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HomeMy WebLinkAboutSHX2023-01514 HPA ATF Bulkhead Repair - SHX Application - 12/11/2023 S PLANNING zuv a-o� -o I� i ,-1 AL Washington Department of Fish& Wildlife HYDRAU4geM\JE'_CT_ APPROVAL PO Box 43234 ,7;H„„r�i;LULIFE Olympia, WA 98504-3234 DEC 11 v23 (360)902-2200 Issued Date: February 13, 2023 Street Permit Number: 2023-6-65+01 15 w Alder Project End Date: April 07, 20236 FPA/Public Notice Number: N/A Application ID: 30812 PERMITTEE AUTHORIZED AGENT OR CONTRACTOR Permit Granted LLC David Dillard ATTENTION:Terri Schultz 71 E Grape Dr 4810 Pt Fosdick Dr NW#156 Grapeview, WA 98546 Gig Harbor, WA 98335-0723 Project Name: Dillard, Knuth, Cederstrom Expedited bulkhead replacements Project Description: Replace sections of failed bulkhead across three ownerships on the south end of Stretch Island. PROVISIONS AUTHORIZED WORK TIMES 1. This is an expedited HPA: all work must be done within 60 days of the permit issue date. 2. APPROVED PLANS: Work must be accomplished per plans and specifications submitted with the application and approved by the Washington Department of Fish and Wildlife, entitled "Dillard SP Complete.pdf received 2/9/2023, except as modified by this Hydraulic Project Approval. You must have a copy of these plans available on site during all phases of the project construction. NOTIFICATION 3. PRE- AND POST-CONSTRUCTION NOTIFICATION: You, your agent, or contractor must contact the Washington Department of Fish and Wildlife by e-mail at HPAapplications@dfw.wa.gov; mail to Post Office Box 43234, Olympia, Washington 98504-3234; or fax to (360) 902-2946 at least three business days before starting work, and again within seven days after completing the work. The notification must include the permittee's name, project location, starting date for work or date the work was completed, and the permit number. The Washington Department of Fish and Wildlife may conduct inspections during and after construction; however, the Washington Department of Fish and Wildlife will notify you or your agent before conducting the inspection. 4. FISH KILL/WATER QUALITY PROBLEM NOTIFICATION: If a fish kill occurs or fish are observed in distress at the job site, immediately stop all activities causing harm. Immediately notify the Washington Department of Fish and Wildlife of the problem. If the likely cause of the fish kill or fish distress is related to water quality, also notify the Washington Military Department Emergency Management Division at 1-800-258-5990. Activities related to the fish kill or fish distress must not resume until the Washington Department of Fish and Wildlife gives approval. The Washington Department of Fish and Wildlife may require additional measures to mitigate impacts. STAGING, JOB SITE ACCESS AND EQUIPMENT 5. Establish the staging area (used for activities such as equipment storage, vehicle storage, fueling, servicing, and hazardous material storage) in a location and manner that will prevent contaminants like petroleum products, hydraulic fluid, fresh concrete, sediments, sediment-laden water, chemicals, or any other toxic or harmful materials from entering waters of the state. 6. Check equipment daily for leaks and complete any required repairs before using the equipment in or near the water. 7. Lubricants composed of biodegradable base oils such as vegetable oils, synthetic esters, and polyalkylene glycols Page 1 of 5 Washington Department of Fish& Wildlife HYDRAULIC PROJECT APPROVAL PO Box43234 Olympia, WA 98504-3234 II�H�, 41LOLIfT (360)902-2200 Issued Date: February 13, 2023 Permit Number: 2023-6-65+01 Project End Date: April 07, 2023 FPA/Public Notice Number: N/A Application ID: 30812 are recommended for use in equipment operated in or near water. 8. Operate vessels with minimal propulsion power to avoid prop scour damage to the bed and marine vegetation habitats. 9. Do not deploy anchors or spuds in seagrass or kelp. CONSTRUCTION-RELATED SEDIMENT, EROSION AND POLLUTION CONTAINMENT 10. Do not conduct project activities when the work area is inundated by tidal waters. 11. Prevent contaminants from the project, such as petroleum products, hydraulic fluid, fresh concrete, sediments, sediment-laden water, chemicals, or any other toxic or harmful materials, from entering or leaching into waters of the state. 12. Use tarps or other methods to prevent concrete dust, drill shavings and other debris from contacting the bed or waters of the state. BULKHEAD - ROCK 13. Establish the waterward distance of the rock bulkhead from a permanent benchmark(s) (fixed objects) before starting work on the project. The benchmarks must be located and shown on the approved plans, marked in the field, and protected to serve as a post-project reference for ten years. 14. Remove the existing bulkhead from the beach and deposit the bulkhead in an upland area above the limits of extreme high tidal water. 15. The waterward face of the rock bulkhead must be located no further waterward than the face of the existing functioning bulkhead except as shown in the approved plans. 16. Bury base rocks a minimum of 18 inches below the preproject natural beach grade. 17. Build the rock bulkhead using clean, angular material of a sufficient durability and size to prevent its being broken up or washed away by high water or wave action. 18. Incorporate all upland drainage tight lines into the bulkhead near beach grade to prevent erosion of the bed. 19. Keep the use of equipment on the beach to a minimum, confined to a single access point, and limited to a 25-foot work corridor waterward of the base rocks. Construction material must not touch the beach outside beach outside this work corridor. Equipment must not operate in water to access the barge. 20. Do not stockpile excavated materials containing silt, clay, or fine-grained soil waterward of the ordinary high water line. 21. Prior to tidal inundation, backfill all trenches, depressions, or holes created during construction waterward of the ordinary high water line. 22. As shown in the approved plans, the total length of the replacement bulkhead must not exceed 145 feet. DEMOBILIZATION/CLEANUP 23. Reshape beach area depressions created during project activities to preproject beach level upon project completion. 24. Remove all debris or deleterious material resulting from construction from the beach area or bed and prevent from entering waters of the state. PROVISIONS FOR ALL EMERGENCY AND EXPEDITED HPA PERMITS 25, Within 60 days, the applicant must arrange an onsite meeting to determine if emergency response measures must be removed and if there are remaining impacts to be mitigated. 26. Emergency response measures installed that do not meet current WAC standards must be removed and the site restored within 90 days, unless an alternative mitigation plan is approved by the Department.' Note: Removal and Page 2 of 5 Washington Department of Fish &Wildlife HYDRAULIC PROJECT APPROVAL PO Box43234 FISH,',Ir1Lt)LI(F Olympia, WA 98504-3234 (360)902-2200 Issued Date: February 13, 2023 Permit Number: 2023-6-65+01 Project End Date: April 07, 2023 FPA/Public Notice Number: N/A Application ID: 30812 restoration must be done in compliance with WAC and an HPA for work must be obtained. 27. In compliance with WAC, within 90 days of completion of work, all remaining impacts must be mitigated or an approved mitigation plan must be submitted to the Department for approval. (WAC 220-660-050 (4) (e)). 28. The WDFW Habitat Biologist must be notified when work authorized under this permit has been completed. LOCATION #1: Site Name: Dillard, Knuth, Cedarland 71 E Grape Dr, Grapeview, WA 98546 WORK START: February 13, 2023 WORK END: April 7, 2023 WRIA Waterbody: Tributary to: 15 - Kitsap Wria 15 Marine Puget Sound 1/4 SEC: Section: Township: Range: Latitude: Longitude: County: All 17 21 N 01 W 47.3156 -122.8320 Mason Location #1 Driving Directions APPLY TO ALL HYDRAULIC PROJECT APPROVALS This Hydraulic Project Approval pertains only to those requirements of the Washington State Hydraulic Code, specifically Chapter 77.55 RCW. Additional authorization from other public agencies may be necessary for this project. The person(s) to whom this Hydraulic Project Approval is issued is responsible for applying for and obtaining any additional authorization from other public agencies (local, state and/or federal) that may be necessary for this project. This Hydraulic Project Approval shall be available on the job site at all times and all its provisions followed by the person (s) to whom this Hydraulic Project Approval is issued and operator(s) performing the work. This Hydraulic Project Approval does not authorize trespass. The person(s) to whom this Hydraulic Project Approval is issued and operator(s) performing the work may be held liable for any loss or damage to fish life or fish habitat that results from failure to comply with the provisions of this Hydraulic Project Approval. Failure to comply with the provisions of this Hydraulic Project Approval could result in civil action against you, including, but not limited to, a stop work order or notice to comply, and/or a gross misdemeanor criminal charge, possibly punishable by fine and/or imprisonment. Page 3 of 5 Washington Department of Fish&Wildlife HYDRAULIC PROJECT APPROVAL PO Box 43234 FISH,,,trilJLIIF Olympia, WA 98504-3234 (360)902-2200 Issued Date: February 13, 2023 Permit Number: 2023-6-65+01 Project End Date: April 07, 2023 FPA/Public Notice Number: N/A Application ID: 30812 All Hydraulic Project Approvals issued under RCW 77.55.021 are subject to additional restrictions, conditions, or revocation if the Department of Fish and Wildlife determines that changed conditions require such action. The person(s) to whom this Hydraulic Project Approval is issued has the right to appeal those decisions. Procedures for filing appeals are listed below. MINOR MODIFICATIONS TO THIS HPA: You may request approval of minor modifications to the required work timing or to the plans and specifications approved in this HPA unless this is a General HPA. If this is a General HPA you must use the Major Modification process described below. Any approved minor modification will require issuance of a letter documenting the approval. A minor modification to the required work timing means any change to the work start or end dates of the current work season to enable project or work phase completion. Minor modifications will be approved only if spawning or incubating fish are not present within the vicinity of the project. You may request subsequent minor modifications to the required work timing. A minor modification of the plans and specifications means any changes in the materials, characteristics or construction of your project that does not alter the project's impact to fish life or habitat and does not require a change in the provisions of the HPA to mitigate the impacts of the modification. If you originally applied for your HPA through the online Aquatic Protection Permitting System (APPS), you may request a minor modification through APPS. A link to APPS is at http://wdfw.wa.gov/licensing/hpa/. If you did not use APPS you must submit a written request that clearly indicates you are seeking a minor modification to an existing HPA. Written requests must include the name of the applicant, the name of the authorized agent if one is acting for the applicant, the APP ID number of the HPA, the date issued, the permitting biologist, the requested changes to the HPA, the reason for the requested change, the date of the request, and the requestor's signature. Send by mail to: Washington Department of Fish and Wildlife, PO Box 43234, Olympia, Washington 98504-3234, or by email to HPAapplications@dfw.wa.gov. You should allow up to 45 days for the department to process your request. MAJOR MODIFICATIONS TO THIS HPA: You may request approval of major modifications to any aspect of your HPA. Any approved change other than a minor modification to your HPA will require issuance of a new HPA. If you originally applied for your HPA through the online Aquatic Protection Permitting System (APPS), you may request a major modification through APPS. A link to APPS is at http://wdfw.wa.gov/licensing/hpa/. If you did not use APPS you must submit a written request that clearly indicates you are requesting a major modification to an existing HPA. Written requests must include the name of the applicant, the name of the authorized agent if one is acting for the applicant, the APP ID number of the HPA, the date issued, the permitting biologist, the requested changes to the HPA, the reason for the requested change, the date of the request, and the requestor's signature. Send your written request by mail to: Washington Department of Fish and Wildlife, PO Box 43234, Olympia, Washington 98504-3234. You may email your request for a major modification to HPAapplications@dfw.wa.gov. You should allow up to 45 days for the department to process your request. APPEALS INFORMATION If you wish to appeal the issuance, denial, conditioning, or modification of a Hydraulic Project Approval (HPA), Washington Department of Fish and Wildlife (WDFW) recommends that you first contact the department employee who issued or denied the HPA to discuss your concerns. Such a discussion may resolve your concerns without the need for further appeal action. If you proceed with an appeal, you may request an informal or formal appeal. WDFW encourages you to take advantage of the informal appeal process before initiating a formal appeal. The informal appeal process includes a review by department management of the HPA or denial and often resolves issues faster and with less legal complexity than the formal appeal process. If the informal appeal process does not resolve your concerns, you may advance your appeal to the formal process. You may contact the HPA Appeals Coordinator at (360) 902-2534 for more information. Page 4 of 5 Washington Department of Fish& Wildlife HYDRAULIC PROJECT APPROVAL PO Box 43234 w� oi Olympia, WA 98504-3234 KSH.d WXDLIFE (360)902-2200 Issued Date: February 13, 2023 Permit Number: 2023-6-65+01 Project End Date: April 07, 2023 FPA/Public Notice Number: N/A Application ID: 30812 A. INFORMAL APPEALS: WAC 220-660-460 is the rule describing how to request an informal appeal of WDFW actions taken under Chapter 77.55 RCW. Please refer to that rule for complete informal appeal procedures. The following information summarizes that rule. A person who is aggrieved by the issuance, denial, conditioning, or modification of an HPA may request an informal appeal of that action. You must send your request to WDFW by mail to the HPA Appeals Coordinator, Department of Fish and Wildlife, Habitat Program, PO Box 43234, Olympia, Washington 98504-3234; e-mail to HPAapplications@dfw.wa.gov; fax to (360) 902-2946; or hand-delivery to the Natural Resources Building, 1111 Washington St SE, Habitat Program, Fifth floor. WDFW must receive your request within 30 days from the date you receive notice of the decision. If you agree, and you applied for the HPA, resolution of the appeal may be facilitated through an informal conference with the WDFW employee responsible for the decision and a supervisor. If a resolution is not reached through the informal conference, or you are not the person who applied for the HPA, the HPA Appeals Coordinator or designee may conduct an informal hearing or review and recommend a decision to the Director or designee. If you are not satisfied with the results of the informal appeal, you may file a request for a formal appeal. B. FORMAL APPEALS: WAC 220-660-470 is the rule describing how to request a formal appeal of WDFW actions taken under Chapter 77.55 RCW. Please refer to that rule for complete formal appeal procedures. The following information summarizes that rule. A person who is aggrieved by the issuance, denial, conditioning, or modification of an HPA may request a formal appeal of that action. You must send your request for a formal appeal to the clerk of the Pollution Control Hearings Boards and serve a copy on WDFW within 30 days from the date you receive notice of the decision. You may serve WDFW by mail to the HPA Appeals Coordinator, Department of Fish and Wildlife, Habitat Program, PO Box 43234, Olympia, Washington 98504-3234; e-mail to HPAapplications@dfw.wa.gov; fax to (360) 902-2946;or hand-delivery to the Natural Resources Building, 1111 Washington St SE, Habitat Program, Fifth floor. The time period for requesting a formal appeal is suspended during consideration of a timely informal appeal. If there has been an informal appeal, you may request a formal appeal within 30 days from the date you receive the Director's or designee's written decision in response to the informal appeal. C. FAILURE TO APPEAL WITHIN THE REQUIRED TIME PERIODS: If there is no timely request for an appeal, the WDFW action shall be final and unappealable. Habitat Biologist Noll.Steinweg@dfw.wa.gov for Director Noll Steinweg 360-628-2173 WDFW Page 5 of 5 BAYMARINE CONTRACTORS, INC. RECEIVED i AGREEMENT BETWEEN OWNER&CONTRACTOR E THIS AGREEMENT is MADE this isl day of March.2023 between Robert R.&Harriet K Cederstrom (,Owner'),and 1 1 2023 BAY MARINE CONTRACTORS,INC, C^a Washington Corporation('Contractor),Contractor's License#BAYMACI09SI,4. 615 �� W. �.J 1 The Owner and the Contractor agree as follows: (J " '• Alder S tr-eie t The Work.The Contractor shall perform the work required by the contract documents("contract documents"shall mean this agreement,the Contractor's bid,if any,the HPA,and plans,if any)for the following describe project located at Tax Parcel k 12108-51-01011,commonly described as 101 E.Grape Drive,Grapeview,WA 98546,as follows: Emergency replacement of the failed concrete section of bulkhead of approximately 30 feet with large angular rock bulkhead at the same height as existing,backfilled with quarry spalls and filter fabric placed along the back of the wall-Base rock to be keyed into beach a minimum of 19-below existing beach grade. Contractor to remove and haul from site the existing failed concrete section. *ALL Permits by others--Contractor assumes no responsibility for permits-owner to have permits on site. 2.Owners Responsibilities.The Owner shall identify the location of the project by adequately defining boundaries of the subject property. Any,and all disputes which arise with regards to property boundaries shall be the sole responsibility of the Owner-The Owner shall pay all costs,fees,and charges related to the project in a prompt and timely manner. 'All permits,finals etc.shall be the sole responsibility of the Owner and Owner shall be responsible for payment of fees,reports and the litre for said permits. 3.Contractor's Responsibilities.The Contractor accepts the relationship of trust and confidence established between the Contractor and the Owner by this agreement-The Contractor agrees to use best efforts to furnish an adequate supply of workmen and materials,and to perform the work in the most expeditious and economical manner consistent with the best interests of the Owner. 4-Time of Commencement and Completion. The work to be performed under this agreement shall be scheduled with the Owner and shall be completed within a reasonable period of time.In any event,once work has commenced,the project shall be completed within 20 days. Delays occasioned by weather,strikes,unavailability of materials,tidal elevations and/or closures,permit restrictions and other such causes not within the control of the Contractor shall serve to extend the time allowed by this agreement by the length of any such delay or delays. 5.Cost of the Work.The Owner agrees to reimburse the Contractor for the construction project in full,including all applicable fees, costs,sales taxes,use taxes,and project-related costs of every type and description a. Construction cost: S 30-000.00 b. Sales tax: 2,550.00 0.8 5%(or WSST applicable Q time of construction c. Total construction cost: S 32.550.00 d.Payment schedule: $ 3-255.00 down,one half payment upon commencement of the work,remaining balance upon completion of the work. A credit for the down payment will apply to second half payment *Down paymem to be restored by owner if contractor works on behalf of the Owner with a permit specialist to obtain required permits by amounts paid to agencies and specialists. In the event Owner elects to not proceed with construction and Contractor has consulted on behalf of the Owner in procuring permits,b 1000.00 may be retained by Contractor for said work-*(*N/A in this contract-see above-all permits by others`) e. •Permits from agencies,engineering and/or geological reports,beach and/or habitat assessments and the like,arc the sole responsibility of the Owner. Fees for the aforementioned permits and reports are the sole responsibility of the Owner,and are not a part of the above total construction costs. Contractor,at owner's request,can suggest permit specialist to work with for the procurement of permits(check here-Z-)OR,if owner elects,contractor will consult on behalf of the Owner with permit specialist(check here N/A). Contractor in no way guarantees that agencies will issue required permits,however,if Owner selects the contractor to work with permit specialists,Contractor responsibility as stated in item 3 above shall apply. 6-Chances in the Work.The work and the cost thereof have been established by a visual inspection of the property on day of February,2023 The Owner is aware that changes in the work may be made insofar as such changes are a)consistent with this agreement and authorized by the Owner,or b)required due to erosion,permit restrictions,or other causes not within the control of the Contractor.Prior to becoming part of this agreement,change orders shall be in writing and signed by the Owner and Contractor,and shall include applicable changes in the contract documents,contract price,and completion time. 7.Disoute Resolution.All claims and disputes relating to this agreement shall be subject to arbitration in accordance with the Hiles then obtaining of the American Arbitration Association for the construction industry.Written notice of demand for arbitration shall be filed w ith the other party to this agreement and with the American Arbitration Association within a reasonable time after the dispute has arisen.The prevailing party in such a dispute shall be entitled to an award of a reasonable sum for atromeys'fees. Signed at 101 f U .�I�Y W b.,te,the�_day of March _2023. AY� LbY�1'C OWNER(S): BAY MARINE CONTRACTORS,INC. ��,.�/� CJ r rTly /�� _Representativ, Mal:13515 Tom Rvan Way-Oro Valley-AZ $5755 Phone,360-956-3451 Email: bmn20(nY;mcastnet Project: 101E Grano Dr.Graocvicm WA 98546 REc E'CEIVED MASON COUNTY COMMUNITY SERVICES DEC 11 2023 Building,Planning,Environmental Health,Community Health 615 W. Alder Street 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 PERMIT NO.:6 1( 2 V R5 ws,�) SHORELINE PERMIT APPLICATION SHORELINE PERMITS CONDITIONAL USE* SUBSTANTIAL DEVELOPMENT VARIANCE* ❑ EXEMPTION ACCESSORY DWELLING UNIT* The W shington State Shoreline Management Act (RCW 90.58) requires that substantial developments within designated shoreli es of the state comply with its administrative procedures (WAC 173-14) and the provisions of the Mason County Shoreli ie Management Master Program. The purpose of this Act and local program is to protect the state's shoreline resour es. The program requires that substantial development (any development of which the total cost or fair market value exceeds $7,047.00 or materially interferes with the normal public use of the water or shorelines of the State be reviewed with the goals, polices, and performance standards established in the Master Program. Answer all questions completely. Attach any additional information that may further describe the proposed development. Incomplete applications will be returned. *Shoreline Variances and Conditional uses require public hearings and have additional pages that shall be attached to this application. APPLICANT: Harriet, Catherine (Katie) Cederstrom ADDRESS: 101 E Grape Dr (street) Grapeview WA 98546 i (city) (state) (zip) TELEP ONE: 520-825-8879 (home) (business) AUTHORIZED R PRESENTATIVE: Terri Schultz/Permit Granted ADDRESS: 4810 Pt. Fosdick Dr NW I Gig Harbor (street) WA 98335 i (city) (state) (zip) TELEPHONE: 253-313-5194 PROPERTY DESCRIPTION: General location (include property address, water body and associated wetlands—identify the name of the shoreline): Rev. Nov. 30, 2021 �s w� t Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude. i OWNERSHIP: Contract Applicant Owner Lessee Purchaser (Identify) Other Owner.Harriet Catherine (Katie) Cederstrom 101 E Grape Dr, Grapeview WA 98546 (street) (city) (state) (zip) DEVELOPMENT DESCRIPTON: Develo ment proposal (identify and describe the proposed project, including the type of materials to be used, construction methoc s, principle dimensions, and other pertinent information): Repla d 50 linear feet of existing collapsing 6' high concrete bulkhead with a new rock bulkhead at shoreline edge, constructed from barge using heavy excavator. Total bulkhead length is 80' i Existing Use (identify current use of property with exist improvements): Residential � 1 i Reasor for requesting development: -The project was completed in Feb '22 under expedited WDFW HPA 30812, Overall a total of 50 linear ft of existing 6' high 80 ft long bulkhead was replaced. -The work was performed when the neighbors' emergency bulkhead repairs were constructed to minim ze enviornmental construction impacts. Additional bulkheads were also repaired/replaced at that ti a on parcel 12108-51-01013 (Knuth) & 1 21 08-51-Q1014 (Dillard). Separate applications have been submitted for each involved parcel. i i I $50,000 Estim Fair M�rkot V�lus of Project to Clesast$1,000• i I� The Applicant shall provide, at a minimum, the following information: a. S TE PLAN -drawn to scale and including: i. he boundary of the parcel(s)of land upon which the development is proposed; ii. he ordinary high water mark (OHWM). This may be an approximate location provided, that for any development here a determination of consistency with the applicable regulations requires a precise location of the OHWM the ark shall be located precisely and the biological and hydrological basis for the location as indicated on the plans hall be included in the development plan. Where the OHWM is neither adjacent to or within the boundary of the :,appropriate, the plan shall indicate the distance and direction to the nearest OHWM of a shoreline; iii. the ro osed land contours usin five-foot intervals in water area and ten-foot intervals on proposed 9 areas landward of OHWM, if development involves grading, cutting, filling, or other alteration of land contours; iv. The dimensions and location of existing structures which will be maintained; v. The dimensions and locations of proposed structures; parking and landscaping; vi. The location of proposed utilities, such as sewer, septic tanks and drain fields, water, gas and electricity; vii.The location, source, composition, and volume of fill material; viii. The location, composition and volume of any extracted materials, and proposed disposal area; b. CROSS SECTION, drawn to scale including: i. The existing ground elevations; ii. The p�oposed ground elevations; ff, iii The location and height of existing structures; iv The location and height of proposed structures; V. The OHWM. c. VICINITY MAP, including: i. The location of subject parcel using natural points of reference (roads, state highways, prominent landmarks, etc.). ii. If the development involves the removal of any soils by dredging or otherwise, identify the proposed disposal site on the map. If disposal site is beyond the confines of the vicinity map, provide another vicinity map showing the precise location of the disposal site and its distance to nearest city or town. iii On the map, or separately, give a brief narrative description of the vicinity of the proposed project including identification of the adjacent uses, structures and improvements, intensity of development and physical characteristics. d. A JACENT LANDOWNERS. Provide names and mailing addresses of all real property owners within 300 feet of property line boundaries where development is proposed as mailing labels or pre-addressed envelopes. ACKO LEDGEMENT: I hereby declare, to the best of my knowledge and belief, the forgoing information and all attached information is true and correct. October 25, 2023 —GApplicant or Ak i ed Representative) (date) Publication Cost Agreement Publication cost is the responsibility of the applicant. Final permit processing will not occur until advertising fees have been paid to the newspaper by the applicant. The Shelton-Mason County Journal will bill the applicant directly. Billing Address: c- ' Email: Phone: / -3-3 I WE understand that WE must sign and date the attached acknowledgment indicating and that I / WE understand that is MY / OUR responsibility. I / WE must submit the signed page as part of application in order for it to be considered as complete. Signature of Property Owner Date Print Name OR Signature pplicant Da-ttee�p,� Print Name; /� f i I I f I I I 1 4 j P +1 101 East Grape Drive,Grapeview,WA Q X Y1 Restaurants OA Hotels (2 Things to do 5 Transit P Parking Pharmacies O ATMs (307) ••• m 302 F k9 3 Mason County YMCACamp,Seymou Cederstrom -Project location: Fire-EMS Vaught ShorelineAWN& 3 KEY CENTER Fair Harbor Marina 101 E Grape Dr a Grapeview,WA 98546 _ _._._._ aunted ForestQ Qa Building ycµ� Grapevie 0 0 O 0 retch Isla Directlone Save Nearby Send to Share phone /M.Ps.tinrball Blaster's parkv Q 101 E Grape Dr,Grapeview,WA 98546 E f s Suggest an edit on 101 E Grape Dr oi. Add a missing place 7:, Key Peninsula 1T+ Add your business Lutheran Church Maple Hale � Label Cederstrom-Project location:Shoreline State Park Hollow P Ireland Fa II Cove to Park JUSTICE L Clearing-L Home Park9 16iett7l:Fisrfy�:.Diy�k..._ -. _ ; + ^+ Home � I c j$ 11700 A. Background Find help answering background questions RECEIVED DEC 11 2023 1. Name of proposed project, if applicable: 615 W. Alder Street Knuth/Cederstrom Bulkhead Replacement/Repair 2. Name of applicant: Shelly Knuth & H. Catherine Cederstrom 3. Address and phone number of applicant and contact person: Shelly Knuth - 81 E Grape Dr, Grapeview WA 98546 360-802-5350 Catherine Cederstrom - 101 E Grape Dr, Grapeview WA 98546 520-825-8879 AGENT: Terri Schultz, Permit Granted LLC 253-377-3713 4. Date checklist prepared: October 25, 2023 5. Agency requesting checklist: Thurston County 6. Proposed timing or schedule(including phasing, if applicable): Project completed under Approved HPA #30812 in February of 2023 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. None anticipated 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No 10. List any government approvals or permits that will be needed for your proposal, if known. WDFW - HPA (Issued on 2.13.23) SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 2 of 15 11. Give a brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) New rock bulkhead constructed on 2 different parcels to replace existing 6' high collapsed bulkheads in same footprint as original bulkheads. Knuth replaced 15 linear ft of 6' high bulkhead, and Cederstrom replaced 50 linear ft of 6' high bulkhead. 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan,vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency,you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. The location of the work was at the shoreline edge of each property. Knuth work was done on the very SE end of the bulkhead. Cedearstrom work was completed on the SW end. SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 3 of 15 B. Environmental Elements 1. Earth Find help answering earth questions a. General description of the site: Both sited are developed with single family residence and residential landscaping. A steep slope is between existing homes and shoreline. Circle or highlight one: Imo, rolling, hilly, , mountainous, other: b. What is the steepest slope on the site (approximate percent slope)? 50% c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them, and note any agricultural land of long-term commercial significance and whether the proposal results in removing any of these soils. Sand & Clay d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No e. Describe the purpose, type,total area, and approximate quantities and total affected area of any filling, excavation, and grading proposed. Indicate source of fill. No filling or excavation proposed in waterbody f. Could erosion occur because of clearing, construction, or use? If so, generally describe. No, none occured g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? No change to impervious surface resulted because of this project. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any. Erosion control measures were implemented during construction and all BMP' s strickly followed. SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 4 of 15 2. Air Find help answering air questions a. What types of emissions to the air would result from the proposal during construction,_operation, and maintenance when the project is completed? If any, generally describe and give approximate quantities if known. None b.Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No c. Proposed measures to reduce or control emissions or other impacts to air, if any. N/A 3. Water Find help answering water questions a. Surface Water: Find help answering surface water questions 1. Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. Marine waters - Puget Sound/Case Inlet 2. Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. Work occured at shoreline edge OHWM. Work was perfromed with excavator from a barge. Old bulkhead was removed and new rock bulkhead was installed. 3. Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. No dregding of filling was done 4. Will the proposal require surface water withdrawals or diversions?Give a general description, purpose, and approximate quantities if known. No 5. Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes, in coastal flood hazard area SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 5 of 15 6. Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No b. Ground Water: Find help answering ground water questions 1. Will groundwater be withdrawn from a well for drinking water or other purposes? If so, give a general description of the well, proposed uses and approximate quantities withdrawn from the well. Will water be discharged to groundwater? Give a general description, purpose, and approximate quantities if known. No 2. Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (domestic sewage; industrial, containing the following chemicals...; agricultural; etc.). Describe the general size of the system,the number of such systems,the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. None c. Water Runoff (including stormwater): a) Describe the source of runoff(including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow?Will this water flow into other waters? If so,describe. Nibe b) Could waste materials enter ground or surface waters? If so,generally describe. No c) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. No d) Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any. N/A SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 6 of 15 4. Plants Find help answering plants questions a. Check the types of vegetation found on the site: ■❑ deciduous tree: alder, maple, aspen, other ■❑ evergreen tree: fir, cedar, pine, other ■❑ shrubs ■❑_grass 0 pasture El crop or grain ❑ orchards, vineyards, or other permanent crops. ❑ wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other ❑ water plants: water lily, eelgrass, milfoil, other ❑ other types of vegetation b. What kind and amount of vegetation will be removed or altered? None c. List threatened and endangered species known to be on or near the site. None known d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any. None e. List all noxious weeds and invasive species known to be on or near the site. Ivy, blackberry, scottsbroom 5. Animals Find help answering animal questions a. List any birds and other animals that have been observed on or near the site or are known to be on or near the site. harbor seal, sea lion, seagull, dahl porpoise, orca Examples include: • Birds i6ftbi$ 4, other: • Mammals: bear, elk, beaver, other: • Fish: bass, t ,trout,hr rms 64", other: b. List any threatened and endangered species known to be on or near the site. None known c. Is the site part of a migration route? If so, explain. No d. Proposed measures to preserve or enhance wildlife, if any. WDFW had no additional requirements e. List any invasive animal species known to be on or near the site. None known SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 7 of 15 6. Energy and Natural Resources Find help answering energy and natural resource questions 1. What kinds of energy(electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. None, gas powered barge and excavator were used 2. Would your project affect the potential use of solar energy by adjacent properties? If so,generally describe. No 3. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any. None 7. Environmental Health Find help with answering environmental health questions a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste,that could occur because of this proposal? If so, describe. 1. Describe any known or possible contamination at the site from present or past uses. None known 2. Describe existing hazardous chemicals/conditions that might affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located within the project area and in the vicinity. None 3. Describe any toxic or hazardous chemicals that might be stored, used, or produced during the project's development or construction, or at any time during the operating life of the project. None 4. Describe special emergency services that might be required. None 5. Proposed measures to reduce or control environmental health hazards, if any. N/A SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 8 of 15 b. Noise 1. What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? None 2. What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis(for example:traffic, construction, operation, other)? Indicate what hours noise would come from the site)? Temporary construction noise lasted for about 4 days 3. Proposed measures to reduce or control noise impacts, if any. All noise ordinances were strictly observed 8. Land and Shoreline Use Find help answering land and shoreline use questions a. What is the current use of the site and adjacent properties? Will the proposal affect current land uses on nearby or adjacent properties? If so, describe. Residential sites b. Has the project site been used as working farmlands or working forest lands? If so, describe. How much agricultural or forest land of long-term commercial significance will be converted to other uses because of the proposal, if any? If resource lands have not been designated, how many acres in farmland or forest land tax status will be converted to nonfarm or nonforest use? No 1. Will the proposal affect or be affected by surrounding working farm or forest land normal business operations, such as oversize equipment access, the application of pesticides, tilling, and harvesting? If so, how? No c. Describe any structures on the site. Each site is improved with a single family dwelling d. Will any structures be demolished? If so, what? Portions of existing bulkheads were demolished and any unusable materials were hauled away and disposed of at off-site waste facility. e. What is the current zoning classification of the site? 18 Residential - Residential Shoreline Designation f. What is the current comprehensive plan designation of the site? SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 9 of 15 Unknown g. If applicable, what is the current shoreline master program designation of the site? Shoreline Residential h. Has any part of the site been classified as a critical area by the city or county? If so, specify. Shoreline, slopes, flood L Approximately how many people would reside or work in the completed project? N/A j. Approximately how many people would the completed project displace? N/A k. Proposed measures to avoid or reduce displacement impacts, if any. N/A I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any. N/A m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term commercial significance, if any. None 9. Housing Find help answering housing questions a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. None b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. None c. Proposed measures to reduce or control housing impacts, if any. N/A SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 10 of 15 10. AesthetiCs Find help answering aesthetics questions a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? 6' high rock bulkhead b. What views in the immediate vicinity would be altered or obstructed? Views would not be affected c. Proposed measures to reduce or control aesthetic impacts, if any. Repaired bulkheds look aesthetically better than the collapsed bulkheads 11. Light and Glare Find help answering light and glare questions a. What type of light or glare will the proposal produce?What time of day would it mainly occur? None b. Could light or glare from the finished project be a safety hazard or interfere with views? No c. What existing off-site sources of light or glare may affect your proposal? None d. Proposed measures to reduce or control light and glare impacts, if any. N/A 12. Recreation Find help answering recreation questions a. What designated and informal recreational opportunities are in the immediate vicinity? Swimming, boating, beachcombing, kayaking, paddleboarding & fishing b. Would the proposed project displace any existing recreational uses? If so, describe. None c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any. None No impacts SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 11 of 15 13. Historic and Cultural Preservation Find help answering historic and cultural preservation questions a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years old listed in or eligible for listing in national, state, or local preservation registers? If so, specifically describe. No b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation? This may include human burials or old cemeteries. Are there any material evidence, artifacts, or areas of cultural importance on or near the site? Please list any professional studies conducted at the site to identify such resources. No c. Describe the methods used to assess the potential impacts to cultural and historic resources on or near the project site. Examples include consultation with tribes and the department of archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc. None d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance to resources. Please include plans for the above and any permits that may be required. Minimum amount of disturbance necessary was created by this project. 14. Transportation Find help with answering transportation questions a. Identify public streets and highways serving the site or affected geographic area and describe proposed access to the existing street system. Show on site plans, if any. None b. Is the site or affected geographic area currently served by public transit? If so, generally describe. If not, what is the approximate distance to the nearest transit stop? No, nearest public transportation is unknown c. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle, or state transportation facilities, not including driveways? If so, generally describe (indicate whether public or private). No d. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No e. How many vehicular trips per day would be generated by the completed project or proposal? If known, indicate when peak volumes would occur and what percentage of the volume would be trucks (such as commercial and nonpassenger vehicles). What data or transportation models were used to make these estimates? None SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 12 of 15 f. Will the proposal interfere with, affect, or be affected by the movement of agricultural and forest products on roads or streets in the area? If so, generally describe. No g. Proposed measures to reduce or control transportation impacts, if any. N/A 5. Public Services Find help answerin_g_public service questions a. Would the project result in an increased need for public services (for example:fire protection, police protection, public transit, health care, schools, other)? If so,generally describe. No b. Proposed measures to reduce or control direct impacts on public services, if any. None 16. Utilities Find help answering utilities questions a. Circle utilities currently available at the site: electricity, natural gas,water, refuse service, telephone, sanitary sewer, septic system, other: b. Describe the utilities that are proposed for the project,the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None were required. C. Signature rind help about who should sign The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. X Type name of signee: Terri Schultz/Agent Position and agency/organization: Principal/Permit Granted LLC Date submitted: October 25, 2023 SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 13 of 15 r--------------------------------------t ♦ taF s'"'B M i AGENCY USE ONLY US Army Corps ; Date received: WAS H I N GTO N STATE of Engineers i t Seattla Dsma t Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form' 2� USE BLACK OR BLUE INK TO ENTER ANSWEf I 11 F TrE'S OW. ; Tax Parcel#(s): i t DEC 11 2023 •------------------------------------- 615 W. Alder Street Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hel Cederstrom Shoreline Exemption for Bulkhead repair Part 2—Applicant The person and/or organization responsible for the project. h( eM 2a. Name (Last, First, Middle) Cederstrom, Harriet, Katherine (Katie) 2b. Organization (If applicable) 2c. Mailing Address (Street or Po Box) 13515 Tom Ryan Way 2d. City, State, Zip Oro Valley, AZ 85755 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail 520-825-8879 253-740-1995 Liz bokabelle2000@yahoo.com (Daughter) plcd007@hotmail.com (Liz) 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. • Not all cities and counties accept the JARPA for their local Shoreline permits.If you need a Shoreline permit,contact the appropriate city or county government to make sure they accept the JARPA. 2To access an online JARPA form with[help]screens,go to http://www.epermitting.wa.gov/site/alias resourcecenter/iarpa iarpa form/9984/iarpa form.aspx. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help(C_oria.wa.gov. ORIA-revised 07/2022 Page 1 of 12 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.) tel 3a. Name (Last, First, Middle) Schultz, Terri 3b. Organization (If applicable) Permit Granted, LLC 3c. Mailing Address (Street or Po Box) 4810 Pt Fosdick Dr NW Suite #156 3d. City, State, Zip Gig Harbor, WA, 98335 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail 253-313-5194 253-377-3713 info@permitgranted.com Part 4-Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. nei Z Same as applicant. (Skip to Part 5.) ❑ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) ❑ There are multiple upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. ❑ Your project is on Department of Natural Resources (DNR)-managed aquatic lands. If you don't know, contact the DNR at (360) 902-1100 to determine aquatic land ownership. If yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) 4b. Organization (If applicable) 4c. Mailing Address (street or Po Box) 4d. City, State, Zip 4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail ORIA-revised 07/2022 Page 2 of 12 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. g ❑ 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.) of elpl Z Private ❑ Federal ❑ Publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal ❑ Department of Natural Resources (DNR) —managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) Lhel 101 E Grapeview Dr 5c. City, State, Zip(if the project is not in a city or town, provide the name of the nearest city or town.) h[ elp] Grapeview, WA, 98546 5d. County LtLeM Mason 5e. Provide the section, township, and range for the project location. heI 1/4 Section Section Township Range 17 21N 1W 5f. Provide the latitude and longitude of the project location. hei • Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees-NAD 83) 47.31594 N lat. / -122.832236 W long. 5g. List the tax parcel number(s)for the project location. [bPjPJ • The local county assessor's office can provide this information. 121085101011 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) Bryan and Lynita Scott 158 Prospect Ave N Seattle, WA 98109 .............._.........................._..._...................................._...............................-.._.................................... ._ 121085101012 George and Deborah Carruth PO Box 508 Grape View WA 98546 _......._..._......_.._.__..._.._._......._._..._..._.___.._........._.._.............._........_....._.._...._._.._..._.___.........._....__.___._._......... . 121085101010 ORIA-revised 07/2022 Page 3 of 12 �L List all wetlands on or adjacent to the project location. nei 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. LneU Puget Sound, Case Inlet 5k. Is any part of the project area within a 100-year floodplain? n[ elpl ® Yes ❑ No ❑ Don't know. ***Coastal Flood Hazard Area 51. Briefly describe the vegetation and habitat conditions on the property. LILeM The property exhibits residential landscaping. The high bank down to the shoreline is covered in ivy & Himalayan blackberry. 5m. Describe how the property is currently used. Ln i Residential 5n. Describe how the adjacent properties are currently used. nei Residential 50. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. h( eM Single Family residence Detached garage 80 linear ft of 6' high rock bulkhead (21' collapsed —total of 50' needed repairing) 5p. Provide driving directions from the closest highway to the project location,and attach a map. nei From Mason County Community Services: Take W Alder to Wa-3 N/E Pine St, Turn L onto Wa-3/E Pine. Continue to follow Wa-3 for 15 miles. Turn R onto E Grapeview Loop. Continue onto E Eckert Rd. Turn R onto E Stretch Island Rd. Continue onto E Grape Drive. Destination will be on the Left. ORIA-revised 0712022 Page 4 of 12 .. /Skq'i Gra eview 101: 8 Rc; 101 East Grape Drive ®27 min t y � 18 miles Home c,> 1oz Grant Lakeb Bay ore 3 MOUNTAIN Flarstlne Islana VIEW ak 615 West Alder Street Agate Longbr Arcadia Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. nei -Work completed under Expedited WDFW-HPA Application 30812 -Replaced 50 linear ft (21 linear ft was collapsed) of 80' long, 6' high rock bulkhead_ 6b. Describe the purpose of the project and why you want or need to perform it. LLLeM A 21 ft long portion of the existing bulkhead collapsed during the December 2022 king tide/storm surge. The bulkhead is needed to protect this property property from shoreline erosion. 6c. Indicate the project category. (Check all that apply) h� pjpj ❑ Commercial ® Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ❑ Environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization ❑ Dam /Weir ❑ Floating Home (upland) ❑ Boat House ❑ Dike / Levee / Jetty ❑ Geotechnical Survey ❑ Road ❑ Boat Launch ❑ Ditch ❑ Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift ❑ Dock/ Pier ❑ Marina / Moorage ❑ Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility ® Bulkhead ❑ Fence ❑ Clutfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ORIA-revised 07/2022 Page 5 of 12 ❑ Other: 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. h[ eM • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. A barge with ramp was brought in. The failed portion of bulkhead was removed from the site and new rock bulkhead constructed using heavy excavation equipment and large granite rock. 6f. What are the anticipated start and end dates for project construction? (Month/Year) nel • 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: Feb 15, 2023 End Date: April 7, 2023 ❑ See DARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. hL eU $50,000 6h. Will any portion of the project receive federal funding? LheU • If yes, list each agency providing funds. ❑ Yes ® 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. hf eU ❑ Not applicable 7b. Will the project impact wetlands? nel ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? h( eM ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? nel • 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? n� 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? [held • 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. ORIA-revised 07/2022 Page 6 of 12 ❑ Yes ❑ No ❑ Don't know 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. h 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. heI Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or 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: 7i. 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. heI 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. hei 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.) [help] ® 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. Lelpi ❑ Not applicable -New bulkhead was constructed slightly landward of existing bulkhead to ensure no beach encroachment. -All debris was removed from the site via barge and disposed of at off-site waste facility -A BMP's & HPA requirements were strictly followed throughout construction ORIA-revised 07/2022 Page 7 of 12 8b. Will your project impact a waterbody or the area around a waterbody? ® Yes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [tgjpJ • 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 ❑ Don't know Impact was temporary 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. hf elpl No net loss of habitat or ecological function. 8e. Summarize impact(s) to each waterbody in the table below. LtLeM Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' location of impact3 (cubic yards) to be linear ft.) of drive, etc.) placed in or removed waterbody from waterbody direct) affected Demolish Puget Sound Collapsed Case Inlet Shoreline Temporary 50 linear feet bulkhead Construct Rock Puget Sound Shoreline Permanent 50 linar feet bulkhead Case Inlet 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. 3Indicate 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. h[ elpl No fill was placed in waterbody 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. heI Fo excavation or dredging was performed in water body 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. heI ORIA-revised 07/2022 Page 8 of 12 Agency Name Contact Name Phone Most Recent Date of Contact WDFW Noll Steinweg 360-628-2173 February 2022 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 of this JARPA on the Washington Department of Ecology's 303(d) List? hf elpl • If Yes, list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: https://ecology.wa.gov/Water- Shorelines/Water-quality/Water-improvement/Assessment-of-state-waters-303d. ❑ Yes ® No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? hel • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. Jones Creek-Frontal Case Inlet (171100190608) 9d. What Water Resource Inventory Area Number (WRIA #) is the project in? hf eM • Go to https://ecology.wa.gov/Water-Shorelines[Water-supply/Water-availability/Watershed-look-up to find the WRIA#. Kennedy - Goldsborough watershed -Water Resource Inventory Area (WRIA) 14. 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? hf eU • Go to https//ecology wa gov/Water-Shorelines/Water-quality/Freshwater/Surface-water-quality-standards/Criteria for the standards. ❑ Yes ❑ No ® Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? heI • If you don't know, contact the local planning department. • For more information, go to: https//ecology wa gov/Water-Shorelines/Shoreline-coastal-management/Shoreline-coastal- planning/Shoreline-laws-rules-and-cases. ❑ Urban ❑ Natural ® Aquatic ❑ Conservancy ® Other: Residential 9g. What is the Washington Department of Natural Resources Water Type? hel • Go to http://www.dnr.wa.gov/forest-practices-water-typing for the Forest Practices Water Typing System. 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? h[ eM • If No, provide the name of the manual your project is designed to meet. ® Yes ❑ No Name of manual: 9i. Does the project site have known contaminated sediment? [qgjPJ • If Yes, please describe below. ORIA-revised 07/2022 Page 9 of 12 ❑ Yes ® No 9j. If you know what the property was used for in the past, describe below. hel Residential since prior to 1980's 9k. Has a cultural resource (archaeological) survey been performed on the project area? hf eM • If Yes, attach it to your DARPA package. ❑ Yes ® No 91. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. h( em None were affected Puget Sound Chinook Salmon (Oncorhynchus tshawytscha), Puget Sound Steelhead Trout (Oncorhynchus mykiss), Puget Sound Coho Salmon (Oncorhynchus kisutch), Killer Whale (Orcinus orca), Bull trout (Salvelinus confluentus), Marbled murrelet (Brachyramphus marmoratus), and Leatherback sea turtle (Dermochelys coriacea). 9m. 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. LheM None were affected Part 10—SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at http://apps.oria.wa.gov/opas/. • Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or help(@-oria.wa.gov. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (check all that apply.) hf elpl • For more information about SEPA,go to https://ecology.wa.ciov/regulations-permits/SEPA-environmental-review. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ® A SEPA determination is pending with Thurston County (lead agency). The expected decision date is ❑ I am applying for a Fish Habitat Enhancement Exemption. (check the box below in 1Ob.) hel ❑ This project is exempt (choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ORIA-revised 07/2022 Page 10 of 12 ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) nel LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance ® Shoreline Exemption Type (explain): WAC 173-27-040 (2) b Maintenance/Repair of existing structure Other City/County permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: EXPEDITED HPA ISSUED 30812 ® Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption —Attach Exemption Form Washington Department of Natural Resources: ❑ Aquatic Use Authorization Complete JARPA Attachment E and submit a check for$25 payable to the Washington Department of Natural Resources. Do not send cash. Washington Department of Ecology: ❑ Section 401 Water Quality Certification ❑ Authorization to impact waters of the state, including wetlands (Check this box if the proposed impacts are to waters not subject to the federal Clean Water Act FEDERAL AND TRIBAL GOVERNMENT United States Department of the Army (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coast Guard: For projects or bridges over waters of the United States, contact the U.S. Coast Guard at: ❑ Bridge Permit: D13-SMB-Dl3-BRIDGES@uscg.mil ❑ Private Aids to Navigation (or other non-bridge permits): D13-SMB-D13-PATON@uscg.mil United States Environmental Protection Agency: ❑ Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do not have treatment as a state (TAS) Tribal Permits: (Check with the tribe to see if there are other tribal permits, e.g., Tribal Environmental Protection Act, Shoreline Permits, Hydraulic Project Permits,or other in addition to CWA Section 401 WQC) ❑ Section 401 Water Quality Certification (discharges into waters of the U.S.) where the tribe has treatment as a state (TAS). ORIA-revised 07/2022 Page 11 of 12 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos,etc. L_l 11a.Applicant Signature(required) L_-] I certify that to the best of my knowledge and belief,the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby authorize the agent named in Part 3 of this application to act on my behalf in matters related to this application. \-,C (initial) By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the permitting agencies enterin�q the property where the project is located to inspect the project site or any work related to the project. ��!-L (initial) Applicant Printed Name Applicant Signature Date 11 b.Authorized Agent Signature nele] 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. Authorized Agent Name Authorized Age nature Date 11c. Property Owner Signature(if not applicant) Not required if project is on existing rights-of-way or easements(provide copy of easement with JARPA). 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. Property Owner Printed Name Property Owner Signature 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 Governors Office for Regulatory Innovation and Assistance(ORIA)at(800) 917-0043. People with hearing loss can call 711 for Washington Relay Service.People with a speech disability can call(877)833- 6341. ORIA 2ublication number: ORIA-16-011 rev.09/2018 ORIA- iced 07r2022 Page 14 of 14 ...-