HomeMy WebLinkAboutJARPA- Juvenile Steelhead Monitoring - SHX Application - 3/2/2007 AGENCY USE ONLY
Agency Reference* Date Received:
Circulated by: (local govt_or
agency)
Project Tracking
Number.
JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM(JARPA)
(for use in Washington State)
Application for a Fish Habitat Enhancement Project per requirements of RCW 77.55.290. You must submit a copy of this completed
JARPA application form and the(Fish Habitat Enhancement JARPA Addition)to your local Government Planning Department and
Washington Department of Fish&Wildlife Area Habitat Biologist on the same day.
NOTE: LOCAL GOVERNMENTS—You must submit any comments on these projects to WDFW within 15 working days.
Based on the instructions provided, 1 am sending copies of this application to the following: (check all that apply)
ff]Local Government for shoreline:naubstartiat Development [ ondiuonai Case Flyariance Exemption []Revision
nFloodplain Management aritical Areas Ordinance
FlWashington Department of Fish and Wildlife for HPA(Submit 3 copies to WDFW Region)
Washington Department of Ecology _V Lr Qom,i `, w:(to Regional Office-Federal Permit Unit)
Washington Department of Natural Resources for Aquatic Resources 'Us-p-A .t1,>ri at cr,
orps of Engineers for. [lSec}ton 404 cf c a iT
Coast Guard for. [�_ _ _,__� .__ (for non-budge projects)
�or Department of Transportation projects only: This project will be designed to meet conditions of the most current
Ecology/Department of Transportation Water Quality Implementing Agreement
PROJECT TITLE:
ttood Canal Steelhead Supplementation Project:Juvenile Monitoring
PROJECT DESCRIPTION: Quantify the number of out-migrating steelhead smotts and juvenile salmonids to monitor and evaluate the
eftcts of the supplementation project.
SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all
permit applications.
1.APPUCANT
ifiOAA Fisheries(NOAA)Skokomish River
Canal Salmon Enhancement Group(HCSEG)Dewatto and Tahuya Rivers
, Live the Kings(LLTK)Duckabush River
Ikokomish Tribe(ST)Skokomish River
MAILING ADDRESS
NOAA: 7305 Beach Dr_E, Port Orchard, 98366
HCSEG: PO Box 2169, Belfair,WA 98528
LLTK 1326 5"'Ave Ste 450, Seattle,WA 98101
ST: North 541 Tribal Rd,Shelton,WA 98584
1 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
NOAA:360-871- NOAA: megan.petrie@_noaa.gov HCSEG: 360-275-0221 HCSEG: 360-275-0648
8315 HCSEG:#eresaAi csea.oro
HCSEG 360-275- LLTK: ' `t'•. _
urn 4,, n-rs
9722 ST-jwolf@skokomish.org
LLTK:206-382-
9555
ST: 360-877-5213
if an agent is acting for the applicant during the permit process,complete#2. Be sure agent signs Section C(Signature Block)for
permit applications
2.AUTHORIZED AGENT
MAILING ADDRESS
WORK PHONE E-MAIL ADDRESS HOME PHONE FAX#
3_ Relationship of applicant to property: []OWNER E]PURCHASER E]LESSEE 0—
4_ Name,address and phone number of property owner(s)if other than applicant:
HCSEG: Dewatto River- Manke Timber Company Inc, 826 Fairmount Ave, Shelton,WA 98584-3229, 360-426-5536
ier.1.5.20061004.0930 1
Tahuya River- Sharon Martin, 1471 NE Tahuya River Rd,Tahuya,WA, 98588, 360-275-3851
LLTK.Duckabush River- Patty Olson, 14034 3e St. NE, Seattle,WA, 98125,206-367-0423
NOAA and ST: Charles Toal, 5040 W. Skokomish Valley Rd,#150, Shelton,WA, 98584
5. Location(street address, including city, county and zip code,where proposed activity exists or will occur)
Dewatto: Tahuya, Mason County(no street address)
Tahuya: 1471 NE Tahuya River Rd,Tahuya,98588, Mason County
Skokomish: 5040 W. Skokomish Valley Rd,#150, Shelton,WA,98584
Duckabush: Brinnon, Jefferson County, 98368(no street address)
Local government with jurisdiction(city or county)
i Dewatto,Tahuya and Skokomish Rivers-Mason County
Duckabush River-Jefferson County
Waterbody you are working in Tributary of WRIA# 15.0420(Dewatto)
Demtto, Tahuya,Skokomish and 15.0446(Tahuya)
Duckabush Rivers 16.3361
(Skokomish)
16.2285
(Duckabush)
i
Is this waterbody on the 303(d)List' FA YES. rX NO
If YES,what parameter(s)?The Skokomish River is listed for Dewatto: Conservancy
fecal cofrforms. Shoreline designation Tahuya: Urban Residential
Skokomish: Reservation
Duckabush:Conservancy
'For 303d List Dewatto:
Zoning designation
__ !— .=-,cv/prot�ramsiwcl3;ivdiindcx.nir,i Tahuya:
Skokomish:
Duckabush:
:Section Section Township Range Government Lot Dewatto: S
DNR stream type if known Tahuya: S
Skokomish: S
Duckabush: S
Dewatto: N 47 27.254' Tax Parcel Number Dewatto: 323274200000
W 123 02.744' Tahuya: 322123400030
Tahuya: N 47 24.409' Skokomish: 521123100260
Latitude and Longitude: W 123 00.328' Duckabush: 502074022
Skokomish: N til°I`t.'3b2'
W 123`' IS",(P31'
Duckabush: N 47 39.999'
W 122 58.486'
6. Describe(a)the current use of the property, (b)structures existing on the property, and(c)existing environmental conditions.
Have you completed any portion of the proposed activity on this property? []YES �X. NO
For any portion of the proposed activity already completed on this property, indicate month and year of completion.
Dewatto:
a)forest land
b)no existing structures
c)natural environmental conditions
Tahuya:
a)residential
b)house,shed,woodshed
c)natural environmental conditions
Skokomish:
a)residential
b)single family home, abandoned house, storage building
c)natural environmental conditions
Duckabush.-
a)residential and forest land
ver.1.5.20061004.0930 2
b)single family home
c)natural environmental conditions
Is the property agricultural land? ['YES X�. VO Are you a USDA program participant? []YES ]NO
7a. Describe the proposed work that needs aquatic permits: Complete plans and specifications should be provided for all work
waterward of the ordinary high water mark or line, including types of equipment to be used. If applying for a shoreline permit,
describe all work within and beyond 200 feet of the ordinary high water mark If you have provided attached materials to describe
your project,you still must summarize the proposed work here. Attach a separate sheet if additional space is needed.
Temporary screw traps will be installed into the rivers to enumerate the number of migrating salmonid juveniles. Traps will be installed
on a seasonal basis for this multi-year project,to be completed in 2022.
1. Fish traps will be assembled and installed primarily by hand labor and tools. On-shore mobile cranes may be employed to set
floating traps or their components into streams.
a) Streambed and banks will not be altered as a result of these projects. Traps will be installed, operated and removed with
a minimum of disturbance to adjacent riparian area. Screw traps will be anchored to the shore with cable running from
winches on the traps to substantial existing structures, anchor pins or"ecology blocks".
b) If gravel or sand bags are needed for trap reinforcement, material will be clean and imported to site and completely
removed upon project completion.
c) Traps will be monitored and maintained daily to prevent undue stress, injury, or migration delays to both upstream and
downstream migrating adult and juvenile fish, and to insure proper, safe operation of trapping gear and to minimize any
possible disturbance to the adjacent landscape.
d) All fish will be handled carefully and safely released downstream of the trap.
e) The project sites will be restored to pre-existing natural conditions and configuration upon trap removal. Trapping gear
and materials may be stored nearby the trapping area, but away from the stream, dependent on site specific conditions
and agreement with landowners.
f) All monitoring,sampling and enumeration techniques shall be in accordance with established protocols developed by
WDFW's Fish Program, and all data and findings shall be available to the Science Division, in Olympia.
PREPARATION OF DRAWINGS: See sample drawings and guidance for completing the drawings. ONE SET OF ORIGINAL OR
GOOD QUALITY REPRODUCIBLE DRAWINGS MUST BE ATTACHED. NOTE: Applicants are encouraged to submit photographs
of the project site, but these DO NOT substitute for drawings. THE CORPS OF ENGINEERS AND COAST GUARD REQUIRE
DRAWINGS ON 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAYBE REQUIRED BY OTHER AGENCIES.
7b_ Describe the purpose of the proposed work and why you want or need to perform it at the site. Please explain any specific needs
that have influenced the design.
The Hood Canal Steelhead Supplementation Project aims to restore indigenous steelhead runs to the Skokomish River, Dewatto River,
and Duckabush River. Supplementation of the wild population with native stocks of juvenile and adult fish has been proven as a viable
option for augmenting small populations in a conservation context. A vital part of determining its effectiveness involves monitoring
baseline,treatment, and post-treatment smolt abundance. Rotary Screw traps are a non-invasive, low environmental impact method to
capture juvenile salmonids.
For successful operation,the trap location must have>2'water depth with a current of 0.8-2.0 meters/sec; It should be situated at the
bottom of a riffle, in a pool that is not subject to eddy currents. Other requirements include shoreline structure(trees etc)to anchor the
trap in place, a safe spot alongside the deployment location so that the trap can be removed from the river during high stream flow
events, and close proximity to the roadway for installation purposes. The trap should be located as near to the mouth as possible to
account for all smolt production.
The proposed work is for research and management purposes and encompasses:juvenile fish composition, population and
production measurements, evaluation of fish passage improvements, evaluation of habitat modifications, as well as monitoring and
evaluating supplementation efforts.
7c. Describe the potential impacts to characteristic uses of the water body. These uses may include fish and aquatic life,water
quality,water supply, recreation and aesthetics. Identify proposed actions to avoid,minimize, and mitigate detrimental impacts
and provide proper protection of fish and aquatic life. Identify which guidance documents you have used. Attach a separate
sheet if additional space is needed.
WDFW protocols will be implemented and WDFW will be available to offer on-going guidance.
a) Fish:There will be no adverse impacts on adult salmonids as a result of the screw trap, and mortality is typically less than 1%for
juvenile salmonids. Protocols fortrap operation include mortality minimization procedures such as 1)removing the trap from fishing
operations in high stream flow events, 2)monitoring the trap consistently throughout operation for debris and functionality, and 3)
minimal handling of the entrained fish.
b) Aquatic life: No impact.
c) Water Quality: No impact
ver.1.5.20061004.0930 3
d) Water Supply: No impact.
e) Recreational(Kayak, rafts, etc.):The trap will be situated in the stream, so will affect recreational users. Effects would be minimized
by 1)positioning the structure close to the bank,2)installing appropriate signs upstream that would indicate the presence of water
hazards,and would describe the location of the trap,and 3)installation of a buoy line that will warn and divert recreationalists_ Signs
will also be posted on the trap itself.
f) Aesthetics: No significant impact The trap will be situated in the stream with permission of landowners, and thus will after the
aesthetics only at the discretion of those who will view it. The traps will not be visible from any county or state highways.
7d. For in water construction work,will your project be in compliance with the State of Washington water quality standards for
turbidity WAC 173.201A-110? YES []NO (See USEFUL DEFINITIONS AND INSTRUCTIONS)
8. Will the project be constructed in stages? X❑ YES ❑ NO
Proposed starting date: March 2007
Estimated duration of activity: March-June, 2007
January-June,2008-2022
9. Check if any temporary or permanent structures will be placed:
❑X Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR
❑ Waterward of the mean higher high water for tidal waters?
10. Will fill material(rock,fill, bulkhead,or other material)be placed: No.
❑Waterward of the ordinary high water mark or line for fresh waters?
If YES, VOLUME(cubic yards) /AREA (acres)
❑ Waterward of the mean higher high water for tidal waters?
If YES, VOLUME(cubic yards) /AREA (acres)
11. Will material be placed in wetlands? ❑YES n NO
If YES:
A. Impacted area in acres:
B. Has a delineation been completed? If YES, please submit with application. ❑YES ❑X. NO
C. Has a wetland report been prepared? If YES, please submit with application ❑YES F_X]NO
D. Type and composition of fill material(e.g., sand, etc.)
E. Material source:
F. List all soil series(type of soil)located at the project site, and indicate if they are on the county's list of hydric soils. Soils
information can be obtained from the natural Resources Conservation Service(NRCS).
G.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? DYES Fx-lNO
If YES, IMPACTED AREA IS ACRES OF DRAINED WETLANDS.
NOTE: If your project will impact greater than 1/10 of an acre of wetland, submit a mitigation plan to the Corps and Ecology for approval al
NOTE:A 401 water quality certification will be required from Ecology in addition to an approved mitigation plan if your project impacts wetl
or b)tidal wetlands or wetlands adjacent to tidal water. Please submit the JARPA form and mitigation plan to Ecology for an indivi
12. Stormwater Compliance for Nationwide Permits Only: This project is(or will be)designed to meet ecology's most current
stormwater manual, or an Ecology approved local stormwater manual. []YES []NO
If YES—Which manual will your project be designed to meet
If NO—For clean water act Section 401 and 404 permits only—Please submit to Ecology for approval, along with this JARPA
application, documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality
standards,WAG 173.201 A
13_ Will excavation or dredging be required in water or wetlands? ❑YES ❑X, NO
If YES:
A. Volume: (cubic yards) /area (acre)
B. Composition of material to be removed:
C. Disposal site for excavated material:
D. Method of dredging:
14. Has the State Environmental Policy Act(SEPA)been completed TIYES ONO
SEPA Lead Agency: Mason County
SEPA Decision: DNS, MDNS, EIS,Adoption, Exemption Decision Date(end of comment period)
OI?icc of itct_ghgton i% is€:1 ,:1 71-,TARPA ver.1.5.20061004.0930 4
Submitted 1126/07
SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION
15. List other Applications, approvals or certifications from other federal, state or local agencies for any structures, construction
discharges or other activities described in the application(i.e. preliminary plat approval, health district approval, building permit,
SEPA review,federal energy regulatory commission license(FERC), Forest practices application, etc.). Also, indicate whether
work has been completed and indicate all existing work on drawings. NOTE: For use with Corps Nationwide Permits, identify
whether your project has or will need an NPDES permit for discharging wastewater and/or stormwater.
TYPE OF APPROVAL ISSUING AGENCY IDENTIFICA DATE OF DATE COMPLET
TION NO. APPLICATION APPROVED ED?
16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described
herein?
[]YES QNO
If YES, explain:
SECTION B-Use for Shoreline and Corps of Engineers permits only:
G 17a. Total cost of project. This means the fair market value of the project, including materials, labor, machine rentals, etc.
r,
17b. If a project or any portion of a project receives funding from a federal agency,that agency is responsible for ESA consultation.
Please indicate if you will receive federal funds and what federal agency is providing those funds. See instructions for
11 information on ESA*
i
FEDERAL FUNDING []YES []NO If YES, please list the federal agency.
Mason County(Dewatto,Tahuya, Skokomish)
18. Local government with jurisdiction: �efferson County(Duckabush)
19. For Corps, Coast Guard and DNR permits, provide names, addresses and telephone numbers of adjoining property owners,
lessees, etc. Please note: Shoreline Management Compliance may require additional notice—consult your local government.
NAME ADDRESS PHONE NUMBER
SECTION C-This section MUST be completed for any permit covered by this application
20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the
information contained in this application,and that to the best of my knowledge and belief, such information is true, complete,
and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to
which this application is made,the right to enter the above-described location to inspect the proposed, in-progress or completed
work. I agree to start work ONLY after all necessary permits have been received.
DATE
SIGNATURE OF APPLICANT
DATE
SIGNATURE OF AUTHORIZED AGENT
ver.1.5.20061004.0930 5
I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR
PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT,
SIGNATURE OF APPLICANT DATE
SIGNATURE OF LANDOWNER (EXCEPT PUBLIC ENTITY LANDOWNERS, E.G. DNR)
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.S.0§1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies, conceals, or covers up by any trick, scheme, or device a material fact or makes any false, fictitious, or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or
entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both.
COMPLETED BY
A. Nature of the existing shoreline. (Describe type of shoreline, such as marine, stream, lake, lagoon, marsh, bog, swamp, flood
plain,floodway, delta;type of beach, such as accretion, erosion, high bank, low bank, or dike; material such as sand, gravel, mud, clay,
rock, riprap; and extent and type of bulkheading, if any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units, existing and potential,that will have an obstructed view:
C. If the application involves a conditional use or variance, set forth in full that portion of the master program which provides that the
,;proposed use may be a conditional use, or, in the case of a variance, from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs, please contact the appropriate agency in the instructions
:stiice��t 1.e�ulaiari A,,,—istance FE YrWA ver.1.5.20061004.0930 6
Feb. 1. 2007 2; 18PM TRAUTMAN MAHER & ASSOC. No. 3881 P. 2
1 HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR
PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED,I MUST SIGN THE PERMIT.
NATU OF APPLICANT DATE
SI URE OF LA DOWNER(EXCEPT PUBLIC ENTITY LAN OWNERS,E.G. DNR)
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT;IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.S.0§1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies,conceals,or covers up by any trick,scheme,or device a material fact or makes any false, fictitious,or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or
entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both.
COMPLETED BY LOCAL OFFICIAL
A. Nature of the existing shoreline. (Describe type of shoreline,such as marine,stream, lake,lagoon,marsh,bog,swamp,flood
plain,floodway,deha;type of beach,such as accretion,erosion, high bank, low bank,or dike,material such as sand,gravel, mud,clay,
rock,riprap;and extent and type of bulkheading, 9 any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view:
C. If the application involves a conditional use or variance,set forth in full that portion of the master program which provides that the
proposed use may be a conditional use,or,in the case of a variance,from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs, please contact the appropriate agency in the instructions
Office of Reculatory Assistance E DARPA vcr.1,5.20061004.0930 6
Submitted 1/26/07
SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION
15. List other Applications, approvals or certifications from other federal, state or local agencies for any structures,construction
discharges or other activities described in the application (i.e. preliminary plat approval, health district approval, building permit,
SEPA review, federal energy regulatory commission license(FERC), Forest practices application, etc.). Also, indicate whether
work has been completed and indicate all existing work on drawings. NOTE: For use with Corps Nationwide Permits, identify
whether your project has or will need an NPDES permit for discharging wastewater and/or stormwater.
TYPE OF APPROVAL ISSUING AGENCY IDENTIFICA DATE OF DATE COMPLET
TION NO. APPLICATION APPROVED ED?
16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described
herein?
[]YES X❑. NO
If YES, explain:
SECTION B-Use for Shoreline and Corps of Engineers permits only:
17a. Total cost of project. This means the fair market value of the project, including materials, labor, machine rentals,etc.
$45,000 for the traps, all other costs are unknown
17b. If a project or any portion of a project receives funding from a federal agency,that agency is responsible for ESA consultation.
Please indicate if you will receive federal funds and what federal agency is providing those funds. See instructions for
information on ESA."
FEDERAL FUNDING []YES ONO If YES, please list the federal agency.
Mason County(DeWatto,Tahuya, Skokomish)
18. Local government with jurisdiction: efferson County(Duckabush)
19. For Corps, Coast Guard and DNR permits, provide names,addresses and telephone numbers of adjoining property owners,
lessees, etc. Please note_ Shoreline Management Compliance may require additional notice—consult your local government.
NAME ADDRESS PHONE NUMBER
SECTION C- This section MUST be completed for any permit covered by this application
20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the
information contained in this application, and that to the best of my knowledge and belief,such information is true, complete,
and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to
which this application is made,the right to enter the above-described location to inspect the proposed, in-progress or completed
work_Lag e to start work ONLY after all necessary permits have been received.
DATE
GP1PrTtJ PP (NOAA) SIGNATV
F APPLI ANT(LLTK)
I/yA1 —G E AP IC T(SKOK) SIGNATURE OF APP NT(HCSEG)
DATE
SIGNATURE OF AUTHORIZED AGENT
I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR
PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT.
SIGNATURE OF APPLIC T DATE
jk ils h Ili � Duckabush
Dewatto Tahuya
SIGNATURE OF LANDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS, E.G. DNR)
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT, IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.S.0§1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies,conceals,or covers up by any trick,scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or
entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both.
COMPLETED BY
A. Nature of the existing shoreline. (Describe type of shoreline,such as marine, stream, lake, lagoon, marsh, bog, swamp,flood
plain,floodway,delta;type of beach, such as accretion, erosion, high bank, low bank,or dike; material such as sand,gravel, mud,clay,
rock, riprap; and extent and type of bulkheading, if any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view:
C. If the application involves a conditional use or variance,set forth in full that portion of the master program which provides that the
proposed use may be a conditional use, or, in the case of a variance,from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs, please contact the appropriate agency in the instructions
L
U1/26/2007 13:15 FAX 206 382 9913 Long Live the Kings Z 002
SECTI
ON C-This section MUST be completed for an nrmit covered b this application
F20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the
information contained in this application,and that to the best of my knowledge and belief, such information is true,complete,
and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to
which this application is made,the right to enter the above-described location to inspect the proposed, in-progress or completed
work. I agree to start work ONLY after all necessary permits have been received.
�,Mn DATE
Lriv� � 1 f l Z-& - 07
SIGNATURE OF APPLICANT
DATE
SIGNATURE OF AUTHORIZED AGENT
I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR
PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT,
SIGNATURE OF APPLICANT DATE
SIGNATURE OF LANDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS, E.G. DNR)
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.S.0§1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies,conceals,or covers up by any trick,scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or
entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both.
COMPLETED BY LOCAL OFFICIAL
A. Nature of the existing shoreline. (Describe type of shoreline,such as marine,stream, lake, lagoon, marsh,bog, swamp,flood
plain,floodway,delta,type of beach, such as accretion,erosion, high bank, low bank,or dike;material such as sand,gravel, mud,clay,
rock,riprap; and extent and type of bulkheading, if any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view:
C. If the application involves a conditional use or variance,set forth in full that portion of the master program which provides that the
proposed use may be a conditional use,or,in the case of a variance,from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs,please contact the appropriate agency in the instructions
I
Office of Regulatory Assistance E-JARPA ver.1.5.20061004.0930 6
`!GlY`�UtCti t�l�'✓ q S1
SECTION C- This section MUST be completed for any permit covered by this application
CM 20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the
nfe ation contained in this application,and that to the best of my knowledge and belief, such information is true,complete,
and ac urate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to
which t is application is made,the right to enter the above-described location to inspect the proposed, in-progress or completed
k. I gree to start work ONLY after all necessary permits have been received.
DATE
SIGNATURE AP LICANT 0� �/7'X
DAf E
SIGNATURE OF AUTHORIZED AGENT
I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR
PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT.
SIGNATURE OF APPLICANT DATE
SIGNATURE OF LANDOWNER#CEPTIPUBLIC ENTITY LANDOWNERS, E.G. DNR)
THIS APPLICATION MUST BE GNED BY THE APPLICANT AND THE AGENT, IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.S.0§1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies,conceals, or covers up by any trick,scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or
entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both.
COMPLETED BY LOCAL OFFICIAL
A. Nature of the existing shoreline. (Describe type of shoreline, such as marine, stream, lake, lagoon, marsh, bog,swamp,flood
plain,floodway,delta;type of beach, such as accretion,erosion, high bank, low bank,or dike; material such as sand, gravel, mud, clay,
rock, riprap; and extent and type of bulkheading, if any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units, existing and potential,that will have an obstructed view:
C. If the application involves a conditional use or variance,set forth in full that portion of the master program which provides that the
proposed use may be a conditional use,or, in the case of a variance,from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs,please contact the appropriate agency in the instructions
Office of Regulatory Assistance E-JARPA ver.1.5.20061004.0930 5
Oe w a oo 1�4 v-e�T,-�p Sipe_
SECTION C- This section MUST be completed for any permit covered by this application
Q 20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the
information contained in this application,and that to the best of my knowledge and belief,such information is true,complete,
( nd a urate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to
which this application is made,the right to enter the above-described location to inspect the proposed, in-progress or completed
vyork. I gree to start work ONLY after all necessary permits have been received.
DATE
SIGNATURE AP LICANT
DATE
SIGNATURE OF AUTHORIZED AGENT
I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR
PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT.
SIGNATURE OF APPLICANT DATE
SIGNATURE OF LANDOWNER(EXCEPT PUBLIC ENTITY LANDOWNERS, E.G. DNR)
THIS APPLICATION MUST BE SIGNED BY THE APPLICANT AND THE AGENT, IF AN AUTHORIZED AGENT IS DESIGNATED.
18 U.S.0 §1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies,conceals,or covers up by any trick, scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or
entry, shall be fined not more than $10,000 or imprisoned not more than 5 years or both.
COMPLETED BY LOCAL OFFICIAL
A. Nature of the existing shoreline. (Describe type of shoreline,such as marine, stream, lake, lagoon, marsh, bog,swamp,flood
plain,floodway, delta;type of beach, such as accretion,erosion, high bank, low bank,or dike; material such as sand, gravel, mud, clay,
rock, riprap; and extent and type of bulkheading, if any)
B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level,
indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view:
C. If the application involves a conditional use or variance,set forth in full that portion of the master program which provides that the
proposed use may be a conditional use, or, in the case of a variance,from which the variance is being sought:
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs,please contact the appropriate agency in the instructions
Office of Regulatory Assistance E-JARPA ver.1.5.20061004.0930 5
f
S=Supplemented
C=Control Little Quilcene R.
Big Quilcene R.
Dosewallips R.
(C) z;
Duckabush R. (S)
Hamma Hamma R. (S) Big Beef Cr.
(C)
S1 �Gl
N
Skokomish R. (S) '
0 3.5 7 14 Kilometers
Figure 1: Map of Hood Canal rivers involved in trapping component of the Steelhead
Supplementation Study
i
Debris deflector
Additional pontoons i
Main
pontoons
Rectangular
frame '
1
Cone
Additional
� pontoons
Paddlewheel �' Primary
A iivebo"
Rotating drum
Auxillary liveboxes
Figure 2: Schematic Diagram of Rotary Screw Trap
Ilk
. Ir hr
w .
i l
Duckabush River smolt trap location.
1
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DISCLAIMER AND LIMITATION OF LL4BII ITY:
The data used to make this map have been tested for accuracy,and every effort has been
made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND
makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or -1
location of am,map features contained herein.The boundaries depicted by these data are R0845 F' Fetxerdi Lands
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not assume any legal liability lV H"aK Cay of Sheton
or responsibility arising from the use of this map in a manner not intended by Mason County.
In no event shall Mason County be liable for direct,indirect,incidental,consequential Rn' d�lrea>ts Cotttty t3ouMary(GtdR)
special,or tort damages of any kind,including,but not limited to,loss of anticipated profits Parcels C4rtxm55wner C�54ttcts
or benefits arising from use of or reliance on the information contained herein
S++cborts Lakes
0 2006-Mason County
415 N.Sixth Street Tthrrmhp5 S Pugt!t Sound 9 Mator'LAk"
Shelton,WA 98584
http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason... 1/26/2007
1
Mason County Map Output Page Page 1 of 1
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DISCLAIMER AND LIMITATION OF LIABILITY:
The data used to make this map have been tested for accuracy,and every effort has been
m accurate ade to ensure that these data are timely,accate and reliable.However,Mason County LEGEND
makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or
location of any map features contained herein.The boundaries depicted by these data are POWs � F<: r it L414S
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not ass tune any legal liability ��HOMaY+ Ca/of She n
or responsibility arising from the use of this map in a manner not intended by Mason County. Rw.�tS 6�1tEdttts ,r-f Coudy BCu�QBry 4L1
In no event shall Mason County_ be liable for direct,indirect,incidental,consequential L_1
special,or tort damages of any kind including,but not limited to,loss of anticipated profits Pa N co.w. SSW*(Dstlds
or benefits arising from use of or reliance on the information contained herein
Se(*Ms # Lakes
0 2W6-Mason County
t 415 N.Sixth Street ED Torsnshos Puget SxM R M&Kr Lakes
Shelton,WA 98584
http://mapmason.co.mason.wa.us/servlet/com.esri.esritnap.Esrimap?ServiceName=amason... 1/26/2007
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Figure 3: Photograph of rotary screw trap in place