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HomeMy WebLinkAboutSHX2007-00100 JARPA - SHX Letters / Memos - 1/17/2008 yoN_STATFo MASON COUNTY �P C DEPARTMENT OF COMMUNITY DEVELOPMENT o a u = Planning Division Y o T z P O Box 279, Shelton,WA 98584 Zoo N Y o~ (360)427-9670 J � 1864 Exemption from Shoreline Management Act Case No.: SHX2007-00100 Substantial Development Permit Requirement The Proposal By: NORTH FORTY LODGING TO BE KEPT IN THE 22526 SE 64TH PLACE 0 ISSAQUAH,WA 98027 PARCEL FILE SSAQ To undertake the following development: 2 Z 3 3 —5— Ci-- bOC� I Emergency Shoreline Exemption for culvert cleaning due to December 2007 storm Within Alderbrook Creek 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 D-emergency construction Please contact Kell McAboy at ext 363 if you have any questions. Issued: 1/17/2008 ((0 a Expires: 1/17/2010 Authorized Local Government Offi 'al cc: APPLICANT WDFW USACOE WDOE TRIBAL COUNCIL AGENCY USE ONLY Agency Reference#: Date Received: Circulated by: local govt.or agency) JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (JARPA) (for use in Washington State) PLEASE TYPE OR PRINT IN BLACK INK. ® Application for a Fish Habitat Enhancement Project per requirements of RCW 77.55.290. You must submit a copy of this completed JARPA application form and the (Fish Habitat Enhancement JARPA Addition)to your local Government Planning Department and Washington Department of Fish &Wildlife Area Habitat Biologist on the same day. NOTE: LOCAL GOVERNMENTS—You must submit any comments on these projects to WDFW within 15 working days. Based on the instructions provided, I am sending copies of this application to the following: (check all that apply) Ox Local Government for shoreline:❑Substantial Development []Conditional Use []Variance DExemption []Revision ❑Floodplain Management ❑Critical Areas Ordinance �x Washington Department of Fish and Wildlife for HPA(Submit 3 copies to WDFW Region) ❑ 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 ❑ Corps of Engineers for: ❑ Section 404 ❑ Section 10 permit ❑ Coast Guard for: ❑ General Bridge Act Permit ❑ Private 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 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 North Forty Lodging, LLC MAILING ADDRESS 22526 SE 641h Place, Suite 210, Issaquah WA 98027 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# (425) 369-9290 bmcginnis@northfortylodging.com (425) 392-9775 (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 MAILING ADDRESS WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# 3. Relationship of applicant to property: Ex 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) 10 East Alderbrook Drive, Union WA 98592 Local government with jurisdiction (city or county) Mason County I _ Waterbody you are working in Alderbrook Creek Tributary of WRIA# Is this waterbody on the 303(d) 14 List** YES ❑ NO Ox If YES,what parameter(s)? Shoreline designation Urban Commercial htti)://www.ecy.wa.gov/i)rograms/wq/303d/index.html Zoning designation Rural Tourist 'h Section Section Township Range Government Lot 33 22N 03W DNR stream type if known NP Latitude and Longitude:N47.20.53 W123.04.01 Tax Parcel Number 322335000014 ECY 070-15(Rev. 11/04).JARPA Contact the State of Washington Office of Regulatory Assistance for latest version or call 360/407-7037 or 800/917-0043 6. Describe the current use of the property, and structures existing on the property. Have you completed any portion of the proposed activity on this property? © YES ❑ NO For any portion of the proposed activity already completed on this property, indicate month and year of completion. Alderbrook Resort & Spa is located on the property. Emergency work was completed in December of 2007. Is the property agricultural land? ❑ YES E] NO Are you a USDA program participant? ❑ YES 0 NO 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. During the recent heavy rainstorm in December 2007, a bottomless, arched culvert that transports Alderbrook Creek beneath SR-106 became filled with rock and gravel. Emergency work was completed to unplug the culvert, which involved using a truck to vacuum out the gravel and rock debris. 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 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER AGENCIES. 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 emergency work was required in order to restore salmonid passage up Alderbrook Creek and to prevent the stream from backing up and flooding over SR-106. 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. The emergency work mostly restored the stream to its previous condition. Some additional gravel and rock removal will be required after July 15 to fully restore Alderbrook Creek to its original condition. 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-110? 0 YES ❑ NO (See USEFUL DEFINITIONS AND INSTRUCTIONS) 8. Will the project be constructed in stages? YES ❑ NO �x Proposed starting date: Estimated duration of activity: 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 ❑ Waterward of the mean higher high water for tidal waters? 10.Will fill material (rock,fill, bulkhead,or other material)be placed: No ❑ Waterward of the ordinary high watermark or line for freshwaters? If YES,VOLUME (cubic yards) /AREA (acres) ❑ Waterward of the mean higher high water for tidal waters? If YES,VOLUME(cubic yards) /AREA (acres) ECY 070-15(Rev. 11/04) JARPA Contact the State of Washington Office of Regulatory Assistance for latest version or call 360/407-7037 or 800/917-0043 11. Will material be placed in wetlands? ❑ YES �x NO If YES: A. Impacted area in acres: B. Has a delineation been completed? If YES, please submit with application. ❑ YES ❑ NO C. Has a wetland report been prepared? If YES, please submit with application ❑ YES ❑ NO D. Type and composition of fill material (e.g.,sand, etc.) E. Material source: 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). G. WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑ YES ❑ NO If YES, IMPACTED AREA IS ACRES OF DRAINED WETLANDS. NOTE:If your project will impact greater than Y: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 will be required from Ecology in addition to an approved mitigation plan if your project impacts wetlands that are: a)greater than%acre in size, or b)tidal wetlands or wetlands adjacent to tidal water. Please submit the JARPA form and mitigation plan to Ecology for an individual 401 certification if a)or b)applies. 12. Stormwater Compliance for Nationwide Permits Only: This project is(or will be)designed to meet ecology's most current stormwater manual,or an Ecology approved local stormwater manual. ❑ YES ❑ NO If YES—Which manual will your project be designed to meet? 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) 13.Will excavation or dredging be required in water or wetlands? ❑ YES ❑ NO If YES: A. Volume: _(cubic yards)/area _(acre) B. Composition of material to be removed: C. Disposal site for excavated material: D. Method of dredging: 14. Has the State Environmental Policy Act(SEPA)been completed ❑ YES NO 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 � f 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 ISSUIN.GA^_G-ENCY ID NTIFICAT(ON DATE OF APPLICATION DATE APPROVED COMPLETED? 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 x0 NO If YES, explain: ECY 070-15(Rev. 11/04) JARPA Contact the State of Washington Office of Regulatory Assistance for latest version or call 360/407-7037 or 800/917-0043 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. 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. See instructions for information on ESA.' FEDERAL FUNDING ❑ YES ❑ NO If YES, please list the federal agency. 18. Local government with jurisdiction: Mason County 19. For Corps, Coast Guard and DNR permits, 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 NUMBER SECTION C- This section MUST be completed for any permit covered by this application 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 `L DATE SIGNATURE OF AUTHORIZED AGENT I HEREBY DESIGNATE 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 SI NATURE 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 ECY 070-15(Rev. 11/04) JARPA Contact the State of Washington Office of of Regulatory for latest version or call 360/407-7037 or 800/917-0043