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Home My WebLink AboutSHX2016-00022 JARPA - SHX Application - 4/21/2016 Enclosure l MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT RECEIVED Buildingg— Shelton,WA 98584 (360)427-9670—Ext.352 APR 2 1 2016 SHORELINE PERMIT APPLICATION 615 W. Alder Street PERMIT NO. .51 A 206—0002 Z SHORELINE SUBSTANTIAL DEVELOPMENT SHORELINE VARIANCE* DATE RECEIVED ��I-�Cp SHORELINE CONDITIONAL USE* SHORELINE EXEMPTION The Washington State Shoreline Management Act (RCW 90.58) requires that substantial developments within designated shorelines of the state comply with its administrative procedures(WAC 173-14)and the provisions of the Mason County Shoreline Management Master Program.The purpose of this Act and local program is to protect the state's shoreline resources. The program requires that substantial development(any development of which the total cost or fair market value exceeds $5,718.00 or materially interferes with the normal public use of the water or shorelines of the State be reviewed with the goals, polices, and performance standards established in the Master Program. Answer all questions completely. Attach any additional information that my further describe the proposed development. Incomplete applications will be returned. Shoreline Variances and Conditional uses have additional pages that shall be attached to this application. APPLICANT: Jeff Sawyer, WSDOT OR EHS Manager ADDRESS: PO Box 47440 (street) Olympia WA 98504-7_4_40 (city) (state) (zip) TELEPHONE: 360-570-6701 (home) (business) AUTHORIZED REPRESENTATIVE: ADDRESS: (street) (city) (state) (zip) TELEPHONE: PROPERTY DESCRIPTION: li General location(include property address,water body and associated wetlands—identify the name of the shoreline): SR 106, Milepost 6.87 to 7.36, Hood Canal Shoreline is within 200 ft. Legal description (include section, township, and range to the nearest quarter, quarter section or latitude and longitude to the nearest minute. Projects located in open water areas away from land shall provide a longitude location)—include all parcel numbers: shoreline 2011 app.doc 1 OWNERSIiIP: Contract Applicant Owner Lessee Purchaser (Identify) Other Owner: WA State Dept. of Transportation PO Box 47440 Olympia WA 98504 (street) (city) (state) (zip) DEVELOPMENT DESCRIPTON Development(identify and describe the proposed project,including the type of materials to be used,construction methods,principle dimensions,and other pertinent information): Installation of Shoulder Rumble Strips on SR 106. ------------- Use(identify current use of property with exist improvements: Transportation Reason for requesting development: Safety Improvements. ACIWWLEDGEMENT I hereby declare,to te best of my knowledge and belief,the forgoing information and all attached information is true Orr ct applicant or authoriz d representative) (date) shoreline 2011 app.doc AdW Washington State Olympic Region VAf Department of Transportation Environmental&Hydraulic Services 5720 Capitol Blvd Tumwater,WA 98501 P.O. Box 47440 Olympia,WA 98504-7440 March 4, 2016 TTY 51-800-833-6388 0-357-2601 www.wsdot.wa.gov Mason County RECEIVED Community Development MAR 0 9 2016 615 W Alder St Shelton, WA 98584 615 W. Alder Street Attn: Barbara Adkins Subject: Multi SR 15-17 Olympic Region Shoulder Rumble Strips—Install SR 106, Milepost(MP) 6.87 to 7.36 Shorelines Exemption Dear Ms. Adkins: Enclosed please find a Mason County permit application and a Joint Aquatic Resources Permit Application (JARPA) for a Shoreline Substantial Development Permit Exemption plus the required $510.00 review fee. The Washington State Department of Transportation(WSDOT) is planning to install milled in Shoulder Rumble Strips (SRS) in Mason County in "high run off road" locations. SRS's will be placed in areas with sufficient shoulder width to install the Rumble Strips. The project also will install profiled plastic line SRS's in locations that do not have sufficient shoulder widths for Rumble Strip installation. Work will also include maintaining traffic control. The work will be within the existing roadway prism. No new right of way or cut/fills are involved. This project was found to be exempt from a SEPA threshold determination by WSDOT pursuant to WAC 468-12-800(1) (u). This portion of the project will be constructed within 200 feet of Hood Canal which is a shoreline of the state. Based upon our knowledge of the project and the language in the Mason County Shoreline Management Program, we believe that this project is exempt from the requirement to obtain a Shoreline Substantial Development Permit. Barbara Adkins March 4, 2016 Page 2 If you have any questions or concerns, please contact Scott Boutilier at 360-570-6742 or Dave Evans at 360-570-6738. Sincerely, Jeff Sawyer Environmental & Hydraulic Manager Olympic Region JBS:sb:ip Enclosures: Mason County Permit Application(Enclosure 1) JARPA (Enclosure 2) Cross Section Plan Sheets and Vicinity Map (5 sheets) (Enclosure 3) Warrant# 946461 H in the amount of$510.00 cc: Jerry Moore, 47440-01 Project File w/enclosures SF02052016 (7371) i Nosh Bay SaIlu PROJECT LIMITS 112 MILLED IN RUMBLE STRIPS GROUP STATE ROUTE MP FROM / TO 1 US 101 MP 303.17 TO MP 306.47 113 Townsend 2 US 101 MP 251.90 TO MP 253.15 Sappho 112 0 e 20 �; 3 SR 106 - MP 6.87 TO MP 7.36 1 101 ANGELES 101 4 SR 307 MP 1.50 TO MP 5.11 Sequlm 116 110 o FORKS CLALLAM 19 PROJECT LIMITS PROFILED PLASTIC LINE — — ----------_----------- i t GROUP STATE ROUTE MP FROM / TO 104 1 SR 119 MP 1.13 TO MP 1 A2 2 SR 165 MP 14.43 TO MP 15.58 3 SR 507 MP 36.55 TO MP 39.50 i � 101 101 ,' 307 1 4 SR 510 MP 7.83 TO MP 10.0.6 305 5 SR 3 MP 14.75 TO MP 20.21 Kalsloch � -'3 308 BREMERTON 6 SR 3 MP 21.99 TO MP 23.86 JEFFERSON r---------------------- >% o°°t` i 101 i 310 - ---i--------------- - - - ---j I_KITSAP 1fi6 ------e i 0Ouinault j 119 300 16 160 106 -------- Taholah j - � 1D9 I i 302 Mocppa �TACOMA � D � "� 509 Humptulips MASON ,% 705 " Pacific Beach 1 ---� 101 Z Shako 167 4101 Buddev GRAY HARBOR Copells Beach l 108 512 -, 162 109 L------- -- ]OI Ordn Mccis -- �YMPI 165 11 S Hoqulam ABERDEEN Elm° s07 Groh m PIER E Ooean Shores O Mo dun 8O Lacey co m oli 12 T br 7 510 I 121 161 _ Westport O 105 107 a Urn 702 lol 12 i 507 5 EetomAle —__— — -- ----- — ---- OeIAvNle—I h.eb URSTO Rocr O 706 ------ - --------------- --------- -- — b. 0 5 10 15 SCALE IN MILES FILE NAME 0:10esi 5Pro t DeOnitlon S t'15-17 R ion VAde Shoulder RtunbM Sba 1Cad115-17 Vlcl M d Plot 1 THE 12:56:25 PM '�" •*"'a FED.AID PROJ.NO. Ott. 15-17 OLYMPIC REGION '�""av DATE 1212/2014 � PLOTTED BY BentonT 10 A � SHOULDER RUMBLE STRIPS - VM1 DESIGNED BY T.BENTON BY T.BENTON '°`NYe"" ENTERED Washington State INSTALL RUMBLE STRIPS �T ENTER CHECKED BY R.CRUMBLEY LOCATION NO Department of Transportation of PROJ.ENOR. B.ELLIOTT VICINITY MAP aN� REGIONAL ADM. K,DAYTON REVISION DATE BY •.ceur am °sn PALITAW sox wn P�oN.STgTFO MASON COUNTY c DEPARTMENT OF COMMUNITY DEVELOPMENT o A o N Planning Division r o r Z 615 W Alder St, Shelton, WA 98584 v } y (360)427-9670 OJ �O 1864 Exemption from Shoreline Management Act Case No.: SHX2016-00022 Substantial Development Permit Requirement The Proposal By: WSDOT C/O JEFF SAWYER PO BOX 47440 OLYMPIA, WA 98504 To undertake the following development: INSTALLATION OF SHOULDER RUMBLE STRIPS ON SR 106/SAFETY IMPROVEMENTS Within HOOD CANAL 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 Kell McAboy at ext 365 if you have any questions. Issued: 5/9/2016 4ueL� Expires: 5/9/2018 Authorized Local Government Official cc: APPLICANT WDFW USACOE WDOE TRIBAL COUNCIL EnclosureiZ. --------------------------------------- M AGENCY USE ONLY i : Date received: US Army Corps WASHINGTON STATE Sof eaEtte Dlstno Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form1,2 Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. i •------------------------------------- Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) [help] Multi SR, Olympic Region 15— 17 Shoulder Rumble Strips — Install Rumble Strips Part 2—Applicant The person and/or organization responsible for the project. [help.] 2a. Name (Last, First, Middle) Sawyer, Jeff B. 2b. Organization (If applicable) Washington State Department of Transportation 2c. Mailing Address (Street or PO Box) P.O. Box 47440 2d. City, State, Zip Olympia, WA , 98504-7440 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail (360) 570-6701 (360) 790-9646 (360)357-2601 sawyerj@wsdot.wa.gov 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.armv.mil/Missions/CivilWorks/RequIatory/PermitGuidebook/EndangeredSpecies.aspx. • 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 http://www.epermitting.wa.gov/site/alias resourcecenter/iarpa iarpa form/9984/iarpa form.aspx. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help(a)ora.wa.gov. JARPA Revision 2012.2 Page 1 of 14 Enclosure 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.) n[�el I 3a. Name (Last, First, Middle) Boutilier, Scott E 3b. Organization (If applicable) Washington State Department of Transportation 3c. Mailing Address (street or Po Box) P.O. Box 47440 3d. City, State, Zip Olympia, WA , 98504-7440 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail (360) 570-6742 (360) 570-6700 (360)357-2601 boutils@wsdot.wa.gov 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. h[�el I ® 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. I 4a. Name (Last, First, Middle) N/A 4b. Organization (If applicable) N/A 4c. Mailing Address (street or Po Box) N/A 4d. City, State, Zip N/A 4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail JARPA Revision 2012.2 Page 2 of 12 Enclosure Part 5-Project Location(s) Identifying information about the property or properties where the project will occur. [help] ® 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.) he[ el ] ❑ 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.) [help] Rumble strips: SR 106, MP 6.87 to 7.36 in Mason County- Shoreline (Hood Canal) Profiled Plastic Line: SR 119, MP 1.13 to 1.42 in Mason County- No Shoreline SR 3, MP 14.75 to 20.21 in Mason County- No Shoreline SR 3, MP 21.99 to MP 23.86 in Mason County- No Shoreline 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) [help] Multiple, please see attached vicinity map. 5d. County eipeI ] Clallam, Jefferson, Kitsap, Mason, Thurston, and Pierce. 5e. Provide the section, township, and range for the project location. h[ elp] Section Township Range Mason Co. 33, 11, 30, 29, 01, 06 21 N 03 W WM 5f. Provide the latitude and longitude of the project location. [help] • Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees-NAD 83) SR 106, MP 6.87 to 7.36 in Mason County 47.348637 / -123.062567 to 47.348935/-123.050407 (Hood Canal, Shoreline ) SR 106, MP 6.87 to 7.36 in Mason County (Hood Canal, Shoreline) 47.347782 / -123.073683 to 47.348346/-123.063647 SR 119, MP 1.13 to 1.42 in Mason County (No shorelines of the state) 47.400732 / -123.162368 to 47.402825 to 123.167057 SR 3, MP 14.75 to 20.21 in Mason County (No shorelines of the state) 47.316600 / -122.911217 to 47.372904/-122.837629 SR 3, MP 21.99 to 23.86 in Mason County (No shorelines of the state) 47.396787 / -122.829081 to 47.471979/-122.798654 I JARPA Revision 2012.2 Page 3 of 12 Enclosure 5g. List the tax parcel number(s)for the project location. hf eM • The local county assessor's office can provide this information. N/A, Project is a state highway 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment Q.) h( elp] Name Mailing Address Tax Parcel # (if known) N/A 5i. List all wetlands on or adjacent to the project location. [help] There are wetlands adjacent to the highways, however, none will be affected by this project. All work will be performed within the prism of the roadway. 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Mason County/ Hood Canal on SR 106 5k. Is any part of the project area within a 100-year floodplain? h( eld ❑ Yes ® No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. h[�eI ] Roadside vegetation consists of grasses, trees and shrubs. Work will be performed within the prism of the roadway for this project. Work is expected to have minimal effect to surrounding wildlife and wildlife habitat. 5m. Describe how the property is currently used. h[ eM The property is state owned and used as WSDOT right of way. 5n. Describe how the adjacent properties are currently used. h[ elp] Adjacent properties are residential, commercial, forested, and undeveloped land. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. h( elal There are catch basins and culverts to convey storm water under and alongside the road. Multiple bridges are contained within the project limits and carry private and commercial vehicular traffic. 5p. Provide driving directions from the closest highway to the project location, and attach a map. MIA Project is located on multiple state highways. Please see the attached vicinity map for project locations. Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. h[ elp] The project will install milled in shoulder rumble strips in high run off the road locations with sufficient shoulder width to install them. The project will also install a profile plastic line in locations that do not JARPA Revision 2012.2 Page 4 of 12 Enclosure have sufficient shoulder widths for rumble strip installation. All work will be within the existing roadway. 6b. Describe the purpose of the project and why you want or need to perform it. help] The purpose of this project is to increase safety and awareness to all vehicles on the roadway by alerting the driver. Shoulder rumble strips are well documented regarding their effectiveness, primarily in reducing the frequency of vehicles departing the roadway to the right on undivided highways and to both the left and right on divided highways 6c. Indicate the project category. (Check all that apply) [help] ❑ 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: Rumble Strip installation. 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. hf elo • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. An asphalt grinder will be used to create the actual rumble strips. The rumble strips will consist of 12 inch wide recesses in the asphalt, spaced accordingly in the highway. Pick up brooms will be used to clean up the spoils, and dump trucks will haul away the excess material for recycle. In the areas lacking sufficient width for recessed rumble strips installation, WSDOT will have a raised profile plastic line (convex traffic lines) installed on the surface of the asphalt. This is installed on the surface using adhesives. Traffic control will allow vehicles to alternate travel in each direction as construction is under way by utilizing flaggers and /or pilot vehicle. The project will be adjacent to Hood Canal between MP 6.87 and 7.36 on SR 106 in Mason County. No activities will occur within the 100 year floodplain. 6f. What are the anticipated start and end dates for project construction? (Month/Year) ) • 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 Revision 2012.2 Page 5 of 12 Enclosure Start date: Fall 2016 End date: Spring 2017 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [help] Approximately $640,000 6h. Will any portion of the project receive federal funding? [help] • If yes, list each agency providing funds. ® Yes ❑ No ❑ Don't know Federal Highway Administration (FHWA) 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. [help] Ili 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ❑ Not applicable Since the project exists within the existing roadway prism, the project has no impacts to existing wetlands. 7b. Will the project impact wetlands? h[Lel ] ❑ Yes ® No ❑ Don't know j7c. Will the project impact wetland buffers? [help] ❑ Yes ® No ❑ Don't know I 7d. Has a wetland delineation report been prepared? h[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? h[�el ] • 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? hf elpl • 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 The project will have no impacts to existing wetlands. 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [hell] N/A 71h. 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 JARPA Revision 2012.2 Page 6 of 12 Enclosure similar table, you can state (below) where we can find this information in the plan. [help] 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) N/A 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. 3Indicate 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. [help] 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. hel 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.) ihel i ® 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. belp] ❑ Not applicable Best Management Practices will be utilized to control storm water from entering waters of the state. Methods are approved by the Washington State Department of Ecology and are from the latest version of the Washington State Department of Transportation's Highway Runoff Manual ( M31-16.04 April 2014). Pickup broom's will be used near environmentally sensitive areas. 8b. Will your project impact a waterbody or the area around a waterbody? h[ ell ❑ Yes ® No 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 ® Not applicable The project is within the existing roadway prism and will not impact any waterbodies. 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. hLeeU JARPA Revision 2012.2 Page 7 of 12 Enclosure N/A 8e. Summarize impact(s)to each waterbody in the table below. [hell)] 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 waterbody removed from directly affected waterbod N/A N/A N/A N/A N/A N/A 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. 2 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. [help] 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. rhelpt 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. [help] Agency Name Contact Name Phone Most Recent Date of Contact N/A ( ) 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? hf eIW • If Yes, list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: htti)://www.ecy.wa.-gov/procirams/Wq/303d/. ❑ Yes ® No JARPA Revision 2012.2 Page 8 of 12 Enclosure 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? rhelpi • Go to http://cfi)ub.epa.gov/surf/locate/index.cfm to help identify the HUC. Mason County: Hood Canal - HUC Hood canal 17110018 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? heel ] • Go to http://www.ecy.wa.qov/services/gis/maps/wria/wha.htm to find the WRIA#. Mason County: Hood Canal —WRIA 14 Kennedy - Goldsborough 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? h[, eel ] • Go to http://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? [help] • 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. ❑ Rural ❑ Urban ❑ Natural ❑ Aquatic ® Conservancy ® Other Mason County/ Hood Canal — Residential 9g. What is the Washington Department of Natural Resources Water Type? hb 1p] • Go to http://www.dnr.wa.qov/BusinessPermits/Topics/ForestPracticesApplications/Pages/fo 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 manual? [help] • If No, provide the name of the manual your project is designed to meet. ❑ Yes ® No Name of manual: Highway Runoff Manual Apr. 2014 (M31-16.04) 9i. Does the project site have known contaminated sediment? [Leipj • If Yes, please describe below. ❑ Yes ® No 9j. If you know what the property was used for in the past, describe below. hf eld The highways have been used as transportation corridors for decades. p 9k. Has a cultural resource (archaeological) survey been performed on the project area? h[ eIp] • If Yes, attach it to your JARPA package. ❑ Yes ® No 106 Exempt 12/16/15 I I JARPA Revision 2012.2 Page 9 of 12 Enclosure 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. heel ) The following list includes only sections of the project that have shorelines of the state. Mason Co. Threatened: Marbled Murrelet, Streak horned Lark, Yellow Billed Cuckoo and Bull Trout Mason Co. Proposed Threatened: Dolly Varden, Fisher 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. noel ) Mason Co. Critical Habitat: Chinook Salmon, Chum Salmon 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(i).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.) [help] • For more information about SEPA,go to www.ecy.wa.gov/programs/sea/sepa/e-review.htmi. ❑ 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 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in yob.)[help] ® This project is exempt (choose type of exemption below). ® Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? WAC 468-12-800 (1) (u) ❑ Other: ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) hei JARPA Revision 2012.2 Page 10 of 12 Enclosure LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type (explain): Clallam, Jefferson, Mason and Pierce Counties 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) United States Coast Guard permits: ❑ Private Aids to Navigation (for non-bridge projects) JARPA Revision 2012.2 Page 11 of 12 Enclosure Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. rheei ] 11 a. Applicant Signature (required) rhelpi 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. hereby au h_e agent named in Part 3 of this application to act on my behalf in matters related to this application�tq�. (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 enterin the property where the project is located to inspect the project site or any work related to the project. (initial) SCkLk)�14C '��7)J -;-/Z+ Applicant Printed Name Appl' ant Signature D to 11 b. Authorized Agent Signature [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 all necessary permits have been issued. Sco�-E & 1ier— MAf-� Authorized Agent Printed Name Authorized Agent Signature Date 11 c. Property Owner Signature (if not applicant) h[ epp 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 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 $10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact the Governor's Office for Regulatory Innovation and Assistance(ORIA)at(800) 917-0043. People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341. ORIA publication number: ENV-019-09 rev. 08/2013 JARPA Revision 2012.2 Page 14 of 14 0 U` N 7 m 7't iW 1e' L J 11r MIN. 1W MIN. SECTION OA SECTION OB ISOMETRIC VIEW TYPICAL SHOULDER INSTALLATION I MEDIAN SHOULDER OUTSIDE SHOULDER EDGE LINE o ,pOR aP.Asy�FT c EDGE LINE c SHOULDER o c SHOULDER RUMBLE STRIP o o RUMBLE STRIP C 0 0 "/ONAL o� oe6�2� 0 o SHOULDER RUMBLE STRIP 0 o TYPE 1 FOR DIVIDED HIGHWAYS PERSPECTIVE VIEW STANDARD PLAN M-60.10-01 SHEET 1 OF 4 SHEETS MULTI-LANE DIVIDED HIGHWAY APPROVED FOR PUBLICATION Pasco Bakotich 1// 06-03-11 Wmhi,ab,Sw D.wn,_ f Tran.vw vrf Enclosure 3 BEGIN RUMBLE STRIP ON SHOULDER RUMBLE STRIP RIGHT SHOULDER AT END O ON LEFT BlIOULpER OF WIDE LANE LINE �Q/U} Q� K - O END RUMBLE STRIP ON RIGHT —��--�_ _ OFF SHOULDER AT BEGINNING OF WIDE LANE LINE -- Rq DECELERATION TAPER Mp TWO-LANE OFF-CONNECTION BEGIN RUMBLE STRIP ON SHOULDER RUMBLE STRIP RIGHT SHOULDER AT END ON LEFT SHOULDER OF WIDE LANE LINE 7 END RUMBLE STRIP ON RIGHT OFF SHOULDER AT BEGINNING OF F RAID p DECELERATION TAPER WIDE LANE LINE SINGLE-LANE OFF-CONNECTION C. ka UPflit FT SHOULDER RUMBLE STRIP BEGIN RUMBLE STRIP ON °j ON LEFT SHOULDER RIGHT SHOULDER AT END _ OF WIDE LANE LINE 1 P!I;W 5 � 4 kW 90� qF 29115 �O �•4� i mow: Ns CI STET' G� NA d$ SHOULDER RUMBLE STRIP O FOR DIVIDED HIGHWAYS TYPE 1 FF R END RUMBLE STRIP N RIGHT WIDE LANE LINE AMp STANDARD PLAN M-60.10-01 SHOULDER BEGINNING OF DECELERATION TAPER SHEET 2 OF 4 SHEETS SINGLE-LANE OFF-CONNECTION APPROVED FOR PUBLICATION FOR ONE LANE REDUCTION Pasco Sakodch 111 06-03-11 AML eulE oeaiw e1o.�n MTE W.&I gw sad.D.-n *a T—p-ftti— o SHOULDER RUMBLE STRIP - ON LEFT SHOULDER O QU N ON RAMP BEGIN RUMBLE STRIP ON RIGHT SHOULDER AT END OF ACCELERATION TAPER END RUMBLE STRIP ON WIDE LANE LINE RIGHT SHOULDER ADJACENT SINGLE-LANE ON-CONNECTION TO BEGINNING OF ON RAMP MADE LANE LINE SOD' 450' SHOULDER RUMBLE STRIP - -—— - - - - - - - - - ON OUTSIDE SHOULDER SHOULDER RUMBLE STRIPS ON MEDIAN SHOULDERS SMOULDER RUMBLE STRIP 4W 800' ON OUTSIDE SHOULDER MEDIAN CROSSOVER COf WAS h -SHOULDER RUMBLE STRIPS STRUCTURE OR OTHER FEATURE NECESSITATING MEDIAN SHOULDER A REDUCTION IN SHOULDER WIDTH y lot F, 90� ,9 29115 �O `0GIST% 0000000000000009oa0aoo0aaaaaoD ogU o00000000000aoaaoaaooaaoaooao0000000000000000000 "/ONAL g�G � S � e51H SHOULDER RUMBLE STRIP TYPE 1 FOR DIVIDED HIGHWAYS DODDOOOOODUOUGo0D0000000000000 0 000000000000000000000000DDE STANDARD PLAN M-60.10-01 SHEET 3 OF 4 SHEETS L (RUMBLE STRIPS SHALL NOT L PLACED ON BRIDGE APPROACH SLABS) 4'MIN.^ APPROVED FOR PUBLICATION W MIN.^ 1pp'MIN. _ 80'MIN. 6 MIN.WITH BARRIER Pasco Bakotich 111 06-03-11 5'MIN,WITH BARRIER OR GUARDRAIL AT OR GUARDRAIL AT OUTSIDE SHOULDER EDGE OF SHOULDER mhsure oeaae�airEEa Dore EDGE OF SHOULDER T Wa.hi�on Sia.wyomn.nrd TAn.00mNan SHOULDER TAPER DETAIL -" O LL 7 QU N 7 Qm 9 C O 4___________ __ _- ........... TERMINATE THE SHOULDER RUMBLE STRIPS AT THE BEGINNING OF THE DECELERATION TAPER. IF A MEDIAN ACCELERATION TAPER IS INCLUDED,START TAPER THE RUMBLE STRIP AT THE END OF THE TAPER. TAPER TAPER 101AI1L � —— — — — — - IF A MEDIAN ACCELERATION TAPER IS INCLUDED,START THE RUMBLE STRIP AT THE END OF THE TAPER. TERMINATE THE SHOULDER RUMBLE STRIPS AT A ' THE BEGINNING OF THE DECELERATION TAPER. 1 RADIUS POINT OF RIGHT 1 TURN RADIUS(TVP.) b C Of WAS&I � Jill RUMBLE STRIP PLACEMENT AT INTERSECTIONS Aklb �o�B AB029115 vis SHOULDER RUMBLE STRIP TYPE 1 FOR DIVIDED HIGHWAYS STANDARD PLAN M-60.10-01 SHEET 4 OF 4 SHEETS APPROVED FOR PUBLICATION Pasco Bakotich M 06-03-11 5--ER UA WmhinVb Sb Dponm.nrd Tr pwtwio