HomeMy WebLinkAboutJARPA - SHX Application - 12/27/2007 t�
AGENCY USE ONLY DARPA FORM LAST UPDATED:March 19,2007
Agency Reference#: Date Received:
Circulated by: (local govt.or agency)
Project Tracking Number:
Washington State JOINT AQUATIC RESOURCES PERMIT APPLICATION (JARPA) Form Q
Step 1: Get Ready Step 2: Complete Form Step 3: Check Work Step 4: Copy and Send In "
❑ Fish Habitat Enhancement Projects per RCW 77.55.181. You must submit copy of completed JARPA form and Fish Habitat
Enhancement JARPA Addition to your Local Government Planning Dep't and WA Dep't of Fish and Wildlife(WDFW)Area Habitat
Biologist on same day. Note for Local Governments:You must submit comments to WDFW within 15 working days.
Based on instructions at www.epermitting.org, I am sending copies of this application to the following: (check all that apply)
❑X Local Government for Shoreline: X hubstantial Development Fhonditional Use ariance ❑Exemption []Revision
FTloodplain Management []Critical Areas Ordinance
]washington Department of Fish and Wildlife for Hydraulic Proiect Approval (Submit 2 copies to WDFW Region)
X❑Washington Department of Ecology for 401 Water Quality Certification (to Regional Office-Federal Permit Unit)
❑Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification
❑X, Corps of Engineers for: X, ection 404 permit aection 10 permit
❑Coast Guard for: ❑General Bridge Act Permit nPrivate Aids to Navigation (for non-bridge projects)
❑For Department of Transportation projects only: This project will be designed to meet conditions of the most current
Ecology/Department of Transportation Water Quality Implementing Agreement
PROJECT TITLE: Alderbrook Resort& Spa Stormwater Outfalls Improvements
PROJECT DESCRIPTION: The proposed project has three construction elements: 1) extension of two stormwater outfalls from existing
shoreline near mean higher high water to intertidal depths below-3 ft mean lower low water,2) repair and modification of an existing marine
float to provide an outfall extension corridor and improve aquatic habitat, and 3) beach restoration and intertidal habitat improvements. A
detailed project description and site photos are provided in JARPA Attachment A.
SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all
permit applications.
1. APPLICANT Brian McGinnis, North Forty Lodging, LLC
MAILING ADDRESS
22526 SE 64th Place; Suite 210; Issaquah, WA 98027
WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
425-369-9290 brian@pinnaclereal state.us N/A 425-369-9008
If an agent is acting for the applicant during the permit process, complete#2. Be sure agent signs Section C(Signature Block)for
all permit applications
2. AUTHORIZED AGENT
1 Allison Reak 2 Jason Van Gilder
MAILING ADDRESS
(1)Sea-Run Consulting, 6531 10th Ave NW, Seattle, WA 09117-5208
2 Cosmopolitan Engineering Group, PO Box 1678,Tacoma, WA 98041-1678
WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
(1)206-718-3285 (1) sea-run@earthlink.net N/A (1) N/A
(2)253-272-7220 (2)jvangilder@ (2)253-272-7250
cosmo olitanen .com
I�7 3. Relationship of applicant to property: x❑ OWNER ❑ PURCHASER ❑ LESSEE ❑
4. Name, address and phone number of property owner(s) if other than applicant:
5. Location (street address, including city,county and zip code,where proposed activity exists or will occur)
Alderbrook Resort&Spa, E.7107 Highway 106, Union,WA 98592
CM Local government with jurisdiction (city or county) Mason County
L�7 Waterbody you are working in Hood Canal CM Tributary N/A
of M3 WRIA# 14
Is this waterbody on the 303(d) List ❑ YES x❑ NO
(The waterbody segment near Alderbrook Resort is not listed under
Category 5 for any excursions.) CM Shoreline designation Urban Commercial
If YES,what parameter(s)?
Office of Regulatory Assistance,JARPA JARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.epermitting.org 1
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Zoning designation Rural Tourist
Section Section Township IRange Government Lot
N/A 33 22N 3W N/A M DNR stream type if known N/Applicable
00 Latitude and Longitude: 47°20'53"N 123°04'01') Tax Parcel Number 322335000014
CM 6. Describe(a)the current use of the property, (b) structures existing on the property, and (c)existing environmental conditions.
Have you completed any portion of the proposed activity on this property? ❑ YES [K] NO
For any portion of the proposed activity already completed on this property, indicate month and year of completion.
(a) Current use of the property is as a commercial resort, which includes a hotel complex, resort cottages,
meeting facilities, a public restaurant, a public ally accessible marina (with sewage pump-out and fuel), a
swimming area, beach and Class 2 tidelands, and a restored salmon-bearing stream (Alderbrook Creek) with
public viewing areas. The tidelands are used for oyster production and harvesting by the resort restaurant and
visitors.
(b) Structures existing on the property consist of the resort hotel complex and spa, an enclosed swimming pool,
21 resort cottages, a concrete bulkhead along the shoreline, a floating dock with sewage pump-out and fuel, a
kayak rental float and swimming float, paved parking areas, a sewage treatment system, and a stormwater
collection and treatment system with two outfalls that are the subject of this application.
The resort stormwater collection and treatment system, which is not affected by this project, is described in detail
in JARPA Attachment A. The stormwater treatment system was designed according to the Washington
Department of Ecology (Ecology) 2000 Stormwater Manual, with additional improvements to infiltrate as much
stormwater as possible. Stormwater quality is assumed to be low in pollutants because most of the runoff is
generated from clean surfaces, such as the grassy slope (4.57 ac), landscaped areas (3.4 ac), roofs (1.51 ac),
sidewalks, and perennial seeps (0.48 ac). The paved surfaces probably contribute little pollutant load to the
stormwater because of their relatively low use and moderate to low vehicle speeds. The paved parking areas
(2.3 ac) reach parking capacity for only part of the year, and the slow driving/parking speeds of resort visitors do
not usually result in brake wear, which is considered to be the source of metals derived from roads. Stormwater
runoff from the area of SR 106 (less than 1.2 ac) is also low in oils/grease and dissolved metals because the
highway was recently reconstructed to improve travel both around and into the resort, with slower speeds, longer
line-of-sight distances, and exit lanes. These improvements reduce quick acceleration/deceleration and
accidents, which in turn decreases brake wear and oil leakage. Most importantly, stormwater from the parking
areas and SR 106 is detained and treated before discharge.
(c) Existing environmental conditions consist of a recently (2002-2004) re-developed and improved resort
complex. Resort improvements included the relocation of SR 106, construction of new parking areas, expansion
of the hotel, installation of a new sewage treatment system, and installation of a new stormwater collection and
treatment system. The current stormwater system collects, treats, and infiltrates or discharges all stormwater
generated from impervious surfaces at the resort. Natural conditions on the resort property include renovated
landscaping (ongoing since 2004) using native plants, a reduction in lawn area, and a restored Alderbrook
Creek. Alderbrook Creek was reconstructed from a short, steeply incised drainage into a longer, wider, lower-
gradient stream through a riffle-pool complex.
The existing shoreline edge is defined by a low concrete bulkhead with its base between mean high and mean
higher high water (MHHW) [equal to 11.8 ft mean lower low water (MLLW)], and its top at approximately 14.3 ft
MLLW. The resort's intertidal property extends from the bulkhead along a low-gradient beach from MHHW to
extreme low water (ELW). The resort's intertidal property is part of a small embayment in a nearshore water
circulation cell of no net drift. Substrate is a mix of gravelly sand and mud that is eroded along upper intertidal
elevations by stormwater discharges and covered with shells and live shellfish along lower intertidal elevations.
Extensive oyster beds occur both east and west of the floating dock. Numerous other clam and mussel shells
and burrows are found among the oysters. The shellfish beds occupy the resort's Class 2 tidelands and are
certified for harvest. No aquatic vegetation has been observed in the mid- to low intertidal. Several small
patches (about five sq ft total) of pickleweed (Salicomia sp.) and fleshy jaumea (Jaumea camosa) have
established at the mouth of Alderbrook Creek.
Two stormwater outfalls convey resort stormwater through the bulkhead and onto the beach at elevations at or
above MHHW. Of the total stormwater volume discharged onto the beach, the eastern outfall conveys about
two-thirds and the western outfall conveys the remainder. Because the tide rarely reaches these high outfall
elevations, stormwater is discharged mostly on dry beach. The stormwater discharges have caused extensive
Office of Regulatory Assistance,JARPA JARPA FORM LAST UPDATED:March 19,2007 For help call 800-917-0043 or visit www.eaermitting.org 2
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beach erosion along the resort waterfront, under the bulkhead, and throughout the oyster beds. Erosion has /
resulted in the loss of 58 cy of native sand and gravel, displacing the upper range of the oyster beds by 25 to 80
feet along the resort bulkhead. Erosion from the eastern outfall limits the upper elevation of the oyster beds to
2.2 ft MLLW, instead of their natural elevation at 6.0 ft MLLW. Oyster beds near the western outfall are limited to
an elevation of 4.2 ft MLLW.
A floating wood dock with 21 (12-in-dia) creosote wood piles extends 529 ft from the bulkhead to a 608-ft-long
moorage float. Dock materials include solid wood decking over Styrofoam solid slab flotation and creosote-
treated piles. At low tide, about 3,072 ft2 (384 ft by 8 ft) of the dock rests directly on intertidal beach.
Site photographs and supplemental information can be found in JARPA Attachment A. Site maps and drawings
can be found in JARPA Attachment B.
CM Is the property agricultural land? ❑ YES x❑ NO IM Are you a USDA program participant? ❑ YES x NO
M 7a. Describe the proposed work that needs aquatic permits: Complete plans and specifications should be provided for all work
waterward of the ordinary high water mark or line, including types of equipment to be used. If applying for a shoreline permit,
describe all work within and beyond 200 feet of the ordinary high water mark. If you have provided attached materials to describe
your project, you still must summarize the proposed work here. Attach a separate sheet if additional space is needed.
This project would restore 0.14 ac/ 58 cy of eroded upper intertidal beach with native (or matching) fill, remove
debris from intertidal beach, extend two existing stormwater outfalls from approximately MHHW to subtidal
elevations (below -3 ft MLLW), modify the existing marine float to reduce its grounding footprint by 87.5 percent
and recover 2,688 ft2 (0.06 ac) of fine-grained intertidal habitat, replace 21 creosote wood piles with 21
galvanized steel piles, replace 4,766 ft2 of marine float solid decking with grated decking, and replace part of a
collapsed stone wall on an adjacent property.
The existing standpipe at the eastern outfall will be replaced with an open tee coupling that will retain the
standpipe (for excess stormwater overflows) but allow the outfall extension pipe to drop below grade and run
westward, parallel to the bulkhead, then turn northward, under the floating dock, terminating at -3 ft MLLW. Pipe
material will consist of 405 ft of 18-in-dia corrugated polyethylene storm sewer pipe (CPSSP) and 195 ft of18-
inch high-density polyethylene (HPDE). All pipe laid parallel to the bulkhead will be buried three to six feet below
grade. At the bulkhead, 10 ft of pipe between the standpipe and the underground section will be exposed at
grade. Under the dock, the pipe section nearest the bulkhead will be buried for a distance of 90 ft, 50 ft of pipe
will be partially buried, and 190 ft of pipe will be elevated above the seafloor using concrete anchors to allow
littoral movement of fish, oyster spat, and beach sediment.
The floating dock and perpendicular moorage floats will be removed to accommodate pipeline construction.
After the pipeline is installed, all floats will be replaced (within the same footprint) by sections that will use
improved flotation, grated decking, and 21 (12-in-dia or less) steel piles. New flotation will consist of high-
density polyethylene (HDPE) tubs configured to allow fish passage between and under the tubs. Only the corner
tubs will rest on the beach at low tide, resulting in a 87.5 percent reduction of the grounding footprint. Fifty-two
percent of existing solid wood decking will be replaced with grated decking. The old dock will be donated to the
Skokomish Tribe.
The existing western outfall will be extended from the bulkhead for a distance of 330 ft to terminate at -3.5 ft
MLLW. The section of pipe nearest the bulkhead will be buried for a distance of 270 ft. The remaining 60 ft will
be partially buried up to the outfall.
Following pipeline construction, approximately 58 cy of material similar to the existing beach substrate will be
salvaged from the site (from the pipeline trench sidecasting) and/or imported to restore the natural beach profile.
In addition, over 200 ft2 of abandoned concrete, metal, and wood stave and plastic pipe will be removed and
disposed of in a landfill.
Construction equipment will consist of a rubber-tracked or similar type of small excavator to dig pipeline trenches
during low tides. Pile extraction and installation will be done during high tides by a vibratory pile driver mounted
on a barge. Equipment access to the upper beach will be provided by a private drive on the adjacent east
property. Other material, including pipe, anchors, replacement float sections, and imported fill, will be brought to
the site by barge. Construction (in 2008-9) is estimated to take 14 days over a period of 3 weeks in fall or winter,
during day and/or night, to take advantage of the tides. The salmon and trout combined allowable in-water work
periods are July 15 — February 15. No forage fish spawning areas or herring holding areas are recorded by
WDFW at this location.
Additional project construction and schedule information are provided in JARPA Attachment A. Engineering
Office of Regulatory Assistance,JARPA JARPA FORM LAST UPDATED:March 19,2007 For help call 800-917-0043 or visit www.er)ermitting.org 3
drawings and design details are provided in JARPA Attachment B.
PREPARATION OF DRAWINGS: See sample drawings and guidance for completing the drawings. ONE SET OF ORIGINAL OR GOOD QUALITY REPRODUCIBLE
DRAWINGS MUST BE ATTACHED. NOTE: Applicants are encouraged to submit photographs of the project site,but these DO NOT substitute for drawings. THE CORPS
OF ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON B-112 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER AGENCIES.
EM 7b. Describe the purpose of the proposed work and why you want or need to perform it at the site. Please explain any specific needs
that have influenced the design.
The purpose of the proposed work is to 1) restore 0.14 ac of eroded beach to natural elevations and conditions,
2) extend two stormwater outfalls (the cause of periodic beach erosion) from MHHW to low intertidal elevations
to prevent continuing erosion, and 3) allow the Class 2 tidelands to recover oyster production at mid-intertidal
elevations. The protection of the existing oyster habitat has been a primary consideration in the design of both
outfall extensions and related site improvements. Minimizing potential impacts from stormwater and habitat
erosion on ESA-listed fish is another key reason the outfalls will be moved to a deeper elevation, per discussions
with Dan Guy (NMFS fisheries biologist). A third consideration in the outfall design is to keep the outfalls within
Alderbrook Resort property.
The eastern alignment was designed to achieve a near-subtidal elevation for the eastern outfall, remain on
Alderbrook property, and avoid pipeline construction through Alderbrook oyster beds. At -3 ft MLLW, the new
outfall will be submerged practically 100 percent of the year. Replacing the existing float between the shore and
the moorage float is necessary to construct the eastern outfall extension. Repair of the moorage float was
identified as a pending maintenance need and was included with this project to consolidate permitting, save
money, and reduce impacts on resort operations. The replacement dock sections will remain within the same
footprint of the original structure. The creosote piles will be removed and replaced with steel piles. The old piles
had been installed through holes in the dock sections; the new piles will be installed immediately outboard of the
old piles, to allow future access to the new pipe under the dock without needing to pull piles (see drawing details
in JARPA Attachment B).
Early outfall design alternatives considered the possibility of connecting the western outfall to the eastern outfall
under the dock, so that no oyster beds would be affected by construction. The connected outfall design was
rejected because of construction complications: the western outfall is already at a lower elevation than the
eastern outfall, and the pipeline extension would have resulted in trench construction through Alderbrook
Creek's estuary. The final design will extend the western outfall directly off the shore to -3 ft MLLW, using the
shortest distance possible. Although construction of this alignment will temporarily disturb the resort's oyster
beds, the potential impacts were considered to be less harmful to ESA-listed fish than construction through the
Alderbrook Creek estuary.
The western alignment was designed to achieve a near-subtidal elevation for the outfall and remain on resort
property. At -3.5 ft MLLW, the outfall will be submerged 100 percent of the year. A preliminary design used a
shorter pipeline extension, to avoid digging up oysters. The shallower outfall would have been exposed during
low tide for about 25 percent of the year and required a hardened pad at the outlet to protect the beach from
erosion during very low tides. The shorter alignment was rejected after discussions with Dan Guy (NMFS)
because it placed the outfall in the middle of critical habitat for juvenile salmonids, and it required rock fill to
control erosion. A deeper outfall was proposed and the negative impacts to the oyster beds (i.e., short-term
construction disturbance and subsequent re-seeding) were evaluated against the environmental benefits of a
permanently submerged, subtidal stormwater outfall. It was decided that the proposed alignment was
advantageous because it reduces stormwater-caused erosion, removes most stormwater discharges from upper
intertidal fish habitat, and increases stormwater mixing with Hood Canal marine water.
To minimize construction impacts on water quality and fish habitat, excavating and filling will be scheduled
during low (minus) tides. Because the resort relies on the use of its beach and waterfront facilities during the
summer, construction is planned for fall/winter 2008-2009 (during the federal and state approved in-water work
window). During fall/winter months, minus tides occur during the night, so some work will occur at night. All
property owners within 500 ft of the resort property lines will be notified in advance by Mason County when
ni ht-time construction is scheduled to occur.
MM 7c. Describe the potential impacts to characteristic uses of the water body. These uses may include fish and aquatic life,water
quality,water supply, recreation and aesthetics. Identify proposed actions to avoid, minimize, and mitigate detrimental impacts
and provide proper protection of fish and aquatic life. Identify which guidance documents you have used. Attach a separate
sheet if additional space is needed.
Office of Regulatory Assistance,JARPA JARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.epermifting.org 4
This proposed project will not change the characteristic uses of Hood Canal. Under current conditions, ongoing
beach erosion and the continual disturbance of oyster beds have negatively affected the Hood Canal nearshore.
The proposed action is an effort to reduce erosion and restore intertidal habitat to recover fish habitat, oysters
and other shellfish, improve nearshore water quality, improve recreation and aesthetics, and provide public
access to the waterfront and resort.
Potential negative impacts are anticipated to be short-term, caused by construction. Construction impacts will
arise from disturbances to oysters and substrate during pipeline installation. Short term turbidity from pipe
installation will occur sporadically, during the two-to three-week construction period. Pile removal and
replacement will create elevated turbidity of short duration for several days. Trench excavation and backfill will
be done during low tides, in the dry. Because the site substrate is relatively coarse-grained gravel and sand,
most material will settle rapidly and turbidity should be minimal. Detailed analysis of construction and beach
restoration, potential short-term harmful effects, and long-term beneficial effects is found in the biological
assessment prepared for this proposed action (Alderbrook Resort and Spa Stormwater Outfalls Repair Biological
Assessment/Biological Evaluation December 2007).
The fish species evaluated for this proposed project include Puget Sound Chinook salmon, Hood Canal
summer-run chum salmon, Puget Sound bull trout, and Puget Sound steelhead. Federally designated critical
habitat evaluated for this proposed project includes nearshore marine habitat for Puget Sound Chinook salmon,
Hood Canal summer-run chum salmon, Puget Sound bull trout, and Puget Sound steelhead. The analysis
concluded that the outfalls repair project may affect, but would not likely adversely affect any listed fish species
or designated critical habitat, because construction-related effects on fish species and their critical habitats
would be either avoided by construction design and timing, or effects would be short-term and/or insignificant.
The proposed action was determined to have long-term beneficial effects on all listed species and critical
habitats as a result of intertidal habitat restoration from 1) reduction in frequency of erosive stormwater
discharges on intertidal beach, 2) improved mixing of stormwater with marine water by relocation of the outfalls,
3) removal of debris from the beach, 4) modifications made to the design of a floating dock, and 4) replacement
of eroded sediment to restore the beach to natural elevations. Proposed habitat improvements will result in the
restoration of 0.14 ac of intertidal habitat.
In addition, the proposed project action may affect, but would not likely adversely affect bald eagle and marbled
murrelet because their breeding territories are not documented within 1.5 miles of the action area and their
intertidal habitat use at the project site is insignificant.
A review of the National Oceanic and Atmospheric Administration (NOAA) Fisheries Office of Protected
Resources-Marine Mammals online information about marine mammals revealed that humpback whale, Steller
sea lion, and Southern Resident killer whale are not known to occur in Hood Canal.
The following conservation measures will be implemented to ensure that impacts to plants, fish, and wildlife are
minimized during project construction:
• Adherence to the state-designated in-water work period of July 16 to February 15, to avoid or minimize
disturbances to ESA-listed species.
• Minimization of the quantity and size of construction equipment allowed on the beach area at any one time.
• Use of only lower-impact construction equipment (e.g., rubber track or balloon tires) on the beach.
• Regularly monitoring and maintenance of construction equipment to prevent hazardous material leaks on the
beach.
• Staging and stockpiling equipment and materials away from the water, on paved areas.
• Transportation of materials to the construction area using small (e.g., three- or seven-yard capacity) rubber-
tracked transporters.
• Implementation and maintenance of sedimentation and erosion control measures at the stockpile locations.
• Use of rubber mats in areas where native soils do not provide sufficient support for construction activities.
• Limiting low-tide construction travel routes to within 25 ft of the bulkhead and western pipeline alignment and
within 10 ft of the eastern outfall alignment.
• Use of pre-cast anchor blocks and pipe sections assembled off site to limit in-water concrete curing and
minimize in-water construction time.
• Use of vibratory hammer instead of impact hammer to reduce potential harm to aquatic species and habitat.
Office of Regulatory Assistance,JARPA JARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.epermitting.org 5
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• Scheduling of most upper intertidal work to occur from land, during low tides, to minimize turbidity.
• Scheduling of dock replacement, float-and-sink pipe placement, and pile driving during high tides, to avoid
grounding barges on shellfish beds.
• Removal of all construction debris from upland and intertidal areas, daily and immediately after project
completion.
• Replacement of styrofoam dock flotation with specially configured tubs to create openings for fish passage
under the floats and reduce the grounding footprint.
• Replacement of solid decking with grated decking for enhanced light transmission under and around the dock.
• Replacement of chemically preserved wood with chemically inert recycled wood composite material (i.e., Trex)
on new dock sections.
• Restoration of all disturbed upland areas and utilization of native plants, if necessary.
• Disturbance of the smallest area feasible.
IM 7d. For in-water construction work, will your project be in compliance with the State of Washington water quality standards for
turbidity(WAC 173.201A-410)? D YES ❑ NO
IM 8. Will the project be constructed in stages? ❑ YES �x NO
Proposed starting date: After August 15, 2008; most likely after September 2008
Estimated duration of activity: Three weeks
CO 9. Check if any temporary or permanent structures will be placed:
❑ Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR
x❑ Waterward of the mean higher high water for tidal waters?
IM 10. Will fill material (rock,fill, bulkhead, or other material) be placed:
❑ Waterward of the ordinary high water mark or line for fresh waters?
If YES, VOLUME(cubic yards) /AREA (acres)
x Waterward of the mean higher high water for tidal waters?
If YES, VOLUME(cubic yards) 430 CY excavated/replaced for pipes+58 CY for beach restoration/AREA 0.14(acres)
EM 11. Will material be placed in wetlands? ❑ YES NO
If YES:
IM A. Impacted area in acres:
KM B. Has a delineation been completed? If YES, please submit with application. ❑ YES ❑ NO
IM C. Has a wetland report been prepared? If YES, please submit with application ❑ YES ❑ NO
CO D.Type and composition of fill material(e.g., sand, etc.)
GO E. Material source:
CM F. List all soil series(type of soil)located at the project site, and indicate if they are on the county's list of hydric soils. Soils
information can be obtained from the natural Resources Conservation Service (NRCS).
COG. WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑ YES x❑ NO
If YES, IMPACTED AREA IS ACRES OF DRAINED WETLANDS.
NOTE:If your project will impact greater than 1/10 of an acre of wetland,submit a mitigation plan to the Corps and Ecology for approval along with the JARPA form.
NOTE:A 401 water quality certification may be required from Ecology in addition to an approved mitigation plan if your project wetland impacts are greater than 1/10 acre in size.
Please submit the JARPA form and mitigation plan to Ecology for 401 certification review.
IM 12. Stormwater Compliance: This project is (or will be)designed to meet ecology's most current
stormwater manual, or an Ecology approved local stormwater manual. x❑ YES ❑ NO
If YES—Which manual will your project be designed to meet? WDOE 2005 manual
IM If NO—For Clean Water Act Section 401 and 404 permits only—Please submit to Ecology for approval, along with this JARPA
application, documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality
standards,WAC 173.201 A
KM 13. Will excavation or dredging be required in water or wetlands? x0 YES ❑ NO
If YES:
A. Volume: 430 (cubic yards) /area 0.53 (acre)
B. Composition of material to be removed: Sand and small gravel
C. Disposal site for excavated material: On site--Replace into excavated trenches and eroded beach channels
D. Method of dredging: Primarily back hoe, with water jet to install some pipe supports. Contingency dredge plan includes use
of a clamshell dredge to complete pipeline trenches at deepest elevations during high tides.
Office of Re iulatory Assistance,JARPA JARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.eoermitting.org 6
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14. Has the State Environmental Policy Act(SEPA) been completed IT ES x❑ NO(Checklist to be submitted with this JARPA)
SEPA Lead Agency: Mason County
SEPA Decision: DNS, MDNS, EIS,Adoption, Exemption Decision Date(end of comment period)
SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION
CM 15. List other Applications, approvals or certifications from other federal, state or local agencies for any structures, construction
discharges or other activities described in the application (i.e. preliminary plat approval, health district approval, building permit,
SEPA review, federal energy regulatory commission license (FERC), Forest practices application, etc.). Also, indicate whether
work has been completed and indicate all existing work on drawings. NOTE: For use with Corps Nationwide Permits, identify
whether your project has or will need an NPDES permit for discharging wastewater and/or stormwater.
TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED?
N0,
Section 404 Individual Permit USACE
401 Water Quality Certification Ecology
HPA WDFW
SEPA review Mason County
Shoreline SD/CU Permits Mason County
Building Permit Mason County
CM 16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described
herein?
❑ YES x❑ NO
If YES, explain:
SECTION B - Use for Shoreline and Corps of Engineers permits only:
17a. Total cost of project. This means the fair market value of the project, including materials, labor, machine rentals, etc.
—$250,000
17b. If a project or any portion of a project receives funding from a federal agency, that agency is responsible for ESA consultation.
Please indicate if you will receive federal funds and what federal agency is providing those funds.
FEDERAL FUNDING ❑ YES x0 NO If YES, please list the federal agency.
18. Local government with jurisdiction: Mason County
19. Provide names, addresses and telephone numbers of adjoining property owners, lessees, etc. Please note: Shoreline
Management Compliance may require additional notice—consult your local government.
NAME ADDRESS PHONE
Larry A. Power, Patrick Wheat,&M.Wheat 3430 Pacific Ave SE Olympia,WA 98501 N/A
Larry Power 8934 Buttonwood Lane NE Olympia,WA 98516 N/A
Jeffrey and Patricia Raikes 3355 E. Laurelhurst Dr.NE Seattle,WA 98105-5335 N/A
Brian McGinnis North Forty Lodging LLC 10 East Alderbrook Drive Union,WA 98592 425-369-9290
Alderbrook County Club Inc. E 7090 Hwy 106 Union,WA 98592 N/A
Allan and Janice Undem Go Golf Villas 10950 North La Canada Gig Harbor,WA 98335-5912 N/A
Allan and Janice Undem Cottage#1 10 E.Alderbrook Dr. Union,WA 98592 N/A
Barbra Bordeaux 2300 River Rd., Unit 11 Yakima,WA 98902-1293 N/A
Leon Jr and Carolyn Titus 2001 Titus Family Ltd. Pts. 2806 N Garfield Rd. Tacoma,WA 98403-2922 N/A
Fred and Charolette Merritt and Michael Merritt 2821 2nd Ave NE,#1502 Seattle,WA 98121-1249 N/A
Dean and Patricia Nichols P.O. Box 43 Everett,WA 98206 N/A
Dean and Patricia Nichols P.O.Box 129 Sun Valley, ID 83353 N/A
Margaret Berg 2471 42nd Ave W Seattle,WA 98109 N/A
Doris and Lou Berg 9026 N.E. 19th Bellevue,WA 98004 N/A
William Gates III P.O. Box 274 Union,WA 98592 N/A
Watermark Estate Mgmt. N/A
Wm. H.Gates III Services 2365 Carillon PI. Kirkland,WA 98033-7353
Dixie Fox 2491 Yukon Harbor Rd SE Port Orchard,WA 98366 N/A
Dixie A. Fox P.O. Box 594 Manchester,WA 98353-0594 N/A
Watermark Estate Mgmt. N/A
Christopher Carletti TRSE Services 2385 Carillon Pt. Kirkland,WA 98033
Christopher Carletti 2365 Carillon PI. Kirkland,WA 98033-7353 N/A
Chris Carletti K&L Gates 925 Fourth Ave., Ste.2900 Seattle,WA 98104-1158 N/A
SECTION C- This section MUST be completed for any permit covered by this application
Office of Regulatory Assistance,JARPA JARPA FORM LAST UPDATED: March 19,2007 For help call 800-917-0043 or visit www.epermitting.org 7
SECTION C- This section MUST be completed for any permit covered by this application rk L{
CM 20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the
information contained in this application, and that to the best of my knowledge and belief, such information is true,complete,
and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to
which this application is made,the right to enter the above-described location to inspect the proposed, in-progress or completed
work. I agree to start work ONLY after all necessary permits have been received.
DATE
SI NATURE OF APPLICANT
1 -- n DATE
SIGNATURE OF AUTHORIZE.
DATE
1 Z-11 - �7
SI ATURE OF AUTHORIZED AGENT
I HEREBY DESIGNATE Allison Reak and/or Jason VanGilder TO ACT AS MY AGENT IN MATTERS RELATED TO THIS
APPLICATION FOR PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT.
SIGNATURE OF APPLICANT DATE
SIGNATURE OF LANDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS, E.G. DNR)
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED.
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.
COMPLETED BY LOCAL OFFICIAL
A. Nature of the existing shoreline. (Describe type of shoreline, such as marine, stream, lake, lagoon, marsh, bog, swamp,flood
plain,floodway, delta;type of beach, such as accretion,erosion, high bank, low bank, or dike; material such as sand, gravel, mud, clay,
rock, riprap; and extent and type of bulkheading, if any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units, existing and potential, that will have an obstructed view:
C. If the application involves a conditional use or variance, set forth in full that portion of the master program which provides that the
proposed use may be a conditional use, or, in the case of a variance,from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs, please contact the appropriate agency in the instructions
Office of Regulatory Assistance,JARPA JARPA FORM LAST UPDATED:March 19,2007 For help call 800-917-0043 or visit www.eoermitting.org 8