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HomeMy WebLinkAboutJARPA - SHX Application - 11/17/2022 l-1EVOVED-----i • AGENCY USE ONLY I I `W�TATC I I yR Date received: NOV 17 2022 WASHINGTON STATE osE 9 ee s•afflerhgtre 615 W. A er Street Joint Aquatic Resources Permit Agency reference i - I Application (JARPA) Form' 2 hel Tax Parcel#(s):� ?� � •Sc;�C��` I USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. i 1 I 1 L--------------------------------------I Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hem Lindley Bulkhead Replacement Part 2—Applicant The person and/or organization responsible for the project. hel 2a. Name (Last,First, Middle) Lindley, Nancy F 2b. Organization (If applicable) 2c. Mailing Address (Street or Po Box) 4014 N 331d Street 2d. City, State, Zip Tacoma, Washington 98407 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail 253-627-6767 n/a n/a nflindley@hotmail.com '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:/twww 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.epermifting.wa.gov/site/alias resourcecenterharpa iarpa form/9984/jarpa form.aspx. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or helpC�oria.wa.gov. ORIA-16-011 Page 1 of 14 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.) [tpipj 3a. Name (Last, First,Middle) NIA 3b. Organization (If applicable) 3c. Mailing Address (street or PO Box) 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 both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. [heV ® 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) 0. Phone(2) 4g. Fax 4h. E-mail ORIA-16-011 Page 2 of 14 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. mgjpj ❑ 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.) h(gel ] Z Private ❑ Federal ❑ Publicly owned (state,county, city,special districts like schools, ports, etc.) ❑ Tribal ❑ Department of Natural Resources (DNR)— managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. If there is no address,provide other location information in 5p.) hel 591 NE Haven Lake Drive 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) hel .Q Iy Washington 9851 q 5d. County hel Mason County 5e. Provide the section, township, and range for the project location. hel '/4 Section Section Township Range NE 30 23N 3W 5f. Provide the latitude and longitude of the project location. bgjpj • Example:47.03922 N lat./-122,89142 W long. (Use decimal degrees-NAD 83) 47.45600430341655 N lat, -122.98074707533088 W long 5g. List the tax parcel number(s) for the project location. hel • The local county assessor's office can provide this information. 22330-50-00092 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) hel Name Mailing Address Tax Parcel#(if known) Johnson, Jonathan L & Tamara A 24655 Big Valley Road NE 22330-50-00093 --..........._.............-—...----- --- Poulsbo, Washington 98370 Scheffler, Robert 601-NE. .....Haven. _ Lake Drive 22330-50-00091 - -...._.. ........_._... Tahuya, Washington 98588 ORIA-16-011 Page 3 of 14 51i. List all wetlands on or adjacent to the project location. heI n/a 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. nei Haven Lake 5k. Is any part of the project area within a 100-year floodplain? nei ® Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. nei Douglas Fir and Cedar Trees 5m. Describe how the property is currently used. [tLei Recreation/SFR 5n. Describe how the adjacent properties are currently used. hem Single family residences/recreational 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. nei Cabin and outbuildings all in fair to good condition. Septic tank unknown condition 5p. Provide driving directions from the closest highway to the project location, and attach a map. nel From town of Belfair, take Highway 300 south that turns into NE North Shore Road, then west on NE Belfair- Tahuya Road. Turn north on NE Haven Way, then west on NE Haven Lake Drive. Property on right side of the road. ORIA-16-011 Page 4 of 14 Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. hei Replace existing wood bulkhead of approximately 50 t�water frontage with concrete blocks of 3.5 feet maximum height above beach grade. 6b. Describe the purpose of the project and why you want or need to perform it. hei This project is to prevent additional erosion and bulkhead failure. Limited useable land remains on property near waterfront. 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) ❑ Road ❑ Boat House ❑ Dike / Levee / Jetty ❑ Geotechnical Survey ❑ Scientific ❑ Boat Launch ❑ Ditch ❑ Land Clearing Measurement Device ❑ Boat Lift ❑ Dock/ Pier ❑ Marina / Moorage ❑ Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility ® Bulkhead ❑ Fence ❑ Outfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ❑ Other: ORIA-16-011 Page 5 of 14 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. Existing bulkhead will be removed and replaced landward of current alignment. All work to be accomplished by manual labor. 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: 7 1 023 End Date./ 15/2023 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. hel $15,000 6h. Will any portion of the project receive federal funding? nel • 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.) he( e 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. Ee-lpi T*Not applicable 7b. Will the project impact wetlands? he(�]I ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? LbgW ❑ Yes ❑ No ❑ Don't know ORIA-16-011 Page 6 of 14 7d. Has a wetland delineation report been prepared? hel • 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? hel • 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? hel • 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 ❑ 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. hel 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. [hel 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 category2 Acres) acres If no official name for the wetland exists,create a unique name(such as"Wetland 1"). The name should be consistent with other project documents, such as a wetland delineation report. z Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3 Indicate 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: ORIA-16-011 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. heI 7j. For all excavating activities identified in 7h, describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. hei Part 8-Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) LtLeM ® 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. hel _ ❑ Not applicable Project constructed by manual labor with minimal impact in the water. Net loss of beach will not occur. 8b. Will your project impact a waterbody or the area around a waterbody? hei 0 Yes ❑ No ORIA-16-011 Page 8 of 14 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? hel • 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. 0 Yes ® No O Don't know Project is small-scale, and mitigation is not known to be required. 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. ftlpl n/a 8e. Summarize impact(s)to each waterbody in the table below. hel Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' location of impace (cubic yards)to be linear ft.) of drive, etc.) placed in or removed waterbody from waterbody directly affected Bulkhead Haven Lake Adjacent permanent none 50 If 'If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 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 Backfill behind wall will be placed as necessary to construct the wall of approximately 7 cy of gravel Page 9 of 14 ORIA-16-011 8g. For all excavating or dredging activities identified in 8e, describe the method for excavating or dredging, pi type and amount of material you will remove, and where the material will be disposed. heI No dredging will occur in waterbody. 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. hel Agency Name Contact Name Phone Most Recent Date of Contact 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 of this DARPA on the Washington Department of Ecology's 303(d) List? hel • If Yes, list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: https://ecologv wa.gov/Water- Shorelines/Water gualityM/ater-improvement/Assessment-of-state-waters-303d. ❑ Yes © No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? hel • Go to http://cfi)ub.ei)a.gov/surf/locate/index. to help identify the HUC. 171100180103 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? hel • Go to https//ecologv wa gov/Water-Shorelines/Water-supply/Water-availability/Watershed-looker to find the WRIA#. 15 -- Page 10 of 14 ORIA-16-011 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? hel Go to htt s//ecoloav wa gov/Water Shorelines/Water quality/Freshwater/Surface-water-quality-standards/Criteria for the standards. ® Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? hel • If you don't know,contact the local planning department. • For more information,go to:htt s://ecolo .wa. ovMater-Shorelines/Shoreline-coastal-mans ement/Shoreline-coastal- pll a n n i n g/S h o re l i n e-I aws-ru I as-and-cases. ❑ Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other: Rural 9g. What is the Washington Department of Natural Resources Water Type? het • Go to http7/Awm.dnr.wa.gov/f`orest-practices-water-typing 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? het • If No, provide the name of the manual your project is designed to meet. ® Yes ❑ No Name of manual: Western Washin ton Stormwater Management Manual 9i. Does the project site have known contaminated sediment? [tg_1PJ • If Yes,please describe below. ❑ Yes ® No 9j. If you know what the property was used for in the past, describe below. het unknown 9k. Has a cultural resource (archaeological) survey been performed on the project area? hel • If Yes, attach it to your JARPA package. ❑ Yes ® No Page 11 of 14 ORIA-16-011 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. Mlpj unknown 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. nel unknown ORIA-16-011 Page 12 of 14 Part 10—SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at http://apps.oria.wa.gov/opas/. • Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or help(a_oria.wa.gov. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) [he • For more information about SEPA, go to https://ecology wa gov/regulations-permits/SEPA-environmental-review. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ® A SEPA determination is pending with Mason County (lead agency). The expected decision date is n/a ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) hel ❑ This project is exempt (choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) hel LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance Z Shoreline Exemption Type (explain): minor construction/ repair Other City/County permits: ❑ Floodplain Development Permit El Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: ❑x Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption —Attach Exemption Form Washington Department of Natural Resources: ❑ Aquatic Use Authorization Complete JARPA Attachment E and submit a check for$25 payable to the Washington Department of Natural Resources. Do not send cash. Washington Department of Ecology: ❑ Section 401 Water Quality Certification 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: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non-bridge projects) ORIA-16-011 Page 13 of 14 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The DARPA package includes the JARPA form, project plans, photos, etc. h[ eid 1la. Applicant Signature (required) hLelp] 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 autho ize agent named in Part 3 of this application to act on my behalf in matters related to this application. (initial) -Q—'. 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 in :the property where the project is located to inspect the project site or any work related to the project. (initial) Applicant Printed Name Date 11 b. Authorized Agent Signature ht elpl 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. 72 Jf 1 a2�- 6 . Authorized Agent brinted Name Authori ed Agent Sig ure Date 11c. Property Owner Signature (if not applicant) hf eM 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. Al � i 1 Property Owner Printe ame i Propert ner Sign Date 18 U.S.0 §1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies, conceals,or covers up by any trick, scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact the 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-16-011 rev. 07/2017 ORIA-16-011 Page 14 of 14 •lie ..r'>� a. ♦ � -lv,G�. . � r' mow, yF,. �f� f.. 5-1 s, ,. _ • i � M - i. Via.. •1. �. 1' ♦. �� _.'1-� � Belfair, Washington 98528 to 591 NE Haven Lake Dr, Drive 9.3 miles, 14 min Go._,-gle Maps Tahuya,WA 98588 v F ?asASta7vi'i � - -.;,e„�G Lira M:lec1� Sr•1.ar. ,rr.�a1k) - N (- 591 Nerih.art 'ti?r,a)� yt� NovenLek..DAve �BsHefr wT6tta•' ter' .. n t1"Un P'M of ,•,�; fi„i,•� Oavrefa NrUarM?,W . . Ttvi.k:4'c:a Ue,:'�. •fr tit"e'"r hl ev ;s1: faaw pats elfa .e NM1.'r*4YG .b ,::,VGo ale t7ertf.Mxrm Paya•.ai � �,ve _. `�, Map data 02022 Googie 2000 ft! .--�