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Home My WebLink AboutSHX2014-00026 JARPA Trail Bridge Removal - SHX Permit / Conditions - 7/7/2014 R�ON-STgTFO MASON COUNTY � c lit DEPARTMENT OF COMMUNITY DEVELOPMENT o A° W Planning Division r o N z P O Box 279, Shelton, WA 98584 7 N y y (360)427-9670 OJ �O 1864 Exemption from Shoreline Management Act Case No.: SHX2014-00026 Substantial Development Permit Requirement The Proposal By: BRUCE MCDONALD C/O WSDNR 950 ARMAN AVE NORTH TO BE KEPT IN THE ENUMCLAW,WA 98022 PARCEL FILE To undertake the following development: ZZ 3 (E (d o - 6 z o-oo Shoreline Exemption for WA Dept of Natural Resources removal of two trail bridges in the Tahuya River (stringers, footings, side channel culverts or metal sheeting). Within Tahuya River and/or its associated wetlands is exempt from the requirement of substantial development because the development is categorized under WAC 173-27-040(2) as being category B-normal maintenance Please contact Allan Borden at ext 365 if you have any questio s. Issued: 7/7/2014 Expires: 7/7/2016 Authorized Local Government Official cc: APPLICANT WDFW USACOE WDOE TRIBAL COUNCIL Site A G-4010 ' N 16 14 o / C5 _ c w - Storage Area G 000 Site B o .r' ... 23 1 43 I d� 2WLU G-2000 to 2 a ,... 27 i �0 2 N y C� e 0 h i. Q p / BELFAIR TAHUVA 33 -NE.Belfair_Tahu a-Rd. a6 35 G 0 a o � N 1 h 4 a � m c w w � p o w o Z LL {a�� 1013 Tahuya River Trail Badge Removals e�d T22 2W ; 1 2 / 0 0.25 0.5 1 1.5 2 zm IMiles 00+0 nlS lollowaJ �;c aDDo Jo j PaIiowaJ aq Of ,�;;JaIJJoq aSJa�` 00+l �l� PMaau sn Ssa�a� Joj ln/lowaJ Job Ssa» pa/lowaJ aq of a5ua_4 u3pooM oaJo I p j lJa/yn ,oaJo abnJols aql of ppodsuoJl aq lings lo/iowaJ 2bppq aql glint Palniaossn lniJalnw 11V* gZ+ of 00+l uoputggV gZ+ of 00+0 l�nJlsuoo lo/lowaJ JOp ssaao builsixa qDlow Ol paJolsaJ lauungD pun pa/lowai aq of lJa/lln 927+� nl(;�; /0/10GIaJ JO j Pa/lowaJ aq of s�oolq,o�a FUO s ugoo j SJa uil� a JeAOWO� abpia�j ebUOWWe� r c ,v.giv�tvjopc,;qi o;ppo6�uvjj pq//nqc �l7ilOLl�l-,byl/q-,ql qpm p-,ID!-,o loli2 DW ly. Z9+O nf� 00+0 nl� p D O,;-OZ alo4/p ssaoonJo, aauadPoo papaau sn a--)uaj anowa /nnoc✓ai abp/jq ioj a/noi ssaoa}/ .Aanla o Cnyol panowai aq o/acid/aags /aa/s pun sbui/oo� abpu FAOwO ObPPa J IPJ; we) OrJOH FMDate received: jUN C 9 2014 US Army Conn • WASHINGTON STATE �E 9as�5 (' DAR ST 426 w-. Joint Aquatic Resources Permit Agencyreference#: Application (DARPA) Form'°2 Tax Parcel#((A USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. ----------------------- Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hel Tahuya River Trail Bridge Removals Part 2—Applicant The person and/or organization responsible for the project. hel 2a. Name (Last, First, Middle) Bruce McDonald 2b. Organization (If applicable) Washington State Department of Natural Resources 2c. Mailing Address (Street or PO Box) 950 Farman Avenue North 2d. City, State, Zip Enumclaw, WA 98022 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail (7C7(0)(?9 -8��9 ( - (360)275-8874 o✓r9v,9 (.T(o a)*•1 WC as V)0.1_A2dw:VJa.5-CV 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. • If your project might affect species listed under the Endangered Species Act,you will need to fill out a Specific Project Information Form(SPIF)or prepare a Biological Evaluation. Forms can be found at http://www.nws.usace.army.miI/Missions/CiviIW orks/Regulatory/PermitGuidebook/EndangeredSpecies.aspx. • 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@ora.wa.gov. JARPA Revision 2012.2 Page 1 of 15 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.) hel 3a. Name (Last, First, Middle) Bruce McDonald 3b. Organization (If applicable) DNR 3c. Mailing Address (street or Po Box) 950 Farman Avenue North 3d. City, State, Zip Enumclaw, WA 98022 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail ( 206) 920 5908 ( 360) 825-1631 ( ) Bruce.mcdonald@dnr.wa.gov 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. [help] ® 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 JARPA Revision 2012.2 Page 2 of 15 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. hf elpl ® 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.) [help] ❑ 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.) [help] Site A (Kammenga ORV Trial Bridge) See attached map. 5c. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) [help] Belfair, WA 98528 5d. County [help] Mason 5e. Provide the section, township, and range for the project location. [help] 1/4 Section Section Township Range SW 15 T23N R02W 5f. Provide the latitude and longitude of the project location. [help] • Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees- NAD 83) 47.481152 N lat/-122.918813 W long 5g. List the tax parcel number(s) for the project location. [help] • The local county assessor's office can provide this information. 223150062000 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel # (if known) JARPA Revision 2012.2 Page 3 of 15 5i. List all wetlands on or adjacent to the project location. h[ elp] 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. h[ eM Tahuya River 5k. Is any part of the project area within a 100-year floodplain? hei ® Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [help] Mature forest canopy and brush located next to the Tahuya river. 5m. Describe how the property is currently used. [help] The current use of the property is for forest management of State Lands. This management also includes public recreation and use of an existing trail system and campground facilities. 5n. Describe how the adjacent properties are currently used. hei State Lands-forest management and recreation. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. hey The structures on the property consist of four I-beam stringers, approximately 60ft in length. One end of the stingers, still attached to the footing, are now within the active channel of the Tahuya River. There is also a culvert, approximately twenty feet in length by eleven feet wide and five feet tall, in a dry side channel next to the end of the failed abutment. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help] From Belfair take State Route 300 approximatelty 3.4 miles, turn right onto NE Belfair Tahuya Rd. Go 1.8 miles and turn right onto Elfendahl Pass Rd, go 2.7 miles and turn left onto the G-4000 (gravel road). Go 1.1 miles and turn right onto the G-4050 follow road into the Horsecamp campground, approximately 0.8 miles. JARPA Revision 2012.2 Page 4 of 15 _Part 6-Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. [help) The project involves the removal of two recreational crossings of the Tahuya river. Site A involves the removal of four steel stringers, associated footings and a dry side channel culvert. Site B is the removal of a 60ft by 6ft steel bridge structure, associated abutments and steel sheeting protecting west abutment. 6b. Describe the purpose of the project and why you want or need to perform it. hf eM The purpose of the project is to remove and salvage the existing structures and abandon these crossings. Removal of the structures will remove a constriction to the Tahuya River and eliminate any possible adverse effects of total failure. 6C. Indicate the project category. (Check all that apply) [hel ❑ 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 El Bulkhead ❑ Stormwater facility ❑ Fence ❑ Outfall Structure El Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ❑ Other: JARPA Revision 2012.2 Page 5 of 15 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. hel • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. Removal will consist of the use of an excavator and/or crane. Site A will involve the use of an excavator to remove the four stringers, abutments and culvert. Site B will use an excavator and/or crane to remove the bridge, abutments and steel sheeting. All work will be accomplished during low flow time of year (Aug 1-September 1). All materials removed will be taken out of the floodplain. Possible use of temporary in stream mid-span supports for bridge removal at site B maybe necessary. Temporary support shall be constructed of untreated wood. The project will require walking an excavator into the channel migration zone of the river channel. This activity will be minimized. Both locations have a gravel bar in the channel migration zone of the river that will be utilized to move the structures. Equipment will be cleaned before entering the flood plain area. The culvert at site A will also be removed. The side channel of the river will be reestablished. All exposed soils will have erosion control applied. 6f. What are the anticipated start and end dates for project construction? (MonthNear) hel • 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: Aug 1 2014 End date: September 1 2014 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. h[ gm $18,000 6h. Will any portion of the project receive federal funding? [help] • 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.) hf e 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. hel ❑ Not applicable JARPA Revision 2012.2 Page 6 of 15 7b. Will the project impact wetlands? h[ eM ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [help] ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? Lgjpj • 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? [help] • 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? [help] • 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. ❑ Yes ❑ No ❑ Not applicable 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. h[�el ] 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. [help] 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) JARPA Revision 2012.2 Page 7 of 15 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. z 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: 7L 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. [Leipl 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. [help] 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. hf eld ❑ Not applicable JARPA Revision 2012.2 Page 8 of 15 To avoid and minimize impacts to the aquatic environment work will be done during the low flow time of year, Aug 1 — September 1. In stream work will be minimal and short in duration. Work will only involve the removal of bridge materials. All disturbed soils will have erosion control as grass seed applied and covered with a layer of straw. Any temporary supports will use untreated wood. All materials and associated spoils will be deposited above the flood plain. 8b. Will your project impact a waterbody or the area around a waterbody? [help] ® Yes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [help] • 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 ❑ Not applicable The project will have beneficial impacts to the waterbody. Removal of the failing bridges will restore natural stream processes and takeout restrictions of the natural channel. The project will further protect the waterbody from the complete failure of the two crossings. Exposed soils will be grass seeded and covered with a layer of straw. 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. [held 8e. Summarize impact(s) to each waterbody in the table below. [help] 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 waterbody removed from directly affected waterbody Structure Removal Tahuya River In and 2 days 50 cubic yards removed 1000 ft adjacent JARPA Revision 2012.2 Page 9 of 15 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. 2 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 whether the impact will occur within the 100-year flood plain. 3 Indicate 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. hel No fill material will be removed or added to the waterbody. Only material associated with the bridge structure will be removed from the 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 The material will be removed from the waterbody and will be hauled off site to be recycled. An excavator will be used to convey all materials out of the waterbody. The dry side channel will have the culvert removed and associated fill shall be hauled to a waste area. 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. [help] Agency Name Contact Name Phone Most Recent Date of Contact WDFW Margaret Bigelow ( 360 ) 427 2179 3/11/14 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? fheipj • If Yes, list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecy.wa.gov/programs/wq/303d/. ❑ Yes ® No JARPA Revision 2012.2 Page 10 of 15 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? heI • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110018 9d. What Water Resource Inventory Area Number (WRIA #) is the project in? [help] • Go to http://www.ecy.wa.gov/services/gis/maps/wria/wria.htm to find the WRIA#. 15 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? hel • Go to http://www.ecy.wa.gov/programs/wq/swgs/criteria.htmI 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? [help] • If you don't know,contact the local planning department. • For more information, go to: http://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211—designations.html. ❑ Rural ❑ Urban ❑ Natural ❑ Aquatic ® Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to http://www dnr wa gov/BusinessPermits/Topics/ForestPracticesAppIications/Pages/fp watertypinq aspx for the Forest Practices Water Typing System. ® 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? [help] • If No, provide the name of the manual your project is designed to meet. ® Yes ❑ No Name of manual: 9L Does the project site have known contaminated sediment? [help] • If Yes, please describe below. [J Yes ® No 9j. If you know what the property was used for in the past, describe below. help] JARPA Revision 2012.2 Page 11 of 15 Past use is the same as the current use, forest management and recreation. 9k. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If Yes, attach it to your JARPA package. ❑ Yes ® No JARPA Revision 2012.2 Page 12 of 15 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. hei Summer Chum. 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. [help] 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.ecy.wa.gov/opas/. • Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or help@ora.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.) nel • For more information about SEPA, go to www.ecy.wa.gov/programs/sea/sepa/e-review.htm1. ® A copy of the SEPA determination or letter of exemption is included with this application. ❑ A SEPA determination is pending with (lead agency). The expected decision date is ❑ I am applying for a Fish Habitat Enhancement Exemption. (check the box below in 1 ob.) h� eM ❑ This project is exempt (choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted by federal law. JARPA Revision 2012.2 Page 13 of 15 10b. Indicate the permits you are applying for. (check all that apply.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance ❑ Shoreline Exemption Type (explain): Other City/County permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: ® Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption —Attach Exemption Form Effective July 10, 2012, you must submit a check for $150 to Washington Department of Fish and Wildlife, unless your project qualifies for an exemption or alternative payment method below. Do not send cash. Check the appropriate boxes: ❑$150 check enclosed. Check # Attach check made payable to Washington Department of Fish and Wildlife. ❑Charge to billing account under agreement with WDFW. Agreement # ❑ My project is exempt from the application fee. (Check appropriate exemption) ❑ HPA processing is conducted by applicant-funded WDFW staff. Agreement # ❑ Mineral prospecting and mining. ❑ Project occurs on farm and agricultural land. (Attach a copy of current land use classification recorded with the county auditor, or other proof of current land use.) ❑ Project is a modification of an existing HPA originally applied for, prior to July 10, 2012. HPA # 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 FEDERAL GOVERNMENT United States Department of the Army permits (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 permits: ❑ Private Aids to Navigation (for non-bridge projects) JARPA Revision 2012.2 Page 14 of 15 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. hel 11 a. Applicant Signature (required) [help] 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 entering the property where the project is located to inspect the project site or any work related to the project. (initial) C76(O , o �,I oy Applicant Signatu � zv/y Applicant PrintedName Dat 11 b. Authorized Agent Signature [help] 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. !v a M -CY34411t **" - Authorized Agent Printed Name Authorized Agent Signature Dat 11 c. Property Owner Signature (if not applicant) h[�el ] Not required if project is on existing rights-of-way or easements. 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 r Property Owner Si nature Da 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 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: ENV-019-09 rev. 08/2013 JARPA Revision 2012.2 Page 15 of 15 --------------------------------------- OM I AGENCY USE ONLY , WASHINGTON STATE US Army Corps o Engineers. ; Date received: I See attle Dlstr�ct I , Joint Aquatic Resources Permit Application (JARPA) heir)] Agency reference#: ; I 1 I Attachment B: Tax Parcel#(s): I For additional project location(s) [hem I----------COMPLETEDB APPLICANT pl ; TO BE COMPLETED BY APPLICANT hf elol ; , 1 I I Project Name: Use this attachment only if you have more than one project location. Location Name(if applicable): Use a separate form for each additional location. , ------------------------------------- Use black or blue ink to enter answers in whites aces below. 1. Indicate the type of ownership of the property. (Check all that apply.) [help] ❑ 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) 2. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 16) hel Site B (Horse Camp ORV Trial Bridge) See attached map. 3. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) [help) Belfair, WA 4. County hel Mason 5. Provide the section, township, and range for the project location. [help] 1/a Section Section Township Range SW 21 T23N R02W 6. Provide the latitude and longitude of the project location. EbLeM • Example:47.03922 N lat./-122.89142 W long(Use decimal degrees- NAD 83) 47.67823 N lat. /-122.944277 W long. 7. List the tax parcel number(s) for the project location. hel • The local county assessor's office can provide this information. 223210060000 JARPA Attachment B Revision 2012.2 Page 1 of 3 8. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) hel Name Mailing Address Tax Parcel # (if known) 9. List all wetlands on or adjacent to the project location. hell 10. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Tahuya River 11. Is any part of the project area within a 100-year flood plain? [help] ® Yes ❑ No ❑ Don't know 12. Briefly describe the vegetation and habitat conditions on the property. fhelpi Mature forest canopy and brush, all within the buffer of the Tahuya river. 13. Describe how the property is currently used. hei The current use of the property is for forest management of State Lands. This management also includes public recreation and use of an existing trail system and campground facilities. JARPA Attachment B Revision 2012.2 Page 2 of 3 14. Describe how the adjacent properties are currently used. h[ elpl State Lands-forest management and recreation. 15. Describe the structures (above and below ground) on the property, including their purpose(s). [help] An existing 60 foot by 6 foot steel bridge with concrete abutments. Steel sheeting was installed around the west abutment to protect from scour. Due to high water events the east abutment has become unstable and the bridge is closed at this time. Decking has been removed from the bridge. 16. Provide driving directions from the closest highway to the project location, and attach a map. [help] From Belfair take State Route 300 approximatelty 3.4 miles,turn right onto NE Belfair Tahuya Rd. Go 1.8 miles and turn right onto Elfendahl Pass Rd, go 2.7 miles and turn left onto the G-4000 (gravel road). Go 0.4 miles and turn right onto the G-4010. Continue for approximately 0.3 miles to end of road. From here take abandoned trail ahead on left down to site. If you 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 ENV 021-09 rev. 08/2013 JARPA Attachment B Revision 2012.2 Page 3 of 3 M Or WASHINGTON STATE DEPARTMENT OF PETER GOLDMARK Natural Resources Commissioner of Public Lands May 16,2014 Notice of Final Determination Tahuya River Trail Bridge Removals SEPA He No. 14-050102 The Department of Natural Resources issued a® Determination of Non-significance (DNS), ❑ Mitigated Determination of Non-significance (MDNS), ❑ Modified DNS/MDNS on May 1, 2014,for this proposal under the State Environmental Policy Act (SEPA) and WAC 197-11- 340(2). This threshold determination is hereby: Retained. ❑ Modified. Modifications to this threshold determination include the following: ❑Withdrawn. This threshold determination has been withdrawn due to the following: ❑ Delayed. A final threshold determination has been delayed due to the following: Summary of Comments and Responses (if applicable): One comment was received that supported the project. The commenter agreed that the river course would be improved by this action. Responsible Official: Art Tasker Position/Title: Washington State Department of Natural Resources, South Puget Sound Region Manager Phone: (360) 825-1631 Address: 950 Farman Avenue North,Enumclaw WA 98022 Date: Signature: 950 FARMAN AVENUE NORTH • MS NE-92 • ENUMCLAW,WA 98022.9282 TEL:(360)825-1631 • FAX:(360)825-1672 • WWW.DNR.WA.GOV EOUAL OPPORTUNITY EMPLOYER i6; WASHINGTON STATE OEPARTMENTpF PETERGOLDMARK ��rNatural Resources Commissioner ofPubhcLands DETERMINATION OF NONSIGNIFICANCE Description of proposal: The removal of two trail bridges from the Tahuya River in the Tahuya State Forest. The river is a shoreline of statewide significance. Proponent: Washington State Department of Natural Resources 950 Farman Avenue North Enumclaw, WA 98022-9282 Location of proposal,including street address, if any: Portions of Sections 15 and 21, T 23 N,R 2 W, W.M. Lead agency: The Department of Natural Resources,South Puget Sound Re-ion. The lead agency for this proposal has determined that it does not have a probable significant P g adverse impact on the environment. An environmental impact statement(EIS) is not required under RCW 43.2 1 c.030(2)(c).This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. [] There is no comment period for this DNS [X) This DNS is issued under 197-11-340(2); the lead agency will not act on this roposal f r 14 days from G( Comments must be submitted by Responsible official: Art Tasker Position/Title: Region Manager Phone: (360) 802-7038 Address: 950 Farman Avenue North,Enumclaw, WA 98022-9282 Date: 1 7 Signature: There is no DNR administrative SEPA appeal. 950 FARMAN AVENUE NORTH • MS NE-92 • ENUMCLAW,WA 98W-9282 TEL f360j 825-1631 • FAX.(360)825.1672 • WWW.DNR.WA.GOV EQUAL OPPORTUNITY EMPLOYER t. ----------j}-� i- *y ------- � LY � t t O M Date received: JUN 0 9 of 20% WASHINGTON STATE Army Corps , of Engineers• t , Seattle Distnct ? W DAR ST. Joint Aquatic Resources Permit Agency reference t t Application (DARPA) Form',2 ; Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. t t ------------------------------- t t t t t t Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hel Tahuya River Trail Bridge Removals Part 2—Applicant The person and/or organization responsible for the project. nel 2a. Name (Last, First, Middle) Bruce McDonald 2b. Organization (If applicable) Washington State Department of Natural Resources 2c. Mailing Address (Street or PO Box) 950 Farman Avenue North 2d. City, State, Zip Enumclaw, WA 98022 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail (8 $4$9 (360)275-8874 Zd� q��✓r4v� ��0)�.15 t 631 brace. wlcf�nal�1 �dw:vJa.� 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. • If your project might affect species listed under the Endangered Species Act,you will need to fill out a Specific Project Information Form(SPIF)or prepare a Biological Evaluation. Forms can be found at http://www.nws.usace.army.mil/Missions/CivilWorks/Regulatory/PermitGuidebook/EndangeredSpecies aspx. • 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.goy/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@ora.wa.gov. JARPA Revision 2012.2 Page 1 of 15