HomeMy WebLinkAboutFish Barrier Removal JARPA - SHR Application - 5/11/2005 sT"T£°� RECEIVED
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State of Washington MCCD - PLANNING
DEPARTMENT OF FISH AND WILDLIFE
Mailing Address: 600 Capitol Way N•Olympia,WA 98501-1091 •(360)902-2200,TDD(360)902-2207
Main Office Location: Natural Resources Building• 1111 Washington Street SE•Olympia,WA
June 3,2005
Mr. Pat McCullough
Hood Canal Salmon Enhancement Group
Post Office Box 2169
Belfair, Washington 98528
Subject: Request to Use the Streamlined Fish Habitat Enhancement Process for a Fish
Barrier Removal Project, Located on Blacksmith Lake Creek, a Tributary of
the Tahuya River,in WRIA 15, in Mason County.
Dear Mr. McCullough:
Your request to use the Streamlined Fish Habitat Enhancement Process (RCW 77.55.290). for
the above referenced project was received on May 17. Based on the information you provided
in the JARPA form, I have determined that your project meets the requirements for the
Streamlined Hydraulic Project Approval process.
Under the Streamlined Process, your project is exempt from the State Environmental Policy Act
and all local government permits and fees.
Mr. Jeff Davis of the Washington Department of Fish and Wildlife,Habitat Program will be
reviewing your JARPA application and work with you to develop your permit.
If you have any questions,please contact me at(360) 902-2260.
Sincerely,
Steve Jenk
Environmental Services
WDFW Habitat Program
cc: Jeff Davis, WDFW
Chuck McCoy,Mason Co. Planning Dept.
Files
Application for Streamlined Process for 4 -005
FISH HABITAT ENHANCEMENT PROAC'
Addition to the Joint Aquatic Permit Application Form L JAdMA)PLANNING
Under recent laws,you may qualify for a streamlined permit process with no fees,if your project is designed to enhance fish
habitat. If your project meets the requirements below,you are entitled to the streamlined Hydraulic Project Approval(HPA)
process,exemption from the State Environmental Policy Act,and exemption from all local government permits and fees. To
apply for the exemption process,the applicant must provide on the same day,the JARPA form and this cover addition to: the
Department of Fish and Wildlife(WDFW)and all applicable Local Government planning and permitting departments. Local
governments have 15-days to provide comments to WDFW,who will use these comments to aid them in making decisions(see
below for details).
APPLICANT'S -To QUALIFY for the fish habitat enhancement exemption you must check at least one each from A and B:
A)Projects must accomplish one or more of the following fish habitat restoration tasks(check which one applies):
X Removal of human-made fish passage barriers;or
❑ Restoration of an eroded or unstable stream bank using bioengineering techniques;or
❑ Placement of woody debris or other in-stream structures that benefit naturally reproducing fish stocks.
AND
B)Projects must also be approved in one or more of the following ways(check which apply,and provide details as requested):
X By WDFW,through the Salmon Enhancement,or Volunteer Cooperative Fish and Wildlife Enhancement Programs;
Provide project name,and who at WDFW approved the project, BLACKSMITH LAKE CREEK Restoration
❑ By the sponsor of a watershed restoration plan as provided in chapter 89.08kCW;Provide title of plan and date,and
approving or sponsoring agency—Hood Canal Salmon Enhancement Group ;
❑ By the Department of Fish and Wildlife as a department-sponsored fish enhancement or restoration project;
❑ Through the review and approval process for the Jobs for the Environment program;
❑ Through the review and approval process for Conservation District sponsored projects,where the project complies with
design standards established by the conservation commission through interagency agreement with the United States Fish
and Wildlife Service and the Natural Resource Conservation Service;Provide approval date and name of Conservation
District approving project ;or
❑ Through a formal grant program established by the legislature or the Department of Fish and Wildlife for fish habitat
enhancement or restoration(currently the Dept.of Transportation is handling grant applications—contact Peter Downey at
(360)705-7492 for information)Provide grant application date ,and circle status-Approved,Denied,or
Pending.
To APPLYfor the Exemption—if you have checked a box from both A and B above,complete the following:
1) Submit this cover letter and a complete JARPA form as an application for the fish habitat enhancement exemption to the
Local Government planning department,and WDFW. These applications must be submitted on the same day starting a
15-day comment period. If significant concerns are raised during the 15-day comment period regarding adverse impacts
that cannot be addressed through HPA conditions,WDFW can determine that the project does not qualify for the
exemption process.If this determination is made,the applicant may re-apply to WDFW,the applicable Local Government,
and any other applicable permitting agency for approval under the full permitting process.
Provide 1)name and number of habitat biologist at WDFW you applied to:Jeff Davis
and 2)what local government you applied to:Mason County—Chuck McCoy
2) Apply for all other Federal and State permits needed as defined in the JARPA form.(Fill in waters of the state will require
a 404 permit from the Corps of Engineers,and possibly a 401 Water Quality Certification from Ecology).
3) The only work covered by the exemption process must be for fish habitat enhancement. If only a piece of your project is
for habitat enhancement,the remainder of the project must be covered by the full permitting process.
4) If WDFW determines that your project meets the criteria for the exemption,your project is exempt from SEPA and from
local government permits and fees. You will have an answer from WDFW within 45 days of the receipt of this cover letter
and complete DARPA form.
LOCAL GOVERNMENTS:PLEASE NOTE—you only have 15 days to review the projects and provide comments
to WDFW br your comments will be considered waived Per the new law, you are responsible for the following:
1. You must accept the JARPA application form and this revised cover addition for project review;
2. If the Local Government chooses to comment on the project,comments(support or objection)must be provided to the WDFW local
habitat biologist responsible for the project area within 15-days of receipt of the JARPA form;
3. If determined by WDFW that the project meets the habitat enhancement exemption criteria, SEPA and all local government permits
are considered exempt and consistent with the revisions to the WACs,and local government fees are waived.
4. The law determines that"fish habitat enhancement projects that conform to the provisions of the act are determined to be consistent
with local shoreline master programs".
DEPARTMENT OF FISH AND WILDLIFE:
1. Upon receipt of a complete JARPA and request for the fish habitat exemption process,review the proposed project plan for
compliance with the requirements listed in section 1 and 2 of 2SHB 2879(also listed on page 1,applicant section#A and B).
a) If JARPA is incomplete or if it is determined that a project does NOT meet the exemption criteria,contact the applicant
and local government planning department and inform them the project does not qualify for the exemption. Return
JARPA to the applicant. The applicant may reapply to WDFW,the applicable Local Government and other permitting
agencies for approval under the full permitting process.
b) If JARPA iscomplete and the project meets the criteria,start the HPA 45-day exemption process(defined below);
1. WDFW must allow 15 days for interested parties,and local governments to provide comments on the project—no approval action
can be taken within the first 15 days of receipt of the DARPA;
2. If comments are received,WDFW will decide whether the concerns raised can be mitigated through conditions of the HPA—if yes,
continue to#4. If no,WDFW will notify the applicant and applicable Local Government. The applicant may reapply to WDFW,
the applicable Local Government and other permitting agencies for approval under the full permitting process;
3. WDFW must approve or deny the HPA, or make a determination that the proposed work does not qualify for the
exemption process within 45 days.
AGENCY USE ONLY
Agency Reference#: Date Received:
Circulated by: (local govt. or agency)
JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (JARPA)
BLACKSMITH LAKE CREEK FPB PROJECT
XApplication 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)
❑ Local Government for shoreline: ❑ Substantial Development ❑ Conditional Use ❑Variance X Exemption ❑ 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(Lead Agency for Section 7 and ESA is USFW Service—Richard Carlson)
❑ Coast Guard for General Bridge Act Permit
❑ 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
The Hood Canal Salmon Enhancement Group
MAILING ADDRESS
P.O. Box 2169, Belfair, WA 98528
WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
(360) 275-3575 hcseg@hctc.com
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
Pat McCullough, P.E.
MAILING ADDRESS
210 N.E. Cherokee Beach, Belfair,WA 98528
WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
(360) 275-7384 path@hctc.com (360) 277-3187
3.RELATIONSHIP OF APPLICANT TO PROPERTY: ❑OWNER ❑PURCHASER ❑LESSEE FNIoTHER: Salmon Enhancement Group
4.NAME,ADDRESS,AND PHONE NUMBER OF PROPERTY OWNER(S),IF OTHER THAN APPLICANT:
Private Road
5.LOCATION(STREET ADDRESS,INCLUDING CITY,COUNTY AND ZIP CODE,WHERE PROPOSED ACTIVITY EXISTS OR WILL OCCUR)
From Belfair: Take North Shore Road to Sand Hill Rd. Sand Hill Road to Bear Creek Dewatto Road, Left on Bear Creek
Dewatto Road, Go to Blacksmith Lake Rd. turn left, go down Blacksmith Lake Rd. to Blacksmith Lake Creek.
LOCAL GOVERNMENT WITH JURISDICTION(CITY OR COUNTY) Mason County
WATERBODY YOU ARE WORKING Blacksmith Lake Creek _ TRIBUTARY OF WRIA#
Tahuya River then Hood Canal #15
IS THIS WATERBODYON THE 303(d)LIST?YES❑ NO X
IF YES,WHAT PARAMETER(S)?
htti)://wv,rw.ecy.wa.gov/programs/wq/links/impaired wtrs.html WEBSITE FOR 303d
LIST
SECTION SECTION TOWNSHI RANGE GOVERNMENT LOT SHORELINE DESIGNATION
W 1/2 "10 23 N 2 W, Stream
�,
NVV Y4
LATITUDE&LONGITUDE: ZONING DESIGNATION
47.30.03, 122,55,31 RURAL
TAX PARCEL NO: DNR STREAM TYPE,IF KNOWNI
Type 1
8.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 X❑NO FOR ANY PORTION OF THE PROPOSED ACTIVITY PROPOSED TO BE COMPLETED ON THIS PROPERTY,INDICATE MONTH AND YEAR OF COMPLETION.
The current use of the property is private road.
IS THE PROPERTY AGRICULTURAL LAND? ❑YES X NO ARE YOU A USDA PROGRAM PARTICIPANT? ❑YES x 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 WATERMARK 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 WATERMARK. 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 will replace an 8' dia., bare, CMP Culvert with a 13'-11"x 9'-0" ellipse, Multi Plate, 12 gage galvanized steel
culvert, 85 feet long - laid on a flat grade. The new culvert will have 3 feet of gravel in the bottom and simulate a natural
streambed.
PREPARATION OF DRAWINGS: SEE SAMPLE DRAWINGS AND GUIDANCE FOR COMPLETING THE DRAWINGS. ONE SET OFORIGINAL OR GOOD QUALrTY 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
This project will provide full fish passage to all species of fish at all times of the year. It meets and exceeds WDFW
standards for fish passage culverts on a flat grade.
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
1. The Fish Passage Barrier(FPB) removal project associated with the proposal will open up habitat above the project
to multiple species of fish.
2. The FPB removal project will improve hydrologic continuity in Blacksmith Lake Creek.
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? X YES ❑NO (SEE USEFUL DEFINITIONS AND INSTRUCTIONS)
8.WILL THE PROJECT BE CONSTRUCTED IN STAGES? ❑YES X NO
PROPOSED STARTING DATE: Summer 2005
ESTIMATED DURATION OF ACTIVITY:2 weeks
9.CHECK IF ANY TEMPORARY OR PERMANENT STRUCTURES WILL BE PLACED:
X❑WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH OR TIDAL WATERS,AND/OR
❑WATERWARD OF MEAN HIGHER HIGH WATER LINE IN TIDAL WATERS
10.WILL FILL MATERIAL(ROCK,FILL,BULKHEAD,OR OTHER MATERIAL)BE PLACED:
0 WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? IF YES,VOLUME(CUBIC YARDS)200/AREA 0 03(ACRES)
0 WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS?IF YES,VOLUME(CUBIC YARDS) AREA (ACRES)
11,WILL MATERIAL BE PLACED IN WETLANDS? ❑YES 91 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,&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 OFDRAINED WETLANDS.
NOTE: If your project will impact greater than%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 nnibgation 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 individual401 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 X❑ YES ❑NO
IF YES—WHICH MANUAL WILL YOUR PROJECT BE DESIGNED TO MEET:Washington DOE Manual
If NO—FOR CLEAN WATER ACT SECTION 401 AND 404 PERMITS ONLY—PLEASE SUBM/TTO 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 ONO
IF YES:
A. VOLUME: (CUBIC YARDS)/AREA (ACRES)
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? ES X❑NO
SEPA LEAD AGENCY:EXE PT SEPA DECISION: DNS,MONS,EIS,ADOPTION,EXEMPTION DECISION DATE(END OF COMMENT PERIOD):
SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WOFW AS REQUIRED FOR A COMPLETE APPLICATION
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?
NO,
HPA WDFW THIS JARPA
Section 7 Review USFW THIS JARPA
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. $1 1 8,000
7b.,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
ILL RECEIVE FEDERAL FUNDS AND WHAT FEDERAL AGENCY IS PROVIDING THOSE FUNDS, SEE INSTRUCTIONS FOR INFORMATION ON ESA
EDERALFUNDINIG XYES ENO IF YES,PLEASE LIST THE FEDERALAGENCY_USFW
8.LOCAL GOVERNMENT WITH JURISDICTION;
Mason County
9,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
Jimmy and Denise Cambell 1781 NE Blacksmith Lake Dr.,Belfair,WA 98528
Ruby Bennett 1690 NE Blacksmith Lake Dr.,Belfair,WA 98528
Blacksmith Lake Home Owners Assoc.Greg PO Box 2169,Belfair,WA.98528 360-275-3575
enton,President
SECTION C- This section MUST be completed for any permit covered by this application
0.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
CCURATE. I FURTHER CERTIFY THAT I POSSESS THE AUTHORITY TO UNDERTAKE THE PROPOSED ACTIVITIES. I HEREBY GRANT TO THE AGENCIES TO WHICH
HIS APPLICATION IS MADE,THE RIGHT TO ENTER THE ABOVE-DESCRIBED LOCATION TO INSPECT THE PROPOSED, IN-PROGRESS OR COMPLETED WORK I
AGREE TO STAR K ONLY AFTER ALL NECESSARY PERMITS HAVE BEEN RECEIVED.
SIG TU OF V4LICANT ATE
/v o1
G OF AU HORI ED A6fNT DATE
Ad
DATE
I HEREBY DESIGNATE
TO ACT AS MY AGENT IN MA S RELATED TO THIS APPLICATION FOR PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED,
I MUST E PER T.
I AT0R1foFK1PI5LICA DATE „ U —D
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:
appropriate agency in the instructio
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mKIF$31" ,r1u r
% ICKIEBB CRUSH DD GRTB-
TH
SURFACING.BASE COURSE
PROPOSED ROADWAY MITORATION
1 "'M
1
,111 � R011DM FMIR 01 ROE nW.ftft
—
,,,111 I 1101 D CULVERT
` STA 1+"5 CI.BLACKSMITH OR.- 1D➢:�'-- -- I- "IS STA.1+B7.7 BLACKSMITH LAME CREEK '/'1 D SMAC
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SPAWNING GRAVEL - PIPE
BEDDING GU0
-! SURFACING BASE,CauRS E.
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PIP -PEAGPAVEL -—
-4 SCOOPS 1a'DEEP UNDER CULVEIV
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k _ _ _ _ _ _ _ _ _ _
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SECTION
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10o — — — -- - --Ja
LAM Loos IIIPRAP
—HUW-———— 10 AIM W OW
—
ELEV..112.5K
II m
0 0 1+00— 1+20 m 1+40 1+50 1+e0---n 2+00 —2+20- 2+40 2+0 a+
110
I PROPOSED CULVERT PROFILE
PROPOSED CULVERT EXCAVATION PLAN SCALE: 1•-10•
ySCALE:1*-1D' `µ.cuLlo
VV L� A °► ° `*ft 2 HOOD CANAL SALMON ENHANCEMENT OROUP WN S
j7� �f dhginemng Se vices Assncintns �'A. BLACKSMITH LAKE CREEK RESTORATION
Zoc^-•``" [ i lv.T.`�°"�„'�� ,. GRADING PLAN, PROFILE & DETAILS
A\OW CAl A�W-/-n -.-wM ATn+A A.
BMIJ6ir, r A%Ae/Rail J75-7tBl
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