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Home My WebLink AboutSHX2016-00040 Taylor Shellfish Mazanti North Bay Geoduck - SHX Permit / Conditions - 5/25/2016 ��6oN coe�r� MASON COUNTY COMMUNITY SERVICES DEPARTMENT BUILDING •PLANNING •FIRE MARSHAL Mason County Bldg.8, (360) 427-9670 Shelton ext.352 615 W. Alder Street, Shelton, WA 98584 (360) 275-4467 Belfair ext. 352 1854 www.co.mason.wa.us (360) 482-5269 Elma ext. 352 June 1, 2016 Taylor Shellfish Farms Attention: Audrey Lamb RE: Mazanti North Bay Shellfish Farm P Dear Ms. Lamb After review of your submitted Joint Aquatic Permit Application (DARPA)form, Mason County concludes that the proposed geoduck operation on marine tidelands on North Bay 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 the proposed commercial cultivation of geoduck clams, oysters and manila clams on the farm is consistent with the Mason County Shoreline Master Program Policies and Use Regulations for Aquaculture and the Shoreline Management Act. If you have any questions, please contact me at 360.427.9670 ext. 365. Sincerely, Kell McAboy,Senior Planner Mason County-DCD Hxzo l Lo - OW4) RECEIVE® MAY 2 5 2016 Mazanti North Bay Shellfish Farm Project Overview 615 W. Alder Street Applicant:Taylor Shellfish Company Landowners: Kyle and Cheryl Mazanti Legal Description: Parts of the NW1/4 of Section 28,Township 22 North, Range 1 West,W.M. Second class tidelands—Parcel Number 12228-21-80292 General Location: North Bay at the northern end of Case Inlet, Mason County Site Address:4484 East SR 302, Belfair,Washington,98546 Proposal Plant and cultivate approximately 1.27 acres of geoduck clam, Manila clam, and Pacific oyster intertidal culture. Hatchery seed will be used from South Puget Sound region to ensure genetic integrity is maintained. Manila clam seed is broadcast by hand in to the intertidal area that may or may not have been netted. Harvest takes place by hand digging in to sacks for pick up by boat and trucked to processing plant. Hatchery seed is used. Approximately 0.2 acres are planted in clams. Oysters are grown in both bags and on bottom on approximately 1.27 acres. Harvest takes place by manually forking oysters in to tubs for pick up and transfer. Bags are pulled and emptied onto barge for transfer. Hatchery seed is used. Geoduck culture would occur using PVC and/or mesh nursery tubes placed in the substrate on approximately one-foot centers.The tubes extend from the substrate approximately 2-4 inches.Three to four geoducks are planted by hand in each tube.When PVC nursery tubes are used, canopy netting is used to cover the tubes and protect them from dislodging.The netting also mitigates potential visual impacts.After the juvenile geoducks have matured for approximately two years,and can evade predation,the tubes are removed and grow-out continues for approximately 4-7 years. During this period, there will be nothing extending up from the substrate. Harvest occurs when the geoducks reach marketable size (between 1-2 pounds). Harvest is done using a hydraulic wand inserted in to the substrate directly adjacent to individual geoduck.The geoducks are gently removed from the substrate by hand and placed in baskets for transport to the processing plant. Approximately 1.07 acres are planted in geoduck. Hatchery seed is used. Site Characteristics This site currently has no commercial aquaculture on it, but has had historical oyster culture.Adjacent areas are currently used for shellfish culture including clams, oysters, and geoduck.The tidelands are also used for passive recreation.The site is sandy/muddy/gravelly substrate and the beach characteristics meet the necessary biophysical requirements for successful geoduck farming. Little to no bed preparation will be needed to plant this site. Water quality is good at this location.The uplands are low to moderate bank and well vegetated.There is no public access from the uplands.Adjacent properties are privately owned and developed for single family residences. Mitigation Measures The farm will be maintained in a neat and tidy manner. No equipment will be stored on-site and all non- essential gear will be removed at the end of the work period. Farm gear, including tubes and nets will be labeled with "taylorshellfish.com."Taylor will maintain a public link for information on farm activity. Lights and noise will be kept to a minimum and used only as necessary for safe and efficient operations. Taylor Shellfish employs a full-time Environmental Compliance Manager to ensure full compliance with all permit conditions and mitigation measures. Culture Area: 1.27 acres 1 ► , 1 Total Project Area: 1.30 acres HANDSAKER12221-34-00141 1 1 1 � ► i 1 1 1 , 1 1 � 1 HASER 1 I 1 12221-43-00150 1 l 1 1 1 1 ►r 1 1 1 3UNOR 1 1 REV TRUST 1 12228-21-00010 ' 1 1 1 GILKINSON 1 1 12228-21-00020 1 1 1 1 ► 1 1 MAZANTI ► 1 1 12228-21-80292 � 1 ► IN Y TRS 22 00030 PINCKNEY TRS 12228-21-00041 LTZ ` 1 12 1 -90043 � 1 ► 1 1 1 1 1 ► 1 1 1 1 ¢IN N Y SCHULTZ ► ETVIR 12228-21-00040 1218-21-90 42 1 1 � � 1 1 Mean Lower Low Water (0.0 ft) 1 ► 1 1 Notes: - - - +5.0' MLLW 1.Tidal elevations referenced to Allyn,WA (NOAA Station ID 9446281).Datum was Ordinary High Water Mark transformed from NAVD88 to MLLW. 2.The project area(Parcel 12228-21-80292) Bulkhead was surveyed by Agate Land Surveying in 2015.The configuration differs slightly from I the Mason County tax parcels.It will be re- Culture Area OLSEN surveyed in June to confirm boundaries. _ 12228-21-00060 3.Mean Higher High Water(14.2')occurs at Project Area the bulkhead. Tax Parcels Coordinate System: Washington State Plane South i NAD 83,US Survey Foot 10-Foot Contour Scale: 1:1000 Sources: Reference Number: Agate Land Surveying 2015 N Applicant Name: Taylor Shellfish Farms Confluence 2014 Field Data Mason County Tax Parcels Proposed Project: Mazanti Shellfish Farm Univ of Washington Elev Data Location: North Bay, near Victor, WA Date: 5/12/2016 Sheet 2 of 2 122.84'W 122.83'W 122 82"NJ 122.81'W 122-8°W 122.79•W Project Area Boundaries (See Key Below) ' roject Site K Project Area Corner - O Boundaries (Lat/Long): 1 122'49'3.901"W/47'22'26.289"N = v 2. 122'49'3.246"W/47'22'27.504"N E•' a. .A 3: 122'48'6.257"W/47'22'27.463'N 4: 122'48'6.036"W/47'22'26.446"N *Aacr F' 47.38'N 9 i`1 % r o b Po F Lt MU a Area F � f1 1I 1 / �'�'� if s�J //( ,,•' �/ `, t�•�r � , 1 r , . 71 / A 47.36'N 8i Olympic,, tTl , BN ( - Rocky Point`E`''J Rxks ` ROCKY Data Sources: 2016 ESRI Topo Map / USGS 7.5'Quad_ {�' N / Vaughn 3'Jr.. _.. 47.35°N Scale: 1:24,000 - .Mile ti REFERENCE: LOCATION: North Bay PROPOSED PROJECT: APPLICANT: Taylor Shellfish Farms LAT/LONG: 122'48'59.776"W Mazanti Shellfish Farm ADJACENT PROPERTY OWNERS: 47022'27.033"N IN: North Bay NEAR/AT: Victor See JARPA COUNTY: Mason SHEET 1 of 2 Date: 5/6/2016 STATE: WA ------------------------------------- AGENCY USE ONit,Y/E D i WASHINGTON STATE � °-� V Date received- ' Joint Aquatic Resources Permit o E��'rP$ ; MAY 2 5 2016 Seattle Olstnct i � Application (DARPA) Form' Agencyreferenee#; ;1,< USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Tax Parcel#(s): L ' i Part 1—Project Identification L -----------------------------------; 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) h[ g lM2 Mazanti North Bay Shellfish Farm Part 2—Applicant The person or organization responsible for the project. h[ eM 2a. Name (Last, First, Middle)and Organization (if applicable) Taylor Shellfish Farms 2b. Mailing Address (Street or PO Box) SE 130 Lynch Road 2c. City, State, Zip Shelton, WA 98584 2d. Phone(1) 2e. Phone(2) 2f. Fax 2 . E-mail (360) 426-6178 (360) 432-3305 (360) 427-0327 AudreyL@taylorshellfish.com 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) and Organization (if applicable) Audrey Lamb 3b. Mailing Address (Street or PO Box) SE 130 Lynch Road 3c. City, State, Zip 'Additional forms may be required for the following permits: • If your project may qualify for Department of the Army authorization through a Regional General Permit(RGP),contact the U.S.Army Corps of Engineers for application information(206)764-3495. • If your project might affect species listed under the Endangered Species Act,you will need to fill out a Specific Project Information Form(SPIF)or prepare a Biological Evaluation. Forms can be found at http://www.nws.usace.army.mil/PublicMenu/Menu.cf n?sitename=REG&pagename=mainpage_ESA • If you are applying for an Aquatic Resources Use Authorization you will need to fill out and submit an Application for Authorization to Use State- Owned Aquatic Lands form to DNR,which can be found at http://www.dnr.wa.gov/Publications/aqr_use_auth_app.doc • Not all cities and counties accept the JARPA for their local Shoreline permits. If you think you will need a Shoreline permit,contact the appropriate city or county government to make sure they will accept the JARPA. 2To access an online JARPA form with[help]screens,go to http://www.epermitting.wa.gov/site/alias resourcecenter/jarpa_jarpa_form/9984fjarpa_form.aspx. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or help@ora.wa.gov. JARPA 2010 v1 3/30/2010 Page 1 of 14 Shelton, WA 98584 3d. Phone(1) 3e. Phone(2) 3f. Fax 3 . E-mail (360) 426-6178 (360) 432-3305 (360) 427-0327 AudreyL@taylorshellfish.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. hf elpl ❑ Same as applicant. (Skip to Part 5.) ❑ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) X There are multiple property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. 4a. Name (Last, First, Middle) and Organization (if applicable) Kyle and Cheryl Mazanti 4b. Mailing Address (Street or PO Box) P.O. Box 216 4c. City, State, Zip Grapeview, Washington 98546 4d. Phone(1) 4e. Phone(2) 4f. Fax 4 E-mail (360) 790-7913 NA NA Mazanti@wavecable.com Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. hf elp] ❑ 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.) hf elpl ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources (DNR)at(360)902-1100) ❑ Federal ❑ Other publicly owned (state, county,city, special districts like schools, ports, etc.) ❑ Tribal X Private 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) [help] 4484 E State Route 302 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) hel Belfair, WA 98528 5d. County hf eM Mason County JARPA 2010 v1 3/30/2010 Page 2 of 14 5e. Provide the section, township, and range for the project location. hel '/4 Section Section Township Range Parts NW 1/4 28 22 North 1 West, W.M. 5f. Provide the latitude and longitude of the project location. hel • Example:47.03922 N lat./-122.89142 W long. (NAD 83) Lat NW47.375134 Long NW-122.816505 5g. List the tax parcel number(s) for the project location. hheeM • The local county assessor's office can provide this information. 12228-21-80292 5h. Contact information for all adjoining property owners. (if you need more space, use JARPA Attachment C.) hel Name Mailing Address Tax Parcel # (if known) Grant L. Gilkinson 16008 NE 26th Street 12228-21-00020 Bellevue, Washington 98008-2203 Thomas and Mary Pinckney, 821 South Winnifred Street 12228-21-00041 Trustees Ross — Ann Trust Tacoma, Washington 98565-2542 5i. List all wetlands on or adjacent to the project location. hf elpl None. 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. hei Marine tidelands in North Bay 5k. Is any part of the project area within a 100-year flood plain? hf gM ❑ Yes X No ❑ Don't know JARPA 2010 v1 3/30/2010 Page 3 of 14 51. Briefly describe the vegetation and habitat conditions on the property. hey This project takes place on private tidelands. This is a sandy/muddy/gravelly beach with minimal to no artificial structures. There are no eelgrass beds or other priority habitat features on site. The uplands are vegetated with limited residential development. 5m. Describe how the property is currently used. hf eip] There has been historical culture of oysters on this property. The property is currently used for low intensity private recreation including beach walking and boating. 5n. Describe how the adjacent properties are currently used. heM Adjacent properties are in shellfish culture. Other uses include low intensity private recreation including beach walking and boating. The uplands adjacent to the property to the east are privately owned and developed for single family residences. 5o. Describe the structures (above and below ground) on the property, including their purpose(s). hf elpl None. JARPA 2010 v1 3/30/2010 Page 4 of 14 5p. Provide driving directions from the closest highway to the project location, and attach a map. hf eM The site is located right off Highway 302 at 4484. Access to the project location is by boat. Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. hel This project is for commercial intertidal culture of geoduck, Manila clams, and Pacific oysters. Juvenile geoduck clams will be planted in the substrate by hand. PVC and/or mesh nursery tubes are inserted into the substrate and planted by hand with geoduck seed. Canopy nets are placed over the tubes and secured with rebar. Tubes and nets removed after approximately two years. Harvest occurs within 5-7 years of planting. Manila clam seed is broadcast by hand into the intertidal area that may or may not have been netted. Harvest takes place by hand digging into sacks for pick up by boat and trucked to processing plant. Oysters are grown in both bags and on bottom. Harvest takes place by manually forking oysters into tubs for pick up and transfer. Bags are pulled and emptied onto barge for transfer. 6b. Indicate the project category. (Check all that apply) h[ e X Commercial ❑ Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ❑ Environmental Enhancement 6c. Indicate the major elements of your project. (Check all that apply) [help] X Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam /Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike / Levee /Jetty ❑ Land Clearing Measurement Device ❑ Boat Launch ❑ Ditch ❑ Marina / Moorage ❑ Stairs ❑ Boat Lift ❑ Dock / Pier ❑ Mining ❑ Stormwater facility ❑ Bridge ❑ Dredging ❑ Outfall Structure ❑ Swimming Pool ❑ Bulkhead ❑ Fence ❑ Piling ❑ Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall ❑ Channel Modification ❑ Fishway (upland) ❑ Other: 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. hf eM • Identify where each element will occur in relation to the nearest waterbody. JARPA 2010 v1 3/30/2010 Page 5 of 14 • Indicate which activities are within the 100-year flood plain. PVC and/or mesh nursery tubes, approximately 9" in length, will be manually placed in the lower intertidal substrate at a density of approximately one tube per square foot. Three to four geoduck seed will be placed in the tubes. The tubes are covered with canopy netting and secured with rebar. After approximately 12-15 months, the tubes are removed and the area is re-netted. The net is removed once it can be determined the geoduck can evade predation and the beach is left undisturbed until harvest. Harvest occurs after approximately 5-7 years from planting. Approximately 1.07 acres are planted in geoduck. Manila clam seed is broadcast by hand in to the intertidal area that may or may not have been netted. Harvest takes place by hand digging in to sacks for pick up by boat and trucked to processing plant. Hatchery seed is used. Approximately 0.2 are planted in clams. Oysters are grown in both bags and on bottom on approximately 1.27 acres. Harvest takes place by manually forking oysters in to tubs for pick up and transfer. Bags are pulled and emptied onto barge for transfer. Hatchery seed is used. 6e. What are the start and end dates for project construction? (month/year) hel • 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: Upon permit approval End date: On-going ❑ See JARPA Attachment D 6f. Describe the purpose of the project and why you want or need to perform it. hf eM Commercial cultivation of shellfish for human consumption. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. hL eld Approximately $200K 6h. Will any portion of the project receive federal funding? hf eM • If yes, list each agency providing funds. ❑ Yes X No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation ❑ Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.) [hel 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. hel ❑ Not applicable JARPA 2010 v1 3/30/2010 Page 6 of 14 7b. Will the project impact wetlands? kM ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? hf eid ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? hf M • 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? hf eM • If yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [km • 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. Eel 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. Eel JARPA 2010 v1 3/30/2010 Page 7 of 14 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 category' Acres) acres) 'If no official name for the wetland exists,create a unique name(such as"Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the JARPA package. 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: 71i. 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 eid 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. of elp] Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) hel X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. hf eld ❑ Not applicable JARPA 2010 v1 3/30/2010 Page 8 of 14 Shellfish aquaculture has been considered a beneficial use of the shoreline area by providing three- dimensional structure, water quality enhancement, eutrophication moderation and facilitation of benthic-pelagic coupling of nutrients. Shellfish culture requires a healthy marine ecosystem to be successful. Taylor Shellfish employs Environmental Codes of Practice (see attached) to ensure all activities meet environmental standards. All conservation measures identified in the attached Biological Evaluation and Essential Fish Habitat Analysis will be implemented, Confluence Environmental Company, May, 2016. 8b. Will your project impact a waterbody or the area around a waterbody? hf eM X Yes ❑ No Minimal and localized impacts may occur, including positive impacts. 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? hf eM • If yes, submit the plan with the JARPA package and answer 8d. • If No, or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No X Not applicable 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 NA. 8e. Summarize impact(s) to each waterbody in the table below. heI Activity (clear, Waterbody Impact Duration of Amount of material Area (sq. ft. or dredge, fill, pile name' location impact3 to be placed in or linear ft.) of drive, etc.) removed from waterbody waterbody directly affected Minimal and North Bay Marine Temporary See project Approximately localized tidelands effects overview for 1.27 acres for effects from during detailed geoduck, activities may short descriptions. Manila clam, occur. Positive periods and Pacific effects may oyster also occur. cultivation area JARPA 2010 v1 3/30/2010 Page 9 of 14 '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. a 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. hel See project overview for project description. 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 NA. JARPA 2010 v1 3/30/2010 Page 10 of 14 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. hem Agency Name Contact Name Phone Most Recent Date of Contact WDOE Perry Lund (360) 407-7260 August 2012 Mason County Grace Miller (360) 427-9670 May 2016 Planning Department 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 on the Washington Department of Ecology's 303(d) List? hf eid • 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/�wg/��303d/. ® Yes ❑ No Bacteria, DO, pH, Temperature 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? heI • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110019 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? hf eM • Go to hftr)://www.ecy.wa.gov/services/gis/maps/wria/wria.htm to find the WRIA#. WRIA 14 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? h[ eM • Go to http://www.ecV.wa.gov/programs/wq/swgs/criteria.html for the standards. X Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? hf elp] • If you don't know, contact the local planning department. • For more information, go to: http://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. X Rural ❑ Urban ❑ Natural X Aquatic ® Conservancy ® Other Unsure 9g. What is the Washington Department of Natural Resources Water Type? hel • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplications/Pages/fp watertvping.aspx for the Forest Practices Water Typing System. JARPA 2010 v1 3/30/2010 Page 11 of 14 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? hf eM • If no, provide the name of the manual your project is designed to meet. ❑ Yes ❑ No NA. Name of manual: 9i. If you know what the property was used for in the past, describe below. tld This area has historically been used for shellfish culture. 9j. Has a cultural resource (archaeological) survey been performed on the project area? hf eM • If yes, attach it to your JARPA package. ❑ Yes ❑ No Unknown. 91k. 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. hel See attached listings from US Fish and Wildlife Service and NOAA Fisheries in addition to the following: hftp:/hvww.nmfs.noaa.gov/pr/pdfs/species/esa—table.pdf http://ecos.fws.gov/tess_public/pub/stateListingi ndividual.jsp?state=WA&status=listed See attached Biological Evaluation and Essential Fish Habitat Analysis, Confluence Environmental Company, May 2016, for site specific listing and conservation measures. 91. Name each species or habitat on the Washington Department of Fish and Wildlife's Priority Habitats and Species List that might be affected by the proposed work. [LglPJ See link for county-specific listings: http:/Iwdfw.wa.gov/conservation/phs/list/ Part 10—SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. JARPA 2010 v1 3/30/2010 Page 12 of 14 • Online Project Questionnaire at http://apps.ecy.wa.gov/opas/. • Governor's Office of Regulatory Assistance at (800) 917-0043 or help(a,.ora.wa.gov. • For a list of agency addresses to send your application, click on the "where to send your completed JARPA" at http://www.epermitting.wa.gov. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) hel • 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 checklist is submitted with this JARPA to Mason County as lead agency. ❑ 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). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) ht pm 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 Washington Department of Ecology: X Section 401 Water Quality Certification Washington Department of Natural Resources: ❑ Aquatic Resources Use Authorization FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): X Section 404 (discharges into waters of the U.S.) X Section 10 (work in navigable waters) United States Coast Guard permits: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects) Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. hel JARPA 2010 v1 3/30/2010 Page 13 of 14 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 auto riz the agent named in Part 3 of this application to act on my behalf in matters related to this application. (initial) By initialing her , I state that I have the authority to grant access to the property. I also give my consent to the permitting agencies n eri g the property where the project is located to inspect the project site or any work related to the project. L (initial) CLIZ ,IU U�ZGc•'I f/' `�3-�t7 Print✓P`d Na a App i t Sign re�7 Date QQ '11 b. Authorize dAgent Signature hel I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. l i"G' ['6'rw� L�G't�l�� l �� 5 I G� Authorized Agent Printed Name Authorized A ent Sigriature Date 11c. Property Owner Signature (if not applicant). hf M 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. Pr erty Owner Printed)(ame Pro a OwnJ%Q4 r 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 Govemor's Office of Regulatory Assistance(ORA). People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call (877)833-6341. ORA publication number: ENV-019-09