattle Shellfish LLC (Seattle Shellfish) proposes to establish an aquatic geoduck farm within the 2"d class
tidelands between +1ft MLLW and -4.5ft MLLW. Project area is approximately 1.18 acres.
6b. Describe the purpose of the project and why you want or need to perform it. Md
Commercial cultivation of geoduck clams (Panopea generosa)to meet the market demands for seafood.
6c. Indicate the project category. (Check all that apply) hei
® 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:
JARPA Revision 2012.2 Page 5 of 16
6e. Describe how you plan to construct each project element checked in 6d. Include specific construction
methods and equipment to be used. h
• Identify where each element will occur in relation to the nearest waterbody.
• Indicate which activities are within the 100-year floodplain.
Access to the farm is by water only. Seattle Shellfish owns and operates a number of boats for crew transport
as well as barges for the transportation of equipment to and from the farm site. Boats are generally equipped
with 200 HP 4 stroke outboard engines. Boats are kept at safe speeds and operate in compliance with the
Marine Mammal and Endangered Species Act to assure that marine mammal harassment will not occur.
Equipment barges are moved to the farm site using company boats and are temporarily anchored at the site
during various farming task sequences. General equipment includes culture tubes, nets, hand tools, baskets
and other general planting and maintenance tools commonly found on geoduck farms. All materials are either
returned to the barge or used in the farming process. The farming process generally consists of site
preparation, culture tube and area net placement, geoduck seed placement and maintenance, which take place
throughout the growth period and harvest.
Site preparation consists of removal of natural and manmade debris (e.g., sticks and driftwood). If sand dollars
are located in areas where culture tubes will be placed, they will be relocated to an area outside of the farmed
area but within the parcel where survival is possible. There may also be areas where Ulva (Sea Lettuce) is
present that requires removal to an area outside the planting site.
Juvenile geoducks are typically seeded into culture tubes by hand during appropriate low tides or by divers at
higher tides. Seeding takes an average of 5 days per acre during the months of April to November when water
and air temperature and abundant food supply will allow for rapid burrowing into the substrate. Geoducks are
protected from predators by culture tubes. Culture tubes are usually 4 to 6 inches in diameter and 10 inches
long and are pushed into the substrate leaving 3-4 inches showing. Typically these tubes are made from thin
walled PVC pipe or mesh material. Culture tubes also have affixed a small mesh net for predator exclusion that
is secured with a UV resistant rubber band. These small nets and rubber bands are attached at the company's
upland facility in Shelton. Each acre has the capacity for placement of 43,000 culture tubes, or one tube per
square foot.
After culture tubes are in place, area nets that are 40 ft X 40 ft are placed over the tubes and firmly secured to
the substrate with U shaped rebar at 3 to 5 ft intervals to ensure that nets stay anchored and prevent tubes from
being dislodged or escaping into the marine environment. Nets have a mesh size of to 1". About 27 area
nets are used for each acre of culture tubes. All tubes are marked and nets tagged with Seattle shellfish
identification.
When tubes are no longer needed, usually after 18-24 months, nets are taken up and tubes are removed from
the site for cleaning and future use. Routine patrols (1-4 days per month) will check for displaced tubes and
inspections will be made on nets for tears. Tears are repaired with plastic cable ties and rebar stakes are
inspected for security. All tubes, fouled or damaged netting, and debris are gathered for placement onto
company equipment for return for cleaning or proper disposal.
Harvest of market-sized geoducks occurs approximately 5-7 years after planting. Harvesting could take place in
dry conditions during low tides or by divers when the farm is inundated. Harvesting takes place using water
pressure fed through a 1-2 inch diameter hose then through a '/2 inch to 5/8" diameter nozzle that is directed into
the substrate near the geoduck siphon for animal removal. The pressure at the nozzle is approximately 40
pounds per square inch and the volume is approximately 20 gallons per minute. Pumps for the hoses will be run
by small internal combustion engines mounted on the work barge. Engines and pumps are enclosed and
insulated, with sound attenuating exhausts. Water intake lines on the pumps are fitted with screens that meet
NMFS screening criteria to prevent entrainment of fish.
The collected harvest is manually packaged and loaded onto boats for transport. Harvest days are dependant
on crop density, crew size, and market demands but generally may take anywhere from 30 to 50 days per acre
based on a single harvest crew. Following harvest the area will be replanted.
JARPA Revision 2012.2 Page 6 of 16
6f. What are the anticipated start and end dates for project construction? (MonthNear) hf elpl
• 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: Spring 2016 End date: Ongoing ❑ See JARPA Attachment D
6g. Fair market value of the project, including materials, labor, machine rentals, etc. Lbpjp
> $10,000
6h. Will any portion of the project receive federal funding? hel
• If yes, list each agency providing funds.
❑ Yes ® 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.) MV
7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. hf eM
® Not applicable
7b. Will the project impact wetlands? hel
❑ Yes ❑ No ❑ Don't know
7c. Will the project impact wetland buffers? hel
❑ Yes ❑ No ❑ Don't know
7d. Has a wetland delineation report been prepared? hel
• If Yes, submit the report, including data sheets,with the JARPA package.
❑ Yes ❑ No
7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating
System? hel
• 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? Eel
JARPA Revision 2012.2 Page 7 of 16
• 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. hf M
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 impactt3 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 I"). 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.
3Indicate the days,months or years the wetland will be measurably impacted by the activity. Enter"permanent"if applicable.
4 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. hf elpl
JARPA Revision 2012.2 Page 8 of 16
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. Mip
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.) [Leipi
® 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
Shellfish aquaculture has been considered a beneficial use of the shoreline area by providing three-dimensional
structure, filtering water, and facilitating benthic-pelagic coupling of nutrients. Shellfish culture requires a
healthy marine ecosystem to be successful. As is further discussed in the Biological Evaluation, upon
implementation of the conservation measures described therein, the project is not anticipated to have significant
adverse impact on water quality, sediment, forage fish, benthic infauna or epifauna, or aquatic vegetation.
81b. Will your project impact a waterbody or the area around a waterbody? heI
❑ Yes ® No
8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland
waterbodies? !IeI
• If Yes, submit the plan with the JARPA package and answer 8d.
• If No,or Not applicable, explain below why a mitigation plan should not be required.
❑ Yes ❑ No ® Not applicable
JARPA Revision 2012.2 Page 9 of 16
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. hl eIA
N/A
8e. Summarize impact(s) to each waterbody in the table below. hf M
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
Planting of
geoduck seed by Case Inlet Marine Minimal None Total farm area
hand and Tidelands temporary Estimated at
removal of effects 1.18 Acres
mature geoduck may occur
with high volume during
low pressure planting
water flows and
harvesting
At 5-7
year
intervals
If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided.
2Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and
indicate whether the impact will occur within the 100-year flood plain.
3Indicate the days,months or years the waterbody will be measurably impacted by the work. Enter"permanent"if applicable.
8f. For all activities identified in 8e, describe the source and nature of the fill material, amount (in cubic yards)
you will use, and how and where it will be placed into the waterbody. heI
N/A
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. hf eid
Removal of geoduck with high volume low pressure flows would occur during harvesting.
Sediment moved during this process remains on the tidelands to be redistributed naturally by the tides.
JARPA Revision 2012.2 Page 10 of 16
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. nel
Agency Name Contact Name Phone Most Recent
Date of Contact
91b. 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? nel
• If Yes, list the parameter(s) below.
• If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at:
hftp://www.ecy.wa.gov/programs/wq/303d/.
® Yes ❑ No Case Inlet and Dana Passage for Dissolved Oxygen (offshore)
9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? hell
• Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC.
17110015
9d. What Water Resource Inventory Area Number (WRIA#) is the project in? h[ o
• Go to hftp://www.ecy.wa..qov/services/gis/maps/wria/wria.htm to find the WRIA#.
14
9e.Will the in-water construction work comply with the State of Washington water quality standards for
turbidity? hf eM
• Go to hftp://www.ecy.wa.gov/programs/wq/swgs/criteria.html 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? bpM
• If you don't know, contact the local planning department.
• For more information,go to: hftp://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html.
® Rural ❑ Urban ❑ Natural ® Aquatic ❑ Conservancy ❑ Other
9g. What is the Washington Department of Natural Resources Water Type? of eM
• Go to hftp://www dnr wa gov/BusinessPermits/Topics/ForestPracticesApplications/Pages/fp watertyping aspx 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
JARPA Revision 2012.2 Page 11 of 16
manual? h[ eM
• If No, provide the name of the manual your project is designed to meet.
❑ Yes ❑ No N/A
Name of manual:
9i. Does the project site have known contaminated sediment? [tpip]
• If Yes,please describe below.
❑ Yes ® No
9j. If you know what the property was used for in the past, describe below. hf eU
No prior use identified
9k. Has a cultural resource (archaeological) survey been performed on the project area? hel
• If Yes, attach it to your JARPA package.
® Yes ❑ No See attached Cultural Resource Assessment
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[ eip
Chinook Salmon
Chum Salmon
Steelhead Trout
Bull Trout
Bocaccio
Canary Rockfish
Yelloweye Rockfish
Southern Resident Killer Whale
Marbled Murrelet
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. hf eM
Marine Intertidal
JARPA Revision 2012.2 Page 12 of 16
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 for Regulatory Innovation and Assistance at (800) 917-0043 or help _ora.wa.gov.
• For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA.
10a. Compliance with the State Environmental Policy Act (SEPA). (check all that apply.) hf elpl
• For more information about SEPA, go to www.ecy.wa.gov/programs/sea/sepa/e-review.html.
❑ A copy of the SEPA determination or letter of exemption is included with this application.
❑ A SEPA determination is pending with (lead agency). The expected decision date is
❑ 1 am applying for a Fish Habitat Enhancement Exemption. (check the box below in 10b.) hf eM
® This project is exempt (choose type of exemption below).
❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt?
WAC 197-11-704 (No Agency Action): 197-11-800(9) (Water Quality Certification Exemption)
❑ Other:
❑ SEPA is pre-empted by federal law.
JARPA Revision 2012.2 Page 13 of 16
10b. Indicate the permits you are applying for. (Check all that apply.) hel
LOCAL GOVERNMENT
Local Government Shoreline permits:
❑ Substantial Development ❑ Conditional Use ❑ Variance
Shoreline Exemption Type (explain): Mason County SMP Exemption
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
Effective July 10, 2012, you must submit a check for$150 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 appropriate boxes:
❑$150 check enclosed. Check#
Attach check made payable to Washington Department of Fish and Wildlife.
❑Charge to billing account under agreement with WDFW. Agreement#
❑My project is exempt from the application fee. (Check appropriate exemption)
❑ HPA processing is conducted by applicant-funded WDFW staff.
Agreement#
❑ Mineral prospecting and mining.
❑ Project occurs on farm and agricultural land.
(Attach a copy of current land use classification recorded with the county auditor, or other proof of current land use.)
❑ Project is a modification of an existing HPA originally applied for, prior to July 10, 2012.
HPA#
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
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)
JARPA Revision 2012.2 Page 14 of 16
United States Coast Guard permits:
❑ Private Aids to Navigation (for non-bridge projects)
JARPA Revision 2012.2 Page 15 of 16
Part 11—Authorizing Signatures
Signatures are required before submitting the JARPA package. The DARPA package includes the DARPA form,
project plans, photos, etc. h( etM
11a. Applicant Signature (required) h[ eM
I �
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 hel
I
I certify that to the best of my knowledge and belief, the information provided in Ithis 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.
Tf2 as �✓ (7 �c o; � — t'
Authorized Agent Printed Name Authorized Agent Signature i DaLe
11c. Property Owner Signature (if not applicant) hf gjp
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.
I
S'2CoU4
Property Owner Printed Name operty O er Signature Date /
18 U.S.0§1001 provides that:Whoever, in any manner within the jt risdiction of any department or agency of the United States knowingly
falsifies,conceals,or covers up by any trick,scheme, or device a m 3terial fact or makes any false,fictitious,or fraudulent statements or
representations or makes or uses any false writing or document knc wing same to contain any false,fictitious,or fraudulent statement or
entry, shall be fined not more than$10,000 or imprisoned not more han 5 years or both.
If you require this document in another format, contact the Governor's Office for Regulatory Innovation and Assistance (ORIA)at(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: ENV-019-09 rev. 0812013
I
JARPA Revision 2012.2 Page 15 of 15
SGI GEODUCK FARM #1
VICINITY MAP
49
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o •7 rqs i a
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0
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ki fu
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W.ARCAWk
REFERENCE LOCATION PROPOSED PROJECT
TIDELANDS
GOVT LOT 2,S31 T21N R1W SGI GEODUCK FARM#1
APPLICANT Parcel 12131-23-70050
SEATTLE SHELLFISH LLC 47.26643 N Latitude PROJECT AREA
FIGURE 1 -122.86519 W Longitude —1.18 ACRE
SHEET 1 ADJACENT PROPERTY OWNERS
Parcel# IN:CASE INLET
DATE 11/18/2015 Seattle Shellfish LLC 22125-00-83081 SO.PUGET SOUND
Peterson Jon&Kim 22136-14-00000 NEAR: SHELTON
WA State DNR 12131-88-88888 MASON COUNTY
WA Parks&Recreation 22136-00-62000
r '
REFERENCE LOCATION PROPOSED PROJECT
TIDELANDS
GOVT LOT 2,S31 T21N R1W SGI GEODUCK FARM#1
APPLICANT Parcel12131-23-70050
S£A7TLE SHELLFISH LLC 47.26643 N Latitude PROJECT AREA
FIGURE 2 -122.86519 W Longitude -1.18 ACRE
SHEET 2 ADJACENT PROPERTY OWNERS
Parcel# IN:CASE INLET
DATE 11/18/2015 Seattle Shellfish LLC 22125-00-83081 SO.PUGET SOUND
Peterson Jon&Kim 22136-14-00000 NEAR: SHELTON
WA State DNR 12131-88-88888 MASON COUNTY
WA Parks&Recreation 22136-00-62000
PLAN VIEW
SGI GEODUCK FARM #1
i
1
h .
G' PETTERSON
1 21 31-23-00050
f
SECOND GROWTH INV TORS LLC
12131-23-70500
CASE INLET
PROJECT AREA
i �1.18AC
% PROJECT AREA
CORNER LATITIUDE AND LONGITUDE
NW CORNER 47.26661 N -122.86514W
NE CORNER 47.26653N -122.86463W
+1'
SW CORNER 47.26634N -122.86546W
MLLW 71 SE CORNER 47.26608N -122.86492W
t_ �
STATE PARKS
i7 15 &RECREATION
,'u" -4.5 MLLW
�=fV)
REFERENCE LOCATION PROPOSED PROJECT
TIDELANDS
GOVT LOT 2,S31 T21N R1W SGI GEODUCK FARM#1
APPLICANT Parcel 12131-23-700SO
SEATTLE SHELLFISH LLC 47.26643 N Latitude PROJECT AREA
FIGURE 3 -122.86519 W Longitude —1.18 ACRE
SHEET 3 ADJACENT PROPERTY OWNERS
Parcel# IN:CASEINLET
DATE 11/18/201S Seattle Shellfish LLC 2212S-00-83081 SO.PUGET SOUND
Peterson Jon&Kim 22136-14-00000 NEAR: SHELTON
WA State DNR 12131-88-88888 MASON COUNTY
WA Parks&Recreation 22136-00-62000
UPPER FARM PHOTO AT MEANDER LINE +3' MLLW
"
AZI
�� by ��F:..a� ;�C; •_�
ti
ELEVATION VIEW
REFERENCE LOCATION PROPOSED PROJECT
TIDELANDS
GOVT LOT 2,S31 T21N R1W SGI GEODUCK FARM#1
APPLICANT Parcel 12131-23-70050
SEATTLE SHELLFISH LLC 47.26643 N Latitude PROJECT AREA
FIGURE 4 -122.86519 W Longitude —1.18 ACRE
SHEET 4 ADJACENT PROPERTY OWNERS
Parcel# IN:CASE INLET
DATE 11/18/2015 Seattle Shellfish LLC 22125-00-83081 SO.PUGET SOUND
Peterson Jon&Kim 22136-14-00000 NEAR: SHELTON
WA State DNR 12131-88-88888 MASON COUNTY
WA Parks&Recreation 22136-00-62000
FARM TIDELANDS AT—+1 FT MLLW
'y.
r
p tPe �.
t
2016-00002
MASON COUNTY COMMUNITY DEVELOPMENT
SHELTON, WA 98584
(360)427-9670 fax (360)427-7798
INVOICE -
Customer
Name SEATTLE SHELLFISH LLC Date 2/2/2016
Address 2101 4TH AVE EAST, SUITE 201 P.O. No.
City OLYMPIA ST WA ZIP 98506 Rep
Phone 1.360.236.0462 FOB
Qty Description Unit Price TOTAL
1 SHORELINE EXEMPTION (SHX2016-00004) $510.00 $510.00
PROJECT: SGI GEODUCK FARM #1
CONTACT: JIM GIBBONS
TOTAL $510.00
GMM(aCO.MASON.WA.US
Office Use Only
For more information or if you have questions, please contact GENIE
360.427.9670 ext.284