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Home My WebLink AboutSHX2014-00036 Bulkhead - SHX Permit / Conditions - 9/10/2014 PEON.STgTFO� MASON COUNTY C 4L DEPARTMENT OF COMMUNITY DEVELOPMENT o A o m Planning Division o N z P O Box 279, Shelton, WA 98584 T (360)427-9670 NY P ti OJ �O 1864 Exemption from Shoreline Management Act Case No.: SHX2014-00036 Substantial Development Permit Requirement The Proposal By: CHAD GOELZER 8212 65TH AVE E PUYALLUP, WA 98371 To undertake the following development: Erosion control rock bulkhead - 70' long by 4' tall. located at the OHWM. Within Hammersley Inlet and/or its associated wetlands is exempt from the requirement of substantial development because the development is categorized under WAC 173-27-040(2) as being category C-normal protective bulkhead Please contact Grace Miller at ext 360 if you have any questions. Issued: 9/10/2014 Expires: 9/10/2016 Authorized Local Government Official cc: APPLICANT WDFW USACOE WDOE TRIBAL COUNCIL MWD Consultants, LLC 360 275-5906 p.4 AGENCY LSE ONLY �•�% Date received- STATE orEnQrneers'Y WASHINGTON S� "�" Agency reference Joint Aquatic Resources Permit TaxParcei#(s): Application (DARPA) Form Application USE.131-ACK op-SLICE 04K TO ENTER ANSMVERS IN THE WHITE SPACES 6ELOW. ,r --'r Part 1—Project ldentification that you create. Examples:Smith's Dock or Seabrook Lane Development) hei 1. Project Name (A name for your project 6r.0=L.;L-,6 P_ I& Part 2-Applicant The person and/or organization responsible for the project- ?t ip 2a. Name (Last,First, Middle) q,c E J2 C t-YA 2b_ Organization (if applicable) t 1, 2c. Mailing Address (Street or PO Box) A Vr=: - SAS T 2d. City, State, Zip PvYr41-L- OP , WA G7S3�- 1 2e. Phone(t) 2f. Phone(2) 2g. Fax 2h. E-mail ►'►e (a53 ) 84i-d31.3 (2,r3 ) 3�-634� cnlmcus'�� Additional forms may be required fo-the following pemrits: - If your project may qualify for Department of the Arrnv authorization through a Regional General Permit(RGP),coh:aca the U.S.Army Corps of Engineers for ap iicatlon information'206)764-3495. - If your project mi ht affect species listed under the Endangered Species Act,you w it need to fill out a Specific Project Info-mation Form(SPIF)or prepare a Biologi al Evaluation. worms can be found a htt -fiwww.nws ace.a-n .millPublicMenu/Menu.cfn?sitenarie=R 8 a en me=mainca a ESA - Not all cities and counties accept the JARPA for their local Shoreline permits.If you need a Shorelin permit,conFal the appropriate city or county gcvemment to make sure they accept the JARPA. 2To aCGOS9 an online JARPA form with Lietpl screens,go to htt /Jv✓w W. ertnittin .wa. OvlSite/atias resourcecenlerf a a 7 r !99 4!a a fc .. 3 For other help,coated the Govemor's Office of Regulatory Assistance at 1-800-917-OC43 or helDgora N'a•aev Pace 1 of 14 JARPA Revision 2012.1 <<, I may. r-ax j 4h. E-mail <"A Revision 2012.1 Page 2 of 14 - MWD Consultants, LLC 360 275-5906 p.5 Oart 5—Project Location(s) __. ?-t-�ntifying information about the property or properties where the project will occur. [hel There are multiple project locations (e.g. linear projects). Complete the section below and use ,!AREA Attachment B for each additional project location. 59. Indicate the type of ownership of the property. (check all that apply.) hel Private Federal ❑ Publicly owned (state, county, city,special districts like schools, ports.etc.) - ❑ Tribal L El Department of Natural Resources (DNR)—managed aquatic lands (Complete JARPA Attachment E) i gib. Street Address (Cannot be a PO Box If there is no address, provide other location information in 5p-) hel 54447P_I-L J W r— L City, State, Zip(if the project is not in a city or town,provide the name of the nearest city or town.) ek ol 544Et_T'0nr 5 `rd. County rhel /"1Prso E;- t:e. Provide the section, township, and range for the project location. h€ elol '/< Section Section Township Range D 4. 2 0 wvs T 15f. Provide the latitude and longitude of the project location. hel i • Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees-NAD 33) 21 j3 5,f N • ¢ to $ aA =g. List the tax parcel number(s)for the project location. het • The local county assessor's office can provide this information. 32�2� - 5~ 3 ' � I � 2 $ �,h_ Contact information for all adjoining property owners. (if you need more space, use JARPA Attachment C.) hl e,pl Name Mailing Address Parcel # (if known) ��4RT1't4' T vX S oO!P�LjiVE7 P�-- —S3 —�lQd i (,.A f2,4 K.Y rA- v-i T-O L 3�-g�Z 1 - Ste-—� I"�i 3�1 r 1. Faae 3 of 14 AR.PA Revision 2012.1 MWD Consultants, LLC 360 275-5906 p.6 s`}i List all wetlands on or adjacent to the project location, he A 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. h( efp] 1'5k. Is any part of the project area within a 1Dl-year floodpiain? hel CT? PA t,. i ❑ Yes U<No ❑ Don't know i 51. Briefly describe the vegetation and habitat conditions on the property. hai RkSTC Pvtiw S* -' Pe.�IDdu-rA L LSD sc.9-p,,�Ja - SEg H^3 I M?' Oati4,V) T- PytN FvR De-T,4r L S .rj.m. Describe how the property is currently used. r,ei PM/1-loot ,5n. Describe how the adjacent properties are currently used. LLaM a 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. hel J CrAu-A GCE �v/ u A V ,WG SPE A 00-D f�v� .i vp. Provide driving directions from the closest highway to the project location, and attach a map. he( tau-�r� sR-3 tv QN So DT!4 d�► f• ACTA M k.A . 3.g rl�Zs -Ps IEas-r cP-Az;'rV«',) DR. )"rIt'T Pi A- '2.S MI L'as Ic4 Q tr'r'LEFT Tel )--. SHap.ECMI&-;;r T pQ o.3^L&S , #0-&?' izl 4 ti"r aur6 LEFT oXrp� b'}toR.E�iv pL. I( e.sffon se.t P L-- Page4of14 JARPA Revision 20121 MWD Consultants, LLC 360 275-5906 p.7 =-art 6—Project Description Ga. Briefly summarize the overall project.You can provide more detail in 6b. [bgipj (Zcc K tSOL k f[ER!) Q T S+b,2��►..�E 6AAJ 0 4JA-A_D #`Yro Al At f+H am) Z f'iP 4� 4 W44 4#j D —lob Loni4 rp90 Au az 'ta s lLE'`J�E� i ; 'gib. Describe the purpose of the project and why you want or need to perform it: hei tL^1t xe AN IE Rr0 b t rj Ct PA.,V!c "EA70. 71tid-- S"i'�Q.cZ 1_ 6c. Indicate the project category. (check all that apply) [teLLO ❑ Commercial �,Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ❑ Environmental Enhancement `�d. Indicate the major elements of your project. (Check all that apply) [heipj 71 Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall (upland) 71 Bank Stabilization ❑ Dam !Weir ❑ Floating Home Boat House ❑ Dike/ Levee 1 Jetty ❑ Geotechnical Survey ❑ Road ❑ Scientific J Boat Launch ❑ Ditch ❑ Land Clearing Measurement Device ❑ Boat Lift ❑ Dock/ Pier ❑ Marina / Moorage ❑ Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility j Bulkhead ❑ Fence ❑ Outfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line Channel Modcication ❑ Fishway ❑ Raft i ;t Other: a I Pace5of14 JAR'A Revision 20111 MWD Consultants, LLC 360 275-5906 p.8 Describe how you plan to construct each project element checked in 6d. include specific construction l methods and equipment to be used. ihelpl Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 1N-year flood plain. ExGgVATS Q"WJD 14PFPPX, I' D F', tU}c,E `'oW i R L-TZ-R rA-094C A-JD P ArD A I Tt o#VA-L- vAJD I f What are the anticipated start and end dates for project construction? 1,Month/1"ear) hl elp • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date_ End date: 4- ❑ See JARPA Attachment D ?fit. Fair market value of the project, including materials, labor, machine rentals, etc. Lhei "h. Will any portion of the project receive federal funding? JLe 1 • if yes, List ea&..agency providing funds. ❑ Yes [&No ❑ Don't know Part 7—Wetiands: Impacts and Mitigation Check here if there are wetlands or wetland buffers an or adjacent to the project area. (If there are none, skip to Part 8.)LLgIpi l 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. heip ❑ Not applicable N Ar � i + 7b, Will the project impact wetlands? !2 ❑ Yes ,KNo ❑ Don't knout Page 3of14 JARPA Revision 2012-1 i' MWD Consultants, LLC 360 275-5906 p.9 ;'c. Will the project impact wetland buffers? hf ekol [] Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? hem l 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? [tp!pj . if Yes,submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know ?:. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? hem • If Yes, submit t:)e plan with the JARPA package and answer 7g. • If No,or Not applicable, explain below why a mitigation plan should not be required_ i 's C No Not applicable j I 7g_ Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. hem ,i 'Th. 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. hf elAl j 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 (acresor i categoryZ Acres) a no official name io-the wetland exists,create a unique name(such as'Wetlanc 1-1. The name should be consistent with other project documents,such as a wetland delineation raport. E-:cology wetland category based on current VJestem Washington or Eastern Washington Wetland Rating system.Provide the wetland i 'rating forms with the JARPA package. I, 'Indicate the days,montns or years the wetland will be measurably impacted by the activity.Enter"permanent if applicable. "Creation(C),RepstablishmentJRehabiiitation(R),Enhancement(E),P-eservation(P), Mitigation Hanklir4eu fee(6) Page number(s) for similar information in the mitigation plan, if available: Page 7 of 14 JARPA Revision 2012.1 .�� MWD Consultants, LLC 360 275-5906 p.10 1' T"i. 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. hel i N/A- 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. LbgM [VIA 9" J 1. i' l rt 8—Waterbodies (other than wetlands): impacts and Mitigation Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) LLtLL —heck here if there are waterbodies on or adjacent to the project area. (if there are none, skip to Part 9.) a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. hf etpl ❑ Not applicable . 1 51EE: AtFACREV FtAe TA-r A am-r f LAXI $Y 17-hE- VtBT t&n COP P P 4TfE 1) /''lei-P-C4+ -2-a 1 4- Will your project impact a waterbody or the area around a waterbody? h ❑ Yes JK No JARPA Revision 2012.1 Paoe 5 0-14 MWD Consultants, LLC 360 275-5906 PA 1 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 Bd. i,. If No,or Not applicable,explain below why a mitication plan should not be required. Yes ❑ No ❑ Not applicable i I :d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. _ If you a:ready completed 7g you do not need to restate your answer here. [t21rJ P-E40\W_ 5-14oAC"0E' Ohl -OA7TUG t/-(3 ET-I✓t 5PeC1,E-S 1�► 13 vffE7L r�Nb Div!ItF, 411-T11 "A-TINE vacE'r"ATiLe COMA-t,vu1T`f' `e. Summarize impact(s) to each waterbody in the table below. heI Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' Iocation2 of impact3 (cubic yards) to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected waterbody I s I �21-_`>- 3 ^.o official name for the waterbody exists, create a unique name(such as"Strearr. I The name should be consistent with other documents provided. i;cate�,vhether the impact will occur in or adjacent to the waterbody. If adjacent, provide the distance between the impact and the waterbody and • J'cate whether the impact wiP occur within the 100-year flood plain. -':ate the days,months or years the wateropay will be measurably im arIed by the work. Enter' e-marent'if applicable. r. 1 ror 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. Lhel I 4-D 1�17 3 RoGt-' F-P-ti M Ld v/ Al tt H h7 �� S tta,Q1&:u ,E l A,Revision 2012.1 Page 9 of 14 MWD Consultants, LLC 360 275-5906 p.12 g. For all excavating or dredging activities identified in 8e, describe the method for excavating or dredging, type and amount of material you will remove, and where the material will be disposed. hel _ �j-D �f J 3 Kl q-�6 t t- - p i�CA ass' Sc-f-�. , I art 9-Additional Information ,y additional information you can provide helps the reviewer(s) understand your project. Complete as much of f.`-s section as you can. it is ok if you cannot answer a question. a. If you have already worked with any government agencies on this project, list them below. hr t Agency Name Contact Name Phone Most Recent Date of Contact i.';��rr Cevur i ! Gw�E If-t1L LEA (360 )Q'��—9G�4 • � ld 9b. 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? tp . If Yes,list the parameter(s)below. • If you don't[snow, use Washington Departnent of Ecology's Water Quality Assessment tools at http//ww+v=cv wa goyipromrams/wal303dL ❑ Yes ❑ No NA C. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? ltejl • Go to http://cfpub-epa.gov/surtilocate(ndex.cfm to �ieip identify the HUC. 'I 9d. What Water Resource Inventory Area Number(V1/RIA#) is the project in? LteM • Go to http:/ANNww ecy wa.goviservices/ais/maps/wriafwria.htm to find the WRIA#. i W -0 !4 :'.'A Revision 2012.1 Page 10 of 14 MWD Consultants, LLC 360 275-5906 p.13 a.. VVIII the in-water construction work comply with the State of Washington water quality standards for turbidity? hf elpl • Go to hA %wwww ecY wa qov/proaramslvda/swos/criteda.html for the standards. ❑ Yes ❑ No Not applicable i; f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? hF • If you don't know, contact the local planning department • For more infomation, go to: hf ://www.ac .wa.cov/ rooramsfsea/smaAaws rules/173-26/211 desianations.htrnl. Rural Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 171:g. What is the Washington Department of Natural Resources Water Type? held • Go to http f/www dnr wa gov'BusinessPermitsrTopics/ForestPracTt^esAr)plications�Pages/fp watertvpira.aspx for the Forest Practices Water Typing System. Shoreline ❑ Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal `L Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? hf eivi . If No,provide the name of the manual your project is designed to meet. ❑Yes ❑ No Name oT manual: 9i. Does the project site have known contaminated sediment? EteM if Yes. please describe below. ❑ Yes No l 1 _ If you know what the property was used for in the past, describe below. hC elpl N� i I i I:Iik. Has a cultural resource (archaeological) survey been performed on the project area? t • If Yes,attach it to your JARPA package. i. ❑ Yes F,-?. No . Rr-A Revision 2012.1 Page 11 of 14 MWD Consultants, LLC 360 275-5906 p.14 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 Ltei p 06jet1- Sp V L/p CIS 1 r.xb4-- 1 P vCIF--r SD0/0 D s'T;5�!#tE?kD r 13 v t.L T':o V T� %"L p rA4L-E �.CisIriV$� / M/4 RDLED M"YLRP-Le- -/ No►a-TtftRN .5porep 1 q q,P31 1A V 4-tG-^T- p[-40 9M. Narne each species or habitat on the Washington Department cf Fish and Wildlife's Priority Habitats and Species List that might be affected by the proposed work_ h� ell t'VC 1 �vN D G#1N0Og l PUNT- So uN D ,i 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/epas/. • Governor's Office of Regulatory Assistance at (800) 917-0043 or help62'7,ora.wa.gov. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. 1Oa. Compliance with the State Environmental Policy Act(SEPA). (Check all that apply.) help, • For more information about SEPA,go to vmrw ecy wa.00v/programs/sea/sep2/e-revie%,.html. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ® A SEPA determination is pending with 46 AI GO. (lead agency). The expected decision date is JW ❑ 1 am applying for a Fish Habitat Enhancement Exemption. (Che7,k the box below in 10b.) hei I ❑ This project is exempt(choose type of exemption below). 1 ❑ Categorical Exemption. Under what section of the SEPA administrative code (VAC) is it exempt? ❑ Other. ❑ SEPA is pre-empted by federal law. JARPA Revision 2012.1 Page 12 or 14 MWD Consultants, LLC 360 275-5906 p.15 10b. Indicate the permits you are applying for. (C:�eck all that apply_) 11 LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance Shoreline Exemption Type (explain): Other citylcounty 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 Efkective 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: I ❑ Aquatic Use Authorization Complete JARPA Attachment E and submit a check for$25 payable to the%Nashington Department of Natural Resources. Do not send cash. I 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: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for nor.-bridge projects) JARPA,Revision 2012.i Page 13 of 14 MWD Consultants, LLC 360 275-5906 p.16 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPAform, project plans, photos, etc. IlLeM 11a. Applicant Sianature (required) helot 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 a pplication. (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. (initia) Applicant Printed Name Applicant Signature Date 11 b. Authorized Agent Signature Lhel 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 € agree to start work only after all necessary permits have been issued. Ml 14fkeL AJ 4 442G1-��4 Authorized Agent Printed Name onzed ent Signat Date 11c. Property Owner Signature (if not applicant). hf Not required if project is on existing rights-of-way or easements- 1 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. ?roaerty Owner Printed Name Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within thejurisdiction of any department or agency o-the United States knowingly falsifies, conceals, or covers up by any trick,scheme, or device a rnaterial fact or makes any false,fictitious, or fraudulent statements or represen:abons or makes or uses ar.y 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. t�you -2auire thi,,document in another format,contact the Governor's Office of Regulatory Assistance(ORA)at(800)917-0043, People with hearing less can call 711 far Washington Relay service. People with a speech disability can call(877)333-6341. ORA publication number ENV-0169-09 rev.96-12 DARPA Revision 2012.1 Page 14 of 14