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HomeMy WebLinkAboutJARPA - SHX Application - 10/29/2021 PLANNING AGENCY USE ONLY 1 US Army Corpe i Date received: i WASHINGTON STATE of Engineers Joint Aquatic Resources Permit Agency reference#: ; Application (JARPA) Form1,2 [h.lpl USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACE_BAD Tax Parcel#(s): RECE V OCT 29 2021 --- --------- ---------------- 615 W. Alder Stree' Part 1-Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hei Woolston — Bulkhead Repairs Part 2-Applicant The person and/or organization responsible for the project. [help) 2a. Name(Last, First, Middle) Woolston, Robert 2b. Organization(If applicable) N/A 2c. Mailing Address(Street or PO Box) 5409 91st Ave SE 2d. City, State, Zip Mercer Island, WA 98040 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail (206) 914-2992 (206) 359-3259 None roolston@perkinscoie.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. ZTo access an online JARPA form with[help]screens,go to hftr)://www.epermifting.wa.gov/site/alias resourcecenter/iaroa iarpa form/9984/6arpa form aspx. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help(cD_oria.wa.gov. OR IA-revised02/2020 Page 1 of 15 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.) [neiip 3a. Name(Last, First,Middle) Valdeman, Caralyn Michele 3b. Organization (If applicable) Integrated NW Construction, LLC 3c. Mailing Address (Street or Po Box) PO Box 1008 3d. City, State, Zip Hoodsport, WA 98548 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail (253) 888-5314 ext 1 (206) 310-4239 (253) 231-3765 caralyn@integratedNWconstruction.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. [heir)] ® 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) 41b. Organization (if applicable) 4c. Mailing Address(street or Po Box) 4d. City, State, Zip 4e. Phone(1) 4f. Phone(2) 4g. Fax 41h. E-mail ORIA-revised 0212020 Page 2 of 15 IL Part s 5—Project Location J ( ) Identifying fy g information o mation about the propertyor properties where the project will occur. hel P P P 1 [�Pl ❑ There are multiple project locations e. . linear projects). Complete the section below and use JARPA P p J ( 9 P 1 ) P Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [helpl ® 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.) fhelpa 70 E Madrona Beach Ln 5c. City, State, Zip(If the project is not in a city or town,provide the name of the nearest city or town.) [help] Union. WA 98592 5d. County [hell Mason 5e. Provide the section, township, and range for the project location. hel '/4 Section Section Township Range 32 22N 3W 5f. Provide the latitude and longitude of the project location. [hem • Example:47.03922 N lat.1-122.89142 W long. (Use decimal degrees-NAD 83) 47.355030N /-123-08199OW 5g. List the tax parcel number(s)for the project location. [nelpa • The local county assessor's office can provide this information. 32232-54-00013 5h. Contact information for all adjoining property owners. (If you need more space, use DARPA Attachment C.) [heirl Name Mailing Address Tax Parcel#(if known) KING, KATHERINE ALISON 4820 37TH AVE NE 32232-54-00012 SEATTLE WA 98105-3017 MADRONA INC, 1709 4th AVE N 32232-14-00030 C/O CHRIS VAMMEN SEATTLE WA 98109-2932 SMITH, WILLIAM H & MARY L 3829 GLENDALE DR SE C/O MIKE SMITH OLYMPIA WA 98501-5031 32232-54-00014 OR IA-revised 02/2020 Page 3 of 15 5i. List all wetlands on or adjacent to the project location. n( elal None 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [nelpl Hood Canal (marine shoreline) 5k. Is any part of the project area within a 100-year floodplain? [hel X] Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [heipl Lightly vegetated with native trees and shrubs; the work area consists of a lawn (native grasses) 5m. Describe how the property is currently used. [mil SFR 5n. Describe how the adjacent properties are currently used. [he+ SFR 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. [hetnj SFR with patio and grinder pump; all structures are fully functioning and usable 5p. Provide driving directions from the closest highway to the project location, and attach a map. ["I From Shelton, proceed N on 101 and turn R on E McReavy Rd; turn L to stay on E McReavy Rd for 10 minutes; Turn R on E Manzanita Dr; Turn R on E Jack Pine Ln; Veer R on E Country Club Dr; Turn R on E Madrona Beach Ln; Address on R ORIA-revised 02/2020 Page 4 of 15 Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. LtLeV Repair of existing bulkhead by excavating behind bulkhead and tying in footer and three buttress walls; construct new wall behind existing bulkhead to strengthen existing bulkhead 6b. Describe the purpose of the project and why you want or need to perform it. h[ eiM The existing bulkhead is leaning 8" toward the water and shows strong signs of imminent failure. With the house and grinder pump immediately behind the bulkhead, it is critical that this work be completed quickly to prevent catastrophic failure. 6c. Indicate 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 El BoatLaunch El Ditch ❑ El ScientificLand Clearing 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: ORIA-revised 02/2020 Page 5 of 15 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. Excavate behind the existing bulkhead using an excavator. All materials will be stored landward from the bulkhead. Form new footers, wall, and buttress walls per engineered drawings, tying in to existing concrete bulkhead from behind. Install rebar. Pour concrete footers, wall, and buttress walls. Install geo-tech fabric and pea gravel backfill approximately halfway up the new backside of the existing bulkhead. Dispose of all dirt and debris in a state-licensed landfill. 6f. What are the anticipated start and end dates for project construction? (Month/Year) [help] • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start Date: 11/1/2021 End Date: TBD ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [help] $233,100 6h. Will any portion of the project receive federal funding? [tglPJ • If yes, list each agency providing funds Yes X No LJ 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.)[heipl 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [helpl ® Not applicable 7b. Will the project impact wetlands? [heipl Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [heipl ❑ Yes No J Don't know ORIA-revised 0212020 Page 6 of 15 7d. Has a wetland delineation report been prepared? [heipi • 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? [nhe�l i • If Yes, submit the wetland rating forms and figures with the DARPA package. ❑ Yes :1 No Ci Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? i,eL] • 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. he! 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 type4 (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. Z 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: ORIA-revised 02/2020 Page 7 of 15 7L 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. heI 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. [help) 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.) LbLeI ® 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. I E, Not applicable All work will be completed behind the existing bulkhead. A CESCL will be assigned to the project to ensure I relevant BMPs are strictly followed. i i II 8b. Will your project impact a waterbody or the area around a waterbody? [help] Yes —X No ORIA-revised 02/2020 Page 8 of 15 8C. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [Lgjpj • 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 All work will be done behind the bulkhead. The bulkhead is existing no increase with e se in length. A mitigation plan is not required. I 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. If you already completed 7g you do not need to restate your answer here. hel ] N/A 8e. Summarize impact(s)to each waterbody in the table below. [Help] Activity (clear, Waterbody Focation pact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' 2 of impact3 (cubic yards) to be linear ft.) of drive, etc.) placed in or removed waterbody from waterbody directlV affected None i i 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. z 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. 3 Indicate 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. [heid No fill or other activities will occur in the waterbody. i i ORIA-revised 02/2020 Page 9 of 15 I 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. nei ) N/A I i 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. [heir)] Agency Name Contact Name Phone Most Recent Date of Contact WA State Dept of F&W Laura Street (360)490-2087 09/23/2021 i 91b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 of this DARPA on the Washington Department of Ecology's 303(d) List? [help] • 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- Shorelines/Water-quality/Water-improvement/Assessment-of-state-waters-303d. © Yes ❑ No Hood Canal 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [help] • Go to http//cfpub epa qov/surf/locaterindex cfm to help identify the HUC. 171100 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [help, • Go to https:UecologV.wa.gov/Water-Shorelines/Water-supply!Water-availabilityAVatershed-look-up to find the WRIA#. 14 ORIA-revised 0212020 Page 10 of 15 r— i I 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to https//ecology.wa gov/\later-Shorelines/Water-quality/Freshwater/Surface-water-quality-standards/Criteria for the standards. ❑ Yes ❑ No x 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:/Iecology wa govMlater-Shorelines/Shoreline-coastal-management/Shoreline-coastal- pi anninq/Shoreline-laws-rules-and-cases. ❑ Urban Natural ❑ Aquatic ❑ Conservancy x Other: 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to httpl/www.dnr.wa gov/forest-practices-water-typing 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? [heipl • If No, provide the name of the manual your project is designed to meet. ® Yes ❑ No Name of manual: Stormwater Management Manual for Western Washington 9L Does the project site have known contaminated sediment? [he • If Yes, please describe below. ❑ Yes Z No 9j. If you know what the property was used for in the past, describe below. [heM Prior to development. area was likely a forest 9k. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If Yes, attach it to your DARPA package. ❑ Yes x No ORIA-revised 0212020 Page 11 of 15 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. [heI In the action area, there are four species listed under the Endangered Species Act by the U.S. Fish and Wildlife Service (USFWS) as threatened species. The bull trout (Salvelinus confluentus), marbled murrelet (Brachyramphus marmoratus), streaked horned lark (Eremophila alpestris strigata), and yellowbilled cuckoo (Coccyzus americanus) are listed as threatened and critical habitat has been designated for the former three species. The action area includes critical habitat for the bull trout. Two other species in the project area are listed as proposed. The fisher(Martes pennants) is listed as proposed threatened, and the Dolly Varden (Salvelinus malma) is listed as proposed under the ESA "similarity of appearance" provision. In the action area, there are nine species listed under the Endangered Species Act by the National Marine Fisheries Service (NMFS) as either threatened, endangered, or candidate species. The humpback whale (Megaptera novaeangliae), Bocaccio (Sebastes paucispinis), and leatherback turtle (Dermochelys coriacea) are listed as endangered, while the Puget Sound Chinook salmon (Oncorhynchus tshawytscha), Puget Sound steelhead (Oncorhynchus mykiss), Hood Canal summer- run chum salmon (Oncorhynchus keta), green sturgeon (Acipensermedirostris), yelloweye rockfish (Sebastes ruberrimus), and killer whale (Orcinus orca) are listed as threatened. Critical habitat has been designated for the Chinook salmon, Hood Canal summer-run chum, Puget Sound/Georgia Basin rockfish, leatherback turtle, and green sturgeon. Hood Canal is designated critical habitat for the Chinook, Hood Canal summer-run chum salmon, Puget Sound steelhead, and Puget Sound/Georgia Basin rockfish. 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. [n- The Washington Department of Fish and Wildlife publishes a Priority Habitats and Species list (PHS) and a Species of Concern (SOC) list. The PHS list includes habitats, species, and species groups considered to be priorities for conservation and management. The project site is categorized as one of those habitat types--Marine/Estuarine Shoreline. WDFW data revealed that three other species of anadromous salmonids on the State's PHS list may be found within the action area: the Puget Sound/Strait of Georgia Chum salmon (Oncorhynchus keta), the Puget Sound coho salmon (Oncorhynchus kisutch), the Pink salmon (Oncorhynchus gorbuscha), the sockeye salmon (Oncorhynchus nerka), and the Puget Sound/Coastal cutthroat(Oncorhynchus clarki clarki). The Puget Sound coho salmon is also an ESA listed Species of Concern. Species of Concern are not species that are being actively considered for listing under the ESA by the NMFS (National Marine Fisheries Service) or FWS. They have been identified as Species of Concern because of concerns or great uncertainties regarding biological status and threats. 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(a)oria.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.) [help] • For more information about SEPA, go to httpsPecology.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 TBD ORIA-revised 0212020 Page 13 of 15 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) hf elpl ® This project is exempt(choose type of exemption below). Z 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.) LLelp 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-d13bridges@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) 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 0212020 Page 14 of 15 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. (?let 11a. Applicant Signature (required) he 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 auth i t e 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 tot property. I also give my consent to the permitting agencies en he where the roject is to d to inspect the project site or any work related to the project. (initial) ICCgERT y�U l.8 fb�/ � / ZO Z I Applicant Printed Name Applicant Signature Dale 11 b. Authorized Agent Signature het 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 issue 94 Caralyn Valdenian 10/26/2021 Authorized Agent Printed Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant) fheipl 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. 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 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. ORIA-16-011 rev.0912018 ORIA-revised 02r2020 Page 15 of 15