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HomeMy WebLinkAboutSHX2024-00045 JARPA Bulkhead Repair - SHX Application - 10/30/2024 ----------RECEIVED ,—— 0 SeA y C,- Date receh-td- OCT 3 0 2024 WASHINGTON STATE Joint Aquatic Resources Permit 615 W.Alder Street ,2 luv —1 Application (DARPA} Form j� e� enc refer 1enc 1-Dw+5 USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. TaX Parcell#(s): L--------------------------- --- 7 , Part 1-Project Identification 1. Project Name (A name for your project that you Create,Examples,Smith's Dock or Seabrook Lane Development) 'Lhelp] II r- Part 2-Applicant The person anchor organization responsible for the project, rtleiR) 1 2a. Name(Last. First,Middle) 6+ 2b. Organization(if appticab;e) 2c. Mailing Address (street ar Po f3ox) 2d, City, State, Zip wk 1 F,50,(5 P hone(i)----- -Phone---,1-2i 2g. Fax 2h. E-mail 36o-3f 7-lo 9 ....... (V-Swm; cow 'Additional forms may De reqwed,for the following permits: • If your pwjoct rilay qualify for&hpartmeril of the Arrny authorvat�on thiougii a Ragiorthi G"nefai Peaut IRGP),contad the US.Am j Garps.of Engineers for application information(206)764-3495, • t4ot all cities and counties accept ttle DARPA fur the o-,a Shoreline permits.if youneed a shoreline per-nit,contact the appi-whate,city or coilinty government to make sure they Pccep(the 'ARPA 21-o accc;s­an onhrie JARFIA form wan flttefpl scv<.-ens,g�)'�o htip:!Iw vw.epermittina.wa.aov;site.! ­ iarva qrrn.aspx. -rother help.contact the Govwrwes Office f„. i::,.xgulatory fnricrvatiori ar.d ,0'r,'IA-revised 021020 o 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.) "ei ......................... ......................... 3a. Name (Last, First,Middle) 3b. Organization (if applicable) 3c. Mailing Address (Street or PO Box) 1 3d. City, State, Zip 3e. Phone(1) 3f. Phone(2,) 3g. Fax 3h. E-mail ............ ------------ Part 4-Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. Consider bath upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. ULeip t9same as applicant. (Skip to Part 5.) 0 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 DARPA 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.DARPA Attachment E to apply for the Aquatic Use Authorization, 4a. Name (Last, First,Middle) 4b. Organization (If applicable) 4c. Mailing Address(Street of PO Box) 4d. City, State. Zip -----T4g—.—Fax— 4h, E-mail 4e. Phone(1) f. Phone l2i ORIA-revised 0212020 Page 2 of 14 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. (LGIP J L1 There are multiple project locations (e,g, linear projects). Complete the section below and use DARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [hei IX Private 0 Federal 0 Publicly owned (state.county,city.special districts like schools, ports,etc,) 0 Tribal 0 Department of Natural Resources (DNR) —managed aquatic lands (Complete DARPA Attachment E) 1 5b. Street AddreSS (Cannot be a PO Box,If there is no address,provide other location.information in 5p.) [belb lu. os 14� kw-+ to 5c. City, State, Zip(if the project iti nut in a*city ar tawn,provide the name of the nearest city or town.) [h2t_pJ _qp 5d. County ftc--Ipj 5e. Provide the section, township, and range for the project location, Le-ipj Range 1/4 Section hi Section Towns p 2)W 5f. Provide the latitude and longitude of the project location. [b uil Example',47,03922 N !at 1-122-89142 W long.(Use decimal degrees-NAG 83) 5g. List the tax parcel number(s)for the project location. The local county assessor's offiGe can provide,this information. 0 0 0 3 — as► _- �b - l,�lof��j 5h. Contact information for all adjoining property owners. (If you need more space,use DARPA Attachment N(Pi Name Mailing Address Tax Parcel #(if known) KAvtA —50—Wf 00 PO 15 CA 741 ................... ............. .......3702 L i^ccA4t Cos et NE i4zZi so- o o 002- 'Re ORIA-mvis*d 02/2020 Page 3 of 1,2 5i. List all wetlands on or adjacent to the project location.LgI21 -- 5J. List all waterbodies (ether than wetlands) on or adjacent to the project location. i[ 5k. is any part of the project area within a 100-year floodpl in? "ei 0 Yes 0 No J&Don't know 51. Briefly describe the vegetation and habitat conditions on the property. het ���s'�^5 c o n�Y�,�L—o�ec� q-h cQ �X�'S-��� Co n�r�fi� b u�k�►c q-cp �_._ t I 5m. Describe hove the property is currently used. Ltgid 5 F 1Z_ E t t E 5n. Describe how the adjacent properties are currently used. No S F fZ 50. Describe the structures to jove and below ground) on the proper;, including their purpose(s) and current.____ condition. [tgipj S 5p. Provide driving directions from the closest highway to the project location, and attach a map.. "ei._. 1 "4w�rj )0I +o 2 3 8 3 a A/. US Ow y 10 /; RIA-rovised 02/2020 Page 4 6f 14 Part 6—Project Description j 6a. Briefly summarize the overall project. You can provide more detail in 6b. Le f evvc-t- +e- 6,1Klec,kyrya,r © f exis KJ tetA -fo CO G✓e-+e-, colt c v.L i"e of e Cad r'►'►Avi To.r l A we- U e r b CA-1 ?&ci 4o s+a�'� -ze w� rl n,�vP�vnac'�. [tee 94'ruc�u at hS525'5 ne'-+ by E ��'_ -1 role C-,n Itne_e,rir�._�1a�e�.._...0C*O��r oZ�,.2"0 1-4- R���r....C'n�►c �6b. Describe the purpose of the project and why you want or need to perform it, LpM 6 t r� 4 a^ V �' �)tl5�n1 ic j�� ✓1 G�SSs}r ✓d }�c+ s ing�� ✓�� V� S r�Qt�c� . i i I i i 6c. Indicate the project category. ;Cheek all that apply) tt M �D Commercial U-Residential -�0Institutiona# � :�.' Transportation � � Recreational j ❑ Maintenance ❑ Environmental Enhancement 6d. Indicate the major elements of your project. ,check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization I 0 Dam/Weir ❑ Floating Home f (upland) ❑ Boat House ❑ Dike/ Levee C Jetty ❑ Ueotechnical Survey ❑ Road ❑ Boat Launch ❑ Ditch ❑ Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift ❑ Dock f Pier ❑ Marina I Moorage p Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility 0 Bulkhead rc Fair ❑ Fence 1 ❑ outfall Structure� ure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway , ❑ Raft lA other: Sl-AsiN'z4 -bn Ode�-�s � fe4yv4 r e4 I ORIA-rwksad 0212020 Page 5 Of 14 6e. Describe how you plan to construct each project element checked to 6d. Include Specific construction methods and equipment to be used. [help Identify whefe each efernent will occur in felatian to the nearest waterbody. s Indicate whi,:�i ac 6viWs are,m'ihin the I QO-year floodpiain, ins ��ll n w cc►icycJC JegdmA-n or, kAiKkeAJ 4qc�e. AJ -fvr bul�kheaj earn@r eer e,+,,, �,i�( Assessmen-r!- �y �rtv,►-afcs(n I � i�, �.1,��i.► � Y`e a,r ,re rk c e- e-xisfa�"� �d 'a AS nee-dU- 6f. What are the anticipated stark and end dates for project construction? (Month,/Year) ei • If the project wilt be constructed in phases or Mayes., use JARPA,Attachment Q to list the start and end dates of each phase or stage. Start Date. End Date; ❑ See.DARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. l0,000.00 6h.Will and portion of the project receive federal funding' hel I +� If yes,list each agency providing funds. D Yes fl.No D Don`t know Part 7—Wet#ands: Impacts and Mitigation ❑ Check here if there are wetlands or wetland buffers on or adjacent to the project area.. (if there are none, skin to Part 8.)t,!1Ui j 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [h, !PJ O-Not applicable i 7b. Will the project impact wetlands? hel J D Yes 49 No D Don't know 7c.Will the project impact wetland buffers? Lqqk.4 ❑ Yes 0 No ❑ Don't know .T.T_.._._...____....._.� .,,_...._�__....._.�, _.�..�-.._ ..._..�...__._..3 ORIA-nvis d 0212020 Page 6 of 14 i 7d. Has a wetland delineation report been prepared? beip It Yes.submit the report,including data sheets,with the JARPA package. ----------------- 0 Yes MNo 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? L &] • if Yes.submit the wetland rating forms and figures with the►JARPA package, 0 Yes a-No 0 Don*t know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts fo wetlands? "w & It 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.. 0 Yes MNo 0 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. "ej 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. fheip] Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact' mitigation mitigation area flood, etc.) rating ft. or type4 (sq. ft. or cats goal Acres i acres) ........... I f o official—nary=efor-the-ti-v-e 11—1a i i—de—)a s—ts,create a u n dire name(s L r,h as'W et I a i i d I The name should be consistent%vith other project dccurnw"n-is,--] such as a wetland delineation report 2 Ecology wetland category based on current Western Alashtngton or Eastern Washington Wetiand Rating system Provide the wetland rating forms with the JARPA package, Indicate the days,months or years the wetland will be rneasurably impacted by the activity.Enter 'permanent"if applicable 4 CLeAtigg C .Re-establishment,Rehabilitation R),Enhancement(E),Preservation K Mitigation BanWln-lieu fee(6) Page number(s)for similar information in the mitigation plan, if available: ORt"visod 02*020 Page 7 of 14 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. Leip J......... 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. [ham 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.) lheip] 51 Check here if there are waterbodiles 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 el 0 Not applicable W 0 1AtJvVArrJ coy1cvc-tt, ldukkml 8b.Will your project impact a waterbody or the area around a waterbody? R)gAl 0 Yes No ORIA-revised 02 2020 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? Lej2] * If Yes.submit the plan with.the DARPA package and at}sorer 8d. * If NG, or Not applicable,explain nPlow why a mitigation plan should no,be required, 0 Yes PMo 0 Don't know 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 7gyou do not need to restate your answer here, [tq1pJ iv --J 8e. Summarize impact(s)to each waterbody in the table below. LwA Activity (clear, Waterbody Impact Duration Amount of material 7 Areas ft. or 1 2 dredge, fill, pile name, I location of impact3 (cubic yards) to be j linear ft.) Of drive, etc.) placed in or removed waterbody from waterbody directly affected .......... .... ...................... If no official name for the waterbody exists,create a Unique name;such as'Stream I')The name should tx consistent with other documents provided Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate�Ntiether the impact wit[occur within the If 00-year f,',00d plain, 31adicate the days,months or years the waterbody vAll be measurably impacted by the ivork Entef"permanent 4applicable 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. [Ltaipj CURIA-nivis"02,2020 Page 9 of 14 1 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. Lelp J 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. tbP1RJ ---------- T Agency Natrte Contact Name Phone Most Recent Date of Contact 9b. Are any of the wetlands or waterbodies identified in Part Part 8 of this JARPA on the Washington Department, of Ecology's 303(d) List? If Yes,list the pararneterfs)below. • If you don't know, use Washing ton DeparUnent of Ec*ioqy's Water Quality Assessment tools at: hM)s JqColOaV.wa.qgV ShorelinesANater-atiatitv,,Watc-r-irnprovenient/Assessment-of-state-waters-303d. 17 Yes 0 No ............ kooA PAMpA 9C.What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? Lhet PJ Go to h!tp./!cfDUb.eDa.gov;surfAoc:atefindex.efrr-.to help identify the HUG. 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? Eel • Go to ity/Watershe -go :mop to find the WRIA ORIA-revised 0212020 Page 10 of 14 9e.Will the in-water construction work comply with the State of Washington water quality standards for turbidity? hqlpj 0 Go to for tha standards, 0 Yes 0 No W Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? heip j 0 If you don't know,contact the!oral planning department. For more information,go to: n Shoe i s me t! r 1 ne-wa tai ip-nniticifShoreline-lay.,s-.ruies-aniJ-vases, S-Urban 0 Natural 0 Aquatic 0 Conservancy 0 Other: 9g. What is the Washington Department of Natural Resources Water Type? Lgpj Go to for the Forest Practices Water Typing System. htt �ilwww,.dnr.wa.aov.�forest-Dractices-watef-tvDina 11 Shoreline 0 Fish 171 Non-Fish Perennial 0 Non-Fish Seasonal ..............­.......... ........ ........... 9h.Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? [Les4j It No.provide the name of the manual your project is designed to meet. Yes 0 No Name of manual: 9L Does the project site have known contaminated sediment? b,e2l It Yes,please describe below. 0 Yes CgNo 9j. If you know what the property was used for in the past, describe below. "ej 9k. Has a cultural resource (archaeological) survey been performed on the project area? D2et � tf Yes,attach it to your DARPA package. 0 Yes 4XNo ORIA-revised OW2020 Page 1 I of 14 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. Lf 9i a pf7 oil ----------- ------ I 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. 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/opast, • Governor's Office for Regulatory Innovation and Assistance at (800)917-0043 or heIPCd)-orJa,wgq0v. • For a list of addresses to send your DARPA to, click on agency addresses for completed ,DARPA. 11 Oa. Compliance with the State Environmental Policy Act (SEPA). (check aii that apply.) Lhet • For more information about SEPA,go to ht1ps:1Jqcoloc1v.wa.q oviregulations- TnitsiSEPA-erivircimgntql-�qview. p 0 A copy of the SEPA determination or letter of exemption is included with this application, 0 A SEPA determination is pending with (lead agency), The expected decision date is 0 1 am applying for a Fish Habitat Enhancement Exemption. (check the box below in 1 Ob.)[L 0 This project is exempt (choose type of exemption below). 0 Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? El Other: 0 SEPA is pre-empted by federal law. ORIA-revised 02/2020 Page 12 of 14 l 10b. Indicate the permits you are applying for, (Check al4 that app:y ) ` ] LCtCAL GtVERN[NEN t Local Government Shoreline permits: f ❑ Substantial Development ❑ Conditional Use ❑ Variance 1 ❑ Shoreline Exemption Type (explain): Other City/County permits: b-Floodplain Development Permit ❑ Critical Areas Ordinance I STATE GOVERNMENT Washington Department of Fish and Wildlife: l E j 0 Hydraulic Project Approval (HPA) Q Fish Habitat Enhancement Exemption --Attach Exemption Form i 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. i Washington Department of Ecology: ❑ Section 401 Water Quality Certification ❑ Non-Federally Regulated Waters . ... . ............. FEDERAL AND TRIBAL GOVERNMENT E 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: dl3-of-dl3bridges@uscg.mil ❑ Bridge Permit ❑ Private Aids to Navigation (or other non-bridge permits) United States Environmental Protection Agency: i ❑ Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do 1 not have treatment as a state (TAS) Tribal Permits:(Check with the tribe to see it 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 OV2020 Page 13 of 14 Part 11-Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. "el 1 la. Applicant Signature (required) ftipj 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. (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 ente ' �e property where the project is located to inspect the project site or any work related to the project. (initial) A-, cQ PL 6 0 Applicant Printed Name V PDpApDlicant signature Date Date 11b. Authorized Agent Signature tbextl 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 Printed Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant) "ei 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. Ifyou require this document in another format,contact the Governor's 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 publication number. ORIA-1 6-011 rev.09/2018 OPM-revised 0212020 Page 14 of 14