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ZON2014-00004
JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 DATE ISSUED:July 16,2014 DATE EXPIRES:January 16,2015 MLA NUMBER: MLA14-00013 PROJECT PLANNER: Donna Frostholm PROJECT DESCRIPTION: BIG QUILCENE ESTUARY RESTORATION PROJECT- DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) PROJECT LOCATION: Parcel Numbers: 702 231 001 and 702 231 002, 295472 Hwy 101, S-T-R: 23-27N-2W CONDITIONS: 1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) The applicant shall contact Washington State Department of Transportation (WSDOT) and comply with all WSDOT requirements prior to beginning any work on this project. If during the truck hauling operation, WSDOT determines it is in the best interest of the traveling public that WSDOT approved Traffic control measures be implemented, then the project will immediately implement such WSDOT requested Traffic Controls. 3.) Dredged materials shall be placed on the disposal site as shown on the approved site plan. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application was reviewed by the Jefferson County Department of Community Development staff for the potential presence of Critical Areas under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following Critical Areas were confirmed to be present on the subject property: aquifer recharge area (susceptible). 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) The applicant is proposing to create or add 40,000 square feet of impervious surface and the project will have 40,000 square feet of land disturbing activities. Jefferson County Code requires that engineered drawings be submitted. Engineered drawings for the disposal site were submitted on June 30, 2014. These drawings have been reviewed by Jefferson County Public Works. 6.) Reviewed under the State Environmental Policy Act(SEPA) by Jefferson County acting as lead agency. Determination of Non-Significance (DNS) issued on April 30, 2014. 7.) The site plan, as submitted with the stormwater application on January 29, 2014 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 7, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for a stormwater permit to place excavated fill material from an estuary restoration project on a disposal site only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 9.) The parcel has been designated as light industrial/manufacturing under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 10.) The property is located at 295472 Hwy 101 in Quilcene 11.) Materials will be transported from the estuary restoration site to a disposal site via Highway 101. Washington State Department of Transportation provided comments during SEPA review, and that agency determines if Traffic Control measures need to be implemented. 12.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species(defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. Portions of Jefferson County, including marine environments, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from"taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one(21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. The Threshold Determination for this Type I Permit may not be appealed to the Hearing Examiner. For more information related to SEPA appeals see JCC 18.40.810. • • Administrator M LA14-00013 #�ne3� Zor 2- 6.. fel, re. 0 r.: <,,,,. CC's°I.-CO ILLI if.Es'ta IT h: CO (.0 cz c., 6 rl-1 ,.. .,--.., I---- 0 12.4 0 c.) I )4 ., ,.. — < - 44 W I 0 rz.4 E-4 g 1,■•••1 .'"") f.r. 0). / ..--- r. ---- ""..- .•=1., °f ...— am . ak,r1 a '-!.a..1 L1,;. ' ra:,,...::, 71 l'''' wiz, iate : ,,, . ,z.. , - i,,.:.4,::,.., r,C_:. I i 4 .. ..--, IX u j 0 0 , , Ilea ttr . 0 * q,„ 0 ....4 ....... I.. I.... cz.,... ....1 w -c• ..c w 0 t...„ 80 CIT 54 'CC >ft o›- CI ICIC '4 Fe .v.co la, 0 o x. 61 o a. cc ' ca r. wo 14•,er 1.1.1 It IIIRk Ua....... le IC tootaz\ al: Uell 0 tee) ., , 0 . ...1 ...... . s ELI III ;c6 l'u,'I mum t i I-. ma.. I (1) ; 1, ■ I *1 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT EXEMPTION WASHINGTON STATE SHORELINE MANAGEMENT ACT(RCW 90.58) PROPONENT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 DATE ISSUED: July 16, 2014 DATE EXPIRES: July 16, 2015 MLA NUMBER: MLA14-00013 CASE NUMBER:SDP14-00004 PROJECT PLANNER: Donna Frostholm PROJECT DESCRIPTION: Shoreline exemption and flood development permits for Big Quilcene Restoration Project WATERBODY AND/OR ASSOCIATED WETLANDS: BIG QUILCENE RIVER PROJECT LOCATION: FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application is to restore an estuary associated with the Big Quilcene River and Quilcene Bay. The shoreline designation is Conservancy. 3.) The application was reviewed by the Jefferson County Department of Community Development staff for the potential presence of Critical Areas under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review, the following Critical Areas were considered to be present on the subject property: Fish and Wildlife Habitat Conservation Areas (Type S stream, habitat for spotted owl and listed fish species); wetlands; geologically hazardous areas(seismic hazards); aquifer recharge areas (susceptible); seawater intrusion protection zone(coastal); and channel migration zone (high risk). 4.) Special Reports were submitted with the application: *Wetland Delineation and Analysis Report prepared by C3 Habitat Corp (dated May 11, 2013); *Cultural Resources Investigation prepared by Dana Komen, Ryan Ives, and Stephen Emerson with Principal Investigator Stan Gough (dated May 2013); *Phase I Environmental Site Assessment prepared by Adesa, LLC (dated December 18, 2012); and * Hazardous Substances Assessment prepared by RCO PRISM (June 2012). 5.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 7.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 8.) A Type S Stream (Fish and Wildlife Habitat Conservation Area) has been identified on the subject property. The stream will require a buffer of 150 feet. The buffer shall be measured horizontally from the Ordinary High Water Mark(OHWM). Fish and Wildlife Habitat Areas shall also have 5-foot building setbacks established. 9.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals(primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 10.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 61-02, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 11.) This proposal involves removal of fill materials for estuary restoration. Flood base elevations are not expected to increase as a result of this project since a small increase in flood storage capacity is likely within Quilcene Bay when the project is complete. 12.) The applicant is not proposing any impervious surface and the proposal will have 174,240 square feet of land disturbing activities. Jefferson County Code requires that your proposal comply with all minimum stormwater requirements and that an engineered plan be submitted. Engineered drawings of the proposal were submitted on June 30, 2014. These drawings have been reviewed by Jefferson County Public Works. 13.) Reviewed under the State Environmental Policy Act(SEPA) by Jefferson County acting as lead agency. Jefferson County issued a Determination of Non-Significance (DNS) on April 30, 2014. 14.) The site plan, as submitted with the shoreline exemption application on January 29, 2014, has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 7, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) This approval is for a shoreline exemption to restore an estuary only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 16.) The parcel has been designated as RR 1:20 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 17.) The Development Review Division finds that this proposal is consistent with Shoreline Master Program (Chapter 18.25 JCC) and is consequently exempt from the substantial development permit(SDP) requirements. Exemptions from the substantial development permit requirements do not exempt a proposed development from compliance with the applicable policies and standards of the Shoreline Master Program or other applicable Federal, State, or local permit or license requirements. 18.) Materials will be transported from the estuary restoration site to a disposal site via Highway 101. Washington State Department of Transportation provided comments during SEPA review, and that agency determines if Traffic Control measures need to be implemented. 19.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. Portions of Jefferson County, including marine environments, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from"taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. CONDITIONS: 1.) Construction activities shall be limited to that shown on the submitted plans and shall not encroach into any critical area buffers. This includes the storage or preparation of materials. 2.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) Prior to commencing development activity, proponent is responsible for informing the Washington Department of Fish and Wildlife (WDFW) in order for WDFW to determine whether this action is subject to the Washington State Hydraulic Code(Chapter 220-10 WAC). Hydraulic Project Approval (HPA) is required for all hydraulic projects, which are defined as construction or performance of other work that will use, divert, obstruct, or change the natural flow or bed of any of the salt or fresh waters of the state. 4.) In addition to Jefferson County permit conditions, the project proponent shall comply with all conditions set forth by the Washington Department of Fish and Wildlife through Hydraulic Project Approval. 5.) Prior to commencing development activity, the proponent is responsible for informing the US Army Corps of Engineers (COE) in order for COE to determine whether a Department of the Army permit or review is required. Generally, review is required for construction and dredging in or around navigable waters of the US and for work or fill in hydrologically connected wetlands. Contact the US Army Corps of Engineers, Seattle District Regulatory Branch, PO Box 3755, Seattle WA 98124, (206) 764-3495, for more information. 6.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 7.) Construction shall be in substantial compliance with the site plan submitted on January 29, 2014 as it exists now or is hereafter amended by Jefferson County and/or the Washington Department of Ecology. 8.) No fill or other material may be placed in the waters or intertidal areas of Jefferson County. 9.) The applicant shall contact Washington State Department of Transportation (WSDOT) and comply with all WSDOT requirements prior to beginning any work on this project. If during the truck hauling operation, WSDOT determines it is in the best interests of the traveling public that WSDOT approved Traffic Control measures be implemented, then the project will immediately implement such WSDOT requested Traffic Controls. ' r , _ t, _7 - DITTF e t of Communi Ievelopment Staff c: Department of Ecology, Shorelands Office, Rick Mraz Washington State Department of Fish &Wildlife, PO el Do foe Washington State Department of Natural Resources, Bridget Kaminski-Richardson/3 (( `s ' � ZN h• n� m,- — N o'. ni o 3 o i��F � a , ,... N��CYY�� S Z N te V 6 a W rn• . fit F W� Y �n c y ice I F 'R.x A 5` i"` i-p 0"Y - �i '^� � ° 'S, u- 9` { „..., y -�! ,: 4 �a 4y r%Lio,:,,,,,,,. r b : n ��. ,�..'' . •� ;'_ a e?m s Y r ' , `. '�`Ft r• d 1 ' -` �� l a pi l�G l �2S �" ' ,�^ y '"O 4% 14.744._, ,,,...,.... *1 o S do- 4 1 .. 2-,:,e ,y-,q . � 1 ..f� 4(( ' $ti� 44 .c'1/4 e ,/ .4� 1(e. 3 R Z 'ii..-",,..',1/49, � '''1' A1. � C Q ms °,-.,- 4 €'y ' ° . ts .: .,3 �A , _" #7'1,1. T'�4� ®�, ,�.- , �� � i,, V �x r C i a a`j` t o+ } 411\ d A ' '-lt # i s " y 1 — am,'—'",`,i(`' "y *.d ` ` '$ . k-,,,,..1- `f 92 s s+ 1- 4+t.F?- s b,,-- d i r� ....,--*1,7,- _ ,, e.,,,.--r.,..... s rt * _ n Y� aj- � t aL � x g \o\A �, ad 0° d se s? Z .Z { i a` P /II,,. w + °a M +qE ra L i.W n "k � rp t e � � .OL 14 s, „ f�° C�` x,a� .-.,, ,....jAi„. ...,....„:::, „., ...._ , .,. , diV, # t �r 1�� 11 III O e tom w �j "r - t�� 'J A i K 11/1 i.-m�"'t z+j '''k.'*- 2 r d`% %",°p ' + in ttrt.. , tu — 1111 a”". • Donna Frostholm From: Donna Frostholm Sent: Thursday, July 10, 2014 10:05 AM To: 'Michelle Myers' Cc: 'path @wavecable.com' Subject: FW: Hood Canal Invoice Attachments: 14-100 Hood Canal Salmon.pdf Hi Michelle: Attached is a final invoice for Jefferson County DCD review of the Big Quilcene estuary restoration project and the disposal site project. As you may recall,you paid ($1,698 at the time of application)for DCD review of one application with the understanding that you would be charged $76/hour for any additional review time. The attached invoice is for the time needed for DCD to complete the review of the other application. Please note that the amount due must be paid prior to DCD issuing the two permits. On June 30, 2014, Pat paid $652 to cover the cost for the stormwater review by Jefferson County Public Works. Now that Public Works has completed their review, I was able to finalize the DCD review so the attached should be a final invoice. Let me know if you have any questions. Regards, Donna Frostholm Associate Planner/Wetland Specialist Jefferson County DCD From: Jodi Adams Sent:Thursday, July 10, 2014 9:37 AM To: Donna Frostholm Subject: Hood Canal Invoice Jodi Adams Office Coordinator Jefferson County Department of Community Development 621 Sheridan Street Port Townsend,WA 98368 Phone 360-379-4494 Fax 360-379-4451 jadamsPco.iefferson.wa.us All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection) of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. 1 • tiw¢S°N co Jefferson County Community Development (lnv# 14-100 I w � 621 Sheridan �4. -4 , ,, Port Townsend,WA 98368 �4WINc�t° (360)385-4450 aninier *eh r V rii`•iili a Jame: Hood Canal Salmon Enhancement Group-Pat McCullough Date: 7/10/2014 Address: PO Box 2169 City: Belfair State: WA 98528 Case: ZON14-04 _ Phone: MLA14-13 r DATE DESCRIPTION OF SERVICES QTY UNIT PRICE TOTAL $ - 7/10/14 Staff hours-Consistency Review D.F. 11.5 76.00 $ 874.00 $ - $ $ $ $ $ TOTAL: 11.5 $ 874.00 *****PLEASE PAY FROM INVOICE***** Submitted By: Make Check Payable to: Name: (Jodi Adams I Jefferson County Community Development Title: (Office Coordinator I 621 Sheridan Port Townsend,WA 98368 Date: 1 7/10/20141 Donna Frostholm From: Pat McCullough [path©wavecable.com] Sent: Wednesday, July 02, 2014 3:55 PM To: 'Severson, Dale'; Donna Frostholm; 'Michelle Myers'; 'Mendy Harlow' Subject: RE: Big Quilcene River Estuary Restoration - Excavation Permit and WSDOT comments. Dale, Thank you. We are ok with that provision. Pat From: Severson, Dale [mailto:SeversD @wsdot.wa.gov] Sent: Wednesday, July 02, 2014 3:15 PM To: Pat McCullough; Donna Frostholm; 'Michelle Myers'; 'Mendy Harlow' Subject: RE: Big Quilcene River Estuary Restoration - Excavation Permit and WSDOT comments. Pat, If your numbers below are accurate then we WSDOT would be OK with minimal, if any,traffic control. Maybe just working hour"Truck's Entering/Leaving Highway"type signing. My math was based on the information submitted, so interesting how the truck numbers are now reduced. Of course my math was 19 trucks an hour versus your 12 trucks an hour. Another way of looking at this is your trucks may have to wait for a gap to enter the highway, and if that is not a concern for you, and only 12 trucks an hour, we can consider you operation to be occasional vehicles traveling on US 101. We would be OK with making the condition "If during the truck hauling operation WSDOT determines it is in the best interests of the traveling public that WSDOT approved Traffic Control measures must be implemented, then the project will immediately implement such WSDOT requested Traffic Control." That work for you? And keep in mind if Traffic Control is needed or wanted, it needs to be reviewed and approved by WSDOT. Dale C. Severson, P.E. Development Services Engineer - WSDOT Olympic Region (360) 357-2736 I dale,severson@wsdot,wa,gov From: Pat McCullough [mailto:pathOwavecable.com] Sent: Wednesday, July 02, 2014 2:54 PM To: Donna Frostholm; Severson, Dale; 'Michelle Myers'; 'Mendy Harlow' Subject: Big Quilcene River Estuary Restoration - Excavation Permit and WSDOT comments. Dale and Donna We received the following comments from WSDOT concerning the excavation of the Big Quilcene River Estuary Restoration—Project Phase 3. Comments from WSDOT: Greetings Donna, 1 Thank you for allowing WSDOT to review the proposed Big Quilcene Estuary Restoration. Based on the information provided it appears there will be a large amount of trucks traveling back and forth from the restoration work site south of US 101 to the dump site just north (and west)of US 101. A quick and dirty guesstimate is the amount of trucks that will be entering and leaving US 101 in Quilcene will on the order of 4000 one way truck trips over 18 days over a 12 hour shift or around 222 one way trips a day or 19 trucks an hour or one every 3 minutes for the 1.45 mile trip they'll be making this summer in Quilcene. That will need a WSDOT approved Traffic Control Plan for us 101 and most ai�p will require that dirt and allow br'sfor ot be taacked onto U5101. movement of trucks onto and off US 101. Therefore we wish those concerns be addressed and/or incorporated into any Jefferson County decision on this project. Thank you for allowing us to comment, and if you have any questions please ask. Thanks Dale C. Severson, P.E. Development Services Engineer - WSDOT Olympic Region (360) 357-2736 1 dale.severson@wsdotwa.gov Comment to the WSDOT response: Let me apologize for not commenting earlier on the WSDOT response. It was so unexpected that we missed it. Normally these estuary restoration projects have an insignificant impact on the roadway traffic.While we allow the contractor to work 12 hours a day, 6 days a week -in fact all excavation is tide related and the contractor can only excavate in the dry when the tide or out or about 6 hours a day. In addition—because of the tight site conditions-we do not expect the contractor to be using any more than 4 trucks at a time. Usually, because the contractor is"grading" the estuary as he excavates,the truck loading is quite sporadic and not uniform.Typically,the contractor will be hauling with four trucks maximum because there is usually only one excavator and a four truck assembly is the most cost effective.There will be a "turn around" time of around 20 minutes that will result in 12 trucks an hour for approximately 6 hours a day or 72 truck loads a day of 144 truck trips a day on SR 101.We expect that the project excavation will take a minimum of 25 working days.That is why we allow the contractor two months to complete the project. The haul will originate east of the east end of Muncie Road and travel 400 feet over a private gravel road to Muncie Road,thence 3/mile down Linger Longer Road to SR 101 where the drivers will have two options for entering SR 101— Rogers Street or Linger Longer Road. After a left turn onto SR 101 it is about one mile to the Pederson site where the trucks will turn right into the site and travel 400 feet over a gravel road to the dump site.Typically,the truck wheels stay dry this time of year.We do not expect the mud and other debris will be carried onto SR 101 or the county roads. Typically the traffic on SR 101 is light and we do not believe that flaggers and other special traffic control measures will be required on SR 101.We base our belief on our experience constructing four larger and similar projects in the area. We have had no discernible impact on the traffic on SR 101 and the Quilcene community with any of those previous projects. Finally, we are very concerned about the delay and cost of preparing and implementing a traffic control plan on SR 101 for this project. It will take at least a month to get and traffic control plan prepared and approved by WSDOT and cost upwards of$20,000 out of our meager budget to implement the plan if flaggers are required.The delay will result in our missing the construction (fish) window for construction this summer and possibly result in the loss of funding. Please comment. 2 Pat McCullough, PE 210 Cherokee Beach Rd NE Belfair,WA 98528 (360) 275-7384-Office (360) 204-2356-Cell path @wavecable.com 3 Donna Frostholm From: Eric Kuzma Sent: Wednesday, July 02, 2014 10:45 AM To: Donna Frostholm Subject: MLA-14-00013 Hi Donna, Public Works has reviewed the Stormwater Permit for the Big Quilcene River Estuary Restoration Project and has no further comments/recommendations. Furthermore, my understanding is that the Proponent has submitted an application for a DOE NPDES permit(for both the Restoration & Disposal sites)which the DOE is currently reviewing. The NPDES permit, like our Stormwater Permit in this case, requires the preparation of a SWPPP so the DOE will have the opportunity to independently review as well. Thank you, Eric Eric Kuzma,Engineer 1I1 Jefferson County Department of Public Works 623 Sheridan Street,Port Townsend,WA 98368 Ph:360.385.9167 - 360.301.6783(c) Fax:360.385.9234 Email: ekuzmalc co jefferson.wa.us Web: www.cojefferson.wa..us/publicworks 1 �4go s O�' cQG, JEFFERSON COUNTY -4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 90368 I Web:www.co.iefferson.wa.usicommunitvdevetooment silr NG'k° Tel:360.379,4450 I Fax:360.379.4451 I Email:dcdAco jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): The restoration of 4.5 acres of the Big Quilcene River Estuary in Quilcene,WA. Tax Parcel Number: 991-201-701 - See Attached Property Size: 13.5 Acres (acres/square feet) Site Address and/or Directions to Property: Go to Quilcene - thence Linger Longer Rd.- thence right on Muncie Rd to end. Keep going Property Owner(s)of Record: The Hood Canal Salmon Enhancement Group email: recnel�epnwsatmor�er►ter.cx�rrr Telephone:365-3575 Fax: Mailing Address: PO Box 2169,Betfair,WA 98528 Applicant/Agent(if different from owner): 07d 111 c--Ca Ha4gIt/ i4 Telephone: 360-275-7384 Fax: 360-277-3187 email: pathowavecable.carr _Mailing Address: 210 NE Cherokee Beach Road,NE,Belfair,WA.p �_ _-- - - - What kind of Permit?(Check each box that applies ❑Lot or Road Segregation C�.-� 1�V ❑Bulding ❑Critical Areas Stewaardship PI: ❑ Demolition Permit ❑Variance(Minor,Major or R- ,4 n e°- Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or JUN 3 0 2.014 ❑Discretionary"D"or Unnamec = u lassification ❑ Commercial Home ❑ Modular ❑Special Use(Essential Publk •I-'{ 1,--)",. ❑ Change of Use ❑Boundary Line Adjustment JEFFERSON COUNTY ❑ Address ❑Road Approach ❑Short Plat"" DEPT.OF COMMUNITY DEVELOPMENT ❑Home Business ❑Cottage industry ❑Binding Site Plan" ❑Propane ❑Long Plat"" ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments"" ❑Mowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration"" ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions"" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plart/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request ""Requires a Pre-Application Conference Please identity any other local,state or federal permits required for this proposal,if known: US Corp of Engineers, WDFW, WSDOE, USFW - completed. h DESIGNATION OF AGENT I hereby designate Pat McCullough, PE o act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE s0�11II�ill'' /" 'v / ) Date: 6-30-14 By signing this application form,the owner/agent attests that the information!, •vided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being nail and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appliccati -t wants prior ^�. ' • ' - "iiity Signature: a -_• �..= L 1 t 7 Date: 6-30-2014 The action or actions Applicant will undertake as a result of the' = „,►; of this permit may negatively knpact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terns are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson • development code.The Applicant acknowledges that he,she or it holds individual and non-trans, :,•>- --,• ','ty0' adhering to- ,,,: , '•�,- °!t ,,,..t this disclaimer and signs and dates it below. Signature: /o�.var.�.ii� r �� ate: 6-30-2014 07/24/2013 1 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed proles '�_ �. Date: l -., �J� L'-' J� Signature: I +) ' j GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx I t,) ��� Contractor is unknown -We are out to bid. (360-2J5-3515 i ; J J N 0 4 J , MAILING ADDRESS: PO Box 2169,Belfair,WA 98528 EMAIL: michellee�n Imorxnter.com CONTRACTOR'S LICENSE WAINS IEEERSCiVCL?l1NiY I I NUMBER: NUMBER DEir1. 1-,CajytIKI'Y)l) VCI_PWENT ARCHITECT/ENGINEER: PHONE (360.05 MAILING ADDRESS: Po Box 2169,Belfair,WA 98528 EMAIL michelieapnwsalmoncenter.can Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# Other. Bedrooms: Water Supply: ❑ Demolition Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No u a Pk:t: T- �_ ..::.t: V y:-_v.'_ •� uu. 'LA., =, 1: . !,.,.4.1!.L. s.i : Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP I knaT retaWtoH I Yes / No When lines,tank applying location and size,distances from the prpr a tank submit lines,buildings andlseptic buildings, ystem components, including the reserve area. Square Footage I Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: 2"°Floor Heated Consistency Review: Other Heated , Base fee: Mezzanine Additional Section: U�'1 „5 c--') i,°'ub\i G.Wu 1_ Heated Basement Plan Check fee: 5644:01 Unheated Basement ' State Surcharge fee: , Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ lL✓ -oU Receipt timber: 1 j, -14 Cash/Check Number ESTIMATED COST(REQUIRED) Date: (Q/ �I •Fair market value of all labor and materials foundation to finish initiaba: S 07/24/2013 a v xy (,,, m2rrrrrr r' yr- w 0 -1 -4 -1 0OOOOO In Z U) --& c. pm (0 0< � 0SSSS S U � rn OC < 300X � � 0 C7 L4z (J, > 000000 X 71K 0OCCCC0C - rn Om > 0000x 7 - z MzrnSSSS S 0 • -i c-- m 0NNNN ,.p z fir- � 3xO000 tv O mm - -1 oa av co ov (DX -1 r 0 r0 00 0 00 © 000 0 W ZM x X X X X m 00 � � � � � o 0 -2- 00 -.1 (7) 01 o 0 Z < ,...< O 1-- > co v Co Z!V I 11O -I > - FP2 0 z Z 0 0 c �Z S _1 � <_p_ -15 Z r- z N N ---1 0D-I 3 ---1 -u S > 0 M ti`s°N cc, JEFFERSON COUNTY I{ DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 I Web:www.coJefferson.waus/communitydevelocment joy Tel:360.379.4450;Fax:360.379.4451 ;Email:dcd(a?co.lefferson.wa.us SquareONF Resource Center ( Building Permits a inspections I Development Review j Long Range Planning FINAL DETERMINATION OF NON-SIGNIFICANCE }l r ? (� AND LEAD AGENCY STATUS `- '� 1 r---= JEIk,� a A L� DATE: April 30, 2014 PROPONENTS: Hood Canal Salmon Enhancement Group P.O. Box 2169 Belfair,Washington 98528 PROPOSAL: The project proponents are proposing estuary habitat restoratig lin the immediate vicinity of the Big Quilcene River and Quilcene Bay. This application requires a shoreline exemption permit and a flood development permit from Jefferson County along with critical areas review and SEPA review,with Jefferson County acting as the lead agency for SEPA. Jefferson County noticed the Pending SEPA Determination. Adjacent property owners as well as federal,state,and local agencies, including but not limited to, Washington Department of Ecology, Washington Department of Fish and Wildlife, Washington Department of Natural Resources,Washington Department of Health,and U.S. Army Corps of Engineers have been notified and have had an opportunity to comment on the proposal. PROPERTY LOCATION: The estuary habitat restoration area is east of Highway 101 in Section 24, Township 27 North, Range 2 West. Restoration work will be conducted in the immediate vicinity of the Big Quilcene River on property owned by Hood Canal Salmon Enhancement Group. LEGAL DESCRIPTION: Parcels 991201701 and 991201702 are owned by Hood Canal Salmon Enhancement Group and are legally described as Blk 17 Lots 1 thru 20 and Block 18 Lots 1 thru 20 w/ptn s/vac Chattanooga Ave adj (Res#90-93),respectively. NOTICE OF LEAD AGENCY: Jefferson County has determined that it is the lead agency for the above- described proposal. MITIGATION MEASURES: I. Prior to issuance of a shoreline/flood development permit,the proponent shall submit a complete stormwater application including a Jefferson County Stormwater Site Plan Submittal Template and a 2012 Stormwater Management Manual for Western Washington plan. 2. Prior to beginning any work on this project,the proponent shall contact Washington State Department of Transportation(Olympic Region)for coordination with that agency to use Highway 101. NOTICE OF NON-SIGNIFICANCE: Jefferson County has determined that the above described proposal, conducted in conformance with the applicable Jefferson County Codes and Ordinances,would not have a probable significant adverse impact on the environment, and an environmental impact statement is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the Jefferson County Development Review Division. COMMENT PERIOD: This DNS is issued after using the optional DNS process in WAC 197-11-355. Jefferson County has considered comments on its preliminary determination of nonsignificance. There is no further comment period on the DNS. APPEAL: There is no Administrative Appeal process under the Jefferson County Code for Type I permit decisions as specified by JCC 18,40.260 and JCC 1 8.40.810(1). Appeal of a Type I permit requires Judicial Appeal as specified by Section 18.40.340 of the JCC. facie Hoskins,SEPA Responsible Official t Date I L : (\-----, , ,; \ —1 i , 1 L1-.-, \. ,,,, 1 ii" 1 , MLA 1400013 Hood Canal Salmon Enhancement Group Application—Habitat Restoration Page 2 of 2 ee174 . Q4a ke,ne 01 -- f ' 7; ii$e3 , 4 � ' 1I[7_, ( sJL� J "l LEi(elsON JEFFERSON COUNTY ,I DEPARTMENT OF COMMUNITY DEVELOPMENT �� , I'I 621 Sheridan Street• Port Townsend •Washington 98368 j I ' " ,s ;i I (360) 379-4450 (360) 379-4451 Fax Li f i L� http://www.co.jefferson.wa.us/commdevelopment/ i.r ,_ S0;;C{i rivrY Stormwater Site Plan Instructions and Submittal Template.- "Medium" and "Large" Projects [Includes Construction Stormwater Pollution Prevention Plan(SWPPP)and Permanent Stormwater Control Plan] The submittal template for a Stormwater Site Plan has been developed from information presented in the Department of Ecology 2013 Stormwater Management Manual for Western Washington (Manual), which is the set of stormwater management standards for new development and redevelopment in Jefferson County. The Stormwater Site Plan, Minimum Requirement #1 in the Manual, is the comprehensive report containing all of the technical information and analysis necessary to evaluate a proposed new development or redevelopment for compliance with stormwater requirements. A Stormwater Site Plan is required for all"medium" and"large" projects. (For background information, refer to the Stormwater Management Information Sheet.) The Stormwater Site Plan includes a Construction Stormwater Pollution Prevention Plan (SWPPP — Minimum Requirement#2) that addresses sediment and erosion control during construction and a Permanent Stormwater Control Plan that addresses stormwater on the project site in its developed condition through dispersion, infiltration, or, if necessary,flow control and/or treatment facilities. The steps for preparing and the content of a Stormwater Site Plan are summarized below and more fully described in Chapter 3 of Volume I of the Manual. The attached submittal template is intended to be a format applicable to typical rural residential construction. For these cases, completion and submittal of the template results in a complete land use application. THE TWO MAIN COMPONENTS OF A STORMWATER SITE PLAN I. Construction Stormwater Pollution Prevention Plan A Construction Stormwater Pollution Prevention Plan (SWPPP) is a document that describes the potential for pollution problems on a construction project and which explains and illustrates the measures to be taken to control these problems. The basis for requiring a SWPPP, the twelve elements required to be in a SWPPP, the suggested step-by step procedure to follow, and the suggested Best Management Practices (BMPs) to follow, are all described in Volume II of the Manual. A SWPPP Consists of two sections, a narrative and the drawings. A description of the contents of the narrative and the drawings sections, and checklists for each of these sections, are in Section 3.3 of Volume II. For typical rural residential projects, DCD provides a Construction Stormwater Pollution Prevention(SWPP)Best Management Practices(BMPs)Packet to assist with the preparation of the Construction SWPPP. II. Permanent Stormwater Control Plan A Permanent Stormwater Control Plan is a document that describes the basis for, and the means of implementing, permanent Best Management Practices(BMPs)for flow control and treatment facilities after the project is completed. The content of a Permanent Stormwater Control Plan is described in Section 3.1.5 of Volume I of the Manual. The permanent BMPs and facilities for flow control and treatment are described in Volumes III, IV, and V of the Manual. The submittal template is intended for rural residential projects that can fully disperse or infiltrate stormwater. The template may not be appropriate or sufficient for applications involving larger or more complex projects. stormwater site plan template.doc—rev.4/28/2014 r ` — / INSTRUCTIONS Li [3 To prepare a Stormwater Site Plan,follow the steps outlined below, complete the Stormwat r SiteLPlan.femplate, sign and L=11 submit together with the Master Land Use Application (MLA). This information may also be provided for otl9trdiagrams, plans, studies, or attachments submitted with the project application. If so, please indicate-su h ppleterlaIT permit application. As the template is designed mostly for rural residential development, it may not be as useful for a larger project as an independently prepared Stormwater Site Plan. For any particular project, the Administrator may waive specific submittal requirements determined to be unnecessary for review of the application. Note: Prior to filling out the submittal template, read through these steps for preparing a Stormwater Site Plan. Preliminary or draft versions of the individual components may be helpful in the case that redesigning an original layout would result in a proposal that has less environmental impacts and is significantly simpler in terms of meeting stormwater requirements. For example, if the proposal can utilize the "full dispersion"BMP(T5.30 in the Manual), there is no need to provide for flow control or flow treatment on the site. For more information on the easiest way to meet stormwater requirements, refer to the "Low Impact Development"Information Sheet. BMPs used during the construction phase and that are included in the Construction SWPPP may also be useful as elements of the Permanent Stormwater Control Plan. STEP 1: COLLECT AND ANALYZE INFORMATION ON EXISTING CONDITIONS Collect and review information on existing site conditions, including topography, drainage patterns, soils, ground cover, critical areas, adjacent areas, existing development, existing stormwater facilities. The Jefferson County website provides an Internet Map Server (IMS)function(http://www.co.jefferson.wa.us). If available,a Development Review Division(DRD)planner may be able to assist you in collecting this information. Analyze the information to determine site limitations, including: • Areas with high potential for erosion and sediment deposition(based on soil properties,slope,etc.); • Locations of sensitive and critical areas (e.g., vegetative buffers, wetlands, steep slopes, floodplains, geologically hazardous areas, streams,susceptible aquifer recharge areas,etc.);and • The natural receiving waters to which the stormwater runoff either directly or eventually discharges. This information will be useful in site design and in the completion of the Permanent Stormwater Control Plan and Construction SWPPP. I STEP 2: PREPARE PRELIMINARY DEVELOPMENT LAYOUT Based upon the analysis of existing site conditions,locate the buildings,driveways, roads, parking lots,and landscaping features for the proposed development. Consider the following points when laying out the site: • Fit development to the terrain to minimize land disturbance; confine construction activities to the least area necessary and away from critical areas; • Preserve areas with natural vegetation(especially forested areas)as much as possible; • On sites with a mix of soil types, locate impervious areas over less permeable soil (e.g., till) and try to restrict development over more porous soils(e.g.,outwash); • Cluster buildings together; • Minimize impervious areas;and • Maintain and utilize the natural drainage patterns. The preliminary development layout will assist in determining threshold discharge areas for calculating whether size thresholds under Minimum Requirements#6, #7, and#8 (for large" projects) are exceeded and as a basis for the drawings and maps required for the Stormwater Site Plan. stormwater site plan terrplate.doc—rev.4/28/2014 2 • -.._�.. r / STEP 3: PERFORM AN OFF-SITE ANALYSIS i i V 4 1 i This step is for "large" projects (i.e., adding 5,000 square feet or more of new impervious surface, conVerting 3h acres of pervious I surfaces to lawn or landscaped areas, or converting 2' acres of forested area to pasture)at the dis iohr pf the UDC Administrator. See Volume I, Section 2.6.2 for more information. Jt 1EpSC V C01,isa ?:P?.OF Cl f".y1;y npf._j1 /STEP 4: REVIEW THE APPLICABLE MINIMUM REQUIREMENTS The Stormwater Calculation Worksheet is a required submittal for all development and redevelopment land use applications. Completing the Worksheet helps determine the broad category of the proposal—"small," "medium," or "large" project—and the applicable Minimum Requirements. "Small" projects need to meet Minimum Requirement#2 only. "Medium" projects need to meet Minimum Requirements#1 through#5. "Large" projects need to meet all the Minimum Requirements, #1 through#9. The Minimum Requirements are as follows: 1. Preparation of Stormwater Site Plans(Chapter 3 of Manual) 6. Runoff Treatment 2. Construction Stormwater Pollution Prevention 7. Flow Control 3. Source Control of Pollution 8. Wetlands Protection 4. Preservation of Natural Drainage Systems and Outfalls 5. On-site Stormwater Management 9. Operation and Maintenance The Manual provides descriptions and instructions in Volume I, Chapter 2. Information sheets,application materials,and DRD planners can help describe the Minimum Requirements to applicants. Note: "Large" projects, as part of meeting Minimum Requirements #6 — Runoff Treatment — and #7 — Flow Control, are compared to Volume I, Chapter 2 in the Manual to determine whether on-site stormwater management BMPs are sufficient or treatment facilities or flow control facilities are required. The flow control determination may necessitate use of the Western Washington Hydrology Model managed by the Department of Ecology. Consult Sections 2.5.6 and 2.5.7 of Volume I, Chapter 2 of the Manual for more information. Again,the easiest way to meet stormwater requirements is to design the project so that natural drainage is preserved, impervious surface is limited, and full dispersion (BMP T5.30) is implemented. By using "low impact development" techniques in the site design, the need for treatment and flow control facilities is eliminated, simplifying preparation of the Stormwater Site Plan and often the site construction process itself. For more information on these techniques,consult the"Low Impact Development"Information Sheet. STEP 5: PREPARE A PERMANENT STORMWATER CONTROL PLAN Select stormwater control BMPs and facilities that will serve the project site in its developed condition. The selection process is presented in Volume I, Chapter 4. After consideration is given to how selected BMPs and facilities fit within and serve the entire preliminary development layout, the designer may want to reconsider the site layout to reduce the need for construction of facilities or the size of the facilities by reducing the amount of impervious surfaces created and increasing the areas to be left undisturbed. The Permanent Stormwater Control Plan should contain the following sections(Section 3.1.5 of Volume I, Chapter 3): • Existing Site Hydrology(i.e.,the behavior of water on the site—above, below, and on the ground) • Developed Site Hydrology (special requirements for projects and threshold discharge areas within projects that requirement treatment and flow facilities) • Performance Standards and Goals • Flow Control System • Water Quality System • Conveyance System Analysis and Design Essentially, in terms of site hydrology, the developed condition of the site should match the pre-developed condition, with is forested land cover (unless reasonable, historic information is provided that indicates the site was prairie prior to settlement). For "large" projects, totals of impervious surfaces, pollution-generating impervious surfaces, and pollution generating pervious surfaces must be tabulated for each threshold discharge area for which on-site BMPs are the sole stormwater management approach. stormwater site plan template.doc—rev.4/28/2014 3 ■ STEP 6: PREPARE A CONSTRUCTION STORMWATER POLLUTION PREV NT ON PLAN (SWPPP) The Construction SWPPP for projects adding or replacing 2,000 square feet of impervious surface pr more or clearing 7,000'square feet or more (i.e., "medium" or"large" projects), must contain sufficient information to demonstrate tp_the UDC,Administrator that the potential pollution problems have been adequately addressed for the proposed project. An adequate Construction SWPPP includes a narrative and drawings. The narrative is a written statement to explain and justify the pollution prevention decisions made for a particular project. The narrative contains concise information concerning existing site conditions, construction schedules, and other pertinent items that are not contained on the drawings. The drawings and notes describe where and when the various BMPs should be installed, the performance the BMPs are expected to achieve, and actions to be taken if the performance goals are not achieved. There are 12 Elements that must be considered in the development of a Construction SWPPP, unless site conditions render that element unnecessary and the exemption from that element is clearly justified in the narrative. The 12 Elements cover the general water quality protection strategies for limiting site impacts during construction and are described in detail in Section 2.5.2, Volume I of the Manual. The 12 Elements of Minimum Requirement#2,Construction Stormwater Pollution Prevention,are: 1. Mark Clearing Limits 6. Protect Slopes 11. Maintain BMPs 2. Establish Construction Access 7. Protect Drain Inlets 12. Manage the Project 3. Control Flow Rates 8. Stabilize Channels and Outlets 13. Protect Low Impact Development 4. Install Sediment Controls 9. Control Pollutants BMP's 5. Stabilize Soils 10. Control De-watering For ease of use, the Stormwater Site Plan submittal template below includes a section that lists the 12 Elements and provides the opportunity to include sufficient information for rural residential and other relatively simple Construction SWPPPs. For more complex projects,a separate narrative and set of plans may be preferred or required. Volume II of the Manual is dedicated to Construction Stormwater Pollution Prevention. A step-by-step BMP selection process and a complete description of the BMPs applicable to each element is provided in Chapters 3 and 4. Additionally, DCD provides a Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet that summarizes the 12 Elements and excerpts from the Manual sample sediment and erosion control measures for typical rural residential development. The Packet should prove useful for completing the Construction SWPPP component of the submittal template. On construction sites that infiltrate all stormwater runoff,the primary consideration in the preparation of the Construction SWPPP is the protection of the infiltration facilities from fine sediments during the construction phase and protection of ground water from other pollutants. On construction sites that discharge to surface water, the primary consideration in the preparation of the Construction SWPPP is compliance with the State Water Quality Standards. The step-by-step procedure outlined in Volume II, Section 3.2 is recommended for the development of these Construction SWPPPs. STEP 7: COMPLETE THE STORMWATER SITE PLAN The Stormwater Site Plan encompasses the entire submittal to Jefferson County in conjunction with a land use or building permit application. The following documents or sections should be included: • Project Overview • Existing Conditions Summary • Off-site Analysis Report(if required;usually for"large"projects) • Permanent Stormwater Control Plan • Special Reports and Studies(such as soil testing,wetland delineation,etc.,if applicable) • Other Permits(approvals required by other regulatory agencies that include stormwater management conditions) • Operation and Maintenance Manual(for each flow control and treatment facility, if applicable) • Bond Quantities Worksheet (for performance bond or other financial guarantee for proper construction and operation of construction site BMPs and permanent drainage facilities, if required) The submittal template below is designed for rural residential and other relatively small or simple projects. For larger and more complex projects—particularly those that involve stormwater treatment and/or flow control—more information may be required and an independent Stormwater Site Plan may be the preferable submittal format. STEP 8: CHECK COMPLIANCE WITH ALL APPLICABLE MINIMUM REQUIREMENTS A Stormwater Site Plan as designed and implemented should specifically fulfill all Minimum Requirements applicable to the project. The applicant should review to check that these requirements are satisfied and that all information provided is true and correct prior to signing and submitting the Stormwater Site Plan. (The signature box appears at the end of the submittal template.) stomnvater site plan template.doc—rev.4/28/2014 4 l ,1 ,gsoN r °6,2, JEFFERSON COUNTY � , )1 ►, DEPARTMENT OF COMMUNITY DEVELOPMENT ,� tiTv 621 Sheridan Street• Port Townsend •Washington 98368 ,, C 'r I`^r �.qs, ,�0� 360/379-4450 . 360/379-4451 Fax RING http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. i Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. ( 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 4. Describe the existing soils. Indicate soil type on e site map. 5. Describe the existing site hydrology(i.e.,drainage; be vior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. 6. Describe any excess levels of noise generated by e r posed use or activity: stormwater site plan template.doc—rev.4/28/2014 5 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. 5/.0#r,4-5 °i4-i'-,a/ari s 74 74' /27;e i13-7/Av ar^GJ fit /e-cvcA 8. Describe the general vicinity of the site, indu ing adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes,steep slopes,etc.). pj Permanent Stormwater Control Plan Jr`F,`VON COUNTY OtiT OF :OP, 'llf"'Y This portion of the Stormwater Site Plan consists of the selection and installation of the appropn rmwatt-l� � and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. 10. If the project requires the use of stor ater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these f ilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or proj cts that involve the potential for dispersion of contaminants.] 11. Describe the performance goals an standards applicable to the project. 12. Describe the flow control system. V stormwater site plan template.doc—rev.4/28/2014 6 13. Describe the water quality system. 5-2. 9PPJ0 14. Describe the conveyance system analysis and deli . [,)f it JEEEERSON COUNTY fiPi.Of-CO v1i ^'.;TY Fr71 nPE^ENI 15. Describe the source of fill material,physical char teristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consiste t with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. 1/ 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities ar quired to control flow or treat runoff.] If included, list the Manuals here. 20. List here and include any special reports or studi s conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as requ ed by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain m re restrictive drainage-related requirements,describe those conditions or restrictions here. Y stormwater site plan template.doc—rev.4/28/2014 7 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual(beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. k L 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment Controls. 5. Stabilize Soils. 6. Protect Slopes. 7. Protect Drain Inlets. s stormwater site plan template.doc—rev.4/2812014 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active co isttuction site) 5 I s j t 1/ ;;0,iNTY 11. Maintain Best Management Practice (BMPs). 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, r7� d cCewI- a ►ea �� -�,t -=�-ia roads).� - 1� /1 'e ar.r- a g o/ a.rr`,z Iii yeti b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 41,1/G-4° g2pe.7 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas hat are on or adjacent to the site. 9 stormwater site plan template.doc—rev.4/28/2014 b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description f potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility, settleability, perme bility, depth,texture, soil structure). E '11 ,7 I I \\J, 1 11 iJJ 5. Construction Phasing. JL ' NUM)/ i P .OF f( S D)+Fi OP MFNT a. Construction sequence �----� --- b. Construction phasing(if pro r= ed) 6. Construction Schedule. Wet-eason is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. II. Wet Season Constru ion Activities. a. Proposed wet sea on construction activities. b. Proposed wet season struction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsi I: for the initiation of bonds and/or other financial securities. / 5 / - ter _ 'r/ / /�L�1 411 ,may— b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacls. j, e pia/Per 5d-r1drl9 p7PG€SS`s`r-,e 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stormwater site plan template.doc—rev.4/28/2014 SECTION II-EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. r a 17, a. Vicinity Map ✓ - L� J V [, 1-\\ b. Jefferson County Approval Block / I l c. Erosion and Sediment Control Notes ✓ L' , !. 2. Site Plan. 3 I a. Legal description of subject property. VI J L •-J b. North arrow.V JEf FE RSON COUNTY c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas,etc.)✓ DEPT.OF COi:/M_GNITY Di VEI.OPMENJ d. Identify and label areas of potential erosion problems. /Vi4� e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable(/74.46 k) f. Show existing and proposed contours. ✓ g. Indicate drainage basins and direction of flow for individual drainage areas. ,514 h. Label final grade contours and identify developed condition drainage basins. �-- i. Delineate areas that are to be cleared and graded.✓ j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. 44vt. a. Designate locations for swales, interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. /Verse_ 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. ggsi/� b. Dimension pond berm widths and inside and outside pond slopes. wer1e_ c. Indicate the trap/pond storage required and the depth, length,and width dimensions.t<lelZf d. Provide typical section views through pond and outlet structure. ></e 1t e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. "Ier-e f. Detail stabilization techniques for outlet/inlet. 6-kotP g. Detail control/restrictor device location and details. hler*f h. Specify mulch and/or recommended cover of berms and slopes. /∎J" i. Provide rock specifications and detail for rock check dam(s),if applicable. arAf j. Specify spacing for rock check dams as required. MAte_ k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. plorrte m. Locate the construction entrance and provide a detail. ✓ 6. Detailed Drawings. Any structural pr ces used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). j 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. ,'44— stomtwater site plan template.doc—rev.4/28/2014 1t Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRE ATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: -- [ /7 I1 t ; j) b, FF!)N COUNTY -- CFPT.OF f OM I LAITY D ,I,;F)P1 I NJT -_ stormwater site plan template.doc—rev.4/28/2014 12 Construction Storm Water Pollution Prevention Plan For the Big Quilcene River Estuary Restoration — Phase 3 Project June 27, 2014 rm F)1,, I ,I I DEPT. O , 1 Stormwater Pollution Prevention Plan (SWPPP) BIG QUILCENE RIVER ESTUARY RESTORATION — PHASE :' J 1 7 7R-.04ECT, _ Project Description 1 I Project Location E � d TY L h Li 0ECn ! iO MENT The project is located in Quilcene, WA in Jefferson County. See attached Vicinity Map. 1/4 Section Section Township Range NE 24 27N R2W The latitude and longitude of the project location. • Example: 47.03922 N lat. /-122.89142 W long. (Use decimal degrees - NAD 83) Project Description See attached engineering drawings. The project consists of 1) clearing and grubbing a 4.5 acre excavation area, 2) removing the 22,000 CY of imported fill from the estuary restoration area of the site, 3) excavating and grading the estuary, 4) constructing an 827 foot long main tidal channel through the proposed estuary 5) constructing 1,255 feet of new distributary channels that feed into the main tidal channel, and 6) installing 4 large woody debris habitat structures. The side slopes of the excavated are will be 3:1 to allow for planting. The side slopes will be planted with winter rye and cedar and Douglas fir trees.. Proposed Construction Elements and Equipment for this project are: 1. Install silt fencing to prevent siltation from leaving the site during construction as locations specified in the plans and by the site inspector in the field. 2. Clear and grub approximately 4.5 acres of the site. 3. Excavate and remove 22,000 cubic yards of imported earth and rock fill from the estuary. The waste soils will hauled and disposed of at a permitted soil disposal site in Quilcene, WA. (Pedersons) 4. Construct the proposed tidal distributary channels. 5. Install the large woody debris in the distributary channels. 6. Clean up the site and hydroseed and otherwise plant the exposed slopes of the estuary to prevent future erosion and invasion by noxious plants. 2 Construction equipment will include one excavator, one crawler tractor, one small backhoe, and four 12 CY dump trucks. L _ ; 1, I Required Elements • I y; Element#1 Mark Clearing Limits )_;=FL,e r :C011-NTY Prior to beginning earth disturbing activities, including removal o exiiii' 3ev -� rip rap and LWD along the levee, all clearing limits, sensitive areas, and trees to be saved will be clearly marked to prevent damage and offsite impacts. Element#2 Establish Construction Access The access for this project is very good. The access road exists and construction equipment will travel over a 400 feet on private gravel driveway before entering the public road system. Vehicles that are simply returning to the excavation area via the haul route will not be required to wash wheels or tires. Element# 3 Detain Flows The project does not involve the creation of any impervious surfaces. Consequently, no changes in volume, velocity or peak flow rate are expected. Element#4 Install Sediment Controls See Erosion Control Plan — Sheet 5 in plan set attached. Construction sequencing to control sediment will be: 1. A wire backed silt fence will be used where needed so that the silt fence can withstand daily flooding by the estuarine flood tides. 2. All excavation work for the proposed for the fill removal will be completed in the dry, when the tide is out. 3. Re-planting of the estuarine habitat will be by natural recruitment. Construction will take approximately 2 months over the 2014 construction season. In-estuary construction will occur between July 15th and September 15th. A temporary erosion control and sedimentation control will be installed as described on the drawings. A rip rap access apron will be constructed at the entrance of the soil disposal area 3 Element#5 Stabilize soils All exposed and un-worked soils will be stabilized. As winter approaches, the disturbed areas will be planted and re-vegetated with native plants. j � ;1 ;; - , ; ILL� �� L� t1 \/ L_; ; ) Soils will be stabilized by hydroseeding and/or the application of mul J l. H Element#6 Protect Slopes ! L) No storm runoff is expected on this site during construction. UPI r ., Y ��F 7�� r Element#7 Protect Drain Inlets: There are no drain inlets on the property. Element#9 Control Pollution Repair and maintenance of heavy equipment and vehicles will commonly occur offsite. Emergency repairs will take all precautions practicable to prevent the discharge or spillage of pollutants to the ground. The Contractor will be required to have Spill Containment Kits on the construction site Element#10 Control De-Watering Work will be completed while the tide in out during the low tides August and September. The site will be allowed to drain naturally so the site will be able to drain dry after tidal flooding. Element#11 Maintain BMPs. All temporary erosion and sediment control BMPs will be maintained and repaired as needed to assure continued performance. All temporary erosion and sediment controls will be removed once the area is stabilized. Disturbed soil areas resulting from the removal of BMPs or vegetation will be permanently stabilized. Records of BMP maintenance and repair will held in the project file. Element#12 Manage the Project The project will be managed in a manner to maximize the effectiveness of this SWPPP. Full time construction inspection will be provided by the owner. The contractor will required to provide an "on site" Certified Erosion and Sediment Control Lead (CESCL) to take responsibility for the SWPPP report to the WSDOE. 4 A A pre-construction meeting will be held where the requiremepts!bf the SWPPP ; j'. I will discussed. j ii! The SWPPP will be kept up to date and modified as necess ry.` L. ___ i 1 FIGURE 1 -DIRECTIONS TO THE SITE AND A SITE t7I INITht MAI'' TOPO! map printed on 06/27/14 from "Untitied.tpo" 122°53.000' W 122°52.000' W WGS84 122°51.000' W }"` 4 R mesa . _ .o n aee 7* ,7' . .► 111 . 0, , ,„• ,, , \\ ......-..,!:_ :-„,..::, Sticiii Z y{:/4�4 .*�f 11,;•,.,...,, r r ~:7 I' i t i0 , . 1 1 4 c r R • a `� 8M 8 1-- '4' t .l \. .s 1▪y L ti ;S a. i ._ rvr sr�, • ._ f •? a f• .:i r 'ia' a r t iii A tkrrr 7VeL�r na�tif,�.i iVi.�Sj�7f�� {_ { $t 'i'a' t J' �i w rii rr xt S f 4 c .`1 I D ` F r5 l�a7yr, }4� tt rte, • _ ce - V b ' 2 ��,",,1�� �'� �•'4s+n� � �'� '' t�`Y` � fr"�3 !`"r�� rl °u f a ti:�?Er▪ 5 r r4:4• r. u, ., • " •• re Eft Y r • %'r-'z-A...!•.�.•r,_ •.!K r}$^i.`+}'�e-°tt�ttt',i'ILL/. :::: '-'*'? -114;:t - .� r. BORE-PHASE 3 ' ;;f�'� =r a _ plir I D CONSTRUCTION SITE f,z vr, S`•'r 2 O qJ r i u r 1 �_• - 4 r ,• ti s t 4 a 4 14 .e' °• ` Jut t 4114, :4 D '"+ r. r a ;i o t 24 ,. i r��, ry 4^ r ,e�r''r '�+;,�, r=• T'rst r<s + �k' i �" l T' G' y' 7.-0,4 c '.Gr*trp ' R y2S� - P., 4 .i/ 'i: a .r..sr is s'z i a e., 4, = O ,e,� ' +"sir t �'L ,,ct.,s: d" (��- '. 4 i �'/ �ti r + ... . ye�hr�ri 4 Zi a4,t: e 7r Map createdrwit}� ',� ;;_ 62001.*'Nation• Geogrraphic,©2005 Tele.AtCas,Rels 8/227,05 ;..g;,AA 122°53.000' W 122 052.000' W WGS84 122°51.000' W 0 a 1 TN* MN NATIONAL — __ MI s in Iwo zr�aa NM 40(10 50(1(1 161.1; GEOGRAPHIC 1 .5 FEE., 0 KILOMETERS 1 1(00 — �. ." 0 METERS itioa 06/27/14 PROJECT PLAN FOLLOWS: SEE ATTACHED. 5 N JEFFERSON COUNTY ` rrik• _ DEPARTMENT OF COMMUNITY DEVELOPMENT i , i j 621 Sheridan Street• Port Townsend•Washington 98368 , q� 3601379-4450.360/379 451 Fax J tO I`- http://www.co.jefferson.wa.us/commdevelopment/ i`FFLKS(,\J,]Lltim 1Y Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or*large.' The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE 0.E..SITE Size of parcel 4-5 acres An acre contains 43,580 square feet. Multiply the acreage by this figure. Size of parcel in square feet /9‘0?e7D sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND 0I'T R: G ACTIVITY CON _- I•N OF A IV_VEGETATI•N AND VO ME •F C T I Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. O sq/ft Circle: Yes No Well,utilities,etc. 0 sq/ft Does the project convert 2'h acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 0_ sg/ft ��// d / Circle: No Lawn,landscaping,etc. . U J sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance /*,®2-0 sq/ft Cut J GAD Fill (cu/yd) [over) atownwater Calk worksheet—REV.2!20/2008 i ,,-)) 17_7, ("Th ,-' , --_-, -- 1 i I il i / 1 1 I i ---0, , ' , ,, I Impervious surface is a hard surface that either prevents or retards the entry of water into the tparige as under natural conditioriu ; prior development. greater q rate of fl --/j 1 riot to develo ment. A hard surface area which causes water to run off the surface in realer frliee'or at an increased from the flow present under natural conditions prior to development. Common impervious su s include, but.area tThfr lewd to-reoI- tops,walkways, patios, driveways, parking lots or storage areas,concrete or asphalt paving, gravel roads,padre,eeyi hhrt;_ tenals, l and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. _'_�� STORMWATER CALULATIONS–IMPERVIOUS SURFACE, IAN EXISTING Structures(all roof area) 0 sq/ft Structures(all roof area) © sq/ft Sidewalks 0 sq/ft Sidewalks C sq/ft Patios 0 sq/ft Patios 6 sq/ft Solid Decks Q sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc 0 sq/ft Driveway,parking,roads,etc 2) sq/ft Other 0 sq/ft Other tf:314 sq/ft Total New 0 sq/ft Total Existing *f10d sq/ft TOTAL NEW+TOTAL EXISTING* A461"/ sq/ft "This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: /(/A. % Does the site have 35%or more of existing impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP)Best Management Practices(BMPs) Packet. Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stonnwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicantowner attest that the information provided herein is true and correct to the best of my knowledge. 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ZZqNyz� m �i> /' /~ ! );`Iti x1 .� V'mO� n -r+ AO yKm9 > 02 ` .H Oz�m m 2AQo mov°NO°I yiz8 0 /' i / q y z gm>goz m Q cziaziz �f 9 A2 / // Q € i goDmx, N of o / z >-noo m V LI3 73 Z 2 hq- 01 (VI A, `OUP JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT �s 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 i Email:dcd&o.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Disposal of 22,000 cubic yards of soil from the Big Quilcene River Estuary Restoration- Phase 3 Project. Tax Parcel Number: 702231002 and 702231001 Property Size: /7 (acres/square feet) Site Address and/or Directions to Property: 295472 Highway 101 Quilcene, Pedersons - Go to Quilcene,go north on SR 101 to Pedersons Property Owner(s)of Record: Wally and Peggy Pederson Telephone:360-765-3978 Fax: email: wanyandpeggyeembargmail.corn Mailing Address: 295472 Highway 101 Quilcene, 98 376 Applicant/Agent(if different from owner): Telephone:360-2754384 Fax: 360-277-3187 email: pathewavecable.com Mailing Address: 210 NE Cherokee Beach Road NE,Beifair,WA 98528 What kind of Permit?(Check each box that applies ❑Lot or Road Segregatio _ _ ❑Building ❑Critical Areas Stewards i` _ ,L- ❑ Demolition Permit ❑Variance(Minor, Major n "•f-• - _•;-_ ti-7,— ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), ( r!C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Un me�use Classification ❑ Commercial* ❑Special Use(Essential t bliclF'acilities):** ❑ Change of Use ❑Boundary Line Adjustm rni 1 1 ❑ Address ❑Road Approach ❑Short Plat** U L _ _ _j i ❑Home Business ❑Cottage Industry ❑Binding Site Plan** JEi';-c SON COUNTY ❑Propane ❑Long Plat** L DEPT_OF CO.M:IUUNITY DEVELOPMENT ❑Sign ❑Planned Rural ResidentiarQeve op €rit(PRR13f/A a-ndmen s ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration*" ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: None ,�1 !DESIGNATION OF AGENT I hereby designate Pie,fO' ° 4, 1(9/T/ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE h//5 )6 .,C:?/ L Date: 4 •"30- /Li By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application tthaat h o s wants prior notice. / YV 'f[ Signature: ,tQbyl/ Date: CO 3 Z) I The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r s n it y for adhering to and complying with the ESA. The Applicant has read this dis9laimer and signs and dates it below. Signature: 't" (- Date: ()— .---1 07/24/2013 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: None (360-7f5-3978 ( ) MAILING ADDRESS: 295472 Highway 101 Quilcene, EMAIL: wallyandpeggy @embargmail.com CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360-75-3978 FAX:( ) MAILING ADDRESS: 295472 Highway 101 Quilcene, EMAIL wallyandpeggy@embargmail.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: none Proposed: none Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current none Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP f knaT retaW toH I Is this appliance being Installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 210 Floor Heated Consistency Review • Other Heated Base fee: s i Mezzanine Additional Section: r I I Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: �" N MINTY ; JEP,��SOiV Other Unheated Pot Water Review fee: — CEPT.OF COPJfihi}LAITY L tl ELOPn�EniT Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: *Fair market value of all labor and materials foundation to finish Initials: 07/24/2013 • .. , °f liglik JEFFERSON COUNTY ��" DEPARTMENT OF COMMUNITY DEVELOPMENT I I i 4. 4, 621 Sheridan Street• Port Townsend •Washington 98368 JEFtRSON COUNTY ANzinie 360/379-4450. 3601379-4451 Fax __ AF T.or corrf_,HTV DR'Ion lFN h /4 co. fferso .wa.us/com�� ev2lo t/ ��e`f'Iii/ eife f /U�_ S' / - Stormwater Caiculat�iorrWorkksh et MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. 7 PARCEL SIZE O.E..SITE) Size of parcels rglel5 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet sq/ft -76-0 7 Land-disturbing activity is any activity that results in movement of earth,or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonbeny, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY.CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, . Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures D sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. O sqM Circle: Yes Well,utilities,etc. 0 sq/ft Does the project convert 2%acres or more of � native vegetation to pasture? Driveway,parking,roads,etc. 447254"e9 sq/ft Circle: Yes Lawn,landscaping,etc. 4' 1)A0- � sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of P - e JO d oky Total Land Disturbance evc7 sq/ft Cut Fill -- -- - (cu/yd) [over] stormwater Calk worksheet—REV.2/20/2008 1 Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfs i to roof tops,walkways, patios,driveways, parking lots or storage areas,concrete or asphalt paving, gravdl�r 0 c1 d(�tfger,►,rna and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. j� r_ ' ` L' U L% STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW ,EXISTING _ _� Structures(all roof area) sq/t Structures(all roof area) JEFFERSON CLAYEY utt'l.OF COMMUNITY DEVELPMENT Sidewalks sq/R Sidewalks Patios sq/it Patios Solid Decks sq/ft Solid Decks El/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc sq/ft Driveway,parking,roads,etc sq/ft Other sq/ft Other sclift Total New sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft "This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices(BMPs) Packet. Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) stdmwater calk wakaheot—REV.2/20/2008 2 . . ______ t-- [ �/ { l �, JEFFERSON COUNTY j ill 1 etir444, JUN r DEPARTMENT OF COMMUNITY DEVELOPMENT 1 I 4, 621 Sheridan Street•• Port Townsend••Washington 98368 JEFFERSON COUNTY •q# 360/379-4450.360/379-4451 Fax DEPT.OF COMMUNITY C',. 'P°"FNT http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet .- F,' 6 is�e4Y Qffl� / 3- S©i 1 ,S,aal e.v. MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. (7 D PARCEL SIZE(I.E..SITE Size of parcelf acres c,Arlpere contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet _ Mil sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography.. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LA D MS R:IN ACTIVI CON RSI•N OF AT E VE ETA I•N AND V• M •F C T ILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes 6 Well,utilities,etc. sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway,parking,roads,etc. sq/ft A Circle: Yes Lawn,landscaping,etc. '7'�dj OOP sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance Qd t ID sq/ft Cut Fill 2Z,Iete, (cu/yd) (over) stormwater lac worksheet—REV.2/20/2008 1 r t Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common unpervious surfaces include, but are not limited to roof tops, walkways, patios,driveways, parking lots or storage areas,concrete or asphalt paving, gravel roads, packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS-IMPERVIOUS SURFACE ! r- " i � i LI) r _. _ NEW EXISTING IM` 1 ! I `' Structures(all roof area) D sq/ft Structures(all roof area) t s NM i L)) 1 is Sidewalks D sq/t Sidewalks . JCf I ,!1Pd CJiIP;TY DEPT_ Cry ,`a' 'h `1Et _r�r, EiT Patios 0 sq/ft Patios t' "----- Solid Decks 0 /R Solid Decks ,,cc,, sq/ft sq t:/ (without infiltration below) (without infiltration below) Driveway,parking,roads,etc C2 sq/ft Driveway,parking,roads,etc 0 sq/ft Other Q sq/ft Other (0 sq/t Total New 0 sq/ft Total Existing a sgfft TOTAL NEW+TOTAL EXISTING* sq/ft 'This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVE}OPMENT Divide the total allima impervious surface above by the size of the parcel and convert to a percentage: 'VA % Does the site have 35%or more of in i impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP)Best Management Practices(BMPs) Packet. Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instruction and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) stormwater calc worksheet—REV.2/2012008 2 Construction Storm Water Pollution Prevention Plan For the Big Quilcene River Estuary Restoration — Phase 3 Project PEDERSONS SOIL DISPOSAL SITE June 30, 2014 din ( C _—_-= __ V rff q 0 : i I ' JUN 30 2014 i ; Li L: l ) JEFFERSON COUNTY DEPT OF COMMUNITY.DEVELOPMENT_� 1 Stormwater Pollution Prevention Plan (SWPPP) BIG QUILCENE RIVER ESTUARY RESTORATION — PHASE 3 PROJECT = `� vd Project Description j 1i ± JUN 2014 Project Location JEFFERSON COUNTY DFPT OF COMMUNITY DEVELOPMENT The project is located in Quilcene, WA in Jefferson County. See attached- Vicinity Map. 1/4 Section Section Township Range NE 23 27N R2W Project Description This SWPPP is for the site where the Big Quilcene Estuary Restoration — Phase 3 contractor will dispose of the waste soils from the excavation of the restoration site. The restoration project consists of 1) clearing and grubbing a 4.5 acre excavation area, 2) removing the 22,000 CY of imported fill from the estuary restoration area of the site, 3) excavating and grading the estuary, 4) constructing an 827 foot long main tidal channel through the proposed estuary 5) constructing 1,255 feet of new distributary channels that feed into the main tidal channel, and 6) installing 4 large woody debris habitat structures. Jefferson County has required that the applicant prepare a separate SWPPP for the soil disposal site at Pedersons located in Quilcene approximately 2 miles from the restoration site on SR 101. Pedersons has historically been used over the last 10 years for disposal of waste soils from a number of estuary restoration sites in Quilcene Bay. The Pederson Industrial site is ideal for the disposal of waste soil. A natural dry, depression exists for disposal of the waste soil. (See Engineering Drawings). This natural depression has the capacity to hold well over a million cubic yards of waste soil. This project proposes to dispose of 22,000 cubic yards of clean waste soil from the restoration site. The construction equipment will enter the site on an existing gravel access road off SR 101 and proceed to an existing soil ramp to dump the soil. The disposal of 22,000 cubic yards will require an area of 2 approximately 40,000 square feet. There will be no stormwater runoff from the site since there is not natural outflow for the natural depression. Proposed Construction Elements and Equipment for this project are: The only construction element for this project is the grading of an unloading ramp on the existing waste soils on the site and the dumping of the soils by the haulers. The contractor will grade out and smooth the soils during and after the soils have been deposited. Construction equipment will include one crawler tractor and four h2�c` vmp _ ( , trucks. ! !U� , 1 Required Elements !! HI JUN : i,' 2t''? Element#1 Mark Clearing Limits JEFFERSON COUNTY DEPT OF CO' .!TY DF'VH fPMFNT The dumping area is shown on the plans and is very obvious. No additional clearing or grading limits will be, or need to be, staked. Element#2 Establish Construction Access The access for this project is very good. The access road exists and construction equipment will travel over a 400 feet on private gravel driveway before entering the public road system. Vehicles that are simply returning to the excavation area via the haul route will not be required to wash wheels or tires. Element# 3 Detain Flows The project does not involve the creation of any impervious surfaces. Consequently, no changes in volume, velocity or peak flow rate are expected. All runoff from the wastes soils, if there were any, will flow into the natural depression and infiltrate into the ground. Element#4 Install Sediment Controls See Erosion Control Plan — Sheet 3 in plan set attached. The soil disposal for the proposed restoration project will take approximately 1 month over the 2014 construction season. Element#5 Stabilize soils 3 All exposed and un-worked soils will be stabilized. As winter approaches, the disturbed areas will be graded and compacted with a crawler tractor to reduce erosion on the fill slopes. The waste soils will likely be sold as fill material since they will consist of mostly gravel soils. Given that the disposal site is an industrial area and that these soils will be sold for fill — no hydroseeding or mulch w ill be applied to the soil pile. L E - r ! ` Element#6 Protect Slopes r- ! e + i JUN 3 U 7,11 j!I ji No storm runoff is expected on this site during construction. �U) Jrcr K r\ CO 1!;'M Element#7 Protect Drain Inlets: There are no drain inlets on!the property y rnr-T T Element#9 Control Pollution Repair and maintenance of heavy equipment and vehicles will commonly occur offsite. Emergency repairs will take all precautions practicable to prevent the discharge or spillage of pollutants to the ground. The Contractor will be required to have Spill Containment Kits on the construction site Element#10 Control De-Watering There will be no dewatering required for the disposal of the waste soils. Element#11 Maintain BMPs. All temporary erosion and sediment control BMPs will be maintained and repaired as needed to assure continued performance. All temporary erosion and sediment controls will be removed once the area is stabilized. Disturbed soil areas resulting from the removal of BMPs or vegetation will be permanently stabilized. Records of BMP maintenance and repair will held in the project file. Element#12 Manage the Project The project will be managed in a manner to maximize the effectiveness of this SWPPP. Full time construction inspection will be provided by the owner. The contractor will required to provide an "on site" Certified Erosion and Sediment Control Lead (CESCL) to take responsibility for the SWPPP report to the WSDOE. 4 A pre-construction meeting will be held where the requirements ofrthe_SWPPP --__ will discussed. 1ff, v Lii., i The SWPPP will be kept up to date and modified as necessary. 1 , 1 JUN 3 o 2r-'.1 i'l I, k I JE.TfERSON66FIN----jTY FIGURE 1 -DIRECTIONS TO THE SITE AND A SITE VICTNITTY 1 _____ _ .MAP'n,P,,; ,,,H). 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' 2001 X 20 0f / , ,,,:/,-t, DISPOSAL AREA „ , ,',-/:,,''ilt,:/-r.-.,.4,:`:1:--.,..,;:3:--':k--,.;.:"-:-'-,-.:-,:'',..'.-'.;,'-::':,,.•"-,.--,1.'.-•,•..,.,.:,:.1,-•:,,-,-,,k•,,1:-4:.1:,,il,-,-,'-r-1!-,-,:--,,l-:li7E.‘-:-,r,,;1,,,!-1,,,?-,4 :.,-.:-,.-T,..,,-*•:: ,..' _ i,. .,.,:. -..,..:.,.....,.. ...„,,,,„:„.•....t „, ,._,..,:.4:.,..,:i .:.„ . . a _ I, ,, ....,, ,..-, .'E.° US 1A----- -- 0' sN IND 501 pEDE -R-O LE7-'1' scil .1 1II.„-- '• AI SITE I - NDUsTR ED. „ ,.-- -.:-.•'-- • TTACH , .:.,.. FIGURE 2: FOLLOWS: SEE A ri., ,L= 1 'I; cT PLAN PROJECT .1 li ri ij , , PEDERSONS I JUN 0 , 1 i u Li rjY OPMENT r DEPT OF COMMUNITY l 1 DEP jFf ERSON COUN ' Dp,- 6 r �,- °� co JEFFERSON COUNTY G2. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 I Web:www.co.ie#ferson.wa.uslcommunitydevelopment 'iv N�a1o$ Tel:360.379.4450 I Fax:360,379.4451 I Email:dcditco jefferson,wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning FINAL DETERMINATION OF NON-SIGNIFICANCE — AND LEAD AGENCY STATUS ;1 1 L ((' L– [j \�g , i JIB i, i '(.lip, : i ,, DATE: April 30,2014 II L L_____ ___._. Uf III JEF rR 0 J COUNTY PROPONENTS: Hood Canal Salmon Enhancement Group DEPT OF CO rVI Y D'VF l O2MENT P.O. Box 2169 Belfair, Washington 98528 PROPOSAL: The project proponents are proposing a disposal site for materials excavated as part of an estuary habitat restoration project near the Big Quilcene River and Quilcene Bay. A stormwater permit along with critical area review and SEPA review from Jefferson County are required,with Jefferson County acting as the lead agency for SEPA. Jefferson County noticed the Pending SEPA Determination. Adjacent property owners as well as federal, state,and local agencies, including but not limited to, Washington Department of Ecology, Washington Department of Fish and Wildlife, Washington Department of Natural Resources, Washington Department of Health,and U.S.Army Corps of Engineers have been notified and have had an opportunity to comment on the proposal. PROPERTY LOCATION: The soil disposal site is immediately west of Highway 101 in Section 23, Township 27 North, Range 2 West. Approximately 22,000 cubic yards of material will be placed within a 40,000 square foot disposal area. The disposal area is located at 295472 Highway 101 in Quilcene. LEGAL DESCRIPTION: Parcels 702231001 and 702231002 are owned by Walter Pederson and are legally described as Tax 30 and Tax 31, respectively. NOTICE OF LEAD AGENCY: Jefferson County has determined that it is the lead agency for the above- described proposal. MITIGATION MEASURES: 1. Prior to issuance of a stormwater permit,the proponent shall submit a complete stormwater application including a Jefferson County Stormwater Site Plan Submittal Template and a 2012 Stormwater Management Manual for Western Washington plan. 2. Prior to beginning any work on this project,the proponent shall contact Washington State Department of Transportation(Olympic Region)for coordination with that agency to use Highway 101. NOTICE OF NON-SIGNIFICANCE: Jefferson County has determined that the above described proposal, conducted in conformance with the applicable Jefferson County Codes and Ordinances, would not have a probable significant adverse impact on the environment,and an environmental impact statement is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the Jefferson County Development Review Division. 0 i COMMENT PERIOD: This DNS is issued after using the optional DNS process in WAC 197-I 1-355. Jefferson County has considered comments on its preliminary determination of nonsignificance. There is no further comment period on the DNS. APPEAL: There is no Administrative Appeal process under the Jefferson County Code for Type I permit decisions as specified by JCC 18.40.260 and JCC 18.40.810(1). Appeal of a Type I permit requires Judicial Appeal as specified by Section 18.40.340 of the JCC. 4 " l `'4 i it_ i i '`Stacie Hoskins, SEPA Responsible Official Date << 1. 1 JUN `' ; JD-FERSUN G i l t QTY DEPT.OF COMM ^'ITY Dr,"-i OPMF NT MLA 10-00194 I lood Canal Salmon Enhancement Group Application Page 2 of 2 ENVIRONMENTAL CHECKLIST BIG QUILCENE RIVER ESTUARY RESTORATION PROJECT—PHASE 3 THIS SEPA IS FOR THE SOIL DISPOSAL SITE FOR THE PROJECT THAT IS LOCATED AT THE PEDERSON INDUSTRIAL AREA SOIL DISPOSAL SITE IN QUILCENE, WA. A. BACKGROUND 1. Name of proposed project, if applicable: Big Quilcene Estuary Restoration—Phase 3 U ��, �_ 2. Name of applicant: Hood Canal Salmon Enhancement Group(HCSEG) ■ QTY 3. Address and phone number of applicant and contact person: DEPT of CD,, ''' ' F T Mendy Harlow-Director PO Box 2169 Belfair,WA 98528 360-275-3575 4. Date checklist prepared: January 18,2014 5. Agency requesting checklist: Jefferson County 6. Proposed timing or schedule(including phasing, if applicable): Site excavation for the Big Quilcene River Estuary Restoration will begin July 15, 2014.We estimate completion of the project September 15, 2014.The excavation phase of the project will take approximately 4 weeks. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 1 A separate SEPA checklist has been prepared for the Big Quilcene Estuary Restoration Project -Phase 3. That SEPA checklist contains several documents directly related to the proposed estuary restoration.They include: its u A DARPA Wetland Delineation and Analysis Report Cultural Resources Report I . Hazardous Substance Assessment JEFF?=RSON COUNTY DEPT.OF CCJI'li'OMTY )F1'r nPMr JT 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No 10. List any government approvals or permits that will be needed for your proposal, if known. 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.)Jhelpl This proposal seeks to dispose of approximately 20,000 cubic yards of waste soil from the Big Quilcene River Estuary Restoration— Phase 3 Project at the Pederson's Industrial area located at 295472 Highway 101 Quilcene, WA 98376. Property is located in NE 1/4 of S23 T27 R2W. Parcel ID: 702231002 and 702231001 While the Pederson Industrial disposal property is 19 acres, this proposal only seeks to place soil in a small portion of land within the property that has been previously prepared for filling with waste soil. The proposed disposal area will be approximately 200' x 200' in width and approximately 7' deep. (Area =0.91 acres) The area where the soil will be deposited has had significant disturbance over the last 20 years. In the 1990's it was cleared and graded in preparation for filling by imported soil. A portion of the disposal site has been filled with soil taken from the previous phases of the Big Quilcene River Estuary Restoration Project We have enclosed a Vicinity Map, a haul route map, and a aerial photo image that shows the approximate limits of the filling operation at the end of this SEPA checklist The imported soil fill will be compacted using a crawler tractor. No construction is planned on the imported fill. There will be no storm water SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 2 , , i 1 The disposal site has less than a 4%slope. ,� c. What general types of soils are found on the site (for example, clay, sand, gravel, ai? muck)? If you know the classification of agricultural soils, specify them and note ny prYie-J, �-Ro, --- farmland. cErr nJ COCA, ■1;-v I The soil on the current disposal site is HOC- Gravelly top soil with excessive fines and low pereii ity: Hardpan likely at 24"to 25".The area where the soils are going is graded depression with no wetlands. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. There are no unstable soils known in the immediate vicinity. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. The fill added to the proposed site will be approximately 20,000 cubic yards.The source of the fill will be the Big Quilcene Estuary Restoration site. See enclosed 90%Design Drawings. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.[ The fill will be left uncovered and will be constructed of permeable soil. No stormwater runoff or soil erosion is expected to occur. g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? None h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: No storm water runoff is expected from the imported soil.A shallow ditch will be constructed around the perimeter of the fill to prevent any stormwater runoff from leaving the site. 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. None b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 4 runoff from the filling site because the fill will be surrounded by ditches that will intercept any runoff from the fill. IG i JUN 111 LkeON COL'vn .% DEPT.OFCOVA^ gITy "»���!r.� PEDERSON INDUSTRIAL AREA WASTE SOIL FILL SITE NOTE EXISTING WASTE FILL ON THE SITE 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Go to Quilcene,WA then go south out of town on SR 101 approximately one mile and look for a large sign that says PEDERSON'S on the right hand side of the road.Turn right onto the industrial site.The area to be filled in on the left about 300 feet from the entrance. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site. (circle one): Flat, rolling, hilly, steep slopes, mountainous, other The disposal site is flat rolling topography. b. What is the steepest slope on the site (approximate percent slope)? SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 3 c. Proposed measures to reduce or control emissions or other impacts to air if-any None 3. Water 111 I F JUN a. Surface Water: I 1) Is there any surface water body on or in the immediate vicinity of the ite (iFtc RS c wry year-round and seasonal streams, saltwater, lakes, ponds, wetlands). , • - ---- and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site.Jefferson County Mapping shows a stream on Parcel No. 702231001.A field inspection of the site has shown that the stream does not exist or has been moved farther west on the site.If the intermittent drainage does exist on the west boundary of the site it is over 400 feet from the proposed disposal site and the no drainage from the disposal site can reach the stream due to adverse topography. 2)Will the project require any work over, in, or adjacent to (within 200 feet)the described waters? If yes, please describe and attach available plans. The project will not require work within 200 feet of waters. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. None—See Big Quilcene Estuary Restoration SEPA for further information 4)Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. Not applicable.No surface water withdrawals or diversions are proposed in this proposal. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. [ The proposed disposal site does not lie within a 100-year floodplain. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. Not applicable.The proposed site is not lie near surface waters. b. Ground Water: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. Not applicable. No ground water withdrawn or discharged will be part of this application. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 5 2) Describe waste material that will be discharged into the ground from septic anks Tor other sources, if any(for example: Domestic sewage; industrial, containing tt < i following chemicals. . . ; agricultural; etc.). Describe the general size of the yst ni,iffe--___ -- number of such systems, the number of houses to be served (if applicable) number of animals or humans the system(s) are expected to serve. ! l U N L No domestic sewage, chemicals or agriculture materials are to e dis ��-� —-—--' �' KSOi��Ot�^�Y into this proposed site. DEPT.OF CO ii ,TY I ' '--LA c. Water runoff(including stormwater): 1) Describe the source of runoff(including storm water) and method of collection and disposal, if any(include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. There will be no storm water runoff from the fill.A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 2) Could waste materials enter ground or surface waters? If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs X_grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? The Pederson Soil Disposal site is an established industrial area. No vegetation will be removed or altered at this site. c. List threatened or endangered species known to be on or near the site. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 6 No threatened or endangered species are know on or near this site. d. Proposed landscaping, use of native plants, or other measures to prese ;14 vegetation on the site, if any: None I U � ` } 5. Animals a. Circle any birds and animals which have been observed on or near these or are i owrr.to( DFPTOFE'' , 'Ur /(l �,� �I on or near the site: birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. No threatened or endangered species known in or near site. c. Is the site part of a migration route? If so, explain. NO d. Proposed measures to preserve or enhance wildlife, if any: None 6. Energy and natural resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. Not applicable b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. Not applicable c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Not applicable 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 7 1) Describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazar s, b. Noise 1)What types of noise exist in the area which may affect your project(for e ample: 1EF71RsoN couNTY traffic, equipment, operation, other)? DEPT.OF CP 1 iINITY flFYH OPMFNT Noise from the construction equipment will not affect this project site. 2)What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. The project site will be used during day light hours only limited during the project schedule. The types of noise will come from trucks delivering and unloading demolition materials. 3) Proposed measures to reduce or control noise impacts, if any: Noise from project site will be limited to hours occurring only during the day. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Pederson's property is used as a disposal area. b. Has the site been used for agriculture? If so, describe. No previous knowledge of area being used for agriculture. c. Describe any structures on the site. This is an industrial commercial site.There are storage buildings repair building,and the owner'residence. d. Will any structures be demolished? If so, what? No. e. What is the current zoning classification of the site? Light urban industrial f. What is the current comprehensive plan designation of the site? A disposal site SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 8 g. If applicable, what is the current shoreline master program designation of the site? NA h. Has any part of the site been classified as an "environmentally sensitive"arr ! qr ' i. Approximately how many people would reside or work in the completed pr ji <<.. ;i )1 The number of employees varies from none to 20 depending on the o ati , ��/ pe 9 C!� ' ,F. ERSON MINTY DEPT OF MAR Y OFD.P PMrNT j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: None L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. No housing units are needed for this project. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. No housing units will be eliminated for this project. c. Proposed measures to reduce or control housing impacts, if any: There are no housing impacts for this project. 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? This project doesn't have any proposed structures. b. What views in the immediate vicinity would be altered or obstructed? No views are anticipated to be altered or obstructed. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 9 c. Proposed measures to reduce or control aesthetic impacts, if any: None f \) 9 11. Light and glare a. What type of light or glare will the proposal produce? What time of day w , jmainly. occur? JEFFERSON COUNTY Not applicable. DEPT.OF COO1MUNITY D[V LOPMFNT b. Could light or glare from the finished project be a safety hazard or interfere with views? Not applicable. c. What existing off-site sources of light or glare may affect your proposal? Not applicable. d. Proposed measures to reduce or control light and glare impacts, if any: Not applicable. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? There are no recreational opportunities within the immediate vicinity. b. Would the proposed project displace any existing recreational uses? If so, describe. The proposed project would not displace any existing recreational uses. c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project or applicant, if any: No proposed measures to reduce or control impacts on recreation opportunities for this proposed project because the site is not located in a recreational area. 13. Historic and cultural preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? If so, generally describe. Jhelpl This proposed site is not known to be in or adjacent to a historic or cultural area. It has been grossly disturbed for the last 20 years. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 10 c. Proposed measures to reduce or control impacts, if any: j `� ` " u I There are no proposed measures to reduce or control impacts beca 4 e pr psed site is not in or near a sensitive historic or cultural area. 1{ JET JS 3J COL%IY 14. Transportation _DEPT OF COT Fl irfliPr'r ,���/i a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. The proposed disposal site is accessed by Linger Longer Road,to Highway 101 in Quilcene,WA. The route is 1.46 miles,from demolition site on Linger Longer Road to Pederson's disposal site. b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? The site is not served by public transportation. c. How many parking spaces would the completed project have? How many would the project eliminate? The proposed project doesn't intend to create or eliminate parking spaces. d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). Jhelpl The proposed project does not require any new roads or streets and will use existing roads. e. Will the project use (or occur in the immediate vicinity of)water, rail, or air transporta- tion? If so, generally describe. Not applicable f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. Jhelpl 20 truckloads of earth per day is expected for 20 days during the excavation period. g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 11 a. Would the project result in an increased need for public services (for example: fire pro- tection, police protection, health care, schools, other)? If so, generally describe. [ No public services will be needed for this project. b. Proposed measures to reduce or control direct impacts on public services, if any. Jhelpl 16. Utilities a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other None b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: Name of signee Position and Agency/Organization Date Submitted: i 1 Li _ L f L_ _ - Ji. l_RSON' 0,I" IJTY � DEPT OF COME(1,''TY')F''4-'0 M N'T SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 12 D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS Jhelpl I ■ ) (IT IS NOT NECESSARY to use this sheet for project actions) __ JE ERsON COUNTY Because these questions are very general, it may be helpful to read th • 0.32. UOV�tlQ1ITY Dr, T with the list of the elements of the environment in . —When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study)for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: P P P SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 13 . , . 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? [7) Fa-, (2 _,-,--- L,---: [, Proposed measures to avoid or reduce shoreline and land use impacts I; H . I, i 6. 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He states that no historic properties are affected. I have no other comments. Please feel free to contact me if you have any questions. Best, Gretchen Gretchen Kaehler Assistant State Archaeologist, Local Governments Department of Archaeology and Historic Preservation Olympia Ph:360-586-3088 Cell:360-628-2755 1 r 4HAEOLOGY ARTMENT & Allyson Brooks Ph.D.,Director ORIC PRESERVATION State Historic Preservation Officer February 25, 2014 Dr. J. Frederick Caslick US Fish&Wildlife Service 911 NE 11th Avenue Portland, Oregon 97232-4181 Re: Big Quilcene River Restoration Project Log No: 012814-15-USFWS Dear Dr. Caslick: Thank you for contacting our department. We have reviewed the materials you provided for the proposed Big Quilcene River Restoration Project, Jefferson County,Washington. We concur with the determination of No Adverse Effect. We would appreciate receiving any correspondence or comments from concerned tribes or other parties that you receive as you consult under the requirements of 36CFR800.4(a)(4). In the event that archaeological or historic materials are discovered during project activities, work in the immediate vicinity must stop, the area secured, and the concerned tribes and this department notified These comments are based on the information available at the time of this review and on the behalf of the State Historic Preservation Officer in conformance with Section 106 of the National Historic Preservation Act and its implementing regulations 36CFR800. Should additional information become available, our assessment may be revised. Thank you for the opportunity to comment and a copy of these comments should be included in subsequent environmental documents. Sincerely, Robert G. Whitlam,Ph.D. State Archaeologist (360)586-3080 email: rob.whitlam @dahp.wa.gov State of Washington • Department of Archaeology& Historic Preservation P.O.Box 48343 • Olympia,Washington 98504-8343 • (360) 586-3065 www.dahp.wa.gov `��.41" Donna Frostholm From: Donna Frostholm Sent: Wednesday, April 30, 2014 12:07 PM To: 'sepaunit @ecy.wa.gov'; 'sepadesk @dfw.wa.gov'; 'sepacenter @dnr.wa.gov'; Eric Kuzma; 'seve rsd @wsd ot.wa.g ov' Subject: 2 Final SEPA Threshold Determinations-MLA14-00013 - Hood Canal Salmon Enhancement Group Attachments: restoration site.pdf; disposal site.pdf Attached are the final SEPA threshold determinations issued by Jefferson County DCD for restoration of an estuary near the Big Quilcene River and Quilcene Bay AND for placement of materials at a disposal site off of Highway 101. Let me know if you have any questions. Regards, Donna/Frojthoiwv Associate PCanner/1vetCandSpecialist Jefferson County Department of Community Deveoopment 621 Sheridan Street Port Townsend,'Washington 98368 dfrosthoCm @co.efferson.wa.us 360.379.4466 Department of Community Development is open from 9:00 to 4:30 Monday through Thursday;DCD is closed on Friday. All e-mails sent to and from this address will automatically be archived by Jefferson County and emails may be subject to Public Disclosure under Chapter 42.56 RCW. 1 l 4s ON cA JEFFERSON COUNTY Jr �� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitvdevelooment 4/ t G"�o" Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdti�co.iefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning FINAL DETERMINATION OF NON-SIGNIFICANCE AND LEAD AGENCY STATUS DATE: April 30,2014 PROPONENTS: Hood Canal Salmon Enhancement Group P.O. Box 2169 Belfair, Washington 98528 PROPOSAL: The project proponents are proposing estuary habitat restoration.in the immediate vicinity of the Big Quilcene River and Quilcene Bay. This application requires a shoreline exemption permit and a flood development permit from Jefferson County along with critical areas review and SEPA review,with Jefferson County acting as the lead agency for SEPA. Jefferson County noticed the Pending SEPA Determination. Adjacent property owners as well as federal, state, and local agencies, including but not limited to, Washington Department of Ecology,Washington Department of Fish and Wildlife, Washington Department of Natural Resources,Washington Department of Health,and U.S.Army Corps of Engineers have been notified and have had an opportunity to comment on the proposal. PROPERTY LOCATION: The estuary habitat restoration area is east of Highway 101 in Section 24, Township 27 North,Range 2 West. Restoration work will be conducted in the immediate vicinity of the Big Quilcene River on property owned by Hood Canal Salmon Enhancement Group. LEGAL DESCRIPTION: Parcels 991201701 and 991201702 are owned by Hood Canal Salmon Enhancement Group and are legally described as Blk 17 Lots 1 thru 20 and Block 18 Lots 1 thru 20 w/ptn s/vac Chattanooga Ave adj (Res#90-93), respectively. NOTICE OF LEAD AGENCY: Jefferson County has determined that it is the lead agency for the above- described proposal. MITIGATION MEASURES: 1. Prior to issuance of a shoreline/flood development permit,the proponent shall submit a complete stormwater application including a Jefferson County Stormwater Site Plan Submittal Template and a 2012 Stormwater Management Manual for Western Washington plan. 2. Prior to beginning any work on this project,the proponent shall contact Washington State Department of Transportation(Olympic Region)for coordination with that agency to use Highway 101. NOTICE OF NON-SIGNIFICANCE: Jefferson County has determined that the above described proposal, conducted in conformance with the applicable Jefferson County Codes and Ordinances,would not have a probable significant adverse impact on the environment, and an environmental impact statement is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the Jefferson County Development Review Division. COMMENT PERIOD: This DNS is issued after using the optional DNS process in WAC 197-11-355. Jefferson County has considered comments on its preliminary determination of nonsignificance. There is no further comment period on the DNS. APPEAL: There is no Administrative Appeal process under the Jefferson County Code for Type I permit decisions as specified by JCC 18.40.260 and JCC 18.40.810(1). Appeal of a Type I permit requires Judicial Appeal as specified by Section 18.40.340 of the JCC. 3�cs 20 l e Hoskins, SEPA Responsible Official Date MLA 14-00013 Hood Canal Salmon Enhancement Group Application—Habitat Restoration Page 2 of 2 k�4sON c�U JEFFERSON COUNTY ti DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment :i'v o Tel:360.379.4450 I Fax:360.379.4451 I Email:ded @co.jefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning FINAL DETERMINATION OF NON-SIGNIFICANCE AND LEAD AGENCY STATUS DATE: April 30,2014 PROPONENTS: Hood Canal Salmon Enhancement Group P.O. Box 2169 Belfair, Washington 98528 PROPOSAL: The project proponents are proposing a disposal site for materials excavated as part of an estuary habitat restoration project near the Big Quilcene River and Quilcene Bay. A stormwater permit along with critical area review and SEPA review from Jefferson County are required,with Jefferson County acting as the lead agency for SEPA. Jefferson County noticed the Pending SEPA Determination. Adjacent property owners as well as federal, state, and local agencies, including but not limited to,Washington Department of Ecology,Washington Department of Fish and Wildlife,Washington Department of Natural Resources, Washington Department of Health,and U.S.Army Corps of Engineers have been notified and have had an opportunity to comment on the proposal. PROPERTY LOCATION: The soil disposal site is immediately west of Highway 101 in Section 23, Township 27 North,Range 2 West. Approximately 22,000 cubic yards of material will be placed within a 40,000 square foot disposal area. The disposal area is located at 295472 Highway 101 in Quilcene. LEGAL DESCRIPTION: Parcels 702231001 and 702231002 are owned by Walter Pederson and are legally described as Tax 30 and Tax 31,respectively. NOTICE OF LEAD AGENCY: Jefferson County has determined that it is the lead agency for the above- described proposal. MITIGATION MEASURES: 1. Prior to issuance of a stormwater permit,the proponent shall submit a complete stormwater application including a Jefferson County Stormwater Site Plan Submittal Template and a 2012 Stormwater Management Manual for Western Washington plan. 2. Prior to beginning any work on this project,the proponent shall contact Washington State Department of Transportation(Olympic Region)for coordination with that agency to use Highway 101. NOTICE OF NON-SIGNIFICANCE: Jefferson County has determined that the above described proposal, conducted in conformance with the applicable Jefferson County Codes and Ordinances,would not have a probable significant adverse impact on the environment, and an environmental impact statement is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the Jefferson County Development Review Division. COMMENT PERIOD: This DNS is issued after using the optional DNS process in WAC 197-11-355. Jefferson County has considered comments on its preliminary determination of nonsignificance. There is no further comment period on the DNS. APPEAL: There is no Administrative Appeal process under the Jefferson County Code for Type I permit decisions as specified by JCC 18.40.260 and JCC 18.40.810(1). Appeal of a Type I permit requires Judicial Appeal specified by Section 18.40.340 of the JCC. csAQ pp as P Y 1.--,012.4,1- cie Hoskins, SEPA Responsible Official Date MLA10-00194 Hood Canal Salmon Enhancement Group Application Page 2 of 2 Donna Frostholm From: Eric Kuzma Sent: Thursday, April 24, 2014 5:24 PM To: Donna Frostholm Subject: MLA 14-00013 Attachments: SEPA Review.pdf Hi Donna, Please see my attached comments. To reiterate my understanding based upon what we discussed,the applicant had you noticing for SEPA but simultaneously also looking for review on a Shoreline/Flood Development Permit (for the Restoration site)and a Stormwater Permit for the Dis•osal site Please let me know if you have any comments or questions regarding my response. Thanks, Eric Eric Kuzma,Engineer III Jefferson County Department of Public Works 623 Sheridan Street,Port Townsend,WA 98368 Ph:360.385.9167 360.301.6783(c) Fax:360.385.9234 Email: ekuzma@co.jetterson.wa.us Web:www.cojefferson.wa..us/publicworks 1 Jefferson County Nia 4,t Department of Public Works , 623 Sheridan St. c Port Townsend, WA 98368 (360) 385-9160 Monte Reinders, P.E. Public Works Director/County Engineer MEMORANDUM Date: 4/24/2014 To: Donna Frostholm,DCD From: Eric Kuzma,JCPW Project: Hood Canal Salmon Enhancement Group Big Quilcene Estuary Restoration: (MLA 14-00013) Subject: SEPA, Shoreline/Flood Development Permit&Stormwater Permit JCPW Review&Comments for both Restoration&Disposal sites. RESTORATION SITE PROJECT REVIEW SEPA&Shoreline/Flood Development Permit After review of the documents provided by the Department of Community Development on 3/26/14, the Department of Public Works has the following comments: Environmental Checklist Section 1-Earth&Section 3-Water The Jefferson County Unified Development Code,Sections 18.30.060,Grading and excavation standards and 18.30.070,Stormwater Management Standards set standards for erosion and sedimentation control and stormwater management. The code adopts the requirements set forth by the most current version(2012)of the Washington Department of Ecology(DOE)Stormwater Management Manual for Western Washington (SWMMWW). Per the Jefferson County Stormwater Calculation Worksheet submitted,the proposed restoration total land disturbance area is approximately 4 acres. Unless superseded by a higher regulatory agency,since the proposed land disturbance is greater than 7000sf,the proponent shall comply with the SWMMWW Stormwater Site Plan,Minimum Requirements#1-#5. This includes the preparation of a Stormwater Pollution Prevention Plan(SWPPP). Since the project includes clearing,grading and/or excavation that results in the disturbance of one or more acres and discharges stormwater to surface waters of the State,it is our understanding that the proponent will be required to apply for a NPDES Construction Stormwater General Permit(CGP).This permit also requires compliance with the SWMMWW,including the preparation of a SWPPP. Public Works will review the proposed Stormwater Site Plan but,if our understanding is correct, ultimately defer to either the Department of Ecology,to administer the NPDES CGP and compliance with the SWMMWW,or other appropriate regulatory agency such as Department of Fish and Wildlife and/or US Army Corps of Engineers. 1 Public Works Department Recommendation: or SEPA determination,JCPW recommends adding the following condition: Prior to issuance of Shoreline/Flood Development Permit,proponent to submit a SWMMWW ompliant Stormwater Site Plan to Jefferson County Public Works for review. Environmental Checklist Section 14-Transportation. 4000 trips,6 days a week over a three week period between lam to 7pm,are proposed between the restoration site and the disposal site. The route will utilize County roads Muncie Avenue and Linger Longer Road as well as WSDOT SR 101. The disposal site is 1.45 miles from the restoration site. Public Works Department Recommendation: Prior to SEPA determination Public Works recommends coordination with WSDOT regarding any comments they may have with regard to the use of Highway 101. DISPOSAL SITE PROJECT REVIEW SEPA&Stormwater Permit After review of the documents provided by the Department of Community Development on 3/26/14, the Department of Public Works has the following comments: Environmental Checklist Section 1-Earth&Section 3-Water The Jefferson County Unified Development Code,Sections 18.30.060,Grading and excavation standards and 18.30.070,Stormwater Management Standards set standards for erosion and sedimentation control and stormwater management. The code adopts the requirements set forth by the most current version(2012)of the Washington Department of Ecology,Stormwater Management Manual for Western Washington (SWMMWW). The nent m a Stormwater Template h th Stormwater propo application.hasnot Wsube would itted recommend Jefferson County them doing so.In the Site absence Plan of oneSubmittal,and based upon wit the land disturbance caused by 22,000 CY/0.91 acres of proposed imported fill,it is Public Works assumption that the proposed disposal site will at a minimum constitute a"Medium"Project.If so,a SWMMWW compliant Stormwater Site Plan which includes a Stormwater Pollution Prevention Plan would be required. Additionally,it is Public Works understanding that some form of state permit or appropriate alternative is likely required for the disposal site.In order to avoid any unnecessary redundancy,if an existing regulatory document exists then please provide to Jefferson County. Public Works Department Recommendation: IfFor SEPA determination,JCPW recommends adding the following condition: Prior to issuance of a Jefferson County Stormwater Permit,proponent shall submit a complete Stormwater application including a Jefferson County Stormwater Site Plan Submittal Template and a 2012 SWMMWW compliant Stormwater Site Plan. Proponent to provide documentation of any applicable existing permits for project disposal site. Environmental Checklist Section 14-Transportation. See Section 14 Transportation,comments and recommendations provided for the Restoration Site. Donna Frostholm From: Severson, Dale [SeversD©wsdot.wa.gov] Sent: Wednesday, April 09, 2014 4:51 PM To: Donna Frostholm Cc: Stryker, Duke; Rae, Connie; Johnson, Debbie Subject: US 101 Quilcene Big Quilcene Estuary Restoration Hi Donna, Just found your email address so here is the email I just sent to the DCD email address. Hope this helps. Thanks! Dale From: Severson, Dale Sent: Wednesday, April 09, 2014 4:47 PM To: 'dcd @co.jefferson.wa.us' Cc: Stryker, Duke; Rae, Connie; Johnson, Debbie Subject: US 101 Quilcene Big Quilcene Estuary Restoration Greetings Donna, Thank you for allowing WSDOT to review the proposed Big Quilcene Estuary Restoration. Based on the information provided it appears there will be a large amount of trucks traveling back and forth from the restoration work site south of US 101 to the dump site just north (and west) of US 101. A quick and dirty guesstimate is the amount of trucks that will be entering and leaving US 101 in Quilcene will on the order of 4000 one way truck trips over 18 days over a 12 hour shift or around 222 one way trips a day or 19 trucks an hour or one every 3 minutes for the 1.45 mile trip they'll be making this summer in Quilcene. That will need a WSDOT approved Traffic Control Plan for us 101 and most likely will require flaggers to allow for the safe and expedited movement of trucks onto and off US 101. We are also concerned that dirt and debris not be tracked onto US 101. Therefore we wish those concerns be addressed and/or incorporated into any Jefferson County decision on this project. Thank you for allowing us to comment, and if you have any questions please ask. Thanks Dale C. Severson, P.E. Development Services Engineer - WSDOT Olympic Region (360) 357-2736 I dale.severson @wsdot.wa.gov 1 0mu,'/z.y A - te-v 714 o�, JEFFERSON COUNTY . ---I a A ' 1 rx7 4q , DEPARTMENT OF COMMUNITY DEVELOPMENT II_ 2O C 621 Sheridan Street• Port Townsend •Washington 98368 JEFFERSON COUNTY �O 360/379-4450. 360/379-4451 Fax DEPT OF COMMUNITY DEVELOPMENT ,„, http://www.co.jef fersdn.wa.us/commdevelopment/ --- Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: ■ MC..- J p 3/44_ DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan Is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(LE.,SITE) Size of parcel 5 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 3¢1r/4$ O sq/ft • Land-disturbing activity is any activity that results in movement of earth,or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL • Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. 0 sq/ft Circle: Yes Well,utilities,etc. 0 sq/ft Does the project convert 214 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 0 sq/ft Circle: Yes • Lawn,landscaping,etc. sq/ft Other compacted surface,etc. ("� sq/ft Indicate Total Volumes of Proposed: Eoe "y l i, raft-ov' x74( 0 Total Land Disturbance /745 2¢D 9P" sq/ Cut 14410 CV Fill •V (cued) [over] stormwater cek worksheet Rev 9.9-2010—REV 919(2010 1 I E c ce o v ge,c-N Impervious surface is a hard surface that either prevents or retards the entry of water into the soil m:f a's' rnatural-con prior to development. A hard surface area which causes water to run off the surface in greater quay th-- •r at an increased rate of fto from the flow present under natural conditions prior to development. Common impervious surfaces ,c "e, bIi4 e.po)•lirq(tep to r3 f tops,walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel o •s, pgiclUd earth material and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. rii�6btS8i�C•t} pl�N• STORMWATER CALULATIONS-IMPERVIOUS SURFACE _SEPT OF COMMUNITY UFV[L 'MFNT NEW EXISTING • Structures(all roof area) 0 sq/ft Structures(all roof area) sglft Sidewalks 0 sq/ft Sidewalks o sq/ft Patios D sq/ft Patios O sglft Solid Decks 0 sq/ft Solid Decks d sq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc 0 sq/ft Driveway,parking, roads,etc c) sq/ft Other 44 /'¢d Z14 sq/ft Other Z•09 Mei7 -G 3RD/OP scint Oe` Total New sqlft Total Existing •34d1 © sgift TOTAL NEW+TOTAL EXISTING" sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOP ENT v.REDEVELOPMENT Divide the total existing impervious surfs ab 4iihe size of the parcel and convert to a percentage: % Does the site have 35%or more of existiri t impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements, For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP)Best Management Practices(BMPs) Packet. Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through #5—and for large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE I By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the Information provided herein is true and correct to the best of my knowledge. I also certi oat this application is being made with the full knowledge and consent of all owners oft - ed propert . / /, -% • /—ze,74.....,..- (LANDOWNER OR AUTHORIZED REPRESENT>.' SIGNATURE) (DATE) T,',8*on't ,', FrD JM LARGE .. REDEVELOPMENT • Stormwater Site Plan „'Yes _.. .N.o . sformwsler caic worksheet Rev 9-9-2010—REV 9/9/2010 z ' AGENCY USE ONLY [it .1 ( Date:rece ved., US Array Corps i WASHINGTON STATE orEngineers- Joint Aquatic Resources Permit Agencyrefercnce# Application (JARPA) Form1'2 Tax Parcel#(s USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. Part 1-Project Identification 1 Prgjeat Name(A name for your project that you create.Examples Smith's Dock or Seabrook Lane Development) Ihelpl BIG QUILCENE ESTUARY RESTORATION--PHASE 3(SFRB PROJECT 11-1349) Part 2-Applicant The person and/or organization responsible for the project. Ihelpt 2a Name(Last,Firs*,_Middle)' Mendy Harlow—Assistant Director 2#ar Qrgentza�tion (If applicable) Hood Canal Salmon Enhancement Group 2 $$iftllgAddreas(Street or PO Box) PO Box 2169 24. City; Sate,Zip`: Belfair,WA 98628 2e. Phor� (1) 2f. Phone(2) .. 2g. Fax . 2h. E-mail. ( 360-275-3575) ( 360.275-9722) ( 360-275-0648) mendy@pnwsalmoncenter.org 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.) Ihelel 1Additional forms may be required for the following permits: • if your project may qualify for Department of the Army authorization through a Regional General Permit(RCP),contact the U.S.Army Corps of Engineers for application information(206)7644495. • 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 htto://w ww.nws.usace.annv.mil/Missions/Ci IWorks/Regulatory/PermitGuidebook/EndanoeredSoecies.asox. • 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. xio access an online JARPA form with(help]screens,go to http://www.epermittiny.wa.00v/site/alias Lesdurcecenterflarpa Larpa form/9984/iarpa form,asox. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or heip(alore.wa.00v. JARPA Revision 2012.1 Page 1 of 16 arrli (La.dt First Middre). Pat McCullough, PE 3be Organizatkin (If pplicable) ESA Inc. 3c Mailing_Address(Street:or P01Box 210 NE Cherokee Beach Road 3d. City, State, Zip Belfair, WA.98528 3e. :Phone(1.) 3f. .Phone(2) 3g, Fax 3h. E-mail (360—275-7384) (360)204-2356 (360)277-3187 path @wavecable.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. [help"( X 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 ( ) ( ) ( ) Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. fhelpl JARPA Revision 2012.1 Page 2 of 15 ❑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 (chera all that apply.) rhelp> X Private ❑ Federal ❑ Publidy 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.PG Box.If there is no address;Provide other location information in 5p.) iheJ�s� No.Address—The estuary restoration site is located at the end of Munchie Ave. in Quilcene WA See Attached Drawings and Vicinity Map 50 City, State,Zip-Of the project is not in a city or town,provide the name of the nearest city or town) [belol Quilcene,WA 98376 5d County fhelpl Jefferson 5e. the section,township,and range for the project location. Ihelol "1'a Seefilion Section Township :. Range NE 24 27N R2W 5f, Pr>vide the latitude and longitude of the project location.; [hetpl • Example 4743,92g N lat./ 1489142 W long.(Use decimal degrees--NAC 53) LAT 47.81798N, LONG 122.8658(W 5g. List the tax parcel number.(s)for the project location. rhelDi • The local county assessor office can provide.thisinforriiation, JEFFERSON CO. 991201701 and 991201702 5h. Contact information for all adjoining propertyowners.(if you need m ore spare, use JARl)A Attachment c.) !help) Name Mail ing Address Tax Parcel#(if known) ADAM NEWMAN PO BOX 872,QUILCENE,WA 98378 991201506 360-7653521 HERON HOUSE LLC 12002 SE 218-`"PLACE,KENT,WA.98031-3930 ALSO:CONTACT LAWRENCE SCHINKE OR 14813 SE FAIRWOOD BLVD.,RENTON,WA 98058 702244005 PHONE 428.266-8150 STATE OF WASHINGTON FISH AND 600 CAPITAL WAY NORTH 991202301 WILDLIFE--REAL ESTATE SERVICES OLYMPIA,WA.98501 991202401 5i. List all wetlands on or adjacent to the project location.[heloj There are no wetlands within the estuary restoration excavation zone. The excavation zone was filled several years ago for use as a log storage yard. The goal of the project is to remove the fill material from the estuary and re-establish most of the historic estuarine habitat. The site is bounded on the JARPA Revision 2012.1 Page 3 of 16 south, east, and west by estuarine wetlands and tidal channels. 5t list all waterbodies(otl er than wetlands) on or edjapent kittte project location lrieral Quilcene Bay (Hood Canal) and the Big Quilcene River. 5k. teeny part of the project area within a 100:year floodplain? rhIat X Yes ❑ No ❑ Don't know gal Briefly d cribe the vegetation,and habitat conditions on the property li eipl Most of the site is covered with grasses and bare soil. See attached drawings—Sheet 2 Project Summary Plan. Approximately 1 acre of the proposed excavation area is covered with second growth deciduous and conifer trees. There is a considerable amount of junk remaining on the site from previous logging operations and an old house that has been abandoned for several years. The old house will be demolished and the debris taken to disposal. 5m.Describe how the property is currently used lhhe1R1 The property is not being used at the current time. 5n,. Describe how the adjacent properties are currently used theipt' To the west of the excavation site—on HCSEG property- is a 258 foot wide Bonneville Power power line easement. It is vacant except for the overhead power lines and an occasional tower. To the north is the Quilcene River and properties owned by the HCSEG and WDFW that are held in flood plain conservation. The properties are vacant. To the south is an 80 acre parcel owned by Heron House LLC (Larry Schinke)that is under a conservation easement . This property was previously restored to estuary by removing a 2,500 foot levee on the easterly portion of the site. A Coastal Wetland and SRFB funded project. To the east is the flood plain conservation property owned by the WDFW. The properties are vacant. In the northwest corner of the restoration site Adam Newman owns a 72'wide by 100' deep parcel that is being used as a hunting and fishing base camp for the Newman family. There are no structures on the property. An old RV that is being used as a temporary shelter during hunting and fishing trips on Quilcene Bay. 5o. Descrtbethestr'uctures(above and below ground.)on the property, including their purpose(s).and current JARPA Revision 2012.1 Page 4 of 16 . • pondttior fh gyp} The only structure on the property is an old abandoned house with a rock fireplace chimney that will be demolished and disposed of offsite as a separate project element of the estuary restoration project. It will be removed as part of the uplands property cleanup. 5p Provide.drivin9 directionsfrom the closest highway to the project locati©n,and attach a map, rhein1 From Olympia. Take Hwy 101 from Olympia to Quilcene,WA Turn right on Linger Longer Road Turn left on Munchie Ave. Drive to the end of Munchie Ave.walk around the gate and, across the Bonneville Power easement to the restoration site. Part 6—Project Description 6a. Briefly summarize the overall project:You can provide more detail::in 6b. [help' See attached engineering drawings. The project consists of 1) removing the junk and derelict building from the site, 2) clearing and grubbing the excavation area, 3) removing the fill from the estuary restoration area of the site,4) excavating and grading the estuary, 5) constructing an 827 foot long main tidal channel through the proposed estuary and 6) constructing 1,255 feet of new distributary channels that feed into the main tidal channel. The side slopes of the excavated are will be 3:1 to allow for planting. The side slopes will be planted with winter rye and cedar and Douglas fir trees spaced ten feet center to center. 6b. Describe the purpose of the project and why you want or need to perform it. (help] U.S. Fish and Wildlife Service's National Status and Trends findings indicate that the decline of coastal wetlands has gradually been decreasing since the 1980s (Dahl 2006). Yet population growth and residential development continue to pose a major risk to the high-quality wetlands that still exist as functional coastal watersheds. In the Hood Canal region of Puget Sound, WA, coastal wetland losses have been extensive- only 22% of historic tidal wetlands are considered fully functional (Point No Point Treaty Council 2006 In Quilcene Bay, federally-listed Hood Canal summer chum, Puget Sound Chinook salmon and Steelhead use estuarine and tidal marsh habitat during their juvenile rearing stage, as do Puget Sound/Strait of Georgia Coho (federal species of concern) and pink salmon, Puget Sound steelhead trout (federally threatened), coastal Puget Sound bull trout (federally threatened) and coastal cutthroat trout. This project will address components of four of the major factors leading to the decline of Hood Canal summer chum habitat in Quilcene Bay by 1) protecting natal sub-estuarine tidal marsh habitat, 2) protecting floodplain wetlands, 3) restoring instream habitat, and 4) restoring riparian forests (Summer Chum Recovery Plan, NOAA 2007). This project will also address the limiting factors for salmon habitat in the Big Quilcene River that were identified by the Water Resource Inventory Area (WRIA) 17 Limiting Factors Analysis (2002). The limiting factors identified included channel confinement, . floodplain disconnection and lack of large woody debris and riparian vegetation in the lower reaches. JARPA Revision 2012.1 Page 5 of 16 This project is key to completing a phased approach to large-scale ecosystem restoration in Quilcene Bay(upper Quilcene Bay includes tidal marsh estuaries of the Big and Little Quilcene Rivers and Donovan Creek) —the third largest delta and tidal marsh complex in Hood Canal {PNPTC 2006). The proposed protection and restoration actions in the Big Quilcene River system comprise one of the last phases required for the ecosystem-scale conservation of Quilcene Bay. The proposed project builds on extensive protection and restoration actions within upper Quilcene Bay, including Donavan Creek restoration, a project previously funded by the National Coastal Wetlands Conservation Grant program (056-1). Project actions will build on restored habitat connections between Quilcene Bay and The Little Quilcene River, Indian George Creek, the Big Quilcene River and Donovan Creek, initiated by the HCSEG in 2007 by the removal of an undersized culvert at the mouth of Donovan Creek. See image below. The lower segment of the river associated with this restoration is tidally influenced. Historic maps indicate that a salt marsh complex existed at the location of the land parcels to be acquired by this project. More current maps of the landscape suggest this feature could once again be established as part of the river restoration. This project will attempt to enhance the function and feature as part of the river and riparian restoration. The land parcels included in this project include the expanse of the entire flaodplain, so the redesign of the channel will include side channels providing for increased salmon habitat and serving to reduce the effects of high-water flood events. This project will conserve a functional coastal wetland ecosystem by restoring a transitional ecosystem, including riparian forest, a coastal stream, freshwater forested, shrub and emergent wetlands, freshwater tidal wetlands, and estuarine intertidal wetlands. See also: National Coastal Wetlands Conservation Program Grant Proposal Big Quilcene River Coastal Sa Acquisstoration Quitrelcene m Bay,ition Washingtoand Ren * r �r �- s a _e,1 w 5i �d -+ / hsq '4..'' - 5 f.+ , i,'. ,,V4 ,:-: ;,,, x i -„ F � r ''' A ti's a , rt , , �1 , � ' +r t, " +flaa zsfw � � "'K : 't {�9it oe iy-tar-h a tlZ 4r-' , ., ,,J, ay' r ' I: < s' r .,~ i� � ' K - ' r v ' ', =',;;::-,,t4::',4'±%o k. +, .� 6c. Indicate the protect category.. (Check all that apply) [heaps JARPA Revision 2012.1 Page 6 of 18 ❑ Commercial ❑ Residential ❑ Institutional ❑Transportation El Recreational ❑ Maintenance X environmental Enhancement &d lndfcate the major eJerrnellts of yourr project (Check'all that apply) lhelp] El Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall El Bank Stabilization ❑ Dam 1 Weir ❑ Floating Home (upland) El Boat House ❑ Dike/Levee/Jetty El Geotechnical Survey El Road ❑ Boat Launch ❑ Ditch ❑ Land Clearing ❑Scientific Measurement Device ❑ Boat Lift ❑ Dock/Pier ❑ Marina/Moorage Bridge ❑ Stairs El Bridge Dredging ❑ Mining ❑ Bulkhead ❑ Fence ❑Stormwater facility ❑ Outfall Structure El Swimming Pool El Buoy ❑ Ferry Terminal El Piling/Dolphin ❑ Utility Line El Channel Modification ❑ Fishway ❑ Raft X Other:This is an estuary restoration project. 6 Describe howyou plan to construct each project element checked in 6d;Includeaspecific construction methods and egquipmerntto he used: •Identifytwhereeach element Will occur In relation to..:the neat stwaterbody t Indicate Which activities are within the/10.0-year floodplain.. For Construction of the portion of the project below OHW. 1. Set out erosion control BMP's. 2. Clear and grub the excavation area. 3.Construct the main tidal channel and the minor distributary channels. 4. Start excavation at east end of the site and excavate to grade moving west across the site. 5. Plant the slopes of the new estuarine habitat. Use natural recruitment of estuarine plants for the remainder of the project. Big Quilcene Estuary Restoration—Newman Property: Project Schedule TASK DATE COMPLETE 1. Complete Property Boundary Survey 12/15/12 2. Complete Property Topographic Survey 3/15/13 3. Complete Soil Test Holes 3/26/13 _ 4. Complete 50% Design --Design Review by HCCC Tech. Team 4/5/13 5. Complete Archeological Studies and 5/7/13 submit to SHPO& USFW-Section 106 6. Complete JARPA, SEPA, and 5/19/13 Shorelines Permit Application. 7. Complete 90% Design—Submit for 6/1/13 Review by HCCC Tech. Team. 8. Complete Final Design and Contract 10/1/13 Documents Include Demolition, JARPA Revision 2012.1 Page 7 of 16 Asbestos Removal, Excavation, and Planting in Contract Documents—Submit for Review by RCO. 9. Receive HPA from WDFW 12/15/13 10. Apply for Jefferson County Grading, 1/6/14 Drainage, and Demolition. Permits. 11. USFW—Richard Carlson— Complete 2/15/14 Section 7 Review and submit to COE. 12. Advertise for Bids 4/15/14 13. Complete Permitting for Project— 4/15/14 COE and WDDOE 404, 401 Permits 14. Award Bid and start Construction 5/1/14 15. Complete Construction 11/15/14 16. Close Out Project 12/6/14 6f What are the ant oipated start and.end dates for project;Construction?.t(IVIor t'h rearj [held • If the project will be Constructed in phases or stages,use JJAVA:Attachrnent:0 to list:the start end:end dates of each phase or stage Start date:August 1, 2013 End date: October 15,2013 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals,etc. [tiela] $420,000 6h:_Will any portion of the project receive federal,funding? [helot • if yes,list each agency providing funds. X Yes ❑ No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation X Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.)[heipl 7a. Describe how the project has been designed to avoid and min imiize adverse impacts to wetlands fhelD1 ❑ Not applicable The estuary excavation will connect to the existing estuarine habitat at several locations.The excavation within the property will remain isolated from the existing tidal flow during construction.The new estuary will connected to the existing estuary during a low tidal episode when water is not present. 7b. Will the project impact wetlands? [hela] X Yes El No ❑ Don't know 7c. Will the project impact wetland buffers? [help] JARPA Revision 2012.1 Page 8 of 16 X Yes ❑ No ❑ Don't know ',Id.: h as a etland elineation reo been prepared? jnl ew •'; If Yes;submit tip report;including,data sheets,with the JARPA package. ..: X Yes ❑ No Five thewetlan.ds been rated using the Western Washington or Eastern Washington Wetland Rating•. stektl " (helpY:;. ,.: •• If subnlit#hewetiand rating forms and figures with the.JARi'A.package X Yes ❑ No ❑ Don't know • if Have you prepared:a mitigation plan to compensate for any Adverse impacts to wetlands? Ihelol • Jf Yes,submit the plan'with the JARPA package and answer 7g •: If No,or Not.appilcable;.explain below why a mitigation plan should not be required: .., ❑Yes X No ❑ Not applicable We will be merging the new estuary into the existing wetlands around the edges of the fill removal excavation.The estuarine wetland restoration project is the mitigation for any incidental impacts to the surrounding wetlands that will take place during this project. We will be connecting to existing wetlands during low tide periods when tidal waters are not present. 7g Starnmarize wl'tat the mitigation plan is meant to accomplish,and describe howa watershed approach was used:to design the plan. Jhelol See if above. h. Use the table.belowto list the type and rating of each wetland impacted,the extent And duration of the impact; and thetype 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. Ihelel Activity(fill, Wetland Wetland Impact Duration Proposed Wetland drain,excavate, Name' type and area(sq. of impact mitigation mitigation area flood, etc.) rating ft.or type4 (sq.ft.or categoty2 Acres) acres) Excavate WETLAND C Forested 26,500 sq. 1 week Project Project Fresh Water feet. Excavate WETLAND A Estuarine 14,500 sq. 1 week Project Project feet. NONE WETLAND B Forested None '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. 2Ecology 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. 4Creation(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:. 71. 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. el JARPA Revision 2012.1 Page 9 of 18 ^7j. For all excavating activities iderted in 7h,:describe the excavation method;type and amount of material in cubic yards you will remover and where the material will be disposed [helal The project will be creating 4 acres of estuarine wetlands.The contractor will use the standard excavator and 11 CY dump trucks for the excavation. Waste soils will be hauled to an approved and permitted waste soil disposal area.22,000 CY of fill will be removed to re-create the historic estuarine habitat. 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.) lial X 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. fhelp; ❑ Not applicable The excavation work will be isolated from water bodies until completed.The connected during low tidal episodes when tidal waters are not present. 8b. Will your project impact a waterbody or the area around a waterbody? [heiDi X Yes ❑ No The project will improve the habitat of Quilcene Bay by adding 4 acres of estuarine habitat and 2,82 feet tidal and distributary channels for fisheries habitat. JARPA Revision 2092.1 Page 10 of 16 $a.. °Haug ype 4(a reil.a Oti,ge lrcn plehta 4c'n'ipe0ate tai the prbjade fadyeree impacts tc nanj ietland utercd�1 :] s,•siAinalt the plan nth the JARPA paiykage and answer 84 I€No,ar N,ot applicable explain below why a mitigation plan should not tie required:: ❑Yes X No ❑ Not applicable The project is a mitigation. The purpose of the project is to restore an historic estuary to the Big Quilcene River and Quilcene Bay. 8d. Summarize what the Mitigation plan is meant to accomplish Describe how a watershed approach was used to design:the plan r if you already:,porttpleted At you-do not need to restate your answer here Ihelpj 80 Summarize impact(s).to each waterbody in the tabl!.i below. [ttei�l Activity(clear, Waterbody Impact Duration Amount of material Area(sq.ft or dredge,fill, pile name' location2 of impact3 (cubic yards)to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected waterbody 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. 2lndicate 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. 3lndlcate 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 sours and nature of the fill material, amount(in cubic yards) you will use, and how and where it will be placed into the'w,aterbady. [t1eirl 8g. For all excavating ordredging activities identified in 8e,describe the method for excavating.ordredging, JARPA Revision 2012.1 Page 11 of 16 type and.amount of material du uail)rert'tova;and wl?ar' the material X111 bed[soo ed 1Tel 1 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. [helps Agency Name Contact Name Phone Most Recent Date of Contact ( ) ( ) ( ) 9b. Are any of the wetlands orwaterbodies:identified in Part 7 or Part 8 of this DARPA on the Washington Department of Ecology's 303(d) Last? rheipt • .If Yes,list the parameter(s)below. • if you don't know,use Washington'Department of Ecology's Water Quality Assessment tools at: httol/www.ecv.wa.ciovioroarams/wa/393di., • El Yes XNo 9c. What U.S. Geological Survey-Hydrological Unit Code(H:UC) is the project in [nelpl •. Go to http://ofpub.epa.novlsurf/lacate/inclex.cfmto help identify the HUC. 17110018 Hood Canal; state(s): WA 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [help] • Go to b :} w.ecv.wa.Oovl servlees/Aisimaps/wriaNuria.htm.tofindtheMA.4. WRIA#17 9.e..WUl the in-water construction work comply with the State of Washington water quality standards for turbidity? meld • Go to http://www.eey.wa.QOV1Proorarns/yrro/swastoriteria.htm1 for the standards. JARPA Revision 2012.1 Page 12 of 16 X Yes ❑ No ❑ Not applicable 9i' If the prq ect is uitl in#ha iunsdiction of the Shoreline M na,0ey er t t,what is thie 1pdal:shorefir e en rironment:dealgnatior�? hherpi .: . tannin �: Ifyqu dotetknouy,cao�c�the i4ca i p g department •.:: Formo a lnfrilmaf�on, Oto htto 1I wceaw,wa:aov/proaramstseaf mailaws rules/17a-2W211' ralestrtnations html.. X Rural ❑ Urban ❑ Natural ❑Aquatic X Conservancy ❑ Other • 9 . Wha Is tl eWashingto_n Department of Natural 1 esourc es Water T t ype? [help] • Go to J1ttn JwyiwW rir W:gov(Bus nessP rrtnts Topics/Fol eatPracticesAppl oations/Fagesifp Watertyning.asoc for•the Forest pridiCes Water Typiag-Systeni. X Shoreline X Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal 9h Will this<projec tie designed to meet the Washington Department of ecology's Most current tstormwater• manual'? file] If No provide;the name of the manual_your project is designed.to meet. X Yes ❑ No Name of manual: Storm Water Management Manual for the State of Washington—latest edition 91. Doesth-eprojectalte have known contaminated sediment? 1e01 • a: ff Yes..pleaae describe below. El Yes XNo 9t. If you kncm what the property was used for in the past, describe.below Their)] A log storage yard. 9k. Has a cultural resource(archaeological)survey been performed on the project area? fheip} •. if Wes,:attach it to your JARPA package. X Yes ❑ No JARPA Revision 2012.1 Page 13 of 16 91 NatRe-e0011 species hs# 44g€7 the decal Endangered Species. ct that incurs in the:vicinity of the project area or riaight pe.eftectei bylte proposed work. [helps Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head Marbled Merlot Brown Trout 9m: Name each species or habitat on the Washington Depattrnent of Fish and Wildlife's Priority Habitats,and Species List that might be affected by the proposed work. [halal Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head Marbled Merlot Brown Trout 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.ecv.wa.govlopas/. • Governor's Office of Regulatory Assistance at(800)917-0043 or help(a).ora.wa.iov. • For a list of addresses to send your JARPA to,click on agency addresses for completed JARPA. IOa. Compliance with the State Environmental Policy Act(SEPA), (check all that apply.) [haul • For more information.about SEPA go to yvAuuAcv ,aovior ararns/sea/seoa/e review.b;ml. X A copy of the SEPA determination or letter of exemption is included with this application. ❑A SEPA determination is pending with Jefferson County(lead agency).The expected decision date is July 15, 2013. ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in lob.)[help] ❑This project is exempt(choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code(VVAC) is it exempt? ❑ Other: ❑SEPA is pre-empted by federal law. JARPA Revision 2012.1 Page 14 of 16 °10 l tdicatf th permits you are applying for(Ghecls all flea# ppl [,e LocAL GoVo(ii UIt NT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑Variance X Shoreline Exemption Type(explain): Restoration of the Big Quilcene River Estuary Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE:GOVERNMENT Washington Department of Fish and Wildlife: X 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: X $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) El 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. po not send cash. Washington Department of Ecology: X Section 401 Water Quality Certification FEDERAL:GovERNMENT United States Department of the Army permits (U.S.Army Corps of Engineers): X Section 404(discharges into waters of the U.S.) ❑ Section 10(work in navigable waters) United States Coast Guard permits: El General Bridge Act Permit ❑ Private Aids to Navigation(for non-bridge projects) JARPA Revision 2012.1 Page 15 of 16 Part 11-Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help] 11a. Applicant Signature(required) [heipi 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) SEE SIGNATURE PAGE ENCLOSED. Applicant Printed Name Applicant Signature Date 11 b. Authorized Agent Signature [helpl I certify that to the best of my knowledge and belief, the information provided in this application is true,complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Printed Name Authorized Agent Signature Date 11e. Property Owner Signature(if not applicant). [help) 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 Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever,in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme,or device a material fact or makes any false,fictitious,or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format,contact the Governor's Office of Regulatory Assistance(ORA)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. ORA publication number: ENV-019-09 rev.06-12 JARPA Revision 2012,1 Page 16 of 16 BIG QUILCENE RIVER ESTUARY RESTORATION PROJE JEFFERSON CO. ENVIROMENTAL CHECKLI JAN ; ±4 January 18, 2014 JEFFERSON COUNTY A. BACKGROUND DEPT.OF COMMUNITY DEVELOPMENT 1. Name of proposed project, if applicable: Big Quilcene River Estuary Restoration — Phase 3 2. Name of applicant: Hood Canal Salmon Enhancement Group 3. Address and phone number of applicant and contact person: Mendy Harlow, PO Box 2169, Belfair,WA 98528 4. Date checklist prepared: 1-18-14 5. Agency requesting checklist: Jefferson Co. DCD 6. Proposed timing or schedule (including phasing, if applicable): Start Construction June 1, 2014, complete September 15, 2014 7. Do you have any plans for future expansion, or further activity related to or connected with this proposal: If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Copies Enclosed—JARPA, The 90% design drawings for the project, the Archeological Report, the Wetland Delineation, and the Hazardous Waste Report. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Yes—We have prepared and submitted a SEPA application for the site where the waste excavation from estuary restoration project Is going to be disposed. The soil disposal site will be the Pederson Industrial site located in Quilcene, WA. 10. List any government approvals or permits that will be needed for your proposal, if known. We will need an HPA, Federal Endangered Species Review—By the USFW— including the Limit 8 form for the programmatic NEPA and biological assessment, Corp of Engineers 404 permit,WSDOE 401 permit, a WSDOE NPDES permit, the Federal Section 7 nexus — by the USFW, and SHPO approval. Locally we will need a building permit and shoreline exemption for the project. pis;'0"-"' IRA.. 11. Give a brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this . page. (Lead agencies may modify this form to include additional specific information on project description.) This SEPA checklist is for the removal of 22,000-6ubic yards of fill to restore a historic estuary, the construction of distributary channels in the estuary, and the placement of log structures in the estuary for fish habitat. The excavated soils will be hauled to the Pederson Industrial Site in Quilcene for Disposal. (See a separate SEPA Checklist for the soil disposal area). Several building demolitions and a cleanup of the site were completed in January and February of 2014 under a separate Jefferson " County Building permit. See attached 90% Design Plan Set for the Big Quilcene Estuary BIG QUILCENE RIVER ESTUARY RESTORATION-PHASE 3:PROPOSED ACTIONS ADDRESS. PARCEL NO. PROPOSED ACTION Excavate 22,000 ;tar sJJ -SE%,SEC 24,TWN 27 N, 991201702 Quilcene River E 1 4 _situ +2F''�Jt R2W of tidal channels idoystruct large woody debris fi fish habitat l • Restoration— Phase 3 Project. ��--" -�- I« JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT 12. What is the location of the proposal? Give sufficient information for a person to understa nd the precise location of your proposed project including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. See attached Vicinity Map. 1/4 Section Section Township Range NE 24 27N R2W 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) Take Hwy 101 from Olympia to Quilcene,WA Turn right on Linger Longer Road Turn left on Muncie Ave. Drive to the end of Munce Ave.walk around the gate and, across the Bonneville Power easement to the restoration site. B. ENVIRONMENTAL ELEMENTS: • 1. EARTH: a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other Hill topography. See attached 90% Design Plan Set. b. What is the steepest slope on the site (approximate percent slope)? See topographic map in the accompanying 90% Design plan.set. The site is flat except for the edges of the fill the slope down to the existing surrounding wetland. Mason County Environmental Checklist Page 2 c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The Archeological Report includes soil logs and analysis. The sit •_ -• rF , ► -- material that varies from shot rock fill to gravel to plain earth fill. �. a`' ! Or( E are river gravels and marsh muds and peat. N 20;4 d. Are there surface indications or history of unstable soils in the immedi inity: If so, describe. No. JEFFERSON DEPT.OF COMMUNITY DElEI.OPMEN T e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. Approximately 22,000 cubic yards for soil will be removed from the site and hauled to the Pederson Industrial Site in Quilcene. See attached grading plan. f. Could erosion occur as a result of clearing, construction, or use: If so, generally describe. None g. About what percent of the site will be covered with impervious surfaces after project constructions (for example, asphalt or buildings)? None. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Silt fence will be installed around the perimeter of the excavation. The excavation site will be contained and by leaving a perimeter berm. The drainage to the excavation area will be filtered through pea gravel berms, silt fence, and straw bales. .. 2. AIR: a. What types of emissions to the air would result from the proposal (i.e. dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities, if known. None— other then the exhaust form the construction equipment. • b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No. c. Proposed measures to reduce or control emissions or other impacts to air, if any: None 3 WATER: a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. The site is surrounded by tidal marsh, fresh water wetlands, and forested wetlands. See Wetland Report, 2) Will the project require any work over, in, or adjacent to(within 200 feet)the described waters? If yes, please describe and attach available plans. Yes. Mason County Environmental Checklist Page 3 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. No fill will be placed in the surrounding wetlands. The restoration of the historic estuarine habitat requires that the edges of the filled area be blended into existing tidal channels that surround the site. Approximately 26,500 SF of forested—fresh water wetland will be disturbed on the west side of the fill removal to transition the restore - 7- - estuarine habitat, Approximately 14,500 sf of estuarine t = <<. ! rk P.,V/ ,,_ disturbed on the south boundary of the excavation to tr t on the restored I 1 estuary into the existing tidal channels. 1 +n; --`1 �: I J J i° 4) Will the proposal require surface water withdrawals or dive ions' -Glyni X description, purpose, and approximate quantities if known. Q__, DEPT.Of COMMUNITY DEVELOPMENT 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes—Site is in the Big Quilcene River floodplain. It is protected by a levee from flooding. The levee was overtopped in the 1993 flood. See attached Vicinity Map and Plan Set. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No. b. Ground: - 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities, if known. No. 2). Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example; domestic sewage, industrial, containing the following chemicals..., agricultural, etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. None. c. Water runoff(including storm water): 1) Describe the source of runoff(including storm water)and method of collection and disposal, if any(include quantities, if known). Where will this water flow? Will this flow into other waters? If so, describe. None 2) Could waste materials enter ground or surface waters: If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Silt Fence, Pea Gravel filtering berms, and hay bales. . 4. PLANTS: See Wetland Report a. Check or circle types of vegetation found on the site: Mason County Environmental Checklist Page 4 X deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other I.--C Fr, shrubs X grass pasture • crop or grain 1--r____ X wet soil plants: cattail, buttercup, bullnash, skunk cabb e, ttk�.. �rrkSONCOUNrr water plants: water lily, eelgrass, milfoil, other other other types of vegetation • b. What kind and amount of vegetation will be removed or altered? When the fill is removed the grasses, trees, invasive plants, and site debris will be removed with it. The site was a log storage yard so the vegetation and debris in the site in quite varied. c. List threatened or endangered species known to be on or near the site. Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head lirewn Trout 1E411 d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Native estuarine plants will repopulate the site by natural recruitment. No planting in the estuary is planned or needed. It will take approximately two years for estuarine vegetation to populate the site. 5. ANIMALS • a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: Birds: hawk, heron, eagle, songbirds, other Mammals: deer, bear, elk, beaver, other Fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. Marbled Meilo1- -ni c. Is the site part of a migration route? If so, explain. Not sure—but likely d. Proposed measures to preserve or enhance wildlife, if any: Enhancing wildlife is the reason for restoring the estuary. 6. ENERGY AND NATURAL RESOURCES: a. What kinds of energy(electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. None Mason County Environmental Checklist Page 5 • b. Would your project affect the potential use of solar energy..t_adja eat r _parties: If so, generally describe. No ,- E �C ( v it f. \ c. What kinds of energy conservation features are incl in the.plans gf;tlis sal? List other proposed measures to reduce or control ever i a.,,.i if any:`IAA 7. ENVIRONMENTAL HEALTH: T yrF-ftRsoT� n _DM.OGUMVY D}VgOPNk�NF a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. 1) Describe special emergency services that might be required. None 2) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise. 1) What types of noise exist in the area which may affect your project(for example: traffic, equipment, operation, other)? Traffic noise from SR 101. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hour's noise would come from the site. Construction Equipment used to excavate, load, transport, and dump the soil. Approximately 2,000 truckloads of soil will leave the site to be taken to the disposal area. (See the SEPA checklist . for the soil disposal area for the location of the haul route from the excavation . site to the soil disposal area.) Construction equipment will consist of an excavator plus the crawler tractor to grade the site and trucks to haul off the • waste soils. 3) Proposed measures to reduce or control noise impacts, if any: None 8. LAND AND SHORELINE USE: a. What is the current use of the site and adjacent properties? A log storage area. b. Has the site been used for agriculture? If so, describe. No. c. Describe any structures on the site. None d. Will any structures be demolished? If so, what? None e. What is the current zoning classification of the site? Rural Rum/ Raideli f 1d' 11; • f. What is the current comprehensive plan designation of the site? Conservation -shoreline. 64,c ire d ertia I i:7-0 Mason County Environmental Checklist Page 6 ef,nsap van 1-t- g. If applicable, what is the current Shoreline Master Program designation of the site? Residential Rural and Conservation -shoreline L T Lc CI , DM(E ; h. Has any part of the site been classified as an "environmentally se .1. i area? If so, spec ly ' Yes --the estuary surrounding the fill rem va r, a. bt*/ 1 ,'" 1 ,'-.1;;j. , .... i. Approximately how many people would reside or work in the completed prcji erlt DEPT OF COMMUNITY DEVELOPMENT j. Approximately how many people would the completed project displace? None _ �^ k, Proposed measures to avoid or reduce displacement impacts, if any: NA I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None • 9. HOUSING: NA a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. None b. Approximately how many units, if any,would be eliminated? Indicate whether high, middle, or low-income housing. None c. Proposed measures to reduce or control housing impacts, if any: None 10. AESTHETICS: a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? NA— no buildings. b. What views in the immediate vicinity would be altered or obstructed? None c. Proposed measures to reduce or control aesthetic impacts, if any: None 11. LIGHT AND GLARE a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None. All work will be completed in daylight. b. Could light or glare from the finished project be a safety hazard or interfere with views? NA c. What existing off-site sources of light or glare may affect your proposal: NA d. Proposed measures to reduce or control light and glare impacts, if any: NA 12. RECREATION: Mason County Environmental Checklist Page 7 a. What designated and informal recreational opportunities are in the immediate vicinity? Enjoyment of the Quilcene Shoreline, bird hunting, and fishing. b. Would the proposed project displace any existing recreational uses? If so, describe. It will improve wildlife habitat. Bird hunting and fishing shoul e-ir-o_ved,-_._.___.____.._ __ r-, rte... -,�, fry C_.... -1 ,i1 .LT ��.� Li, U V �G' r c. Proposed measures to reduce or control impacts on retreat cn;incluOng recrea Foci' opportunities to be provided by the project or applicant, if a i Qne7lhis,propert I be a conservation area owned and.maintained by the Hood n I_Salmon Enhance Group. M_�_ JEFFERSON COUNTY .., _ DE'F'T.OF COMMUNITY OEVELON/IFNI 13. HISTORIC AND CULTURAL PRESERVATION: a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. No. See archeological report included with this check list. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: None. 14. TRANSPORTATION: a. Identify public streets and highways serving the site and describe proposed access to the existing street system. Show on site plans, if any. Enter-Muneaie Ave to Linger Longer Road to SR 101 in the town of Quilcene v.tC. b. Is site currently served by public transit? If not, what is the approximate distance to the existing street system? Show on site plans, if any. No. c. How many parking spaces would the completed project have? How many would the project eliminate? None d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). No. e. Will the project use (or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project: If known, indicate when peak volumes would occur. 2,000 trucks = 4,000 trips over a three week period from 7 AM to 7 PM at night 6 days a week. The haul route to the soil disposal area will be 1.45 miles. The trucks will skirt the west side of the town of Quilcene. g. Proposed measures to reduce or control transportation impacts, if any: Work will be completed in the daylight. There will be no truck traffic after dark. Mason County Environmental Checklist Page 8 15. PUBLIC SERVICES: • a. Would the project result in an increased need for public service (for example: fire protection, police protection; health care, schools, other)? If so, generally describe: No. b. Proposed measures to reduce or control direct impacts on public services, if any: None 16. UTILITIES: a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other: None. b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None Signature: The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: f rE Cam; 73 g r ;�I Cc l�7C� Date submitted: i. r C i JFr'FEKSON COUNTY {} OF COMMUNITY oEVEt°PRIENT Mason County Environmental Checklist Page 9 TORO! map printed on 10/17/11 from :"_ - , _ o�JI-._. • 122°541000' W 122°52.000' W 122°50. 1 i Il ' — f �J— R' '7.000' W/11)mr, -*TWA , , ,, , %,, j ' , A ,,,,,,,..-„ - , r,..., ,, 1„,,,,, „ ,,...,- )T,11 i3 .' '*- . ..- • o'll - 4 , r .f 1,1,N, �, 9[ JF' } ( rt. t Is - - ,r„,.. ' c,', 1 ' ' £ -i 7,...A k �� fix ' '+� _ 'i �• ,f,1 y'', - f" ` ` ,• rr COI' ?,.".,--1 ' S,.sIr �M•J �.Ill 1 1"4 Lk. J�� / t)�.-?-rF k' * l ? ••l' I "N' ,,, M,,,IiN J r •t' t�'4•++,,, !,j.k.A 1 4):'tç♦ F+ -�• 111 f a, �-a.!'..,,. -K_ .4 FP .,-. �c r'1f I}!u: .' •� L. J ,• ', '' 1.:4, . t 7.1., 1 rigi.... ' -, .-Cik, k Ir 'tit.. 1,77 titer /J"• 1M' R ' 1 Gj: . itt-!'y '?�`"• _,-. .. 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I i. lu m m rill of 1- Bri 4 ' o rd $i g kr. w o r Q_ g RSO ! 1:1 8 I- c-„ ........ II 101 Ili; VIII IC i 4111 ' '''' 1 i X S; o 1 6a a r3 i;n 1 wil Ri g; z 6 R ° sf � r a E _ JT„G 11 RA i 11 h /Pg di > R r , a l ril F , a ii BIG QUILCENE RIVER ESTUARY RESTORATION - PHASE 3 FINAL DESIGN MEMO! u w i BY: PAT McCullough, PE JAN fl I Date: Updated 1-18-14 JEFFERSON COUNTY INTROCUCTION: The Big Quilcene River Estuary RestoratiorrPro¢ ethe..c !event project in series of the projects that have been undertaken by the Hood Canal Salmon Enhancement Group to restore the Quilcene Bay Estuary. The implementation of this project includes two distinctly different tasks. Task 1 is removal of the old buildings and debris on the site and Task 2 is the restoration of the historic salt water marsh on the eastern boundary of the site. This design memo will focus on the restoration of the historic salt marsh. The purpose of this Design Memo is to briefly describe the design methodology used to develop the 90%design of the project. We have included with this memo several Exhibits that will provide the reader with an in- depth understanding of the site. They include: EXHIBIT A: 60% Design Plans EXHIBIT B: Coastal Wetland Grant Application EXHIBIT C: BQER Cultural Resource Report EXHIBIT D: BQER Wetland Delineation Report EXHIBIT E: BQER Soils Log Report We did not include a copy of the Hazardous Waste Report for the project because it is not relevant to the design of the salt marsh. That report is available on line. PROJECT OBJECTIVES: The objectives of the for the estuary restoration are: 1. Remove the fill material that was placed during the construction of the log storage yard over the historic salt marsh. 2. Limit the site disturbance to the approximate boundary of the imported fill so as to not impact the previously undisturbed and surrounding forested, fresh water, and salt marsh wetlands. 3. Construct the restored estuary at elevations that will provide a variety of estuarine vegetation. 4. Select estuarine surface grading parameters between the Meal *i•h Water 7-1 (MHW)and the Mean High High Water(MHHW)so as to maxi z: the J recurrence of the salt water flooding in the estuary. "�" �-` T----------1 g ry• fEfhERSON COUNTY 5. Design the tidal distributary channels within the restored estua igirrigOattb111EvEroPmENT the tidal channel densities in similar wetlands in the adjoining salt marshes. HOW THE 90% DESIGN MEETS THE PROJECT OBJECTIVES How we set the project excavation boundaries: The excavation boundaries are based on extensive topographic survey, the soils test holes, and delineation and typing of the existing wetland boundaries. The boundary of the excavation follows the boundary of the imported fill on the site. To summarize: • South side boundary: The south boundaries was set and graded to match into the existing estuarine tidal channel. The tidal channel along the south boundary of the site is an historic river avulsion channel and 30 feet wide with a channel bottom elevation of+3.3 NAVD 88 Datum and +6.06 MLLW Datum. • West side boundary: Most of the west side of the excavation is bordered by a salt and fresh water wetland. The excavation of the west boundary will tie into the existing wetland. • North side boundary: The north boundary of the salt marsh excavation was set to maintain a 100 foot buffer between the Big Quilcene River and the restore salt marsh. We were concerned about a possible undermining of the existing levee by the river is we got to close to the river with the excavation. The 100 foot buffer leaves a very conservative buffer between the Big Quilcene River and the excavation. • East side boundary: The east side of imported fill is bordered by a mature forested wetland. The boundary of the excavation avoids the forested wetland and leaves several large trees in the south east corner of the site. How we set the grading elevations within the restored estuary: The MHW and MHHW elevations for the site are 7.76 and 8.62. Based on our previous experience from similar project we have completed that are located in the estuary we have observed the following "approximate" changes in the predominate marsh vegetation types based on elevation: Marsh Type based on Marsh Elevation — NAVD 88 Design Marsh Areas vegetation Datum _ After Restoration Mud —minimal vegetation Below elevation 5.5 Blue — 12,051 sf— 8.6% Low Marsh Elevation 5.5 to 7.0 Red-30,000 sf—21.5% Middle Marsh Elevation 7.0 to 8.0 Yellow--40,600 sf—29% High Marsh Elevation 8.0 to 10.0 Cyan—52,300 sf—37.6% Salt Tolerant Elevation 10.0 to 11.5 Gray—4,344 sf—3.1% _____________ ___, .0 EcEuvEE--, - I i....,,...„...„-- .. . , . y '_v,�_ 3' ,, , ,, 1.' ' r; 'fipr 4�` t�f i-%s3a,- 1` ■ 7� s;" ski, .'iGr,^ 991r ;"i91?1xt* a •.. i ', '5,1-�� :s44��Y 4 / T ! k,yyjp�'- ur at�r yr.�'' i `�za ! p ,„-- 'frN3"_,n'iS}litgi'.,) .y �1L 1 t n'7' i�' �liii �ry F 7 \'r 4 `�`k s•' -l_ A �'�-� f��"��- �t��w>,� ,ice � h' G _ 4,41.--00*-' K t • s 1.-;'''f: �_ Y A- `' �° ; - . if ” ,,%7 _a____:11.."?.---p 1 _ _ „v),,,J1., . ..-....0 ......,....__ -- • .v.. 1.t.,,,, ..... , / .„-- . BIG QUILCENE ESTURY RESTORATION — MARSH GRADING ZONES The elevation proposed the grading plan will offer an excellent variety of estuarine vegetation.The grading will develop 1.9 acres of low to middle marsh habitat in addition to 1.2 acres of high marsh. The frequent flooding the estuary will provide excellent access to vegetative feeding areas for the salmon fry. The smaller distributary channels are not included the above calculations. They will add another 6,599 square feet of low marsh habitat. The proposed grading plan will restore the estuary to the elevations that existed prior to the filling of the site for use as a log storage yard and sediment deposition that resulted from the failure of the levee in during the 1993 flood. cEoVE Flooding frequency for the proposed salt marsh is as follows: D Y_. F ij ii. _ (I 4�•. '• � Elevation - NAVD 88 Elevation — MLLW Floo i 9 times per year . 5.49 8.3 676 7.00 9.8 586ERsoN COUNTY 8.00 10.8 _ALTAtyKUNIIY VE LoflE rt 1.03 10.00 12.8 17 10.7 13.5 2 The Design of the Distributary Channels: The proposed estuary is flooded and drained by at remanent river avulsion channel that is over 30 feet wide. The main distributary channel in the restored estuary is designed to be 880 feet long and vary in width from 20 feet wide at the mouth to 4 feet wide at the north end. The elevation at the mouth is 3.4 and the channel slope will be 0.18%. The channel is designed wider then required to support the hydraulic demands of the tidal flow in the estuary. A generously wide main channel supports improved tidal flow to the smaller distributary channels, increases the tidal flushing volume, and improves sediment transport. There are 1,065 feet of sub-distributary channels planned. They will be approximately 2 feet deep=-or more -and will vary in width and sinuosity to simulate the smaller distributary channels in similar tidal marshes in the Big Quilcene River Delta. Similar estuarine reference sites the Big Quilcene density support a sub-distributary channel density of between 300 and 350 feet per acres for the smaller channels. The proposed sub-distributary channel density of 305 feet of channel for acre. If the main distributary channel is added to the calculation the density increases to 1,945 feet/3.5 acres = 556 feet per acre. The addition of the LWD to the proposed estuary; Large wood in the form of drift logs and other wood debris provide excellent harborage and shade for the salmon fry during the tidal exchange period. We are proposing to add eight groupings of large wood to the feeder tidal channels and the restored estuary. Each grouping will consist of one or two stumps and two logs. The logs will be anchored by burying one end and/or by using wood piling. THE PROJECT SCHEDULE We are trying to get the project under construction by June of 2014. Construction would occur during June to September 2014. The cost of the land acquisition was more than originally estimated in the CW and RCO grants. The additional land acquisition funding came out of the funds set aside for restoration . We expect an increase in construction cost of 10% in 2015. It is important to build the project this summer and fall if the current funding is to be sufficient. Li I. JEFFERSON COUNTY DEPI.OF COMMUNITY DEVEW.OPMENT • • • .1 c • .r• - -'-'4.1 � � ; �F a L h 4 Y,• p � i l f � '. ‘ d rrr , � ; +sx r K r im r I�. z t4r N ,' ' a ' BIG QUILCENE ESTUARY RESTORATION PHASE 2 • WETLAND DELINEATION AN® ANALYSIS REPORT Prepared By: C3 Habitat Corp. 10507 remert W Belfa , Bon, WA ir Valley 1.Road 9832 Prepared For: HOOD CANAL SALMON ENHANCEMENT GROUP c/o Engineering Services Associates N.E. 210 Cherokee Beach Road Belfair, WA 98528 CULTURAL RESOURCES REPORT COVER SHEET Author: Dana Komen, Ryan Ives, and Stephen Emerson Title of Report: Cultural Resources Investigations for the Quilcene South Marsh Restoration Project, Jefferson County, Washington Date of Report: May 2013 • County(ies): Jefferson Section: 24 Township: 27N Range: 2W Quad: Quilcene Acres: 13.5 PDF of report submitted (REQUIRED) VI Yes Historic Property Inventory Forms to be Approved Online? Xl Yes n No Archaeological Site(s)/Isolate(s) Found or Amended? n Yes 6a No TCP(s)found? n Yes IX No Replace a draft? n Yes M No Satisfy a DAHP Archaeological Excavation Permit requirement? [ 1 Yes# No Were Human Remains Found? [ 1 Yes DAHP Case# XI No DAHP Archaeological Site#: • Submission of PDFs is required. • Please be sure that any PDF submitted to DAHP has its cover sheet, figures, graphics, appendices, attachments, correspondence, etc., compiled into one single PDF file. • Please check that the PDF displays correctly when opened. PHASE I ENVIRONMENTAL SITE ASSESSMENT Conducted On: JEFFERSON COUNTY TAX PARCEL #99724'1443 QUILCENE, WASHINGTON 98376 `4 I _ _ c. ... V t µ g Fcc - _+t R1 Y: Y ii [ December 18, 2012 Project No: 1212-04 Prepared for: HOOD CANAL SALMON ENHANCEMENT GROUP P.O. BOX 2169 600 NE ROESELL RD, BELFAIR, WA 98528 „.. Phase 1 ESA Prepared By ADESA, LLC P.O. Box 1009 Tenino,WA 98589 ,..) ■m -3-2012 11:18A FROM.WITHERIDGE 3603850584 TO:13602750648 P.1/1f0 NORTHWEST ASBESTOS CONSULTANTS Surveys, Inspection, Sampling AHERA Building Inspector/ Mgmt. Planner EPA Certification WAMOA-0042 406 Reed St.Port Townsend,WA 98368 northwestasbestosconsultants@cablespeed.com 360-385-0584 Date: 7/3/12 jab Locations:. 331 Muncie Ave. t r - Qpilcene,WA 98376 Contact: Pacific Northwest Salmon Center Renee Rose-Scherdnilc 600 NE Roessel Rd. P.O.Box 2169 Belfair,WA 98528 $ubiect Demolition Inspector:, Bob Witheridge AHERA-Building inspector /Management Planner WAMOA-0042-1021201102 • Expires - 10/21/12 • • II Hazardous Substances Assessment Newman Properties 17 Parcels along Muncie Avenue Quilcene, WA 98376 RCO PRISM Project#11-1349 Big Quilcene Delta Acquisition Hood Canal Salmon Enhancement Group Belfair,WA June 2012 46ON co JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT . : .' 621 Sheridan Street I Port Townsend,WA 98368(Web:www.co.jefferson,wa.uslcommunitvdevelopment o"' Tel:360.3794450 I Fax:360.379,4451 I Email:dcdCr co.lefferson.wa,us ktrtO building Permits&Inspections I Development Consistency Review I Long Range Planning 1 Watershed Stewardship Resource Center March 24, 2014 Dear Reviewer, RE: MLA14-00013 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: BIG QUILCENE ESTUARY RESTORATION PROJECT-DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) This proposal is subject to environmental review and threshold determination under the State Environmental Policy Act(SEPA). Location: Parcel Numbers: 702 231 001 and 702 231 002, 295472 Hwy 101,S-T-R: 23-27N-2W Comments must be received within fourteen (14)calendar days or by April%2014. If no written response has been received within fourteen (14) days, your agency will be presumed to have no comments. If necessary,the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, 14 /L4C61 Do na Frosthol cc:,Same as+ha4. -RN/Ye,04rcchi00 SAC, • \\tidemark\datalforms\F_MLT_ReviewerLtr.rpt 3/24/2014 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14,2014 Application Notice Date: March 26,2014 SITE ADDRESS AND PROJECT LOCATION: Parcel Numbers:702 231 001 and 702 231 002, 295472 Hwy 101, S-T-R: 23-27N-2W PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: BIG QUILCENE ESTUARY RESTORATION PROJECT - DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson. County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. Project Planner: Donna Frostholm,360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopment/ ___ oar 2 0 o% I s s , .IL ERSON-COUNTY _ 4'. ., - I .,„.‘" d DEPARTMENT OF COMMUNITY DEVELOPMENT CCU ] Jj V L.--. i 621 Sheridan Street• Port Townsend •Washington 98368 1 360/379-4450 • 360/379-4451 Fax p'� www.co.jefferson.wa.us/commdevelopment JAN 2 9 2014 <IN •. J Master Permit Application . LA: 6............................................. Master "•`y Project Description(include separate.sheets as necessary): OFCfiMMUnlIY[---• YIV NI /y it t � est i vq /7-e-574-11 /4017.-44.9&3-Sol �1•9�or11-7 Tax Parcel Number: 7,1,'Z 3/p p Z -7 z•Z3i0/ Property Size: / ►/f--. (acres/square feet) Site Address and/or Directions to Property: Jule /1 ee -- 4e �2/a1 uuf, vh jol7 0,1s- 's -z- Property Owners)of Record: , r - , . Telephone: .4,O 74,5— "4n.' Fax: email: ';'r e7,7 d ' ,• ...." r / Mailing Address: ZQ S4 7 2.-- a c' 4"ih fi /d/ 0 e' d•en Applicant/Agent(If different from owner): e 0 rG 6 ' .... 6 Telephone: *"( e 07F-79 4— Fax: r.r'Z.. /c email: Aofh- "' _ i .'' ° • �"""r/ Mailing Address:...?_/ Ate-4'e- G�'A r c)lc.pr5eo .A Or'' r. i A , i`i 5 z, What kind of Permit?(Check each box hat ap9lies... LI Lot or Road Segregation Auilding —4-{ Gt k1ef j(CS e e7� ❑Critical Areas Stewardship Plan ❑ Demolition Permit 011 7i$�.S a l" ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cj** ❑ Manufactured Home . .❑ Modular. • ❑Discretionary"0"or Unnamed Use Classification al Commercial* ❑Special Use(Essential Public Facilities)** IIII Change ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign • • • ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* Cl Shoreline Management Substantial Development** ❑Temporary Use. ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,stake oy federal permits required for this proposal, if known: L.. 0r-1--- - ulel//7 C?) • _1- D SIGNATION OF AGENT I hereby designate t •C. i}tit � to act as A agent in matters relating to this application for permit(s). l y JttI� OWNER SIGNATURE :ri�r►wrP.ii�i�irv '� �'ry�` ia.r / ." 0 '_:,'�,�.1 Date: 1124/1 h By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to'this application packet may result In this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit, I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of en will be assumed unless the applicant informs the County in writing at the time of the a••I«=tion tha he or she ants• for notice. /r / Signature: �.�.-.- _ !;^. �L..,' d G■L._ Date: t f 24 & The action or actions Applican will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or'ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County develop t code.The Applicant acknowledges that he,she or it holds individual and non-tr:;sferabie ressonsibilit for •herin Nto and co •1y g w,,• t 'Arhe Applicant has read this dlscla era d sig and dates it below, 'ttrSignature: ' .:a. :: "°1 : .. ' r. ._: /i.44, Date: BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu • g the responsibility of thheGee errall Contractor for the proposed project. C Signature: 1 l.l: L L...4.6... al '""mil.✓ Date: t 7-L fr I - GENERAL CONTRACTOR OR MANUFACTURED ROME INSTALLER: P1-IONE: i EMAIL: MAILING ADDRESS: I- t CONTRACTOR'S LICENSE WAINS III NUMBER: NUMBER , JAN 2 9 2014 ARCHITECT/ENGINEER: ^� PHONE ( ) p`q T FAx:( ) -J/ MAILING ADDRESS: EMAIL JEFFERSON COUNTY • Project Type: Frame Type: Bathrooms: Shor-line:DF T•.Tf?Y hot t ul li sal:__ o New Wood Existing: 0 sewer ❑ Addition U Steel Proposed: Bank C Community System C Alteration/Remodel 0 Concrete Total: Height: C Individual System ❑ Repair 0 Masonry SEP Permit# O Demolition Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: • If this is a Commercial Proiect You must answer the following: - Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • • IBC Occupancy: . IBC Type of construction: Will you have Food Service? Yes / No if is is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: • 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other • Is this appliance being installed in a Manufactured t Mobile Home? Yes I No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed •F,Gr•-Office•Use:.Obly • Atiinylit - ,—RIOMISigti -- - Main Floor Heated EH Bid App Review: . . • 22 Floor Heated Consistency Review: Other Heated Base fee: Mezzanine ' Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: ��.r�_ �.",r,v» _ .__��1 _ _..._ Other Unheated• . . - Pot Water Review fee: Garage/Carport .. • SUBTOTAL Decks 911/Rd Approach fee: Other SOP CV • TOTAL: $ _ •�"j], �Q/ Receipt Number: �i� �✓� Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value o I labor and materials foundation to finish ao/aere9 Initials: ------ ©l'/fir/ /S 4JGtr 7 iii-l'i-ci p JEFFERSON C UNTY ____ �,-.�__ .i' 3,,, DEPARTMENT OF COMMUNITY DEVELOPMENT ��, �-'' ` ��, .44 621 Sheridan Street• Pork Townsend •Washington 98368 JAN 2 9 2014 j 1,k,...._ O 3601379-4450 • 3601379-4451 Fax IN http://www.coi efferson.wa.us/commdevelopment/ - � �; JEFFERSON COUNTY DEPT.OF COMMI.INiTY DFVFI.OPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: -cove 4 74 . -- ,.po1--a/. DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation Worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic Information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE fl.E,SITE) Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet ,ir�4�4 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction, Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF.NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures m sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank,etc. 0 sq/ft Circle: Yes zoo Well,utilities,etc. V sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 0 sq/ft Circle: Yes Lawn,landscaping,etc. -0 sq/ft Other compacted surface,etc. Q sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance ItEiP iff)0 sq/ft Cut Fill 2900 (cu/yd) [over] • stormvrater oak worksheet Rev 9.9.2010—REV 9!9,2010 1 ■ `�� �9 r Q 1J [f-:air ' Impervious surface is a hard surface that either prevents or retards the entry of water into the .•i -: :- --.:r..f - ditld'Itjons P 1 prior to development. A hard surface area which causes water to run off the surface in greate q : ties or at an increased ra o flow from the flow present under natural conditions prior to development. Common impervious sure:..=. incl •=. b e t jimit t 0.00f tops,walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, g a�- rod.& •adkeid Hen t pis, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwate . - JE1-100O1,1 00UNT'1 STORMWATER CALULATIONS*IMPERVIOUS SURFACE DEPT:OF COMMUNITY DEVELOPMEN" NEW EXISTING Structures(all roof area) C, sq/ft Structures(all roof area) 0 sq/ft Sidewalks sq/ft Sidewalks e., sq/ft Patios elm sq/ft Patios sq/ft Solid Decks V sq/ft Solid Decks Q sq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc � 0 sq/ft Driveway, parking,roads,etc 0 sq/ft Other f( J� T d/ sq/ft Other sq/ft Total New ¢d/ fiV sq/ft Total Existing b sq/ft TOTAL NEW+TOTAL EXISTING* ti „O� lot sc.ft ��� Q• ,9p,-exp *This amount will be used 3Y STAFF to check total of cove age The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: a a Does the site have 35%or more of existing impervious surface? Circle: Yes 6 FURTHER INSTRUCTIONS: if the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small' projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP)Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects, Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. C. ' / / / iletAte .4. • /_ ze --/i----- (V DO • R S R AUTHORIZED REPRESENTATIVE SIG / RE) (DATE) I weretwoloormooratalromorur M FOR.OFFICE USE ONLY I SMALL MEDIUINI• LARGE REDEVELOPMENT . Stormwater Site Plan: Yes t,10 stormweter talc worksheet Rev 9-9-2010—REV 9912010 2 hr) Z J4 `� a a g N N N 1 s j S e n e o W U a- W vt� oz a n m H r` O V) k`M N (M -NCZ-bL b/MN) lzalz d.1, 196K1 j c (z£%Y1 ssa um V �- �' :6 , 16M£FZ01 Ea., . d �t 7d Q to U l 6d ¢f rzR < Of w h= `�" ::t .0601 Z o Arm 1. ,-�] ., gni 4. W 's 9z'9 `] i H u N6WYS svn rrc s 61 xv. $ & A67e£ a a Q £101£ZZOt a ? o a N t 11 . v q ,6eo1iN$J • R�` l °y2 9- F r > aaat 6_,I. 5s9 �■ 1 N a ~1-4 gN o Z t--1 S.r c1 w v, °s N z > N WS a= A9Y601 o tmsw 4,01 '� 5^ CN� xeex g4 $ U V1_ FeV �s 4 0 . - — ,� a G ,6£L 14 . ¢i i s .1 LI-s 1 W on 4 a 11„a r Cr S 2 a mi xa q^� v N .�a g.$ rya .ate $ ('15 3ON321O1i)M/N AINf1Oo —.a�ro£r lava a ,sass k moo' og fCues � : '� '� � aOa g of ., 600tsua 1 « ' \ g.i- M P a• .o8 At i .0'£9£ NZ-NLZ-£Z Woo) An''” i> • .............. ............... ............... `ssg 1 i 1 _ .1 6 g`M o _ i !X45 a p� g gtiMille ,..g 1 Engineering Services Associates, Inc. Tuesday, March 18, 2014 Donna Frostholm SEPA Coordinator • Jefferson County DCD 821 Sheridan Street Port Townsend, WA 98368 Subject: Response to March 14, 2014-letter regarding CASE# MLA14-00013—SEPA Checklist Revisions for the Big Quilcene River Estuary Restoration — Phase 3 Project and the soil disposal site for the project. Dear Donna, Upon inspection at the proposed soil disposal site we did not find the stream shown ArcIMS HTML—Viewer Map on Parcel No 702231001. I revised the surface water section to read as follows: 3. Water a. Surface Water:f 1) is there any surface water body on or in the immediate vicinity of the site(including year-round and seasonal streams,saltwater, lakes, ponds,wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site.Jefferson County Mapping shows a stream on Parcel No.702231001.A field inspection of the site has shown that the stream does not exist or has been moved farther west on the site.If the intermittent drainage does exist on the west boundary of the site it is over 400 feet from the proposed disposal site and the no drainage from the disposal site can reach the stream due to adverse topography. Concerning the Project Plan Graphic-Your revisions are correct. I am sending you a new graphic of the site with the revisions you made. We will be removing 22,000 Cubic yards of material. Is this a change you can make or do you need us to resubmit the checklist? Yours Truly, /7/ Pat McCullough, PE President, ESA Inc. Page I I Print-Maps • Page 1 of 1 b big Maps _.: F. - Linger Longer Rd, Quilcene, WA 98376 1_ Moult Tovnnsendl • Jefferson Co -M1A14-00013, Big (= , Quilcene Restoration Project. Due ,; 419/14. 4000 truck trips over a 3 week i ;, , period 6 day/wk ° Qui' ,. l x 'irigi iscaw. t�the go?Use tn.lfrigl4 to ftt#Ytl3ps, T,i +'fie{i ? directions,businesses,end ' Mountr ' 1 _ '. E-Y 9` .�- 4 . i0". 's e } itg,S_ 4o[poratxaw :I in15g . Y 861.4" Nokia Yildos .w .1 it .. 1 l I :, 0.,. ,..__ Cemetatyi24 ...< za H { 1 ,._�. 1A?:.Cabiat _ �. °' :. ,,: a } - -.- ' 'fiy 4", ' a Y 7 . ~ x, Vim, ..'A- .+t r2r nro "7:''''' yyT} sF ./�?*'r � 1 4.- 1/11+3�- `rGY Zi tti 2 � f dab' — } z x �i.:.-,k•':1. is • • Y 1 z .G £ , • a< ,3 Zx -u S ' u'biome , i . ,.._.__....,_... ._...__.. _____._. --_ _ emu . i1� 2flt4 ilc[t�oftCorporaS i iY�fi3t��+k : http://www.bing.com/maps/print.aspx?mkt=en-us&z=14&s=r&cp=47.823 342,-122.877155&... 3/27/2014 receiver! skSON coo JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ,e '7 ; 621 Sheridan Street I Port Townsend,WA 983681 Web:vwww,co.jefferson.wa.us/communitydevelooment 12,4," , . e Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd aco.jefferson.wa.us ri1NO Building Permits&Inspections I Development Consistency Review I Long Range Planning(Watershed Stewardship Resource Center March 26,2014 Dear Reviewer, RE: MLA14-00013 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: Shoreline exemption and flood development permits for Big Quilcene Restoration Project This proposal is subject to environmental review and threshold determination under the State Environmental Policy Act(SEPA). Location: Comments must be received within fourteen (14)calendar days or by April 9,2014. If no written response has been received within fourteen (14)days,your agency will be presumed to have no comments. If necessary,the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, Donna Frosth JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7,2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26,2014 SITE ADDRESS AND PROJECT LOCATION: pa reel 1M ber s gel 2.0 cm/:p i 70,A pi tMetV tivie Aga(we, S -'ra.-hu R zin PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Shoreline exemption and flood development permits for Big Quilcene Restoration Project-•e s vy P-fora tip COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comments)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations,and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental . impacts. Additional conditions or mitigation measures may be required under SEPA This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. Project Planner: Donna Frostholm,360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopmentl . . 4.i &igr. s*tiod - 7,(.,:e.,,,, ,,--$-.0N0 o JEFFERSON COUNTY ' _ # , . d DEPARTMENT OF COMMUNITY DEVELOPMENT F E 0 LE I] t4 621 Sheridan Street• Port Townsend •Washington 98368 ' a • $a 4 360/378-4450. 3601379-4461 Fax 5 tieclp www.co.jefferson.wa.us/commdevelopment i4r`' Master Permit Application ML, : .l:I'E MIN r: n project Description.4include separate sheets as necessary): !rill UNITY DEVELOPMENT El; a. /__e v A r- i0GU1-40` / 4 3 Tax Parcel Number: /41. ,4 d ••• -- D i Property Size: 7,, q 64- QS (acres/square feet) Site Address and/or Directions to Property: - (9.ac.lC•�r,e �.faetee.4 7 'erg• ,4o f 76 *7 C//�eA-v&-g 21A Si ' Property Owner(s)of Record: Aier,nci (GYJCt I ,S' j ,rn ,e hap/cyrwc e,i,1i'( ,,,c,U j P Telephone: 3 f��7.75-a 5.75 igg ax: email: • Mailing Address: OQ,. e x //•Q „'.•Plat /Y .10,+ 4'6 ra Zf Applicant/Agent(if different from owner): # A/c- .,. / _. ...-5 Telephone: 3 -2 75— 7854- Fax: gm-'777— 3/J 7 email:/007L161 WaVFeca /4-e Mailing Address: 269 �/E :�.,. r a der < .y - A �°-0�'�? What kind of Permit?(Check each box that applies ❑Lot or Road Segregation • Pit ilding • ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑'Variance.(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CI** 1 ❑ Manufactured Herne, • .❑ Modular. • • / - r Discretionary"D"or Unnamed Use Classification tlCommercial* yritco ,i aMLA`a7(O t�f❑Special Use(Essential Public Facilities)** Change of Use ❑Boundary Line Adjustment . ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage industry El Binding Site Plan** ❑Propane - ❑Long Plat** .❑Sign • .... • • • • 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** 0 Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance 0 Wireless Telecommunication* El Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium El Jefferson County Shoreline Master Program Amendment May require a Pre—Applicaf`on Confer ce L Tree Vegetation Request 6iu��l ■"°` •Pa' 471/J /e.G **Requires a Pre=Appficaflon Conference . Please id; ltify any other local,state or f 6deral permits required for this proposal,if known: et 2E-• 4e,/ x- 1 4--d).0,/-#4- % c a/—"�"�//2 - S&P _ • ESIGNATION OF AGENT 1 hereby designate 9 :€374 'get/load to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1\HAkAl1&i i Date: 1/24111 By signing this application form,the owner/agent attests that the Information provided herein,and in any attachments,is true and Correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap•'ca Ion that ,- or sh- wa - prior i otice. I r ! �jill Signature: l' f i, i ..�f ~ - -014-'° _ Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively Impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)eve if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra nretrn lib'iiity f addhdrrInto a lyin with the ESA. The Applicant has read this disclai er an s gnss nd dates it below. Signature: i,�lrtl PC-2k--t- 0 Date: ). 2 i d Z ° u $ i a a s . h. N \ N N c.1 o;II 4 cek. u k 5 k -. e Q '' r 07. M n : N s NI W UQ W c'b N Z 31133100 JO ltlld AN .lgl4 1ddfIS NQ• ,2tv222 (ML-NLZ-61 1r/161N) +n � : eQ 0 4g= aF$ QF � Cr(r)el MM MILE Cr MIiE7 2^,rol avNs ,V11 , , C w « Cr) P. 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NQMI Q�1� Qn� • 1 ' " '.J m ININw I a �8 swim NNII'1Jf� U - Ll^ 0 0 a 09 NOMI MillIMII O 2 v O a a ■Eal it • a Q Y °a o: Q» =A __ I►.q '3AV NO1lIW'dN ii g Ed 11111=11 MENEM 1112 VW S » Qom.; 1Pi1llEJbP ° °� 201 '8'S (MZ-NLZ -iZ 4/1A01) .222.22 1 iii ds N O fi # o �'' NI fit: 1,11 6 5 3 x% I*I /12 zao 0 08 3k1;rg8 KSa J 0 E i1IIIIhU ENVIRONMENTAL CHECKLIST BIG QUILCENE RIVER ESTUARY RESTORATION PROJECT—PHASE 3 THIS SEPA IS FOR THE SOIL DISPOSAL SITE FOR THE PROJECT THAT IS LOCATED AT THE PEDERSON INDUSTRIAL AREA SOIL DISPOSAL SITE IN QUILCENE,WA. A. BACKGROUND 1. Name of proposed project, if applicable: , ; ��f I Big Quilcene Estuary Restoration—Phase 3 --°—---°-� -'-- f 2. 11 1 I JAN 2 9 ^1.=1 . Name of applicant: k I. Id �f Hood Canal Salmon Enhancement Group(HCSEG) JEFFERSON COUMY i DEPT.OF COMMUNITY,IlE�,EtOP El\IT,,._.,,,_; 3. Address and phone number of applicant and contact person: Mendy Harlow-Director PO Box 2169 Belfair,WA 98528 360-275-3575 4. Date checklist prepared: January 18,2014 5. Agency requesting checklist: Jefferson County 6. Proposed timing or schedule(including phasing, if applicable): Site excavation for the Big Quilcene River Estuary Restoration will begin July 15,2014.We estimate completion of the project September 15, 2014.The excavation phase of the project will take approximately 4 weeks. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 1012 1 A separate SEPA checklist has been prepared for the Big Quilcene Estuary Restoration Project -Phase 3. That SEPA checklist contains several documents directly related to the proposed estuary restoration.They include: A JARPA rr�r ----�`�7---- Wetland Delineation and Analysis.Report C� V-� Lam; I v Cultural Resources Report Hazardous Substance Assessment JAN 2 9 2134 JEFFERSON COUNTY 9. Do you know whether applications are pending for governmental app C -gtrON O affecting the property covered by your proposal? If yes, explain. No 10. List any government approvals or permits that will be needed for your proposal, if known. vreilgt/5 )_Ocett ioevnl,4-11 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) ihefpj This proposal seeks to dispose of approximately 20,000 cubic yards of waste soil from the Big Quilcene River Estuary Restoration—Phase 3 Project at the Pederson's Industrial area located at 295472 Highway 101 Quilcene, WA G-\I 98376. Property is located in NE 1/ of S23 T27 R2W. Parcel ID: 702231002 and 702231001 • While the Pederson Industrial disposal property is 19 acres, this proposal only seeks to place soil in a small portion of land within the property that has been previously prepared for filling with waste soil. The proposed disposal area will be approximately 200' x 200' in width and approximately 7' deep. (Area =0.91 acres) The area where the soil will be deposited has had significant disturbance over the last 20 years. In the 1990's it was cleared and graded in preparation for filling by imported soil.A portion of the disposal site has been filled with soil taken from the previous phases of the Big Quilcene River Estuary Restoration Project. We have enclosed a Vicinity Map, a haul route map,and a aerial photo image that shows the approximate limits of the filling operation at the end of this SEPA checklist. The imported soil fill will be compacted using a crawler tractor. No construction is planned on the imported fill. There will be no storm water SEPA Environmental checklist(WAC 19741-960) guidance updated March 2012 2 runoff from the filling site because the fill will be surrounded by ditches that will intercept any runoff from the fill, Sy,k3_S If /ST t, '': T° x +a w''';'.::4—"' x.. ( x,xxS S4.i 1.1 t r6 n �- 0 V I-�,i) x i ,��y� r,"� ,", t 4 „�r0, h'Ss ' C - ..�.,.., , JEFFERSON COUNTY DEPT OF COMMUNITY UEVxIOPMENT - t PEDERSON INDUSTRIAL AREA WASTE SOIL FILL SITE—NOTE EXISTING WASTE FILL ON THE SITE 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. if a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency,you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. • Go to Quilcene,WA then go south out of town on SR 101 approximately one mile and look for a large sign that says PEDERSON'S on the right hand side of the road.Turn right onto the industrial site.The area to be filled in on the left about 300 feet from the entrance. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site. (circle one): Flat, rolling, hilly, steep slopes, mountainous, other The disposal site is flat rolling topography. b. What is the steepest slope an the site(approximate percent slope)? SEPA Environmental checklist(WAC 197-11-960) guidance updated Mm eh 2012 3 The disposal site has less than a 4%slope. c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The soil on the current disposal site is HOC- Gravelly top soil with excessive fines and low permeability. Hardpan likely at 24"to 25".The area where the soils are going is graded depression wit .wetl and . d. Are there surface indications or history of unstable soils in the immi>�' SC�; describe. i 9 2014 There are no unstable soils known in the immediate vicinity. JAN F€ SON 0 N1Y e. Describe the purpose,type, and approximate quantities of any filling r grading 0 �+ � 10.0p�ftCN� Indicate source of fill. The fill added to the proposed site will be approximately 20,000 cubic yards.The source of the ��� fill will be the Big Quilcene Estuary Restoration site. See enclosed 90%Design Drawings. `j2, Cy f. Could erosion occur as a result of clearing, construction, or use? If so,generally describe.[ The fill will be left uncovered and will be constructed of permeable soil.No stormwater runoff or soil erosion is expected to occur. g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? None h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: No storm water runoff is expected from the imported soil.A shallow ditch will be constructed around the perimeter of the fill to prevent any stormwater runoff from leaving the site. 2.Air a. What types of emissions to the air would result from the proposal (i.e., dust,automobile, odors, industrial wood smoke)during construction and when the project is completed? If any,generally describe and give approximate quantities if known. None b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No SEPA Environmental checklist(WAC 197-11-960) guidance updakd March 2012 4 c. Proposed measures to reduce or control emissions or other impacts to air, i i None Na JAN 2 9 2J;4 3. Water JEFFERSON ODONn DEPT.OF COMMUNITY DE VELOPMENT a. Surface Water:j 1)-Is-there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds,wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site. 2)Will the project require any work over, in, or adjacent to (within 200 feet)the described waters? if yes, please describe and attach available plans. The project will not require work within 200 feet of waters. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. rforrAwU.-(e a ice iQ 1 43 l2 51,}b None—See Big Quilcene Estuary Restoration SEPA for further information a c) '(‘ wi noo e y i l l lcs>t-- 4}Will the proposal require surface water withdrawals or diversions? Give general t .description, purpose, and approximate quantities if known. Krateot I`a O. c4.1.e Not applicable.No surface water withdrawals or diversions are proposed in this proposal. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. [ The proposed disposal site does not lie within a 100-year floodplain. 6)Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. Not applicable.The proposed site is not lie near surface waters. b. Ground Water: 1).Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. Not applicable. No ground water withdrawn or discharged will be part of this application. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any(for example: Domestic sewage; industrial,containing the following chemicals. ; agricultural; etc.). Describe the general size of the system, the SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 5 number of such systems,the number of houses to be served (if ap Itcab 6 fie- "' of animals or humans the system(s)are expected to serve. No domestic sewage, chemicals or agriculture materials ar ' beAscharzerk, into this proposed site. l�' c. Water runoff(including stormwater): JEFFERSON COMMUNITY Y DEVELOPMENT 1) Describe the source of runoff(including storm water)and method of collection and disposal, if any(include quantities, if known). Where will this water flow? Will this water flow into other waters? if so, describe. There will be no storm water runoff from the fill.A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 2)Could waste materials enter ground or surface waters? If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs X grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? The Pederson Soil Disposal site is an established industrial area. No vegetation will be removed or altered at this site. c. List threatened or endangered species known to be on or near the site. No threatened or endangered species are know on or near this site. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: None SEPA Environmental checklist(WAC 197-11-960) geridance updaled March 2012 6 Lei vrty is • f• 5. Animals t JAN 2 9 2Q4 a. Circle any birds and animals which have been observed on or near the sit r e known to be on or near the site: - - ------ JEFFERSON COUNTY birds: hawk, heron, eagle, songbirds, other: nF.COM ?UNIIYDEVELOPMENT mammals: deer, bear, elk, beaver, other: fish: bass,salmon,trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. No threatened or endangered species known in or near site. c. Is the site part of a migration route? If so, explain. NO d. Proposed measures to preserve or enhance wildlife, if any: None 6. Energy and natural resources a. What kinds of energy(electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs?•Describe whether it will be used for heating, manufacturing, etc. Not applicable b. Would your project affect the potential use of solar energy by adjacent properties? If so,generally describe. Not applicable c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Not applicable 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. None 1) Describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 7 _ b. Noise 1U `1'�- 1)What types of noise exist in the area which may affect your proj t qr e�pl ::9 20 4 traffic, equipment, operation, other)? '? L'1 a Noise from the construction equipment will not affect thi pro egG ij�PERSON COUNTY _ 1)rr �F`i M� Kr/DCVFIOPhr_,_�NT 2)What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)?Indi- cate what hours noise would come from the site. The project site will be used during day light hours only limited during the project schedule. The types of noise will come from trucks delivering and unloading demolition materials. 3) Proposed measures to reduce or control noise impacts, if any: Noise from project site will be limited to hours occurring only during the day. 8. Land and shoreline use a.What is the current use of the site and adjacent properties? Pederson's property is used as a disposal area. b. Has the site been used for agriculture? If so, describe. No previous knowledge of area being used for agriculture. c. Describe any structures on the site. This is an industrial commercial site.There are storage buildings repair building,and the owner'residence. d. Will any structures be demolished? If so,what? No. e. What is the current zoning classification of the site? Light urban industrial )nct tisfr i ai/(Astvu,E- itf� f. What is the current comprehensive plan designation of the site? A disposal site g. If applicable, what is the current shoreline master program designation of the site? NA SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 8 „ ._._.., tiaf�, h. Has any part of the site been classified as an"environmentally sensitive”ar- if so, specify. No JAN 2 9 2 14 • i. Approximately how many people would reside or work in the completed prol-ct? -- -----__ __ ith PERSON COUNTY__ 1.1.-OF COMMUNITY DEVELOPMENT The number of employees varies from none to 20 depending on the operation. j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: None L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. No housing units are needed for this project. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. No housing units will be eliminated for this project. c. Proposed measures to reduce or control housing impacts, if any: There are no housing impacts for this project. 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas;what is • the principal exterior building material(s) proposed? This project doesn't have any proposed structures. b. What views in the immediate vicinity would be altered or obstructed? No views are anticipated to be altered or obstructed. c. Proposed measures to reduce or control aesthetic impacts, if any: None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 9 11. Light and glare. c, a. What type of light or glare will the proposal produce? What time of �•I = rn rtn y--- -- occur? i Not applicable. ii y 11 JAN 2 33 2014 b. Could light or glare from the finished project be a safety hazard or i terfeie-witiaR6U Not applicable. DEPT OFCOMMUNMOEVELOPMENT c. What existing off-site sources of light or glare may affect your proposal? Not applicable. d. Proposed measures to reduce or control light and glare impacts, if any: Not applicable. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? There are no recreational opportunities within the immediate vicinity. b. Would the proposed project displace any existing recreational uses? If so, describe. The proposed project would not displace any existing recreational uses. c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project or applicant, if any: No proposed measures to reduce or control impacts on recreation opportunities for this proposed project because the site is not located in a recreational area. 13. Historic and cultural preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? If so,generally describe.Jhelrl This proposed site is not known to be in or adjacent to a historic or cultural area. It has been grossly disturbed for the last 20 years. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. c. Proposed measures to reduce or control impacts, if any: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 10 There are no proposed measures to reduce or control impacts be 3 s7e tl o „05 site is not in or near a sensitive historic or cultural area. i II) (� � ' `'� `� `M' 14. Transportation JA.! 2 ' 'r I' i� a. Identify public streets and highways serving the site, and describe propo a icess to the -,` existing street system. Show on site plans, if any. JEFFERSON COUNTY DEP, OF COMMUNITY DEVELOPMENT The proposed disposal site is accessed by Linger Longer Road,to Highway 101 in Quilcene,WA. The route is 1.46 miles,from demolition site on Linger Longer Road to Pederson's disposal site. b. Is site currently served by public transit? If not,what is the approximate distance to the nearest transit stop? The site is not served by public transportation. c. How many parking spaces would the completed project have? How many would the project eliminate? The proposed project doesn't intend to create or eliminate parking spaces. • d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). Jhelpl The proposed project does not require any new roads or streets and will use existing roads. e. Will the project use(or occur in the immediate vicinity of)water, rail, or air transporta- tion? If so, generally describe. Not applicable f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. Jhelpl 20 truckloads of earth per day is expected for 20 days during the excavation period. g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services a. Would the project result in an increased need for public services(for example: fire pro- tection, police protection, health care,schools, other)? If so, generally describe. [ SEPA Environmental checklist(WAC 197-11-960) guidance updated Mach 2012 11 No public services will be needed for this project. '._`_`� °_'__•__.� b. Proposed measures to reduce or control direct impacts on pubrid seilvlices.,Jff n .fh&rbJ 1 l f 1Li=FERSON COUNIY ` 16. Utilities DEPT.OF COMMUNITY DEVELOPMENT • a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system---- . - other None b. Describe the utilities that are proposed for the project,the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None C. SIGNATURE • The above answers are true and complete to the best of my knowledge. I underst nd that the lead agency is relying on them to make it decision. Signature: >rr!!';E vir3�7r Ir /411° /—/ Name of signee A W L . � �a._ i�e / id Position and Agency/Or anization " 1,/.'f/ C � Date Submitted: I 131114 � � �`LO • SEPA Environmental checklist(WAC 19741-960) guidance updated March 2012 12 1 1 Ili JAN 2 r; D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS f help] ll il .1 JE:FTuRSON COUNTY - ,.,_ DL:PT(3F ,92.1hitU ITYliEYEL°.RENT (IT IS NOT NECESSARY to use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment in . When answering these questions, be aware of the extent the proposal,orthe types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals,fish, or marine life? Proposed measures to protect or conserve plans, animals,fish,or,marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study)for governmental protection; such as parks, wilderness,wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 13 5. How would the proposal.be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? IIIr � r [ Proposed measures to avoid or reduce shoreline and land use impaitg' b: Y it um 11 I ' ., • JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 6. How would the proposal be likely to increase demands on transportation or public services and utilities? • Proposed measures to reduce or respond to such demand(s) are: 7. 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I 4 g L Al V 111 r4 '1.211 li 3! y 1k ry 4 R gg�� +i669�@,. 411111 age jig 8 I RA I ; i 1 j) F. 14 IP 6 - I � C.__ ••■••sor ci "Pi 000 101414 i 1 1 ". 'IA i ,F ii a... bt g P. - illi i . pp p., WI Didqx,,i A.1",Rg i el V !„TA, , 1 qlp /0 i ,,.j ' 0 1 ri ihi is 1.11 iF ril lift,,--1 iP 14 p P 10 - i T log i" g . ligm 1 1 10 r r i6 1 ; \''ks g � iS ~` `•fig 1 Njil I m 4 3 x c 8��� � �� ��g �y �qi� � f�I a {t4-4':; �2i� 2g gi if 11 N7 a £x 0m 4 3 Iul (h x AFFIDAVIT OF POSTING PUBLIC NOTICE JEFFERSON COUNTY UNIFIED DEVELOPMENT CODE ORDINANCE#03-0702-01 State of Washington) County of Jefferson) /(, , / M t C e� IA "/�i t'-5 , being duly sworn of oath say that I have posted one(1) public notice poster on or near the site identified in the following development description: PROPOSAL: Shoreline exemption and flood development permits for Big Quilcene Restoration Project This notice was posted in full compliance with UNIFIED DEVELOPMENT CODE on: the 9-5 day of M,1t'�/�i O , 2014. (Signature of person post" g notice) 1—�J' Subscribed and sworn to before me on this h day ofMCIVAli, 2014. Acknowledgement: VV A ,V Y `V. -- - - Notary Public . and fo the State of Washington, Notary Public residing in S ,..il t .4' Washington. , State of Washington My commission expires: e.0 Li I IL1 VICTORIA MC ALLISTER My Appointment Expires Dec 6 2016 NOTARY STAMP MLA Number: MLA14-00013 Proponent(s): HOOD CANAL SALMON ENHANCEMENT rli, MAR 2 5 2014 r, JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT \\tidemark\data\forms\F_M LT_NtcApp 14_APO_U.rpt 3/21/2014 II .aR?ro..J?�I�k wI`r.. afa, .N4, •x ..,,�Yir,. ,.,.. „ i 4 AFFIDAVIT OF POSTING PUBLIC NOTICE JEFFERSON COUNTY UNIFIED DEVELOPMENT CODE ORDINANCE#03-0702-01 State of Washington) County of Jefferson) M LC't-1 L4j yk\i rS , being duly sworn of oath say that I have posted one(1) public notice poster on or near the site identified in the following development description: PROPOSAL: BIG QUILCENE ESTUARY RESTORATION PROJECT- DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) This notice was posted in full compliance with UNIFIED DEVELOPMENT�CODE on: the .9-5.9-5 day of Op rat , 2014. 1i4/ 4A ' gnature of person •I sting notice) Subscribed and sworn to before me on this ZS h day of , 2014. Acknowledgement: Notary Public in and f• whe State of Washington, Notary Public + residing in U3'A l ti , Washington. State of Washington My commission expires: • ( U 1 eDIlp VICTORIA MC ALLISTER ' I My Appointment Expires Dec 6. 2016 ' NOTARY STAMP MLA Number: MLA14-00013 Proponent(s): HOOD CANAL SALMON ENHANCEMENT n E co L Li \:: , i I MAR 2 5 2014 LIi } JEFr ERSCN COUNTY DEPT OF COMMUN'TY DFU!=}fnu \\tidemark\data\forms\F_MLT_NtcAppl4_APO_U.rpt 3/21/2014 +. �: �. r c r JEFFERSON COUNTY PERMIT CENTER CASE NO. fJIL( 4 - Sop _q 1 inL /y -/3 CERTIFICATION OF MAILING I make the following certification: I am competent to testify and make this certification based upon personal knowledge. On this `/ day of Aa,h-f- , 2014, I deposited into the U.S. Mail with first class postage affixed,true and correct copies of N t A wj wig' (t-p-r- r' Yi€ i 5it- 0 // J �c- in the above matter, addressed to: ,Adjacent Property Owners: See attached list. (Notices Only) Agencies: See attached list. ,?/A Interested Parties: See attached list. �Applicant/Representative-Posting Packet: 1 set of laminating sheets with Notices, Posting Instruction, Affidavit, and a copy of Notice. r.- T ewspapers(Notices Only) V Official Posting Places (x3) Other: I declare under penalty of perjury under the laws of the State of Washington that the foregoing certification is true and correct.�� ,, EXECUTED this 2-q ay of:ALI/ .0A— , 2014 at Port Townsend, Washington. Declar. t , G:\PLNCNTR\PLNCLERK\Forms&Form Language\FRM Certification of Mailing updated 01-2014.docx 702231011 702231022 SCOTT BENSON JEFFERS COUNTY HEATHER BENSON COURTHO PO BOX 73 PO BOX 12 QUILCENE,WA 983760073 PORT TO NS D, WA 983680920 702231028 702231013 PAUL SCHMIDT ROBE A XANDER PO BOX 400 BONNIE LEXANDER QUILCENE,WA 983760400 PO BOX 6 QUILC E,WA 983760163 702231001 702231002 WAL R P DERSON WALT DERSON PO BO PO BO QUILC , A 983760009 QUILC NE,WA 983760009 702231010 702231010 JEF RSON COUNTY JEFF 0'1 COUNTY COUR H SE COURT M USE PO BO 20 PO BO 12 • PORT OW END,WA 983680920 PORT OWNSEND,WA 983680920 702231008 702234005 JEFFE 0 COUNTY AMK PROPERTIES I LLC COURT SE PO BOX 763 PO BOX QUILCENE,WA 983760763 PORT TO NSEND,WA 983680920 702231008 702231010 JEFF:RSO COUNTY JEFF 'St N COUNTY COUR •• SE COURT OUSE PO BOX 1' 0 PO BO 12 PORT T• ND,WA 983680920 PORT Ti WNSEND,WA 983680920 702231009 702232010 JEF SO COUNTY JEF' S N COUNTY COURT USE COURT USE PO BO 0 PO BO 1 0 PORT W END,WA 983680920 PORT T WN END,WA 983680920 701193001 701193001 HOOD CANAL LM ENHANCEMENT HOOD CA ALMON ENHANCEMENT PO BOX 2169 PO BOX 21 BELFAIR,WA /9'852 169 BELFAIR A 5282169 991202401 991202301 STATE OF WASHINGTON-FISH/WDLF STATE 0 AS GTON-FISH/WDLF REAL ESTATE SERVICES DIV REAL ESTAT' RVICES DIV 600 CAPITOL WAY N 600 CAPIT► 'Y N OLYMPIA,WA 985011076 OLYMP •,WA •85011076 991202201 702144013 STATE OF WA INGTON-FISH/WDLF RICHARD HOIDAL REAL ESTATE SER CES DIV C/O CAROLYN BAGLEY 600 CAPITOL W Y 4701 NE SHORE PL OLYMPIA,W 9850 1076 LK FOREST PK,WA 981555639 702144008 702144005 DONATAS KINDERIS FRANCES MURKOWSKI VIRGINIA KINDERIS PO BOX 306 PO BOX 728 QUILCENE,WA 983760306 QUILCENE,WA 983760728 702231024 702231025 HORST THOMSEN NILS GLOMSET PO BOX 428 ERIN GLOMSET QUILCENE,WA 983760428 PO BOX 34 QUILCENE,WA 983760034 702231019 702231016 JEFFREY SIMON JEFFER •N '•UNTY PO BOX 760 COURTH• SE QUILCENE,WA 983760760 PO BOX s PORT •WN END,WA 983680920 702231004 702231015 ROBERT ALEXANDER WALTER PEDERSON BONNIE L ALEXANDER PO BOX 9 PO BOX 163 QUILCENE,WA 983760009 QUILCENE,WA 983760163 702232016 991202401 JOHN BURNSTON STATE OF WASHINGTON-FISH/WDLF TERRI BURNSTON REAL E ATE S. 'VICES DIV PO BOX 134 600 CAPIT• AY N QUILCENE,WA 983760134 OLYMPIA,WA •85011076 991201701 991201602 HOOD CANAL ALMON ENHANCEMENT HOOD C AL SALMON ENHANCEMENT PO BOX 21:' PO BOX 2 BELFAIR,WA ':5282169 BELFAIR WA 5282169 991201508 991201507 HOOD CAN S MON ENHANCEMENT HOOD C A SALMON ENHANCEMENT PO BOX 2169 PO BOX 21 BELFAIR,WA 85 2169 BELFAIR, A 5282169 991202301 991201702 STATE OF NGTON-FISH/WDLF HOOD N L SALMON ENHANCEMENT REAL ESTATE S VICES DIV PO BOX 2 600 CAPITOL AY BELFAI A 985282169 OLYMPIA,W 985011076 991201504 991201702 HOOD CANAL ON ENHANCEMENT HOOD CA ALMON ENHANCEMENT PO BOX 2169 PO BOX 216 BELFAIR,WA 52 169 BELFAIR, A 9 282169 991201505 991201506 HOOD CAN SAL ON ENHANCEMENT ADAM NEWMAN PO BOX 2169 PO BOX 872 BELFAIR,WA 9 82169 QUILCENE,WA 983760872 991201702 991201903 HOOD CA ALMON ENHANCEMENT JEFF SO COUNTY PO BOX 2169 COURT USE BELFAIR,W 9 282169 PO BOX 0 PORT T WN D,WA 983680920 991201903 991201403 JEFFER •N C• INTY JEF zSO COUNTY COURTHO COURT , USE PO BOX 1221 PO BOX 42 • PORT TOW *END,WA 983680920 PORT T I WN ND,WA 983680920 991201403 991201901 JEFFE-SO COUNTY JEFFE SO COUNTY COURT' •, SE COURTH► SE PO BOX ' • PO BOX 220 PORT Ti NS ',WA 983680920 PORT Ti NSEN r,WA 983680920 991201902 991201903 JEFFE•SON •UNTY JEFFERS N COUNTY COURT ■ .E COURT SE PO BOX PO BO 1220 PORT Tor NS 11,WA 983680920 POR OWNSEND,WA 983680920 991202201 991201402 STATE OF ASH GTON -FISH/WDLF JEFFE ON OUNTY REAL ESTATE VICES DIV COURTH SE 600 CAPITOL PO BOX 22 PORT NSE D,WA 983680920 OLYMPIA,W 98 11076 , 991202201 991201903 STATE F W SHINGTON -FISH/WDLF JEFFER 4N COUNTY REAL EST T SERVICES DIV CON '.'-OUSE 600 CAPIT WAY N PO ;-'•X 12' OLYMPIA WA 85011076 PO"T TOWNS D,WA 983680920 991201902 991201901 JE SO COUNTY JEF S COUNTY COURT SE COURT USE PO BOX 2 PO BO 122 PORT T WNSE D,WA 983680920 PORT TOWNSEND, WA 983680920 991201402 702244005 JEFFE• ON a UNTY HERON HOUSE LLC COURTHO, • 12002 SE 218TH PL PO BOX 1 1 KENT,WA 980313930 PORT TO NSE k WA 983680920 702113006 702113006 U (I I 702124009 702113001 111 702124006 702123001 702124013 702113008 702113001 702124007 701073 702113003 I.. 702124012 702142003 • 702142006 932700086 702142014 , 702132002 702132002 702142001 70213102@ f lk T21727 702142013 � 7011f 932700002 70t1.1„ �� ilk 70118 702142002 932700082 932700010 702132002 70131025 _702132001 -`y 702142012 932700005 I 702131003 - 932700001 ®• 702132007 'IP 702131020 '_ 1 gips �0► 702143000 , 702134015 702143017 702143002 702144001 702133028 702143018 �, 956100023 �i,.\ 702134001 70118502( 702143001 702143010 I A IIE 111, ,,,�, `� a 702143003 702143014 7021330121 1111‘111111 'll,-4 702143020 702143019 702143005 I 1�� ' I I 70118: ,. 702134016 ■ 702134002 702143015 702133003 �-_ 701183001 702144013 ik, 702144005 IR 702232013 I 1 i I F_ 1 1 937200103 111 1 702241007 •Ii! 1`937200201 702232011 �� �'J ME II LII / 2� 702242004 .�937200301 � 1. -,_ 702241003'702241006 702232001 702232010 701192001 �' r _ 702241002 702232008 _t II �� NM 702232002 ill := tr I I laW".1-�1��'■n 702221002 702231I I - 11...h r- ,'' ,_, 702242018 11■�■ 1 L I J/ •231006 -_ I H I II l la ., F 702242013 �- 701193001 702243001 702244008 702233001 702243002 702243021 M.' 702244009 702244005 `II 702233005 702243003 702244010 702243005 702243006 702244011 i 991700001 PI r 702234003 702243012 702244001 702243009 702244003 702234001 702243016 702224008 702224008 702243011 702243015 702243010 702243014 702244004 702251002 702262002 702252000 702252000 702251010 702251001 702262000 702262001 UMW MI 702252000 702252000 702251011 ill I 702254013 702262000 702262001 702252000 .r 702252000 wmnFanni ¢SON JEFFERSON COUNTY A Co 5 ° DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydeveloament Iswiso o Tel:360.379.44501 Fax:360.379.4451 I Email:dcdtpco.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center March 26, 2014 Dear Reviewer, RE: MLA14-00013 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: Shoreline exemption and flood development permits for Big Quilcene Restoration Project This proposal is subject to environmental review and threshold determination under the State Environmental Policy Act(SEPA). Location: Comments must be received within fourteen (14) calendar days or by April 9, 2014. If no written response has been received within fourteen (14) days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, 41 Donna Frosth cc:RICK MRAZ, * DOE SHORELANDS OFFICE WDFW, * DAN AFOE BRIDGET KAMINSKI-RICHARDSON, *WA STATE DNR PO BOX 47829, *WSDOH SHELFISH AND WATER PROT. - MARK TOY GRETCHEN KAEHLER, *WA STATE DEPT OF ARCH & HIST PRES 31974 LITTLE BOSTON RD., PT GAMBLE S'KLALLAM TRIBE LEANN JENKINS, *JAMESTOWN S'KLALLAM TRIBE KRIS MILLER, *SKOKOMISH TRIBE RANDY N LUMPER, M.E.S., *SKOKOMISH TRIBE ALISON O'SULLIVAN, *SUQUAMISH TRIBE CYNTIA ROSSI, *POINT NO POINT TREATY COUNCIL BOB LOW, JCFPD#2 PO BOX 40, QUILCENE SD#48 ERIC KUZMA, *JEFFERSON CO PUBLIC WORKS TERRY DUFF, *JEFFERSON CO PUBLIC WORKS PAT PERRYMAN, *JEFFERSON COUNTY ASSESSOR JARED KEEFER, *JEFFERSON COUNTY EH DIRECTOR ATTN: BILL GRAHAM, *JEFFERSON CO PUD#1 1615 W. SIMS WAY, *JEFFERSON TRANSIT ART SPORSEEN, DR ENGINEER, *WSDOT OLYMPIA REGION HQ CENWS-OD-RG ATTN: J L GARDINER, * US ARMY CORPS OF ENGINEERS CHARLIE BERMANT, * PENINSULA DAILY NEWS TRISTAN HIEGLER, * PORT TOWNSEND LEADER SEPAUNIT @ECY.WA.GOV, * DOE SEPA REVIEW SEPA REVIEW, *WSD OF TRANSPORTATION OLYMPIC REG SEPA CENTER, *WA STATE DNR SEPA REVIEW SEPADESK @DFW.WA.GOV, WDFW SEPA REVIEW PO BOX 1180, * PORT OF PORT TOWNSEND \\tidemark\data\forms\F_MLT ReviewerLtr.rpt 3/24/2014 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATION: P t t`Ce%icio L4l ey 5: 19/ 2e/7 0 i ante 99/2.0, 706g.,pter,c/ kt?, é'1i, S Z'/-7Z1 J 2, .t' PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Shoreline exemption and flood development permits for Big Quilcene Restoration Project--esh a r'j (fie cra fisr. COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopment/ .... roily. ," g,s d/gfedielleief- Y,s0N CO w JEFFERSON COUNTY frA DEPARTMENT OF COMMUNITY DEVELOPMENT 1 1 C CE I M "1 ` `� 621 Sheridan Street• Port Townsend •Washington 98368 ' / 360/379-4450 • 360/379-4451 Fax �www.co.jefferson.wa.us/commdevelopment Master Permit Application ML . OMMJNITY DEVELOPMENT Project Description jinclude separate sheets as necessary): // /�'� ------ Zy.. JO /_�. - r 7440 /- 71?)'e kii ,- Pier Se/3 Tax Parcel Number: /i ,/ Cr' - 01 Property Size: 77 q 04-6`,/f6 (acres/square feet) Site Address and/or Directions to Property: - /c0a e. An" _ z -ev' / •ev "%0/,1 AK." A( _ e : - - . o , i Property Owner(s)of Record: ,Zie •inr/ aAla l .5-41-4,,,-.1 rhail c•P_I"YL IIAdt --ry'To ti p Telephone: 3ato-277.5.--g S 75 Off T ax: email: Mailing Address: Al.. ffe, x. 2/fig -P/-F• t /v" 2 'S 5 z Applicant/Agent(if different from owner): 1e ii C- d ..•'4 Telephone: la's)-Z 7 5— `738¢ Fax: gbh- Z77— 3/8 7 email:#207%6 W e i veCah e Mailing Address: 2/O ,/',/ ,, a /49 et _ > _ - /(' _ What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ptuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home . .❑ Modular - • - - // - r.❑ Discretionary"D"or Unnamed Use Classification l4„Commercial* es7tjaw% Oes/�y aTlai❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** , • ❑ Sign • -- • - - ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Applicatjon Confer ce ❑Tree Vegetation Request e6i-r�ov /^a 17l 7/r' E;G **Requires a Pre Application Conference Please id >Itify any other local,state or f'6deral permits required for this proposal, if known: COe- _ 4or -.-7/-0/1g7 4-c9¢= /IPA- Lnc erI--.S-1(--72e%�2.'c — 5 ',9-D - -� ESIGNATION OF AGENT � I hereby designate 5ife 74/ c gei//oG/ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 7\VjA,V+ `tik}1 �" Date: 04111 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap,'ca ion that or sh s wa • prior ,otice,., q j Signature: +I i 1 .A 4 A f -1 Date: L r 2 t11c( The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)eve if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tran`.,er':b- respon:.ibility f. adh=rin• to a I. Co /yin with the ESA. The Applicant has read this disclai�er and sj�ns nd dates it below. Signature: l A _A 1.J ,WA 0 Date: 1 e (`JJ OW Zwo a a a g a � N N N U`j Q � s s o U0_ W v>r rb ova a � _ a W N Z W CD o 0 3N3011f10 JO 1Vld A?V KralddOS r m ,u-East (Ml -NLZ -St 4flMN) 0 as o- „ Fr'r I- Cfi'9l-OL JtlNS A:_ �� O I : - e a If � a C_®= (IICEb. z S'ZOh W n W ., IIII CS. 0 ° ge e7 R o Lo Z ~ I �sn° 1i n r.a £5-9l-OL Otln/S a' V 31+M 1'1 In `-a W a® \ � MI la , MareME ae�i ' - oa �.„ w \",.. - 2 W - 2 ° - 111111113111 - BL L Ngo n co z Z ivs, '3AV ONINNf10 i _ ^ P"72 n'-- oot I _ o - 9 0 B� ° ve EOM as oa- _ - w Z ,— EF,i e — 2 08 3 — 9 W 3nv 31oatl0w .Oa a3ONO1 830NI1 Zf.. a o „ �goa _ w a • 2 Z 77:1 6 f.-;:\e Q „ _ „ 1 . - 4 - C..) 1--I •, e M ' miliss -. ; 3 G 1--1 - „ n • n ^ a , '3ntl NO11 VH ' ° _ Irk N O O H a ^ „2 /F LOL .as I IS SaaO0O8 NZ -NLZ -49 4/LMN) •5'PS' o o 4 v. O x U O o :Hx Z g x x x a _i a §,s,1 2 ei Z Z O m g°°a _ N<t� 'e'' 1 i v W O W W — 4 1 3 z z V ,Z p Z , N idi“iiii g a _<i 5'6 5 G 2 6!j O a Z Z a a O — N~ ° - > O I a ou m g p ux "=°g — 1$ 3 4o. oi ° a _ Wei W a Eo:rpr/)f- y g..e -s--tred.,4- -ri tv __ _ ' ON o6, JEFFERSON COUNTY r i�` I 'G \:. ,3 DEPARTMENT OF COMMUNITY DEVELOPMENT I �;"v c;1,4 i'I I 621 Sheridan Street• Port Townsend • Washington 98368 JEFFERSON COUNTV tq „ �O 360/379-4450 . 360/379-4451 Fax DEPT OF COf..MIt1UNITY DEVELOPMENT 7N http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet /?� p p (--� l cg 4 MLA# PROJECT/APPLICANT NAME: T3� Q.JV`oceitk_c " at1t p ,,`"r OIL DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater'calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel S acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 34 ,4 'O sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple,and vine maple; shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/4 acres or more of Construction site for structures 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. 0 sq/ft Circle: Yes Well,utilities,etc. 0 sq/ft Does the project convert 2 1/2 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 0 sq/ft Circle: Yes 11, Lawn,landscaping, etc. 0 sq/ft Other compacted surface,etc. 0 sq/ft Indicate Total Volumes of Proposed: 00 f f /red-0 ral-tel /-7. .00 4 Total Land Disturbance ./'7'4 .1-6 -P"' Al Cut 1-4,40D C/ Fill -0 (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 1 Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mj,e n prior to development. A hard surface area which causes water to run off the surface in greater quantit-- or at an increased rate of flo from the flow present under natural conditions prior to development. Common impervious surfaces c de, b°t:ae not limited to r f tops,walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel or s, packed`� earthe `'r Witted I and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. Ircr[1"11 COUNT/ STORMWATER CALULATIONS–IMPERVIOUS SURFACE DEPT.OF COMMUNITY DEVEL MENT NEW EXISTING Structures(all roof area) 0 sq/ft Structures(all roof area) . 0 sq/ft Sidewalks 0 sq/ft Sidewalks 0 sq/ft Patios 0 sq/ft Patios 0 sq/ft Solid Decks 0 sq/ft Solid Decks 6) sq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc 0 sq/ft Driveway,parking, roads,etc © sq/ft Other le t74 z-4(c) sq/ft Other f yZJ -c £ 34 .48 q /ft ' Total New sq/ft Total Existing Wit/ 44'0 sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOP ENT v.REDEVELOPMENT Divide the total existing impervious surfac aab the size of the parcel and convert to a percentage: Does the site have 35%or more of existirkl impervious surface? Circle: Yes o FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify 'at this application is being made with the full knowledge and consent of all owners of th- - ected propert . e/// , /�—AV---- ... ...,,,e/ / y/ —Z/ — (LANDOWNER OR AUTHORIZED REPRESENTA/ E SIGNATURE) (DATE) FOR OFFICE U Y. $E ONLY SMALL ,.MEDI,UM LARGE REDEVELOPMENT Stormwater Site Plan Yes No stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 ^--- AGENCY USE iDate received: WASHINGTON STATE or Engineers Seattle their let Joint Aquatic Resources Permit Agency reference, Application (JARPA) Form1'2 ; Tax l'arcell#(s) , l USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. 1 , � 1 F 1 t 1 Part 1—Project Identification 1. Project Name(A name for your project that you create. Examples:Smith's Dock or Seabrook Lane Development) [help] BIG QUILCENE ESTUARY RESTORATION—PHASE 3 (SFRB PROJECT 11-1349) Part 2—Applicant The person and/or organization responsible for the project. [helot 2a. Name(Last,First, Middle) Mendy Harlow—Assistant Director 2b. Organization(If applicable) Hood Canal Salmon Enhancement Group 2c. Mailing Address(Street or PO Box) PO Box 2169 2d. City,State, Zip Belfair,WA 98628 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail ( 360-275-3575) ( 360-275-9722) ( 360-275-0648) mendy@pnwsalmoncenter.org 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.) [help] 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(SP IF)or prepare a Biological Evaluation. Forms can be found at http://www.nws.usace.army.mil/Missions/CivilWorks/Req ulatory/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.epermittinq.wa.gov/site/alias resourcecenter/Iarpa jarpa form/9984/jarpa form.aspx. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or help(d1ora.wa.gov. JARPA Revision 2012.1 Page 1 of 16 3a. Name(Last,First,Middle) Pat McCullough, PE 3b. Organization (If applicable) ESA Inc. 3c. Mailing Address(Street or PC Box) 210 NE Cherokee Beach Road 3d. City, State, Zip Belfair, WA. 98528 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail (360—275-7384) (360) 204-2356 ( 360) 277-3187 path @wavecable.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. [help] X 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 ownershp. 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 ( ) ( ) ( ) Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help, JARPA Revision 2012.1 Page 2 of 16 ❑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,)'(held] X 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.) [helo] No. Address—The estuary restoration site is located at the end of Munchie Ave. in Quilcene WA See Attached Drawings and Vicinity 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) Quilcene,WA 98376 5d. County Ihelp) Jefferson 5e. Provide the section,township, and range for the project location. [help) '/4 Section Section Township Range NE 24 27N R2W 5f. Provide the latitude and longitude of the project location. (help) • Example:47.03922 N lat./-122.89142 W long.(Use decimal degrees-NA')83) LAT 47.81798N, LONG 122.86580W 5g. List the tax parcel number(s)for the project location. Ihelp‘ • The local,county assessor's office can provide this information. JEFFERSON CO. 991201701 and 991201702 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) ADAM NEWMAN PO BOX 872,QUILCENE,WA 98376 991201506 _ 360-765-3521 �..,_.,.. HERON HOUSE LLC 12002 SE 218T11 PLACE,KENT,WA.98031-3930 ALSO:CONTACT LAWRENCE SCHINKE OR 14813 SE FAIRWOOD BLVD.,RENTON,WA 98058 702244005 PHONE 426-266-8150 STATE OF WASHINGTON FISH AND 600 CAPITAL WAY NORTH 991202301 WILDLIFE—REAL ESTATE SERVICES OLYMPIA,WA.98501 991202401 5i. List all wetlands on or adjacent to the project location.[help] There are no wetlands within the estuary restoration excavation zone. The excavation zone was filled several years ago for use as a log storage yard. The goal of the project is to remove the fill material from the estuary and re-establish most of the historic estuarine habitat. The site is bounded on the JARPA Revision 2012.1 Page 3 of 16 south, east, and west by estuarine wetlands and tidal channels. 5j.; List all waterboc ies-(other thanwwetlands)on or adjacent to the project location. meld. Quilcene Bay (Hood Canal) and the Big Quilcene River. 5k. Is any part of the project area within a 100-year floodplain? (hetpl X Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. iheipl Most of the site is covered with grasses and bare soil. See attached drawings— Sheet 2 Project Summary Plan. Approximately 1 acre of the proposed excavation area is covered with second growth deciduous and conifer trees. There is a considerable amount of junk remaining on the site from previous logging operations and an old house that has been abandoned for several years. The old house will be demolished and the debris taken to disposal. 5m. Describe how the property is currently used. [heipl The property is not being used at the current time. 5n. Describe how the adjacent properties are currently used. [help] To the west of the excavation site—on HCSEG property - is a 258 foot wide Bonneville Power power line easement. It is vacant except for the overhead power lines and an occasional tower. To the north is the Quilcene River and properties owned by the HCSEG and WDFW that are held in flood plain conservation. The properties are vacant. To the south is an 80 acre parcel owned by Heron House LLC (Larry Schinke) that is under a conservation easement . This property was previously restored to estuary by removing a 2,500 foot levee on the easterly portion of the site. A Coastal Wetland and SRFB funded project. To the east is the flood plain conservation property owned by the WDFW. The properties are vacant. In the northwest corner of the restoration site Adam Newman owns a 72' wide by 100' deep parcel that is being used as a hunting and fishing base camp for the Newman family. There are no structures on the property. An old RV that is being used as a temporary shelter during hunting and fishing trips on Quilcene Bay. 5o. Describe the structures(above and below ground) on the property, including their purpose(s) and current JARPA Revision 2012.1 Page 4 of 16 condition. [belpl The only structure on the property is an old abandoned house with a rock fireplace chimney that will be demolished and disposed of offsite as a separate project element of the estuary restoration project. It will be removed as part of the uplands property cleanup. 6p. Provide driving directions from the closest highway to the project location,and attach a map. meipj From Olympia. Take Hwy 101 from Olympia to Quilcene,WA Turn right on Linger Longer Road Turn left on Munchie Ave. Drive to the end of Munchie Ave.walk around the gate and, across the Bonneville Power easement to the restoration site. Part 6—Project Description 6a. Briefly summarize the overall project.You can provide more detail in 6b. [help} See attached engineering drawings. The project consists of 1) removing the junk and derelict building from the site, 2) clearing and grubbing the excavation area, 3) removing the fill from the estuary restoration area of the site, 4) excavating and grading the estuary, 5) constructing an 827 foot long main tidal channel through the proposed estuary and 6) constructing 1,255 feet of new distributary channels that feed into the main tidal channel. The side slopes of the excavated are will be 3:1 to allow for planting. The side slopes will be planted with winter rye and cedar and Douglas fir trees spaced ten feet center to center. 6b. Describe the purpose of the project and why you want or need to perform it. theipi U.S. Fish and Wildlife Service's National Status and Trends findings indicate that the decline of coastal wetlands has gradually been decreasing since the 1980s (Dahl 2006). Yet population growth and residential development continue to pose a major risk to the high-quality wetlands that still exist as functional coastal watersheds. In the Hood Canal region of Puget Sound, WA, coastal wetland losses have been extensive - only 22% of historic tidal wetlands are considered fully functional (Point No Point Treaty Council 2006 In Quilcene Bay, federally-listed Hood Canal summer chum, Puget Sound Chinook salmon and Steelhead use estuarine and tidal marsh habitat during their juvenile rearing stage, as do Puget Sound/Strait of Georgia Coho (federal species of concern) and pink salmon, Puget Sound steelhead trout (federally threatened), coastal Puget Sound bull trout (federally threatened) and coastal cutthroat trout. This project will address components of four of the major factors leading to the decline of Hood Canal summer chum habitat in Quilcene Bay by 1) protecting natal sub-estuarine tidal marsh habitat, 2) protecting floodplain wetlands, 3) restoring instream habitat, and 4) restoring riparian forests (Summer Chum Recovery Plan, NOAA 2007). This project will also address the limiting factors for salmon habitat in the Big Quilcene River that were identified by the Water Resource Inventory Area (WRIA) 17 Limiting Factors Analysis (2002). The limiting factors identified included channel confinement, floodplain disconnection and lack of large woody debris and riparian vegetation in the lower reaches. JARPA Revision 2012.1 Page 5 of 16 This project is key to completing a phased approach to large-scale ecosystem restoration in Quilcene Bay (upper Quilcene Bay includes tidal marsh estuaries of the Big.and Little Quilcene Rivers and Donovan Creek) —the third largest delta and tidal marsh complex n Hood Canal (PNPTC 2006). The proposed protection and restoration actions in the Big Quilcene River system comprise one of the last phases required for the ecosystem-scale conservation of Quilcene Bay. The proposed project builds on extensive protection and restoration actions within upper Quilcene Bay, including Donavan Creek restoration, a project previously funded by the National Coastal Wetlands Conservation Grant program (C56-1). Project actions will build on restored habitat connections between Quilcene Bay and The Little Quilcene River, Indian George Creek, the Big Quilcene River and Donovan Creek, initiated by the HCSEG in 2007 by the removal of an undersized culvert at the mouth of Donovan Creek. See image below. The lower segment of the river associated with this restoration is tidally influenced. Historic maps indicate that a salt marsh complex existed at the location of the land parcels to be acquired by this project. More current maps of the landscape suggest this feature could once again be established as part of the.river restoration. This project will attempt to enhance the function and feature as part of the river and rparian restoration. The land parcels included in this project include the expanse of the entire floodplain, so the redesign of the channel will include side channels providing for increased salmon habitat and serving to reduce the effects of high-water flood events. This project will conserve a functional coastal wetland ecosystem by restoring a transitional ecosystem, including riparian forest, a coastal stream, freshwater forested, shrub and emergent wetlands, freshwater tidal wetlands, and estuarine intertidal wetlands. See also: National Coastal Wetlands Conservation Program Grant Proposal Big Quilcene River Coastal Stream Acquisition and Restoration Quilcene Bay, Washington g s s l w - , r7 c g�$U'I ` der a - ¥" `'.---0 c + F - . y.'� r,'' Fk f 1) Nn k ^,.i„�dx S 4��,�-1111 Oa1ea ooetel,,,, *'"'.+ a ft�'' „ i "'°” ' ^ t fi dP R�+�� �'k't a..}Rk Yr 6c. JARPA Revision 2012.1 Indicate the project category. (check all that apply) Iheip� ■ Page 6 of 16 ❑ Commercial ❑ Residential ❑ Institutional ❑Transportation ❑ Recreational ❑ Maintenance X environmental Enhancement Sd` Indicate%tthe major elements:of your project. (Check.allithat apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization ❑ Dam/Weir Ili Floating Home (upland) ❑ Boat House ❑ Dike/Levee/Jetty ❑ Geotechnical Survey E] Road El Boat Launch ❑ Ditch ❑ Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift ❑ Dock/ Pier ❑ Marina/ Moorage ❑ Stairs ❑ Bridg e El Dredging 121 Mining Stormwater facili ❑ ty ❑ Bulkhead 0 Fence ❑ Outfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft X Other:This is an estuary restoration project. 6e Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to he used. T elol • Identify where each element will occur In relation tothe nearest waterbody. • Indicate which activities are within the 100-year floodplain. For Construction of the portion of the project below OHW. 1. Set out erosion control BMP's. 2. Clear and grub the excavation area. 3. Construct the main tidal channel and the minor distributary channels. 4. Start excavation at east end of the site and excavate to grade moving west across the site. 5. Plant the slopes of the new estuarine habitat. Use natural recruitment of estuarine plants for the remainder of the project. Big Quilcene Estuary Restoration — Newman Property: Project Schedule TASK DATE COMPLETE 1. Complete Property Boundary Survey 12/15/12 2. Complete Property Topographic Survey 3/15/13 3. Complete Soil Test Holes 3/26/13 4. Complete 50% Design — Design Review 4/5/13 by HCCC Tech. Team 5. Complete Archeological Studies and 5/7/13 submit to SHPO & USFW - Section 106 _ 6. Complete JARPA, SEPA, and 5/19/13 Shorelines Permit Application. _ 7. Complete 90% Design — Submit for 6/1/13 Review by HCCC Tech. Team. 8. Complete Final Design and Contract 10/1/13 Documents— Include Demolition, JARPA Revision 2012.1 Page 7 of 16 Asbestos Removal, Excavation, and Planting in Contract Documents—Submit for Review by RCO. 9. Receive HPA from WDFW 12/15/13 10. Apply for Jefferson County Grading, 1/6/14 Drainage, and Demolition. Permits. 11. USFW— Richard Carlson — Complete Section 7 Review and submit to COE. 2/15/14 12. Advertise for Bids 4/15/14 13. Complete Permitting for Project— 4/15/14 COE and WDDOE 404, 401 Permits 14. Award Bid and start Construction 5/1/14 15. Complete Construction 11/15/14 16. Close Out Project 12/6/14 6f. What are the anticipated start and end dates for project construction?(Month/Year) [helpl • 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:August 1, 2013 End date: October 15, 2013 ❑ See JARPA Attachment D 6g. Fair market value of the project,including materials, labor, machine rentals, etc. fhelpj: $420,000 6h. Will any portion of the project receive federal funding? [helpl • If yes,list each agency providing funds. X Yes ❑ No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation X Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.)[helot 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. fhelpi ❑ Not applicable The estuary excavation will connect to the existing estuarine habitat at several locations. The excavation within the property will remain isolated from the existing tidal flow during construction. The new estuary will connected to the existing estuary during a low tidal episode when water is not present. 7b. Will the project impact wetlands? [help' X Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? fheip] JARPA Revision 2012.1 Page 8 of 16 X Yes ❑ No ❑ Don't know 7d. Has wetland delineation report been prepared? iheloi •. If Yes,submit the`report,including data sheets,with the JARPA package. X Yes ❑ No 7e: Have thetwetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? Therm • if Yes,submit the wetland rating forms and figures with the JARPA package. X Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands?'Iheloi • 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 X No ❑ Not applicable We will be merging the new estuary into the existing wetlands around the edges of the fill removal excavation. The estuarine wetland restoration project is the mitigation for any incidental impacts to the surrounding wetlands that will take place during this project. We will be connecting to existing wetlands during low tide periods when tidal waters are not present. 7g. Summarize what the mitigation plan is meant to accomplish,and describe how a watershed approach was used to design the plan. [helot See 7f above. 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. rhetpi 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 type4 (sq.ft. or category2 Acres) acres) Excavate WETLAND C Forested 26,500 sq. 1 week Project Project Fresh Water feet. Excavate WETLAND A Estuarine 14,500 sq. 1 week Project Project feet. NONE WETLAND B Forested None 'If no official name for the wetland exists,create a unique name(such as'Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the JARPA package. 'Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. 4Creation(C),Re-establishment/Rehabilitation(R),Enhancement(E),Preservation(P),Mitigation Bank/In-lieu fee(B) Page number(s)for similar information in the mitigation plan,if available: 7i. For all filling activities identified in 7h, describe the source and nature of the fill material,the amount in cubic yards that will be used, and how and where it will be placed into the wetland. [help] JARPA Revision 2012.1 Page 9 of 16 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] The project will be creating 4 acres of estuarine wetlands. The contractor will use the standard excavator and 11 CY dump trucks for the excavation. Waste soils will be hauled to an approved and permitted waste soil disposal area. 22,000 CY of fill will be removed to re-create the historic estuarine habitat. 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] X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe howthe project is designed to avoid and minimize adverse impacts to the aquatic environment. [help] El Not applicable The excavation work will be isolated from water bodies until completed.The connected during low tidal episodes when tidal waters are not present. 8b. Will your project impact a waterbody or the area around a waterbody? lheipl X Yes ❑ No The project will improve the habitat of Quilcene Bay by adding 4 acres of estuarine habitat and 2,82 feet tidal and distributary channels for fisheries habitat. JARPA Revision 2012.1 Page 10 of 16 $ 4(ave you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies7[helial • If Yes,sutimitthe plan with,the JARPA package and answer 8d • if No,or Not applicable,explain below why a mitigation plan'should not be required. ❑Yes X No ❑ Not applicable The project is a mitigation. The purpose of the project is to restore an historic estuary to the Big Quilcene River and Quilcene Bay. 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the p • ,If you already completed lan.7g you do not need to restate your answer here. [helol 8e. Summarize impact(s)to each waterbody in the table,below. [heipl Activity(clear, Waterbody Impact Duration Amount of material Area(sq.ft. or dredge,fill, pile name' location2 of impact3 (cubic yards)to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected waterbody '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. '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. [help} 8g. For all excavating or dredging activities identified in 8e, describe the method for excavating or dredging, JARPA Revision 2012.1 Page 11 of 16 type and amount of material you will remove,and where the material will be disposed. {help] 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. '[helot 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 JARPA on the Washington Department of Ecology's 303(d) List? [helpl • If Yes,list the parameters)below. • If you don't know,use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecv.wa.gov/programs/wq/303d/. ❑ Yes X No 9c. What U.S. Geological Survey Hydrological Unit Code(HUC) is the project in? [help • Go to http://cfpub.epa.gov/surf/locate/iindex.cfrn to help identify the HUG. 17110018 Hood Canal; state(s): WA 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [helpi • Go to htto://vvww.ecv.wa.coviservices/oisirnaps/wriaNvria.htm to find the WRIA#. WRIA#17 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help{ • Go to http://www.ecv.wa_gov/programslwatswgs/criteria.html for the standards. JARPA Revision 2012.1 Page 12 of 16 X Yes ❑ No ❑ Not applicable 9f. if the project is within the jurisdiction of the Shoreline Management Act,what is the local shoreline environment designation? Iheipt`. . • If you don't know,contact the local planning department. •. For more information,.go to:htto://wu r ecv.wa.qov/Droc Tar s%sea/smailaws!niles/1.73 26/211 designations:html, X Rural ❑ Urban ❑ Natural ❑Aquatic X Conservancy ❑ Other 9g. What is.the Washington Department of Natural Resources Water Type? rhelol • Go to htt x//www.tinr.wa.qov/BusinessPermits/Topics/ForestPracticesAoolications/Pages/fp watertyping.aspx for the Forest Practices Water Typing System. X Shoreline X Fish El Non-Fish Perennial ❑ Non-Fish Seasonal 9h Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? [Natal • If No,provide the name of the manual your project is designed to meet. X Yes ❑ No Name of manual: Storm Water Management Manual for the State of Washington—latest edition 9i. Does the project site have known contaminated sediment? [help] • If Yes,please describe below. ❑Yes X No illl 9j. If you know what the property was used for in the past, describe below. rhetpl A log storage yard. survey been performed on the project area? help 9k. Has a cultural resource(archaeological) y p p ) f i • If Yes,attach it to your JARPA package. X Yes ❑ No JARPA Revision 2012.1 Page 13 of 16 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. Iheipl Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head Marbled Merlot Brown Trout 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. rhelpl Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head Marbled Merlot Brown Trout 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.ecv.wa.gov/opas/. • Governor's Office of Regulatory Assistance at(800) 917-0043 or help(a�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.) [help] • For more information about SEPA,go to www.ecy.waoov/Prooramsiseatsepa/e-review.htrnl. X A copy of the SEPA determination or letter of exemption is included with this application. ❑A SEPA determination is pending with Jefferson County (lead agency). The expected decision date is July 15, 2013. ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 1 ob.)[help] ❑ 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 2012.1 Page 14 of 16 10b.= Indicate the permits you are applying for. (Check all>that apply) {nett) LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type(explain): Restoration of the Big Quilcene River Estuary Other city/county permits: ❑ Floodplain Development Permit [' Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: X 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: X $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: X Section 401 Water Quality Certification FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): X 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) JARPA Revision 2012.1 Page 15 of 16 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [helpl 11a. 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) SEE SIGNATURE PAGE ENCLOSED. Applicant Printed Name Applicant Signature Date lib. Authorized Agent Signature [helps I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Printed Name Authorized Agent Signature Date 11 c. Property Owner Signature(if not applicant). [help] 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 Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme, or device a material fact or makes any false,fictitious,or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious, or fraudulent statement or entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format,contact the Governor's Office of Regulatory Assistance(ORA)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. ORA publication number: ENV-019-09 rev.06-12 JARPA Revision 2012.1 Page 16 of 16 BIG QUILCENE RIVER ESTUARY RESTORATION PROJE — �7 E— JEFFERSON CO. ENVIROMENTAL CHECKLI I ;I January 18, 2014 J� JEFFERSON COUNTY A. BACKGROUND DEPT.OF COMMUNITY DEVELOPMENT 1. Name of proposed project, if applicable: Big Quilcene River Estuary Restoration — Phase 3 2. Name of applicant: Hood Canal Salmon Enhancement Group 3. Address and phone number of applicant and contact person: Mendy Harlow, PO Box 2169, Belfair, WA 98528 4. Date checklist prepared: 1-18-14 5. Agency requesting checklist: Jefferson Co. DCD 6. Proposed timing or schedule (including phasing, if applicable): Start Construction June 1, 2014, complete September 15, 2014 7. Do you have any plans for future expansion, or further activity related to or connected with this proposal: If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Copies Enclosed —JARPA, The 90% design drawings for the project, the Archeological Report, the Wetland Delineation, and the Hazardous Waste Report. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Yes —We have prepared and submitted a SEPA application for the site where the waste excavation from estuary restoration project is going to be disposed. The soil disposal site will be the Pederson Industrial site located in Quilcene, WA. 10. List any government approvals or permits that will be needed for your proposal, if known. We will need an HPA, Federal Endangered Species Review— By the USFW— including the Limit 8 form for the programmatic NEPA and biological assessment, Corp of Engineers 404 permit, WSDOE 401 permit, a WSDOE NPDES permit, the Federal Section 7 nexus — by the USFW, and SHPO approval. Locally we will need a building permit and shoreline exemption for the project. , >. t:n=: 11. Give a brief, complete description of your proposal, including the proposed uses and the size , of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) This SEPA checklist is for the removal of 22,000-cubic yards of fill to restore a historic estuary, the construction of distributary channels in the estuary, and the placement of log structures in the estuary for fish habitat. The excavated soils will be hauled to the Pederson Industrial Site in Quilcene for Disposal. (See a separate SEPA Checklist for the soil disposal area). Several building demolitions and a cleanup of the site were completed in January and February of 2014 under a separate Jefferson County Building permit. See attached 90% Design Plan Set for the Big Quilcene Estuary BIG QUILCENE RIVER ESTUARY RESTORATION-PHASE 3: PROPOSED ACTIONS ADDRESS PARCEL NO. PROPOSED ACTION Excavate 22,000(cubc c f ,f M 8tg, SE'A,SEC 24,TWN 27 N, 991201702 Quilcene River E00- 11 s uc 2, .00 feet R2W of tidal channels.4cnstruct large woody debris fish habitat i ' I ' 1:Lit Restoration — Phase 3 Project. 1EF�tRSON comp( DEPT OF COMMUNI1Y DEVELOPMENT 12. What is the location of the proposal? Give sufficient information for a person to understa nd the precise location of your proposed project including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. See attached Vicinity Map. 1/4 Section Section Township Range NE 24 27N R2W 5f. Provide the latitude and longitude of the project location. Iheio • Example:47.03922 N lat.1-122.89142 W long. (Use decimal degrees-NAD 83) Take Hwy 101 from Olympia to Quilcene, WA Turn right on Linger Longer Road Turn left on Muncie Ave. Drive to the end of Muncie Ave. walk around the gate and, across the Bonneville Power easement to the restoration site. B. ENVIRONMENTAL ELEMENTS: 1. EARTH: a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other Hill topography. See attached 90% Design Plan Set. b. What is the steepest slope on the site (approximate percent slope)? See topographic map in the accompanying 90% Design plan set. The site is flat except for the edges of the fill the slope down to the existing surrounding wetland. Mason County Environmental Checklist Page 2 c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The Archeological Report includes soil logs and analysis. The sit: - e • NiD material that varies from shot rock fill to gravel to plain earth fill. - -o s `_ and marsh muds and peat. are river gravels p d. Are there surface indications or history of unstable soils in the immedi. i inity: If so, describe. No. JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. Approximately 22,000 cubic yards for soil will be removed from the site and hauled to the Pederson Industrial Site in Quilcene. See attached grading plan. f. Could erosion occur as a result of clearing, construction, or use: If so, generally describe. None g. About what percent of the site will be covered with impervious surfaces after project constructions (for example, asphalt or buildings)? None. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Silt fence will be installed around the perimeter of the excavation. The excavation site will be contained and by leaving a perimeter berm. The drainage to the excavation area will be filtered through pea gravel berms, silt fence, and straw bales. 2. AIR: a. What types of emissions to the air would result from the proposal (i.e. dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities, if known. None— other then the exhaust form the construction equipment. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No. c. Proposed measures to reduce or control emissions or other impacts to air, if any: None 3 WATER: a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. The site is surrounded by tidal marsh, fresh water wetlands, and forested wetlands. See Wetland Report. 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. Yes. Mason County Environmental Checklist Page 3 � I 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. No fill will be placed in the surrounding wetlands. The restoration of the historic estuarine habitat requires that the edges of the filled area be blended into existing tidal channels that surround the site. Approximately 26,500 SF of forested—fresh water wetland will be disturbed on the west side of the fill removal to transition the restore ----- _- estuarine habitat.Approximately 14,500 sf of estuarine* t : ::: tt.f. . if 1 disturbed on the south boundary of the excavation to tr i ton the restored 1 estuary into the existing tidal channels. i I i , ; I; : 1 j' i �� 11-ii V 1 ' 1 4) Will the proposal require surface water withdrawals or diver ions. - •_ El, pi p r description, purpose, and approximate quantities if known. DEPT.OF COMMUNITY DEVELOPMENT 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes —Site is in the Big Quilcene River floodplain. It is protected by a levee from flooding. The levee was overtopped in the 1993 flood. See attached Vicinity Map and Plan Set. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No. b. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities, if known. No. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example; domestic sewage, industrial, containing the following chemicals..., agricultural, etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. None. c. Water runoff(including storm water): 1) Describe the source of runoff(including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this flow into other waters? If so, describe. None 2) Could waste materials enter ground or surface waters: If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Silt Fence, Pea Gravel filtering berms, and hay bales. . 4. PLANTS: See Wetland Report a. Check or circle types of vegetation found on the site: Mason County Environmental Checklist Page 4 X_ deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other I f ) - shrubs �� Q 1vi /f 4 X grass I i pasture t�' crop or grain X_ wet soil plants: cattail, buttercup, bullrUsh, skunk cabb e, Ow Q ERSON COUlvrY water plants: water lily, eelgrass, milfoil, other CO'vim('v'iYV PMErvr other types of vegetation b. What kind and amount of vegetation will be removed or altered? When the fill is removed the grasses, trees, invasive plants, and site debris will be removed with it. The site was a log storage yard so the vegetation and debris in the site in quite varied. c. List threatened or endangered species known to be on or near the site. Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head lifewnt Trout d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Native estuarine plants will repopulate the site by natural recruitment. No planting in the estuary is planned or needed. It will take approximately two years for estuarine vegetation to populate the site. 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: Birds: hawk, heron, eagle, songbirds, other Mammals: deer, bear, elk, beaver, other Fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. Marbled llotecleir.. Olt lir> " c. Is the site part of a migration route? If so, explain. Not sure— but likely d. Proposed measures to preserve or enhance wildlife, if any: Enhancing wildlife is the reason for restoring the estuary. 6. ENERGY AND NATURAL RESOURCES: a. What kinds of energy (electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. None Mason County Environmental Checklist Page 5 b. Would your project affect the potential use of solar energy by__adjaceot- roperties: If so, generally describe. No i (C7 c. What kinds of energy conservation features are incl in the plans of this o sisal? List other proposed measures to reduce or control ener i pacts, if any: NA 7. ENVIRONMENTAL HEALTH: JEFFERSON COUNTY DEPT.OF COiVIMU QY DEVF'iOPANT a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. 1) Describe special emergency services that might be required. None 2) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise. 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? Traffic noise from SR 101. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hour's noise would come from the site. Construction Equipment used to excavate, load, transport, and dump the soil. Approximately 2,000 truckloads of soil will leave the site to be taken to the disposal area. (See the SEPA checklist for the soil disposal area for the location of the haul route from the excavation site to the soil disposal area.) Construction equipment will consist of an excavator plus the crawler tractor to grade the site and trucks to haul off the waste soils. 3) Proposed measures to reduce or control noise impacts, if any: None 8. LAND AND SHORELINE USE: a. What is the current use of the site and adjacent properties? A log storage area. b. Has the site been used for agriculture? If so, describe. No. c. Describe any structures on the site. None d. Will any structures be demolished? If so, what? None e. What is the current zoning classification of the site? Rural ,ura l f. What is the current comprehensive plan designation of the site? Conservation -shoreline. 12 l R cleollaI I: Mason County Environmental Checklist Page 6 1 eonso-i-varG g. If applicable, what is the current Shoreline Master Program designation of the site? Residential Rural and Conservation -shoreline r„ E 0 • p,_ v ji h. Has any part of the site been classified as an "environmentally se e" area? If so, sped yl Yes —the estuary surrounding the fill rem•yal ar_ea. b I m i j' I U ii, i. Approximately how many people would reside�orwork in the com;)lete pr91p-., 'bc -- DEPT.OF COMMUNITY DEVELOPMENT j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: NA I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. HOUSING: NA a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. None b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. None c. Proposed measures to reduce or control housing impacts, if any: None 10. AESTHETICS: a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? NA— no buildings. b. What views in the immediate vicinity would be altered or obstructed? None c. Proposed measures to reduce or control aesthetic impacts, if any: None 11. LIGHT AND GLARE a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None. All work will be completed in daylight. b. Could light or glare from the finished project be a safety hazard or interfere with views? NA c. What existing off-site sources of light or glare may affect your proposal: NA d. Proposed measures to reduce or control light and glare impacts, if any: NA 12. RECREATION: Mason County Environmental Checklist Page 7 a. What designated and informal recreational opportunities are in the immediate vicinity? Enjoyment of the Quilcene Shoreline, bird hunting, and fishing. b. Would the proposed project displace any existing recreational uses? If so, describe. It will improve wildlife habitat. Bird hunting and fishing shout moved.___.__ _ __'�� - f 57:72 'l ;'���//r :22 d c. Proposed measures to reduce or control impacts on recreat onA including recreation;I 1 opportunities to be provided by the project or applicant, if ayr !one —this property! I`be a conservation area owned and maintained by the Hood Ca!nl Salmon Enhance t ti Group. { JLrr MON COUNTY OF COMMA! 13. HISTORIC AND CULTURAL PRESERVATION: u a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. No. See archeological report included with this check list. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: None. 14. TRANSPORTATION: a. Identify public streets and highways serving the site and describe proposed access to the existing street system. Show on site plans, if any. Enter - Mm +e Ave to Linger Longer Road to SR 101 in the town of Quilcene b.nti b. Is site currently served by public transit? If not, what is the approximate distance to the existing street system? Show on site plans, if any. No. c. How many parking spaces would the completed project have? How many would the project eliminate? None d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). No. e. Will the project use (or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project: If known, indicate when peak volumes would occur. 2,000 trucks = 4,000 trips over a three week period from 7 AM to 7 PM at night 6 days a week. The haul route to the soil disposal area will be 1.45 miles. The trucks will skirt the west side of the town of Quilcene. g. Proposed measures to reduce or control transportation impacts, if any: Work will be completed in the daylight. There will be no truck traffic after dark. Mason County Environmental Checklist Page 8 15. PUBLIC SERVICES: a. Would the project result in an increased need for public service (for example: fire protection, police protection, health care, schools, other)? If so, generally describe: No. b. Proposed measures to reduce or control direct impacts on public services, if any: None 16. UTILITIES: a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other: None. b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None Signature: The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. kithAd44.ktfckti-O&O Si nature: ` ' Date submitted: �1 I I IFFESON COUNTY PT OF r, Jf hY Di-4'r+tOPMENT Mason County Environmental Checklist Page 9 TOPO! map printed on 10/17/11 fror -'9J O ,,. O 941 122°54.000' W 122°52.000' W 122°50.1830 Y+_• ± _ a.r',' ,7.000' W c..,„,. It. �4f }� 'i ,,..,..,-,, ,,, *-:,„ IL 41, *N.,Ntir -‘1,,,,I, i, , r . i . ,,,,,,,.,jk,,,,.., Its 11,4,),. - _„„,„,,73‘. 4 ,,, i /,,.,:-.z.---, 1,,,, � �� � r � 4�` *° tl'�3 f?'� `�iiW j t /. „„., f .. t.a.__st. _t:_�_,. 11�ylCOLyll�tlt�t � Ri�+YK`M �.},�_ � '�,r`1! ! a k , J '_'.",.• 9 } F i �q r S �r_ '' R4 i +� � j�° \\ t+17, V f 11 : : r! ��+1 y��ri 1 M1 « (jam CZJII�`1 J _ `ki tom-,- .' { , -.•—L- .. 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I p 298 ° 's Ili ILA �$ 0 9 g i qR € e IC I gR Y/i hik ;� 'hi he a a E, igl sgE m g2 o Q s s 4' 1--T.2 ___ -,r—� ;V. g -1 ,L-IA ill;y ;L �\ IIIIIIF=II %eek y Flinn A N O.n1 k w C _=1''— Z Q I iL `� � � I =1TII1 1� n I o ° I. ffl c� $ <§5 Al 1f2 � g F '* n u � � _ s° sv� kz,li§1 OA rib; 4 figl mm miv o mo�si~ N r > 2 II 2"1 5'R ` °c; ' ..,.�?.552 ro rr n gig3 0� =_____I �mo g$ me1.M9 ogCog g 2w1:14e t*ua 0 o z $zm 21 �QS = �m� >�og � Ig'rVI 20 ut [(II z nR BIG QUILCENE RIVER ESTUARY RESTORATION - PHASE 3 FINAL DESIGN MEMO; '1 ) U �i BY: PAT McCullough, PE j r ,'4N1 Date: Updated 1-18-14 JEFFERSON COUNTY INTROCUCTION: The Big Quilcene River Estuary Restoration Progectia'Ch+e_gleventh project in series of the projects that have been undertaken by the Hood Canal Salmon Enhancement Group to restore the Quilcene Bay Estuary. The implementation of this project includes two distinctly different tasks. Task 1 is removal of the old buildings and debris on the site and Task 2 is the restoration of the historic salt water marsh on the eastern boundary of the site. This design memo will focus on the restoration of the historic salt marsh. The purpose of this Design Memo is to briefly describe the design methodology used to develop the 90% design of the project. We have included with this memo several Exhibits that will provide the reader with an in-depth understanding of the site. They include: EXHIBIT A: 60% Design Plans EXHIBIT B: Coastal Wetland Grant Application EXHIBIT C: BQER Cultural Resource Report EXHIBIT D: BQER Wetland Delineation Report EXHIBIT E: BQER Soils Log Report We did not include a copy of the Hazardous Waste Report for the project because it is not relevant to the design of the salt marsh. That report is available on line. PROJECT OBJECTIVES: The objectives of the for the estuary restoration are: 1. Remove the fill material that was placed during the construction of the log storage yard over the historic salt marsh. 2. Limit the site disturbance to the approximate boundary of the imported fill so as to not impact the previously undisturbed and surrounding forested, fresh water, and salt marsh wetlands. 3. Construct the restored estuary at elevations that will provide a variety of estuarine vegetation. !1 i �_ �V f a ∎i 1 4. Select estuarine surface grading parameters between the Mea ii h Water I 1 (MHW) and the Mean High High Water (MHHW) so as to maxi ; z' !the f J 1 f recurrence of the salt water flooding in the estuary. JEFrRSON coutin—� 5. Design the tidal distributary channels within the restored estua T felDlyiomENr 1 the tidal channel densities in similar wetlands in the adjoining salt marshes. HOW THE 90% DESIGN MEETS THE PROJECT OBJECTIVES How we set the project excavation boundaries: The excavation boundaries are based on extensive topographic survey, the soils test holes, and delineation and typing of the existing wetland boundaries. The boundary of the excavation follows the boundary of the imported fill on the site. To summarize: • South side boundary: The south boundaries was set and graded to match into the existing estuarine tidal channel. The tidal channel along the south boundary of the site is an historic river avulsion channel and 30 feet wide with a channel bottom elevation of +3.3 NAVD 88 Datum and +6.06 MLLW Datum. • West side boundary: Most of the west side of the excavation is bordered by a salt and fresh water wetland. The excavation of the west boundary will tie into the existing wetland. • North side boundary: The north boundary of the salt marsh excavation was set to maintain a 100 foot buffer between the Big Quilcene River and the restore salt marsh. We were concerned about a possible undermining of the existing levee by the river is we got to close to the river with the excavation. The 100 foot buffer leaves a very conservative buffer between the Big Quilcene River and the excavation. • East side boundary: The east side of imported fill is bordered by a mature forested wetland. The boundary of the excavation avoids the forested wetland and leaves several large trees in the south east corner of the site. How we set the grading elevations within the restored estuary: The MHW and MHHW elevations for the site are 7.76 and 8.62. Based on our previous experience from similar project we have completed that are located in the estuary we have observed the following "approximate" changes in the predominate marsh vegetation types based on elevation: Marsh Type based on Marsh Elevation – NAVD 88 Design Marsh Areas vegetation Datum After Restoration Mud – minimal vegetation Below elevation 5.5 Blue – 12,051 sf– 8.6% Low Marsh Elevation 5.5 to 7.0 Red - 30,000 sf–21.5% Middle Marsh Elevation 7.0 to 8.0 Yellow–40,600 sf–29% High Marsh Elevation 8.0 to 10.0 Cyan –52,300 sf– 37.6% - Salt Tolerant Elevation 10.0 to 11.5 Gray–4,344 sf– 3.1% I I If 1E C E O �l i /i L , 4. , ,, , _ , ,,„ ,,_ \,% , , .„,, .., , - - A.,... 7, , ,. , , .. - ., .,,, , , t ,,,,, „9., --,,.. .:_, , -- ,, - , ‘iiiiPMENT i ■ / ili7C'','''.4'.,'?'''. ' ''-j ' '''''''' = ---'' ,II • 0z .s 0r J" 0 I I a •0a _ _ .fit` _ . BIG QUILCENE ESTURY RESTORATION — MARSH GRADING ZONES The elevation proposed the grading plan will offer an excellent variety of estuarine vegetation. The grading will develop 1.9 acres of low to middle marsh habitat in addition to 1.2 acres of high marsh. The frequent flooding the estuary will provide excellent access to vegetative feeding areas for the salmon fry. The smaller distributary channels are not included the above calculations. They will add another 6,599 square feet of low marsh habitat. The proposed grading plan will restore the estuary to the elevations that existed prior to the filling of the site for use as a log storage yard and sediment deposition that resulted from the failure of the levee in during the 1993 flood. Flooding frequency for the proposed salt marsh is as follows: Zi j Ii ,, Elevation - NAVD 88 Elevation - MLLW Floc,di#-ig times per year bi 5.49 8.3 j 676 7.00 9.8 536ERSOi COUNTY 10.8 DEPT lP;iJ vl lY L}_Vi LO°I�"EN 8.00 9.00 11.8 1.03 10.00 12.8 17 10.7 13.5 2 The Design of the Distributary Channels: The proposed estuary is flooded and drained by at remanent river avulsion channel that is over 30 feet wide. The main distributary channel in the restored estuary is designed to be 880 feet long and vary in width from 20 feet wide at the mouth to 4 feet wide at the north end. The elevation at the mouth is 3.4 and the channel slope will be 0.18%. The channel is designed wider then required to support the hydraulic demands of the tidal flow in the estuary. A generously wide main channel supports improved tidal flow to the smaller distributary channels, increases the tidal flushing volume, and improves sediment transport. There are 1,065 feet of sub-distributary channels planned. They will be approximately 2 feet deep — or more - and will vary in width and sinuosity to simulate the smaller distributary channels in similar tidal marshes in the Big Quilcene River Delta. Similar estuarine reference sites the Big Quilcene density support a sub-distributary channel density of between 300 and 350 feet per acres for the smaller channels. The proposed sub-distributary channel density of 305 feet of channel for acre. If the main distributary channel is added to the calculation the density increases to 1,945 feet/3.5 acres = 556 feet per acre. The addition of the LWD to the proposed estuary; Large wood in the form of drift logs and other wood debris provide excellent harborage and shade for the salmon fry during the tidal exchange period. We are proposing to add eight groupings of large wood to the feeder tidal channels and the restored estuary. Each grouping will consist of one or two stumps and two logs. The logs will be anchored by burying one end and/or by using wood piling. THE PROJECT SCHEDULE We are trying to get the project under construction by June of 2014. Construction would occur during June to September 2014. The cost of the land acquisition was more than originally estimated in the CW and RCO grants. The additional land acquisition funding came out of the funds set aside for restoration . We expect an increase in construction cost of 10% in 2015. It is important to build the project this summer and fall if the current funding is to be sufficient. lLEOiHUV ! rr `'I 1 is L j I U JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT BIG QUILCENE ESTUARY RESTORATION PHASE 2 WETLAND DELINEATION AND ANALYSIS REPORT Prepared By: C3 Habitat Corp. 10507 W Belfair Valley Road Bremerton, WA 98312 Prepared For: HOOD CANAL SALMON ENHANCEMENT GROUP c/o Engineering Services Associates N.E. 210 Cherokee Beach Road Belfair, WA 98528 CULTURAL RESOURCES REPORT COVER SHEET Author: Dana Komen, Ryan Ives, and Stephen Emerson Title of Report: Cultural Resources Investigations for the Quilcene South Marsh Restoration Project, Jefferson County, Washington Date of Report: May 2013 • County(ies): Jefferson Section: 24 Township: 27N Range: 2W Quad: Quilcene Acres: 13.5 PDF of report submitted (REQUIRED) E1 Yes Historic Property Inventory Forms to be Approved Online? F Yes n No Archaeological Site(s)/Isolate(s) Found or Amended? n Yes XI No TCP(s) found? n Yes E1 No Replace a draft? n Yes No Satisfy a DAHP Archaeological Excavation Permit requirement? n Yes # IX No Were Human Remains Found? n Yes DAHP Case# IF No DAHP Archaeological Site#: • Submission of PDFs is required. • Please be sure that any PDF submitted to DAHP has its cover sheet, figures, graphics, appendices, attachments, correspondence, etc., compiled into one single PDF file. • Please check that the PDF displays correctly when opened. PHASE I ENVIRONMENTAL SITE ASSESSMENT Conducted On: JEFFERSON COUNTY TAX PARCEL #991201003 QUILCENE, WASHINGTON 98376 i-' ti. December 18, 2012 Project No: 1212-04 Prepared for: HOOD CANAL SALMON ENHANCEMENT GROUP P.O. BOX 2169 600 NE ROESELL RD. BELFAIR, WA 98528 IP*�� ' Phase I ESA Prepared By ADESA, LLC P.O. Box 1009 444\ Tenino, WA 98589 • ■ L-3-2012 11:18A FROM:WITHERIDGE 3603853584 TO:13602750648 P.1/10 ■ • is NORTHWEST ASBESTOS CONSULTANTS Surveys, Inspection, Sampling AHERA Building Inspector / Mgmt. Planner EPA Certification WAMOA-0042 406 Reed St.Port Townsend,WA 98368 northwestasbestosconsultants @cablespeed.com 360-385-0584 Date: 7/3/12 ,*fob Locations: 331 Muncie Ave. Qpilcene,WA 98376 Contact: Pacific Northwest Salmon Center Renee Rose-Scherdnik 600 NE Roessel Rd. P.O.Box 2169 Beifair,WA 98528 Subiect; Demolition Inspector: Bob Witheridge AHERA - Building inspector / Management Planner WAMOA-0042-1021201102 Expires - 10/21/12 Ii Hazardous Substances Assessment Newman Properties 17 Parcels along Muncie Avenue Quilcene, WA 98376 RCO PRISM Project#11-1349 Big Quilcene Delta Acquisition Hood Canal Salmon Enhancement Group Belfair, WA June 2012 BIG QUILCENE ESTUARY RESTORATION PHASE 2 WETLAND DELINEATION AND ANALYSIS REPORT Prepared By: C3 Habitat Corp. 10507 W Belfair Valley Road Bremerton, WA 98312 Prepared For: HOOD CANAL SALMON ENHANCEMENT GROUP c/o Engineering Services Associates N.E. 210 Cherokee Beach Road Belfair, WA 98528 Map Output Page 1 of 1 ArcIMS HTML Viewer Map \ ',,,'++ 'C't•4ne:.++ 11' ,..........,,,,,,,,.............tva.," i 244,.: 4 ,',44+V.: '++ ?C.c.'1,1■::::!.. 1 1° . t'...4'■"`': 1 ',1 _,..1 k LA-7A ,,:„j•.:.•., ,..:..--zi,:_i ,... ,L...,.. Legend .,,,, Selected Features 7- , JC_Roads ,. \\„,st Parcels-14 ,..."'"''''''''' '":"". •:,,,,,,_:, ''': - ,.,,,I,:.,...: DNR FP Stream ,..44 ik,. / , + ClaSStatIOn / , "I P Few Harketat ,::,, , . F ,:-.... ' i ,,, N N.,,I.sto Ilaartst Nan 1.101H/0,1s Patern...■ , Ns Nan!am olaPaal.Seasana■ Z+ 1z..!'.,•.. `++, ,.:.r. 2'L S invontarati Saal.ra.na —+ — T, ,+tzEtt:+::! ''"'44'2 ,,,c4.-2,.:,4,,,,•,..,....,, , ' ' ''..442..C2: '`,■;,•!.'-,4'^ P.,Z.YLC..,' :.!.e.:,t' \ , '..,.L`c....... ....,, , ' i ,.:L"4....:ZZ .. N \ '.1.,■,!.:-.:`■ ...: ..!...!..,..1 I , .. FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the method and accuracy of its collection. Fri Mar 14 15:40:47 2014 , . ^'3 VI D Ftij http://gisserver/servlet/contesri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion-4.... 3/14/2014 SDP14-00004 SDP14-00004 *DOE SHORELANDS OFFICE *DAN AFOE RICK MRAZ WDFW PO BOX 47775 332 EAST 5TH STREET, SUITE 100 OLYMPIA,WA 98504-7775 PORT ANGELES,WA 98362 SDP14-00004 SDP14-00004 *WA STATE DNR *WSDOH SHELFISH AND WATER PROT.-MARK TOY BRIDGET KAMINSKI-RICHARDSON PO BOX 47829 5310 EAGLEMOUNT RD OLYMPIA,WA 98504-7284 CHIMACUM,WA 98325 SDP14-00004 SDP14-00004 *WA STATE DEPT OF ARCH&HIST PRES PT GAMBLE S'KLALLAM TRIBE GRETCHEN KAEHLER 31974 LITTLE BOSTON RD. 1063 S. CAPITOL WAY, SUITE 106 KINGSTON,WA 98346 OLYMPIA,WA 98501 SDP14-00004 SDP14-00004 *JAMESTOWN S'KLALLAM TRIBE *SKOKOMISH TRIBE LEANN JENKINS KRIS MILLER LJENKINS @JAMESTOWNTRIBE.ORG 80 N TRIBAL CENTER RD SKOKOMISH,WA 98584 SDP 14-00004 SDP 14-00004 *SKOKOMISH TRIBE *SUQUAMISH TRIBE RANDY N LUMPER, M.E.S. ALISON O'SULLIVAN 541 NORTH TRIBAL CENTER ROAD PO BOX 498 SKOKOMISH,WA 98584 SUQUAMISH,WA 98392 SDP14-00004 SDP14-00004 *POINT NO POINT TREATY COUNCIL JCFPD#2 CYNTIA ROSSI BOB LOW 7999 NE SALISH LANE PO BOX 433 KINGSTON,WA 98346 QUILCENE,WA 98376 SDP 14-00004 SDP 14-00004 QUILCENE SD#48 *JEFFERSON CO PUBLIC WORKS PO BOX 40 ERIC KUZMA QUILCENE,WA 98376 SDP14-00004 SDP14-00004 *JEFFERSON CO PUBLIC WORKS *JEFFERSON COUNTY ASSESSOR TERRY DUFF PAT PERRYMAN SDP14-00004 SDP14-00004 *JEFFERSON COUNTY EH DIRECTOR *JEFFERSON CO PUD#1 JARED KEEFER ATTN: BILL GRAHAM PO BOX 929 PORT HADLOCK,WA 98339 SDP 14-00004 SDP 14-00004 *JEFFERSON TRANSIT *WSDOT OLYMPIA REGION HQ 1615 W. SIMS WAY ART SPORSEEN, DR ENGINEER PORT TOWNSEND,WA 98368 5720 CAPITOL BLVD SE OLYMPIA,WA 98570-6703 SDP14-00004 SDP14-00004 *US ARMY CORPS OF ENGINEERS *PENINSULA DAILY NEWS CENWS-OD-RG ATTN:J L GARDINER CHARLIE BERMANT P O BOX 3755 1939 E SIMS WAY SEATTLE,WA 98124-3755 PORT TOWNSEND,WA 98368 SDP14-00004 SDP14-00004 *PORT TOWNSEND LEADER *DOE SEPA REVIEW TRISTAN HIEGLER SEPAUNIT @ECY.WA.GOV PO BOX 552 OLYMPIA, WA 98504-7703 PORT TOWNSEND,WA 98368 SDP 14-00004 SDP 14-00004 *WSD OF TRANSPORTATION OLYMPIC REG *WA STATE DNR SEPA REVIEW SEPA REVIEW SEPA CENTER PO BOX 47440 PO BOX 47015 OLYMPIA,WA 98504-7440 OLYMPIA,WA 98504-7015 SDP 14-00004 SDP 14-00004 WDFW SEPA REVIEW *PORT OF PORT TOWNSEND SEPADESK @DFW.WA.GOV PO BOX 1180 1111 WASHINGTON ST. SE. PORT TOWNSEND,WA 98368 OLYMPIA,WA 98504-3135 �soN c JEFFERSON COUNTY w� DEPARTMENT OF COMMUNITY DEVELOPMENT o DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelooment / IN:co) Tel:360.379.44501 Fax:360.379.4451 I Email:dcd@co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center March 26, 2014 Dear Reviewer, RE: MLA14-00013 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may • otherwise be affected by the following proposal: BIG QUILCENE ESTUARY RESTORATION PROJECT-DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) This proposal is subject to environmental review and threshold determination under the State Environmental Policy Act(SEPA). Location: Parcel Numbers: 702 231 001 and 702 231 002, 295472 Hwy 101, S-T-R: 23-27N-2W Comments must be received within fourteen (14) calendar days or by April% 2014. If no written response has been received within fourteen (14) days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, Li 1 Iii. Do,na Frosthol I cc:,same as That . ire,et.D ra-h'on 4,14e, \\tidemark\data\forms\F_MLT_ReviewerLtr.rpt 3/24/2014 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATION: Parcel Numbers: 702 231 001 and 702 231 002, 295472 Hwy 101, S-T-R: 23-27N-2W PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: BIG QUILCENE ESTUARY RESTORATION PROJECT - DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson. County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co jefferson.wa.us/commdevelopment/ zwo p a a a a \ NNN �� Qu 0se : ! : a : o di C..) 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O 6 S€G OJ g t VI-<6 U sow D, spr y I A,' 1-%I.,1.. o� JEFFERSON COUNTY _a �q r DEPARTMENT OF COMMUNITY DEVELOPMENT �© IE ii v i -b'"' '4 621 Sheridan Street • Port Townsend •Washington 98368 allsIG 360!379-4450 • 360/379-4451 Fax qs p www.co.jefferson.wa.us/commdevelopment JAN 2 9 Znj4 Master Permit Application MLA: JEFFERSON COUNTY _ Project Description(include separate sheets as necessary): _ f DEPT.OF COMM�tullr uFvtt(1PME,nI .y rra/ce 4'I e-s74a k y / stt�zel -,D� 3-Y0 l i'4,-e er.71urr% Tax Parcel Number: 762 NO p e --7©223100/ Property Size: /G1',.- (acres/square feet) Site Address and/or Directions to Property: J O'e r/tee. --=. 7i4 $/ / i u ui-, ulv )47. -rs,� =- Property Owner(s)of Record: . -, -ap h,. .i ; i . p <1 Telephone: 34,0 - 7a, ""- ..17g/?' Fax: email: ' ,t r ,, -,/ Mailing Address: 29 54 7 Z- eJ a' ,,- .474:. /e/ • e.c741 Applicant/Agent(if different from owner): .1 /G I ' Telephone: *J P 27 -7814- Fax: "4 77- 3/ ' email: f -%40,1 ue Mailing Address: _2JE ,V Gi',( o�. el e I •' 'f'/ What kind of Permit?(Check each box at applies- ❑ Lot or Road Segregation Auilding -eo-iseuegeei /ZCS, jye�p-t'( ❑Critical Areas Stewardship Plan ❑ Demolition Permit / a�`f d'l�$, O' A l• ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular - - - ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** n Change of Use El Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** ❑Sign -.-. ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **R-•uires a Pre-A••lication Conference Please identify any other local, state of federal permits required for this proposal, if known: GPcet 2-- -uii/r/? CO D SIGNATION OF AGENT I hereby designate_ C. .0 II Otkip to act as agent in matters relating to this application for permit(s). OWNER SIGNATURE ,f■VarkZe.%i�i�t g' 1 O� ' N/111 � / � '��f Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of 1 his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of en'will be assumed unless the applicant informs the County in writing at the time of the a••lic tion tha he or she ants •rior notice. Signature: .�� — �" , i `.�- Date: 11 24 14 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County develop Ai t code.The Applicant acknowledges that he,she or it holds individual and non-tr•,1sferable responsibilit for.•herin.to and co •ly' g w'_• t- he Applicant has read this discla' er a d sig t and dates it below. Signature: ■/' :,;" .��a. , ,• Date: BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu 'ng the responsibility of the Ge r eral�Contractor for the proposed project. Signature: i l. ..._. •: 1 `�tr4 # Date: Zi tii GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: _ Fax: -—, / , ,, MAILING ADDRESS: EMAIL: D I , ,, , CONTRACTOR'S LICENSE WAINS { i NUMBER: NUMBER JAN 2 9 2f14 ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) J/ MAILING ADDRESS: EMAIL JEFFERSON COUNTY Project Type: Frame Type: Bathrooms: Shoreline:DEPT.T79R @PPft el al:_; O New = Wood Existing: 2 Sewer O Addition 2 Steel Proposed: Bank ±; Community System ✓ Alteration/Remodel 0 Concrete Total: _ Height: o Individual System C Repair 2 Masonry SEP Permit# E Demolition 2 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Pro•ane Tank andlor A••fiance Installation •ermit mark all items below that a••I : I Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove I Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only . Amount Revision Main Floor Heated - EH BId App Review: 2m Floor Heated Consistency Review: — Other Heated Base fee: Mezzanine Additional Section: — f Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other 74i00,47, /` TOTAL: $ /-. *ir ca/ Receipt Number: � t Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value o I1 labor and materials foundation to finish , 0/.D4O Initials: ©i /--- f-s,t15'a 7 .,,,sON COUNT O \L; +� DEPARTMENT OF COMMUNITY DEVELOPMENT - jfl `- J c ! I,` - i 621 Sheridan Street• Port Townsend • Washington 98368 JAN 2 I O 360/379-4450 • 360/379-4451 Fax , `l , SANG http://www.co.jefferson.wa.us/commdevelopment! L i JEFFERSON COUNTY DEPT.OF COMMUNITY PF'FI OPMENT Stormwater Calculation Worksheet • MLA# PROJECT/APPLICANT NAME: / �. C8r7e ,G '/ /✓'0,57,029 -a - DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small," "medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel q acres An acre contains 43,560 square feet. Multiply the acreage by this figure. 1-, 7,,,e152. - Size of parcel in square feet j/fJ9' sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple,and vine maple; shrubs such as willow,elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert sh acres or more of Construction site for structures 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. 0 sq/ft Circle: Yes zip Well,utilities,etc. 0 sq/ft Does the project convert 2 1/2 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 0 sq/ft Circle: Yes Lawn, landscaping, etc. -) sq/ft Other compacted surface, etc. Q sq/ft Indicate Total Volumes of Proposed: maj o r/PIA/Neal Total Land Disturbance ©J�mD sq/ft Cut Fill 20‘00 (cu/yd) [over] storrnwater calc worksheet Rev 9-9-2010—REV 9/912010 1 _ _ ___ impervious surface is a hard surface that either prevents or retards the entry of water into the 44,_,, c Feondi ions prior to development. A hard surface area which causes water to run off the surface in greater itles or at an increased ra(z`o4 flow from the flow present under natural conditions prior to development. Common impervious surfincl .1 b are pot jimitElr t roof tops,walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, ro-• , •a ed edrthen .t rlals, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwat ,L 1 t LITD1J0PI 000N1'/ STORMWATER CALULATIONS–IMPERVIOUS SURFACE DEPT.OF COMMUNITY DEVFtOPMEN' _._, NEW EXISTING Structures(all roof area) sq/ft Structures(all roof area) 0 sq/ft Sidewalks d sq/ft Sidewalks 0 sq/ft Patios I3 sq/ft Patios 0 sq/ft Solid Decks 0 sq/ft Solid Decks C.9 sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 0 sq/ft Driveway, parking, roads,etc t0 sq/ft— Other rif( 410`,01 sq/ft Other sq/ft Total New 453/ Me) sq/ft Total Existing b sq/ft TOTAL NEW+TOTAL EXISTING* ,DOO sq/ft A:(4,4 t . r7/0p1XX `This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 700 0 Does the site have 35%or more of existing impervious surface? Circle: Yes 6 FURTHER INSTRUCTIONS: if the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. AS k4 ii /'---- t%1 ---7/---- (fNDO ,ER sR AUTHORIZED REPRESENTATtVE SIG i URE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater cats worksheet Rev 9-9-2010-REV 9/92010 2 Engineering Services Associates, Inc. Tuesday, March 18, 2014 Donna Frostholm SEPA Coordinator Jefferson County DCD 821 Sheridan Street Port Townsend, WA 98368 Subject: Response to March 14, 2014 letter regarding CASE # MLA14-00013— SEPA Checklist Revisions for the Big Quilcene River Estuary Restoration — Phase 3 Project and the soil disposal site for the project. Dear Donna, Upon inspection at the proposed soil disposal site we did not find the stream shown ArcIMS HTML—Viewer Map on Parcel No 702231001. I revised the surface water section to read as follows: 3. Water a. Surface Water: j 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site.Jefferson County Mapping shows a stream on Parcel No.702231001.A field inspection of the site has shown that the stream does not exist or has been moved farther west on the site.If the intermittent drainage does exist on the west boundary of the site it is over 400 feet from the proposed disposal site and the no drainage from the disposal site can reach the stream due to adverse topography. Concerning the Project Plan Graphic -Your revisions are correct. I am sending you a new graphic of the site with the revisions you made. We will be removing 22,000 Cubic yards of material. Is this a change you can make or do you need us to resubmit the checklist? Yours Truly, ( / 45, Pat McCullough, PE President, ESA Inc. Page 1 ENVIRONMENTAL CHECKLIST BIG QUILCENE RIVER ESTUARY RESTORATION PROJECT—PHASE 3 THIS SEPA IS FOR THE SOIL DISPOSAL SITE FOR THE PROJECT THAT IS LOCATED AT THE PEDERSON INDUSTRIAL AREA SOIL DISPOSAL SITE IN QUILCENE, WA. A. BACKGROUND 1. Name of proposed project, if applicable: �_ .i I Fri\ [� 0 [-T-;: P �� � �� Big Quilcene Estuary Restoration—Phase 3 ! li 2. Name of applicant: � f �¢ r 'l , � Hood Canal Salmon Enhancement Group(HCSEG) JEFFERSON COUNTY DEPT.OF COV!`'.1UMTY Di\M OPIV NTr 3. Address and phone number of applicant and contact person: Mendy Harlow-Director PO Box 2169 Belfair,WA 98528 360-275-3575 4. Date checklist prepared: January 18,2014 5. Agency requesting checklist: Jefferson County 6. Proposed timing or schedule (including phasing, if applicable): Site excavation for the Big Quilcene River Estuary Restoration will begin July 15, 2014.We estimate completion of the project September 15, 2014.The excavation phase of the project will take approximately 4 weeks. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 1 A separate SEPA checklist has been prepared for the Big Quilcene Estuary Restoration Project -Phase 3. That SEPA checklist contains several documents directly related to the proposed estuary restoration. They include: A JARPA 1 _�— Wetland Delineation and Analysis Report Cultural Resources Report ' i I I If Hazardous Substance Assessment �; 2 �" ;h IJ JEFFERSON COUNTY rPT ( Hors ar 9. Do you know whether applications are pending for governmental app • : -- =w- -:�,�-•1 r.f - affecting the property covered by your proposal? If yes, explain. No 10. List any government approvals or permits that will be needed for your proposal, if known. ? N� 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) (help] This proposal seeks to dispose of approximately 20,000 cubic yards of waste 0c soil from the Big Quilcene River Estuary Restoration— Phase 3 Project at the '1,3 1°�` Pederson's Industrial area located at 295472 Highway 101 Quilcene, WA L 98376. Property is located in NE 1/4 of S23 T27 R2W. Parcel ID: 702231002 and 702231001 While the Pederson Industrial disposal property is 19 acres, this proposal only seeks to place soil in a small portion of land within the property that has been previously prepared for filling with waste soil. The proposed disposal area will be approximately 200' x 200' in width and approximately 7' deep. (Area = 0.91 acres) The area where the soil will be deposited has had significant disturbance over the last 20 years. In the 1990's it was cleared and graded in preparation for filling by imported soil. A portion of the disposal site has been filled with soil taken from the previous phases of the Big Quilcene River Estuary Restoration Project. We have enclosed a Vicinity Map, a haul route map, and a aerial photo image that shows the approximate limits of the filling operation at the end of this SEPA checklist. The imported soil fill will be compacted using a crawler tractor. No construction is planned on the imported fill. There will be no storm water SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 2 runoff from the filling site because the fill will be surrounded by ditches that will intercept any runoff from the fill. ji 4 a� x _ j ' JAN ? 2; � I L/ JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT PEDERSON INDUSTRIAL AREA WASTE SOIL FILL SITE—NOTE EXISTING WASTE FILL ON THE SITE 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Go to Quilcene,WA then go south out of town on SR 101 approximately one mile and look for a large sign that says PEDERSON'S on the right hand side of the road.Turn right onto the industrial site.The area to be filled in on the left about 300 feet from the entrance. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site. (circle one): Flat, rolling, hilly, steep slopes, mountainous, other The disposal site is flat rolling topography. b. What is the steepest slope on the site (approximate percent slope)? SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 3 The disposal site has less than a 4%slope. c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The soil on the current disposal site is HOC- Gravelly top soil with excessive fines and low permeability. Hardpan likely at 24"to 25".The area where the soils are going is graded depression withh'nl etl_ands. d. Are there surface indications or history of unstable soils in the imm chi \i =' r :, i' describe. i\ 1 ■,-• \ .jAI 2 '3 ni:- \\\ There are no unstable soils known in the immediate vicinity. ' } !.J 1L\ @s F.-,gplV COUNT`f e. Describe the purpose, type, and approximate quantities of any filling r grading � �c EvFlopMENT Indicate source of fill. L_-—1-�-- The fill added to the proposed site will be approximately 20,000 cubic yards.The source of the C �, fill will be the Big Quilcene Estuary Restoration site. See enclosed 90%Design Drawings. 'Z�r C y f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.[ The fill will be left uncovered and will be constructed of permeable soil. No stormwater runoff or soil erosion is expected to occur. g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? None h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: No storm water runoff is expected from the imported soil.A shallow ditch will be constructed around the perimeter of the fill to prevent any stormwater runoff from leaving the site. 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke)during construction and when the project is completed? If any, generally describe and give approximate quantities if known. None b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 4 c. Proposed measures to reduce or control emissions or other impacts to air, i 3 !! None P� ' t ,, Hl I No I ) 3. Water JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT a. Surface Water: j 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site. 2)Will the project require any work over, in, or adjacent to (within 200 feet)the described waters? If yes, please describe and attach available plans. The project will not require work within 200 feet of waters. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. -')-for nix v.iate r fcc ire-hon ske -50brn d None—See Big Quilcene Estuary Restoration SEPA for further information a foal;C 1Y- r rl CZCI cyrt 4)Will the proposal require surface water withdrawals or diversions? Give general [.°cr'G� h� description, purpose, and approximate quantities if known. t �i� �'S(,t cd Not applicable.No surface water withdrawals or diversions are proposed in this proposal. within a 100-year floodplain? If so, note location on the site plan.Does the proposal lie w , 5) p p y p p [ The proposed disposal site does not lie within a 100-year floodplain. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. Not applicable.The proposed site is not lie near surface waters. b. Ground Water: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. Not applicable. No ground water withdrawn or discharged will be part of this application. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any(for example: Domestic sewage; industrial, containing the following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 5 number of such systems, the number of houses to be served (if apRlicab10 of animals or humans the system(s)are expected to serve. Lt ! r 1 I j� Jj I l No domestic sewage,chemicals or agriculture materials areM be,ci charged into this proposed site. 11 ! ` U L c. Water runoff(including stormwater): JEFFERSON COUNTY DEPT.OF COMMUNITY Di IELOPMENT 1) Describe the source of runoff(including storm water) and method of collection and disposal, if any(include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. There will be no storm water runoff from the fill. A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 2) Could waste materials enter ground or surface waters? If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs _X_grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? The Pederson Soil Disposal site is an established industrial area. No vegetation will be removed or altered at this site. c. List threatened or endangered species known to be on or near the site. No threatened or endangered species are know on or near this site. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 6 5. Animals + 1 +±! n birds and animals which have been observed on or near the sit Ir a know a. Circle any n to be 1 on or near the site: JE PERSON COUNTY birds: hawk, heron, eagle, songbirds, other: 0 !�� r��"�n_vFto � mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. No threatened or endangered species known in or near site. c. Is the site part of a migration route? If so, explain. NO d. Proposed measures to preserve or enhance wildlife, if any: None 6. Energy and natural resources a. What kinds of energy(electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. Not applicable b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. Not applicable c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Not applicable 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. None 1) Describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 7 TT-) u b. Noise I 1)What types of noise exist in the area which may affect your prof:bt�(for ex' apl; I U traffic, equipment, operation, other)? ' (; ! ��,) Noise from the construction equipment will not affect thi pro Ft 5�EFfERSOhi COUNTY irj u�JIVIMUNITY[ !`F.0°N; NT�� 2)What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. The project site will be used during day light hours only limited during the project schedule. The types of noise will come from trucks delivering and unloading demolition materials. 3) Proposed measures to reduce or control noise impacts, if any: Noise from project site will be limited to hours occurring only during the day. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Pederson's property is used as a disposal area. b. Has the site been used for agriculture? If so, describe. No previous knowledge of area being used for agriculture. c. Describe any structures on the site. This is an industrial commercial site.There are storage buildings repair building,and the owner'residence. d. Will any structures be demolished? If so, what? No. e. What is the current zoning classification of the site? Light urban industrial 1i1 (}(1 LISiY! - i ANItat AA-1 f. What is the current comprehensive plan designation of the site? A disposal site L) v)6 Ail WAIL'. 'f i g. If applicable, what is the current shoreline master program designation of the site? NA SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 8 I h. Has any part of the site been classified as an "environmentally sensitive" ar < (f so, specify. No j i ' ? n i Ii i. Approximately how many people would reside or work in the completed pro' ct? JLFFERSON COUNTY D T OF r J 1MUNI Ty DDT'.OPMcNT The number of employees varies from none to 20 depending on the operation. e j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: None L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. No housing units are needed for this project. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. No housing units will be eliminated for this project. c. Proposed measures to reduce or control housing impacts, if any: There are no housing impacts for this project. 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? This project doesn't have any proposed structures. b. What views in the immediate vicinity would be altered or obstructed? No views are anticipated to be altered or obstructed. c. Proposed measures to reduce or control aesthetic impacts, if any: None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 9 11. Light and glare ( l� a. What type of light or glare will the proposal produce? What time of j y ,l occur? ;i I I ( � ,IAN Not applicable. ' � I u u F b. Could light or glare from the finished project be a safety hazard or irterfe - .r :IuNTY Not applicable. I DEPT.OF COMMUNITY DEVE OP 4 NT c. What existing off-site sources of light or glare may affect your proposal? Not applicable. d. Proposed measures to reduce or control light and glare impacts, if any: Not applicable. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? There are no recreational opportunities within the immediate vicinity. b. Would the proposed project displace any existing recreational uses? If so, describe. The proposed project would not displace any existing recreational uses. c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project or applicant, if any: No proposed measures to reduce or control impacts on recreation opportunities for this proposed project because the site is not located in a recreational area. 13. Historic and cultural preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? If so, generally describe. 'help' This proposed site is not known to be in or adjacent to a historic or cultural area. It has been grossly disturbed for the last 20 years. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. c. Proposed measures to reduce or control impacts, if any: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 10 There are no proposed measures to reduce or control impacts be u�a�se�theproposgd,, site is not in or near a sensitive historic or cultural area. ! t , 14. Transportation �;c a. Identify public streets and highways serving the site, and describe propo J ccess to the existing street system. Show on site plans, if any. J«EERSCN COUNT DEPT OF(10M UNITY DEVrtOPMENT The proposed disposal site is accessed by Linger Longer Road,to Highway 101 in Quilcene, WA. The route is 1.46 miles,from demolition site on Linger Longer Road to Pederson's disposal site. b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? The site is not served by public transportation. c. How many parking spaces would the completed project have? How many would the project eliminate? The proposed project doesn't intend to create or eliminate parking spaces. d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). fhelpl The proposed project does not require any new roads or streets and will use existing roads. e. Will the project use (or occur in the immediate vicinity of)water, rail, or air transporta- tion? If so, generally describe. Not applicable f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. [helpl 20 truckloads of earth per day is expected for 20 days during the excavation period. g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services a. Would the project result in an increased need for public services (for example: fire pro- tection, police protection, health care, schools, other)? If so, generally describe. [ SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 11 No public services will be needed for this project. - ----=_ b. Proposed measures to reduce or control direct impacts on public services, if any. [helpl`; JEr'LE'SON ICU'ST`f 16. Utilities Di Pi OF CO WYv'TY D '�LOPMENT a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other None b. Describe the utilities that are proposed for the project,the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None C. SIGNATURE The above answers are true and complete to the best of my knowledge. I underst.nd that the lead agency is relying on them to make it decision. �. ' Yawn MOW rllerjar ;!-r ��' r Signature: i nee WA .�_ _A Gt� Name o f s g A Position and Agency/Organization �/� /' � � Date Submitted: I 1-2-1 ,� p e T�d'f' SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 12 IL1' /// i i i jl i D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS[help' L......R__, li j J 1`FL--:RSOi;CO? " I _ �:V Y Fri II '°?` i''!ity l iyaopmE I ��J (IT IS NOT NECESSARY to use this sheet for project actions) ��- -`�7 Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment in . When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study)for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 13 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? ‘‘%` LCD 1 1; ,Ir--- Ji !I Proposed measures to avoid or reduce shoreline and land use impa6tS-elre: !I I III ! !I it RSO Cot' TV ni..i'is OG CTINIUNn f(O1"1-10'"1FNT 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. 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M A 0 1 " o > Y ,E ) `° s S D E" c p p � �4.R 61 e _ .D 'c' cy yN $ m m9F - 40"'4.74/ z .4 5 z 1 g Igux p p gE° itili el; h 5 gm .7414%, t El >�n9.6 a � I" ° H F9B us [ch °z Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 POSTING INSTRUCTIONS Please post the attached notice on a 2-foot by 3-foot board provided by this department in a conspicuous location visible to vehicle traffic and pedestrians on or reasonably near the proposed development by March 26, 2014. The clear adhesive paper can be put over the notice after you mount it to protect it from the elements. Additional notice boards may be required where the site does not abut a public road, for a large site that abuts more than one (1) public road, or the Administrator determines that additional notice boards are necessary to provide adequate public notice. Notice boards shall be maintained in good and legible condition by the applicant during the notice period, be in place at least fifteen (15) calendar days prior to the date of the hearing, and be removed within fifteen (15) calendar days after the end of the notice period. Complete the affidavit, have it notarized, and return it to this office within three (3) days of posting. If the affidavit is not filed as required, any scheduled hearing or date by which the public may comment on the application will be postponed in order to allow compliance with this notice requirement. If you have any questions, please contact this office at (360) 379-4450. MLA number: MLA14-00013 Proponent(s): HOOD CANAL SALMON ENHANCEMENT JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATIION: Q rte'/A-v."4E a: / v/ 70/ Ccld ` '�%d v 76)22.i /�Iapeyt!�2� ; 5,:2`� TG?/l� �' t� PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Shoreline exemption and flood development permits for Big Quilcene Restoration Project COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.iefferson.wa.us/commdevelopment/ AFFIDAVIT OF POSTING PUBLIC NOTICE JEFFERSON COUNTY UNIFIED DEVELOPMENT CODE ORDINANCE#03-0702-01 State of Washington) County of Jefferson) I, , being duly sworn of oath say that I have posted one(1) public notice poster on or near the site identified in the following development description: PROPOSAL: Shoreline exemption and flood development permits for Big Quilcene Restoration Project This notice was posted in full compliance with UNIFIED DEVELOPMENT CODE on: the day of , 2014. (Signature of person posting notice) Subscribed and sworn to before me on this day of , 2014. Acknowledgement: Notary Public in and for the State of Washington, residing in , Washington. My commission expires: NOTARY STAMP MLA Number: MLA14-00013 Proponent(s): HOOD CANAL SALMON ENHANCEMENT II II \\tidemark\data\forms\F_MLT_NtcAppl4_APO_U.rpt 3/21/2014 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 POSTING INSTRUCTIONS Please post the attached notice on a 2-foot by 3-foot board provided by this department in a conspicuous location visible to vehicle traffic and pedestrians on or reasonably near the proposed development by March 26, 2014. The clear adhesive paper can be put over the notice after you mount it to protect it from the elements. Additional notice boards may be required where the site does not abut a public road, for a large site that abuts more than one (1) public road, or the Administrator determines that additional notice boards are necessary to provide adequate public notice. Notice boards shall be maintained in good and legible condition by the applicant during the notice period, be in place at least fifteen (15) calendar days prior to the date of the hearing, and be removed within fifteen (15) calendar days after the end of the notice period. Complete the affidavit, have it notarized, and return it to this office within three (3) days of posting. If the affidavit is not filed as required, any scheduled hearing or date by which the public may comment on the application will be postponed in order to allow compliance with this notice requirement. If you have any questions, please contact this office at (360) 379-4450. MLA number: MLA14-00013 Proponent(s): HOOD CANAL SALMON ENHANCEMENT JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATION: Parcel Numbers: 702 231 001 and 702 231 002, 295472 Hwy 101, S-T-R: 23-27N-2W PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: BIG QUILCENE ESTUARY RESTORATION PROJECT - DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopmentj AFFIDAVIT OF POSTING PUBLIC NOTICE JEFFERSON COUNTY UNIFIED DEVELOPMENT CODE ORDINANCE#03-0702-01 State of Washington) County of Jefferson) I, , being duly sworn of oath say that I have posted one(1) public notice poster on or near the site identified in the following development description: PROPOSAL: BIG QUILCENE ESTUARY RESTORATION PROJECT- DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) This notice was posted in full compliance with UNIFIED DEVELOPMENT CODE on: the day of , 2014. (Signature of person posting notice) Subscribed and sworn to before me on this day of , 2014. Acknowledgement: Notary Public in and for the State of Washington, residing in , Washington. My commission expires: NOTARY STAMP MLA Number: MLA14-00013 Proponent(s): HOOD CANAL SALMON ENHANCEMENT \\tidemark\data\forms\F_MLT NtcApp14_APO_U.rpt 3/21/2014 Donna Frostholm From: Legals-Donna [legals @ptleader.com] Sent: Friday, March 21, 2014 4:51 PM To: Donna Frostholm Subject: Re: MLA14-00013-notice 2 cases on 3/25/14 Donna, Your legal publication request has been received. Should we have further questions regarding the specifics of the submission we'll contact you to clarify them prior to the first publish date. Any correction or change requests need to be made by our deadline for that specific issue. We publish on Wednesdays and the standard deadline is 1:00 pm on the Monday prior, unless a holiday necessitates an earlier deadline. Those under a specific publication contract, your dates and times will follow those contract guidelines. We are setting the referenced ad for publication on the dates requested, however we will only be able to provide an estimate of costs until the notice has actually published and been measured. Generally our estimates will give you a figure very close to the actual cost. Cost is determined by the length and type of notice to be published. The 2014 rate for public and legal notices with the Leader will be $14.00 per column inch. Special rates apply to specific agencies under contract with the Leader. Important Note: Affidavits are issued only after full payment has been received. After the notice is first published and measured you will be sent a Pre-bill to assist you with your payment for our services and publication of the notice. As always, thank you for your business. We strive to serve our customers and their publication needs with the utmost care and professionalism. Thank you and have a wonderful day, Donna Rosmaier Legal Coordinator The Leader 226 Adams St. Port Townsend, WA 98368 (360)385-2900 Iegals( ptleader.com Leader Readers are everywhere! 70 percent of north Jefferson County homes are Leader Readers... 17,500 locals each week... 23,000 people use PTLeader.com each week. On Mar 21, 2014, at 4:38 PM, Donna Frostholm<dfrostholm(a,co.jefferson.wa.us> wrote: 1 Hello Legals: Please notice the above two files for MLA13-00013 in the Wednesday, March 26, 2014 edition of The Leader and reply to confirm that the files will print. Thanks, DavuLa.FrosthoiN ' Associate P Canner/Wetland Speciatist Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, Washington 98368 dfrosthohit@cojeffersan.wa.us 360.379.4466 Department of Community Development is open from 9:00 to 4:30 Monday through Thursday;DCD is closed on Friday. All e-mails sent to and from this address will automatically be archived by Jefferson County and emails may be subject to Public Disclosure under Chapter 42.56 RCW. <mla 14-00013 sdpnoa.docx><mla 14-00013 zonnoa.rtf> 2 Please publish one time. PUBLISH DATE: March 26, 2014 BILL: Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION M LA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATION: Parcel Numbers: 702 231 001 and 702 231 002, 295472 Hwy 101, S-T-R: 23-27N-2W PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: BIG QUILCENE ESTUARY RESTORATION PROJECT - DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.iefferson.wa.us/commdevelopment/ \\tidemark\data\forms\F_MLT NtcApp14_Pub_U.rpt 3/21/2014 Please publish one time. PUBLISH DATE: March 26, 2014 BILL: Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION M LA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATION: PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Shoreline exemption and flood development permits for Big Quilcene Restoration Project COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopment/ \\tidemark\data\forms\F_MLT_NtcApp14_Pub_U.rpt 3/21/2014 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATION: Parcel Numbers: 702 231 001 and 702 231 002, 295472 Hwy 101, S-T-R: 23-27N-2W PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: BIG QUILCENE ESTUARY RESTORATION PROJECT - DISPOSAL OF EXCAVATED MATERIALS (Placement of 22,000 cubic yards of materials excavated from estuary restoration area) COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopment/ JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA14-00013 APPLICANT: HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 Application Received Date: February 7, 2014 Application Complete Date: March 14, 2014 Application Notice Date: March 26, 2014 SITE ADDRESS AND PROJECT LOCATION: 1��c2re-e//lk1Mbe, ; 99/ 21 7 0/ and 79/- ) tTk',L 14—,11 ./ SZ'i-T2.1N- RZvj PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Shoreline exemption and flood development permits for Big Quilcene Restoration Project--eshxztry 12e16 cr0* ' COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on April 9, 2014. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. Project Planner: Donna Frostholm, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopment/ m^A cz¢a z _ ° DA�A9 °z 2 N y N o A'2 A m y< a—$ °i A 2' m X o° f 8 m o 21 A o Q mN> H Az�Zm y z Z c r N o; yr — O m,z o gz> m g 2`009 �9_ — a>° v NA sA M ny � 'SE Sgg�! x s °oym 1 n 1 — m O Z�^ a � " am�` mm z ° 880_ O<O A' yAy 0yo X N 9 p A m g — f i!§ m''41. m g n g m z x x D A a — A A x 7 O a _ u1 0 0 0 2543.93' (NW1/4 24- 27N - 2W) $,R. 101 18 0 6©-AA© °s C aaVaias ' �© ONO v m - NM S 800 00S _ r o N-, V �'t v ® d Bed � = z J, ' a MUM. =� `/i 11 v m D r 0 S 00 _ A<: -i o C' r MI II – N x m 0 70 ao_ esI s , ID o ' 8 MEAL 911 ®� �Wi m s y0 O OZ > m \ _ H V A HAMILTON AVE. �� "O A m J ..R' ^' d \ a u V I a• ' �� m = .Z7 u N O p O L • ° _ H i f ° O ° Z 11 Ow oFa 1 i= . ai = . a = . Z - m I Tx 32 0 L▪INGER LONGER RD. ° 'gym° V I ',:8-.S.+2. McARDLE AVE. 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D ,so-aa-3 a- 9`^ \ z �'S� a1a• f .a' \\8 - 00 S`, - -, 358.5'w_NIEN Sao a a Ell i_s — ____ — -- e� V m ►01' e� �> ono °sad== B.P.A.INN 11 00 = Io1+"�0 34.s ;m 8 —_ 6►� ` _ , ®0 BM= — �— , -- — Ow∎IiiiOl+� i s/VAC 10-18-93 -mxo 8 "mxs I ° -_ — — j 0 - 9- _,±.. o &o u 00 • v m"ti �� V ® as �^J 402.5' • Fems_ ! ca'u1 �e� = N ` ' =• co ®i • as e� (f) .J ° 0 ! 00 — H i rTi 0 ,�' 5/VAC 10-10-93 cr) EDAM 0 memo a!a�1ll- ®� v 71\ -■mow ��a I ��� B N• A W ^ (NWI/4 19 - 27N - 1W) 2528.72' _, CSUPPLEZ ARY PLAT OF OUILCENE -"'I Fri n m s(n N U N .' m °N V N O >o ' N a s N ` I N J N \s ■ (" Donna Frostholm From: Pat McCullough [path @wavecable.com] Sent: Tuesday, March 18, 2014 2:29 PM To: Donna Frostholm; 'Mendy Harlow'; 'Michelle Myers' Subject: RE: big quil restoration -mla14-00013 Attachments: BQ-ESTUARY-90%-3-18-14.pdf; Response to Donna Frostholm checklist review comments 3-18-14.pdf; SOIL DISPOSAL SITE IMAGE.pdf Donna, Look this response over and let me know if we are ok with these responses. If we are good - Michelle will come down and post the notices on Wednesday. Pat Original Message From: Donna Frostholm [mailto:DFrostholm(laco.iefferson.wa.us] Sent: Friday, March 14, 2014 3:57 PM To: mendv(ipnwsalmoncenter.org; Pat McCullough; Michelle Myers • Subject: FW: big quil restoration - mla14-00013 All: Please see attached letter requesting clarification or additional information for the Big Quilcene habitat restoration and soil disposal project. If I have responses back from you by Tuesday, March 18, 2014, I can plan on noticing the application with SEPA the week of March 24. If the responses come back after that, I will contact you about noticing the application with SEPA in April. Assuming that noticing occurs during the week of March 24, would someone be able to pick up the noticing packet and notice boards at DCD on Tuesday, March 25 and have the notices posted onsite by Wednesday, March 26? Regards, Donna Frostholm Associate Planner/Wetland Specialist Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, Washington 98368 dfrostholmOco.iefferson.wa.us 360.379.4466 Department of Community Development is open from 9:00 to 4:30 Monday through Thursday; DCD is closed on Friday. All e-mails sent to and from this address will automatically be archived by Jefferson County and emails may be subject to Public Disclosure under Chapter 42.56 RCW. 1 hill 1 r —a A y g 111 Ea is ti a1 _d ,1��.0 -or # - `- S . x w4-, ."' ' .1. ayDY :-` 4Y #° \".4.".,..,—... 7,0.E 1.-1..-,_ Al , ., fr 4' :AT.!,,',.:,•-.'"•'''r 7.-..-4;..4.4-%.,'-',7.;'4--,z4-, .41'. ,„.4•;',...,-; . .".,:....."C'il-.4.; -`,. 4*.-f-•....:- :-:'''''''•;,,,,'" .,-,1 I' -4".- -* H RR �, "..'.34. r a re ti Ewa " ' "_ 1 { ;. _ if • r -0-4.,... :-,--•:,.t.,,rr''''-`11'..--- ' - 4� r i'l' g 11,-. ,. • ,3/4,,, :;,:-.„,--. it.- -,----- -r,,.- • � i' 11 ' s w �s i _,. JD '" o Vt -, F. V I x .< ,, y�W K ^ p -, •d5I iy ' ,. ♦){, e NN °„ y m Engineering Services Associates, Inc. Tuesday, March 18, 2014 Donna Frostholm SEPA Coordinator Jefferson County DCD 821 Sheridan Street Port Townsend, WA 98368 Subject: Response to March 14, 2014 letter regarding CASE # MLA14-00013— SEPA Checklist Revisions for the Big Quilcene River Estuary Restoration — Phase 3 Project and the soil disposal site for the project. Dear Donna, Upon inspection at the proposed soil disposal site we did not find the stream shown ArcIMS HTML —Viewer Map on Parcel No 702231001. I revised the surface water section to read as follows: 3. Water a. Surface Water:j 1) Is there any surface water body on or in the immediate vicinity of the site(including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site.Jefferson County Mapping shows a stream on Parcel No.702231001.A field inspection of the site has shown that the stream does not exist or has been moved farther west on the site.If the intermittent drainage does exist on the west boundary of the site it is over 400 feet from the proposed disposal site and the no drainage from the disposal site can reach the stream due to adverse topography. Concerning the Project Plan Graphic - Your revisions are correct. I am sending you a new graphic of the site with the revisions you made. We will be removing 22,000 Cubic yards of material. Is this a change you can make or do you need us to resubmit the checklist? Yours Truly, XV' /:111174' Pat McCullough, PE President, ESA Inc. Page I 1 - C) tY- i f r N e� (/3, U aC W � ® WaC � W(,) (..). W ® C) �' °� 0 W et cf) et.. t 4. k"</�sor cow JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment o Tel: 360.379.4450 I Fax: 360.379.4451 I Email: dcd( co.jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center March 14, 2014 HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 RE: SITE ADDRESS: MLA#: MLA14-00013 Dear HOOD CANAL SALMON 5FI iANCF�/IEf T e erson oun y Department of Community Development staff has reviewed the application materials for the above project proposal and has determined that the application is substantially complete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, Department of Community Development Staff c: File PAT MCCULLOUGH 210 NE CHEROKEE BEACH RD BELFAIR WA 98528 ,�..soN r--..c. �U JEFFERSON COUNTY --1--, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 I Web:www.co.lefferson.wa.us/communitydevelopment `wsil o Tel: 360.379.4450 I Fax: 360.379.4451 I Email:dcd a(�,co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center March 14, 2014 HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 985282169 RE: SITE ADDRESS: CASE#: MLA14-00013 Dear HOOD CANAL SALMON ENHANCEMENT: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. Based on a review of submitted materials, I have revised the Project Summary Plan (sheet 2 of 5). The revised copy is attached. Please review the attached sheet and let me know if the revisions are correct. Jefferson County mapping indicates that a stream occurs on the disposal site. Submit documentation that complies with Chapter 18.22 of the Jefferson County Code to address the mapped stream. The Environmental Checklist for the restoration site says that 22,000 cubic yards of material will be removed. However, the Environmental Checklist for the disposal site says that 20,000 cubic yards of material will be placed on the property. Please indicate which is correct or clarify where the remaining 2,000 cubic yards will be placed. If you have any questions, I can be contacted by phone at 360-379-4466 or by email at dfrostholm @co.jefferson.wa.us . Please submit the above information to the Department of Community Development by June 12, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3) and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety (90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, 4_4 Departme• o Community Development Staff t ; r/e__ tti, , NJ tc) fig � .`7.i , ,* - :'�"t< ., TM' ,. p> a�—°n c�, o y � ,,,=, w z r L,I,„. „ �' J _.,., ' ^e(� }- .. y d- f k ;.4 „,r41.0,, Y` xC �,"` W W J� .� .+j kty. N Z WlPiy / G (F ��.7t�i a J-xk�= w3 U O gb�r. 1....----0--'6 I yx X" — — I 2555 Q m •7 4 I ,_ i o x�R c .. x �w e�� ty z i ` ``' yW ,p ' o ` , k I "C �! N NI I h p N O 9 L E ' ' 10, 161 241°' L lF W LL J1 > ,, Q , — : - - - - - - N � W ti U � o l a Y .I ,—. • j. 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Np.Nae-T�sh Hanna Porcnnu °� Al r• .n I I _�....W� I 702231028 1, 02231001— --^— - N!•Non fisn Habtla.Se c,e a 1 702231645 _702231016 6 702232007 702231011 ^T 3-invents nod Shoreline m 702232008 702232012 I 702231022__- 101 r` I �l c, I 1_ -- ' 702231025 p 1 702231026--1 a `: ti 1 ����� 702231024 7031027 1 --� 11 ii 70=32021 702231018 702'231023 i 702231026--' - ! 1- r -� j ' I f__ 702231020 702242006 7022 I2t: =' 1 /02231007 702232021.1 __� 1 702231021 702231019 702232004 `.''_ I err 702232022 702231012 ( ! ` •. .,,, 7 ('( • 1 702231006 — -- i `Glen Logic Rd 702232005, .r' 702231020 .. i , 702231019 702231007 ' --- �- 7022330 4 102233003 702233001 7022340�?2 r 2r,1::r?'i 702234003 702243001- 70064 00 Vas arn.00d:n-. 5 _o.rrj 0n•my Sere GO 7 62811 \ `02243062 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Mar 14 15:40:47 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/14/2014 Memo Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, Washington 98368 (360) 379-4450 FAX (360) 379-4451 TO r- VI FROM /f r 1„, (7, , //- / L DATE ') I — COMMENTS ICC,'1 it/4/4/ Kfrop - ) J .-? v7,-) ::-'/• / /Jr( • /l 11111: \iv / .••-, [, I lr , i 1:2/ Li? it.1/2 '4 ) ( t /(k."' ;4.50 / N. ) 'f• (7 , r 1 1 / 14 / if 1 ; / /i . (4, Map Output Page 1 of 1 ArcIMS HTML Viewer Map *\, ?,L.,.1 WI; Legend Selected Features JC_Roads ■ ::3.201301 I i 991202101991202101.--1— 991202142 Parcels-H ?31201303 991201302 991201302 991202001 I ;99120"2105' County Zoning 991242001 991202105 991202105 ( MPR SF Traces F!.2 rrunl AV ---..n..,.,,, +_ j 1` R oral Roswant w11:5 jwv 991201902 991201903 991202201 t 99242e^' Rural Resgentu11:f0 991201901 991201902 ^ i RuraiReseemu 1.20 991201401: 991201402 991201402 901201901 1 1 MPRBmgn Family i I ■ 1 I 1 mi MPR-Muttelamcy } — 991241407 991202201 .. 991201403 I i t[�+ } MPR Resort Come,o ._,_ 991201903 i Parts and Recreaton. 991201403 991201403 1 I MPR-Open Space m._ '-�-- _..�.__._ _...- __ -a �-- --i- . .._ 1 . '..° 991201903 1 ... Rural Forest 99/201702 IN Commercial Forest 1 �— 7991201702;.. :.' �" doholdmg Forest I 991201506 f—'----- -- Heavy Industrial 991201504 991201505 j i 1 I Airport ti,F {w * 991202341 991202301 ■ MPR VtapcCente 991207702 _9'2015to 991201503 991201507 i I : AP 1:20 ( C I I . Rural Vrttage Center +{r MI mo Re roc Based Ind, J L1ghr Indo-stria I r - ff MPR Recreation ?31201601 Waste Mgmt LPF t'M — L 991201602 99120170' 991202401 991202441 ,...c C rossroads.GC - - . ._.._.._ _. _ m,,,,,. la Crossroads-CC ._._... _._____._.._...___......_.___...`._ _�^-____ .. ■ Crossroads NC Ili ■ Al 1:20 702244005 :: - 70110300' N' UGA a roan Cammercui ...... .... UGA-Urban Log 111 lnduslna: '.1.1x.:VC,de77...e.e^Sm Cam Ccea Servos:GIS 0 ■ ,..c..-... UGA-MDR UGA ti DR UGA-Puetoc UGA LDR EiUGA.Visitor Oriental Commore:a. MPR SRN Brmnon C F-&0'M RL0 Commercial Forest Mineral Resource Overlay FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained her in and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the me d and accuracy of its collection. Thu Mar 13 17:10:56 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 991201301.1 1 i 1 49126210199?202 _; 4_2 2 • 991201303 991201 991201302 991202001 1 t 1? 991202001 99`202' is .. L 4912022106 Fremont Av 991201902 991201903 I 94 2c2L:: ii 1 i 991261961 991201902 Mr, 991201401 991201402 991201402 941201901 I I11 -___—_____ ' 991201903 9912022_' Legend 991201403 J i Selected Features 941201903 i 99126'403 991201403 JC_Roads 991201903 Parcels-H N10,444, Shoreline Designation-Arc 991201702 E C en sar vney,'Su bu rban { 9912(11806 • 762 _ .J Canrvancy.'Natura; 1 991201504 991201505 i I` m urban 991201503 f I 1 r'-1Jy i ,V SumurWn 991201702 991202301 991 2°-�' f 99 ,.,::, 991201508 991201507 i } Natural + !- 1 Natu rat'Su Durban 1 . r- 1 ff 991201601 1 1 11 Other Shoreline Designation- -i 991201602 991201701 991262411' -20211C, Poly ■ Natural - Conservancy Other I 1Nl 702244005 n.,,y!;. Mom proeded try Jdersa't CarryCerecri Sricer GtS ., asWi FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:05:48 2014 1 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 99120301, . .. .. ,4120,,,, i 99'202'C2 991201303 991201302 991201302 991202001 / I 90202001 I 991202106 Q,...2u.;:■5 . . .99120210 /• Fremont Av / 99120190 i ".49'2.Z902 I 9912022,Z _ 11 , 1 1 7 9020190 991201902 991201401 991201402 991201402 99201901 1 1 I 991201903 991202.201' :.:....„:„22,:.• IIIII Z '--. 01201903 I 991201•#K ----... 991201403 I — , ---. •.....,,,. --1 _... L._. ------ Legend 99120%03 . Selected Features -- 991201702 / JC_IReads if ( 1--1 —"I...11%491201702 ,.--- F Parcels-H 991201506 I 441201544 991201506 DNR FP Stream 221503 1 Classification t 941201702 9912023C' 114.16e ,A,1 F-Fmntizenai S9 1201510 991201508 991201501 i . 1 f N No fish Handal 40s/ NI).Nominal flaOnai Porennoi Na-Non I 1st Ilabrtai.Soasonat 1 fre s invantorod Shoreline 1 i t 991201601 1 1 -1----' 991201602 9912C,7C' 991202403 ,„ ...----1 ---- 1 702244005 +C"..-K102, 1-------------- -------- - . FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 _17:06:00 2014 http://gisserver/servlet/com.esriesrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 � Map Output Page 1 of 1 ArcIMS HTML Viewer Map U w �umx, smus'v'aw���� ,s.a2e.C4 �umm�/ �um�a �o»�� u,�zs� ' �u,a�� `eumm, *�z�'c, . ■ 901201901 991201902 r 991201401 991201402 991201402991201901 1 :, . 991201403 -- ~.~~ ~ -�� ^----^--- -�- Legend — —' Selected Features 99120'+02 Jc_Ft=ds 1ioiof|/ mm ?o owaStreams ~'~=~ | r- � ! ��^r . p» | ' ~v1� — **0 *~5 901201510 �um�� =""= ^/ Ty J --�---/ �-___l 1 w�' —T'—' ,'=` 941201801 | i /Al m~= 99oos02 991201701 99120240 ■ A _ ' i . /02244005 '�s* *=~~*^,^+�,c=�c"��*,",ux c ` .�� FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:06:11 2014 6ttp://viaoervec/Serv}et/c0Oz.csri.csriouap. YServioeName=ovzuap&Clieutl7eroiou=4.... 3/I3/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• 9931201301 9912°2'-'i9120210/y. :?•2_.2,_,2. I 991201302 991209302 9912013031 991202081 I 991202`:5 .erit 991X}2001 991202185 f Fremont Av .••.— I C °- l!' 991201902 991201903 991202201 991201901 991201902 rSI 991201401 991201402 991201402 99/20,90i ; 991201903 L91 >' �1 lIQCC 1 L mai f 1241403 `--- 991201903 �- +--3 991201903 - Legend'99120t403 1 0 Selected Features 991271702 JC_Roads 991201506 „ 9912(117(12 81201506 981241702 Parcels-H 951201304 981201505 391201543 DNR Water Bodies F _ ' 991201702 991202301 99120230'/.-F N III , 04 N40,510 991201508 991201507 L__L - L ,0151 7/ 3,... No Drip r,mIon 991201601 1 991201602 991201701 99120240 'v-S'1o'y 782244085 r OMEN I ‘14JS:rd.ckNi J __'9`":'9'1'.-o.rm ,r.,.%":CCs GIS C .... I FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:06:34 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map x20`30' i `J:1t72'<G'.3RJ`•2&}Ltti' "±=:•1(y2•r:l 991201303! 991201302 991201302 99 2 2 i 991202001 1 991202'::5 Y t-2',.:5 991202105 / - , 1 �J / t I?. Frengnt AV ^--— _, I 991201902 99120190'' 9912:i2:i" 2 12_v . I i 991201901 9 0/1201902 r. 991201401 991201402 991201402 991201901 I �'t "'-.99120,y03 99.2,-22C�: • ,/ 991201403 j ; 2t-2c:' i - 941204903 991201403 991201403 -.' iY 1.... 991201903 Legend .■��� .'. JC_Roads 1 , 9912111702 Patrcds�l Features I I x.991201702 r 991201504 991201505 1201506 991201503 1 i ��} A/ LFA iiih _ �- 1W+8 991201702 991202304 991202301 „go 991201510 991201506 991201507 , i ■ 991201601 i I i --' 9 91201602 991201701 991202401 99'.i024r• 1 Ili 7072244005 z Olga:ru+ckd a:_,^cr,r,Co.■IN Cc-ca Se-vccr. M _ ■W•yij ... FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:06:48 2014 1 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 20'301 99121Y2''°.99`,202' .,"202"C.2 1 11 991201303 `993201302 99120'1302 991202007 997202': 991202007 2' , , 991202405 Fremont Av •--- / t I?. 997207902 987207903 I 9912 997247907 991207902 4 •d*:d'2 Rig 991201402 iJf 997207987 -' '.__..5.-_ .991201903 +99'2{7220" 991201403 ���. 14, 33'20' '. -,99120 403 991201903 Legend r,,,., .. C Selected Features ,�..:.. ^20.1702 JC-Raads 9ti3'20`702 -- t'` 9`20°606 - r Parcels-H `6 � T i Spatted Owls I 1 ++4 f' yCO 99'20'702 991202301 99120230j_ ..- 992005 S. 99'20'6...)! I / 9 '20'602 ; 99.20'70, .era^20241,• M 102244006 ]4"i Ti; '931..0' Maa_:Inc:deal _c.'vr tu',Cwt:Cc.ca Se,cc:GIS 0®_etii FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 I 17:07:12 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 4■..4`j. Ye' Fremont Av i Ye Legend e.,••:.*".,3 Selected Features ce:r +C, ..C_Rcads Parcels-H SAa, bC.4, Heritage Points ltr Ve' 0.5 cfrxi 0111111=11111=11101 i-40114i FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:07:23 2014 • 6'7/9 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ere .•t-._'• t:_,t o� :b_' Fremont Av t I end ?..e.4.-" ig Le" Features '4'9".20' SC Roads n 1,' Parcels-H 4 Priority Habitats and Species A Wz cry,Lt ! t t...... I 1 it z_Itd'1Cv FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:07:31 2014 cam:{ ] n , ,.),.)0iit jy 0-9/66/ 4?)/ http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• 1 2.,.!,, a 99i2ot303 99<201302 '991201302 tivit 2131001. ` c''[ >5 cam 9n=[ z ,y MillIlIlli. , 1, il. FremantAv °I — [ _[. i+ ,e,:'`. .1 �� Vi 102213' _ =[ r [ 1.' 4' 1Cr�_'_''i {i'2r122iY l ..� a -� ... . I/ 99120' ^3;: '= Selected Features JC Roads 99`.20?702• Parcels-Fr 99.204506 _—_-- 94°201504 994201505 Wetlands .•107503: III PI 40068 �y 9912023C'.. Mai z[_•5.0 991204506 kit.,-,....-.., 1 1 991204604 I '' 991201602 CHM 9911021! J12244005 .44:1,a e.-dej H..42.,I-or r,Ce ea Sc-: GCS WM FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:07:40 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map f 4 '',1201302 "1201302 991202001} 1 991202001 . i- I' \'‘, 1 :.•..,:;, Legend Selected Features .DC Roads _ Parcels-H 0,-,•'.Y.:.* ■ c t •120150S Seismic Hazard •1201 s• 120290 1202301 r Alit r 17 Yl Aki FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:08:25 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• 99"20130 ".1202' ,91202101 941202'0: . , ,� 5920 303 ••120130 99420X'0 , t FtLkf� Fremont Av ,° t202'C5 99'20'902: 99/20190. ' 120220`.. MEM 991201,10k11rtS 4 t�t 1 LNIVM. itti-iptt*N4 Mira' Ifflti Maga• t •120190 fi ",20*40 Legend MITILTM Selected Features •120470, JC Roads r 1f'i+ rl�t:.. 551201 <.. Parcels-H =% X3'2?' NS FEh4A FIRMS ?'20''.r 3' nGe 991 +1702' 991:iri° th 99-201510 99 204504 991201hk. JOYJ MIS MEM mw,g, %022.74{{35 Ot 193/X3' 7011- t+1 FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:08:47 2014 ry r rvlet/com.esri.esrima .Esrima ?ServiceName=ovma &ClientVersion=4.... 3/13/2014 http://gisse e /se p p p Map Output Page 1 of 1 ArcIMS HTML Viewer Map mam.a, | / »«'��'�' ``�s!v' | | | \ � U 991201302 90120130i e�umo 991201303 �991202001 / e,� ms'��� 091202105 ' • [- , 0 __ 99'2.:22,Y ____ _991201901 991201902 | IX � / | `___ L_ _ - ___ 94120003 Z----""/ i ----- L.__- Legend ! � �,~~~ ---- Selected Features ~�� -- Jo_n""u / i -~ _~_� r Parcels-H 99,201544 901201505 m / ~_ Critical m Aquifer �e 9�zrVa | ,. Areas / 991201 ° 991202301 �uy�m ' �xmmo ' 1 1 ^"*`^uww ?iy20._510 991201508 ( I I ux�,,�^ | I �SC omPA i | D SAxPA`u^m FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 i 17:09:872U14 \ 6ftp://niaServcr/servlet/c0no.osri.eS ' .E ?ServiCeNamc=ovmap&Clieotl/eroinu=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map , ,., Legend \ . Selected Features JC_Roads Parcels-H Channel Migration Zone 1' { \ Hazards P• 5 oP 1 1 t_'__ _•'[_' - ... I Disconnected CM2 I 'lyh Rrsk 9 9 U I I \f adcracry High Risk I\ n Maccrartc Risk • ...413 :13,..1 y:r..&i•.:.ji 01r..re.L..x'cs_.,':AS x. FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:10:21 2014 I , UM 1(jt..+, http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 I Map Output Page 1 of 1 ArcIMS HTML Viewer Map 991201301 J / 49xuom, ` 991201303 991/42c....' --'' / ' 99t202001� ' I =""2^= ■ % r�"�ma° �--____� | � ' � � � ^ .�_ [ - — —'- 991201901 991201902 ^ . 991201401 �om*mz 991201402 991201901 | | ' �� | | ' ` / I � ' ---^^__- �umxmm wmu�,� � l'~ 1 ^� / | ^`` 991201403 / � '—/ —~�_ ' `+} ---`— Legend �� ^` 991201103 Selected Features �_ � -~� ---' �c_m=o° / I , ~-~^-- Parcels-H / L � - -- 991201505 �� �� Contours 991201503 1! —p, ~ . m�°uo°~ , ,- // 50 Foot Contour 99120isio 991201508 991201507 ,--"- I I'_I 0 _______L / if ___--- _---_-____ ^^~ ^-_- -_ �_. __---�' i _ _-_+��_- ```mzm�sa ---- �` x^.,~**"'�,°c=�c���."~u* ` ``�` .''�`� FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 '17:05:31 2014 httn: esri.e . ' S —. 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ,i - „ ' s 1 I , �,. '1 t II DM8 I m • • 'W Co uma s St ,_ • F .4.,. . _—• East Quikene R i- f t- 1- �f` r . rN i +d'IT',T.-4..t blue 'c k Ulfillar, 1 .i — Legend ``�y� w 4rUi dEl1Z i Selected Features ..--.'^• I r£t . �:i Township Lines C yt7 Ab x Y r ._, t - c - i _ ,C- Road s Parcels-H r+ .14 1-,r., I `36} USGS Tapes T f • r,1PerowNCo:,sc1 • 1 Arm.. • ii . t , If- C•rt 9 I. '.,+, ;1.40 na Str.p . is I ' FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 17:11:31 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• 991201301 y3'!Y -'`A1202101 �•'1201342, 991201303 991201302 20:242401 ' 991202105, VIM 991202105' Fremont Av, ��,,t�� 1 9 ; •1201903_ t'.71,or;t 4x 991202201 ..1201901 901201902 CM ` r7 991201402 x'1201402 991201901 IS ta• , w4 991202241: 991242201" E! `� 991201903' 94^201403 •1201403; Legend 1241•+K1 Selected Features 991201702 .C Roads ..1201 Parcels-H • 4991201504 ``( 2011 Aerial Photos -*:1201503 woe 99520/510 991201508 991201501 x 99120160£ 991201602 .t 991202401 49120240' r 701193001- FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 16:07:26 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ' 991201;0" 1 ■ I , 1 ri- 1 ' 7201302 | i � i |' } / | 991202105 r�" ! ' Fremont v—_ _� ' ` / / ' | � /~ __ / uv',..z' : vma,es I d / | | [ / | 991201401 991201402 991201402 991201901 1 1 \ i 4 1 li 1 1 .1 1 ; N ii | | _ - ~�_,�_~ 0 � Legend u ` ----- lected Features I 991201702 ------ �/ uu° 1 ' | | | 199112.11505 "/ Ju-ammmm 1 ' 991201504 991201505 II 1----i p*malm4i 99120991201508 991201507^"|"�' 1 | | ii / ' —�--~- � | / . 1 1 991201601 I' | | I owoom� ����°�' w���o � � | L1024~ / | / JY n � � � 702244005 m^szc u=,~^*,"*,�.^=�c==�.".uu o. ` s'vs�' FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 , 17:05:082014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 �N\ Na � ti i� 1 a e8 � � (\I a � � 82 3 I w C o z V) I 3N301If10 JO 1Vld ALIV1N3N131ddllS N al ,ZCOZSZ (Mt - NLZ - 6L b/LMN) cc \vim �[d Errol 6:4M M v O as MALE da f6-2 l-0 L 3Y//a '3AV N3NOVO o 111113111E111 1 EM0 cn -----\ MIEN ° - N®e Qom / MIN NO - S'ZOb �° ,m , ! •11111•111 /30111111111 o� ®Na « a MIME - a ��° n °R MEW. O© - R Z a _ £5-8L-OL OVn/S '�' - 3AV 311VM 0 — I— ° � — — — e - 0® ® A mom i___� §I .1,.., .. - oB i CBE 100 4. g.7.. ..M° °' ,SYf < n ,(7\, W iL ® lia7= 1 �� fl-s�P1 — _ r =101 IM < aW 40 11 < 0 d0 .sesr n - 8 MEMO ©KMM N 2 =INN o0 ,BLb F - . , Z �NCwa ° F[_ _ '3AV `JNINNf10 z L XI N SL Xl ;V _�T� n nr m° n' SOOLIZLOL .a I ° - ^Mi® 3 B N .alb I ° T\OM• 111:111_�_ N \ ° Q Q a B J n a■a w - a n - ©a a <1. S`,,g,rc — 0� 0K - R :d8' '3AV 3l0?JVoW ^F�� — 'c2 2130NO1 83ONIl °iz ^ Zf*1 �a n ° _ � ° _ � _ v� n ° � nOn Q� f n 0 • (.: °oB Z - /dam . o � -8� -• <O O � N U O '' i - R - _2.-- a� • _\ — " . .-° O '3AV NO±TWV H Lo ce ,a =Z °m r W ‹ �' o P®n !T.! I o/ g ( ° °-a o Fi Q ` " v7 c L ° U n ° > n v' a. ° ° Lot 'YS 'IC SHi0008 (MZ - NLZ -9Z*/VAN) •UT"' — 88 F w u i < „f boa 5 00 — g`w �5 z a wm 0J0 880 °, wU °eo Z 0 6W J — 1 0 II '8 K Z U W LL i N F a Q - 'Id o g° O W ?F a F-, s- < r Z Q m 0 — x. =8 8 U Q LL g 620 < }x m§u u 6 ° — 0 ii 5 WA; 8 g a ,1 ! ,! i K d ° F X o'g a a 3 i u L Page 1 of 1 *1: 6f2312C7C6 10:00 Aryl • • , W r . ._ ".- om _ F " i ■ 1 ( ` • https://fortress.wa.gov/ecy/shorephotos/yr2006/Jefferson/060623_00150.jpg 3/14/2014 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 991201003 Printed: March 13, 2014 Cases Name Review Status Planner Type BLD13-00239 HOOD CANAL SALMON ENHAN A Application Received: 8/5/2013 Permit Issued/Case closed: 1/21/2014 Case Finaled: DEMO OF 5 RESIDENTIAL STRUCTURES 1.) Approval by the Health Department for this demolition permit is based on the owners signed acknowledgement that they will be decommissioning the existing septic system prior to final of this building permit. A record was located for the system on 991201003 under SEP77-00106. No records could be located for the other 4 systems and no evaluation has been completed. This approval for demolishing the residences does not ensure future building approval. Any future onsite sewage system shall meet code in effect at the time of application. 2.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems. Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. 3.) Wells shall be decommissioned in compliance with state code. An application for inspection of each of the decommissionings shall be made to Jefferson County Public Health a minimum of 3 working days prior to beginning the work. Decommissioning shall be completed by a licensed driller. 4.) All septic systems shall be abandoned/decommissioned by a Certified Jefferson County Installer. A$67 Technical Assistance fee is required for each of the 4 septic systems to be abandoned/decommissioned. A'Certificate of Tank Abandonment' shall be submitted for each septic system. Residences to be demolished that have a septic system to be decommissioned are on 991201003 -A on site plan, 991201514 - B on site plan, 991201503 -C on site plan, 991201510 - D on site plan, 991201701 or 702 - E on site plan. Notice shall be given to JC Environmental Health two (2)working days prior to system/tank removal for inspection. If the septic tanks or other septic components such as PVC piping and drainfield materials are removed they shall be disposed of in an approved landfill. PRJ14-00010 MLA14-00013 HOOD CANAL SALMON ENHAN P Application Received: 2/7/2014 Permit Issued/Case closed: Case Finaled: BIG QUIL RESTORAf1ON PROJECT w/SEPA No findings, conditions, or permissions found. SDP14-00004 MLA14-00013 HOOD CANAL SALMON ENHAN P Donna Frostholm Application Received: 2/7/2014 Permit Issued/Case closed: Case Finaled: BIG QUIL RESTORATION PROJECT: Shoreline exemption permit for ZON 14-00004 No findings, conditions, or permissions found. ZON14-00004 MLA14-00013 HOOD CANAL SALMON ENHAN P Donna Frostholm Application Received: 2/7/2014 Permit Issued/Case closed: Case Finaled: BIG QUIL RESTORAI ION PROJECT w/SEPA No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 3/13/2014 Page 1 of 1 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 991201003 Printed: March 13, 2014 Cases Name Review Status Planner Type BLD13-00239 HOOD CANAL SALMON ENHAN A Application Received: 8/5/2013 Permit Issued/Case closed: 1/21/2014 Case Finaled: DEMO OF 5 RESIDENTIAL STRUCTURES 1.) Approval by the Health Department for this demolition permit is based on the owners signed acknowledgement that they will be decommissioning the existing septic system prior to final of this building permit. A record was located for the system on 991201003 under SEP77-00106. No records could be located for the other 4 systems and no evaluation has been completed. This approval for demolishing the residences does not ensure future building approval. Any future onsite sewage system shall meet code in effect at the time of application. 2.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems. Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. 3.) Wells shall be decommissioned in compliance with state code. An application for inspection of each of the decommissionings shall be made to Jefferson County Public Health a minimum of 3 working days prior to beginning the work. Decommissioning shall be completed by a licensed driller. 4.) All septic systems shall be abandoned/decommissioned by a Certified Jefferson County Installer. A$67 Technical Assistance fee is required for each of the 4 septic systems to be abandoned/decommissioned. A'Certificate of Tank Abandonment' shall be submitted for each septic system. Residences to be demolished that have a septic system to be decommissioned are on 991201003 -A on site plan, 991201514 - B on site plan, 991201503- C on site plan, 991201510- Don site plan, 991201701 or 702 - Eon site plan. Notice shall be given to JC Environmental Health two (2)working days prior to system/tank removal for inspection. If the septic tanks or other septic components such as PVC piping and drainfield materials are removed they shall be disposed of in an approved landfill. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 3/13/2014 Page 1 of 1 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000991201701 Geo Cd 270224110321 QUILCENE Nbhd Cd 2557 BLK 17 LOTS 1 THRU 20 Loc ID * Taxpayer Cd HOOD 1225 HOOD CANAL SALMON ENHANCEMENT T/P Chg Dt 1/04/2013 * Title Owner T/P Chg Usr JA Tax Code 0320 Status TX TAXABLE Land Use 9100 VACANT LAND Affidavit 118555 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer HOOD1225 HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 98528-2169 Search Key CMD 6: End Window CMD 7: End of Job i Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000991201702 Geo Cd 270224110321 QUILCENE Nbhd Cd 2557 BLK 18 LOTS 1 THRU 20 W/PTN S/VAC CHATTANOOGA AVE ADJ (RES#90-93) Loc ID * Taxpayer Cd HOOD 1225 HOOD CANAL SALMON ENHANCEMENT T/P Chg Dt 1/04/2013 * Title Owner T/P Chg Usr JA Tax Code 0320 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 118555 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer HOOD1225 HOOD CANAL SALMON ENHANCEMENT PO BOX 2169 BELFAIR WA 98528-2169 Search Key CMD 6: End Window CMD 7: End of Job - el*h/gr #19 gOS*".4"1.°*14.-1 °N* e 06, JEFFERSON COUNTY _ DEPARTMENT OF COMMUNITY DEVELOPMENT �` L�� �j k 1 "� `4 621 Sheridan Street • Port Townsend •Washington 98368 ' L/ f j�� 360/379-4450 • 360/379-4451 Fax I I ) p� www.co.jefferson.wa.us/commdevelopment j ( ,{, I �S$INa� L i i 1 Master Permit Application ML : inik.,sci,:worm `Project Description.Linclude separate sheets as necessary): / l' _fin' "!�"i ry f)F'dE1ppf.N? �i.' * l_1/ - v- 74r/fa / f'7)-.^a,Y-Li •- / 'ee 3 Tax Parcel Number: /i A O -- 01 Property Size: 7, q,4- ',2w-5 (acres/square feet) Site Address and/or Directions to Property:f()) - /J a }/�-' QLu/Ce/2 e, L� _ /e r/i `e./ . /✓-,.. AK.0 / e t - - e / /, V Property Owner(s)of Record:_, or/ a ila ) f cr/071 �!i/hail c11/'(- 'co u p Telephone: 3ta? 2775.-13 S-75 F,,rf max: email: • Mailing Address: An.. Ott, x_ 2/64, s. Pj-f 1 I/- ,6 9' 5 ZA Applicant/Agent(if different from owner): 1e, /1 c' / d /,6 Telephone: 5 -2 75— '7V'4 Fax: Y66-`'277— 3/8 7 email:PA /146 eva veca b Mailing Address: 2/D NE ___,,,LLe c_ a /Z4Q _ > - /I, • What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation P{Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular // - ,-❑ Discretionary"D"or Unnamed Use Classification ci,Commercial* es-/r ta,'/ Oesle-�'a i o'-f❑Special Use(Essential Public Facilities)** • Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach_ ❑ Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** . • ❑ Sign - ❑ Planned Rurai Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application conference ❑Tree Vegetation Request e3l--,64"' y^a f7/77/f/01/e--e-/ **Requires a Pre-Application Conference Please id rtify any other local, state or l6deral permits required for this proposal, if known: eVE - 40/ 7 J4 mod¢;fir A- LD c a/-� J'2e/ j es - S6/='fI- �� DESIGNATION OF AGENT I hereby designate !'-CGZ��; 31 c ge.i//, /1 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1Jk /tj4j _tj 1. Date: (1 It i 11 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments, is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the ti; ut of 1re: k. - 0L�' Date: t Z( 11 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or langered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the 'angered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your eve if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual n er b respon ib!ilityy f adh ring to ar//l collyin/9 with the ESA. The Applicant has read this disclai er an s'gnsand dates it below. .re: t aiv' `�—•C..0 �- Date: (� 2, �1 4v--r ti * 1 tti' 04. 44.4,,, IN t .-44,44411sA 0,4 - 1'41 BUILDER STATEMENT' The signer,.f this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will b=3:ss ming the esponsibilit of the neral Contractor for the proposed pr ject. 1 t —. Signature:i 44 t. .� : O� Date: —.I 2 t 1.i ( \ i�__, r7:> r ri `\ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: , ■; I CONTRACTOR'S LICENSE WAINS U _; NUMBER: NUMBER / Jr I::S'"J`;Ou TY ARCHITECT/ENGINEER: PHONE ( L)... r 1 1 I,' _Lltlie:._ MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: reline: Type of Sewage Disposal: ❑ New 0 Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: nk ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: eight: 0 Individual System ❑ Repair ❑ Masonry _o SEP Permit# El Demolition Demolition 0 Other: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total Name of System: • If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Propose.. Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) CuWent Proposed • IBC Occupancy: IBC Type of uc on: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Ins II ion pe, i ark all items below that apply: 1 Underground Tank 1 Above ground Tank t;�j of Propane Tank: 1 Heat Stove I Cook Stove i Woodsto a Fire ac- n ri' I Hot Water Tank i Pellet Stove I Other _ Is this appliance being installed in a Ma fac ured/ obi Home? Yes / No When applying for a permit to install a pr an tan you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances fro the p opa a tank to all property lines,buildings and septic system components, including the reserve area. %. �� Square Footage Current Proposed Forl9tffice se Only Amount Revision Main Floor Heated " EH Bld App Review: I 2`d Floor Heated Consistency Review: Other Heated - Base fee: Mezzanine - Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ '7 t Receipt Number: /.L,� Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of al/lab(rand materials foundation to finish 4If�5C) DCa Initials: • '.7;1-P(/11-- ->/ ... .--s-7We4.#4- 77O Ai__ __. _ _ i1 y - Fr , icy/ I-- ,,- g ° -&o NCO COUNTY JEFFERSON U -Xi k , JAN Z �' i l 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 2014 iI �;s w I1i I j ' � 621 Sheridan Street • Port Townsend • Washington 98368 JEFFERSON COUNTY �j(S,, �O 360/379-4450 • 360/379-4451 Fax DEPT.OF COMMUNITY DEVELOPMENT LINO http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: i Cal'lkc l 4 Pct,iv a,t use E DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as "small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel 5 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 3¢.7¢ u'O sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple,and vine maple; shrubs such as willow,elderberry,salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 9/<acres or more of Construction site for structures 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. 0 sq/ft Circle: Yes IIIP Well,utilities,etc. o sq/ft Does the project convert 2'/2 acres or more of native vegetation to pasture? Driveway, parking,roads, etc. 0 sq/ft Circle: Yes Lawn, landscaping, etc. 67 sq/ft Other compacted surface,etc. 0 sq/ft Indicate Total Volumes of Proposed: Eta/' lteo,4 ai' a ' /74 a r Total Land Disturbance /74 2¢6 9-P-- ni Cut 149/00 C/ Fill -0 (cu/yd) [over] • stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 1 I ILCE = Vfrfrm Impervious surface is a hard surface that either prevents or retards the entry of water into the soil rti rr fa as -r-rtatural conditi90 prior to development. A hard surface area which causes water to run off the surface in greater quarvti k 4r at an increased rate of fljb from the flow present under natural conditions prior to development. Common impervious surfaces rhlc Ue, but are not limited to rs f tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel to es, packed earthen materi:1 and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. U EEr °C^Pi C°Ui;11` STORMWATER CALULATIONS–IMPERVIOUS SURFACE F'T ��CO"1l111i,�'!TY CF1'Fi C(4ENT NEW EXISTING, Structures(all roof area) 0 sq/ft Structures(all roof area) , 0 sq/ft Sidewalks /✓ sq/ft Sidewalks 0 sq/ft Patios C sq/ft Patios 0 sq/ft Solid Decks 0 sq/ft Solid Decks 6, sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc O sq/ft Driveway, parking, roads, etc © sq/ft Other 442a . I'2,4, z-efd sq/ft Other Zoe' ) -e -/C 144*Tim Total New sq/ft Total Existing 3 / 0 sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOP ENT v.REDEVELOPMENT Divide the total existing impervious surfac aab the size of the parcel and convert to a percentage: Does the site have 35%or more of existirfq impervious surface? Circle: Yes o FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify at this application is being made with the full knowledge and consent of all owners of th ected propert . (LANDOWNER OR AUTHORIZED REPRESENTA/ E SIGNATURE) (DATE) FOR;OFFICE USE ONLY SMALL . MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater catc worksheet Rev 9-9-2010—REV 9/9/2010 2 BIG QUILCENE RIVER ESTUARY RESTORATION PROJE" --PHASE 3; 7 JEFFERSON CO. ENVIROMENTAL CHECKLI 'U JAN ;' 3 2014 January 18, 2014 _ I JEFFERSON COUNTY A. BACKGROUND DEPT.OF COMMUNITY DEVELOPMENT 1. Name of proposed project, if applicable: Big Quilcene River Estuary Restoration — Phase 3 2. Name of applicant: Hood Canal Salmon Enhancement Group 3. Address and phone number of applicant and contact person: Mendy Harlow, PO Box 2169, Belfair, WA 98528 4. Date checklist prepared: 1-18-14 5. Agency requesting checklist: Jefferson Co. DCD 6. Proposed timing or schedule (including phasing, if applicable): Start Construction June 1, 2014, complete September 15, 2014 7. Do you have any plans for future expansion, or further activity related to or connected with this proposal: If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Copies Enclosed — JARPA, The 90% design drawings for the project, the Archeological Report, the Wetland Delineation, and the Hazardous Waste Report. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Yes — We have prepared and submitted a SEPA application for the site where the waste excavation from estuary restoration project is going to be disposed. The soil disposal site will be the Pederson Industrial site located in Quilcene, WA. 10. List any government approvals or permits that will be needed for your proposal, if known. We will need an HPA, Federal Endangered Species Review — By the USFW— including the Limit 8 form for the programmatic NEPA and biological assessment, Corp of Engineers 404 permit, WSDOE 401 permit, a WSDOE NPDES permit, the Federal Section 7 nexus — by the USFW, and SHPO approval. Locally we will need a building permit and shoreline n exemption for the project. ! is 11. Give a brief, complete description of your proposal, including the proposed uses and the size ' of the project and site. There are several questions later in this checklist that ask you to , describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) This SEPA checklist is for the removal of 22,000 cubic yards of fill to restore a historic estuary, the construction of distributary channels in the estuary, and the placement of log structures in the estuary for fish habitat. The excavated soils will be hauled to the Pederson Industrial Site in Quilcene for Disposal. (See a separate SEPA Checklist for the soil disposal area). Several building demolitions and a cleanup of the site were completed in January and February of 2014 under a separate Jefferson County Building permit. See attached 90% Design Plan Set for the Big Quilcene Estuary BIG QUILCENE RIVER ESTUARY RESTORATION - PHASE 3: PROPOSED ACTIONS ADDRESS PARCEL NO. PROPOSED ACTION Excavate 22,000 Eubic yar , rom tt E Big Quilcene River Estuary:-Reps___i4i:O_O feet SE%,SEC 24,TWN 27 N, 991201702 R2W of tidal channels. Construct large woody debris fish habitat i 111 f iL Restoration — Phase 3 Project. JEI-IIRSON COUNTY Di PT 0=CC^I'llr'lly nr-177 12. What is the location of the proposal? Give sufficient information for a person to understa nd the precise location of your proposed project including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. See attached Vicinity Map. 1/4 Section Section Township Range NE 24 27N R2W 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) Take Hwy 101 from Olympia to Quilcene, WA Turn right on Linger Longer Road Turn left on Muncpl°ie Ave. Drive to the end of Munc lie Ave. walk around the gate and, across the Bonneville Power easement to the restoration site. B. ENVIRONMENTAL ELEMENTS: 1. EARTH: a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other Hill topography. See attached 90% Design Plan Set. b. What is the steepest slope on the site (approximate percent slope)? See topographic map in the accompanying 90% Design plan set. The site is flat except for the edges of the fill the slope down to the existing surrounding wetland. Mason County Environmental Checklist Page 2 c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The Archeological Report includes soil logs and analysis. The sit e ' •,_ -�z• i[�t � --� h rock fill to gravel to plain earth fill. 1` Ce •'• - �: : _. +�ot1's material that varies from shot g p f are ::: and marsh muds and peat. f d. Are indications or history f unstable soils in the immedi 1 i ' inity: If so, Y Y i describe. No. JEFFERSON COUNTY DEPT OF COMh ^!i?Y DEVELOPMENT e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. Approximately 22,000 cubic yards for soil will be removed from the site and hauled to the Pederson Industrial Site in Quilcene. See attached grading plan. f. Could erosion occur as a result of clearing, construction, or use: If so, generally describe. None g. About what percent of the site will be covered with impervious surfaces after project constructions (for example, asphalt or buildings)? None. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Silt fence will be installed around the perimeter of the excavation. The excavation site will be contained and by leaving a perimeter berm. The drainage to the excavation area will be filtered through pea gravel berms, silt fence, and straw bales. 2. AIR: a. What types of emissions to the air would result from the proposal (i.e. dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities, if known. None — other then the exhaust form the construction equipment. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No. c. Proposed measures to reduce or control emissions or other impacts to air, if any: None 3 WATER: a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. The site is surrounded by tidal marsh, fresh water wetlands, and forested wetlands. See Wetland Report. 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. Yes. Mason County Environmental Checklist Page 3 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. No fill will be placed in the surrounding wetlands. The restoration of the historic estuarine habitat requires that the edges of the filled area be blended into existing tidal channels that surround the site. Approximately 26,500 SF of forested — fresh water wetland will be disturbed on the west side of the fill removal to transition the restored estuary into the exti _ 7 estuarine habitat. Approximately 14,500 sf of estuarine wetj id h b1itat..wlitbe-'� I disturbed on the south boundary of the excavation to transition the restored i estuary into the existing tidal channels. 4) Will the proposal require surface water withdrawals or diversions'?- description, purpose, and approximate quantities if known. No DEPT of COMMUNITY DEVELOPMENT 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes — Site is in the Big Quilcene River floodplain. It is protected by a levee from flooding. The levee was overtopped in the 1993 flood. See attached Vicinity Map and Plan Set. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No. b. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities, if known. No. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example; domestic sewage, industrial, containing the following chemicals..., agricultural, etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. None. c. Water runoff (including storm water): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this flow into other waters? If so, describe. None 2) Could waste materials enter ground or surface waters: If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Silt Fence, Pea Gravel filtering berms, and hay bales. . 4. PLANTS: See Wetland Report a. Check or circle types of vegetation found on the site: Mason County Environmental Checklist Page 4 X deciduous tree: alder, maple, aspen, other __ evergreen tree: fir, cedar, pine, other i �E C a rH shrubs hJ f— `._'°—.-----` X grass pasture 4 crop or grain --_.._�� X wet soil plants: cattail, buttercup, bullrush, skunk cabbage, Qtheti s'v`F oPMENr water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? When the fill is removed the grasses, trees, invasive plants, and site debris will be removed with it. The site was a log storage yard so the vegetation and debris in the site in quite varied. c. List threatened or endangered species known to be on or near the site. Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head B ewaiirr Trout d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Native estuarine plants will repopulate the site by natural recruitment. No planting in the estuary is planned or needed. It will take approximately two years for estuarine vegetation to populate the site. 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: Birds: hawk, heron, eagle, songbirds, other Mammals: deer, bear, elk, beaver, other Fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. Marbled 114.4.1.-- 4u rr l c. Is the site part of a migration route? If so, explain. Not sure — but likely d. Proposed measures to preserve or enhance wildlife, if any: Enhancing wildlife is the reason for restoring the estuary. 6. ENERGY AND NATURAL RESOURCES: a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. None Mason County Environmental Checklist Page 5 b. Would your project affect the potential use of solar energy.by adjacent properties: If so, generally describe. No r ° C [E c. What kinds of energy conservation features are incljded"in the plans of this ,'sal? List other proposed measures to reduce or control energy n acts, if any: NA 7. ENVIRONMENTAL HEALTH: JEFFERSON OOUNIN DEPT.OF COkIIMUNITY DPFlOPMENT a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. 1) Describe special emergency services that might be required. None 2) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise. 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? Traffic noise from SR 101. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hour's noise would come from the site. Construction Equipment used to excavate, load, transport, and dump the soil. Approximately 2,000 truckloads of soil will leave the site to be taken to the disposal area. (See the SEPA checklist for the soil disposal area for the location of the haul route from the excavation site to the soil disposal area.) Construction equipment will consist of an excavator plus the crawler tractor to grade the site and trucks to haul off the waste soils. 3) Proposed measures to reduce or control noise impacts, if any: None 8. LAND AND SHORELINE USE: a. What is the current use of the site and adjacent properties? A log storage area. b. Has the site been used for agriculture? If so, describe. No. c. Describe any structures on the site. None d. Will any structures be demolished? If so, what? None e. What is the current zoning classification of the site? Rural RLAr LI k'I614' 1i' f. What is the current comprehensive plan designation of the site? Conservation - shoreline. /L;red Reai�I Pri ►'a I 1 2-O Mason County Environmental Checklist Page 6 ��%�S�?r✓a1.7r g. If applicable, what is the current Shoreline Master Program designation of the site? Residential Rural and Conservation - shoreline �� ;� h. Has any part of the site been classified as an "environmentally se iitive" area? If so, spec� yJt Yes — the estuary surrounding the fill rem val area. b0 Approximately how many people would reside o work in the com leted prc ,1 0 L nFPT.OF DEVELOPMENT j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: NA Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. HOUSING: NA a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. None b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. None c. Proposed measures to reduce or control housing impacts, if any: None 10. AESTHETICS: a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? NA— no buildings. b. What views in the immediate vicinity would be altered or obstructed? None c. Proposed measures to reduce or control aesthetic impacts, if any: None 11 . LIGHT AND GLARE a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None. All work will be completed in daylight. b. Could light or glare from the finished project be a safety hazard or interfere with views? NA c. What existing off-site sources of light or glare may affect your proposal: NA d. Proposed measures to reduce or control light and glare impacts, if any: NA 12. RECREATION: Mason County Environmental Checklist Page 7 a. What designated and informal recreational opportunities are in the immediate vicinity? Enjoyment of the Quilcene Shoreline, bird hunting, and fishing. b. Would the proposed project displace any existing recreational uses? If so, describe. It will improve wildlife habitat. Bird hunting and fishing should be improved.______ - r, l l fl i \ c. Proposed measures to reduce or control impacts on recreation, including recreation'! opportunities to be provided by the project or applicant, if any: None - this property` I'be a conservation area owned and maintained by the Hood Canal Salmon Enhancer Group. '- JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 13. HISTORIC AND CULTURAL PRESERVATION: a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. No. See archeological report included with this check list. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: None. 14. TRANSPORTATION: a. Identify public streets and highways serving the site and describe proposed access to the existing street system. Show on site plans, if any. Enter - M.4,14464443 Ave to Linger Longer Road to SR 101 in the town of Quilcene Ivi salt b. Is site currently served by public transit? If not, what is the approximate distance to the existing street system? Show on site plans, if any. No. c. How many parking spaces would the completed project have? How many would the project eliminate? None d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). No. e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project: If known, indicate when peak volumes would occur. 2,000 trucks = 4,000 trips over a three week period from 7 AM to 7 PM at night 6 days a week. The haul route to the soil disposal area will be 1.45 miles. The trucks will skirt the west side of the town of Quilcene. g. Proposed measures to reduce or control transportation impacts, if any: Work will be completed in the daylight. There will be no truck traffic after dark. Page 8 Mason County Environmental Checklist 15. PUBLIC SERVICES: a. Would the project result in an increased need for public service (for example: fire protection, police protection, health care, schools, other)? If so, generally describe: No. b. Proposed measures to reduce or control direct impacts on public services, if any: None 16. UTILITIES: a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other: None. b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None Signature: The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. 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Select estuarine surface grading parameters between the Mean High Water (MHW) and the Mean High High Water (MHHW) so as to maxi lze'the recurrence of the salt water flooding in the estuary. JE ERSON COUNTY 5. Design the tidal distributary channels within the restored estuary#1 -r-606ate'YOEVEL-oPMENT the tidal channel densities in similar wetlands in the adjoining salt marshes. HOW THE 90% DESIGN MEETS THE PROJECT OBJECTIVES How we set the project excavation boundaries: The excavation boundaries are based on extensive topographic survey, the soils test holes, and delineation and typing of the existing wetland boundaries. The boundary of the excavation follows the boundary of the imported fill on the site. To summarize: • South side boundary: The south boundaries was set and graded to match into the existing estuarine tidal channel. The tidal channel along the south boundary of the site is an historic river avulsion channel and 30 feet wide with a channel bottom elevation of +3.3 NAVD 88 Datum and +6.06 MLLW Datum. • West side boundary: Most of the west side of the excavation is bordered by a salt and fresh water wetland. The excavation of the west boundary will tie into the existing wetland. • North side boundary: The north boundary of the salt marsh excavation was set to maintain a 100 foot buffer between the Big Quilcene River and the restore salt marsh. We were concerned about a possible undermining of the existing levee by the river is we got to close to the river with the excavation. The 100 foot buffer leaves a very conservative buffer between the Big Quilcene River and the excavation. • East side boundary: The east side of imported fill is bordered by a mature forested wetland. The boundary of the excavation avoids the forested wetland and leaves several large trees in the south east corner of the site. How we set the grading elevations within the restored estuary: The MHW and MHHW elevations for the site are 7.76 and 8.62. Based on our previous experience from similar project we have completed that are located in the estuary we have observed the following "approximate" changes in the predominate marsh vegetation types based on elevation: Marsh Type based on Marsh Elevation — NAVD 88 Design Marsh Areas vegetation Datum After Restoration Mud — minimal vegetation Below elevation 5.5 Blue — 12,051 sf— 8.6% Low Marsh Elevation 5.5 to 7.0 Red - 30,000 sf— 21.5% Middle Marsh Elevation 7.0 to 8.0 Yellow—40,600 sf—29% High Marsh Elevation 8.0 to 10.0 Cyan —52,300 sf— 37.6% Salt Tolerant Elevation 10.0 to 11.5 Gray—4,344 sf— 3.1% i LE 7 -- ) H f AIL Jr r L__ Dr T o r, 1 - 1, '"1r NT ool / ugil yl. Ai 1 III ' ' , Y� I e 0 1 i 'o 1 n, 0 '\ i BIG QUILCENE ESTURY RESTORATION — MARSH GRADING ZONES The elevation proposed the grading plan will offer an excellent variety of estuarine vegetation. The grading will develop 1.9 acres of low to middle marsh habitat in addition to 1.2 acres of high marsh. The frequent flooding the estuary will provide excellent access to vegetative feeding areas for the salmon fry. The smaller distributary channels are not included the above calculations. They will add another 6,599 square feet of low marsh habitat. The proposed grading plan will restore the estuary to the elevations that existed prior to the filling of the site for use as a log storage yard and sediment deposition that resulted from the failure of the levee in during the 1993 flood. C[ _ v r; Flooding frequency for the proposed salt marsh is as follows: J -71 it Elevation - NAVD 88 Elevation — MLLW Flooding times per year 5.49 8.3 a L\i___676 7.00 9.8 536 ;,,r, 8.00 10.8 .y pflin 9.00 11.8 103 10.00 12.8 17 10.7 13.5 2 The Design of the Distributary Channels: The proposed estuary is flooded and drained by at remanent river avulsion channel that is over 30 feet wide. The main distributary channel in the restored estuary is designed to be 880 feet long and vary in width from 20 feet wide at the mouth to 4 feet wide at the north end. The elevation at the mouth is 3.4 and the channel slope will be 0.18%. The channel is designed wider then required to support the hydraulic demands of the tidal flow in the estuary. A generously wide main channel supports improved tidal flow to the smaller distributary channels, increases the tidal flushing volume, and improves sediment transport. There are 1,065 feet of sub-distributary channels planned. They will be approximately 2 feet deep — or more - and will vary in width and sinuosity to simulate the smaller distributary channels in similar tidal marshes in the Big Quilcene River Delta. Similar estuarine reference sites the Big Quilcene density support a sub-distributary channel density of between 300 and 350 feet per acres for the smaller channels. The proposed sub-distributary channel density of 305 feet of channel for acre. If the main distributary channel is added to the calculation the density increases to 1,945 feet/3.5 acres = 556 feet per acre. The addition of the LWD to the proposed estuary; Large wood in the form of drift logs and other wood debris provide excellent harborage and shade for the salmon fry during the tidal exchange period. We are proposing to add eight groupings of large wood to the feeder tidal channels and the restored estuary. Each grouping will consist of one or two stumps and two logs. The logs will be anchored by burying one end and/or by using wood piling. THE PROJECT SCHEDULE We are trying to get the project under construction by June of 2014. Construction would occur during June to September 2014. The cost of the land acquisition was more than originally estimated in the CW and RCO grants. The additional land acquisition funding came out of the funds set aside for restoration . We expect an increase in construction cost of 10% in 2015. It is important to build the project this summer and fall if the current funding is to be sufficient. r ill JAN 701.E _ l1I 1 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT • gON -, eoltl• �4, ' ot, JEFFERSON COUNTY W DEPARTMENT OF COMMUNITY!D' , , , "' ` ''4 621 Sheridan Street • Port Towri e-r0 Washington 98368 360/379-4450 • 360/379-4451 fipc 1 �' p� www.co.jefferson.wa.us/commd e pment /`sFIIN�� Master Permit Application JEFFERSON COUNTY . LA: 'Project Description jinclude separate sheets as necessary): Z/ tT f,•.,/.. et - r 7r4a '- irea, -t. — P1--a&ei3 Tax Parcel Number: G79 f'D j .7 27 Property Size: 7,, 9 ii.C,r2er5 (acres/square feet) Site Address and/or Directions to Property: - (Lu/ce,2 e, -A A.19q•er 1�-/ -ev'' ,gored le incrii c, ,e A-ve,-/2><. 71d St �e Property Owner(s)of Record: ,C.7e,or/ C a<-70 ) r/,ii - J may/haw C i°Y4'tPiN/-'r ao a p Telephone: !.e - •- 4,4 ax: 10,4- email: Mailing Address: �O, ge, x_ 2/l09' 4,i P1 Fdt i l� ! �g a z-A Applicant/Agent(if different from owner): 1e. Ae G « //a � .-.6. Telephone: 56x)-2 75— `7� ' Fax: Y6O-‘277— 311 7 email:%oent-h6 wa veca 4/ Mailing Address: 2t0 A./ . C7A.eY19r Reach /Zee( _ „ - /i' _ What kind of Permit? (Check each box that applies ❑ Lot or Road Segregation uilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .❑ Modular - // - r0 Discretionary"D"or Unnamed Use Classification Q Commercial* 0 ar,/A ,�/7y-p a feert1❑ Special Use(Essential Public Facilities)** • Change of Use i ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach_ ❑Short Plat** ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** . . ❑ Sign - ❑ Plannea kurai Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance O Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request eS e.4 _ra /U7 ,9rq e C I- **Requires a Pre-Application Conference Please id ttify any other local, state or federal permits required for this proposal, if known: COE - 4 o/ -fug �¢;/`� i_>a c a f--S uva es - ,.5 ,1 —- �� / DESIGNATION OF AGENT Aric I hereby designate !:e47ze, fAl//1'Gll to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE MBA-AL tki-tiPLI 04,0 Date: i 1 Zi ( \ By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wan prior otice.. ry Signature: (' � Date: I 24 h.The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer ble responsibility for ad ing to dAAcomply)ing with the ESA. The Applicant has read this disclaimer and s ns and dates it below. Signature: v'L Date: 1 1 24( (' %. ' '44-40 A; , , t A s . BUILDER STATEMENT4 they g p y �eOwners-of-the parcel referenced herein,that they are not licensed contractors and that The signer of this statement does hereby certify that they are the the will be ass min the responsibi t-112--°14-1 off he Gen jral Contra tor_ffr thep(©posed proje 1 Signature: 1 I i` '-Date: -.fi r` itf GENERAL CONTRACTOR OR MANUFACTURED HOME INSTAL EF.::A!' P1-ONE: FAX: IiI lil ( ) ( ) ! MAILING ADDRESS: v F^"^"' --i CONTRACTOR'S LICENSE 'C I',T NUMBER: Or-PT.OF COMMUNITY AIt ..,- ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: 'reline: Type of Sewage Disposal: C New 1. Wood Existing: . Sewer C Addition C Steel Proposed: , ::nk C Community System C Alteration/Remodel ❑ Concrete Total: — 1 eight: C Individual System C Repair C Masonry o SEP Permit# �� — Supply: C Demolition Other: Bedrooms: � Water Su I y: Existing: Setback: C Private well C Two Party Type of Heat: Proposed: C Public Total: Name of System: If this is a Commercial Project you must answer the following: 1 Number of Parking Spaces: Current: Propose.. Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Cuent Proposed IBC Occupancy: IBC Type of uc on: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Ins ll ion pe i ark all items below that apply: T Underground Tank 1 Above ground Tank of Propane Tank: T Heat Stove T Cook Stove T Woodsto e Fire ac- n r Hot Water Tank i Pellet Stove T Other _ Is this appliance being installed in a Ma fac ured/ obi Home? Yes / No When applying for a permit to install a pr an tan you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances fro the p opa a tank to all property lines,buildings and septic system components, including the reserve area. ��� Square Footage Current Proposed For9lffice se Only Amount Revision Main Floor Heated ( r1 " EH BId App Review: 2"0 Floor Heated �N Consistency Review: Other Heated (, Base fee: Mezzanine If Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ 7 Receipt Number: l-1911 /.ol Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all lab.Or and materials foundation to finish I! a9 22 Initials: • ,( y Zc r'4 77 ' A) � $ON co� JEFFERSON COUNTY ['HO I ,:r DEPARTMENT OF COMMUNITY DEVELOPMENT D R JA 621 Sheridan Street • Port Townsend • Washington 98368 - 360/379-4450 • 360/379-4451 Fax I http://www.co.jefferson.w a.us/commdevelopment/ JEFFERSON COUNTY DEPT.OF COMMUNITY DFVr PMFN1 Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: �G� ►l Gene `� �� �`� 1 nc 3 DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as "small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel S acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 34r/v 4.-F0 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/4 acres or more of Construction site for structures 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. 0 sq/ft Circle: Yes Well, utilities, etc. sq/ft Does the project convert 21/acres or more of native vegetation to pasture? Driveway, parking,roads, etc. O sq/ft Circle: Yes 41 Lawn, landscaping, etc. e.9 sq/ft Other compacted surface, etc. 0 sq/ft Indicate Total Volumes of Proposed: E rri rzet, ovaitzo1; /-742-4a Total Land Disturbance /74 2¢/ yip- s / Cut 1.4%/' D C)/ Fill D (cu/yd) [over] stormwater calc worksheet Rev 9.9-2010—REV 9/9/2010 1 ■ Impervious surface is a hard surface that either prevents or retards the entry of water into the sc il[.. n :. ..T 4 J ,fit■ I prior to development. A hard surface area which causes water to run off the surface in greater quart !"_.:e - - : I from the flow present under natural conditions prior to development. Common impervious surface Iude, but are not limited to'r•• tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gray apis, packed earthen materd- and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. 1 STORMWATER CALULATIONS–IMPERVIOUS SURFACE JEFT E-160N COUNTY NEW EXISTING DEPT.OF COMMUNITY 0EVFI.O MENT Structures(all roof area) 0 sq/ft Structures (all roof area) , '0) sq/ft Sidewalks o sq/ft Sidewalks 0 sq/ft Patios 0 sq/ft Patios O sq/ft Solid Decks 0 sq/ft Solid Decks • sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 0 sq/ft Driveway, parking, roads, etc /© sq/ft Other 4,4(c / , . /24 z--10 sq/ft Other LOf yam/ – - C �''�17j 4.8;63q/ft Total New sq/ft Total Existing 1 G7 sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOP ENT v. REDEVELOPMENT Divide the total existing impervious surfac abgthe size of the parcel and convert to a percentage: ok Does the site have 35%or more of existirlq impervious surface? Circle: Yes o FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Storm water Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify ...-t this application is being made with the full knowledge and consent of all owners of th- ected propert . /' . , / ..,,ddok„.,,,.. /—ze /�- (LANDOWNER OR AUTHORIZED REPRESENTA E SIGNATURE) (DATE) — FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater talc worksheet Rev 9-9-2010-REV 9/9/2010 2 BIG QUILCENE RIVER ESTUARY RESTORATION PROJECfiID - LI \ i-_', i"-'II JEFFERSON CO. ENVIROMENTAL CHECKLIS il'� I 1 �„ ; I ' j I I ) January 18, 2014 JEFFERSON COUNTY ....DaDi OF COMMUNITY DEVELOPMENT A. BACKGROUND 1 . Name of proposed project, if applicable: Big Quilcene River Estuary Restoration — Phase 3 2. Name of applicant: Hood Canal Salmon Enhancement Group 3. Address and phone number of applicant and contact person: Mendy Harlow, PO Box 2169, Belfair, WA 98528 4. Date checklist prepared: 1-18-14 5. Agency requesting checklist: Jefferson Co. DCD 6. Proposed timing or schedule (including phasing, if applicable): Start Construction June 1, 2014, complete September 15, 2014 7. Do you have any plans for future expansion, or further activity related to or connected with this proposal: If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Copies Enclosed — JARPA, The 90% design drawings for the project, the Archeological Report, the Wetland Delineation, and the Hazardous Waste Report. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Yes — We have prepared and submitted a SEPA application for the site where the waste excavation from estuary restoration project is going to be disposed. The soil disposal site will be the Pederson Industrial site located in Quilcene, WA. 10. List any government approvals or permits that will be needed for your proposal, if known. We will need an HPA, Federal Endangered Species Review — By the USFW— including the Limit 8 form for the programmatic NEPA and biological assessment, Corp of Engineers 404 permit, WSDOE 401 permit, a WSDOE NPDES permit, the Federal Section 7 nexus — by the USFW, and SHPO approval. Locally we will need a building permit and shoreline exemption for the project. 11 . Give a brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) This SEPA checklist is for the removal of 22,000 cubic yards of fill to restore a historic estuary, the construction of distributary channels in the estuary, and the placement of log structures in the estuary for fish habitat. The excavated soils will be hauled to the Pederson Industrial Site in Quilcene for Disposal. (See a separate SEPA Checklist for the soil disposal area). Several building demolitions and a cleanup of the site were completed in January and February of 2014 under a separate Jefferson County Building permit. See attached 90% Design Plan Set for the Big Quilcene Estuary BIG QUILCENE RIVER ESTUARY RESTORATION -PHASE 3: PROPOSED ACTIONS ADDRESS PARCEL NO. PROPOSED ACTION Excavate 22,000 cubic yards pf;fill SE Quilcene River Estuary. Reconstr %,SEC 24,TWN 27 N, 991201702 utt 2,28@ R2W of tidal channels. Constr.ctlarge woody debris fish habitat j j JAN 2 9 Restoration — Phase 3 Project. JEFFERSON COUN1 DEPT.OF COMMUNITY DP 12. What is the location of the proposal? Give sufficient information for a person to understa nd the precise location of your proposed project including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. See attached Vicinity Map. 1/4 Section Section Township Range NE 24 27N R2W 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) Take Hwy 101 from Olympia to Quilcene, WA Turn right on Linger Longer Road Turn left on Munchie Ave. Drive to the end of Munchie Ave. walk around the gate and, across the Bonneville Power easement to the restoration site. B. ENVIRONMENTAL ELEMENTS: 1. EARTH: a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other Hill topography. See attached 90% Design Plan Set. b. What is the steepest slope on the site (approximate percent slope)? See topographic map in the accompanying 90% Design plan set. The site is flat except for the edges of the fill the slope down to the existing surrounding wetland. Mason County Environmental Checklist Page 2 c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and not ypril -, - The Archeological Report includes soil logs and analysis. The sit u 0 - {-W material that varies from shot rock fill to gravel to plain earth fill. th ,underlying soils are river gravels and marsh muds and peat. ! k d. Are there surface indications or history of unstable soils in the immedi to vicinity FF,'sMouNTY describe. No. DEPT OF COMMUNITY DEVELOPMENT e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. Approximately 22,000 cubic yards for soil will be removed from the site and hauled to the Pederson Industrial Site in Quilcene. See attached grading plan. f. Could erosion occur as a result of clearing, construction, or use: If so, generally describe. None g. About what percent of the site will be covered with impervious surfaces after project constructions (for example, asphalt or buildings)? None. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Silt fence will be installed around the perimeter of the excavation. The excavation site will be contained and by leaving a perimeter berm. The drainage to the excavation area will be filtered through pea gravel berms, silt fence, and straw bales. 2. AIR: a. What types of emissions to the air would result from the proposal (i.e. dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities, if known. None - other then the exhaust form the construction equipment. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No. c. Proposed measures to reduce or control emissions or other impacts to air, if any: None 3 WATER: a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. The site is surrounded by tidal marsh, fresh water wetlands, and forested wetlands. See Wetland Report. 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. Yes. Mason County Environmental Checklist Page 3 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. No fill will be placed in the surrounding wetlands. The restoration of the historic estuarine habitat requires that the edges of the filled area be blended into existing tidal channels that surround the site. Approximately 26,500 SF of forested —fresh water wetland will be disturbed on the west side of the fill removal to transition the restored .p the existing estuarine habitat. Approximately 14,500 sf of estuarine wetterisl t will be disturbed on the south boundary of the excavation to transition the restored estuary into the existing tidal channels. 4) Will the proposal require surface water withdrawals or diversions?-qWgeneral description, purpose, and approximate quantities if known. No 1 N i'r__. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes — Site is in the Big Quilcene River floodplain. It is protected by a levee from flooding. The levee was overtopped in the 1993 flood. See attached Vicinity Map and Plan Set. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No. b. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities, if known. No. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example; domestic sewage, industrial, containing the following chemicals..., agricultural, etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. None. c. Water runoff (including storm water): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this flow into other waters? If so, describe. None 2) Could waste materials enter ground or surface waters: If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Silt Fence, Pea Gravel filtering berms, and hay bales. . 4. PLANTS: See Wetland Report a. Check or circle types of vegetation found on the site: Mason County Environmental Checklist Page 4 X deciduous tree: alder, maple, aspen, other EC [ r evergreen tree: fir, cedar, pine, other � I' shrubs X grass JAN 2 9 2014 ► i pasture Or grain JEFFERSON COUNTY crop g DEPT OF COMMUNITY DEVELOPMENT X wet soil plants: cattail, buttercup, bullrush, skunk cabbage o er water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? When the fill is removed the grasses, trees, invasive plants, and site debris will be removed with it. The site was a log storage yard so the vegetation and debris in the site in quite varied. c. List threatened or endangered species known to be on or near the site. Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head 43r-ewer Trout a i d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Native estuarine plants will repopulate the site by natural recruitment. No planting in the estuary is planned or needed. It will take approximately two years for estuarine vegetation to populate the site. 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: Birds: hawk, heron, eagle, songbirds, other Mammals: deer, bear, elk, beaver, other Fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. Marbled MaKlet- u re1c c. Is the site part of a migration route? If so, explain. Not sure — but likely d. Proposed measures to preserve or enhance wildlife, if any: Enhancing wildlife is the reason for restoring the estuary. 6. ENERGY AND NATURAL RESOURCES: a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. None Mason County Environmental Checklist Page 5 b. Would your project affect the potential use of solar energy by adjacent properties: If so, generally describe. No c. What kinds of energy conservation features are included in the plans of-, osal? List other proposed measures to reduce or control energy impacts, if any:;N LL 7. ENVIRONMENTAL HEALTH: a. Are there any environmental health hazards, including exposure to , sk of fire and explosion, spill, or hazardous waste, that could occur as a result o'fthisr proposal? If so, describe. 1) Describe special emergency services that might be required. None 2) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise. 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? Traffic noise from SR 101. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hour's noise would come from the site. Construction Equipment used to excavate, load, transport, and dump the soil. Approximately 2,000 truckloads of soil will leave the site to be taken to the disposal area. (See the SEPA checklist for the soil disposal area for the location of the haul route from the excavation site to the soil disposal area.) Construction equipment will consist of an excavator plus the crawler tractor to grade the site and trucks to haul off the waste soils. 3) Proposed measures to reduce or control noise impacts, if any: None 8. LAND AND SHORELINE USE: a. What is the current use of the site and adjacent properties? A log storage area. b. Has the site been used for agriculture? If so, describe. No. c. Describe any structures on the site. None d. Will any structures be demolished? If so, what? None e. What is the current zoning classification of the site? Rural f. What is the current comprehensive plan designation of the site? Conservation - shoreline. Mason County Environmental Checklist Page 6 g. If applicable, what is the current Shoreline Master Program designation of_the-site? Residential Rural and Conservation - shoreline - V c=_. h. Has any part of the site been classified as an "environmentally sens t "area? If so, specifl.l Yes — the estuary surrounding the fill removal area. 1 i j LS' 1 ) Approximately how many people would reside or work in the comp) ted proic�et iY en lit T ,F COM nITY PFVELOPMENT j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: NA Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. HOUSING: NA a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. None b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. None c. Proposed measures to reduce or control housing impacts, if any: None 10. AESTHETICS: a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? NA— no buildings. b. What views in the immediate vicinity would be altered or obstructed? None c. Proposed measures to reduce or control aesthetic impacts, if any: None 11. LIGHT AND GLARE a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None. All work will be completed in daylight. b. Could light or glare from the finished project be a safety hazard or interfere with views? NA c. What existing off-site sources of light or glare may affect your proposal: NA d. Proposed measures to reduce or control light and glare impacts, if any: NA 12. RECREATION: Mason County Environmental Checklist Page 7 a. What designated and informal recreational opportunities are in the immediate vicinity? Enjoyment of the Quilcene Shoreline, bird hunting, and fishing. b. Would the proposed project displace any existing recreational uses? If so, describe. It will improve wildlife habitat. Bird hunting and fishing should be improved. \ c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: None -- this property will`be a conservation area owned and maintained by the Hood Canal Salmon Enhancement Group. 13. HISTORIC AND CULTURAL PRESERVATION: n . a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. No. See archeological report included with this check list. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: None. 14. TRANSPORTATION: a. Identify public streets and highways serving the site and describe proposed access to the existing street system. Show on site plans, if any. Enter - M Ave to Linger Longer Road to SR 101 in the town of Quilcene b. Is site currently served by public transit? If not, what is the approximate distance to the existing street system? Show on site plans, if any. No. c. How many parking spaces would the completed project have? How many would the project eliminate? None d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). No. e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project: If known, indicate when peak volumes would occur. 2,000 trucks = 4,000 trips over a three week period from 7 AM to 7 PM at night 6 days a week. The haul route to the soil disposal area will be 1.45 miles. The trucks will skirt the west side of the town of Quilcene. g. Proposed measures to reduce or control transportation impacts, if any: Work will be completed in the daylight. There will be no truck traffic after dark. Mason County Environmental Checklist Page 8 1 15. PUBLIC SERVICES: 'AN 2 9 2014 I a. Would the project result in an increased need for public service (fo mple: fire protectio,i police protection, health care, schools, other)? JEFFERSON COUNTY If so, generally describe: No. DEPT.OF COMMUNITY DEVELOPMENT b. Proposed measures to reduce or control direct impacts on public services, if any: None 16. UTILITIES: a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other: None. b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None Signature: The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. 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Pam °2iq" ag ° -09 G � egg gI is Q 4 � 5i41 t� m ap � p �� o$ _ 'Oa c. I IHlI a L €i `' ,n '-"1 i y II I y \%i ....� 7-0' o ,---- --- �� z °a ns OP sg ohs°�� ° m°o 5' mgmgk .=fig � MN s 4i cn 1 N m R 0 °9 E 179 ra 0 1 -.1,051 A:' M A 'v 1 52 le 6r9°T. : 106 ,,, 40 ,/ mN� o rhEr NA r 5' d`.4 g -PrA-R a 1 20 C' o =_° Rh @.g " rro m iiR Z BIG QUILCENE RIVER ESTUARY RESTORATION ' . T E - V FINAL DESIGN MEMO I JAN 2 9 2014 BY: PAT McCullough, PE J L. JEFFERSON COUNTY Date: Updated 1-18-14 DEPT OF COMMUNITY DEVELOPMENT INTROCUCTION: The Big Quilcene River Estuary Restoration Project is the eleventh project in series of the projects that have been undertaken by the Hood Canal Salmon Enhancement Group to restore the Quilcene Bay Estuary. The implementation of this project includes two distinctly different tasks. Task 1 is removal of the old buildings and debris on the site and Task 2 is the restoration of the historic salt water marsh on the eastern boundary of the site. This design memo will focus on the restoration of the historic salt marsh. The purpose of this Design Memo is to briefly describe the design methodology used to develop the 90% design of the project. We have included with this memo several Exhibits that will provide the reader with an in-depth understanding of the site. They include: EXHIBIT A: 60% Design Plans EXHIBIT B: Coastal Wetland Grant Application EXHIBIT C: BQER Cultural Resource Report EXHIBIT D: BQER Wetland Delineation Report EXHIBIT E: BQER Soils Log Report We did not include a copy of the Hazardous Waste Report for the project because it is not relevant to the design of the salt marsh. That report is available on line. PROJECT OBJECTIVES: The objectives of the for the estuary restoration are: 1. Remove the fill material that was placed during the construction of the log storage yard over the historic salt marsh. 2. Limit the site disturbance to the approximate boundary of the imported fill so as to not impact the previously undisturbed and surrounding forested, fresh water, and salt marsh wetlands. 3. Construct the restored estuary at elevations that will provide a variety of estuarine vegetation. n \\h•-• ft— r ` \D, \ \i L , 4. Select estuarine surface grading parameters between tt-i-d Mean High Water J \--- (MHW) and the Mean High High Water (MHHW) so a Vllaximize ____ _t ______he _ recurrence of the salt water flooding in the estuary. JEFFERSON c— OUNTY r., r, , ^�Tv 1)1m 1 OPMFNT 5. Design the tidal distributary channels within the restore - d- ua tta .replicafe the tidal channel densities in similar wetlands in the adjoining salt marshes. HOW THE 90% DESIGN MEETS THE PROJECT OBJECTIVES How we set the project excavation boundaries: The excavation boundaries are based on extensive topographic survey, the soils test holes, and delineation and typing of the existing wetland boundaries. The boundary of the excavation follows the boundary of the imported fill on the site. To summarize: • South side boundary: The south boundaries was set and graded to match into the existing estuarine tidal channel. The tidal channel along the south boundary of the site is an historic river avulsion channel and 30 feet wide with a channel bottom elevation of +3.3 NAVD 88 Datum and +6.06 MLLW Datum. • West side boundary: Most of the west side of the excavation is bordered by a salt and fresh water wetland. The excavation of the west boundary will tie into the existing wetland. • North side boundary: The north boundary of the salt marsh excavation was set to maintain a 100 foot buffer between the Big Quilcene River and the restore salt marsh. We were concerned about a possible undermining of the existing levee by the river is we got to close to the river with the excavation. The 100 foot buffer leaves a very conservative buffer between the Big Quilcene River and the excavation. • East side boundary: The east side of imported fill is bordered by a mature forested wetland. The boundary of the excavation avoids the forested wetland and leaves several large trees in the south east corner of the site. How we set the grading elevations within the restored estuary: The MHW and MHHW elevations for the site are 7.76 and 8.62. Based on our previous experience from similar project we have completed that are located in the estuary we have observed the following "approximate" changes in the predominate marsh vegetation types based on elevation: Marsh Type based on Marsh Elevation – NAVD 88 Design Marsh Areas vegetation Datum After Restoration Mud – minimal vegetation Below elevation 5.5 Blue – 12,051 sf– 8.6% Low Marsh Elevation 5.5 to 7.0 Red - 30,000 sf– 21.5% Middle Marsh Elevation 7.0 to 8.0 Yellow–40,600 sf–29% High Marsh Elevation 8.0 to 10.0 Cyan –52,300 sf– 37.6% Salt Tolerant Elevation 10.0 to 11.5 Gray– 4,344 sf– 3.1% r I C E LJ V E --\ 1 it✓ ' I ) �t JAN 2 ; 2n14 1 � rourvTv ° Lr PT CF coh;P'_ �IEVEIOPMENT /.." r l' ` I ' A • 1.1 '.... 1 i w1o' N i 4l 1 1i 0 __,-, r I -\ , 1 BIG QUILCENE ESTURY RESTORATION — MARSH GRADING ZONES The elevation proposed the grading plan will offer an excellent variety of estuarine vegetation. The grading will develop 1.9 acres of low to middle marsh habitat in addition to 1.2 acres of high marsh. The frequent flooding the estuary will provide excellent access to vegetative feeding areas for the salmon fry. The smaller distributary channels are not included the above calculations. They will add another 6,599 square feet of low marsh habitat. The proposed grading plan will restore the estuary to the elevations that existed prior to the filling of the site for use as a log storage yard and sediment deposition that resulted from the failure of the levee in during the 1993 flood. 17) rEIIT-m1 LE- I Flooding frequency for the proposed salt marsh is as follows: Elevation - NAVD 88 Elevation — MLLW Flooding tines per year 5.49 8.376 7.00 9.8 536 8.00 10.8 ._.356 9.00 11.8 103 10.00 12.8 17 10.7 13.5 2 The Design of the Distributary Channels: The proposed estuary is flooded and drained by at remanent river avulsion channel that is over 30 feet wide. The main distributary channel in the restored estuary is designed to be 880 feet long and vary in width from 20 feet wide at the mouth to 4 feet wide at the north end. The elevation at the mouth is 3.4 and the channel slope will be 0.18%. The channel is designed wider then required to support the hydraulic demands of the tidal flow in the estuary. A generously wide main channel supports improved tidal flow to the smaller distributary channels, increases the tidal flushing volume, and improves sediment transport. There are 1,065 feet of sub-distributary channels planned. They will be approximately 2 feet deep — or more - and will vary in width and sinuosity to simulate the smaller distributary channels in similar tidal marshes in the Big Quilcene River Delta. Similar estuarine reference sites the Big Quilcene density support a sub-distributary channel density of between 300 and 350 feet per acres for the smaller channels. The proposed sub-distributary channel density of 305 feet of channel for acre. If the main distributary channel is added to the calculation the density increases to 1,945 feet/3.5 acres = 556 feet per acre. The addition of the LWD to the proposed estuary; Large wood in the form of drift logs and other wood debris provide excellent harborage and shade for the salmon fry during the tidal exchange period. We are proposing to add eight groupings of large wood to the feeder tidal channels and the restored estuary. Each grouping will consist of one or two stumps and two logs. The logs will be anchored by burying one end and/or by using wood piling. THE PROJECT SCHEDULE We are trying to get the project under construction by June of 2014. Construction would occur during June to September 2014. The cost of the land acquisition was more than originally estimated in the CW and RCO grants. The additional land acquisition funding came out of the funds set aside for restoration . We expect an increase in construction cost of 10% in 2015. It is important to build the project this summer and fall if the current funding is to be sufficient. 1 i'/ ' i JAN 2014 I 1 i JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Map Output Page 1 of 1 ArcIMS HTML Viewer Map Mari Legend Selected Features C_Roads •t„ ` +C2'•h1_'b <'et_G: Parcels-H `` 1 2'•t3_ ! 11 . IN Columba Sl ! 2•.1.1.22,-. 122••y1( 1 County Zoning +r2•-lq��e- r u ;,2d �'h r. _ MPR SF Tracts !_e •1.74'[ ,.:2 11__3 Rum Reseental 1:5 ,2•2 +v2'•ld_ i Rurm Resa utc11:10 Ru rat Romanies 1:20 ' - ,a2 2..L: MPR-Smgk Fan+oy ...... ■ MPR MuaAa,dy MPR-Ramon CompeK Parts and Recreate., 2e3 ''� I"1-''- ■ MPR•Open Space R urai Forest Commercial Forest m how mg Forest i lea y Inoustria MPR•Vidage Center AP 1:20 ,2•2232,1e, 11 Rural Village Center Resource Based Ind. a22 2' G.. %•_Zc� LqM Ind astral i4c"237Cf3i "-`_ MPR Recreation ,02232,xe 2.2C•?='22 G CGG s Il.t 1Vasfe Mgmt CPC • _'8 r_e22 .: «_'_ LVC u.. 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Data contained in this map is limited by the method and accuracy of its collection. Thu Mar 13 14:59:08 2014 1 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 ' Map Output Page 1 of 1 ArcIMS HTML Viewer Ma 702143014 702143013 Vi I L____.1.11 ' J - . ' � /02143019 | 702143005 ' � �r 9 | i 702405�- \ ~` ' ' 7021430237°2143°22702143016 702144006 r 133003 � � i / ~- nuso�w I ^ - —'mo»m�--- ■ | Legend / —� Selected Features ] i � | �~� JC_Roads ■ | / ^- � p�"� ��* 702232011 �� Wetlands | 1 11"----4„L 102232009 7022320i0 / i 1 � ° / '-~' , e 702232008 1,6 101, r L- 702231025 /` -| 702242006 702242009 702232004 ! i ' U I _-.-~"~.~7 '' '~L_. `,702231019 f0223100/ -702233004 ruusmo | l� ^x2zxm` ��.~"�~.*~~.c~~~c.=^a�.~.uo �- --- ~^ ~~ - FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with reopeciVodo correctness or validity. 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Data contained in t is map s limited by the method and accuracy of its collection.Thu Mar 13 15:15:11 2014 \6•K t 0 1,, W- U'6 d 0)?"1) .- ,,- http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map +02144015 , 10213302 • W St- •4 102'4402' _702i33004 /0.e 430'S. A.7.2°4 3005 s' 102144012 . 44019 ,:c'44005 70244017 /02144(724 102°330:2 /0243016 +02440"3 3 `;. 7022340—+CI 44003 1°223.°Q8 + /03400S Legend 0223204 .2 320,3 ,'022320' 12 Selected Features C Roads Parcels-H 4 +0223'002 /022420-, 7022420 Marbled Murrelets . 10223'CO' /0223.0'0 Spotted Owls !Oar 0'3 11,...m""" m't g3 /0223204t '02232C' 1:"8,0223'023 • ,02232o2. 702232 ' ' .e 232004 .2232042 """Ll'' Glen Logo Re02232005 +2223' +022200, .2,22.2...4 /02233003 1.1.= Carr,Certris Sc--com.GIS FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 14:59:34 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceNarne=ovmap&ClientVersion=4.... 3/13/2014 Mon Output Page 1 of 1 ArcIMS HTML Viewer Map'''s 7021440412 +01144014' 702143010 .F , 702143008 , 102143014 702143013 v,I ~ • _=, � 70214401 . ,, 702144024 S. 702143022 ); 702144008 • 702133003 702143023 702143016, . tAlrelTir 1111.dral" YAP ' | — -- '702231010 702144CO3 v�mw 702232013 / '~�~ v����~ Legend ■ Selected Features | i 1 ' ~~~ JC_Roads _� i ^- | i F- Parcels-H 702232011 / | i� a°�M�wa=m 702231001 l 702231010 - sl , ___------ '702231015 702231016- 702232007 7022310” 1 702231024 702231027 , ,.___----_,---) 702231018 702231023 I N2231026—, I 11/ . 4242009 A , ,/ 70223202, /02231012 —1. FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with respect hods correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 15:00:45 2014 hn»://nisaervez/scrvleti000u.emri.esrimap.Esrinuop?ServiccNume=ovmup&C]ieotl7eraino=4'... 3/]3/70}4 Map Output Page 1 of 1 ArcIMS HTML Viewer Map .,','4,4'43010 /02143008 / v� - � m�sme ' ''^"�m 702143013 \j +02144016 1 .1%.colommmmu7 ' —.4°`i ' 702143005 ' '') I? ' | | , . 702143022 702144008 1., t: 702133002 702143023 702143024 \ ' � � / ' ,-4-14 Legend ' Selected Features / Jo_eoao 702232011 702231000 _ii,I 702231002 ,T02231001 I 702231010 1 702231013 i I 70224200b p"="/"* Critical Aquifer Recharge =""' | | uu`u~^ suam� 702232010 / I I �^o�',"� ` I | • = | ' 1 '----\ 702231004 ! �°"= ° ~�^�~ 7-2 | | `^«='J.!^ Z 702231025 i 7022310270022310(7)0n7 42006 702:2420:!. .,0223:1004 10223:EC? ,..,21300. 702234002 702234003 702234003 /0224300' ..022421Y.:'4 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 15:02:36 2014 ' httn -' 3/13/2014 Map Output PuaeLof| ArcIMS HTML Viewer Ma �p 102143010--- / 702143W6 , \ | /02144015 702133029 . 70214301 702143013 '41 t,, 't 702144016 i „,,..f.i.W Columbia St •4i ' • ' no 702143019 702143005 r; � '., 702144024 ' n��xum ' — — t 702144013 i 702143024 .1._____L � o '' N. ? Legend M2232014 702232013 Q�� � le=mupmmre, mammop �/ Jc_mmu" AWMPAR 702231009 p"=°/"* 702232011 702231002 Ei Mineral Lands ''02232009 702232010 i , i , , 7022330:A h2,22:EY:C.2 '':22330O1 702214°02702234003 702254003 7022410' 10224:'::, FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 15:03:09 2014 http://gisserver/servlet/com.esri.estimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ...! 702143008 10214401S ' - , 102133029 702143014 , 702143013 1 '- 1 r , 5- . 702144016 ,....,,,,,,e,,,er W Coitimb is St' , .,,,_, f - 't ct,,,I •rat ,' /tat 44020 7021440147 ,I 1 \ _ ; i ',,,702133004 - --_ _,,,,,„ . %i 1 ...,' ,c,i,,,,,Oe'l i ,......, . t- ) 702.i43019--1. 1, 702143005 r r;1. ', \'... ( ,--.-', ...- e. 702133012 1_, v 702144011 702144012 ,;-_, 702144039_, _ I - , 702144006',,, 702144017 -.----"---. ':: :- j (f . . .). .. / „,, .^. I 1, 702144024-,.. ___ ? ",...----- 70214322 ,„, '702144006 ir C 702133003-----: 702143023 T2...) 702143016 \‘,:,,,, .. .. .j. 702143224 ,I Ir.,..„, I 1 '''',, ) 1 702144013 - .----.- ' .,.., Z.,- ,p 702144013---- .,. , A Ti °S 1 t \,., i 1 i 4, i: / ,.... 11702231010 70223.' 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Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 14:56:02 2014 t http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/1 3/20 1 4 Map Output Page 1 of 1 ArcIMS HTML Viewer Mai ! -. ' •N• tom; s. r ,y 4 y Cemetery Rd •it 4- 1 i. t II' 7 � Mn ntP �. \,.\\� off t ;� i net-,t n �a ' r. fir} _ 1111111 I d Z.' ' , _ � .• 1 •,' �„�,�»,..-.. bV"..J iu mb F7�St�..',.t� •:j� - I i _,•a`: �� 1 c . c Legend' r 4 Selected Features it r } M Lll 11 m r f Township Lines +f J d •, . Y• - oa s s -1 •II ++1-1 S s, I fl Parcels-H 2? nt ? ' 7 ',1, ./ USG5 Topos ;h, - :dam -- iT in Ir . -. a-7..{ s _ p. ; c ., •Pc• se.-67``. .`° el / , 'C' • r. ai 1 A . - Y.. I , 1' . FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 15:04:48 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 t Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• IiireiM 7•_ I ■I kV .130tat or. , ,t +01 144'- t+04 '1 l? 1021434'3 °' ?- 042'440."i ,' ,� W Columbia St --1 - - .-.. to �," 102,440n., ..,.142.440'4 r 702'4442 7021430$ 702143005.: r'`'� Ml 301 +_4:,2 1? !�MINS " i /02'440'2 /0L'440.)9 . ■ --- _ - 74214440.5 /02'440'' . ' _.;. ' ' 702144024 70243016', 702144006 .- . i 1 702143024 702143022" 742"43423 021440'3 i , I �� q 2+x11{. rr +L[ , t 1 s[2 Y1_=s - I Legend pv, t e Selected Features °, JC_Roada tt Parcels-H 70223',Ci?a ° ". a t ' 1 213"0ti[ Q ' +' [_•:mot 2011 Aerial Photos ,f , . ./0223'4'3, sac -... +02232.XY.4 ' ,' ?0223[x. "� �- ""`� �. ..' .— i• _ 4 /0223'0.' v 1.:' I .a K I . a • r a 1x121+;• - 10213 /0223'0'6 m "R 1 1�22314';t — am /02.2:1°046*-, '-4, 1 ... ?. '1022 a 42.1,10223102.7 `„'` ', 742231016 10223'023 +012'31026 , .- ' _.. 74223102(1 r_22 1[Lo 1•224,4'0:23 ■ 70223' ,t .!322320'7 7.[23242' _ -- .742231024 742231010 � 1 7022 tr' ' , :of f y.t`4tr➢; 702231012• w.� J '"?' 702231 01$ 4 Glen Logis Rd _ �, • 70223 424 70223100 [22„_i•:A1 102233003 702233001 702234003 .rs +r, /02234.a 70224300'70224304*` v iz+.s:c do.] _,., .J I jr,..,..m 4x N.c.GtS a FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 15:05:25 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/13/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map =2143010--, 702144015-- .X:2 702143014 702143013 7 2143008 702144016 = 702144021 701141020 702144014H .702133004 1 702143019 1 702143006 ,{{ `sti �..`` ?02144041 ,7021330121 wie.et"' 702144012 702144009— --.__°_ 702144005 702144017 i 702144024 - _702143022 702144008 i �` 702133003 4 702143023 70294301(7021a302d � 102144013 P 7112141013 I I 702231010 1 --.-L -702231010 702144003- I 702231006�� ----�_ 702234005 { Legend 702232014 702232013 702232016 -_____ ---- P"�l � Assessor Maps H f ' � )r Parcels-H ra -__..."1 ; JC Rands 702131009 702231002 741 7022421104 702232011 Culverts 702231001702231093 702231010 �y� a 1:2 - .�_..- , . 0 4 )2232009 702232010 . 5;a:7 - _ I { S a4 702239019 1 I 1 I 1 702231028 t, 702231004 ------ ¢' 702232007 702231011 70a23t015' 742239016'" 702231022 -_ m 707232008 702232012 'ti01 r~ l 1 rte.- 702231025 702231026-_-1 702231024 7022231027 1 w 702231018 702231023, 702231026 � F 1 II i 1. .._- - 70223102070713F00702242006 702242009 I 702732006' /02232006 --.702231021 702231019 702232004 ( ' { 702231012 H i t w� � 702231006 4 702232005 702231020 _��: 702231006 702233002 -v '� ∎'-•702231019---702261007 702243001-- 702233004 702233003 1 702233001 702234002/02234003 702234003 702243001 702243002 m.v-7.1-0.:dc+.i:ry_c^ ai Curt..Ce.7b Se••..7c SIS Ll®02511 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Mar 13 15:55:26 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/13/2014 ■ o Z �o o - z a a a g N N N QN s e n o 0.LLJ Z W C N o (n F-- Ct O W Q „,/ N T NZ - Na -4Z 4/lMN) LZ'£l9Z Ili ... L£B C)Q.) (Z£VVl SSTOOZ XVI V CO LOOI£LZOL ry d :m " 6o Q °�< i 0Q1 z I-u a yQi W ^ ,0601 z Z .99'60£ 1, i/W / g W 'o Sty zry$m / J ' I— 1S NOSOIVS OVA 11V i Ol XVl g .Vrcr ,96'l6£ ry V £{0{£ZZOL -gN - 1 < 1 m o.6601 n��1�� D.,:a F $ 1 CI U a Z N .480{ g Rs nth 1\ N Co' O N a r _ p 1 i45 �\ N N A l� 8 0 b F ■ F—I 0 W 1`6 gN > PEI z ,-,t,.. .09'L60 1 1n 0 xX/I n r m < p KW=GC w A 0 ,56914 ry ' iti 17 W s. 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K1 t] u N; L'' z • oro o ����� °� dog Zio m —$8 0 8<u <° iU dff : ;' was wow — . 1 u 1 vi j m O U d U IS C)� < L'"'" w F �d� �Ze U 8 `p :.\ - 4�... .:..., • SE-1u, F o Vi Z rc i T a• o a• �_�azo: g u Qg1§wi,5 a ww — o . .1V2 u e aqN Q i s 3 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000702231002 Geo Cd 270223110320 S23 T27 R2W Nbhd Cd 2560 TAX 31 Loc ID * Taxpayer Cd PEDE 5600 PEDERSON, WALTER H T/P Chg Dt 1/09/2002 * Title Owner T/P Chg Usr JODI Tax Code 0324 Status TX TAXABLE Land Use 1101 MANU HM W/LN Affidavit Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer PEDE5600 WALTER H PEDERSON PO BOX 9 QUILCENE WA 98376-0009 Search Key CMD 6 : End Window CMD 7: End of Job Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000702231001 Geo Cd 270223110320 S23 T27 R2W Nbhd Cd 2560 TAX 30 Loc ID * Taxpayer Cd PEDE 5600 PEDERSON, WALTER H T/P Chg Dt 1/09/2002 * Title Owner T/P Chg Usr JODI Tax Code 0324 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer PEDE5600 WALTER H PEDERSON PO BOX 9 QUILCENE WA 98376-0009 Search Key CMD 6: End Window CMD 7: End of Job __ D/ siva* / /446R ,�el 6 JEFFERSON COUNTY li, , a '.,-..1'' DEPARTMENT OF COMMUNITY DEVELOPMENT I VV t 621 Sheridan Street • Port Townsend • Washington 98368 3601379 4450 • 360/379 4451 Fax \s OtO'� www.co.jefferson.wa.us/commdevelopment JAN 2 9 2014 1 ) $IN I Master Permit Application MLA: JEFFERSON COUNTY Project Description(include separate sheets as necessary): Df_PT,OF COfJivloNiiY ur�;��nE'���°�r ,7,J � ./ct/ ,Kwe4 esteia -q 7 -574- hzevt-mouse 3-5-e �.�1 mri,Lre Tax Parcel Number: 70ZZ /d©0 -.7O�z3100/ Property Size: leit dtsc (acres/square feet) Site Address and/or Directions to Property: .529//779- Property Owner(s)of Record: - An j _ ` ;p .,, ;7 Telephone: 340 — 7a ,5- 47 ' Fax: - email: r /17 Ar r of r! / Mailing Address: 29 54 7 Z a s' fir. <�,.i /e/ • e_O'l?'f Applicant/Agent(if different from owner): sr / /G< ' d Telephone: Pr') P Z7,S—7?P4- Fax: We? , 7,-77 - / r email: - ": 4,Gh i 'e cC�Mailing Address: 7/Q (V� &- d1ePP O�G�, _e9e ' - a`i 52-, What kind of Permit?(Check each box at ap flies,. ❑ Lot or Road Segregation Auilding - f -' -taNcl /Zes 7'UYf ❑Critical Areas Stewardship Plan ❑ Demolition Permit 0,-/ 7/Sipes a. / • ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home _ .❑ Modular • - ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** U Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach_ ❑ Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan'"` ❑ Propane ❑ Long Plat** ❑ Sign __ ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state o federal permits required for this proposal, if known: SIGNATION OF AGENT I hereby designate M-(.. ( - 0 to act as agent in matters relating to this application for permit(s). I OWNER SIGNATURE .ii:am i,%iiM Mi_ OL )04/7• .i%jent Date: 1124/Il By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of I his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of en;,will be assumed unless the applicant informs the County in writing at the time of the a••lic-tion tha he or she ants .rior notice. Signature: �..4. .; a --_ .t ``� , i..L.t ‘..1.1.-4.0; Date: i[ I.til The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County develop Ai t code.The Applicant acknowledges that he,she or it holds individual and non-tr. sferable responsibilit for.•herin• to and co •ly' g w. . t-— he Applicant has read this disclai era d sig `s and dates it below. Signature: vir .��'.��� ._ Date: • l'/ S iffy * BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# O Demolition U Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: • If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed ■BC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No . If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. . . Square Footage Current Proposed For Office Use'Only Amount Revision Main Floor Heated EH Bld App Review: 21-4 Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated' Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: i ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish _ Initials: BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu 'ng the responsibility of the Ge'eral,Conttrractor for the proposed project. Signature: i ..1 ♦ `} Date: -- ZL 1 tii GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAxxi-- Ft 9 0 1E-):: _ V r i 1="--7J ; MAILING ADDRESS: EMAIL: I ,i !, CONTRACTOR'S LICENSE WAINS I NUMBER: NUMBER JAN 2 9 71 4 ARCHITECT/ENGINEER: PHONE ( ) _ FAX:( ) J MAILING ADDRESS: EMAIL JEFFERSON COUNTY Project Type: Frame Type: Bathrooms: Shoreline:DEpT"6gpe^,gf!Seiwog%!D )Tsai:__ New = Wood Existing: Sewer 0 Addition E Steel Proposed: Bank ± Community System C Alteration/Remodel 0 Concrete Total: Height: C Individual System C Repair 7= Masonry SEP Permit# O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well a Two Party Type of Heat: Proposed: C Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove T Cook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tank 1 Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 22 Floor Heated Consistency Review: Other Heated Base fee: Mezzanine - Additional Section: (- Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated. Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other 74i40,45, di TOTAL: $ /`/� velc a/ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value o II labor and materials foundation to finish ��. 07• 0-0 Initials: • 5 ,, / /S/2©SGf ` 7 iO JEFFERSON COUNTY — A, DEPARTMENT OF COMMUNITY DEVELOPMENT j, 621 Sheridan Street • Port Townsend • Washington 98368 I(, JAN 2 9 ?n,14 360/379-4450 • 360/379-4451 Fax I �`4 NOBS http://www.co.jefferson.wa.us/commdevelopment/ U ' I JEFFERSON COUNTY DEPT.OF COMMUFITY UFVFI OPMFNT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: /9 7 - /ce#re DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. G PARCEL SIZE(LE.,SITE) Size of parcel /-r acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet ,ff..,6111D so/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank,etc. sq/ft Circle: Yes Well, utilities,etc. sq/ft Does the project convert 2'/2 acres or more of native vegetation to pasture? Driveway, parking,roads, etc. sq/ft Circle: Yes Lawn, landscaping, etc. tO sq/ft Other compacted surface, etc. p sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 1,r ire sg/ft Cut Fill Z(900 (cu/yd) [over] stormwater talc worksheet Rev 9-9-2070—REV 9/9/2070 CC in _ wi Impervious surface is a hard surface that either prevents or retards the entry of water into the i i - - : . .- -: - -TConditions prior to development. A hard surface area which causes water to run off the surface in greater q ities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surf-.-. incl bu�are not jimitacii tq roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, g a ro 4paAked dartten rri tel rjals, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwate . s` Jr JL[ILR3Ot100011TY STORMWATER CALULATIONS–IMPERVIOUS SURFACE DEPT.OF COMMUNITY DE':}LOP"JIB 1 NEW EXISTING Structures(all roof area) sq/ft Structures(all roof area) sq/ft Sidewalks sq/ft Sidewalks (� sq/ft Patios sq/ft Patios t9 sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 0 sq/ft Driveway, parking, roads,etc 0 sq/ft Other F7/(AE4 '10`,0 sq/ft Other sq/ft Total New (:/ sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 9 ) '1 t sq/ft /4-77/44e4 0,0/t/110)CD *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: `t#(7 % Does the site have 35%or more of existing impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. AIf. e x:fy • (rNDO ER'0R AUTHORIZED REPRESENTATIVE SIG /URE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 ENVIRONMENTAL CHECKLIST BIG QUILCENE RIVER ESTUARY RESTORATION PROJECT —PHASE 3 THIS SEPA IS FOR THE SOIL DISPOSAL SITE FOR THE PROJECT THAT IS LOCATED AT THE PEDERSON INDUSTRIAL AREA SOIL DISPOSAL SITE IN QUILCENE, WA. A. BACKGROUND 1. Name of proposed project, if applicable: — Big Quilcene Estuary Restoration—Phase 3 LJ/ 3 i ii 2. Name of applicant: JAN 2 9 2014 Ii Hood Canal Salmon Enhancement Group(HCSEG) JEFFERSON COUNTY { DEPT.OF COMMUNITY DEVELOPMENT 3. Address and phone number of applicant and contact person: Mendy Harlow-Director PO Box 2169 Belfair,WA 98528 360-275-3575 4. Date checklist prepared: January 18,2014 5. Agency requesting checklist: Jefferson County 6. Proposed timing or schedule (including phasing, if applicable): Site excavation for the Big Quilcene River Estuary Restoration will begin July 15, 2014. We estimate completion of the project September 15, 2014.The excavation phase of the project will take approximately 4 weeks. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 1 A separate SEPA checklist has been prepared for the Big Quilcene Estuary Restoration Project - Phase 3. That SEPA checklist contains several documents directly related to the proposed estuary restoration. They include: A DARPA HcrEoviiff: Wetland Delineation and Analysis Report D Cultural Resources Report Hazardous Substance Assessment JAN 2 9 2014 JEFFERSON COUNTY 9. Do you know whether applications are pending for governmental apprQVaf�F-etl affecting the property covered by your proposal? If yes, explain. No 10. List any government approvals or permits that will be needed for your proposal, if known. ✓M17 " VA) 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) Ihelpl This proposal seeks to dispose of approximately 20,000 cubic yards of waste P soil from the Big Quilcene River Estuary Restoration — Phase 3 Project at the 1.4) Pederson's Industrial area located at 295472 Highway 101 Quilcene, WA G-‘) 98376. Property is located in NE 1/4 of S23 T27 R2W. Parcel ID: 702231002 and 702231001 While the Pederson Industrial disposal property is 19 acres, this proposal only seeks to place soil in a small portion of land within the property that has been previously prepared for filling with waste soil. The proposed disposal area will be approximately 200' x 200' in width and approximately 7' deep. (Area = 0.91 acres) The area where the soil will be deposited has had significant disturbance over the last 20 years. In the 1990's it was cleared and graded in preparation for filling by imported soil. A portion of the disposal site has been filled with soil taken from the previous phases of the Big Quilcene River Estuary Restoration Project. We have enclosed a Vicinity Map, a haul route map, and a aerial photo image that shows the approximate limits of the filling operation at the end of this SEPA checklist. The imported soil fill will be compacted using a crawler tractor. No construction is planned on the imported fill. There will be no storm water SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 2 runoff from the filling site because the fill will be surrounded by ditches that will intercept any runoff from the fill. r 11=‘' FOV -En JAN 2 9 2014 j JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT PEDERSON INDUSTRIAL AREA WASTE SOIL FILL SITE—NOTE EXISTING WASTE FILL ON THE SITE 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Go to Quilcene,WA then go south out of town on SR 101 approximately one mile and look for a large sign that says PEDERSON'S on the right hand side of the road.Turn right onto the industrial site.The area to be filled in on the left about 300 feet from the entrance. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site. (circle one): Flat, rolling, hilly, steep slopes, mountainous, other The disposal site is flat rolling topography. b. What is the steepest slope on the site (approximate percent slope)? SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 3 The disposal site has less than a 4%slope. c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The soil on the current disposal site is HOC- Gravelly top soil with excessive fines and low permeability. Hardpan likely at 24"to 25".The area where the soils are going is graded depression with no_wetlands. - - r rr_ L d. Are there surface indications or history of unstable soils in the immeydi z, j describe. \ ' r JAN 2 9 2014 There are no unstable soils known in the immediate vicinity. ` � 1 SON CO i e. Describe the purpose, type, and approximate quantities of any filling c)r grading�`� p�!F1opMENT Indicate source of fill. ----� The fill added to the proposed site will be approximately 20,000 cubic yards.The source of the fill will be the Big Quilcene Estuary Restoration site. See enclosed 90%Design Drawings. ° C'/ f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.[ The fill will be left uncovered and will be constructed of permeable soil. No stormwater runoff or soil erosion is expected to occur. g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? None h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: No storm water runoff is expected from the imported soil.A shallow ditch will be constructed around the perimeter of the fill to prevent any stormwater runoff from leaving the site. 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. None b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 4 c. Proposed measures to reduce or control emissions or other impacts to air, i s i y�. I' None IA JAN 2 9 214 No 3. Water JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT a. Surface Water: j 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site. 2)Will the project require any work over, in, or adjacent to (within 200 feet)the described waters? If yes, please describe and attach available plans. The project will not require work within 200 feet of waters. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. form%ate K" koh-t-kAA S e -S0b n'4led, None—See Big Quilcene Estuary Restoration SEPA for further information a-f C inot cx1� so,900 / will 0-c- 4)Will the proposal require surface water withdrawals or diversions? Give general [aCev �'h� description, purpose, and approximate quantities if known. G Ira) c e Not applicable. No surface water withdrawals or diversions are proposed in this proposal. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. [ The proposed disposal site does not lie within a 100-year floodplain. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. Not applicable.The proposed site is not lie near surface waters. b. Ground Water: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. Not applicable. No ground water withdrawn or discharged will be part of this application. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 5 number of such systems, the number of houses to be served (if a v of animals or humans the system(s) are expected to serve. �� �. No domestic sewage, chemicals or agriculture materials al 9 be jischarged into this proposed site. �i ` c. Water runoff(including stormwater): JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 1) Describe the source of runoff(including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. There will be no storm water runoff from the fill. A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 2) Could waste materials enter ground or surface waters? If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs _Xgrass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? The Pederson Soil Disposal site is an established industrial area. No vegetation will be removed or altered at this site. c. List threatened or endangered species known to be on or near the site. No threatened or endangered species are know on or near this site. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 6 �•� Cc", L; j� 5. Animals ID r I JAN 2 9 2014 a. Circle any birds and animals which have been observed on or near the sit r re known to be on or near the site: JEFFERSON COUNTY birds: hawk, heron, eagle, songbirds, other: _DEPT OF COMMUNITY DEVELOPMENT MENT mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. No threatened or endangered species known in or near site. c. Is the site part of a migration route? If so, explain. NO d. Proposed measures to preserve or enhance wildlife, if any: None 6. Energy and natural resources a. What kinds of energy(electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. Not applicable b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. Not applicable c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Not applicable 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. None 1) Describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: SEPA Environmental checklist(WAC 197.11-960) guidance updated March 2012 7 b. Noise i 1)What types of noise exist in the area which may affect your proj OT Or¢r eplb:9 2014 traffic, equipment, operation, other)? ' � U Noise from the construction equipment will not affect thi. pro FFERSON COUNTY UPT. ,COMMUNITY DEVELOPMENT 2)What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. The project site will be used during day light hours only limited during the project schedule. The types of noise will come from trucks delivering and unloading demolition materials. 3) Proposed measures to reduce or control noise impacts, if any: Noise from project site will be limited to hours occurring only during the day. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Pederson's property is used as a disposal area. b. Has the site been used for agriculture? If so, describe. No previous knowledge of area being used for agriculture. c. Describe any structures on the site. This is an industrial commercial site.There are storage buildings repair building,and the owner' residence. d. Will any structures be demolished? If so, what? No. e. What is the current zoning classification of the site? -i Light urban industrial 1 {ush'i ai/ tvU t- f6- au f. What is the current comprehensive plan designation of the site? � ova ) �v f M�tl e-k A disposal site �t �)--A g. If applicable, what is the current shoreline master program designation of the site? NA SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 8 r; \ I:--' /7-'=,-> FT-r - ,.; ,,:// 1 i,__, ._ \ :=1"TiCiHIT -71.2--i;"--71-- l' 1 ' h. Has any part of the site been classified as an "environmentally sensitive" area`?: If so, specify. I I No ill JAN n i/Ui i i. Approximately how many people would reside or work in the completed project? I JEFFERSON COUNTY -'T OF COMMUNITY DEUEM OOPMFNT The number of employees varies from none to 20 depending on the operation. - j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: None L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. No housing units are needed for this project. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. No housing units will be eliminated for this project. c. Proposed measures to reduce or control housing impacts, if any: There are no housing impacts for this project. 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? This project doesn't have any proposed structures. b. What views in the immediate vicinity would be altered or obstructed? No views are anticipated to be altered or obstructed. c. Proposed measures to reduce or control aesthetic impacts, if any: None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 9 11. Light and glare kpvi a. What type of light or glare will the proposal produce? What time of day Mat q- occur? ,!'� Not applicable. JAN 2 9 2014 b. Could light or glare from the finished project be a safety hazard or iriterfere-wit x_ nUNTY Not applicable. DEPT.OF COMMUNITY DEVELOPMENT c. What existing off-site sources of light or glare may affect your proposal? Not applicable. d. Proposed measures to reduce or control light and glare impacts, if any: Not applicable. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? There are no recreational opportunities within the immediate vicinity. b. Would the proposed project displace any existing recreational uses? If so, describe. The proposed project would not displace any existing recreational uses. c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project or applicant, if any: No proposed measures to reduce or control impacts on recreation opportunities for this proposed project because the site is not located in a recreational area. 13. Historic and cultural preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? If so, generally describe. fhelp1 This proposed site is not known to be in or adjacent to a historic or cultural area. It has been grossly disturbed for the last 20 years. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. c. Proposed measures to reduce or control impacts, if any: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 10 There are no proposed measures to reduce or control impacts because the proposed site is not in or near a sensitive historic or cultural area. 1 t , 14. Transportation JA�� 2 �9 �;JJ' a. Identify public streets and highways serving the site, and describe propo t'd ecess to the i1 existing street system. Show on site plans, if any. iLlFERSON COUNTY pro' Or CnV'-"UNITY DEVELOPMENT The proposed disposal site is accessed by Linger Longer Road,to Highway 101 in Quilcene, WA. The route is 1.46 miles,from demolition site on Linger Longer Road to Pederson's disposal site. b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? The site is not served by public transportation. c. How many parking spaces would the completed project have? How many would the project eliminate? The proposed project doesn't intend to create or eliminate parking spaces. d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). 'help.' The proposed project does not require any new roads or streets and will use existing roads. e. Will the project use (or occur in the immediate vicinity of)water, rail, or air transporta- tion? If so, generally describe. Not applicable f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. jhelpl 20 truckloads of earth per day is expected for 20 days during the excavation period. g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services a. Would the project result in an increased need for public services (for example: fire pro- tection, police protection, health care, schools, other)? If so, generally describe. [ SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 11 No public services will be needed for this project. b. Proposed measures to reduce or control direct impacts on public services, if any. jhl JEFFERSON COUNTY 16. Utilities DEPT.OF COMMUNITY DEVELOPMENT a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other None b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None C. SIGNATURE The above answers are true and complete to the best of my knowledge. I underst.nd that the lead agency is relying on them to make its decision. i4( Signature: 1�l�!�;Mt.a%rti.��i Name of si nee r � eG //e9,v4._ g Position and Agency/Organization Date Submitted: t ���r� �� e�� SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 12 L� Cc:, \J ''�_. �r i IiJ, II'' f IIII D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS(helpl U 3L_,__.__�� 1 Li) 1 JJrr:RS() I4 ,r,/ CQ_,P�Ty DFPT pF ct721 r ;t;UITI 1}�GFb`ELOPM[I��T (IT IS NOT NECESSARY to use this sheet for project actions) —-- Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment in . When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 13 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use im p p JA N E > ! Pro atS-are: , )1 JEFFERSON COUNTY D`:PT.OF COMMUNITY DEV!EW_OPMENT 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. 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"740-4(P7-243 12-GCecc 7s Property Owner(s)of Record: _ - - i�j _ ;pt. -r .-7 Telephone: 3(p0 •- '74:::, "- . 47i?.' Fax: email: a E-,ii AID+ r iJ fr,1 Mailing Address: ZQ 54 7 Z as' /74_ ii1? , . /(J/ , La Cr`?'J Applicant/Agent(if different from owner): i I /G I '. Telephone: *JO r 07,-7?7¢ Fax: wey ' `.-77- 3/ email: 7Z Gf//t UC cCcer‘ Mailing Address: 7_1'0 (V - C e ih p, 0-,, Gk, --e9e / A - do`i 5 Z, • What kind of Permit?(Check each box/that ap lies„ ❑ Lot or Road Segregation uilding - 4-64Ga14e/ /ZCS Dyf ❑Critical Areas Stewardship Plan D Demolition Permit chi/PIS,- A /• ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home J. .❑ Modular - - ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** n Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan*" . ❑ Propane ❑Long Plat** ❑Sign - • ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state of federal permits required for this proposal, if known: LPczt 2-- r in C? / DESIGNATION OF AGENT I hereby designate t tt- C. i tk, ©IA-Tk to act -s my .,:nt'n matters relating to this application for permit(s). _.e `� / �, 1 Ili 114 OWNER SIGNATURE if1 ri' ;I;v;� -� i /,i ,4, Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to-this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of ent will be assumed unless the applicant informs the County in writing at the time of the appf ation that he or she w.nts poor notice. // Signature: I V�' ty11 A �LLA _:i_�.-,L Date: • � al r ] The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County dev- :.m-nt code.The Applicant acknowledges that he,she or it holds individual and non-tra•sf;rable r- ponsi■ilit f•r adh,ri,• to a •o . /Ig --�f.A. The Applicant has read this discla'mer Ind .gns and dates it below. Signature: V / .ii �X1/4 Ir./ Date: t 241 u BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass i g the re pons;•Egg ilit of the Ti enneral Cogtractor for the proposed project. �1 I 1 4 Signature: i L£k•_411 Pi �.J Date: i r I GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHC•NE: i L/1 I w FAX: I I ( ) 111i ( ) I! MAILING ADDRESS: EMAIL: I 1 C ) t ONTRACTOR'S WAINS Li t S LICENSE I If NUMBER: NUMBER JEFFERSON On1JNr ARCHITECT/ENGINEER: PHONE ( ) .___-__D!PT OFFMAIUMODEVrt OPMENT MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# _ ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: ' If this is a Commercial Project you must answer the following: - Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • IBC Occupancy: - IBC Type of construction: Will you have Food Service? Yes / No If this is a Pro•ane Tank and/or A•.liance Installation •ermit mark all items below that a•.1 : 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove 1 Woodstove i Fireplace Insert 1 Hot Water Tank 1 Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage [ urrent Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 21 Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement - Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: -Fair market value of all labor and materials foundation to finish Initials: BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass i g the re pon •bi ity of th G eat ontractor for the proposed project. `��A . Signature: lWv�""" Date: fi l l GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: i f' A): `., j MAILING ADDRESS: EMAIL: '1` ! °! I^e1 .,CONTRACTOR'S LICENSE WAINS v ! i NUMBER: NUMBER v I ARCHITECT/ENGINEER: PHONE ( ) J t_ PIEN f. ,, MAILING ADDRESS: EMAIL DEPT OF C014:',1Up;TY Dr/r(_npMFNT Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: • New 2 Wood Existing: Sewer O Addition C Steel Proposed: Bank 2 Community System O Alteration/Remodel 0 Concrete Total: Height: C Individual System O Repair 0 Masonry SEP Permit# _ O Demolition Other: Bedrooms: Water Supply: . Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank I Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank i Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For;Offce Use Only . Amount Revision Main Floor Heated .. EH Bld App Review: . 2nd Floor Heated Consistency Review: Other Heated Base fee: Mezzanine - Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other .-,wesw, e /v TOTAL: $ /- lsy�4ca/ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: 'Fair market value o 1l labor and materials foundation to finish de9 Initials: i .Ol-7.-- /-5/2i5 Gc � ° Oa JEFFERSON COUNTY 1 [a�, [EfC� � ��; va DEPARTMENT OF COMMUNITY DEVELOPMENT L Jr ,; '''`---,. 621 Sheridan Street • Port Townsend • Washington 98368 "� � �� I�, �� ,O 360/379-4450 • 360/379-4451 Fax I �� 13INO http://�vw�v.co.Jefferson.wa.us/commdeveiopment/ JEFFFERSON COUNTY i DEPT OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: / ,/7, C � 27- Sc v/ /�/;��6..a - DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel /q acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet ,65--07 1,51e. sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple,and vine maple; shrubs such as willow,elderberry,salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/4 acres or more of Construction site for structures o sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank,etc. 0 sq/ft Circle: Yes Well,utilities,etc. 0 sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking,roads,etc. 0 sq/ft Circle: Yes Lawn, landscaping, etc. 4) sq/ft Other compacted surface,etc. ef, sq/ft Indicate Total Volumes of Proposed: -50//P./fili7 sac © ��D Total Land Disturbance sq/ft Cut Fill 7900 (cu/yd) [over] storrnwater caic worksheet Rev 9-9-2010—REV 9!9!2010 1 Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mefn�l -Las-u+ er La ural-c ffions r to run off the surface in greater uant ti' 'Jr at an increased rate of flow prior to development. A hard surface area which causes Ovate t r g q � ;ems from the flow present under natural conditions prior to development Common impervious surfaces"irrtticle, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel ridia d, packed earthen materia i a$, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. U ! ;U I` I iurcn,e,,ce.,Y, 1 STORMWATER CALULATIONS–IMPERVIOUS SURFACE DEPT.OF COMMUNITY DIVE )PM ENT 1 NEW EXISTING Structures(all roof area) Cf7 sq/ft Structures(all roof area) d sq/ft Sidewalks C., sq/ft Sidewalks 0 sq/ft Patios g� sq/ft Patios D sq/ft Solid Decks V sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads,etc A 0 sq/ft Driveway, parking, roads,etc O sq/ft— Other T a���a scot Other b sq/ft Total New (./ 1ZO sq/ft Total Existing b sq/ft TOTAL NEW+TOTAL EXISTING* 9 Dt sq/ft (6`yj" k9,/,groxp "This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: /4:1 0 % Does the site have 35%or more of existing impervious surface? Circle: Yes Q FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, 1 as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. • c ' // -- 2-rJ /i--- (rNDO\ ER■R AUTHORIZED REPRESENTATIVE SIG "URE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater talc worksheet Rev 9-9-2010—REV 9/9/2016 2 it ENVIRONMENTAL CHECKLIST BIG QUILCENE RIVER ESTUARY RESTORATION PROJECT-PHASE 3 THIS SEPA IS FOR THE SOIL DISPOSAL SITE FOR THE PROJECT THAT IS LOCATED AT THE PEDERSON INDUSTRIAL AREA SOIL DISPOSAL SITE IN QUILCENE, WA. A. BACKGROUND 1. Name of proposed project, if applicable: ( 0 v E ! �' Big Quilcene Estuary Restoration—Phase 3 !ni JAN 2 r1 i ! /1 2. Name of applicant: L JEFFERSON COUNTY Hood Canal Salmon Enhancement Group(HCSEG) DEPT.OF COMMUNITY DEVELOPMENT 3. Address and phone number of applicant and contact person: Mendy Harlow-Director PO Box 2169 Belfair,WA 98528 360-275-3575 4. Date checklist prepared: January 18,2014 5. Agency requesting checklist: Jefferson County 6. Proposed timing or schedule (including phasing, if applicable): Site excavation for the Big Quilcene River Estuary Restoration will begin July 15, 2014. We estimate completion of the project September 15, 2014.The excavation phase of the project will take approximately 4 weeks. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 1 A separate SEPA checklist has been prepared for the Big Quilcene Estuary Restoration Project - Phase 3. That SEPA checklist contains several documents directly related to the proposed estuary restoration. They include: ---_. A DARPA C U V D Wetland Delineation and Analysis Report Cultural Resources Report JAN 2 c 2014 L Hazardous Substance Assessment JEFFERSON COUNTY DEPT.OF COhamifmTv rig OPMFNT 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No 10. List any government approvals or permits that will be needed for your proposal, if known. 7 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) [help) This proposal seeks to dispose of approximately 20,000 cubic yards of waste 04 soil from the Big Quilcene River Estuary Restoration — Phase 3 Project at the pa Pederson's Industrial area located at 295472 Highway 101 Quilcene, WA /0/\ 98376. Property is located in NE 1/4 of S23 T27 R2W. Parcel ID: 702231002 and 702231001 While the Pederson Industrial disposal property is 19 acres, this proposal only seeks to place soil in a small portion of land within the property that has been previously prepared for filling with waste soil. The proposed disposal area will be approximately 200' x 200' in width and approximately 7' deep. (Area = 0.91 acres) The area where the soil will be deposited has had significant disturbance over the last 20 years. In the 1990's it was cleared and graded in preparation for filling by imported soil. A portion of the disposal site has been filled with soil taken from the previous phases of the Big Quilcene River Estuary Restoration Project. We have enclosed a Vicinity Map, a haul route map, and a aerial photo image that shows the approximate limits of the filling operation at the end of this SEPA checklist. The imported soil fill will be compacted using a crawler tractor. No construction is planned on the imported fill. There will be no storm water SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 2 runoff from the filling site because the fill will be surrounded by ditches that will intercept any runoff from the fill. ■ r-1 �1, I 1 r r-..:r- JAN 2 2 9014 l � r 111, JEFFERSON COUNTY 11 DEPT.OF COMMUNITY DEVELOPMENT PEDERSON INDUSTRIAL AREA WASTE SOIL FILL SITE—NOTE EXISTING WASTE FILL ON THE SITE 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Go to Quilcene,WA then go south out of town on SR 101 approximately one mile and look for a large sign that says PEDERSON'S on the right hand side of the road.Turn right onto the industrial site.The area to be filled in on the left about 300 feet from the entrance. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site. (circle one): Flat, rolling, hilly, steep slopes, mountainous, other The disposal site is flat rolling topography. b. What is the steepest slope on the site (approximate percent slope)? SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 3 The disposal site has less than a 4%slope. c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The soil on the current disposal site is HOC- Gravelly top soil with excessive fines and low permeability. Hardpan likely at 24"to 25".The area where the soils are going is graded depression with no wetlands. d. Are there surface indications or history of unstable soils in the immediate vieili IINFE describe. I I JAN ? r 7014 There are no unstable soils known in the immediate vicinity. U e. Describe the purpose, type, and approximate quantities of any filling or gra ing pr CO RSON COUNTY Indicate source of fill DEF1 OF MUNITY DEVELOPMENT The fill added to the proposed site will be approximately 20,000 cubic yards.The source of the CPC (/ fill will be the Big Quilcene Estuary Restoration site. See enclosed 90% Design Drawings. /OA f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.[ The fill will be left uncovered and will be constructed of permeable soil. No stormwater runoff or soil erosion is expected to occur. g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? None h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: No storm water runoff is expected from the imported soil.A shallow ditch will be constructed around the perimeter of the fill to prevent any stormwater runoff from leaving the site. 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. None b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 4 c. Proposed measures to reduce or control emissions or other impacts to air, if�an None ! - 6 � _ V ic; ;, No V JAN 2 F',1 j 3. Water 'U a. Surface Water: 'n JEFFERSON COUNTY 1) Is there any surface water body on or in the immediate vicinity of the site. c i COMMUNITY DEVFLO°MENT year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. There is no known surface water within the vicinity of the site. 2)Will the project require any work over, in, or adjacent to (within 200 feet)the described waters? If yes, please describe and attach available plans. The project will not require work within 200 feet of waters. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. None-See Big Quilcene Estuary Restoration SEPA for further information 4)Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. Not applicable. No surface water withdrawals or diversions are proposed in this proposal. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. [ The proposed disposal site does not lie within a 100-year floodplain. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. Not applicable.The proposed site is not lie near surface waters. b. Ground Water: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. Not applicable. No ground water withdrawn or discharged will be part of this application. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 5 number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. No domestic sewage, chemicals or agriculture materials are to be discharged into this proposed site. c. Water runoff(including stormwater): 1) Describe the source of runoff(including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. There will be no storm water runoff from the fill.A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 2) Could waste materials enter ground or surface waters? If so, generally describe. No. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: A shallow ditch will be constructed around the fill to intercept any incidental storm water runoff from the sloping sides of the fill. 4. Plants a. Check or circle types of vegetation found on the site: .1 L I \ deciduous tree: alder, � " maple, aspen, other I JAN 2 evergreen tree: fir, cedar, pine, other .` shrubs j X grass JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? The Pederson Soil Disposal site is an established industrial area. No vegetation will be removed or altered at this site. c. List threatened or endangered species known to be on or near the site. No threatened or endangered species are know on or near this site. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 6 5. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near th i .F C L u V it No threatened or endangered species known in or near site. ' JAN j I ii c. Is the site part of a migration route? If so, explain. L L ` JEFFERSON COUNTY NO DEPT.OF COMMUNITY DEYFI OPMFNT d. Proposed measures to preserve or enhance wildlife, if any: None 6. Energy and natural resources a. What kinds of energy(electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. Not applicable b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. Not applicable c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Not applicable 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. None 1) Describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 7 L 52, c \\ IJ�b. Noise 1r ! 1)What types of noise exist in the area which may affect your project (for e j le: if i traffic, equipment, operation, other)? JEFFERSON COUNTY Noise from the construction equipment will not affect this project OEPte—T OF C0��7U�iIT1 DFtiF�_OFMENr 2)What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. The project site will be used during day light hours only limited during the project schedule. The types of noise will come from trucks delivering and unloading demolition materials. 3) Proposed measures to reduce or control noise impacts, if any: Noise from project site will be limited to hours occurring only during the day. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Pederson's property is used as a disposal area. b. Has the site been used for agriculture? If so, describe. No previous knowledge of area being used for agriculture. c. Describe any structures on the site. This is an industrial commercial site.There are storage buildings repair building,and the owner' residence. d. Will any structures be demolished? If so, what? No. e. What is the current zoning classification of the site? Light urban industrial f. What is the current comprehensive plan designation of the site? A disposal site g. If applicable, what is the current shoreline master program designation of the site? NA SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 8 h. Has any part of the site been classified as an "environmentally sensitive" are ?I 0o, specify. No JAIii i. Approximately how many people would reside or work in the completed proje t? JEFFERSON COUNTY I DEPT OF COMMUNITY DEVI LOpP,JFNT The number of employees varies from none to 20 depending on the operatlors- ' j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: None L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. No housing units are needed for this project. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. No housing units will be eliminated for this project. c. Proposed measures to reduce or control housing impacts, if any: There are no housing impacts for this project. 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? This project doesn't have any proposed structures. b. What views in the immediate vicinity would be altered or obstructed? No views are anticipated to be altered or obstructed. c. Proposed measures to reduce or control aesthetic impacts, if any: None SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 9 11. Light and glare p H 0 - v FP, 1 a. What type of light or glare will the proposal produce? What time of day wbuf it mainly occur? Not applicable. JEFFERSON COUNTY b. Could light or glare from the finished project be a safety hazard or interfere withrvtuNITY DEVELOPMENT Not applicable. c. What existing off-site sources of light or glare may affect your proposal? Not applicable. d. Proposed measures to reduce or control light and glare impacts, if any: Not applicable. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? There are no recreational opportunities within the immediate vicinity. b. Would the proposed project displace any existing recreational uses? If so, describe. The proposed project would not displace any existing recreational uses. c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project or applicant, if any: No proposed measures to reduce or control impacts on recreation opportunities for this proposed project because the site is not located in a recreational area. 13. Historic and cultural preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? If so, generally describe. [help' This proposed site is not known to be in or adjacent to a historic or cultural area. It has been grossly disturbed for the last 20 years. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. c. Proposed measures to reduce or control impacts, if any: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 10 There are no proposed measures to reduce or control impacts because th \y/ c - site is not in or near a sensitive historic or cultural area. La JAN 14. Transportation a Ili a. Identify public streets and highways serving the site, and describe proposed cces to existing street system. Show on site plans, if any. nFPr.of ro���Rt N Tv DF� gin; fOP. NT The proposed disposal site is accessed by Linger Longer Road,to Highway 101 in Quilcene, WA. The route is 1.46 miles,from demolition site on Linger Longer Road to Pederson's disposal site. b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? The site is not served by public transportation. c. How many parking spaces would the completed project have? How many would the project eliminate? The proposed project doesn't intend to create or eliminate parking spaces. d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). jhelpl The proposed project does not require any new roads or streets and will use existing roads. e. Will the project use (or occur in the immediate vicinity of)water, rail, or air transporta- tion? If so, generally describe. Not applicable f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. 'help' 20 truckloads of earth per day is expected for 20 days during the excavation period. g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services a. Would the project result in an increased need for public services (for example: fire pro- tection, police protection, health care, schools, other)? If so, generally describe. [ SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 11 No public services will be needed for this project. b. Proposed measures to reduce or control direct impacts on public services, a n hel c p p p ► ' u V L� r Rjl i iAN 2 9 2014 I II 16. Utilities i a. Circle utilities currently available at the site: Li electricity, natural gas, water, refuse service, telephone, sanitary sewer,`septic systentoN COUNTY other ':TV DEVELOPMENT None b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its deci ion. Signature: �i-jiy� � -i AR C Name of signee �'V"`���"�i'���°" Position and Agency/Organization ...<464140,411/ 114re Date Submitted: 112.`H th C//I/- Ate/A- SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 12 D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS fhelpl �`1 ' �� Imo,, (IT IS NOT NECESSARY to use this sheet for project actions) ; j JAS( Because these questions are very general, it may be helpful to read th m ir� conjunction _. with the list of the elements of the environment in . JL 1ERSON COUNTY DEPT..OF CO";1M N!TY DFVri_OPMFNT When answering these questions, be aware of the extent the proposal, or tlie1ypes 0 -------- activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study)for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 13 5. How would the proposal be likely to affect land and shoreline use, including whether_it__ — would allow or encourage land or shoreline uses incompatible with existing p1 ris'?ft F - it r ll; !! Iii Proposed measures to avoid or reduce shoreline and land use impacts are: , %I JEFFERSON COUNTY � I DEPT.OF COMMUNITY DEVELOPMENT _j 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. SEPA Environmental checklist(WAC 197-11-960) guidance updated March 2012 14 Li,/ , • ' 1 TOPO! map printed on 04/12/13 from "U tit ed.tpo,. 122°53.000' 'W 122'52.000' W ! 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E s o. g .,o Ef 68,92.2 AE.g o � a a '=2*$n=» VBo as 28 z3€�8 4' 1 IIIII I0_ 7%; ,,z/e5. 6 7/ito a P f�.v { 97 '27tv 1/Wii/ / / 1-7//, / Pat McCullough From: Stacie Hoskins [SHoskins @co.jefferson.wa.us] Sent: Tuesday, January 21, 2014 4:24 PM To: Pat McCullough; Mary Blain Cc: Michelle Myers; Mendy Harlow Subject: RE: Big Quilcene Estuary Restoration Hi, Pat, Most of the questions you have are better directed to Mary Blain, our Permit Technician, but I've coordinated with her to include them below. I've copied her with this message to connect your team with Mary. Your questions are answered below with yellow highlighted text. 1. Is the restoration and the soil disposal two separate projects with two separate SEPA's? We filled out two checklists and two separate building permit applications but the cost of two separate SEPA's is more than one SEPA. Any comments?You may do them together, but please note that if there are issues with one project it will hold up the other.Together or separate,we track our time and will bill you for any additional hours spent reviewing the project above and beyond the SEPA review fee paid. 2. They mentioned scheduling a meeting to discuss the building permit applications. Do we need to do that—since we have been in three times already to discuss the project with you and others. If you want to schedule a conference—please do so—soon as possible. Normally a pre-intake phone consultation meeting is required to help ensure a complete application is submitted. This is the step where Mary provides you with the permit fees required and rev1Pws the required application forms. We've found that most people do not have riu ce ssf successful application submittal the first time around without the consultation. Mary did this for you today when you stopped by and followed up with the fee amount that I've included in#4 below. As such you have completed this pre-intake consult albeit in a rather disjointed way! 3. As you are aware, we can't get the HPA until the SEPA process is complete. We can't get the COE permit until we have the HPA. Getting moving on the SEPA process is now very important if we are going to get this important project constructed in the summer of 2014. Submittal of a complete application is needed as soon as possible. Each of our planners has a very large workload. We try to accommodate applicant timelines as best we can, and submittal of a complete application on your part will facilitate getting the project reviewed. Further prompt submittal of any additional information requested during project review will speed up a permit decision. 4. We are planning to mail in two copies of the building permits and SEPA Checklists. We will be sending along an electronic disk with the supporting documentation (reports). Will that work for Jefferson County?As far as we know there is no opposition to the restoration project. We have already left you with paper copies of the JARPA and some of the other documents. I believe you mean you completed the Master Permit Application for the clearing and grading. We now track them in our database as a zoning permit. Please let me know if I'm mistaken and you still intend to demolish any structures or construct any structures. Finally, could you please check with the permit technician and see if she has sent me the cost of the permits so we can get the check(checks) made out and mailed back to DCD. Per Mary,the total fees are$1,698 as follows: Consistency Review: 228 Shoreline Exemption Permit: 532 SEPA: 760 Notice Boards: 10 Notice of Application: 149 Scanning: 19 Total: $1698.00 1 Please make checks to Jefferson County. If you have any questions, please contact Mary Blain directly at mblain @co.jefferson.wa.us or 360-379-4452. Best regards, Stage.C'. Mead Planning Manager,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend,WA 98368 Phone 360-379-4463 * Fax 360-379-4451 shoskins(o)co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW EipA SAVE PAPER - Please do not print this e-mail unless absolutely necessary From: Pat McCullough [mailto:path @wavecable.com] Sent: Tuesday, January 21, 2014 1:49 PM To: Stacie Hoskins Cc: 'Michelle Myers'; 'Mendy Harlow' Subject: Big Quilcene Estuary Restoration Stacie, WDFW said the Big Quilcene River Estuary Restoration—Phase 3 Project does not qualify for an exemption. We will have to go the county permit route.That will include a building permit, drainage permit, a shoreline exemption, and going through SEPA.Therefore i completed two building permit applications and two SEPA Checklists. I stopped by DCD on Tuesday 1/21/14 to pick up the demolition permit and to drop off the SEPA checklist for the Restoration site and the Soil Disposal site. We did not have a check for the submittal so they would not take the applications.They kept a copy of the building permit applications so they could email the cost to the HCSEG. Questions. 5. Is the restoration and the soil disposal two separate projects with two separate SEPA's?We filled out two checklists and two separate building permit applications but the cost of two separate SEPA's is more than one SEPA.Any comments? 6. They mentioned scheduling a meeting to discuss the building permit applications. Do we need to do that—since we have been in three times already to discuss the project with you and others. If you want to schedule a conference—please do so—soon as possible. 7. As you are aware, we can't get the HPA until the SEPA process is complete. We can't get the COE permit until we have the HPA.Getting moving on the SEPA process is now very important if we are going to get this important project constructed in the summer of 2014. 8. We are planning to mail in two copies of the building permits and SEPA Checklists. We will be sending along an electronic disk with the supporting documentation (reports). Will that work for Jefferson County?As far as we know there is no opposition to the restoration project. We have already left you with paper copies of the JARPA and some of the other documents. Finally,could you please check with the permit technician and see if she has sent me the cost of the permits so we can get the check(checks) made out and mailed back to DCD. 2 JEFFERSON COUNTY NO. 145503 DATE (217/47. RECEIVED FROM \\ `- 1` Ceikir ~°` CO `C� " DESCRIPTION S RRSM AMOUNT CURRENCY �� ?,...lit /?_ , 72-K QP `„' SS 2 COIN AV .. , . ,‘,,,, „:4.)._ , .,\ ,:,...... .2.)6 . (1...,1)146.-- PIA"„A tiZt of- iek 1 611- -4 . 4 3 /1. m 1., . O eta ,, RECEIVED BY _rinigj TOTAL 110 c(&‘‘co -; .. w I Finally/could you please check with the permit technician and see if she has total fees are o cost of the e permits:s st. can get the check(checks) made out and mailed back to DCD. Per Mary, Consistency Review:228 �� 'Shoreline Exemption Permit:532 \SEPA:760 2_6\ 1i Notice Boards:10 Notice of Application: 149 Scanning: 19 X\ �� Total:$1698.00 Please make checks to Jefferson County. If you have any questions,please contact Mary Blain directly at mblain @co iefferson.wa.us.or 360-379-4452. r r HOOD CANAL SALMON ENHANCEMENT Jefferson County 7 6010000 • Construction:6010600- Permit Sepa& Review 1t22l2014 1,698.00 Key Operating 1,698.00 $ NCO y� JEFFERSON COUNTY • ' As, r DEPARTMENT OF COMMUNITY DEVELOPMENT •` 621 Sheridan Street • Port Townsend •Washington 98368 ' U e'L 360/379-4450 • 360/379-4451 Fax 4 (0. vvww.co jefferson.wa.us/commdevelopment SIN Master Permit Application MLA: Project _ Description.include separate sheets as necessary): Zr / n u�r �s�r ca �eS ^ �ov - PA-al -se/3 9 Tax Parcel Number: Z9/z O/ •7O9 Property Size: 7, 9 ,--G',t' 1 (acres/square feet) Site Address and/or Directions to Property: Q�u4.erl e, .. _ /_-:-ter / -ei— "-., ,, ..+ / _ ea - . 0 , / Property Owner(s)of Record: _ . ,, i,.•r. „ ( ,G., c - /A...- A , „ ow Telephone: 3atr) ?,7.S-?S75 .rf Fax: email: Mailing Address: JO a,, _ - - 4- - /V Z Applicant/Agent(if different from owner): ��i // dr --'` ��k'S. Telephone: 8 '2 75" '7VII.4- Fax: y40-'777— 3/8 7 At :/c'A -[6 eve?veca40 e phit Mailing Address: 2/e /la- n„,It .�k a r_ , a /Zeal _ „ _ �4�L What kind of Permit?(Check each box that applies 0 Lot or Road Segregation -- - Pt uilding ❑Critical Areas Stewardship Plan ' ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home - .❑ Modular - • / - ,.❑ Discretionary"D"or Unnamed Use Classification I (i Commercial* eo at'y e /75 p a ll ❑Special Use(Essential Public Facilities)** ❑ Change of Use , ' ❑ Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑ Propane . ❑Long Plat** • ❑ Sign • ... • • ❑ Planned Rural Residential Development(PRRD)/Amendments** . • ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference • / ❑Tree Vegetation Request ni-rew / 4 1 X7e4, -Pa 74 74P e-e J— **Requires a Pre,Application Conference Please id rtify any other local, state or f6deral permits required for this proposal,if known: ' COE _ ¢o/ 5-7/-04 �¢; d9- Inc a/--51(-01-€.4�2 eS — Saa,q--- • ESIGNATION OF AGENT I hereby designate 1-?:tbilc guy/Del to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE •}- " �l Date: t 74 III By signing this application form,the owner/agent attests that the information provided herein,and in any attachments, is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap,'ca ion that ,- or sh-wa . prior •otice.S ignature: ��_ 1 A ...4 A i Date: (( Li il l' The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)eve if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra er b respon ibility f adh rin to a co lyin with the ESA. The Applicant has read this disclaimer an signs/and dates it below. Signature: \ I:° Date: d 14,1 hq BUILDER STATEMENT# The signer.•f this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will b t;ss ming the esponsibilit of the neral Contractor for the proposed pr�ject.l!, Signature:' 4 A 1 4 , El `�� Date: _I t.t GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL - Project Type: Frame Type: Bathrooms: reline: Type of Sewage Disposal: O New 0 Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: nk G Community System 0 Alteration/Remodel 0 Concrete Total: _ eight: 0 Individual System O Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: • If this is a Commercial Project you must an_swer the following: Number of Parking Spaces: Current: Propose•, Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc Cuent Proposed • IBC Occupancy: . IBC Type of uc on: Will you have FoodService? Yes / No If this is a Propane Tank and/or Appliance Ins II ion pe, i ark all items below that apply: 1 Underground Tank 1 Above ground Tank Propane Tank: r 1 Heat Stove 1 Cook Stove 1 Woodsto e Fire ac- n 1 Hot Water Tahk 1 Pellet Stove 1 Other Is this appliance being installed in a Ma fac ured/ obi Home? Yes / No When applying for a permit to install a pr an tan you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances fro the p opa a tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed Forrce _s Only .;Amount Retrttril . Main Floor Heated EH Bid App Review: 2m Floor Heated Consistency Review: Other Heated Base fee: Mezzanine If• _ -':, Additional Section: Heated Basement - Plan Check fee: Unheated Basement State Surcharge fee: •Other Unheated. • • Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ i/_ _ _ Receipt Number: 14-lii . Cash/Check Number: • ESTIMATED COST(REQUIRED) Date: •Fair market value of all lab: and materials foundation to finish '/�5ol 000 Initials: z7ls,spos4 I Arseq [74 c,„, (-,--,?„, s9-14 Co JEFFERSON COU N , _. TY Y• ' `�� r�j DEPARTMENT OF COMMUNITY DEVELOPMENT "' '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax q�,�N��p� www.co.jefferson.wa.us/commdevelopment 9I `� Master Permit Application MLA: Project Description(include separate sheets as necessary): ,7,y fi i/c" - i' c s/ei -q /Z-s�v-v x1741 -,Dose 3-5'o 2, mr.rreW Tax Parcel Number: 7®0Z Nd©Z -70�X3100/ Property Size: LqA. cc (acres/square feet) Site Address and/or Directions to Property: .5-OL/17c� f4eeie. =-- 7 �'2/d` a urn. -401J Pedeflr' s = Property Owner(s)of Record: - ,�✓ ;p <7 Telephone: 3t'O •- 74:, -- ..978' Fax: email: a 1 4f - ii v e l Mailing Address: 24 54 7 Z as' �r ,01��co , e_ow-7 ` Applicant/Agent(if different from owner): 0 G L ' Telephone: D e Z7 -7?7¢ Fax:__7(e.&._7,�7-. 3/ , email: "i -it eii,1 ere eaer_577 Mailing Address: l_/'© ✓/ Ci,(d_ d r 4-ea What kind of Permit?(Check each box at ap lies... ❑Lot or Road Segregation Auilding -(S-{uAs 1/ �es h.e yf ❑Critical Areas Stewardship Plan ❑ Demolition Permit / a1"1®�S�Dt A. /• 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached I Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home • .0 Modular • . ❑Discretionary"D"or Unnamed Use Classification 0 Commercial* 0 Special Use(Essential Public Facilities)** n Change f Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** 0 Propane 0 Long Plat** O Sign 0 Planned Rural Residential Development (PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis O Plat Vacation/Alteration** O Stormwatec Management ❑Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** O Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment O Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state o federal permits required for this proposal, if known: LPcrt",L / /7 �)j� � SIGNATION OF AGENT I hereby designate T "mot VC. ((1(.A Ot l Gi_ to act as agent in matters relating to this application for permit(s). ►" r u/lperf OWNER SIGNATURE .i,i%s.►►�i.%�irrv�� , 1 J , _l ���.1 Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of en,;,will be assumed unless the applicant informs the County in writing at the time of the a•'lic.tion tha he or she ants rrior notice. , Signature: ....�...�.,:! ".r/` i% Date: 1 u ' asp---z.-°-a■ 1 lif The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County develop Ai t code.The Applicant acknowledges that he,she or it holds individual and non-tr.. sferable responsibilit for.•herin•to and g w , t.-- he Applicant has read this discla' era Ii'i'd sig s and dates it below. Signature: c""= ,— / - '- Date: 1 21 BUILDER STATEMENT" The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu 'ng the responsibility of the Gegeral Contractor for the proposed projectt. i Signature: i 1■ ►.� :� Ili e`�1Wra''`�./I Date: t Zt l GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PI-HONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: C New 7 Wood Existing: IT Sewer O Addition 2 Steel Proposed: Bank Community System C Alteration/Remodel 0 Concrete Total: Height: C Individual System C Repair 2 Masonry SEP Permit# C Demolition 2 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must answer the following: - Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • • IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove I Woodstove i Fireplace Insert ► Hot Water Tank i Pellet Stove i Other - Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,.. including the reserve area. . . Square Footage I Current Proposed For,©ffice Use Only Amount Revision Main Floor Heated - EH Bld App Review: . 2"d Floor Heated - Consistency Review: • Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated- Pot Water Review fee: 4 Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other 1-dia5v, (v TOTAL: $ .��/ tra�a� Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value o II labor and materials foundation to finish L �0/. 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XI Q G7 -f 0 0 I- ry o_ 0 m L — CJ1 - CD fi 3] '� C i O -1 c -A co H -n Z 0 N T so CS O c - H co 2 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 991201003 Printed: February 10, 2014 Cases Name Review Status Planner Type BLD13-00239 HOOD CANAL SALMON ENHAN A Application Received: 8/5/2013 Permit Issued/Case closed: 1/21/2014 Case Finaled: DEMO OF 5 RESIDENTIAL STRUCTURES 1.) Approval by the Health Department for this demolition permit is based on the owners signed acknowledgement that they will be decommissioning the existing septic system prior to final of this building permit. A record was located for the system on 991201003 under SEP77-00106. No records could be located for the other 4 systems and no evaluation has been completed. This approval for demolishing the residences does not ensure future building approval. Any future onsite sewage system shall meet code in effect at the time of application. 2.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems. Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. 3.) Wells shall be decommissioned in compliance with state code. An application for inspection of each of the decommissionings shall be made to Jefferson County Public Health a minimum of 3 working days prior to beginning the work. Decommissioning shall be completed by a licensed driller. 4.) All septic systems shall be abandoned/decommissioned by a Certified Jefferson County Installer. A$67 Technical Assistance fee is required for each of the 4 septic systems to be abandoned/decommissioned. A'Certificate of Tank Abandonment' shall be submitted for each septic system. Residences to be demolished that have a septic system to be decommissioned are on 991201003-A on site plan, 991201514-B on site plan, 991201503-C on site plan, 991201510- Don site plan, 991201701 or 702- E on site plan. Notice shall be given to JC Environmental Health two(2)working days prior to system/tank removal for inspection. If the septic tanks or other septic components such as PVC piping and drainfield materials are removed they shall be disposed of in an approved landfill. PRJ14-00010 MLA14-00013 HOOD CANAL SALMON ENHAN P Application Received: 2/7/2014 Permit Issued/Case closed: Case Finaled: BIG QUIL RESTORAI ION PROJECT w/SEPA No findings, conditions, or permissions found. XMP14-00001 MLA14-00013 HOOD CANAL SALMON ENHAN P Application Received: 2/7/2014 Permit Issued/Case closed: Case Finaled: BIG QUIL RESTORATION PROJECT: Shoreline exemption permit for ZON 14-00004 No findings, conditions, or permissions found. ZON14-00004 MLA14-00013 HOOD CANAL SALMON ENHAN P Application Received: 2/7/2014 Permit Issued/Case closed: Case Finaled: BIG QUIL RESTORATION PROJECT w/SEPA No findings, conditions, or permissions found. i \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 2/10/2014 Page 1 of 1 R y - i7SE$ Y .-1 f,"„ENCY T aiLa re e e WASHINGTON STATE � ; ; Joint Aquatic Resources Permit Age> ref repce# � Application (JARPA) Form Tax Par ±,. w USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. Part 1—Project Identification 1 Pr9ject fYme(A for your .,ja that a � ...- ` E � f1 tS �$••• or n•; •, Lane BIG QUILCENE ESTUARY RESTORATION—PHASE 3 (SFRB PROJECT 11-1349) Part 2—Applicant The person and/or organization responsible for the project. [help] 2a. me(Last,First, e) :: } Mendy Harlow—Assistant Director ;�_ t. »fir +, w i ''s`. '`-1.K. �= "4„,f ,5.. 2b, e ' � ,x4«aP` ,7" <:s ett Hood Canal Salmon Enhancement Group . Iaing Ad Cr Bcx 3 ��• �: ��� � PO Box 2169 241. Asa g A fr» • Belfair, WA 98628 2e �' . r e(9 2: ,` 2 Phone{Z 2!l# F 2h E-mail ( 360-275-3575) ( 360-275-9722) ( 360-275-0648) mendy@pnwsalmoncenter.org 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 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.armv.mil/Missions/CivilWorks/Requlatorv/PermitGuidebook/EndanoeredSpecies.asox. • 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.epermittinq.wa.gov/site/alias resourcecenter/iarpa iarpa form/9984fiarpa form.aspx. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or help .ora.wa.aov. JARPA Revision 2012.1 Page 1 of 16 Nt (List F dle) ,. .. . "} Pat McCullough, PE ESA Inc. s• Mailing Address(r t or P_.Q Box} „ 210 NE Cherokee Beach Road t , StatG'T-, `Y, At x" Belfair, WA. 98528 ag*one(1).„ 3f. Pty -a� x.� . .,. 41 E-mail (360—275-7384) (360) 204-2356 ( 360)277-3187 path @wavecable.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. i,ei X Same as applicant. (Skip to Part 5.) ❑ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) El 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 ownershp. If yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. '4a. Name(testi f�5 � to a+xJ' Y R Organization licabre} rN sing Address(Street or 0 Box) ?;d. ty, State,Zip "` 6 .a t ,'' "'2 40.Pho11e(t) 41«, ( . . f° x>> t •;>: . i�one ,�) ( ) ( ) ( ) Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. ipl6pj JARPA Revision 2012.1 Page 2 of 16 ❑There are multiple project locations (e.g. linear projects). Complete the section below and use JARPA Attachment B for each additional project location. ? tlic 9 t #' ership of the p (r J� uthat app*' X 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) i•' " ( 'Q t 4 there is no address provide other location information in t p) No. Address—The estuary restoration site is located at the end of Munchie Ave. in Quilcene WA See Attached Drawings and Vicinity Map SC City, State,Zip:#fltte project is not in a or town,pro*teffie name of the nearest city ortown.) thettA Quilcene,WA 98376 na. iL my� toms ."� 3 ,;, �b. Jefferson .5e. ter* a,�1" > " ,and rat �; : ® ® ir.-r am; tis m -a9 w e *" ➢ „ Rs ange P NE 24 27N R2W �j jam.. r .. . PI* 0�1 6�, �eC !�-oit(,! R i t udeof'the print tp x. 92Z f1; w, ,22.149142 W kang (Use dew i s _ .,,MAD:a3) LAT 47.81798N, LONG 122.8658(W a: , +� the tax parcel fitiniae-gel for io,>« fm�• rn 01021 � � � z` loos! t .rx'.• ®• 'A 't.�.'v.mrs` .,n. can provide in ormation. tp, JEFFERSON CO. 991201701 and 991201702 5h. tact tlE itiF vti i p g p-i i �Aa'giFi'aaa at ,, t1 m , , s,« ,use k7� anti ter x s,r " 3 s* '� ',1;;;;I s •,*re+sas. Tax �vr own) ADAM NEWMAN PO BOX 872,QUILCENE,WA 98376 991201506 360-765-3521 HERON HOUSE LLC 12002 SE 218TH PLACE,KENT,WA.98031-3930 ALSO:CONTACT LAWRENCE SCHINKE OR 14813 SE FAIRWOOD BLVD.,RENTON,WA 98058 702244005 PHONE 426-266-8150 STATE OF WASHINGTON FISH AND 600 CAPITAL WAY NORTH 991202301 WILDLIFE-REAL ESTATE SERVICES OLYMPIA,WA.98501 991202401 %rte,.?3 ;w ,k n. 5i UsH wetlands on,o"ai ja �'� ci the i i � vcati. to There are no wetlands within the estuary restoration excavation zone. The excavation zone was filled several years ago for use as a log storage yard. The goal of the project is to remove the fill material from the estuary and re-establish most of the historic estuarine habitat. The site is bounded on the JARPA Revision 2012.1 Page 3 of 16 south, east, and west by estuarine wetlands and tidal channels. !S. < X kW; ,. ;,, 9,9 or -sg�yt to the 41_,„ Quilcene Bay (Hood Canal) and the Big Quilcene River. 5w , ` I 'ofthe pr area `"100 year too ? �b . k; tit X Yes ❑ No El Don't know +, c * - vegetation .° 0 t I on th - , ,'"" a Most of the site is covered with grasses and bare soil. See attached drawings— Sheet 2 Project Summary Plan. Approximately 1 acre of the proposed excavation area is covered with second growth deciduous and conifer trees. There is a considerable amount of junk remaining on the site from previous logging operations and an old house that has been abandoned for several years. The old house will be demolished and the debris taken to disposal. s `sc Abe I ow 4" - $" ;k used. . ., � The property is not being used at the current time. �. spa si g a aetCq .a at ' To the west of the excavation site—on HCSEG property- is a 258 foot wide Bonneville Power power line easement. It is vacant except for the overhead power lines and an occasional tower. To the north is the Quilcene River and properties owned by the HCSEG and WDFW that are held in flood plain conservation. The properties are vacant. To the south is an 80 acre parcel owned by Heron House LLC (Larry Schinke) that is under a conservation easement . This property was previously restored to estuary by removing a 2,500 foot levee on the easterly portion of the site. A Coastal Wetland and SRFB funded project. To the east is the flood plain conservation property owned by the WDFW. The properties are vacant. In the northwest corner of the restoration site Adam Newman owns a 72' wide by 100' deep parcel that is being used as a hunting and fishing base camp for the Newman family. There are no structures on the property. An old RV that is being used as a temporary shelter during hunting and fishing trips on Quilcene Bay. So. � � 3 «�n�i '{above and wgroun )an _ �fi ,includtra e(s)and, merit JARPA Revision 2012.1 Page 4 of 16 • SS,Nr! '161A-04., 44. 1•440), 48 .,. The only structure on the property is an old abandoned house with a rock fireplace chimney that will be demolished and disposed of offsite as a separate project element of the estuary restoration project. It will be removed as part of the uplands property cleanup. ovide d directions from; closes f to the pr• j �c� ,aid atta c a map From Olympia. Take Hwy 101 from Olympia to Quilcene,WA Turn right on Linger Longer Road Turn left on Munchie Ave. Drive to the end of Munchie Ave. walk around the gate and, across the Bonneville Power easement to the restoration site. Part 6-Project Description 6ai �V You Provide fVl T in 6.i See attached engineering drawings. The project consists of 1) removing the junk and derelict building from the site, 2) clearing and grubbing the excavation area, 3) removing the fill from the estuary restoration area of the site, 4) excavating and grading the estuary, 5) constructing an 827 foot long main tidal channel through the proposed estuary and 6) constructing 1,255 feet of new distributary channels that feed into the main tidal channel. The side slopes of the excavated are will be 3:1 to allow for planting. The side slopes will be planted with winter rye and cedar and Douglas fir trees spaced ten feet center to center. ®- $ the $ -the anewny you • . to perform U.S. Fish and Wildlife Service's National Status and Trends findings indicate that the decline of coastal wetlands has gradually been decreasing since the 1980s (Dahl 2006). Yet population growth and residential development continue to pose a major risk to the high-quality wetlands that still exist as functional coastal watersheds. In the Hood Canal region of Puget Sound, WA, coastal wetland losses have been extensive - only 22% of historic tidal wetlands are considered fully functional (Point No Point Treaty Council 2006 In Quilcene Bay, federally-listed Hood Canal summer chum, Puget Sound Chinook salmon and Steelhead use estuarine and tidal marsh habitat during their juvenile rearing stage, as do Puget Sound/Strait of Georgia Coho (federal species of concern) and pink salmon, Puget Sound steelhead trout (federally threatened), coastal Puget Sound bull trout (federally threatened) and coastal cutthroat trout. This project will address components of four of the major factors leading to the decline of Hood Canal summer chum habitat in Quilcene Bay by 1) protecting natal sub-estuarine tidal marsh habitat, 2) protecting floodplain wetlands, 3) restoring instream habitat, and 4) restoring riparian forests (Summer Chum Recovery Plan, NOAA 2007). This project will also address the limiting factors for salmon habitat in the Big Quilcene River that were identified by the Water Resource Inventory Area (WRIA) 17 Limiting Factors Analysis (2002). The limiting factors identified included channel confinement, floodplain disconnection and lack of large woody debris and riparian vegetation in the lower reaches. JARPA Revision 2012.1 Page 5 of 16 This project is key to completing a phased approach to large-scale ecosystem restoration in Quilcene Bay (upper Quilcene Bay includes tidal marsh estuaries of the Big and Little Quilcene Rivers and Donovan Creek) —the third largest delta and tidal marsh complex in Hood Canal (PNPTC 2006). The proposed protection and restoration actions in the Big Quilcene River system comprise one of the last phases required for the ecosystem-scale conservation of Quilcene Bay. The proposed project builds on extensive protection and restoration actions within upper Quilcene Bay, including Donavan Creek restoration, a project previously funded by the National Coastal Wetlands Conservation Grant program (C56-1). Project actions will build on restored habitat connections between Quilcene Bay and The Little Quilcene River, Indian George Creek, the Big Quilcene River and Donovan Creek, initiated by the HCSEG in 2007 by the removal of an undersized culvert at the mouth of Donovan Creek. See image below. The lower segment of the river associated with this restoration is tidally influenced. Historic maps indicate that a salt marsh complex existed at the location of the land parcels to be acquired by this project. More current maps of the landscape suggest this feature could once again be established as part of the river restoration. This project will attempt to enhance the function and feature as part of the river and riparian restoration. The land parcels included in this project include the expanse of the entire floodplain, so the redesign of the channel will include side channels providing for increased salmon habitat and serving to reduce the effects of high-water flood events. This project will conserve a functional coastal wetland ecosystem by restoring a transitional ecosystem, including riparian forest, a coastal stream, freshwater forested, shrub and emergent wetlands, freshwater tidal wetlands, and estuarine intertidal wetlands. See also: National Coastal Wetlands Conservation Program Grant Proposal Big Quilcene River Coastal Stream Acquisition and Restoration Quilcene Bay, Washington Sg '�° MIWSiIIYOTaliln.. s •. ti CalYwewrul �Diks rmeva Dkw tcmoval Osita cone rertoeaeMn • Okc.Cemev 7l +Fsh,wasusa 6c. dr a the.pr ca "o ...a w... e,�.w.. a � taa :y�x ,` . ,kX, f}mS ; �, JARPA Revision 2012.1 Page 6 of 16 ❑ Commercial ❑ Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance X environmental Enhancement 4 i C #10 [w fh. ,� YOPro-8 E..1 w. A ar.^p v } ❑Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization ❑ Dam/Weir ❑ Floating Home (upland) ❑ Boat House ❑ Dike/Levee/Jetty ❑ Geotechnical Survey ❑ Road ❑ Boat Launch ❑ Ditch ❑ Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift ❑ Dock/ Pier ❑ Marina/ Moorage ❑ Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility ❑ Bulkhead ❑ Fence ❑ Outfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft X Other: This is an estuary restoration project. --"No oo.t,.Y+R 6 7.. 8 E i ., Q a6 '� Y+ x # 6* L m c i & 0�# M� *.ty Mq„l Y B i ..Y_' i 6a �� X� "` '.fig ,: .. ' . Yy: `T. v per¢q,tf For Construction of the portion of the project below OHW. 1. Set out erosion control BMP's. 2. Clear and grub the excavation area. 3. Construct the main tidal channel and the minor distributary channels. 4. Start excavation at east end of the site and excavate to grade moving west across the site. 5. Plant the slopes of the new estuarine habitat. Use natural recruitment of estuarine plants for the remainder of the project. Big Quilcene Estuary Restoration — Newman Property: Project Schedule TASK DATE COMPLETE 1. Complete Property Boundary Survey 12/15/12 2. Complete Property Topographic Survey 3/15/13 3. Complete Soil Test Holes 3/26/13 4. Complete 50% Design — Design Review 4/5/13 by HCCC Tech. Team 5. Complete Archeological Studies and 5/7/13 submit to SHPO & USFW- Section 106 6. Complete JARPA, SEPA, and 5/19/13 Shorelines Permit Application. 7. Complete 90% Design — Submit for 6/1/13 Review by HCCC Tech. Team. 8. Complete Final Design and Contract 10/1/13 Documents — Include Demolition, JARPA Revision 2012.1 Page 7 of 16 Asbestos Removal, Excavation, and Planting in Contract Documents—Submit for Review by RCO. 9. Receive HPA from WDFW 12/15/13 10. Apply for Jefferson County Grading, 1/6/14 Drainage, and Demolition. Permits. 11. USFW— Richard Carlson — Complete Section 7 Review and submit to COE. 2/15/14 12. Advertise for Bids 4/15/14 13. Complete Permitting for Project— 4/15/14 COE and WDDOE 404, 401 Permits 14. Award Bid and start Construction 5/1/14 15. Complete Construction 11/15/14 16. Close Out Project 12/6/14 . \ at.are the • r. • "r° ' et's*,dates for a = con ion?s +fit v r} of • If project volt be t a�a . r m; used them/tent p to hit the start and end dt,tes of each phase or Start date:August 1, 2013 End date: October 15, 2013 ❑ See JARPA Attachment D of the project,induding materials r, machine rentals,etc Q4.4 4414 4 4 ',: r max .�. :{a. .." ,d.'` $420,000 6h. Will any portOn of the receive al - t? J.' * If yes.list , ice,. ,s ;. .,?,114 z X Yes ❑ No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation X Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.)Iheial t ! a b '1 8 4 6 6 � ., �} 7+�. Describe �:�'C► S '--�Pl �—, � 1r6�� !1' <° -Impacts to wetlands. [halo] ❑ Not applicable The estuary excavation will connect to the existing estuarine habitat at several locations. The excavation within the property will remain isolated from the existing tidal flow during construction. The new estuary will connected to the existing estuary during a low tidal episode when water is not present. �ill the pr Impact ands?r mod.. 3 .r ,ar. ,. ' ... .r ""; f, X Yes ❑ No ❑ Don't know 7c. VitlittAW-it. 8 f 7'®t .w d ? (helot F., s JARPA Revision 2012.1 Page 8 of 16 X Yes ❑ No ❑ Don't know 7 a w �{af, de "t�� " l a(,�.yt,,�_ 1 #: ,; ' Ves '° a,t inci kdiE daata 6- th the pad�ge.q?` � � ,, XYes ❑ No rr ! W d" " � , 0 y� �x 1,4 6 4A; '►'If�Yes,Submit the..wetland rating igt s with 1 �,v JARPA ads ter :" X Yes ❑ No ❑ Don't know „„,,f ( 7� i rse ,a$" F"„ xve youuO Wed a gatio ®;- to "''' n „ p 4' ,., the tih A pa. i *• . bt [ a r f No iv Not applicable, to w wt; gatb a o �s i . ❑ Yes X No ❑ Not applicable We will be merging the new estuary into the existing wetlands around the edges of the fill removal excavation. The estuarine wetland restoration project is the mitigation for any incidental impacts to the surrounding wetlands that will take place during this project. We will be connecting to existing wetlands during low tide periods when tidal waters are not present. i � Aa "1# was 'G e” e a 7 a ,,. 0. p4n tea I " " a '..414''''g l t ` 0 u. 3 o'desJ me plat .,• % , �fi ; Pie. See 7f above. -.f l " a "Y 0 a e " ,7 r e IA •j x " " 4 fleet " a " oP .a . ,„l fy % k � . 1 7a5 a � ” , on " *<R h a ��and nou "l ® •.Rt") " "a " . " !p(, as table yqt can m ate(below) ere we can t this M .0 �a on Nq'�,r - 4 21 a1 , ...x.^.1,=5cr 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 type4 (sq.ft. or category 2 Acres) acres) Excavate WETLAND C Forested 26,500 sq. Fresh Water feet. 1 week Project Project Excavate WETLAND A Estuarine 14,500 sq. feet. 1 week Project Project NONE WETLAND B Forested None 'If no official name for the wetland exists,create a unique name(such as'Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the JARPA package. 3lndicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent'if applicable. 4 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: ^�seN � f 1rn ,. ar'•" i o sntbic f " "+ . 3" p: . ,,I N a Ge "-, ® $ " a "; itds th a tV l '" ow - " , p% Page 9 of 16 JARPA Revision 2012.1 r° s .71,14 C u (+- c ati S 6" of rn- ;- in _ � 0tti mit 1 yispo ° The project will be creating 4 acres of estuarine wetlands. The contractor will use the standard excavator and 11 CY dump trucks for the excavation. Waste soils will be hauled to an approved and permitted waste soil disposal area. 22,000 CY of fill will be removed to re-create the historic estuarine habitat. 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] X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) i t16 .-+'1 designed to av o� ntmize +t ,�_ "a +o- - b 11 - t. � . � � � • �, aquatic � �3i� ❑ Not applicable The excavation work will be isolated from water bodies until completed.The connected during low tidal episodes when tidal waters are not present. 84 =fir project dy or,,thi ea around a wad b ffisio X Yes ❑ No The project will improve the habitat of Quilcene Bay by adding 4 acres of estuarine habitat and 2,82 feet tidal and distributary channels for fisheries habitat. JARPA Revision 2012.1 Page 10 of 16 r� rt-1� r dz " r & " � r , I,Jo ,, ,�+r r( r kr o It, . .+ r , 3,. ' - m ' y,as ^, s ® � s be ,, cm , ,mow � H u�g' ❑ Yes X No ❑ Not applicable The project is a mitigation. The purpose of the project is to restore an historic estuary to the Big Quilcene River and Quilcene Bay. d- .• , - fi 4+atto#t r mean t tfi o ) -0 rx. „,� IG r a c f r x " rr'' You i Activity(clear, ''''''W' aterbody Impact Duration Amount of material Area (sq.ft. or dredge, fill, pile name' location2 of impact3 (cubic yards)to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected waterbody 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. 21 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. 'Indicate the da s,months or years the waterbody will be measurably impacted by the work. Enter"permanent if applicable. + . Iff+ ''i Id #� �r1n , `+---..,.2"31 C :t.".;',.=-..' ,, r t'" n'k`ateria' i unt iCyards ,, + use,.au+, ® a11dwher$ r r �1; ... s, 1 a �, k ' f ' d ( ag' +, +£„k r r r e o t !1a*s tpf r r ,,;4 � n k F Page 11 of 16 JARPA Revision 2012.1 �s p t g a a t: ,�'! • '4r){.,,: t S YA t G' at 1� + i i •, &@ «{. T * ,q W .. 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. �tf ( ) ( ) ( ) r i .: , a ® e . if Yom,ust t s below „.04.4e. r , if yeti floret •kn wr use �:'y s p °m w �� ® 0 8 t 7^ �_ --{ $ L ❑ Yes X No fi a ,?�' x5 Yw �"`”` :, �#p-r� a a =isd i ey h olugicaI Unit Co (MUC)is projet « • 1L4M+ r'1�..t" °,>,«1..C. r L a.- ;.Yt�- .f1.L 4,m ° a_.3 . .,. ' ,' , 17110018 Hood Canal; state(s): WA W t at r WRIA#17 tc , o .e 4 w �tm oric • y �� a { ' ti � " standards for , tl i� • s 13i�« .�a..ak .... t��l ««LR}Si ak. st&.-.aia 'Kittw-+J(- .4�.11�.�the ''r19Ym �MSti S JARPA Revision 2012.1 Page 12 of 16 X Yes ❑ No ❑ Not applicable oiltrtant d gna 1.*! #.s 'k-_q` 'c `Kx ?" •'{.""`{, "zIf • a® ;(` ...�{®a: �j a a +� .` %' e °.,' s 'a �, r s > ;r4 x. e d ! a t?-• ,wx . `.� .ie. . �'p$ X Rural ❑ Urban ❑ Natural ❑ Aquatic X Conservancy ❑ Other 41 rs f&� m m !li � fN ura� mk r W k � Type? 111 $ • . ,e �o.IlV44A410 � � � 141 x Ie d 4 1°r ;41,,_.. .. Practices ter T' "?b� X Shoreline X Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal � k mo i . . 7 irrpt- m � W zs m, oWs ,1 7,t^- m Ater )a ek a 6E thei name of 5 ,c st ti eet gq;y„. } h X Yes ❑ No Name of manual: Storm Water Management Manual for the State of Washington-latest edition site P C7 �v L,. ❑ Yes X No X�C tf? �Q x • -th sxa4. � m1; m ,.�'*a r"''t�.>D - n 'y ...,.., e+^+ !tT k• .. a"' . m , A log storage yard. s a cult res Wcri "7- o rfOr t m m m i ? MOW !f Yes attach it:to yor u JAR A package. t_m X Yes ❑ No JARPA Revision 2012.1 Page 13 of 16 i efat �k1 t atm � Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head Marbled Merlot Brown Trout y a "1,3,1' + + s t �ish�d Habitas q r » e " al uat 'r a` a+ r� • ,xa qC. e 4.,4614 Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head Marbled Merlot Brown Trout 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.ecv.wa.gov/opas/. • Governor's Office of Regulatory Assistance at(800) 917-0043 or helpAora.wa.gov. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. frj tji'lff1 � ff 4 G ( att i1 � For 9e � X A copy of the SEPA determination or letter of exemption is included with this application. ❑A SEPA determination is pending with Jefferson County (lead agency). The expected decision date is July 15, 2013. ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.)(helps ❑ 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. Page 14 of 16 JARPA Revision 2012.1 yf a 4 4 �- 47:Y°1# a i 4� w Yx $: Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type(explain): Restoration of the Big Quilcene River Estuary Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance " :A* 4'5^.. ':14&t,x. ?t"R2.,, i4 .. TE t -�.�*.Y A."'1.;1 or- Washington ! e Washington Department of Fish and Wildlife: X 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: X $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: X Section 401 Water Quality Certification =Hi � �F� shy ,; United States Department of the Army permits (U.S. Army Corps of Engineers): X 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) JARPA Revision 2012.1 Page 15 of 16 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. (helot 11a. Applicant Signature (required) thelol 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) SEE SIGNATURE PAGE ENCLOSED. Applicant Printed Name Applicant Signature Date 11 b. Authorized Agent Signature (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 all necessary permits have been issued. Authorized Agent Printed Name Authorized Agent Signature Date 11c. Property Owner Signature(if not applicant). [help) 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 Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme,or device a material fact or makes any false,fictitious,or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious,or fraudulent statement or entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format,contact the Governor's Office of Regulatory Assistance(ORA)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. ORA p ublication number: ENV-019-09 rev.06-12 JARPA Revision 2012.1 Page 16 of 16 + €r i l BIG QUILCENE ESTUARY RESTORATION PHASE 2 WETLAND DELINEATION AND ANALYSIS REPORT Prepared By: C3 Habitat Corp. 10507 W Belfair Valley Road Bremerton, WA 98312 Prepared For: HOOD CANAL SALMON ENHANCEMENT GROUP c/o Engineering Services Associates N.E. 210 Cherokee Beach Road Belfair, WA 98528 Contents INTRODUCTION 1 METHODS 1 BACKGROUND 1 WATERSHED/TOPOGRAPHY 3 AERIAL PHOTO REVIEW 3 SOIL SURVEY 3 CRITICAL AREA REVIEW BACKGROUND 4 NATIONAL WETLANDS INVENTORY 4 LOCAL CRITICAL AREAS INVENTORY 4 STREAMS 4 HABITAT BACKGROUND and PRIORITY SPECIES 4 RESULTS 5 GENERAL SITE CONDITIONS 6 WETLAND DATA POINTS 6 UPLAND DATA POINTS 6 DELINEATION 7 RATING 7 SUMMARY 7 Confirmation 8 RESPONSIBLE PARTIES 8 PHOTO DOCUMENTATION 9 REFERENCES 13 CU as a. C3 Habitat Corp. 10507 W Belfair Valley RD Bremerton WA 98312 Phone 360.277.4354 Fax 800.756.0996 C3-13W055 Habitat Corp. WETLANDS&HABITAT MITIGATION &CONSULTING INTRODUCTION C3 Habitat Corp.(C3)has been authorized by Pat McCullough of Engineering Services Associates to perform a wetland delineation for the Big Quilcene Estuary Restoration Phase 2 project near the mouth of the Big Quilcene River in Jefferson County,Washington. The project is comprised of several tax parcels however, for the purpose of this delineation; parcel 991201701 is the main focus of the wetland field work. The parcel is rectangular in shape and located in the NE%of Section 24,Township 27N, Range 2W(See Site Vicinity Map).Access to the parcel comes from Muncie Avenue.The parcel is approximately 2.56-acres. The Hood Canal Salmon Enhancement Group plans to restore fish habitat onsite by creating a new stream channel that outfalls into the Big Quilcene Estuary.Other proposed work for this project includes:Demolish abandoned dwellings; remove fencing and debris; scarify/remove house roadways to main road; decommission 4 septic systems; and decommission 2 wells. The above list will not interfere with existing wetlands or streams. This report documents the delineation and classification of the onsite wetlands near the focus area. METHODS Methodology used for wetland delineation was consistent with the technical approaches articulated in the Washington State Wetlands Identification and Delineation Manual (Ecology 1997). This document is the wetland delineation manual that is used in determining wetland areas when applying state and local government regulations and is based on the 1987 U.S.Army Corps of Engineers manual. The extent and location of project related wetlands were determined during fieldwork performed on May 3rd of 2013. Fieldwork was conducted under sunny skies with an ambient temperature between 57 and 62 degrees Fahrenheit. The time of year and recent precipitation history were considered in assessing the type and extent of wetlands and stream typing presumed to exist on and in proximity to the site.Wetlands identified during fieldwork are considered potential wetlands until their presence is confirmed through review by regulatory staff.Wetlands were categorized according to the Revised Washington State Wetland Rating System for Western Washington, (Ecology 2008). BACKGROUND The following resources were consulted prior to conducting fieldwork: • USGS Topographic map Quilcene Quadrangle • Aerial photos Jefferson County Map Server, Google Earth, Virtual Earth • NRCS Soil Survey websoilsurvey.nrcs.usda.gov • NWI wetlandsfws.er.usgs.gov • Jefferson County ESA map www.co.jefferson.wa.us/idms/mapserver.shtml • WDFW Priority Species and Habitats Mapper—online resource. a. C3 Habitat Corp. 10507 W Belfair Valley RD Bremerton WA 98312 Phone 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 2] ■. SITE VICINITY MAP i`_j , arc Bad A r s 4 t F A A" 3 General Project Area '✓ Q4Yn`Pc‘.k.4.4 ) it. ,. :, . , AA,,, r , , ,, O(f O { r , . , , • , . ,�° �_, N tc CT 5 a C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph:360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 2] WATERSHED/TOPOGRAPHY This property is located on the southern side of the Big Quilcene River near its confluence with Quilcene Bay.The project site is located within the Water Resource Inventory Area (WRIA) 17. The parcel is located on an old fill site that is generally flat oln the fill plateau and gradually descends towards the estuary. There are man-made ditches that run along the east and west side of the fill site; both ditches intersect with natural streams. AERIAL PHOTO REVIEW The subject fill area is visible on aerial photos as well as the estuarine component near the project area. The existing stream network is also visible but the ditch system found on both the west and east side of the fill pad are masked by tree canopy. SOIL SURVEY The majority of the subject area consists of fill soil and does not match the soil survey of Jefferson County. The natural soil areas found in or near the subject area are all mapped as Lu—Lummi silt loam.Lummi silt loam—lie in a low elevation from 0-50-feet. The typical soil profile is consistent in the first 60-inches and is silt loam.The depth to water table is approximately 12 to 24 inches and considered poorly drained.The depth to the restrictive layer is more than 80-inches.This soil is generally found on 0 to 2 percent slopes. The native soils found onsite or within close proximity to the main stream channel creation area are consistent with the mapped soil unit. 4 4 ;a 0.1 llit Ye N $ Pk ' ' '--' : ,,. $.:''t- '',,,''',,.4 ' . , '* 4 't 4':4,1' *pit , ,,,;;;,,':.,,;:-4:1- ,::,:t.;;,:-,4..It ,, ,: ' ----lit; '-';vi. ,,- ', , - 3 3 s ��r k a) bA aS a C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 2] May 1 1. 201 CRITICAL AREA REVIEW BACKGROUND NATIONAL WETLANDS INVENTORY The USFWS NWI map shows many wetlands in or near the project area. A fresh water forested Palustrine wetland was filled many years ago to create upland ground. Inventoried wetlands found in or near the project area include Palustrine Emergent, Palustrine Forested and Estuarine systems. 4 k•LL� � �� � � � � �� E2Ek1N 1 ,1 LOCAL CRITICAL AREAS INVENTORY The Jefferson County Environmentally Sensitive Areas (ESA) Map has the entire project area mapped as wetland.This map also identifies Big Quilcene River but does not have the ditched areas mapped or their connection to the natural stream features. STREAMS The nearest inventoried stream found on the Forest Practices Application Review System is the Big Quilcene River.The small network of estuary drainage streams are not inventoried. HABITAT BACKGROUND and PRIORITY SPECIES The Washington Department of Fish and Wildlife Priority Habitat and Species (PHS) map indicates the following features within or in proximity of the subject site: PHS shows several priority salmon species utilizing the Big Quilcene River; an inventoried bald eagle nest approximately 175 feet north of the Big Quilcene River; Northern Spotted Owl occurrence within the project area; Harlequin Duck breeding area a) ao C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 21 within the project area; Palustrine wetlands within the project area; and Estuarine Intertidal Wetlands south and east of the project area. PHS MAP '*1`., -.1: A fiw i 7: 0 ,F,r: r * ,711x„. „ + s e v v 4:',,i,.-.-,',1-,,,. T Y : •5- f .-. 3 pTi r 1°Ipyly! Y X17 1 7.,,'i n i • .� -4;,f;AI, : 43.4 :.:, *-:--::-'3i,' '-,,,''.4,7:r..". 'CL: 2,,2i,e, lit. RESULTS C3 delineated wetlands found on or near the fill pad on May 3rd 2013. Field wetland delineation was focused in an area of the project where the new stream channel is proposed.The majority of the wetland conditions were found near the ditches that run along the east and west side of the fill pad. Freshwater emergent wetlands were delineated along the southern boundary of the stream channel creation area. The wetlands are broken into three separate systems. Wetland A is located at the southern edge of the project area; Wetland B is located along the eastern ditch and Wetland C is located along the western ditch.Wetland B is basically found east of the ditch and C3 used the ditch as its boundary. The freshwater wetland features found near the western ditch run alongside the ditch with overbank saturation east of the ditch in several areas along the ditch. The southern wetland is mainly confined to the lower topographic elevation along the south side of the project area. Grading will affect the western and southern wetlands but not the eastern wetland. Wetlands were flagged in the field using wetland boundary marked flagging as well as wetland boundary marked pin flags. The eastern wetland was marked with flags numbered D1 through D11; the southern V) wetland was marked with pin flags numbered 1 through 8 and the western wetland used wetland a) boundary marked flags numbered 9 through 16.All wetland flags were surveyed using GPS. a C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 20 GENERAL SITE CONDITIONS The focus area of the project consists mainly of fill and has little to no vegetation found in the main component of the stream channel creation area. There is natural vegetation along the eastern, western and southern edges of the focus area. Topography is mainly flat with slight slopes descending outward from the fill pad. Dominant vegetation on the western side of the fill pad consists of Alder, willow, reed canary grass, English ivy, blackberry, sword fern and salmonberry. The eastern portion of the natural vegetation is primarily Alder, willow, salmonberry, blackberry, English ivy, and sedge and horse tail. The southern wetland is dominated by wetland grasses,sedge and rush. There are a couple of dilapidated structures in the stream channel focus area that will be removed as well as any debris. WETLAND DATA POINTS Four plots were evaluated in Wetland B along the eastern ditch; soils, vegetation and hydrology were similar in each plot. Flag D1 is the beginning of the ditch however, there is not wetland features until wetland flag D3. Beginning at D3 to D11, the vegetation consisted of sedge, horse tail, alder and salmonberry in the wetland while the upland vegetation consisted mainly of Alder,sword fern, English ivy and lesser amounts of reed canary grass. Hydrology in the wetland plots were also similar with saturated soils to the surface and some areas of standing water. Soils in the wetland were also consistent and were all a dark brown silty loam or silty much in the wetter areas. Two plots were evaluated in Wetland A along the southern edge of the focus area; soils, vegetation and hydrology were similar in each plot. Wetland A is a freshwater system that transitions to an estuarine wetland toward the estuary. Wetland vegetation is mainly rush and grass species with reed canary dominating the upland site of the wetland.Also,topography rise was the main wetland to upland indicator and is comprised of fill material upslope. Bentgrass,velvetgrass,fescue are the dominant grass species in the wetland. Wetland C is similar to Wetland B in vegetation, soils and hydrology. Dominant species consist of Willow, reed canary grass, nootka rose salmonberry, with lesser amounts of Alder were found in wetland areas while Oregon grape, stinging nettle, blackberry, English ivy and lesser amounts of horse tail dominate the upland. Soils were similar to Wetland C with saturated soils that are dark brown silty loam. No standing water was observed outside of the ditch.West of the ditch is almost completely comprised of reed canary grass. Subsurface water was present in several test pits and shallow inundation was found in some of the lower small depressions. Oxidized rhizospheres indicating wetland conditions were found at in all data points in Wetland C and B. Silty soils with low chroma and mottling were found in many locations in Wetland C and B. Soil characteristics often matched the description of Lummi silty loam, a listed hydric soil. In most areas, this silty layer was deeper than 16 inches and prominently mottled with Munsell readings of chroma 1 to 2. Sulfide odors were noted at two data points, indicating hydric conditions.Some sites had chroma readings of 1 with no mottles, also indicating hydric conditions. Some test pits revealed gravelly layers below an upper silty layer. UPLAND DATA POINTS Upland test pits revealed no subsurface water or saturation and few, if any, secondary indicators of hydrology. Lack of wetland hydrology or fill areas was often the defining factor in whether or not a data point was wetland or upland. C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 2] Soils found at upland test pits tended to be higher chroma with fewer, if any, mottles. Mottles, when present,were usually faint or confined to deep layers farther from the soil surface.Matrix chroma Munsell readings were usually 2 or 3, rather than 1 or 2. Soil textures in nearly all of the upland test pits for all documented wetlands were gravelly loam—consistent with fill. DELINEATION The wetland boundary for all three wetlands were surveyed using GPS with a total of 27 separate GPS points.All 27 GPS points had soil pits dug and vegetation was observed.Data point plots were documented only where the upland to wetland transition were not obvious. Old fill that has raised the topography of the proposed stream channel creation focus area was the main factor that influenced the upland transitions.This site is also adjacent to a previous project that removed old dyke systems in the estuary. RATING All wetlands have been rated using the Department of Ecology Wetland Rating form for Western Washington—version 2 (updated 2008). This rating system classifies wetlands into four categories based on "their sensitivity to disturbance, their significance, their rarity, our ability to replace them and the functions they provide." Wetland boundaries did not encompass the entirety of each wetland but rather the boundary was delineated in correlation to the proposed project work area. Therefore,total wetland unit sizes are unknown.The table below breaks down the scoring for each wetland with the corresponding Jefferson County Regulated Buffer. Because this project is an enhancement project, low impact land use is used for determining Jefferson County Buffers: WETLAND WATER HYDROLOGIC HABITAT TOTAL AND JEFFERSON UNIT QUALITY FUNCTIONS FUNCTIONS CATEGORY COUNTY BUFFER A 16 16 19 51—CAT2 50' B 20 16 29 65—CAT 2 150' C 16 13 20 49—CAT 3 75' WETLAND IMPACT FROM PROPOSED PROJECT WETLAND UNIT IMPACT AREA SQUARE FEET A 14,500 B ZERO C 26,500 SUMMARY Onsite portions of three wetlands were delineated on the focus area of the project. Rating and buffer widths are provided in the above table. Because this project is an enhancement project — buffer impact is fully mitigated by the proposed stream channel creation/enhancement. There are portions of the project area that will require grading in wetlands and their buffers. N. Appropriate permits and documentation will be provided to allow for those activities. After C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 IBIG QUILCENE ESTUARY RESTORATION PHASE 2j project completion, the resulting wetland buffers will be of better quality than they currently exist. All project details for all elements of this Phase 2 plan will be provided to Jefferson County and the appropriate agencies. Confirmation Wetland status depicted in this report has not been confirmed by a government official,and therefore has no legal status.Agencies with jurisdictional authority over wetlands at the local, state and federal level need to be consulted for their signed agreement to our findings before there is any guarantee of no change. Our estimation for the accuracy of the unconfirmed wetland boundaries portrayed within this report is>95%. RESPONSIBLE PARTIES Applicant Representative: C3 Habitat Corporation Christy Christensen(Project Biologist) 10507 W Belfair Valley Road Bremerton,WA 98312 (360)277-4354 ris y Christ 3 Habitat Corp CO a4 as 0 C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph:360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 2] -Q. 11. 2013 PHOTO DOCUMENTATION to a C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 2 May 1 1. 2 0 1 3 9" • - * " sit, ,qtr t - 4 * r" - 1 . .wy ;y : ' �+ gam. T r 4141111044,t..oft,j �� � {; :Y,., -f`"4-.fir r. `,s dGs "E %!k.fi a. „r:_,;,:',...t!„. •, ai� .t: :'tea., "• • � 1�" i, u yy,^-- x 5 h '',' day 1. r {/�''' xs • 4 -, �, '' yl{ iitt t,4 R 't 9 1 P 4ti J ' • 1 „,. ,. , ,..; '' 4:4; '.'..--'.4 ,;,, A iT.rtit'f:. ,,.' , ,-))4%.,-4.- Wetland A—Looking west. r-1 a; ac M a. C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 (BIG QUILCENE ESTUARY RESTORATION PHASE 2] g ! R �f ,6 4t # ',../i..,,44 '` y as ., " ,. ',4� a A, t �� �', , pgyp �� f/ � I,-,0,11&-- y� / ;• '� /;�•�` at k:1' y ' ' �. -1 '' -' 1..,t,, ,b ... , 1 . /<: : r,, ,.,--Y , 1 to p P rM' i 14 ... cg[Akn r M r "t• �ro+ g 1*a " "I it \ #ins c t 3 .. ,+ war 4. .... ....t. , , . .1,:, 6 ' -- - - i . - .v, -t A+ � jest J� �� k/��!���^' 1 A \ '' -41 .. ,, , ; n k.- a 4 n u' < ,Y t , 1 F'�,W . '� f � C ' a� _ dry � ., ' • -- -' _J."0 ''''' ,z1.7: ,. r I : , " ' „,-. ji4.‘i-,.'- , , ' ' a „ : '� fit.'' k � /A: . Wetland C—Showing Stream/Ditch with overbank flooding. rl a) to co a. C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHA ?:a� 1 1. 2t)I3 FFFF Y ' } s . Y .�� �• 1 f� ,. ti • - 1 ' ' ' .7 rf � r - ::j : r ,ts / 1. ) \ -/ ' ' . ..st:'li ...- .. + 0' lit !, 411 14; - '1 4 t r Y `,y,,t. it S X +. j Iw y .to, .f k E ` w, � - a ° ,F ' . ti - w + 14 P �^ � � � ,. y 7 Y i 4 440 4 ,N., At Wetland B-Defined ditch near flag Dl. rN-'I a) to ro a C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 [BIG QUILCENE ESTUARY RESTORATION PHASE 2] REFERENCES Cowardin, L.M., V. Carter, F.C. Golet and E.T. LaRoe, 1979. Classification of Wetlands and Deepwater Habitats of the United States. U.S. Fish and Wildlife Service document FWS/OBS-79/31. 84 pp. Washington, D.C. Hitchcock, L.C.and A. Cronquist, 1973. Flora of the Pacific Northwest. University of Washington Press. 730 pp. Munsell Soil Color Charts,2000 rev. GretagMacbeth. New Windsor, New York. Natural Resources Conservation Service(NRCS). PLANTS database, plants.usda.gov Accessed April,2008. Natural Resources Conservation Service (NRCS). Web Soil Survey, websoilsurvey.nrcs.usda.gov Accessed March, 2008. Pojar, J. and A. MacKinnon, 1994. Plants of the Pacific Northwest Coast. Lone Pine Publishing. 528 pp. Vancouver, British Columbia. Speare-Cooke, S., 1997. A Field Guide to the Common Wetland Plants of Western Washington and Northwestern Oregon. Seattle Audubon Society.417 pp.Seattle, Washington. United States Fish and Wildlife Service(USFWS), 1993.National List of Plant Species that Occur in Wetlands Region 9—Northwest, and Supplement. Resource Management Group. United States Fish and Wildlife Service (USFWS). National Wetlands Inventory. wetlandsfws.er.usgs.gov Accessed March, 2008. Washington Department of Fish and Wildlife, 2004. Habitat and Species Map for Jefferson County and Vicinity. March 2, 2004. Washington Natural Heritage Program (NHP), 2007. Sections That Contain National Heritage Features Associated with Wetlands. 12 pp. Olympia,Washington. October, 2007. Washington State Department of Ecology (Ecology), 1997. Washington State Wetland Identification and Delineation Manual. Ecology Publication#96-94, 143 pp. Olympia,Washington. Washington State Department of Ecology (Ecology), 2004. Washington State Wetland Rating System for Western Washington—Revised. Ecology Publication#04-06-025, 138 pp. Olympia, Washington. M tip r-I a C3 Habitat Corp. 10507 W Belfair Valley Rd Bremerton WA 98312 Ph: 360.277.4354 Fax 800.756.0996 � t 4-+ to C rrC • • 0 • 00 4 v � E L N ..r r� r1 ,,,: - 1;at+ + Y;= 1 ?.'`"O`cy ..d m a am � `I A 'o¢ w Q U a n ; ;;: NvW a ee ��1:1'1 yy 9 n U 11 I �m h m O I 44 4Z 6 1 w U O q z X =mm3 o h y r V > fq t ;CO 2 W V O o n W Q I C V �Zm 22 VOO otu.k by ecOCtV000 3 ' Cl..=L■i Li Cv uy At' U cl cv 8 t o V # SIi y t)o,Q a W rwn' �J b_419 21'4 ZIW 23 a 0 \ V' &a 0 44. WIC Z& Vra I ` kik o i I s. N • 4 la NN N NN 6 •y ■ 'I'M O O ■ b 4 I CA W CA CA a OICAQl OI of CO y J N R 0) I I en I s i R N W 5 e' W .v c:4 o g .— 4. I II IIIIA Wetland name or number WETLAND RATING FORM—WESTERN WASHINGTON Version 2-Updated July 2006 to increase accuracy and reproducibility among users Updated Oct 2008 with the new WDFW definitions for priority habitats Name of wetland (if known): N/A-Wetland A Date of site visit: 05/03/2013 Rated by C3 Habitat/C. Christensen Trained by Ecology? Yes X No Date of training 01/2006 SEC: 24 TWNSHP: 27n RNGE: 02W Is S/T/R in Appendix D? Yes No X Map of wetland unit: Figure 1 Estimated size onsite-<12,000ft2 SUMMARY OF RATING Category based on FUNCTIONS provided by wetland I II x III IV Score for Water Quality Functions 16 Category I= Score>=70 Category II= Score 51-69 Score for Hydrologic Functions 16 Category III= Score 30-50 Score for Habitat Functions 19 Category IV= Score<30 TOTAL score for Functions I 51 I Category based on SPECIAL CHARACTERISTICS of wetland I II Does not Apply x Final Category (choose the "highest" category from above) II Summary of basic information about the wetland unit Wetland Unit has Special Wetland HGM Class Characteristics used for Rating Estuarine Depressional Natural Heritage Wetland Riverine x Bog Lake-fringe Mature Forest Slope x Old Growth Forest Flats Coastal Lagoon Freshwater Tidal Interdunal None of the above Check if unit has multiple HGM classes present Wetland Rating Form—western Washington 1 August 2004 version 2 To be used with Ecology Publication 04-06-025 Wetland name or number A Does the wetland unit being rated meet any of the criteria below? If you answer YES to any of the questions below you will need to protect the wetland according to the regulations regarding the special characteristics found in the wetland. Check List for Wetlands That May Need Additional Protection YES NO (in addition to the protection recommended for its category) SP 1.Has the wetland unit been documented as a habitat for any Federally listed Threatened or Endangered animal or plant species (T/E species)? For the purposes of this rating system, "documented" means the wetland is on the x appropriate state or federal database. SP2.Has the wetland unit been documented as habitat for any State listed Threatened or Endangered animal species? For the purposes of this rating system, "documented" means the wetland is on the appropriate state database. Note: Wetlands with State listed plant species are x categorized as Category I Natural Heritage Wetlands (see p. 19 of data form). SP3. Does the wetland unit contain individuals of Priority species listed by the WDFW for the state? x SP4. Does the wetland unit have a local significance in addition to its functions? For example, the wetland has been identified in the Shoreline Master Program,the Critical Areas Ordinance, or in a local management plan as x having special significance. To complete the next part of the data sheet you will need to determine the Hydrogeomorphic Class of the wetland being rated. The hydrogeomorphic classification groups wetlands into those that function in similar ways. This simplifies the questions needed to answer how well the wetland functions. The Hydrogeomorphic Class of a wetland can be determined using the key below. See p. 24 for more detailed instructions on classifying wetlands. Wetland Rating Form—western Washington 2 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number A Classification of Wetland Units in Western Washington If the hydrologic criteria listed in each question do not apply to the entire unit being rated,you probably have a unit with multiple HGM classes. In this case,identify which hydrologic criteria in questions 1-7 apply, and go to Question 8. 1.Are the water levels in the entire unit usually controlled by tides (i.e. except during floods)? —go to 2 YES—the wetland class is Tidal Fringe If yes, is the salinity of the water during periods of annual low flow below 0.5 ppt(parts per thousand)? YES—Freshwater Tidal Fringe NO—Saltwater Tidal Fringe(Estuarine) If your wetland can be classified as a Freshwater Tidal Fringe use the forms for Riverine wetlands. If it is Saltwater Tidal Fringe it is rated as an Estuarine wetland. Wetlands that were called estuarine in the first and second editions of the rating system are called Salt Water Tidal Fringe in the Hydrogeomorphic Classification. Estuarine wetlands were categorized separately in the earlier editions,and this separation is being kept in this revision. To maintain consistency between editions,the term"Estuarine"wetland is kept. Please note,however,that the characteristics that define Category I and II estuarine wetlands have changed(see p. ). 2. The entire wetland unit is flat and precipitation is the only source(>90%)of water to it. Groundwater and surface water runoff are NOT sources of water to the unit. NO—go to 3 YES—The wetland class is Flats xxxx If your wetland can be classified as a"Flats"wetland,use the form for Depressional wetlands. 3. Does the entire wetland unit meet both of the following criteria? The vegetated part of the wetland is on the shores of a body of permanent open water (without any vegetation on the surface) at least 20 acres (8 ha) in size; At least 30%of the open water area is deeper than 6.6 ft(2 m)? gio—go to 4 YES—The wetland class is Lake-fringe(Lacustrine Fringe) 4.Does the entire wetland unit meet all of the following criteria? x The wetland is on a slope(slope can be very gradual), x The water flows through the wetland in one direction(unidirectional)and usually comes from seeps. It may flow subsurface,as sheetflow,or in a swale without distinct banks. x The water leaves the wetland without being impounded? NOTE: Surface water does not pond in these type of wetlands except occasionally in very small and shallow depressions or behind hummocks (depressions are usually <3ft diameter and less than 1 foot deep). NO -go to 5 YES—The wetland class is Slope Slope is man-made from fill pad xxxx Wetland Rating Form—western Washington 3 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number A 5. Does the entire wetland unit meet all of the following criteria? x The unit is in a valley, or stream channel, where it gets inundated by overbank flooding from that stream or river x The overbank flooding occurs at least once every two years. NOTE: The riverine unit can contain depressions that are filled with water when the river is not flooding. NO - go to 6 YES—The wetland class is Riverine 6. Is the entire wetland unit in a topographic depression in which water ponds, or is saturated to the surface, at some time during the year. This means that any outlet, if present, is higher than the interior of the wetland. Wx go to 7 YES—The wetland class is Depressional 7. Is the entire wetland unit located in a very flat area with no obvious depression and no overbank flooding. The unit does not pond surface water more than a few inches. The unit seems to be maintained by high groundwater in the area. The wetland may be ditched, but has no obvious natural outlet. NO—go to 8 YES—The wetland class is Depressional xxx 8. Your wetland unit seems to be difficult to classify and probably contains several different HGM clases. For example, seeps at the base of a slope may grade into a riverine floodplain, or a small stream within a depressional wetland has a zone of flooding along its sides. GO BACK AND IDENTIFY WHICH OF THE HYDROLOGIC REGIMES DESCRIBED IN QUESTIONS 1-7 APPLY TO DIFFERENT AREAS IN THE UNIT (make a rough sketch to help you decide). Use the following table to identify the appropriate class to use for the rating system if you have several HGM classes present within your wetland. NOTE: Use this table only if the class that is recommended in the second column represents 10% or more of the total area of the wetland unit being rated. If the area of the class listed in column 2 is less than 10% of the unit; classify the wetland using the class that represents more than 90%of the total area. HGM Classes within the wetland unit being rated HGM Class to Use in Rating Slope+Riverine Riverine xx Slope+Depressional Depressional Slope+Lake-fringe Lake-fringe Depressional +Riverine along stream within boundary Depressional Depressional+Lake-fringe Depressional Salt Water Tidal Fringe and any other class of freshwater Treat as ESTUARINE under wetland wetlands with special characteristics If you are unable still to determine which of the above criteria apply to your wetland, or if you have more than 2 HGM classes within a wetland boundary, classify the wetland as Depressional for the rating. NOTE : This wetland is freshwater near the project area but transitions to estuarine south of the project area. Wetland Rating Form—western Washington 4 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number R Riverine and Freshwater Tidal Fringe Wetlands Points WATER QUALITY FUNCTIONS - Indicators that wetland functions to improve (only 1 score water quality per box) R R 1. Does the wetland unit have the potential to improve water quality? (see p.52) R R 1.1 Area of surface depressions within the riverine wetland that can trap sediments Figure_ during a flooding event: Depressions cover>3/4 area of wetland points=8 Depressions cover> 1/2 area of wetland points=4 If depressions >1/2 of area of unit draw polygons on aerial photo or map 2 )Depressions present but cover< 1/2 area of wetland points=2 No depressions present points=0 R R 1.2 Characteristics of the vegetation in the unit(areas with>90%cover at person height): Figure Trees or shrubs>2/3 the area of the unit points=8 Trees or shrubs> 1/3 area of the unit points=6 x Ungrazed,herbaceous plants>2/3 area of unit points=6 Ungrazed herbaceous plants> 1/3 area of unit points=3 6 Trees, shrubs,and ungrazed herbaceous< 1/3 area of unit points=0 Aerial photo or map showing polygons of different vegetation types R Add the points in the boxes above I 8 1 1 R R 2.Does the wetland unit have the opportunity to improve water quality? (see p.53) Answer YES if you know or believe there are pollutants in groundwater or surface water coming into the wetland that would otherwise reduce water quality in streams,lakes or groundwater downgradient from the wetland?Note which of the following conditions provide the sources of pollutants. A unit may have pollutants coming from several sources, but any single source would qualms as opportunity. — Grazing in the wetland or within 150ft — Untreated stormwater discharges to wetland — Tilled fields or orchards within 150 feet of wetland — A stream or culvert discharges into wetland that drains developed areas, residential areas, farmed fields,roads,or clear-cut logging — Residential,urban areas, golf courses are within 150 ft of wetland — The river or stream linked to the wetland has a contributing basin where human activities have raised levels of sediment,toxic compounds or nutrients in the river water above standards for water quality multiplier — Other The wetland receives hydrology from a fill site that may have toxic material. xxxYES multiplier is 2 NO multiplier is 1 2 R TOTAL-Water Quality Functions Multiply the score from R 1 by R 2 Add score to table on p. 1 16 Comments This wetland has riverine components and transitions to tidal fringe wetlands. Dykes use to keep salt water from entering portions of the estuary but have recently been removed and the wetland system is transitioning due to that. Wetland Rating Form—western Washington 7 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number A R Riverine and Freshwater Tidal Fringe Wetlands Points HYDROLOGIC FUNCTIONS - Indicators that wetland functions to reduce (only 1 score flooding and stream erosion per box) R 3. Does the wetland unit have the potential to reduce flooding and erosion? (see p.54) R R 3.1 Characteristics of the overbank storage the unit provides: Figure Estimate the average width of the wetland unit perpendicular to the direction of the flow and the width of the stream or river channel(distance between banks). Calculate the ratio: (average width of unit)/(average width of stream between banks). If the ratio is more than 20 points=9 If the ratio is between 10-20 points=6 If the ratio is 5 - <10 points=4 9 If the ratio is 1 -<5 points=2 If the ratio is< 1 points= 1 Aerial photo or map showing average widths R R 3.2 Characteristics of vegetation that slow down water velocities during floods: Treat Figure_ large woody debris as `forest or shrub". Choose the points appropriate for the best description. (polygons need to have >90%cover at person height NOT Cowardin classes): Forest or shrub for>1/3 area OR herbaceous plants>2/3 area x points=7 Forest or shrub for> 1/10 area OR herbaceous plants> 1/3 area points=4 Vegetation does not meet above criteria points=0 7 Aerial photo or map showing polygons of different vegetation types R Add the points in the boxes above I 16 1 1 R R 4. Does the wetland unit have the opportunity to reduce flooding and erosion? (see p.57) Answer YES if the unit is in a location in the watershed where the flood storage, or reduction in water velocity, it provides helps protect downstream property and aquatic resources from flooding or excessive and/or erosive flows. Note which of the following conditions apply. — There are human structures and activities downstream(roads,buildings,bridges, farms)that can be damaged by flooding. — There are natural resources downstream(e.g. salmon redds)that can be damaged by flooding — Other multiplier (Answer NO if the major source of water to the wetland is controlled by a reservoir or the wetland is tidal fringe along the sides of a dike) 1 YES multiplier is 2 NO multiplier is 1 R TOTAL -Hydrologic Functions Multiply the score from R 3 by R 4 Add score to table on p. I 16 Comments The multiplier of 1 has been given because the wetland unit is not truly protecting salmon redds or downstream natural resouces. Wetland Rating Form—western Washington 8 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number A These questions apply to wetlands of all HGM classes. Points (only 1 score HABITAT FUNCTIONS - Indicators that unit functions to provide important habitat per box) H 1. Does the wetland unit have the potential to provide habitat for many species? H 1.1 Vegetation structure(seep. 72) Figure Check the types of vegetation classes present(as defined by Cowardin)-Size threshold for each class is '/acre or more than 10%of the area if unit is smaller than 2.5 acres. Aquatic bed x Emergent plants x Scrub/shrub (areas where shrubs have>30%cover) Forested(areas where trees have>30%cover) If the unit has a forested class check f The forested class has 3 out of 5 strata(canopy, sub-canopy, shrubs,herbaceous, moss/ground-cover)that each cover 20%within the forested polygon Add the number of vegetation structures that qual i. If you have: 4 structures or more points=4 1 Map of Cowardin vegetation classes 3 structures points=2 2 structures points= 1 1 structure points=0 H 1.2. Hydroperiods(seep. 73) Figure_ Check the types of water regimes (hydroperiods)present within the wetland. The water regime has to cover more than 10%of the wetland or'/acre to count. (see text for descriptions of hydroperiods) Permanently flooded or inundated 4 or more types present points=3 x Seasonally flooded or inundated 3 types present points=2 Occasionally flooded or inundated 2 types present point= 1 x Saturated only 1 type present points=0 x Permanently flowing stream or river in,or adjacent to,the wetland 2 Seasonally flowing stream in,or adjacent to,the wetland Lake fringe wetland =2 points Freshwater tidal wetland=2 points Map of hydroperiods H 1.3.Richness of Plant Species (seep. 75) Count the number of plant species in the wetland that cover at least 10 ft2. (different patches of the same species can be combined to meet the size threshold) You do not have to name the species. Do not include Eurasian Milfoil, reed canarygrass,purple loosestrife, Canadian Thistle If you counted: > 19 species points=2 List species below if you want to: 5 - 19 species points= 1 <5 species points=0 1 ICI Total for page 4 Wetland Rating Form—western Washington 13 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number A H 1.4. Interspersion of habitats(seep. 76) =igure_ Decide from the diagrams below whether interspersion between Cowardin vegetation classes(described in H 1.1), or the classes and unvegetated areas(can include open water or mudflats)is high,medium,low, or none. O None=0 points Low= 1 point Moderate=2 points xxxx 2 [riparian braided channels] High =3 points NOTE: If you have four or more classes or three vegetation classes and open water the rating is always"high". Use map of Cowardin vegetation classes H 1.5. Special Habitat Features: (seep. 77) Check the habitat features that are present in the wetland. The number of checks is the number of points you put into the next column. x Large,downed,woody debris within the wetland(>4in. diameter and 6 ft long). Standing snags(diameter at the bottom>4 inches)in the wetland x Undercut banks are present for at least 6.6 ft(2m)and/or overhanging vegetation extends at least 3.3 ft(Im)over a stream(or ditch)in,or contiguous with the unit,for at least 33 ft (1 Om) Stable steep banks of fine material that might be used by beaver or muskrat for denning (>30degree slope)OR signs of recent beaver activity are present(cut shrubs or trees that have not yet turned grey/brown) x At least 1/4 acre of thin-stemmed persistent vegetation or woody branches are present in areas 3 that are permanently or seasonally inundated.(structures for egg-laying by amphibians) Invasive plants cover less than 25%of the wetland area in each stratum of plants NOTE: The 20%stated in early printings of the manual on page 78 is an error. =MI IMO IMP.191 H 1. TOTAL Score - potential for providing habitat i Add the scores from H1.1, H1.2, H1.3, H1.4, H1.5 1 9 Comments Wetland Rating Form—western Washington 14 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number A H 2.Does the wetland unit have the opportunity to provide habitat for many species? H 2.1 Buffers (seep. 80) Figure Choose the description that best represents condition of buffer of wetland unit. The highest scoring criterion that applies to the wetland is to be used in the rating. See text for definition of "undisturbed." — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water >95% of circumference. No structures are within the undisturbed part of buffer. (relatively undisturbed also means no-grazing,no landscaping,no daily human use) Points=5 — 100 m(330 ft)of relatively undisturbed vegetated areas,rocky areas,or open water > 50% circumference. Points=4 — 50 m(170ft)of relatively undisturbed vegetated areas,rocky areas,or open water>95% circumference. Points=4 — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water>25% circumference, . Points=3 X 50 m(170ft)of relatively undisturbed vegetated areas,rocky areas,or open water for> 50%circumference. Points=3 If buffer does not meet any of the criteria above — No paved areas(except paved trails)or buildings within 25 m(80ft)of wetland>95% circumference. Light to moderate grazing,or lawns are OK. Points=2 3 — No paved areas or buildings within 50m of wetland for>50%circumference. Light to moderate grazing,or lawns are OK. Points=2 — Heavy grazing in buffer. Points=1 — Vegetated buffers are<2m wide(6.6ft)for more than 95%of the circumference(e.g.tilled fields,paving,basalt bedrock extend to edge of wetland Points=0. --- Buffer does not meet any of the criteria above. Points=1 Aerial photo showing buffers H 2.2 Corridors and Connections(seep. 81) H 2.2.1 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 150 ft wide,has at least 30%cover of shrubs,forest or native undisturbed prairie,that connects to estuaries,other wetlands or undisturbed uplands that are at least 250 acres in size? (dams in riparian corridors,heavily used gravel roads,paved roads, are considered breaks in the corridor). YES=4 points (go to H 2.3) x NO=go to H 2.2.2 H 2.2.2 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 50ft wide,has at least 30%cover of shrubs or forest,and connects to estuaries,other wetlands or undisturbed uplands that are at least 25 acres in size? OR a Lake-fringe wetland,if it does not have an undisturbed corridor as in the question above? YES=2 points (go to H 2.3) x NO=H 2.2.3 H 2.2.3 Is the wetland: within 5 mi(8km)of a brackish or salt water estuary OR 1 within 3 mi of a large field or pasture(>40 acres)OR within 1 mi of a lake greater than 20 acres? x YES=1 point NO=0 points Total for page 4 Wetland Rating Form–western Washington 15 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number H 2.3 Near or adjacent to other priority habitats listed by WDFW(see new and complete descriptions of WDFW priority habitats,and the counties in which they can be found,in the PHS report http://wdfw.wa.mov/hab/phslist.htm) Which of the following priority habitats are within 330ft(100m)of the wetland unit?NOTE:the connections do not have to be relatively undisturbed Aspen Stands: Pure or mixed stands of aspen greater than 0.4 ha(1 acre). Biodiversity Areas and Corridors:Areas of habitat that are relatively important to various species of native fish and wildlife(full descriptions in WDFW PHS report p. 152). Herbaceous Balds:Variable size patches of grass and forbs on shallow soils over bedrock. Old-growth/Mature forests: (Old-growth west of Cascade crest) Stands of at least 2 tree species,forming a multi-layered canopy with occasional small openings;with at least 20 trees/ha(8 trees/acre)>81 cm(32 in)dbh or>200 years of age. (Mature forests) Stands with average diameters exceeding 53 cm(21 in)dbh;crown cover may be less that 100%; crown cover may be less that 100%;decay,decadence,numbers of snags,and quantity of large downed material is generally less than that found in old-growth; 80-200 years old west of the Cascade crest. Oregon white Oak: Woodlands Stands of pure oak or oak/conifer associations where canopy coverage of the oak component is important(full descriptions in WDFW PHS report p. 158). X Riparian: The area adjacent to aquatic systems with flowing water that contains elements of both aquatic and terrestrial ecosystems which mutually influence each other. Westside Prairies: Herbaceous,non-forested plant communities that can either take the form of a dry prairie or a wet prairie(full descriptions in WDFW PHS report p. 161). x Instream: The combination of physical,biological,and chemical processes and conditions that interact to provide functional life history requirements for instream fish and wildlife resources. Nearshore:Relatively undisturbed nearshore habitats. These include Coastal Nearshore, Open Coast Nearshore,and Puget Sound Nearshore. (full descriptions of habitats and the definition of relatively undisturbed are in WDFW report:pp. 167-169 and glossary in Appendix A). Caves:A naturally occurring cavity,recess,void,or system of interconnected passages under the earth in soils,rock,ice,or other geological formations and is large enough to contain a human. Cliffs: Greater than 7.6 m(25 ft)high and occurring below 5000 ft. Talus: Homogenous areas of rock rubble ranging in average size 0.15 -2.0 m(0.5-6.5 ft), composed of basalt,andesite,and/or sedimentary rock,including riprap slides and mine tailings.May be associated with cliffs. Snags and Logs: Trees are considered snags if they are dead or dying and exhibit sufficient decay characteristics to enable cavity excavation/use by wildlife.Priority snags have a diameter at breast height of>51 cm(20 in)in western Washington and are>2 m(6.5 ft)in height. Priority logs are>30 cm(12 in)in diameter at the largest end,and>6 m(20 ft) long. If wetland has 3 or more priority habitats=4 points 3 If wetland has 2 priority habitats=3 points If wetland has 1 priority habitat=1 point No habitats=0 points Note:All vegetated wetlands are by definition a priority habitat but are not included in this list. Nearby wetlands are addressed in question H 2.4) Wetland Rating Form—western Washington 16 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number H 2.4 Wetland Landscape (choose the one description of the landscape around the wetland that best fits) (seep. 84) There are at least 3 other wetlands within'/2 mile, and the connections between them are relatively undisturbed(light grazing between wetlands OK,as is lake shore with some boating,but connections should NOT be bisected by paved roads,fill,fields, or other development. points=5 The wetland is Lake-fringe on a lake with little disturbance and there are 3 other lake-fringe wetlands within 1/2 mile points=5 X There are at least 3 other wetlands within 1/2 mile,BUT the connections between them are disturbed points=3 3 The wetland is Lake-fringe on a lake with disturbance and there are 3 other lake-fringe wetland within 1/2 mile points=3 There is at least 1 wetland within 1/2 mile. points=2 There are no wetlands within 1/2 mile. points=0 H 2. TOTAL Score - opportunity for providing habitat 1 Add the scores from H2.1,H2.2, H2.3, H2.4 I 10 TOTAL for H 1 from page 14 9 Total Score for Habitat Functions —add the points for H 1, H 2 and record the result on p. 1 19 Wetland Rating Form—western Washington 17 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B WETLAND RATING FORM—WESTERN WASHINGTON Version 2-Updated July 2006 to increase accuracy and reproducibility among users Updated Oct 2008 with the new WDFW definitions for priority habitats Name of wetland(if known): N/A-Wetland B Date of site visit: 05'0312013 Rated by C3 Habitat/C. Christensen Trained by Ecology? Yes X No Date of training 01/2006 SEC: 24 TWNSHP: 27n RNGE: 02W Is S/T/R in Appendix D? Yes No X Map of wetland unit: Figure 1 Estimated size Over 25 Acres SUMMARY OF RATING Category based on FUNCTIONS provided by wetland I II x III IV Score for Water Quality Functions 20 Category I= Score>=70 Category II= Score 51-69 Score for Hydrologic Functions 16 Category III= Score 30-50 Score for Habitat Functions 29 Category IV= Score<30 TOTAL score for Functions I 65 I Category based on SPECIAL CHARACTERISTICS of wetland I II Does not Apply x Final Category (choose the"highest" category from above) II Summary of basic information about the wetland unit Wetland Unit has Special Wetland HGM Class Characteristics used for Rating _ Estuarine Depressional Natural Heritage Wetland Riverine Bog Lake-fringe Mature Forest Slope Old Growth Forest Flats Coastal Lagoon Freshwater Tidal Interdunal None of the above Check if unit has multiple HGM classes present Wetland Rating Form—western Washington 1 August 2004 version 2 To be used with Ecology Publication 04-06-025 Wetland name or number Does the wetland unit being rated meet any of the criteria below? If you answer YES to any of the questions below you will need to protect the wetland according to the regulations regarding the special characteristics found in the wetland. Check List for Wetlands That May Need Additional Protection YES NO (in addition to the protection recommended for its category) SP 1. Has the wetland unit been documented as a habitat for any Federally listed Threatened or Endangered animal or plant species (T/E species)? For the purposes of this rating system, "documented" means the wetland is on the x appropriate state or federal database. SP2. Has the wetland unit been documented as habitat for any State listed Threatened or Endangered animal species? For the purposes of this rating system, "documented" means the wetland is on the appropriate state database. Note: Wetlands with State listed plant species are x categorized as Category I Natural Heritage Wetlands (see p. 19 of data form). SP3. Does the wetland unit contain individuals of Priority species listed by the WDFW for the state? x SP4. Does the wetland unit have a local significance in addition to its functions? For example,the wetland has been identified in the Shoreline Master Program,the Critical Areas Ordinance, or in a local management plan as x having special significance. To complete the next part of the data sheet you will need to determine the Hydrogeomorphic Class of the wetland being rated. The hydrogeomorphic classification groups wetlands into those that function in similar ways. This simplifies the questions needed to answer how well the wetland functions. The Hydrogeomorphic Class of a wetland can be determined using the key below. See p. 24 for more detailed instructions on classifying wetlands. Wetland Rating Form—western Washington 2 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number Classification of Wetland Units in Western Washington If the hydrologic criteria listed in each question do not apply to the entire unit being rated,you probably have a unit with multiple HGM classes. In this case, identify which hydrologic criteria in questions 1-7 apply, and go to Question 8. 1. Are the water levels in the entire unit usually controlled by tides(i.e. except during floods)? NO—go to 2 YES—the wetland class is Tidal Fringe If yes, is the salinity of the water during periods of annual low flow below 0.5 ppt(parts per thousand)? YES—Freshwater Tidal Fringe NO—Saltwater Tidal Fringe(Estuarine) If your wetland can be classified as a Freshwater Tidal Fringe use the forms for Riverine wetlands. If it is Saltwater Tidal Fringe it is rated as an Estuarine wetland. Wetlands that were called estuarine in the first and second editions of the rating system are called Salt Water Tidal Fringe in the Hydrogeomorphic Classification. Estuarine wetlands were categorized separately in the earlier editions,and this separation is being kept in this revision. To maintain consistency between editions,the term"Estuarine"wetland is kept. Please note,however,that the characteristics that define Category I and II estuarine wetlands have changed(see p. ). 2. The entire wetland unit is flat and precipitation is the only source(>90%) of water to it. Groundwater and surface water runoff are NOT sources of water to the unit. -go to 3 YES—The wetland class is Flats If your wetland can be classified as a"Flats"wetland,use the form for Depressional wetlands. 3. Does the entire wetland unit meet both of the following criteria? The vegetated part of the wetland is on the shores of a body of permanent open water (without any vegetation on the surface) at least 20 acres (8 ha) in size; At least 30%of the open water area is deeper than 6.6 ft(2 m)? NO—go to 4 YES—The wetland class is Lake-fringe(Lacustrine Fringe) xxx 4.Does the entire wetland unit meet all of the following criteria? x The wetland is on a slope(slope can be very gradual), x The water flows through the wetland in one direction(unidirectional) and usually comes from seeps. It may flow subsurface, as sheetflow, or in a swale without distinct banks. x The water leaves the wetland without being impounded? NOTE: Surface water does not pond in these type of wetlands except occasionally in very small and shallow depressions or behind hummocks (depressions are usually <3fi diameter and less than 1 foot deep). NO-go to 5 ESQ—The wetland class is Slope Slope is man-made from fill pad Slope element is not from a natural topography-fill site. Wetland Rating Form—western Washington 3 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B 5. Does the entire wetland unit meet all of the following criteria? x The unit is in a valley, or stream channel, where it gets inundated by overbank flooding from that stream or river x The overbank flooding occurs at least once every two years. NOTE: The riverine unit can contain depressions that are filled with water when the river is not flooding. NO - go to 6 YES—The wetland class is Riverine 6. Is the entire wetland unit in a topographic depression in which water ponds, or is saturated to the surface, at some time during the year. This means that any outlet, if present, is higher than the interior of the wetland. NO—go to 7 YES—The wetland class is Depressional 7. Is the entire wetland unit located in a very flat area with no obvious depression and no overbank flooding. The unit does not pond surface water more than a few inches. The unit seems to be maintained by high groundwater in the area. The wetland may be ditched, but has no obvious natural outlet. NO—go to 8 YES—The wetland class is Depressional xxx 8. Your wetland unit seems to be difficult to classify and probably contains several different HGM clases. For example, seeps at the base of a slope may grade into a riverine floodplain, or a small stream within a depressional wetland has a zone of flooding along its sides. GO BACK AND IDENTIFY WHICH OF THE HYDROLOGIC REGIMES DESCRIBED IN QUESTIONS 1-7 APPLY TO DIFFERENT AREAS IN THE UNIT (make a rough sketch to help you decide). Use the following table to identify the appropriate class to use for the rating system if you have several HGM classes present within your wetland. NOTE: Use this table only if the class that is recommended in the second column represents 10%or more of the total area of the wetland unit being rated. If the area of the class listed in column 2 is less than 10% of the unit; classify the wetland using the class that represents more than 90%of the total area. HGM Classes within the wetland unit being rated HGM Class to Use in Rating Slope+Riverine Riverine x Slope+Depressional Depressional Slope+Lake-fringe Lake-fringe Depressional+Riverine along stream within boundary Depressional Depressional+ Lake-fringe Depressional Salt Water Tidal Fringe and any other class of freshwater Treat as ESTUARINE under wetland wetlands with special characteristics If you are unable still to determine which of the above criteria apply to your wetland, or if you have more than 2 HGM classes within a wetland boundary, classify the wetland as Depressional for the rating. The riverine aspect of this wetland is a combination of man-made ditches and natural streams. The man-made ditches likely were created to relocated natural streams for a fill site. Wetland Rating Form—western Washington 4 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B R Riverine and Freshwater Tidal Fringe Wetlands Points WATER QUALITY FUNCTIONS - Indicators that wetland functions to improve (only 1 score water quality per box) R R 1. Does the wetland unit have the potential to improve water quality? (see p.52) R R 1.1 Area of surface depressions within the riverine wetland that can trap sediments Figure during a flooding event: Depressions cover>3/4 area of wetland points=8 Depressions cover> 1/2 area of wetland points=4 If depressions>1/2 of area of unit draw polygons on aerial photo or map 2 >Depressions present but cover< 1/2 area of wetland points=2 No depressions present points=0 R R 1.2 Characteristics of the vegetation in the unit(areas with>90%cover at person height): Figure_ Trees or shrubs>2/3 the area of the unit xx points=8 Trees or shrubs> 1/3 area of the unit points=6 Ungrazed,herbaceous plants>2/3 area of unit points=6 Ungrazed herbaceous plants> 1/3 area of unit points=3 8 Trees, shrubs,and ungrazed herbaceous< 1/3 area of unit points=0 Aerial photo or map showing polygons of different vegetation types R Add the points in the boxes above I 10 1 1 R R 2. Does the wetland unit have the opportunity to improve water quality? (see p.53) Answer YES if you know or believe there are pollutants in groundwater or surface water coming into the wetland that would otherwise reduce water quality in streams, lakes or groundwater downgradient from the wetland?Note which of the following conditions provide the sources of pollutants. A unit may have pollutants coming from several sources, but any single source would qualms as opportunity. — Grazing in the wetland or within 150ft X Untreated stormwater discharges to wetland — Tilled fields or orchards within 150 feet of wetland — A stream or culvert discharges into wetland that drains developed areas, residential areas, farmed fields,roads, or clear-cut logging — Residential,urban areas, golf courses are within 150 ft of wetland X The river or stream linked to the wetland has a contributing basin where human activities have raised levels of sediment,toxic compounds or nutrients in the river water above standards for water quality multiplier — Other The wetland receives hydrology from a fill site that may have toxic material. 2 xxxYES multiplier is 2 NO multiplier is 1 R TOTAL -Water Quality Functions Multiply the score from R 1 by R 2 I 20 Add score to table on p. 1 Comments Because the hydrology passes through a fill site into the stream/ditch -it is likely that untreated stormwater is discharging into the ditch/stream and floods into the wetland. Wetland Rating Form–western Washington 7 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B R Riverine and Freshwater Tidal Fringe Wetlands Points HYDROLOGIC FUNCTIONS - Indicators that wetland functions to reduce (only 1 score flooding and stream erosion per box) R 3. Does the wetland unit have the potential to reduce flooding and erosion? (see p.54) R R 3.1 Characteristics of the overbank storage the unit provides: Figure Estimate the average width of the wetland unit perpendicular to the direction of the flow and the width of the stream or river channel(distance between banks). Calculate the ratio: (average width of unit)/(average width of stream between banks). If the ratio is more than 20 points=9 If the ratio is between 10–20 points=6 If the ratio is 5 - <10 points=4 9 If the ratio is 1 -<5 points=2 If the ratio is< 1 points= 1 Aerial photo or map showing average widths R R 3.2 Characteristics of vegetation that slow down water velocities during floods: Treat Figure_ large woody debris as `forest or shrub". Choose the points appropriate for the best description.(polygons need to have >90%cover at person height NOT Cowardin classes): Forest or shrub for>1/3 area OR herbaceous plants>2/3 area x points=7 Forest or shrub for> 1/10 area OR herbaceous plants> 1/3 area points=4 7 Vegetation does not meet above criteria points=0 Aerial photo or map showing polygons of different vegetation types R Add the points in the boxes above I 16 1 1 R R 4. Does the wetland unit have the opportunity to reduce flooding and erosion? (see p.57) Answer YES if the unit is in a location in the watershed where the flood storage, or reduction in water velocity,it provides helps protect downstream property and aquatic resources from flooding or excessive and/or erosive flows. Note which of the following conditions apply. — There are human structures and activities downstream(roads,buildings,bridges, farms)that can be damaged by flooding. — There are natural resources downstream(e.g. salmon redds)that can be damaged by flooding — Other multiplier (Answer NO if the major source of water to the wetland is controlled by a reservoir or the wetland is tidal fringe along the sides of a dike) 1 YES multiplier is 2 NO multiplier is 1 xx R TOTAL -Hydrologic Functions Multiply the score from R 3 by R 4 Add score to table on p. I 16 Comments Wetland Rating Form—western Washington 8 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B These questions apply to wetlands of all HGM classes. Points (only 1 score HABITAT FUNCTIONS - Indicators that unit functions to provide important habitat per box) H 1. Does the wetland unit have the potential to provide habitat for many species? H 1.1 Vegetation structure(seep. 72) Figure Check the types of vegetation classes present(as defined by Cowardin)-Size threshold for each class is '/a acre or more than 10%of the area if unit is smaller than 2.5 acres. Aquatic bed x Emergent plants x Scrub/shrub(areas where shrubs have>30%cover) x Forested(areas where trees have>30%cover) If the unit has a forested class check f x The forested class has 3 out of 5 strata(canopy,sub-canopy,shrubs,herbaceous, moss/ground-cover)that each cover 20%within the forested polygon Add the number of vegetation structures that qualms. If you have: 4 4 structures or more points=4 Map of Cowardin vegetation classes 3 structures points=2 2 structures points= 1 1 structure points=0 H 1.2.Hydroperiods(seep. 73) Figure Check the types of water regimes (hydroperiods)present within the wetland. The water regime has to cover more than 10%of the wetland or'/acre to count. (see text for descriptions of hydroperiods) Permanently flooded or inundated 4 or more types present points=3 x Seasonally flooded or inundated 3 types present points=2 Occasionally flooded or inundated 2 types present point= 1 x Saturated only 1 type present points=0 x Permanently flowing stream or river in, or adjacent to,the wetland 2 Seasonally flowing stream in, or adjacent to,the wetland Lake fringe wetland =2 points Freshwater tidal wetland=2 points Map of hydroperiods H 1.3.Richness of Plant Species (seep. 75) Count the number of plant species in the wetland that cover at least 10 ft2. (different patches of the same species can be combined to meet the size threshold) You do not have to name the species. Do not include Eurasian Milfoil, reed canarygrass,purple loosestrife, Canadian Thistle If you counted: > 19 species points=2 List species below if you want to: 5 - 19 species points= 1 <5 species points=0 1 Total for page 7 Wetland Rating Form—western Washington 13 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B H 1.4. Interspersion of habitats (see p. 76) =igure_ Decide from the diagrams below whether interspersion between Cowardin vegetation classes(described in H 1.1), or the classes and unvegetated areas(can include open water or mudflats)is high,medium,low,or none. CD O Ei P it) Cop None=0 points Low= 1 point Moderate=2 points xxxx orisc ---- (..-- . . 2 ......-- \\........_ ..........; ,..,/'Ir [riparian braided channels] High =3 points NOTE: If you have four or more classes or three vegetation classes and open water the rating is always"high". Use map of Cowardin vegetation classes H 1.5. Special Habitat Features: (see p. 77) Check the habitat features that are present in the wetland. The number of checks is the number of points you put into the next column. x Large,downed,woody debris within the wetland(>4in. diameter and 6 ft long). x Standing snags(diameter at the bottom>4 inches)in the wetland x Undercut banks are present for at least 6.6 ft(2m)and/or overhanging vegetation extends at least 3.3 ft(1m)over a stream(or ditch)in, or contiguous with the unit,for at least 33 ft (10m) Stable steep banks of fine material that might be used by beaver or muskrat for denning (>30degree slope)OR signs of recent beaver activity are present(cut shrubs or trees that 5 have not yet turned grey/brown) x At least'/4 acre of thin-stemmed persistent vegetation or woody branches are present in areas that are permanently or seasonally inundated.(structures for egg-laying by amphibians) x Invasive plants cover less than 25%of the wetland area in each stratum of plants NOTE: The 20%stated in early printings of the manual on page 78 is an error. H 1. TOTAL Score - potential for providing habitat I I Add the scores from H1.1, H1.2, H1.3, H1.4, H1.5 I 14 1 Comments Wetland Rating Form—western Washington 14 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B H 2. Does the wetland unit have the opportunity to provide habitat for many species? H 2.1 Buffers (seep. 80) Figure Choose the description that best represents condition of buffer of wetland unit. The highest scoring criterion that applies to the wetland is to be used in the rating. See text for definition of "undisturbed" — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water >95% of circumference. No structures are within the undisturbed part of buffer. (relatively undisturbed also means no-grazing,no landscaping,no daily human use) Points=5 — 100 m(330 ft)of relatively undisturbed vegetated areas,rocky areas,or open water > 50% circumference. Points=4 — 50 m(170ft)of relatively undisturbed vegetated areas,rocky areas, or open water>95% circumference. Points=4 — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water>25% circumference, . Points=3 x 50 m(170ft)of relatively undisturbed vegetated areas,rocky areas, or open water for> 50%circumference. Points=3 If buffer does not meet any of the criteria above — No paved areas(except paved trails)or buildings within 25 m(80ft) of wetland>95% 3 circumference. Light to moderate grazing,or lawns are OK. Points=2 — No paved areas or buildings within 50m of wetland for>50%circumference. Light to moderate grazing,or lawns are OK. Points=2 — Heavy grazing in buffer. Points=1 — Vegetated buffers are<2m wide(6.6ft)for more than 95%of the circumference(e.g. tilled fields,paving,basalt bedrock extend to edge of wetland Points=0. — Buffer does not meet any of the criteria above. Points=1 Aerial photo showing buffers H 2.2 Corridors and Connections(see p. 81) H 2.2.1 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 150 ft wide,has at least 30%cover of shrubs,forest or native undisturbed prairie,that connects to estuaries,other wetlands or undisturbed uplands that are at least 250 acres in size? (dams in riparian corridors,heavily used gravel roads,paved roads, are considered breaks in the corridor). YES=4 points (go to H2.3) x NO=go to H 2.2.2 H 2.2.2 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 50ft wide,has at least 30%cover of shrubs or forest,and connects to estuaries, other wetlands or undisturbed uplands that are at least 25 acres in size? OR a Lake-fringe wetland,if it does not have an undisturbed corridor as in the question above? x YES=2 points (go to H 2.3) NO=H 2.2.3 H 2.2.3 Is the wetland: 3 within 5 mi(8km)of a brackish or salt water estuary OR within 3 mi of a large field or pasture(>40 acres)OR within 1 mi of a lake greater than 20 acres? x YES=1 point NO=0 points Total for page 6 Wetland Rating Form–western Washington 15 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B H 2.3 Near or adjacent to other priority habitats listed by WDFW(see new and complete descriptions of WDFW priority habitats,and the counties in which they can be found,in the PHS report http://wdfw.wa.2ov/hab/phslist.htm) Which of the following priority habitats are within 330ft(100m)of the wetland unit?NOTE: the connections do not have to be relatively undisturbed Aspen Stands:Pure or mixed stands of aspen greater than 0.4 ha(1 acre). Biodiversity Areas and Corridors:Areas of habitat that are relatively important to various species of native fish and wildlife(full descriptions in WDFW PHS report p. 152). Herbaceous Balds: Variable size patches of grass and forbs on shallow soils over bedrock. Old-growth/Mature forests: (Old-growth west of Cascade crest)Stands of at least 2 tree species,forming a multi-layered canopy with occasional small openings;with at least 20 trees/ha(8 trees/acre)>81 cm(32 in)dbh or>200 years of age. (Mature forests) Stands with average diameters exceeding 53 cm(21 in)dbh;crown cover may be less that 100%; crown cover may be less that 100%;decay,decadence,numbers of snags,and quantity of large downed material is generally less than that found in old-growth; 80-200 years old west of the Cascade crest. Oregon white Oak: Woodlands Stands of pure oak or oak/conifer associations where canopy coverage of the oak component is important(full descriptions in WDFW PHS report p. 158). x Riparian: The area adjacent to aquatic systems with flowing water that contains elements of both aquatic and terrestrial ecosystems which mutually influence each other. Westside Prairies: Herbaceous,non-forested plant communities that can either take the form of a dry prairie or a wet prairie(full descriptions in WDFW PHS report p. 161). x Instream: The combination of physical,biological,and chemical processes and conditions that interact to provide functional life history requirements for instream fish and wildlife resources. Nearshore: Relatively undisturbed nearshore habitats. These include Coastal Nearshore, Open Coast Nearshore,and Puget Sound Nearshore.(full descriptions of habitats and the definition of relatively undisturbed are in WDFW report:pp. 167-169 and glossary in Appendix A). Caves:A naturally occurring cavity,recess,void,or system of interconnected passages under the earth in soils,rock,ice,or other geological formations and is large enough to contain a human. Cliffs: Greater than 7.6 m(25 ft)high and occurring below 5000 ft. Talus: Homogenous areas of rock rubble ranging in average size 0.15 -2.0 m(0.5-6.5 ft), composed of basalt,andesite,and/or sedimentary rock,including riprap slides and mine tailings.May be associated with cliffs. x Snags and Logs: Trees are considered snags if they are dead or dying and exhibit sufficient decay characteristics to enable cavity excavation/use by wildlife.Priority snags have a diameter at breast height of>51 cm(20 in)in western Washington and are>2 m(6.5 ft)in height. Priority logs are>30 cm(12 in)in diameter at the largest end,and>6 m(20 ft) 4 long. If wetland has 3 or more priority habitats=4 points If wetland has 2 priority habitats=3 points If wetland has 1 priority habitat=1 point No habitats=0 points Note:All vegetated wetlands are by definition a priority habitat but are not included in this list. Nearby wetlands are addressed in question H 2.4) Wetland Rating Form—western Washington 16 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number B H 2.4 Wetland Landscape (choose the one description of the landscape around the wetland that best fits) (seep. 84) XThere are at least 3 other wetlands within'/2 mile,and the connections between them are relatively undisturbed(light grazing between wetlands OK,as is lake shore with some boating,but connections should NOT be bisected by paved roads,fill, fields,or other development. points=5 The wetland is Lake-fringe on a lake with little disturbance and there are 3 other lake-fringe wetlands within 1/2 mile points=5 There are at least 3 other wetlands within 1/2 mile,BUT the connections between them are disturbed points=3 5 The wetland is Lake-fringe on a lake with disturbance and there are 3 other lake-fringe wetland within 1/2 mile points=3 There is at least 1 wetland within'/2 mile. points=2 There are no wetlands within'h mile. points=0 H 2. TOTAL Score - opportunity for providing habitat Add the scores from H2.1,H2.2, H2.3, H2.4 I 15 TOTAL for H 1 from page 14 14 Total Score for Habitat Functions —add the points for H 1, H 2 and record the result on p. 1 29 Wetland Rating Form—western Washington 17 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C WETLAND RATING FORM—WESTERN WASHINGTON Version 2-Updated July 2006 to increase accuracy and reproducibility among users Updated Oct 2008 with the new WDFW definitions for priority habitats Name of wetland(if known): N/A-Wetland C Date of site visit: 05/03/20: Rated by C3 Habitat/C. Christensen Trained by Ecology? Yes X No Date of training 01/2006 SEC: 24 TWNSHP: 27n RNGE: 02W Is S/T/R in Appendix D? Yes No X Map of wetland unit: Figure 1 Estimated size Less than one acre onsite SUMMARY OF RATING Category based on FUNCTIONS provided by wetland I II III X IV Score for Water Quality Functions 16 Category I= Score>=70 Category II= Score 51-69 Score for Hydrologic Functions 13 Category III= Score 30-50 Score for Habitat Functions 20 Category IV= Score<30 TOTAL score for Functions I 49 I Category based on SPECIAL CHARACTERISTICS of wetland I II Does not Apply X Final Category (choose the"highest" category from above) II► Summary of basic information about the wetland unit Wetland Unit has Special Wetland HGM Class Characteristics used for Rating Estuarine Depressional Natural Heritage Wetland Riverine X Bog Lake-fringe Mature Forest Slope X Old Growth Forest Flats Coastal Lagoon Freshwater Tidal Interdunal None of the above Check if unit has multiple _ HGM classes present Wetland Rating Form—western Washington 1 August 2004 version 2 To be used with Ecology Publication 04-06-025 Wetland name or number C Does the wetland unit being rated meet any of the criteria below? If you answer YES to any of the questions below you will need to protect the wetland according to the regulations regarding the special characteristics found in the wetland. Check List for Wetlands That May Need Additional Protection YES NO (in addition to the protection recommended for its category) SP 1. Has the wetland unit been documented as a habitat for any Federally listed Threatened or Endangered animal or plant species (T/E species)? For the purposes of this rating system, "documented" means the wetland is on the x appropriate state or federal database. SP2. Has the wetland unit been documented as habitat for any State listed Threatened or Endangered animal species? For the purposes of this rating system, "documented" means the wetland is on the appropriate state database. Note: Wetlands with State listed plant species are x categorized as Category I Natural Heritage Wetlands (see p. 19 of data form). SP3. Does the wetland unit contain individuals of Priority species listed by the WDFW for the state? x SP4. Does the wetland unit have a local significance in addition to its functions? For example, the wetland has been identified in the Shoreline Master Program, the Critical Areas Ordinance, or in a local management plan as x having special significance. To complete the next part of the data sheet you will need to determine the Hydrogeomorphic Class of the wetland being rated. The hydrogeomorphic classification groups wetlands into those that function in similar ways. This simplifies the questions needed to answer how well the wetland functions. The Hydrogeomorphic Class of a wetland can be determined using the key below. See p. 24 for more detailed instructions on classifying wetlands. Wetland Rating Form—western Washington 2 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C Classification of Wetland Units in Western Washington If the hydrologic criteria listed in each question do not apply to the entire unit being rated,you probably have a unit with multiple HGM classes. In this case,identify which hydrologic criteria in questions 1-7 apply, and go to Question 8. 1. Are the water levels in the entire unit usually controlled by tides (i.e. except during floods)? xN�O—go to 2 YES—the wetland class is Tidal Fringe If yes, is the salinity of the water during periods of annual low flow below 0.5 ppt(parts per thousand)? YES—Freshwater Tidal Fringe NO—Saltwater Tidal Fringe(Estuarine) If your wetland can be classified as a Freshwater Tidal Fringe use the forms for Riverine wetlands. If it is Saltwater Tidal Fringe it is rated as an Estuarine wetland. Wetlands that were called estuarine in the first and second editions of the rating system are called Salt Water Tidal Fringe in the Hydrogeomorphic Classification. Estuarine wetlands were categorized separately in the earlier editions, and this separation is being kept in this revision. To maintain consistency between editions, the term"Estuarine"wetland is kept. Please note,however,that the characteristics that define Category I and II estuarine wetlands have changed (see p. ). 2. The entire wetland unit is flat and precipitation is the only source(>90%) of water to it. Groundwater and surface water runoff are NOT sources of water to the unit. —go to 3 YES—The wetland class is Flats If your wetland can be classified as a"Flats"wetland,use the form for Depressional wetlands. 3. Does the entire wetland unit meet both of the following criteria? The vegetated part of the wetland is on the shores of a body of permanent open water (without any vegetation on the surface) at least 20 acres (8 ha) in size; At least 30% of the open water area is deeper than 6.6 ft(2 m)? NO—go to 4 YES—The wetland class is Lake-fringe (Lacustrine Fringe) xxx 4. Does the entire wetland unit meet all of the following criteria? x The wetland is on a slope(slope can be very gradual), x The water flows through the wetland in one direction(unidirectional) and usually comes from seeps. It may flow subsurface, as sheetflow, or in a swale without distinct banks. x The water leaves the wetland without being impounded? NOTE: Surface water does not pond in these type of wetlands except occasionally in very small and shallow depressions or behind hummocks (depressions are usually <3ft diameter and less than 1 foot deep). NO - go to 5 YES—The wetland class is Slope Slope is man-made from fill pad Slope element is not from a natural topography-fill site. Wetland Rating Form—western Washington 3 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C 5. Does the entire wetland unit meet all of the following criteria? x The unit is in a valley,or stream channel,where it gets inundated by overbank flooding from that stream or river x The overbank flooding occurs at least once every two years. NOTE: The riverine unit can contain depressions that are filled with water when the river is not flooding. NO -go to 6 ES—The wetland class is Riverine 6. Is the entire wetland unit in a topographic depression in which water ponds, or is saturated to the surface, at some time during the year. This means that any outlet, if present, is higher than the interior of the wetland. NO—go to 7 YES—The wetland class is Depressional 7. Is the entire wetland unit located in a very flat area with no obvious depression and no overbank flooding. The unit does not pond surface water more than a few inches. The unit seems to be maintained by high groundwater in the area. The wetland may be ditched, but has no obvious natural outlet. NO—go to 8 YES—The wetland class is Depressional xxx 8. Your wetland unit seems to be difficult to classify and probably contains several different HGM clases. For example, seeps at the base of a slope may grade into a riverine floodplain,or a small stream within a depressional wetland has a zone of flooding along its sides. GO BACK AND IDENTIFY WHICH OF THE HYDROLOGIC REGIMES DESCRIBED IN QUESTIONS 1-7 APPLY TO DIFFERENT AREAS IN THE UNIT(make a rough sketch to help you decide). Use the following table to identify the appropriate class to use for the rating system if you have several HGM classes present within your wetland. NOTE: Use this table only if the class that is recommended in the second column represents 10%or more of the total area of the wetland unit being rated. If the area of the class listed in column 2 is less than 10%of the unit; classify the wetland using the class that represents more than 90%of the total area. HGM Classes within the wetland unit being rated HGM Class to Use in Rating Slope+Riverine Riverine x Slope+Depressional Depressional Slope+Lake-fringe Lake-fringe Depressional+Riverine along stream within boundary Depressional Depressional+Lake-fringe Depressional Salt Water Tidal Fringe and any other class of freshwater Treat as ESTUARINE under wetland wetlands with special characteristics If you are unable still to determine which of the above criteria apply to your wetland, or if you have more than 2 HGM classes within a wetland boundary,classify the wetland as Depressional for the rating. The riverine aspect of this wetland is a combination of man-made ditches and natural streams. The man-made ditches likely were created to relocated natural streams for a fill site. Wetland Rating Form—western Washington 4 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C R Riverine and Freshwater Tidal Fringe Wetlands Points WATER QUALITY FUNCTIONS - Indicators that wetland functions to improve (only 1 score water quality per box) R R 1. Does the wetland unit have the potential to improve water quality? (see p.52) R R 1.1 Area of surface depressions within the riverine wetland that can trap sediments Figure during a flooding event: Depressions cover>3/4 area of wetland points=8 Depressions cover> 1/2 area of wetland points=4 If depressions>1/2 of area of unit draw polygons on aerial photo or map 2 >Depressions present but cover< 1/2 area of wetland points=2 No depressions present points=0 R R 1.2 Characteristics of the vegetation in the unit(areas with>90%cover at person height): Figure Trees or shrubs>2/3 the area of the unit xx points=8 Trees or shrubs> 1/3 area of the unit points=6 Ungrazed,herbaceous plants>2/3 area of unit points=6 Ungrazed herbaceous plants> 1/3 area of unit points=3 6 Trees, shrubs,and ungrazed herbaceous< 1/3 area of unit points=0 Aerial photo or map showing polygons of different vegetation types R Add the points in the boxes above I 8 t 1 R R 2. Does the wetland unit have the opportunity to improve water quality? (see p.53) Answer YES if you know or believe there are pollutants in groundwater or surface water coming into the wetland that would otherwise reduce water quality in streams,lakes or groundwater downgradient from the wetland?Note which of the following conditions provide the sources of pollutants. A unit may have pollutants coming from several sources, but any single source would qualms as opportunity. — Grazing in the wetland or within 150ft — Untreated stormwater discharges to wetland — Tilled fields or orchards within 150 feet of wetland — A stream or culvert discharges into wetland that drains developed areas, residential areas,farmed fields,roads, or clear-cut logging — Residential,urban areas, golf courses are within 150 ft of wetland X The river or stream linked to the wetland has a contributing basin where human activities have raised levels of sediment,toxic compounds or nutrients in the river water above standards for water quality multiplier — Other The wetland receives hydrology from a fill site that may have toxic material. 2 xxxYES multiplier is 2 NO multiplier is 1 R TOTAL-Water Quality Functions Multiply the score from R 1 by R 2 Add score to table on p. 1 16 Comments Because the hydrology passes through a fill site into the stream/ditch - it is likely that untreated stormwater is discharging into the ditch/stream and floods into the wetland. Wetland Rating Form-western Washington 7 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C R Riverine and Freshwater Tidal Fringe Wetlands Points HYDROLOGIC FUNCTIONS - Indicators that wetland functions to reduce (only 1 score per box) flooding and stream erosion R 3.Does the wetland unit have the potential to reduce flooding and erosion? (see p.54) R R 3.1 Characteristics of the overbank storage the unit provides: Figure_ Estimate the average width of the wetland unit perpendicular to the direction of the flow and the width of the stream or river channel(distance between banks). Calculate the ratio: (average width of unit)/(average width of stream between banks). If the ratio is more than 20 points=9 If the ratio is between 10-20 points=6 6 If the ratio is 5 - <10 points=4 If the ratio is 1 -<5 points=2 If the ratio is< 1 points= 1 Aerial photo or map showing average widths R R 3.2 Characteristics of vegetation that slow down water velocities during floods: Treat Figure_ large woody debris as `forest or shrub". Choose the points appropriate for the best description. (polygons need to have >90%cover at person height NOT Cowardin classes): Forest or shrub for>1/3 area OR herbaceous plants>2/3 area x points=7 Forest or shrub for> 1/10 area OR herbaceous plants> 1/3 area points=4 7 Vegetation does not meet above criteria points=0 Aerial photo or map showing polygons of different vegetation types R Add the points in the boxes above I 13 1 1 R R 4. Does the wetland unit have the opportunity to reduce flooding and erosion? (see p.57) Answer YES if the unit is in a location in the watershed where the flood storage, or reduction in water velocity,it provides helps protect downstream property and aquatic resources from flooding or excessive and/or erosive flows. Note which of the following conditions apply. — There are human structures and activities downstream(roads,buildings,bridges, farms)that can be damaged by flooding. — There are natural resources downstream(e.g. salmon redds)that can be damaged by flooding — Other multiplier (Answer NO if the major source of water to the wetland is controlled by a reservoir or the wetland is tidal fringe along the sides of a dike) 1 YES multiplier is 2 NO multiplier is 1 xx R TOTAL -Hydrologic Functions Multiply the score from R 3 by R 4 Add score to table on p. 1 13 Comments Wetland Rating Form-western Washington 8 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C These questions apply to wetlands of all HGM classes. Points (only I score HABITAT FUNCTIONS - Indicators that unit functions to provide important habitat per box) H 1.Does the wetland unit have the potential to provide habitat for many species? H 1.1 Vegetation structure(seep. 72) Figure Check the types of vegetation classes present(as defined by Cowardin)-Size threshold for each class is %acre or more than 10%of the area if unit is smaller than 2.5 acres. Aquatic bed x Emergent plants x Scrub/shrub(areas where shrubs have>30%cover) x Forested(areas where trees have>30%cover) If the unit has a forested class check f x The forested class has 3 out of 5 strata(canopy, sub-canopy, shrubs,herbaceous, moss/ground-cover)that each cover 20%within the forested polygon Add the number of vegetation structures that qualms. If you have: 4 4 structures or more points=4 Map of Cowardin vegetation classes 3 structures points=2 2 structures points= 1 1 structure points=0 H 1.2.Hydroperiods (seep. 73) Figure Check the types of water regimes (hydroperiods)present within the wetland. The water regime has to cover more than 10%of the wetland or'/acre to count. (see text for descriptions of hydroperiods) Permanently flooded or inundated 4 or more types present points=3 x Seasonally flooded or inundated 3 types present points=2 Occasionally flooded or inundated 2 types present point= 1 x Saturated only 1 type present points=0 x Permanently flowing stream or river in,or adjacent to,the wetland 2 Seasonally flowing stream in, or adjacent to,the wetland Lake fringe wetland =2 points Freshwater tidal wetland=2 points Map of hydroperiods H 1.3.Richness of Plant Species(seep. 75) Count the number of plant species in the wetland that cover at least 10 ft2. (different patches of the same species can be combined to meet the size threshold) You do not have to name the species. Do not include Eurasian Milfoil, reed canarygrass,purple loosestrife, Canadian Thistle If you counted: > 19 species points=2 List species below if you want to: 5 - 19 species points= 1 <5 species points=0 1 Total for page Wetland Rating Form—western Washington 13 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C H 1.4. Interspersion of habitats (see p. 76) =igure Decide from the diagrams below whether interspersion between Cowardin vegetation classes(described in H 1.1), or the classes and unvegetated areas(can include open water or mudflats)is high,medium, low, or none. EDO None=0 points Low= 1 point Moderate=2 points xxxx AN/ 4011111°116 - 2 [riparian braided channels] High =3 points NOTE: If you have four or more classes or three vegetation classes and open water the rating is always"high". Use map of Cowardin vegetation classes H 1.5. Special Habitat Features: (seep. 77) Check the habitat features that are present in the wetland. The number of checks is the number of points you put into the next column. x Large,downed,woody debris within the wetland(>4in. diameter and 6 ft long). Standing snags(diameter at the bottom>4 inches)in the wetland x Undercut banks are present for at least 6.6 ft(2m)and/or overhanging vegetation extends at least 3.3 ft(1m)over a stream(or ditch)in,or contiguous with the unit,for at least 33 ft (10m) Stable steep banks of fine material that might be used by beaver or muskrat for denning (>30degree slope)OR signs of recent beaver activity are present(cut shrubs or trees that have not yet turned grey/brown) 2 At least 1/4 acre of thin-stemmed persistent vegetation or woody branches are present in areas that are permanently or seasonally inundated.(structures for egg-laying by amphibians) Invasive plants cover less than 25%of the wetland area in each stratum of plants NOTE: The 20%stated in early printings of the manual on page 78 is an error. H 1. TOTAL Score- potential for providing habitat Add the scores from H1.1, H1.2, H1.3, H1.4, H1.5 1 _ 11 Comments Wetland Rating Form—western Washington 14 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C H 2.Does the wetland unit have the opportunity to provide habitat for many species? H 2.1 Buffers (seep. 80) Figure Choose the description that best represents condition of buffer of wetland unit. The highest scoring criterion that applies to the wetland is to be used in the rating. See text for definition of "undisturbed." — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water >95% of circumference. No structures are within the undisturbed part of buffer. (relatively undisturbed also means no-grazing,no landscaping,no daily human use) Points=5 — 100 m(330 ft)of relatively undisturbed vegetated areas,rocky areas,or open water > 50% circumference. Points=4 — 50 m(170ft)of relatively undisturbed vegetated areas,rocky areas,or open water>95% circumference. Points=4 — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water>25% circumference, . Points=3 — 50 m(170ft)of relatively undisturbed vegetated areas,rocky areas, or open water for> 50%circumference. Points=3 If buffer does not meet any of the criteria above — No paved areas(except paved trails)or buildings within 25 m(80ft)of wetland>95% circumference. Light to moderate grazing, or lawns are OK. Points=2 x No paved areas or buildings within 50m of wetland for>50%circumference. 2 Light to moderate grazing,or lawns are OK. Points=2 — Heavy grazing in buffer. Points= 1 — Vegetated buffers are<2m wide(6.6ft)for more than 95%of the circumference (e.g. tilled fields,paving,basalt bedrock extend to edge of wetland Points=0. — Buffer does not meet any of the criteria above. Points=1 Aerial photo showing buffers H 2.2 Corridors and Connections(see p. 81) H 2.2.1 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 150 ft wide,has at least 30%cover of shrubs, forest or native undisturbed prairie,that connects to estuaries,other wetlands or undisturbed uplands that are at least 250 acres in size? (dams in riparian corridors,heavily used gravel roads,paved roads, are considered breaks in the corridor). YES=4 points (go to H 2.3) x NO=go to H 2.2.2 H 2.2.2 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 50ft wide,has at least 30%cover of shrubs or forest,and connects to estuaries, other wetlands or undisturbed uplands that are at least 25 acres in size? OR a Lake-fringe wetland,if it does not have an undisturbed corridor as in the question above? YES=2 points (go to H 2.3) x NO=H 2.2.3 H 2.2.3 Is the wetland: within 5 mi(8km)of a brackish or salt water estuary OR 1 within 3 mi of a large field or pasture(>40 acres)OR within 1 mi of a lake greater than 20 acres? x YES=1 point NO=0 points Total for page 3 Wetland Rating Form–western Washington 15 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C H 2.3 Near or adjacent to other priority habitats listed by WDFW(see new and complete descriptions of WDFW priority habitats,and the counties in which they can be found,in the PHS report htto:/lwdfw.wa.2ov/hab/phslist.htm) Which of the following priority habitats are within 330ft(100m)of the wetland unit?NOTE:the connections do not have to be relatively undisturbed. Aspen Stands: Pure or mixed stands of aspen greater than 0.4 ha(1 acre). Biodiversity Areas and Corridors:Areas of habitat that are relatively important to various species of native fish and wildlife(full descriptions in WDFW PHS report p. 152). Herbaceous Balds: Variable size patches of grass and forbs on shallow soils over bedrock. Old-growth/Mature forests: (Old-growth west of Cascade crest) Stands of at least 2 tree species,forming a multi-layered canopy with occasional small openings;with at least 20 trees/ha(8 trees/acre)>81 cm(32 in)dbh or>200 years of age. (Mature forests) Stands with average diameters exceeding 53 cm(21 in)dbh;crown cover may be less that 100%; crown cover maybe less that 100%;decay,decadence,numbers of snags,and quantity of large downed material is generally less than that found in old-growth; 80-200 years old west of the Cascade crest. Oregon white Oak: Woodlands Stands of pure oak or oak/conifer associations where canopy coverage of the oak component is important(full descriptions in WDFW PHS report p. 158). X Riparian: The area adjacent to aquatic systems with flowing water that contains elements of both aquatic and terrestrial ecosystems which mutually influence each other. Westside Prairies: Herbaceous,non-forested plant communities that can either take the form of a dry prairie or a wet prairie(full descriptions in WDFW PHS report p. 161). x Instream: The combination of physical,biological,and chemical processes and conditions that interact to provide functional life history requirements for instream fish and wildlife resources. Nearshore:Relatively undisturbed nearshore habitats. These include Coastal Nearshore, Open Coast Nearshore,and Puget Sound Nearshore. (full descriptions of habitats and the definition of relatively undisturbed are in WDFW report:pp. 167-169 and glossary in Appendix A). Caves:A naturally occurring cavity,recess,void,or system of interconnected passages under the earth in soils,rock,ice,or other geological formations and is large enough to contain a human. Cliffs: Greater than 7.6 m(25 ft)high and occurring below 5000 ft. Talus: Homogenous areas of rock rubble ranging in average size 0.15 -2.0 m(0.5 -6.5 ft), composed of basalt,andesite,and/or sedimentary rock,including riprap slides and mine tailings.May be associated with cliffs. Snags and Logs: Trees are considered snags if they are dead or dying and exhibit sufficient decay characteristics to enable cavity excavation/use by wildlife.Priority snags have a diameter at breast height of>51 cm(20 in)in western Washington and are>2 m(6.5 ft)in height. Priority logs are>30 cm(12 in)in diameter at the largest end,and>6 m(20 ft) 3 long. If wetland has 3 or more priority habitats=4 points If wetland has 2 priority habitats=3 points If wetland has 1 priority habitat=1 point No habitats=0 points Note:All vegetated wetlands are by definition a priority habitat but are not included in this list. Nearby wetlands are addressed in question H 2.4) Wetland Rating Form—western Washington 16 August 2004 version 2 Updated with new WDFW definitions Oct.2008 Wetland name or number C H 2.4 Wetland Landscape (choose the one description of the landscape around the wetland that best fits)(seep. 84) There are at least 3 other wetlands within 1/2 mile,and the connections between them are relatively undisturbed(light grazing between wetlands OK,as is lake shore with some boating,but connections should NOT be bisected by paved roads,fill,fields, or other development. points=5 The wetland is Lake-fringe on a lake with little disturbance and there are 3 other lake-fringe wetlands within'/2 mile points=5 x There are at least 3 other wetlands within 1/2 mile,BUT the connections between them are disturbed points=3 3 The wetland is Lake-fringe on a lake with disturbance and there are 3 other lake-fringe wetland within '/2 mile points=3 There is at least 1 wetland within'A mile. points=2 There are no wetlands within 1/2 mile. points=0 H 2. TOTAL Score - opportunity for providing habitat I Add the scores from H2.1,H2.2, H2.3, H2.4 I 9 TOTAL for H 1 from page 14 11 Total Score for Habitat Functions —add the points for H 1, H 2 and record the result on p. 1 20 Wetland Rating Form—western Washington 17 August 2004 version 2 Updated with new WDFW definitions Oct.2008 CULTURAL RESOURCES REPORT COVER SHEET Author: Dana Komen, Ryan Ives, and Stephen Emerson Title of Report: Cultural Resources Investigations for the Quilcene South Marsh Restoration Project, Jefferson County, Washington Date of Report: May 2013 County(ies): Jefferson Section: 24 Township: 27N Range: 2W Quad: Quilcene Acres: 13.5 PDF of report submitted (REQUIRED) IX Yes Historic Property Inventory Forms to be Approved Online? X Yes n No Archaeological Site(s)/Isolate(s) Found or Amended? n Yes No TCP(s) found? n Yes R No Replace a draft? n Yes No Satisfy a DAHP Archaeological Excavation Permit requirement? n Yes # IX No Were Human Remains Found? n Yes DAHP Case # X No DAHP Archaeological Site #: • Submission of PDFs is required. • Please be sure that any PDF submitted to DAHP has its cover sheet, figures, graphics, appendices, attachments, correspondence, etc., compiled into one single PDF file. • Please check that the PDF displays correctly when opened. Cultural Resources Investigations for the Quilcene South Marsh Restoration Project, Jefferson County, Washington By: Dana Komen,Ryan Ives, and Stephen Emerson Principal Investigator: Stan Gough Submitted to the Hood Canal Salmon Enhancement Group Belfair,Washington Short Report 1170 Archaeological and Historical Services Eastern Washington University May 2013 Short Report No.: 1170 Page No.: 1 County: Jefferson Archaeological and Historical Services, Eastern Washington University Cultural Resource Short Report Form Authors: Dana Komen,Ryan Ives, and Stephen Emerson Date: May 2013 USGS Quadrangle: Quilcene, Washington, 7.5' Location(Sec.,T,R): Section 24, T27N, R2W PROJECT DATA Agency/Sponsor: Hood Canal Salmon Enhancement Group(HCSEG) PROJECT DESCRIPTION Undertaking/Area of Potential Effects: As part of the Quilcene South Marsh Restoration Project, the HCSEG proposes to re-establish historic salt marsh estuarine habitat near Quilcene, Washington (Figure 1). The salt marsh restoration project is one phase of the large scale Quilcene Bay Ecosystem Restoration Project. Previous project phases consisted of replacing the existing Donovan Creek culvert with a bridge (Williams 2006a), and removing two existing dikes, the Schinke Dike and Rim Dike (Walker et al. 2008a, 2008b). The proposed project will address factors leading to the decline of Hood Canal summer chum habitat in Quilcene Bay and the Big Quilcene River by: 1) property cleanup; 2) clearing and grubbing the salt marsh estuary restoration area; 3) removing existing fill from the salt marsh estuary restoration area; 4) excavating and grading the salt marsh estuary restoration area; 5) constructing an 827-foot-long main tidal channel through the salt marsh estuary restoration area; and, 6) constructing 1,255 feet of new distributary channels feeding into the main tidal channel (Figure 2). The restored estuarine salt marsh will provide feeding habitat for salmon fry and improve fish passage in the Big Quilcene River watershed. The project area of potential effects (APE) consists of Jefferson County parcel numbers 991201701, 991201702, 991201003, 991201501, 991201502, 991201503, 991201510, 991201512, and 991201514 (see Figure 2), owned by HCSEG. The total project APE is 13.5 acres. Included in the project APE is a 3.7 acre Bonneville Power Administration (BPA) right- of-way (ROW) in which no project activities are planned. The salt marsh estuary restoration portion of the project APE is limited to 3.5 acres east of the BPA ROW(see Figure 2). Proposed salt marsh estuary activities include existing fill removal, grading, and excavation of 0.2 feet of sediments at channel margins and up to 7.9 feet in mid-channel below the current ground surface. West of the BPA ROW, property cleanup in the project APE will consist of demolishing abandoned dwellings at locations A through E (see Figure 2), removing debris, scarifying dwelling driveways, decommissioning four septic systems, and decommissioning two Short Report No.: 1170 Page No.: 2 County: Jefferson wells. The septic systems will be pumped, filled with pea gravel, and left in place, and the two wells will be filled with concrete and capped. Cultural Resource Task(s): Cultural resource inventory tasks conducted by Archaeological and Historical Services (AHS), Eastern Washington University, consisted of: 1)a comprehensive literature review including a search of cultural resource records housed at the Washington State Department of Archaeology and Historical Preservation (DAHP) and a review of General Land Office (GLO) plats and related land records on file at the Bureau of Land Management (BLM) office in Spokane; 2) pedestrian survey of the project APE; 3) excavation of shovel tests in the areas of proposed ground disturbing activities such as residential unit demolition and driveway scarification; 4) completion of Washington State Historic Property Inventory (HPI) forms for structures more than 45 years old scheduled for demolition; 5) documentation of backhoe investigations within the proposed salt marsh estuarine restoration footprint; and, 6) preparation of a professional report of findings. LOCATION Project/locational information: The Quilcene South Marsh Restoration Project is located just west of Quilcene Bay and east of Linger Longer Road, near the town of Quilcene, Jefferson County, Washington (see Figure 1). The project APE is at the eastern end of Muncie Avenue. The Big Quilcene River flows through the northeast corner of the project APE. A small portion of the project APE is located north of the Big Quilcene River, with the majority of the project APE south of the river channel(see Figure 2). Landowner(s): HCSEG ENVIRONMENTAL BACKGROUND Setting/Landform(s)/Vegetation: The proposed project APE is located on a broad, low delta formed where the Big Quilcene River flows into Quilcene Bay (Figure 3). The highest elevation in the project APE is 16 feet above mean sea level. The Big Quilcene River delta was formed over the last 12,000 years by alluvial deposition, building up into a "tongue" extending out into Quilcene Bay. Quilcene Bay communicates with Hood Canal via Dabob Bay, all part of a vast system of natural marine waterways connecting the project vicinity with distant parts of Puget Sound. These natural channels formed during the late Pleistocene Epoch as the Cordillerian Ice Sheet, Puget lobe scoured deep trenches into existing sediments and igneous or sedimentary bedrock. Around 14,000 years ago the glaciers began to retreat northward, impounding freshwater lakes in the Puget Lowland and depositing enormous quantities of glacial debris over the region. Further ice recession allowed the lakes to drain through the Strait of Juan de Fuca leaving behind enormous topographic depressions. Rising sea levels subsequently filled the depressions with seawater, creating the current configuration of inlets, bays, and channels Short Report No.: 1170 Page No.: 3 County: Jefferson (McKee 1972:292-297; U.S. Geological Survey 1993). Historically, the stream deltas of the Big Quilcene River, the Little Quilcene River, and Donovan Creek were nearly contiguous, forming a complex of tidal marshland and associated channels subject to daily estuarine flooding (Figure 4). In 1883, the east half of the project APE was salt marsh with a tidal channel mapped adjacent to the project APE east boundary(Todd et al. 2006:47-48) (Figure 5). The remainder of the project APE was grassland with a few scattered trees. In 1883, the Big Quilcene River was about 0.2 mile farther north than its current configuration along the project APE north boundary. Prior to historic flood control measures,the Big Quilcene River delta, including lands in the project APE, was salt marsh and tidal estuary across which the river meandered, cutting new channels and abandoning old courses. As a result of historic activities such as channelization and dike construction along the river and bay,the Big Quilcene River's historical tidal prism(the intertidal area connected to the stream) and intertidal estuary have been eliminated. Since the beginning of these alterations in the 1880s, the Big Quilcene River mouth has advanced farther into Quilcene Bay by approximately 1,700 feet(GeoEngineers 1998:21). Big Quilcene major flood events have been documented since 1926 with an increasing frequency of large floods since the 1990s. In 1993, flood waters breached the Big Quilcene Levee, spreading as far as a BPA transmission tower base. Flood waters cut a new channel through the project APE, resulting in abandonment of the lower reaches of the river's former channel. Levee repairs re-routed the river back into its former channel (GeoEngineers 1998:10, 14). However the river has again cut a new path, making an abrupt north turn and leaving an abandoned channel just slightly east of the project APE boundaries. This new channel configuration was established sometime between 2009 and 2011, as documented in aerial photos of the project APE available on the Google Earth website. Soils in the salt marsh estuary restoration portion of the project APE are classified as Lummi Series silt loams. The poorly drained silt loams in this series are found in tidal salt marshes at an elevation slightly above sea level. In the Lummi series soils, the seasonal water table is reached at 24-60 centimeters below surface (cmbs). The representative Lummi series profile, described in the project APE under the BPA powerline, is provided in Table 1 (McCreary 1975:31, 32; Soil Survey Staff 2013). Table 1. Soil Profile, Salt Marsh Estuary Restoration Portion of the Project APE. Depth Horizon Description (cmbs) 0-25 A dark brown, dark gray or olive gray silt loam to fine sandy loam 25-74 B very dark grayish brown,dark olive brown,or black silt loam,distinct to prominent mottles 74-150 C very dark gray or dark gray heavy silt loam Short Report No.: 1170 Page No.: 4 County: Jefferson Soils in the portion of the project APE west of the BPA ROW are Belfast silt barns found on flood plains. Belfast silt loatns formed in alluvium under a Douglas-fir, western red cedar, and red alder overstory (McCreary 1975:10, 11; Soil Survey Staff 2013). The representative Belfast soil series profile is presented in Table 2. Table 2. Soil Profile,West of the BPA ROW. Depth Horizon Description (cmbs) 0-12 A very dark gray brown silt loam,gravels in places 12-30 B dark gray brown silt loam,heavy silt loam to fine sandy loam,gravels in places 30-150 C dark gray brown highly stratified fine sandy loam,loam,silt loam,sandy loam, and loamy sand,gravels in places Prior to residential development in the area, these soils supported native plant associations composed primarily of saltwater-tolerant reeds, sedges and grasses; wild rose; spirea; and scattered alder, cottonwood, and conifer trees (McCreary 1975:31). Vegetation in the salt marsh estuary restoration portion of the project APE consists of grasses growing between areas of exposed soil with young conifers and deciduous trees present along the east and west margins (Figure 6). The east portion of the project APE is covered by dense vegetation. Vegetation near the abandoned dwellings is a mix of deciduous trees, including large weeping willows, and exotic shrubs such as camelia and rose. Dense blackberry thickets are present throughout the project APE. Ground Surface Conditions: Ground surface in the salt marsh restoration portion of the project APE is good with large areas of exposed sediment. The remainder of the project APE is covered with vegetation except for existing roads and driveways. The southern portion of the BPA ROW is a marsh, with small tidal channels and salt tolerant grasses. ETHNOGRAPHIC/HISTORIC BACKGROUND Salish people inhabited the Hood Canal region, with Quilcene bands occupying the area from Quilcene Bay to the Dosewallips and Duckabush rivers (Eells 1996; Nelson 1990; Spier 1936). Quilcene people, as well as other Coast Salish groups, generally made their homes along marine waterways or major rivers that served as convenient transportation corridors as well as rich resource procurement areas. Primary residences usually consisted of substantial split-plank buildings at permanent village sites, while temporary camps provided shelter during seasonal fishing, hunting, and gathering trips. Although villages in the region retained political autonomy, trade, marriage, and mutual ceremonies created bonds between neighboring groups. Ethnographic Quilcene villages include Qwalsid, located at the head of Quilcene Bay (Castile 1985:14, 15; Elmendorf 1992:1-4, 264, 265; Suttles and Lane 1990:485-495). The exact village location remains undocumented. Archaeological evidence documents a Native American Short Report No.: 1170 Page No.: 5 County: Jefferson presence in the Hood Canal region for thousands of years. A prehistoric shell midden has been identified at the historic Indian battleground (site 45JE85), on the shore of Quilcene Bay, less than one mile from the present project (Welch 1976). Pre-contact petroglyphs (site 45JE235) are documented within two miles of the project (Stilson 1997). An Olcott Phase site (45JE15), located approximately 1.75 miles north of the current project area, suggests that the Quilcene Bay area has been occupied for at least 4,000 years (Munsell 1971). The first known encounters between Native American residents of the project vicinity and Europeans occurred in May 1792 as British sea captain George Vancouver led a small exploratory party south through Hood Canal. Although expedition members observed smoke from a small fire and a canoe hauled into a creek in the area of Quilcene and Dabob bays,they saw no people. Farther up Hood Canal, however,near the mouth of Lilliwaup Creek,the party encountered three local men in a canoe who, after bartering for beads, iron, and copper, attempted to persuade the visitors to accompany them to their village (Blumenthal 2004:134, 135). Although several decades probably passed before Europeans again visited the area, during this period exotic epidemic diseases swept through the region decimating Native populations and creating profound disruptions in existing social and cultural patterns (Suttles and Lane 1990:499). With the establishment of trading posts in the region—Fort Langley on the Fraser River in 1827, Fort Nisqually on southern Puget Sound in 1833, and Fort Victoria on Vancouver Island in 1843— Europeans became a permanent presence in the area and trade goods became widely available (Suttles 1990:470, 471; Suttles and Lane 1990:499). Euro-American settlers soon followed the fur traders, attracted by rich timberlands and low-cost, though often marginally fertile, farmlands. At first the settlers remained widely scattered and Native American people were able to maintain traditional lifestyles, but this was soon to change. As growing numbers of Euro-Americans took up residence in western Washington, Native people's claims to their ancestral lands became an increasingly contentious issue. During the 1850s, in an attempt to resolve the problem, Washington Territorial Governor Isaac Stevens convened councils with various Native American groups for the express purpose of extinguishing the Indians' title to their lands. Under pressure, Native American representatives signed the treaties, ceding their ancestral lands in exchange for small reservations, retention of fishing rights, cash payments, and other considerations. Under the Point No Point Treaty of 1855, Twana people, including Quilcene bands, and other Coast Salish groups were assigned to the Skokomish Indian Reservation on Hood Canal, 30 miles south of Quilcene Bay. Many, however, saw no reason to move and remained on their ancestral lands (Lane and Lane 1977; Suttles and Lane 1990:500). Betsy Henry, reportedly the last surviving Quilcene, died in 1923. Well over a hundred years old when she died, Betsy related the devastating Quinault raid which resulted in the death of most of her band. Sometime around 1820, a dispute between the two groups over the gambling game slahal led to the death of a young Quinault man. In retaliation, the Quinaults staged a night raid on the Quilcene village. During the ensuing battle only Betsy, at that time a young girl, and a few other Quilcene people survived by fleeing into the darkness. When Betsy was grown she Short Report No.: 1170 Page No.: 6 County: Jefferson married George, another raid survivor known as the last leader of the few remaining Quilcenes. Betsy and George lived out their lives in a small house about one mile south of the project APE (Welch 1976). An Indian house is recorded near this location on the 1883 T-series map (Todd et al. 2006:47-48) (see Figure 5). In 1890, Indian homestead patent number 0919 was issued to Quilcene George for Lot 1 T25N, R2W, section 24 and Lot 2 T24N, R2W, section 25 (BLM 2013). The recorded Quilcene-Quinault battlefield location is within Lot 1 of Quilcene George's homestead. The Quilcene-Quinault battlefield site (45JE85) is listed in the National Register of Historic Places(NRHP)and the Washington State Historic Register. The first non-Native settler in the Quilcene Bay area, Samuel H. Cottle, a logger from Maine, arrived around 1860. Mr. Cottle supported himself by digging "ship's knees," the naturally angled junctures of tree trunks and roots used during the period for boat ribs. Other settlers soon moved to the bay, attracted by the prospect of free land and employment opportunities in the logging industry. According to GLO survey notes, ten settlers lived in the township by 1877, some having settled in the early 1860s (Jameson 1877). Homestead patent 5476 was issued to Thomas Dagnin in 1879 for the S %2 of the NE and the N V2 of the SE of section 24, lands which include the project APE (BLM 2013). Dagnin is the same homesteader listed as Thomas Ragnin on the 1883 map(Todd et al. 2006:47-48). The town of Quilcene was originally established on the south side of the Big Quilcene River, near the river's mouth. However, due to recurring flooding, the town was moved upstream to the north side of the river(U.S. Fish and Wildlife Service [USFWS] 2009:Appendix A-8). By 1881, the town of Quilcene had grown to the point that a post office was warranted. Nine years later, in 1890, the Port Townsend and Southern Railroad was completed into Quilcene, providing economical transportation for locally produced forest and agricultural products and creating a short-lived economic boom in the area. During this period employment opportunities expanded as sawmills were built, and dairy farming and oyster culture industries became established (Jefferson County Historical Society [JCHS] 1966:163-169;Ramsey 1978:26, 27; Work Projects Administration 1941:545). Levees on the north and south sides of the Big Quilcene River were constructed between the 1880s and 1930s. Specifically, the lower mile of the Big Quilcene River dike was constructed during the 1880s for agricultural development. In the 1930s Jefferson County straightened the river and reinforced the level. By 1939, the Big Quilcene River dike is clearly visible on the aerial photo (see Figure 4). During the 1930s, the Works Progress Administration and Army Corps of Engineers constructed and improved levees throughout Puget Sound. Since that time, construction of additional segments and alterations to the levees have been completed (Iverson 2011). A segment of the Big Quilcene Levee is located along the project APE north boundary (see Figures 1 and 2). Before acquisition by HCSEG, parcels in the project APE were all owned by various members of the Newman family. Apparently, a small sawmill on site was operated under the business name of Newman Logging. Former property owner John Newman stated that the sawmill was not a Short Report No.: 1170 Page No.: 7 County: Jefferson commercial business and was operated only for family use (HCSEG 2012a:6). Imported fill was spread throughout the salt marsh restoration part of the project APE when it was used as a log storage yard(HCSEG 2012b:3). Subsequently,the sawmill was removed from the property. Traditional Cultural Properties: No information concerning TCPs in or near the project APE was found during a search of DAHP records through the WISAARD database. Initiating tribal consultation and determining the APE, in addition to this cultural resources survey, demonstrate HCSEG's efforts in complying with the federal regulations. Continuing tribal consultation may help identify any NRHP eligible TCPs. Previously recorded cultural resources within project APE: A segment of the Big Quilcene Levee is located within the project APE (see Figure 1;Figure 7). The inventoried levee has been recommended NRHP eligible under Criterion A for its association with agricultural development which in turn influenced historic development of the Puget Sound region(Iverson 2011). Previously recorded cultural resources near project APE: A number of historic-period structures have been inventoried in nearby Quilcene. A portion of the Shinke Dike is located adjacent to the project APE's south boundary (Walker et al. 2008a). Another structure, the Rim Dike, is located ca. 800 feet east of the eastern project APE boundary (Walker et al. 2008b). Portions of both of these dikes have been removed during previous phases of the Quilcene Bay Ecosystem Restoration Project. In addition, two sites have been recorded within one mile of the Quilcene South Marsh restoration project APE (see Figure 1). The remains of the old East Quilcene Road causeway (site 45JE290) have been recorded approximately 0.75 mile northeast of the project APE at the head (north shore) of Quilcene Bay, east of the mouth of Donovan Creek. The site consists of a line of 42 log pilings tentatively dated to the late nineteenth or early twentieth century (Williams 2006b). As previously discussed, the Quilcene-Quinault Battleground (site 45JE85) is located approximately one mile south of the project APE on a spit of land extending into Quilcene Bay(Welch 1976). The site is a prehistoric shell midden as well as the location of the Quinault raid on the Quilcene village which resulted in the death of nearly every member of the Quilcene band. None of these resources will be impacted by this project. CULTURAL RESOURCE SURVEY RESEARCH DESIGN Objectives: The objective of this study is to assist HCSEG in compliance with Section 106 of the National Historic Preservation Act of 1966, as amended, by the location and preliminary characterization of both previously and as yet unidentified cultural resources within the current project APE. Area surveyed: All of the land within the Quilcene South Marsh Restoration Project were surveyed for cultural resources, a total of 13.5 acres(see Figure 1). Short Report No.: 1170 Page No.: 8 County: Jefferson Methods: The project APE was investigated by Dana Komen and Ryan Ives via pedestrian survey in north-south meandering transects no more than 30 meters wide. Fifteen mechanically excavated trenches were documented in the salt marsh restoration portion of the project APE(see Figure 2). Trench excavation depths ranged from about 1.2 meters (m) to 2.5 m. Length of the excavated trenches averaged three meters. Shovel tests approximately 40 centimeters in diameter were excavated around the buildings proposed for demolition at approximately 15 meter intervals. All excavated sediment from shovel tests was screened through 1/8-inch-mesh hardware cloth. Each shovel test was immediately backfilled after it was recorded. AHS personnel met Pat McCullough, HCSEG project engineer, and a backhoe operator in the field April 22, 2013, to monitor geotech/exploratory trench excavations east of the BPA ROW in the salt marsh estuary restoration portion of the project APE. Trenches were backfilled upon completion. Cultural resource investigations were documented through field notes, digital photography, and appropriate AHS field forms. A Global Positioning System (GPS) unit was used to identify project APE boundaries, and record shovel test and trench excavation locations. All photographs, field notes, maps, correspondence, and other records generated during this study are on file at the AHS office in Cheney. RESULTS X positive — negative Cultural resources recorded: ▪ building(s) ❑ site(s) ❑ structure(s) ❑ historic district(s) ❑ feature(s) ❑ isolated find(s) RI see attached ❑ artifact(s) ❑ object(s) Four properties in the project APE were recorded on HPI forms. A HPI form was not completed for the partially collapsed mobile home at 320 Muncie Avenue (Location A) (Figure 8) as it is less than 45 years old. No evidence of a commercial logging operation was observed during this survey. No prehistoric cultural resources were documented in the project APE. Historically, the majority of the project APE was estuarine salt marsh with a limited potential for cultural resources. The HPI forms are presented in Appendix A. Sixteen shovel tests were excavated west of the BPA ROW and excavation of 15 backhoe trenches east of the BPA ROW in the estuary restoration area was monitored (see Figure 2). Excavation data is presented in Appendix B. Descriptions of the recorded cultural resources and excavations are presented below. Recorded Properties 321 Muncie Avenue—Location B(house)and Location C (shed) This residence is a one-story wood frame building consisting of a central gabled section flanked on either side by shed roof extensions (Figure 9). The front entry is situated on the south Short Report No.: 1170 Page No.: 9 County: Jefferson elevation beneath a gabled canopy. The foundation is post and pier. The roof, clad with moss- covered composition shingles, has moderately wide, open eaves. A former picture window on the east elevation has been partially filled in and replaced with a smaller wood sash picture window. Other windows are wood sash casement units with multiple panes. Exterior wall surfaces are covered with wood shingles and vertical board. The latter is present on the north shed-roofed extension, which appears to be a partially open back porch. The house is in extremely deteriorated condition, with some windows breached. To the north of the house is a wood frame, gabled shed nearly covered with blackberry vines and other vegetation. Many of the roof shingles are missing. Exterior wall surfaces are mostly clad with wood shingles. The southern portion of the building beneath the roof is open on the sides. This simple cottage was built in 1940. It appears to have suffered flood damage and is highly deteriorated and abandoned. Aside from its poor condition, it is a common example of modest domestic architecture and does not exhibit sufficient distinction to warrant NRHP eligibility. The same is true for the associated shed. 330 Muncie Avenue—Location D This residence is a wood frame, one-story building with a plan consisting of a side-gabled main section and a front gabled extension to the north (Figure 10). It has a post and pier foundation. The profile of the side-gable has a salt box appearance. The shallow-pitched roof is covered with composition shingles and has short, open eaves. A brick chimney emerges from the west end of the main roof crest. Exterior wall surfaces are clad with wood shingles, with vertical board in the gable faces. The front (south) entry, containing a wood panel and glass door, is centrally located beneath a short, gabled canopy. The rear (north) entry contains a wood panel and glass door and is situated to the right side of the front gable extension. The windows are a mix of fixed wood sash and sliding vinyl types. On the east elevation, much of the wood shingle has come away, revealing tar paper sheathing beneath. The house is associated with a wood frame, side-gable garage with vertical board siding and a shingle-covered roof This residence, built in 1950, exhibits a muted ranch house appearance, due to its shallow- pitched roof, but the resemblance ends there as the eaves are too short. It appears to have suffered some flood damage and is vacant. It is a common example of modest domestic architecture. Neither the residence nor the associated garage exhibits distinction necessary for listing in the NRHP. 331 Muncie Avenue—Location B (house) and Location C (garage) This residence is a wood frame, one-story building with a semi-rectangular, L-shaped, plan, consisting of a side-gabled main building with a gabled extension to the west (Figure 11). The front entry faces north and is under a gabled canopy supported by two wood posts. It contains a wood panel and glass door. Composition shingles cover the roof and the moderately wide eaves are open, with exposed rafter ends and fascia boards. A brick chimney emerges from near the Short Report No.: 1170 Page No.: 10 County: Jefferson central crest. Exterior wall surfaces are clad with asbestos shingles, with wood corner boards. Most windows are multiple-pane wood sash units. Two small windows are casement types. An under-the-roof, gabled porch extends from the west elevation. A gabled garage is collapsed just to the west of the house. The walls have fallen away, leaving the roof structure, which is missing most of its shingles. This small house was built in 1940. It has suffered from flood damage and is deteriorated, although mostly intact. It is currently vacant and in need of repair. It is a common example of modest domestic architecture; neither the residence nor associated collapsed garage possess distinction sufficient for NRHP eligibility. Location E Although this residence is partially collapsed, it appears to be a wood framed structure with an irregular plan and an unusual semi-pyramidal roof(Figure 12). The roof is covered with wood shingles and has short, open eaves. A brick chimney emerges from near the roof peak. The foundation is mostly obscured, but appears to be post and pier. Exterior wall surfaces are clad with vertical board siding. It appears that all of the windows have been replaced with vinyl sash fixed and sliding units. The house was flooded, probably during the 1993 flood which cut new river channels through the project APE. Flood sediments are piled against the outer walls to a depth of two to three feet. Occupants abandoned the house leaving the interior full of mud and debris coated furniture and personal belongings. This house was probably built about 1950. Its unusual semi-pyramidal roof gives it a distinctive look, but otherwise it is quite a modest building. Aside from its poor condition, it lacks any distinguishing features that might warrant its listing in the NRHP. Shovel Test Results Sixteen shovel tests (STs) were excavated in the area of proposed ground disturbing activities near the abandoned dwellings and along the driveways (see Figure 2). No cultural resources were identified in shovel tests. Shovel tests were excavated to depths of 48-90 cmbs and were terminated at the water table with the exception of ST 2-1 which was terminated at impenetrable cobbles and ST 2-2 which was terminated when an iron pipe was exposed at 48 cmbs. In this area, the upper 20 centimeters of sediments are fill materials consisting of red brown silt loam with angular cobbles. Below the fill, sediments are gravelly to cobbly sands and silt loamy. In some shovel tests, gleyed sediments are present beginning at 53 cmbs. The water table is present between 48 and 95 cmbs with the average depth of the water table at 65 cmbs. Below the imported fill, excavated sediments generally agree with the soil survey profile of dark gray brown silt loam, sandy loam, and loamy sand with gravels in places consistent with the mapped soils (Soil Survey Staff 2013). One exception is the presence of gleyed sediments not described in the soil survey. Gleyed sediments indicate water saturation in a marsh or wetland Short Report No.: 1170 Page No.: 11 County: Jefferson environment and is not unexpected given the marsh and tidal channels present east of the dwellings. Shovel test data is presented in Appendix B. Trench Excavation Results Fifteen trenches (Ts)were excavated in the salt marsh restoration portion of the project APE (see Figure 2). Trench excavation depths ranged from about 1.2 meters (m) to 2.5 m. Trenches averaged 3.0 m long. No cultural materials were identified in the trenches. Throughout the salt marsh restoration area, gravels are present to approximately 50 cmbs over gleyed sands and silt loans (Figure 13), with the exception of T-1 which lacks gravels above 110 cmbs. Fill was present in T-9, T-10, T-11, T-13, and T-15. The fill is reddish brown silt loam with angular cobbles and appears to be the same fill material present in shovel tests excavated near the abandoned dwellings. In T-6 and T-7, sediments were disturbed to a depth of 90 and 70 cmbs respectively, with plastic rope and plastic drain pipe present in the trench walls. The soil series profile does not describe the rounded gravels observed in the excavated trenches (Soils Survey Staff 2013). The gravel present throughout this portion of the APE is the same rounded, mixed lithology gravel present in the river channel and their presence indicates various previous river channel configurations over tidal estuary sands and silt loans. The water table is present between 60 curbs and 180 cmbs. Gleyed sediments are present in some trenches above the water table, documenting the presence of saturated sediments across the salt marsh restoration area. Mechanically excavated trench sediment profile descriptions are provided in Appendix B. NRHP Summary The Big Quilcene Levee is recommended NRHP eligible under Criterion A, property associated with events that have made significant contribution to broad patterns of history (cf. Iverson 2011). Proposed project activities constitute no adverse effect on the Big Quilcene Levee. No other NRHP eligible resources were identified in the project APE. MANAGEMENT SUMMARY The Big Quilcene Levee is the only resource recommended eligible for NRHP listing (Iverson 2011) within the Quilcene South Marsh Restoration project APE. The resource will not be impacted by project activities. It is recommended that the project proceed as proposed with respect to cultural resources. In the unlikely event that cultural resources are identified during project related activities, work should be halted in the immediate vicinity of the find and a professional archaeologist notified to assess the resource. This document should be submitted by HCSEG to the appropriate review agencies and interested parties for review and comment prior to the initiation of any land altering activities. Short Report No.: 1170 Page No.: 12 County: Jefferson BACKGROUND RESEARCH Sources consulted: Blumenthal, Richard W. 2004 The Early Exploration of Inland Washington Waters: Journals and Logs from Six Expeditions, 1786-1792. McFarland& Company, Inc., Jefferson,North Carolina. Bureau of Land Management(BLM) 2013 Land Patent Details T27N R02W. Bureau of Land Management General Land Office Records. Electronic document, http://www.glorecords.blm.gov, accessed May 3, 2013. Castile, George Pierre(editor) 1985 The Indians of Puget Sound: The Notebooks of Myron Eells. University of Washington Press, Seattle. Eells, Rev.Myron 1996 The Twana, Chemakum, and Klallam Indians of Washington Territory. Ye Galleon Press, Fairfield, Washington. Elmendorf, William W. 1992 The Structure of Twana Culture. Washington State University Press, Pullman. GeoEngineers, Inc. 1998 Lower Big Quilcene River Comprehensive Flood Hazard Management Plan, Quilcene, Washington. Submitted to Jefferson County Department of Public Works, Grant Number G970029. Electronic document, http://www.co.mason.wa.us/ health/environmental/WRIA/selected references, accessed April 30, 2013. Hood Canal Salmon Enhancement Group (HCSEG) 2012a Hazardous Substances Assessment: Newman Properties-17 Parcels along Muncie Avenue, Quilcene, WA. On file, Hood Canal Salmon Enhancement Group, Belfair, Washington. 2012b Washington State Joint Aquatic Resources Permit Application: Big Quilcene Estuary Restoration-Phase 3. On file, Hood Canal Salmon Enhancement Group, Belfair, Washington. Iverson,Dave 2011 Big Quilcene Levees Historic Property Inventory Form. On file, Department of Archaeology and Historic Preservation, Olympia. Short Report No.: 1170 Page No.: 13 County: Jefferson Jameson, William 1877 Field notes for the survey of Township 27 North, Range 2 West, Washington Territory. General Land Office Survey, U.S. Department of the Interior, Bureau of Land Management. Electronic document, http://www.blm.gov/or/landrecords/survey/accessed May 3, 2013. Jefferson County Historical Society(JCHS) 1966 With Pride in Heritage: History of Jefferson County. Jefferson County Historical Society,Port Townsend. Lane, Robert Brockstedt, and Barbara Lane 1977 Treaties of the Puget Sound: 1854-1855. Institute for the Development of Indian Law, Washington,D.C. McCreary,Fred R. 1975 Soil Survey of Jefferson County Area, Washington. United States Department of Agriculture, Soil Conservation Service, in cooperation with Washington Agricultural Experiment Stations. U.S. Government Printing Office, Washington,D.C. McKee,Bates 1972 Cascadia: The Geologic Evolution of the Pacific Northwest. McGraw-Hill Book Company,New York. Munsell, David 1971 Washington State Department of Highways Archaeology Annual Report, 1971. On file, Washington Department of Archaeology and Historic Preservation, Olympia. Nelson, Charles M. 1990 Prehistory of the Puget Sound Region. In Northwest Coast, edited by Wayne Suttles, pp. 481-484. Handbook of North American Indians, vol. 7, William C. Sturtevant, general editor, Smithsonian Institution, Washington, D.C. Ramsey, Guy Reed 1978 Postmarked Washington: Jefferson, Clallam & Mason Counties. The Depot, Clarksburg,Maryland. Soil Survey Staff 2013 Web Soil Survey Jefferson County, U.S. Department of Agriculture, National Resources Conversation Service. Electronic document, http://websoil survey. nres.usda.gov/app/WebSoilSurvey.aspx, accessed May 3, 2013. Short Report No.: 1170 Page No.: 14 County: Jefferson Spier,Leslie 1936 Tribal Distribution in Washington. General Series in Anthropology No. 3. George Banta Publishing Company,Menasha, Wisconsin. Stilson, Lee 1997 State of Washington Archaeological Site Inventory Form: 45JE235. On file, Washington Department of Archaeology and Historic Preservation, Olympia. Suttles, Wayne 1990 Central Coast Salish. In Northwest Coast, edited by Wayne Suttles, pp. 453-475. Handbook of North American Indians, vol. 7, William C. Sturtevant, general editor, Smithsonian Institution, Washington, D.C. Suttles, Wayne, and Barbara Lane 1990 Southern Coast Salish. In Northwest Coast, edited by Wayne Suttles, pp. 485- 502.Handbook of North American Indians, vol. 7, William C. Sturtevant, general editor, Smithsonian Institution, Washington, D.C. Todd, Steve,Nick Fitzpatrick,Alan Carter-Mortimer, and Chris Weller 2006 Historical Changes to Estuaries, Spits, and Associated Tidal Wetland Habitats in the Hood Canal and Strait of Juan de Fuca Regions of Washington State. PNPTC Technical Report 06-1. Kingston, Washington. Electronic document, http://www.pnptc.org/ Historical Nearshore.html, accessed April 26, 2013. U.S.Fish and Wildlife Service (USFWS) 2009 Quilcene, Quinault, and Makah National Fish Hatcheries: Assessments and Recommendations - Appendix A: Briefing Document; Summary of Background Information. Final Report, May 2009. Hatchery Review Team, Pacific Region. U.S. Fish and Wildlife Service, Portland. Electronic document, http://www.fws.gov/ pacific/fisheries/Hatcheryreview/team.html, accessed April 30,2013. U.S.Geological Survey(USGS) 1993 Geologic Map of Surficial Deposits in the Seattle 30'x 60'Quadrangle, Washington. U.S.Department of the Interior, U.S. Geological Survey, Denver. Walker, Sara,Ann Sharley, and Fred Crisson 2008a Cultural Resources Investigations for the Schinke Property Dike Removal Project, Quilcene Bay, Jefferson County, Washington. Short Report 986. Archaeological and Historical Services, Eastern Washington University, Cheney. 2008b Cultural Resources Investigations for the Rim Dike Removal Project, Quilcene Bay, Jefferson County, Washington. Short Report 986. Archaeological and Historical Services,Eastern Washington University, Cheney. Short Report No.: 1170 Page No.: 15 County: Jefferson Welch, Jean 1976 National Register of Historic Places Inventory-Nomination Form: Archaeological Site 45JE85. On file, Washington Department of Archaeology and Historic Preservation, Olympia. Williams, Scott S. 2006a Little Quilcene Wetlands Reserve Program Donovan Creek Bridge Survey in Jefferson County, Washington. Natural Resources Conservation Service. On file, Washington Department of Archaeology and Historic Preservation, Olympia. 2006b State of Washington Archaeological Site Inventory Form: Old East Quilcene Road Causeway (Site 45JE290). On file, Washington Department of Archaeology and Historic Preservation, Olympia. Work Projects Administration (WPA) 1941 Washington:A Guide to the Evergreen State. Binfords &Mort, Portland. Short Report No.: 1170 Page No.: 16 County: Jefferson i . ; _ ... ,;,..04.,,, ,...,,,,..., ,..., - ...r. ...........,w,,,,,rikiliAll __ ; . ,,,, .:LS-- '''. -7-r i'' * • ' . !t,^TN'''''':::'--;.",-.'7,—^;','..}1'. . 'Laker AI it r 71 �, I������i ; I \. iR+•� ` i , — 73 23 „,/,,,, - f„ I�, �v .i ,r , vv .kV'. ., _ i..�� n `� 45J E290 .1 , BM 8 { e ,East Qitidcene ;,, .___. -_ Quilcene I it ��..mi 3fi ,. �., l j• •.�, -i Hi h} ch \�•q'o•, - -� I �, Big Quilcene Levee �$ * Qui;c e Bi Quilcene Levee) ` .ly�NwA'r -:-I'''' .771."-i..., . .gCiYRP CI ' . o., - ? Rim Dike .^ V` Pifs�• ' ll r ,� Schinke Dike) - ` -/ �, , _{Project APE m4� ;,� V 4.:' N,�' ti "f— ` r s t Ifi as ;Pld(jAt,ai.do,e \ I k• ]t, ~'\., tl r, �+l�WBt .s��” ' A. ,x,11, .'. I � r 7+ l t - v rViI i i a liI • Ti n 7 Latid'ng Stria y X. F 7r •Dtineonc iy. V i':�'Ir• LEGEND: O Project APE Previously recorded portions of Big Quilcene Levee 0 0.2 0.4 0.6 0.8 1 i Miles Unrecorded portions of Big Quilcene Levee Kilometers Schinke Dike(Intact portion) 0 0.2 0.4 0.6 0.8 1 --- Rim Dike(Removed) Figure 1. Map showing pr oject APE locations, existing and r emoved earthen structures, and previously recorded cultural resources located within one mile of the project APE (adapted from Mount Walker and Quilcene, WA, 7.5'USGS topographic quadrangles). Short Report No.: 1170 Page No.: 17 County: Jefferson , C: I I I o o c) w z \i aa) o V0)- O t, f� ) c° °> a) r o Lu Cip a > Z n. M \ "p 0) Q I W O j is '.a U QC p o t' ZZO WW W o °' off` i j w U oQx 0) 3 z 4; a N CI (0 W aN �' b - , Q °3 ate ° oo wt D Q 0) 0) N 'r f� Z o L xLLW. Ce `30) 1(„,..,.-2:-...\\ o W a 0) w 000: 00 1 o J a Z Z Q d0 U ' WWUQWW \\\ �1!4 im y- cl■40: 0) 044 o zy .; Na, � vvi � /J , `, . is Z V ' O O t'v \\� U _ 4. \: \ - --- r — o �I- % \ Z_ _ � tx VvW \ -zU. ti � UOa \ w �V . W Z U Cr ¢ g Q W p OJ wW oz N ' o "n\ / CC1 41 Z 0. 0 ILI t_.,'4) V a a 31 ° '� ■ no. ti o N co PVC O� \• C0 - o 'p' \ x r N r∎f .in R N O \ ■\ C C\I N t- ?O O rn O Zi or ch.0 N N O 0 p O N O s, Short Report No.: 1170 Page No.: 18 County: Jefferson j r. r_ Al w � r, `a .. 1 art. ...'$.-, Bi• Quilcene River rt "'" 1 Quilcene Bay o 0.25 0.5 0.75 1 LEGEND: Miles Kilometers Project APE 0 0.5 1 Figure 3. Recent aerial photograph showing Quilcene Marsh South Restoration project APE in relation to Quilcene Bay, the Big Quilcene River, and tidal estuary. ' � - �-r '.,..,..,,,, , , , , ■,I■ ' ' • - 2' . '4. -r -.- --*- ' ' , ,.Y� _ )y N �� yea { •.* � 464 > k Bi• Quilcene River ;1 r.. ,k. a W r ' a.At,�s„ A x _.. �ZM a , 0 0.25 0.5 0.75 1 LEGEND: Miles i i Kilometers Project APE 0 0.5 1 Figure 4. 1939 Aerial photograph showing Quilcene Marsh South Restoration project APE in relation to Quilcene Bay and the Big Quilcene River Note extent of tidal estuary compared to Figure 3. Short Report No.: 1170 Page No.: 19 County: Jefferson 0, Bi Quilcene River '''''';;,';x1' w '� `�:1 .. • it ', qq.; 4 6• ... ., .r. S4, 1.. mow- _.. '#{s , y ,�#T4, ' i../I,q, .!+w �. Mv4l , fir. ��:1' „f*J^ . '1:Sigriez----- y -gA S•,,!$1� �`„F r %r-"'" fir,4 `4q` _.,• �(et. .,• '�7'.#Jim• Project APE '''''4!. 4 T2 -;- ., .'.. . I' 1 . S'rp "„ t ,x't•;,. �,,,; s.,. , � • ``,7►1= Y.:. i Salt Marsh S �• #e i,. .}\ e� o fir` a" a'1, 't '7 � Al T 1 '.1• y '�. { •yc ilk Y` .�\ _.rti ."w, — -" '" .�_ .,-,7.4,.-4,,_ ,w �'"-•. .q iaa. ,,,,. f c s ti • . " # ,q t ice: s'''' ,,_...,...V. •o' ' ) 2 o • •,, Ir.,i '4.*...■.1411t. C f' ?.:. ,F.. a "b y. y • �(. ` • ..• .-(t. NC •-- •,f ., --a�__ . . tit. "•41.01., �•, s r�%. O�,� n.i Tgso a---i. 71µm owl.. l• l t ;" -�' Indian House ot 0 0.25 0.5 LEGEND: I Miles Kilometers Project APE 0 0.25 0.5 0.75 1 Figure 5. An 1883 T-series map showing location of Quilcene Marsh South Restoration pr oject APE(adapted from Todd et al. 2006,Appendix B-9). The Big Quilcene River is depicted north of the current river channel. The eastern portion of the project APE is mapped as salt marsh. Note the "Indian House"mapped south of project APE. Short Report No.: 1170 Page No.: 20 County: Jefferson f" ; i ' ?' , ill th 1.. I I 4 i4 havv .iq.o,.f� i} t "�°t '��>} d lily 4. Z, if,' 0 i -*' ,. ' s ` ' } f r. y w s r .. M 7 I-." N.: ,•t �iG."'4}. - ti q^. rt lf'J�' Figure 6. Overview of the proposed salt marsh restoration area, view to the north. The abandoned dwelling at Location E is visible in the background left. -y , f .„ , 1 11 . �i{ ,%4:T ' 1.'40 'f " i 1 a - •� mss„ v ti i '''3 `_ \, Figure 7. View to the southeast of the Quilcene Marsh South Restoration pr oject APE showing the Big Quilcene River, Big Quilcene levee, and BPA transmission towers. Short Report No.: 1170 Page No.: 21 County: Jefferson }w!y 1 r -- u ,. S w : Vi 41W 4C4* �� —!_ Qt Figure 8. Partially collapsed mobile home and collapsed building scheduled for removal at 320 Muncie Avenue. View is to the southwest. s r r# 14 1"-4 Arig pi r ',7 iilik7 * ° ��� i\`'�� � y�/�f/ _e -- ,gip;. 'was f `�, k6, `` ,_+r * � l ,-- F". vm. h yy., ry� is R/[j� i . 1.=.1 A� �. F' ' {'.ue '. ... lis i, .... ....,....,i.,,... .... . „ .# i ' ' - '„. Figure 9. Abandoned dwelling at 321 Muncie Avenue, view to the northeast. Short Report No.: 1170 Page No.: 22 County: Jefferson a ! ' ° 4' .y .• d. rt.. . ,, ,. : , , ._, ,f , , , ,„.„...,, ,44" ik "" M" :_1 ✓ :eta =f pg i ..�yi' +�y, "4``1 r r St'X ♦: ,; �:.'tfi"_ Cl.,>/,P J.,•, 0! .'n,.• . 1. :,., i '��. — ''� � a 9r - Figure 10. Abandoned dwelling and collapsed garage at 330 Muncie Avenue, view to the southeast. µ r 1Y:ii / . a 1i 4 if 4 I Ilk ,.. r _ :,tea ar Figure 11. Abandoned dwelling at 331 Muncie Avenue, view to the north. Short Report No.: 1170 Page No.: 23 County: Jefferson -, IN y r ii. "; - ilk tt , ...e.. . ..,: ,„ , s_. ,„ ,. . , ,, , i , ,,, t,,,e.,ri.i. /41:1,„ '''''' '''...e17110■7' ,V 14`..'k C t I ,t,F• i . a_ Ite k:�. :rte ' i�. Figure 12. Flooded and collapsed abandoned building at Location E, view to the northeast. .1 / -. ' 44 . 1 ,r_kil4 i ' Irf i �/ 1 1 _-<'-a, +' 4 i . Figure 13. View of the T-5 profile showing sediments typical of the salt marsh restoration portion of the project APE. Appendix A Historic Property Inventory Forms A sfCR:C r ARCHAEOLOGY 3 F7ESE RVA fl-"is Historic Inventory Report Location Field Site No. QMR-1 DAHP No. Historic Name: Newman House 1 Common Name: QL.ilcene Marsh House 1 Property Address: 321 Muncie Ave,Quiicene,WA 98376 Comments: Tax No./Parcel No. 991201514 Plat/Block/Lot Acreage< one Supplemental Map(s) Township/Range/EW Section 1/4 Sec 1/4 1/4 Sec County Quadrangle 177R02W 241 leffurson QUILCENE Coordinate Reference Easting: 1058230 Northing: 915006 Projection: Washington State Plane South Datum: HARN (feet! Identification Survey Name: Quiicene Marsh South Restoration Project Date Recorded: 04/24/2013 Field Recorder: D.Komen Owner's Name: Hood Canal Salmon Enhancement Group Owner Address: City: Beltair State: WA Zip: Classification:Building, Resource Status: Comments: Survey/Inventory Within a District? No Contributing?No National Register: Local District: National Register District/Thematic Nomination Name: Eligibility Status: Nct Determined-SHPO Determination Date: 1/1/0001 Determination Comments: Thursday,May 09,2013 Fa-,a 1 of °'""ia.,i° Historic Inventory Report -^,r Pao FEy>ilGl: Description Historic Use: Domestic-Single Family House Current Use: Vacant/Not in Use Plan: Irregular Stories: 1 Structural System: Braced Frame Changes to Plan: Unknown Changes to Interior: Unknown Changes to Original Cladding: Unknown Changes to Windows: Extensive Changes to Other: Other(specify): Style: Cladding: Roof Type: Roof Material: Nnr“- Shingle 1,,i Mc, Asphalt/Composition - Shingle Foundation: Form/Type: Post &Pier Single family Narrative Study Unit Other Architect ur eft andscape Architecture Date of Construction: 1940 Built Date Builder: Engineer: Architect: Property appears to meet criteria for the National Register of Historic Places:No Property is located in a potential historic district(National and/or local):No Property potentially contributes to a historic district(National and/or local): No Statement tement of This simple cottage was built in 1940. It appears to have suffered flood damage and is highly deteriorated Significance: and abandoned. Aside from its poor condition,it is a common example of modest domestic architecture and does not exhibit sufficient distinction to warrant National Register of Historic Places eligibility. The same is true for the associated shed. 1 Description of This one-story wood frame residence consists of a central gabled section flanked on either side by shed Physical roof extensions. The front entry is situated on the south elevation beneath a gabled canopy. The Appearance: foundation is post and pier. The roof,clad with moss-covered composition shingles,has moderately wide, open eaves. An east elevation former picture window has been partially filled in and replaced with a smaller wood sash picture window. Other windows are wood sash casement units with multiple panes. Wood shingles and vertical board cover exterior walls. The latter is present on the north shed-roofed extension,which appears to be a partially open back porch. The house is in extremely deteriorated condition,with some windows breached. North of the house is a wood frame gabled shed nearly covered by a blackberry thicket. Many roof shingles are missing. Exterior wall surfaces are mostly clad with wood shingles. The southern portion of the building beneath the roof is open on the sides. Major Komen,Dana,Ryan Ives,and Stephen Emerson. 2013 Cultural Resources Investigations for the Quilcene Bibliographic Marsh South Restoration Project,Jefferson County,Washington. Short Report 1170. Archaeological and References: Historical Services,Eastern Washington University,Cheney. Thursday,May 09,2013 Page 2 of 3 pEPARti"ENI ` Historic Inventory Report 3 ARCHAEOLOGY • d HISTOP,IC:PRESERVATION J. Photos X ice, ::1* - % 9b ) 1 + it° ..-t 1','. .:..,, ' f / :. ....,,,;:z,..1.?.. i-,...:,,.=',''' '«,..',1 ..,,..,;-. 4,,* ; :-4 '‘,..„ IF' .,-- . 1744 ,dg- 0041 , „„- - --,,.'1, '' '0 1 I ft „ .Y. a_ i v i View to the west View to the northeast House,east elevation House,south and east elevations 2013 2013 i fafr °" , ri , View to the southwest House,east and north elevations 2013 Thursday,May 09,2013 Page 3 of 3 • '"°'""EN" Historic Inventory Report Location Field Site No. QMR-3 DAHP No. Historic Name: Newman House 3 Common Name: Quilcene Marsh House 3 Property Address: 330 Muncie Ave,Quilcene,WA 98316 Comments: Tax No./Parcel No. Plat/Block/Lot Acreage Supplemental Maps) Township/Range/EW Section 1/4 Sec 1/4 1/4 Sec County Quadrangle 177R02 W 7,1 Jefferson QUILCE NE Coordinate Reference Easting: 1058283 Northing: 914984 Projection: Washington State Plane South Datum: HARN (feet' Identification Survey Name: Quilcene Marsh South Restoration Project Date Recorded: 04/24/2013 Field Recorder: Dana,Komen Owner's Name: Flood Canal Salmon Recovery Group Owner Address: City: Beltair State: WA Zip: 98376 Classification:Building Resource Status: Comments: Survey/Inventory Within a District? No Contributing?No National Register: Local District: National Register District/Thematic Nomination Name: Eligibility Status: Nct Determined-SHPO Determination Date: 1/1/0001 Determination Comments: Thursday,May 09.2013 P�€,`- 1"r 3 ARTMENI It;HAEOl©�GY Historic Inventory Report iY 3 His-foR:cp,F7P v,:1F"i. Description Historic Use: Domestic-Single Family House Current Use: Vacant/Not in Use Plan: L-Shape Stories: 1 Structural System: 3raced Frame Changes to Plan: Intact Changes to Interior: Unknown Changes to Original Cladding: Intact Changes to Windows: Moderate Changes to Other: Other(specify): Style: Cladding: Roof Type: Roof Material: Nnnr- Shingle (■:rhlr-, Sirir- Asph..t /f nrrrtpncitinrr Shingle Foundation: Form/Type: Post & Pier Single Family-Side Gable Narrative Study Unit Other Ar chitecture/Landscape Architecture Date of Construction: 1950 Built Date Builder: Engineer: Architect: Property appears to meet criteria for the National Register of Historic Places:No Property is located in a potential historic district(National and/or local):No Property potentially contributes to a historic district(National and/or local): No Statement of This small house, built in 1940, has suffered from flood damage and is deteriorated,although mostly Significance: intact. It is currently vacant and in need of repair. It is a common example of modest domestic architecture neither the residence or associated collapsed garage possesses distinction sufficient for National Register of Historic Places eligibility. Description of This residence is a wood frame,one-story building with a semi-rectangular, l-shaped,plan,consisting of a Physical side-gabled main building with a gabled extension to the west. The front entry faces north and is under a Appearance: gabled canopy supported by two wood posts. It contains a wood panel and glass door. Composition shingles covers the roof and the moderately wide eaves are open,with exposed rafter ends and fascia boards. A brick chimney emerges from near the central crest. Exterior wall surfaces are clad with asbestos shingles,with wood corner boards. Most windows are multiple-pane wood sash units. Two small windows are casement types. An under-the-roof,gabled porch extends from the west elevation. A gabled garage is collapsed just to the west of the house. [lie walls have fallen away,leaving the roof structure,which is missing most of its shingles. Major Komen,Dana,Ryan Ives,and Stephen Emerson 2013 Cultural Resources investigations for the Qulcene Bibliographic Marsh South Restoration Project. Short Report 1170. Archaeological and Historical Services,Eastern References: Washington University,Cheney. Thursday,May 09,2013 Page 2 of 3 T4cPARTM941 OF ��N� Ya Historic Inventory Report roc PRESERVATION Photos , r s w _ ry ,y 4 tr ti li II a View to the south View to the north House,north eleva:ion South(front)elevation 2013 2013 j a IN d , Y , r a View to the southwest House,east elevation 2013 Thursday,May 09,2013 Page 3 of 3 PAS`"' °` Historic Inventory Report �eNAeouGr s -}"'TOPIC PRBBIVAt10N 'haw ee Location Field Site No. QMR-2 DAHP No. Historic Name: Newman House 2 Common Name: QL ilcene March House 2 Property Address: 331 Muncie Ave,Quilcene,WA Comments: Tax No./Parcel No. 991201510 Plat/Block/lot Acreage<urie Supplemental Map(s) Township/Range/EW Section 1/4 Sec 1/4 1/4 Sec County Quadrangle 121R01W 7,1 Jefferson (lull CF Nl Coordinate Reference Easting: 1058279 Northing: 914872 Projection: Washington State Plane South Datum: HARN (feet/ Identification Survey Name: Quilcene Marsh South Restoration Project Date Recorded: 04/24/2013 Field Recorder: Dana Komen Owner's Name: Hcod Canal Salmon Enhancement Group Owner Address: City: Belfair State: WA Zip: 98376 Classification:Building Resource Status: Comments: Survey/Inventory Within a District? No Contributing?No National Register: Local District: National Register District/Thematic Nomination Name: Eligibility Status: Nct Deg-err-lined -SHPO Determination Date: 1/1/0001 Determination Comments: Thursday May 09,2013 rag 1 of ARCHAEOLOGY Historic Inventory Report AERARTMIIO+:aY 3 'erOP.1C P2l?tEE VAik^IW Description Historic Use: Domestic -Single Family House Current Use: Vacant/Not in Use Plan: L-Shape Stories: 1 Structural System: 3raced Frame Changes to Plan: Intact Changes to Interior: Unknown Changes to Original Cladding: Intact Changes to Windows: Intact Changes to Other: Other(specify): Style: Cladding: Roof Type: Roof Material: Nom. Shingle Asphalt/Crimpnsitinn Concrete/Asbestos Shingle Foundation: Form/Type: X. Pre; Single Family-Side Gable Narrative Study Unit Other Architecture/Landscape Architecture Date of Construction: 1950 Built Date Builder: Engineer: Architect: Property appears to meet criteria for the National Register of Historic Places:No Property is located in a potential historic district(National and/or local):No Property potentially contributes to a historic district(National and/or local): No Statement of This residence,built in 1950,exhibits a muted ranch house appearance,due to its shallow-pitched roof, Significance: but the eaves are too short. It appears to have suffered some flood damage and is vacant. It is a common example of modest domestic architecture. Neither the residence nor the associated garage exhibits a distinction necessary for listing in the National Register of Historic Places. Description of This wood frame,one-story residence plan consists of a side-gabled main section and a front gabled Physical extension to the north. It has a post and pier foundation. The side-gable profile has a salt box Appearance: appearance. The shallow-pitched roof is covered by composition shingles and has short,open eaves. A brick chimney emerges from the west end of the main roof crest. Exterior wall surfaces are clad with wood shingles,with vertical board in the gable faces. The front(south)entry contains a wood panel and glass door centrally located beneath a short,gabled canopy. The rear(north)entry contains a wood panel and glass door is situated to the right side of the front gable extension. The windows are a mix of fixed wood sash and sliding vinyl types. On the east elevation,much of the wood shingle has come away, revealing tar paper sheathing beneath. The house is associated with a wood frame,side-gable garage with vertical board siding and a shingle-covered roof. Major Komen,Dana,Ryan Ives,and Stephen Emerson 2013 Cultural Resources Investigations for the Quilcene Bibliographic March South Restoration Project,Jefferson County,Washington. Short Report 1170. Archaeological and References: Historical Services, Eastern Washington University. h rsda,, Mai 09,2013 Page 2 of 3 DEPARIMENT OF ARCHAEOLOGY_-- Historic Inventory Report 4441 ARCHAEOLOGY d �Ml$TORIC PRESERVATION Photos ' ire'' W View to the northwest View to the north east House,north(front)and east elevations and garage remnant House,east and south elevations,garage remnant 2013 2013 '?8.i2,.,' h. s View to the northwest House,north(front)and east elevations 2013 Thursday,May 09,2013 Page 3 of 3 Historic Inventory Report Location Field Site No. QMR-4 DAHP No. Historic Name: Newman House 4 Common Name: Quilcene Marsh House 4 Property Address: No address Muncie Ave,Quilcene,WA 98376 Comments: Tax No./Parcel No. 991201701 Plat/Block/Lot Block 18 Acreage<one Supplemental Map(s) Township/Range/EW Section 1/4 Sec 1/4 1/4 Sec County Quadrangle 127R02W 24 Jefferson QUILCENF. Coordinate Reference Easting: 1059035 Northing: 914942 Projection: Washington State Plane South Datum: HARK (feet' Identification Survey Name: Quilcene Marsh South Restoration Project Date Recorded: 04/24/2013 Field Recorder: D.Komen Owner's Name: Hcod Canal Salmon Enhancement Group Owner Address: City: Belfair State: WA Zip: Classification:Building Resource Status: Comments: Survey/Inventory Within a District? No Contributing?No National Register: Local District: National Register District/Thematic Nomination Name: Eligibility Status: Nct Determined -SHPQ Determination Date: 1/1/OU01 Determination Comments: Thursday,May 09,2013 Gig 1 nt TJEPARIMEM Of °CHAEOUJGY Historic Inventory Report rca:c raE4Er vFn•^rs Description Historic Use: Domestic Single Family House Current Use: Vac-ant/Not in Use Plan: Irregular Stories: 1 Structural System: 3raced Frame Changes to Plan: Slight Changes to Interior: Unknown Changes to Original Cladding: Intact Changes to Windows: Extensive Changes to Other: Other(specify): Style: Cladding: Roof Type: Roof Material: Nano Wood Vortical Pyramidal Wood -Shingle Foundation: Form/Type: Post&Pier Single Family Narrative Study Unit Other Architecture/Landscape Architecture Date of Construction: 1950 Built Date Builder: Engineer: Architect: Property appears to meet criteria for the National Register of Historic Places:No Property is located in a potential historic district(National and/or local):No Property potentially contributes to a historic district(National and/or local): No Statement of This house was probably built about 1950. It's unusual semi-pyramidal roof gives it a distinctive look,but Significance: otherwise it is quite a modest building. Aside from its poor condition,it lacks any distinguishing features that might warrant its listing in the National Register of Historic Places. Description of Although this residence is partially collapsed,it appears to be a wood framed structure with an irregular Physical plan and an unusual semi-pyramidal roof. The roof is covered with wood shingles and has short,open Appearance: eaves. A brick chimney emerges from near the roof peak. The foundation is mostly obscured,but appears to be post and pier. Exterior wall surfaces are clad with vertical board siding. It appears that all of the windows have been replaced with vinyl sash fixed and sliding units. The house was flooded, probably during the 1993 flood which cut new river channels through the project APE. Flood sediments are piled against the outer walls to a depth of two to three feet. Occupants abandoned the house leaving the interior full of mud and debris coated furniture and personal belongings. Major Komen,Dana,Ryan Ives,and Stephen Emerson 2013 Cultural Resources Investigations for the Quilcene Bibliographic Marsh South Restoration Project,Jefferson County,Washington. Short Report 1170. Archaeological and References: Historical Services,Eastern Washington University,Cheney. Thursday,May 09,2013 Page 2 of 3 Historic Inventory Report Photos ' 4cZ. ' ''4.'* '' ; ' . " '`.:* i "_ ,' r : 1, '','xf • II ' i # / tee. ` View to the north View to the northeast House,south elevation House,and west elevations 2013 2013 N A. Y ,... f, ` ,t.,.- i View to the south Base of chimney in collapsed house 2013 Thursday,May 09,2013 Page 3 of 3 Appendix B Shovel Test and Trench Sediment Profiles Table B.1. Shovel Test and Trench Sediment Profiles. Test No.a Test Depth Depth (cmbs) Sediment Description (cmbs) 0-20 fill, reddish brown silt loam with angular cobbles 20-40 gray cobbly coarse sand ST 1-1 90 40-80 dark yellow brown silt loam 80-90 gleyed medium sand 90 water table 0-45 fill ST 1-2 95 45-90 dark yellow brown silt loam 90-95 gleyed medium sand 95 water table 0-35 fill ST 1-3 72 35-53 dark yellow brown silt loam, compact 53-72 gleyed silt loam 72 water table 0-15 road fill 15-40 gray cobbly coarse sand, compact ST 1-4 80 40-75 gray gravelly coarse sand 75-80 gleyed gravelly coarse sand 80 water table 0-20 fill ST 1-5 68 20-34 gray cobbly coarse sand, compact 34-68 gray cobbly coarse sand 68 water table ST 2-1 57 0-22 fill 22-57 gray cobbly coarse sand ST 2-2 48 0-48 fill, iron pipe exposed in ST wall 0-26 fill ST 2-3 68 26-68 gray cobbly coarse sand 68 water table 0-18 fill ST 2-4 75 18-55 gray cobbly coarse sand 55-75 dark yellow brown silt loam 75 water table 0-22 fill ST 2-5 60 22-45 gray cobbly coarse sand 45-60 dark yellow brown silt loam 60 water table 0-35 fill ST 3-1 50 35-50 gleyed cobbly coarse sand 50 water table B.1 Table B.1,continued. Test No.a Test Depth Depth (cmbs) Sediment Description (cmbs) 0-20 fill ST 3-2 55 20-30 gray gravelly coarse sand 30-55 gray cobbly coarse sand 55 water table 0-20 fill ST 3-3 58 20-58 gray cobbly coarse sand 58 water table 0-15 fill ST 3-4 48 15-48 gray cobbly coarse sand 48 water table 0-18 fill ST 3-5 52 18-52 gray cobbly coarse sand 52 water table 0-17 fill ST 3-6 61 17-61 gray cobbly coarse sand 61 water table 0-70 medium brown sands and gleyed sands T-1 180 70-180 gray sand with some gravels 135 cmbs water table 0-40 gleyed gravelly silt loam T-2 180 40-180 gleyed cobbly silt loam 60 water table 0-40 medium brown gravelly sandy loam T-3 180 40- 180 gleyed gravelly sands 120 water table 0-50 medium brown gravelly sand T-4 160 50-90 gleyed coarse sand 90- 160 gleyed fine sand 160 water table 0-30 cobbles 30-60 gleyed gravelly coarse sand T-5 180 60-100 medium brown gravelly silt loam 100-180 coarse gleyed sands 170 water table 0-30 gravels 30-60 medium brown gravelly coarse sand T-6 180 60-100 gray gravelly silt loam 90 white plastic pipe in trench wall 100-180 coarse gleyed sands 170 water table B.2 Table B.1,continued. Test No.a Test Depth Depth (cmbs) Sediment Description (curbs) 0-20 medium brown gravelly silt loam T-7 120 20-60 gray coarse gravelly sand 60-120 gleyed cobbly sand 30 water table 0-60 medium brown cobbly sand T-8 120 60-120 angular cobbly sand (fill?) 60 water table 0-35 fill T-9 180 35-120 gray coarse gravelly sand 120-180 gray gravelly silt loam 120 water table 0-60 fill T-10 140 60-120 gravels 120-140 gleyed sands- 120 water table 0-80 disturbed with plastic rope in wall at 70 T-11 130 80-100 gleyed gravelly sand 100-130 gravels 130 water table 0-50 fill T-12 140 50-120 medium brown gravelly silt loam 120-140 gravels 0-50 fill 50-70 gravels T-13 180 70-120 medium brown silt loam 120-180 gleyed silt loam 180 water table 0-50 gravelly sand 50-70 medium brown sandy loam T-14 180 70-90 organic material, not burned 90-180 gleyed silt loam/clay 180 water table T-15 240 0-100 fill 100-240 gleyed gravelly loam a ST—shovel test; T=Trench B.3 PHASE I ENVIRONMENTAL SITE ASSESSMENT Conducted On: JEFFERSON COUNTY TAX PARCEL #991201003 QUILCENE, WASHINGTON 98376 --..9 - & 4„ -,, -rp , ,,., , -- ,..- ..- e,,,.. 4 ;.„:„ - , ..::,. .. ........, ._ x104,1 f .tt S1 Y Mw ," 't'1 p K,, fy ' 1 "u. , F.Y"; - .f ,� r - E. . t December , 1 Project No:181212 20-02 4 Prepared for: HOOD CANAL SALMON ENHANCEMENT GROUP P.O. BOX 2169 600 NE ROESELL RD. BELFAIR, WA 98528 Phase I ESA Prepared By ADESA, LLC P.O. Box 1009 Tenino, WA 98589 �, Phase I Environmental Site Assessment \ ADESA Jefferson County Tax Parcel#991-201-003 EXECUTIVE SUMMARY This report represents the findings of ADESA's Phase I Environmental Site Assessment (ESA) performed on Jefferson County Tax Parcel #991201003 located at 320 Muncie Avenue in Quilcene, Washington 98376 in Township 27N Range 2W, and Section 24 ((a.k.a.) Subject Property; Property; Site; D. Newman Property). This Phase I ESA has been prepared for the Hood Canal Salmon Enhancement Group to satisfy the due diligence requirement necessary to qualify for the innocent purchaser defense to CERCLA environmental liability. The Subject Property is a rectangular, 0.52 -acre tax parcel situated at the northeast end of Muncie Avenue, and contains a vacant single-story, wood-framed, manufactured home, circa 1981. The residence is located on the western portion of the lot and appears to have been expanded to the west to include an additional living room and bedroom. Additional improvements at the Site include a 960 square-foot, wooden 3-bay garage, potable water well, septic system and gravel driveway. The garage is located to the east of the residence in the center of the Site. The exterior of both structures are covered with wood siding and metal roofs; the north, east and south sides of the garage are improved with carports/covered areas with gravel surface material, which are currently used to store a truck, boat, camp trailer, and personal auto parts. One, 100-gallon, single wall steel aboveground storage tank (AST) was observed not in use beneath the covered area on the eastside of the garage. The northern portion of the Subject Property is overgrown with various noxious weeds and grasses, with tree cover increasing along the river. The southern portion has typical grasses and sparse vegetation and trees. r °.; '. ' �k: „, • •z741 - i a s ,f„ fii v 4 nn . g$ Subject Property Looking North, Site Visit 12/12/2012 The Property is bound by the Big Quilcene River to the north and Muncie Avenue to the south. Dilapidated and unoccupied residences are located to the east, southeast, south and west. The general topography of the Site is relatively flat (-16-feet above msl) with a gentle slope along the riparian area of Big Quilcene River embankment descending to the south-southeast. Surface water is managed along Muncie Avenue with shallow bioswales that flow toward Quilcene Bay, located approximately 0.27 miles to the east. ii PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax 360-264-2028•email:wruthe,/ord(andesa-wa.coni Phase I Environmental Site Assessment IADESA Jefferson County Tax Parcel#991-201-003 According to the Jefferson County Assessor's Office, the current owner of the Property is Donald E. Newman of Pomeroy, WA. Washington State and Jefferson County historical maps, photographs and public records indicate that the Town of Quilcene was platted for development in 1889, including Muncie Avenue (E/W) and vacated Dunning Avenue m (N/S), originally platted along the eastern side of the Property. This abutting portion of Dunning Avenue became a portion of the Subject Property in 1993. Jefferson County Assessor and Planning Department Records confirmed that the Site was vacant land prior to the current residential site development, completed 1981. The original septic permits for the Site were obtained from Jefferson County in 1977. ADESA found no evidence of any current or historical development on the Property prior to the 1980s. Additionally, ADESA's investigations conducted during this assessment did not reveal any past or present environmental issues associated with the Subject Property. The Property is not listed on any regulatory database researched for this report that would be suggestive of environmental degradation or potential environmental threats. During this investigation no nearby sites were discovered that are believed to pose an environmental threat to the Property. Conclusions ADESA has developed and performed this Phase I Environmental Site Assessment within the scope and limitations of ASTM Practice E 1527-05, and in conformance with the Federal AA! Rules. Any exceptions to, or deletions from, this practice are described in this report. The Phase I Site Assessment of Jefferson County Tax Parcel #991-201-003 has revealed no evidence of Recognized Environmental Conditions (RECs). Recommendations No further investigation is recommended regarding the environmental integrity of the Subject Property. PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:lmu7nherford(Madesa-wa.com Phase I Environmental Site Assessment DESA Jefferson County Tax Parcel#991-201-003 PHASE I ENVIRONMENTAL SITE ASSESSMENT Jefferson County Tax Parcel #991-201-003 TABLE OF CONTENTS 1.0 INTRODUCTION AND SCOPE OF WORK 1 1.1 SCOPE OF WORK 1 1.2 LOCATION AND REAL ESTATE DESCRIPTION 2 1.3 UTILITIES INFORMATION 2 1.4 RELATIONSHIP OF THE PURCHASE PRICE TO FAIR MARKET VALUE 2 1.5 SEARCH FOR ENVIRONMENTAL LIENS OR USE LIMITATIONS 2 1.6 PHYSICAL SETTING OF THE SUBJECT PROPERTY AND VICINITY 2 1.6.1 Topography and Flood Zone Information 3 1.6.2 Area Hydrogeology 3 1.6.3 Soil Description 4 1.6.4 Oil and/or Gas Exploration Wells 4 2.0 HISTORICAL USE INFORMATION 4 3.0 INTERVIEWS 6 4.0 REGULATORY AND ENVIRONMENTAL DATABASE REVIEW 7 5.0 SITE INSPECTION DETAILS 7 5.1 ADJACENT PROPERTY OBSERVATIONS 9 6.0 CONCLUSIONS AND RECOMMENDATIONS 10 7.0 QUALIFICATIONS, INVESTIGATION LIMITATIONS, AND USER RELIANCE11 7.1 STATEMENT OF QUALIFIED ENVIRONMENTAL PROFESSIONAL 11 7.2 RELIANCE 11 7.3 INVESTIGATION LIMITATIONS 11 8.0 REFERENCES 13 LIST OF FIGURES Figure 1.0—2006 Ecology Shoreline Aerial Photograph Figure 2.0— 1953 USGS Topographic Map Figure 3.0—Property Detail Map LIST OF APPENDICES Appendix A- Regulatory Database Search Table Appendix B- Phase I ESA User Questionnaire Appendix C-Site Inspection Photographs Appendix D- Historic Property Information and Supporting Documents iv PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford(a,adesa-wa.com Phase I Environmental Site Assessment CADESA Jefferson County Tax Parcel#991-201-003 1.0 INTRODUCTION AND SCOPE OF WORK This report represents the findings of ADESA's Phase I Environmental Site Assessment (ESA) performed on Jefferson County Tax Parcel #991-201-003 Quilcene, Washington 98376 (Subject Property; Property; East Johnson Property). The Property is currently owned by Donald E. Newman. ., r_ , .� 44 A ,,,, ,liti,, `aw mss`' -2-.-.....,""%..„x;" 'fi. Figure 1.0: 2006 Ecology Shoreline Photograph (—Subject Property Marked in Red) 1.1 SCOPE OF WORK This ESA has been completed at the request of the Hood Canal Salmon Enhancement Group to satisfy the due diligence requirement necessary to ur for the innocent purchaser defense to CERCLA environmental liability. Specifically, this means the practices that constitute all appropriate inquiry into the previous ownership and uses of the property, consistent with good commercial or customary practice, to identify any current or historic Recognized Environmental Conditions (REC/HREC). The scope-of-work for this ESA adheres to the American Society for Testing and Materials (ASTM) Standard Practice for Environmental Site Assessments (E 1527- 05) and the United States Environmental Protection Agency (USEPA) All Appropriate Inquiry (AAI) Final Rule, 40 C.F.R. Part 312. • ASTM Standard E 1527-05 defines a REC as: "The presence or likely presence of hazardous substances or petroleum products on a property under conditions that indicate an existing release, a past release or a material threat of a release of any hazardous substances or petroleum products into structures on the property or into the ground, groundwater or 1 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax 360-264-2028•email:wrutherford(aqadesa-wa.com Phase I Environmental Site Assessment t)ADESA Jefferson County Tax Parcel#991-201-003 surface water of the property. The term includes hazardous substances or petroleum products even under conditions in compliance with laws. The term is not intended to include de minimis conditions that generally do not present a material risk of harm to public health or the environment and that generally would not be the subject of an enforcement action if brought to the attention of appropriate governmental agencies." 1.2 LOCATION AND REAL ESTATE DESCRIPTION The Property is located in Township 27N, Range 2W, and Section 24. The following legal description was provided by Jefferson County Assessor's Office and within the Self-Contained Appraisal Report completed by Schaefer, Standaert, Hernandez Appraisal Group, Inc. (SSHAG) on July 28, 2012. • #991-201-003—0.52 -acre Lots 9, 10, 11 and 12 in Block 10, Original Quilcene Townsite, as per plat recorded in Volume 2 of Page 33, records of Jefferson County, Washington. 1.3 UTILITIES INFORMATION The Subject Property has private potable water source and on-site septic system. Power is provided by Puget Sound Energy. Heat is provided by an electric furnace and wood stove. 1.4 RELATIONSHIP OF THE PURCHASE PRICE TO FAIR MARKET VALUE The current fair market value appraisal information was by Schaefer, Standaert, Hernandez Appraisal Group, Inc. on July 28, 2012. The estimated market value of the land and improvements is $94,500. Ms. Mendy Harlow of the Hood Canal Salmon Enhancement Group indicated in the attached User Reliance Questionnaire that she is not aware of any detrimental environmental conditions that could reduce the value of the property and that the purchase price is comparable to the market value. There are no indications that the value of the Property has been impacted by any known REC. 1.5 SEARCH FOR ENVIRONMENTAL LIENS OR USE LIMITATIONS To assess the potential for environmental liens or activity use limitations on the Subject Property, ADESA researched information available at the Jefferson County Auditor's and Assessor's Office, Ecology's Environmental Covenant Registry and other pertinent regulatory databases listed in Appendix A of this report. Additionally, Ms. Harlow's completed User Questionnaire indicated that she was not aware of any such limitations or environmental liens. During the course of this investigation, no environmental liens or use limitations were found in connection with the Subject Property. 1.6 PHYSICAL SETTING OF THE SUBJECT PROPERTY AND VICINITY The rectangular shaped Subject Property is approximately 0.52 acre and is bound by the Big Quilcene River(flowing west to east)to the north and Muncie Avenue to the south. 2 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford @,adesa-wa.com errO Phase I Environmental Site Assessment •DESA Jefferson County Tax Parcel#991-201-003 w AQuileene • • 7., Qom/• Property Location • • . • • • • • • • i • • 1 •1 I iff.om 011% • •• • 1 • 24 f�• i • fa ,% Muc Figure 2.0: 1953 USGS Topographic Map(-Subject Property Marked in Red) 1.6.1 Topography and Flood Zone Information The general topography of the Site is relatively flat (-16-feet above msl) with a gentle slope along the riparian area of Big Quilcene River embankment descending to the south-southeast across the Site. According to 2011 USGS 7.5. Minute Topographic Map of the Quilcene Quadrangle, the elevation of Subject Property is approximately 16 feet above mean sea level. The Big Quilcene River bounds the north side of the Property and flows into Quilcene Bay located approximately 0.27 of a mile to the east (USGS 7.5 Minute Map - Quilcene Edition). Areas of the Subject Property are within the 100 year floodplain of the Big Quilcene River and Quilcene Bay(FEMA Zone A2, Community Map Panel 5300690855B, 7/19/82). 1.6.2 Area Hydrogeology ADESA researched well logs on the Washington State Department of Ecology's online well log database for wells in the vicinity of the Property. Based on well logs for the adjoining property to the southeast, reviewed the static water level of the shallow aquifer likely varies seasonally 15- 20 feet below the ground surface. Soil data for the site suggests perched shallow water- bearing zones may be detected as shallow as 3.5 feet bgs. The presumed groundwater flow direction of the shallow seated aquifer is generally toward the east but may fluctuate with tide influenceWater-bearing zones generally are unconfined and may be in hydraulic continuity with surface-water systems. (NRCS, websoilsurvey.gov; USGS, 2005). The primary aquifer beneath the Property is comprised of alluvium soils or Vashon Recessional Outwash from the Vashon Puget lobe of the Fraser Cordilleran glaciation. Local confining layers are common, this aquifer is generally unconfined, and interacts frequently with surface water contributing to the in-stream flows of Big Quilcene River and Quilcene Bay(USGS, 2004). 3 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford @,adesa-wa.corn Phase I Environmental Site Assessment CADESA Jefferson County Tax Parcel#991-201-003 1.6.3 Soil Description The soil type on the Subject Property was identified as Belfast silt loam through the USDAs Natural Resource Conservation Service Web Soil Survey. The soil is typically located on 1 to 2 percent slopes consists of silt loam to depth of 15-inches and beyond that is Stratified sandy loam to silt loam. This soil unit occurs mostly in stream valleys and is subdivided into coarse- grained sand and gravel zones and fine-grained silt and clay zones. 1.6.4 Oil and/or Gas Exploration Wells The on-site reconnaissance addressed oil and gas exploration at the Property. According to the Earth Resource Permit Locations Map provided by the State of Washington Department of Natural Resources, Division of Geology and Earth Resources —Washington's Geologic Survey, no operating or abandoned oil and/or gas wells are on or adjacent to the Property (WADNR ERPL Map, 12/15/12). 2.0 HISTORICAL USE INFORMATION ADESA researched, reviewed and/or obtained including aerial photographs, topographic maps, Metsker maps, Sanborn maps, city directories and property records pertaining to the previous uses and development of the Subject Property from various sources including: • Washington State Library • Washington State Department of Natural Resources (DNR) • Washington State Department of Ecology(Ecology) • Washington State Archives • University of Washington Library's Map Collection & Cartographic Information Services • Washington State University Online Digital Map Collection (WSU) • Timberland Regional Library System • Jefferson County Offices (Assessor, Auditor, Health Department/Environmental Health/Planning) • Washington State Department of Fish and Wildlife (WDFW) • Microsoft Research Maps online (http://msrmaps.com/) • USGS historical aerial photography and topographic map store (www.usgs.00v) • SSHAG's Self-Contained Appraisal Report, July, 28, 2012 Date Information Obtained Source The original plat map of Quilcene shows Original Quilcene Townsite Plat Map 1889 the Muncie Avenue and Dunning Ave. available from Jefferson County Online Auditor Files&SSHAG Appraisal Report The Subject Property area is depicted on 1936 the map, yet no owner, improvements or Metsker Map of Jefferson County specific use of the property is recorded on reviewed at the Washington State Library the map. The topographic map shows the area of USGS 7.5 Minute Map Quilcene 1940 the Subject Property vacant with two structures to the west and two to the south Quadrant, USGS Map Store 4 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrudrerford(a;adesa-i+arnm 4 < Phase I Environmental Site Assessment jADESA Jefferson County Tax Parcel#991-201-003 across Muncie Ave. The Big Quilcene River is located immediately to the north and otherwise vacant land surrounding the Property. The Metsker map shows the Subject 1943 Property boundaries and surrounding Metsker Map of Jefferson County parcels but does not provide owners or reviewed at the Washington State Library specific uses of the properties. 1953 This Metsker Map appeared similar to the Metsker Map of Jefferson County 1936 map. reviewed at the Washington State Library This topographic map appeared similar to 1953 the 1940 map, with the exception of USGS 7.5 Minute Map Quilcene increased structures to the east and south. Quadrant, USGS Map Store In the 1965 aerial photo, the Subject 1965 Property appears vacant with vegetation Aerial photograph, 6-7-65, reviewed at covering the Site. The photo shows limited Jefferson County Assessor's Office residential development to the east and south. Assessor Field Card indicates that the Site 1970 was vacant, wet and overgrown with Assessor Field Card, 10-14-70 blackberries. 1972 The 1972 photo appears similar to the Aerial photograph, 5-28-72, reviewed at 1965 photo. Jefferson County Assessor's Office 1976 The 1976 photo appears similar to the Aerial photograph, 6-5-72, reviewed at 1972 photo. Jefferson County Assessor's Office The Jefferson County permit records indicate that the Permit was issued 10/2/77 Jefferson County Database Tools— 1977 for a 1,250-gallon septic tank and 100-ft Assessor's Office Online drainfield, buried 20-inches below ground surface. 1981 The Assessor Field Card indicates the Assessor Field Card, Subject Property structures were completed on the Property. The 1986 Assessor Field Card showed a Assessor Field Card, 5/22/86 Subject 1986 picture of the manufactured home looking Property northwest. The aerial photo shows the Subject Property with the current improvements Aerial photograph, 7-11-90, reviewed at 1990 and vegetation. Residential development Jefferson County Assessor's Office and vacant land surround the Property with the exception of the river to the north. The aerial photo available from Jefferson 1994 County shows the Subject Property and Jefferson County JMAP system the surrounding properties similar to the 1990 aerial photo. The Jefferson County Assessor's records Aerial photograph, 7-11-90, reviewed at 1997 showed a 1994 photo of the station as inactive/closed. Jefferson County Assessor's Office The aerial photo appears similar to the 2000 1994 photo, except no logs appear on the Jefferson County JMAP system shoreline. 2006 The coastal aerial photo shows the Subject Washington State Dept. of Ecology Property looking west. The current Coastal Photograph Database 5 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford @,adesa-wa.com ,,, _,.... , 4+ Phase I Environmental Site Assessment JADESA Jefferson County Tax Parcel#991-201-003 improvements, adjacent residences, Muncie Ave. and the river are visible. 2011 The topographic map with layered aerial Aerial photograph obtained from USGS photo appears similar to the 2000 photo. Map Store The Property is not covered by historic Sanborn Maps or city directories. The review of the historical use information above has revealed no REC or suspected REC. The historic references reviewed for this assessment suggest that the Subject Property had not been developed with significant improvements, other than vacant land back to at least 1889 until 1981 when the current structures were completed. 3.0 INTERVIEWS ADESA contacted local government agencies to identify any current or historical information or reports of hazardous materials usage, storage, and/or releases that may have impacted the Subject Property. ADESA made reasonable efforts to contact previous property owners and conducted interviews modeled after the ASTM derived ADESA Phase I ESA User questionnaire (See Appendix C). The previous property owner was not contacted as it is the current owner's deceased father. Additionally, Mr. Donald Newman developed the Property. Interviewee Information Obtained Date/Style Mr. Newman indicated that he purchased the Donald Newman, Property from his father in the late 1970s and 12/12/2012 completed the current improvements in 1981. Mr. current owner of the Newman states that he is unaware of any current or Telephone Property historic land uses that could have led to detrimental Interview environmental conditions on the Property. Ms. Harlow provided ADESA with a copy of the Hazardous Substance Report completed for Mendy Harlow, Asst. adjoining and adjacent properties to the east and Director, Hood Canal southeast. Additionally, the Property would be 12/12/2012 Salmon Enhancement purchased with the intent of removing the Telephone Group re improvements. Ms. Harlow was not aware of any P ( P resentin g Interview purchaser) past or current environmental issues at the Subject Property or surrounding properties that would impact the environmental integrity of the Subject Property. Jefferson County Staff informed me that no Jefferson County Public additional records were available beyond the Health and Social information presented on the Jefferson County 12/13/2012 Services Department, Online Permit Database Tool. No incidents, Telephone Environmental Health suspicion/presences of contaminants or complaints Interview Division involving hazardous materials or environmental threat have been made on the Subject Property. Jefferson County Jefferson County Assessor's Office personnel Assessor's Office assisted ADESA with information related to the 12/12/2012 Representative Property including historical Assessor Field Cards and Photographs and aerial photographs. 6 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford(a)adesa-wa.com Phase I Environmental Site Assessment ;ADESA Jefferson County Tax Parcel#991-201-003 Additionally, the staff indicated that Site includes the vacated area of Dunning Avenue in 1993. ADESA's telephone messages were not returned and contact could not be established within the time Jefferson County Fire frame of this report. This is not anticipated to be a 12/12/2012 Marshall significant data gap because any release of Telephone hazardous materials would be also be reported to Interview the Jefferson County Department of Environmental Health and Ecology. 4.0 REGULATORY AND ENVIRONMENTAL DATABASE REVIEW As part of this assessment, ADESA performed a review of pertinent Local, State and Federal databases in search of potential documented Recognized Environmental Conditions (REC) in association with the Subject Property and/or properties within a 1-mile search radius. The regulatory database search information is presented in Appendix A of this report and is consistent with that specified by ASTM Standard E 1527-05 for government records review. Further, governmental databases not identified below indicate that no sites fitting those criteria exist within the ASTM specified search radius or were otherwise determined to be of no significance to this investigation. For a full listing of the governmental databases reviewed, see Appendix A. The Property was not identified in any of the database records searched for this report. No sites were identified within the ASTM search radiuses that are likely to have contributed to detrimental environmental conditions on the Subject Property. Supplemental information pertaining to the regulatory and environmental database review is included as an appendix to this report. 5.0 SITE INSPECTION DETAILS On December 12, 2012, Mr. Matthew P. Loxterman (ADESA AAI Environmental Professional) inspected the Subject Property for signs of current/historic recognized environmental conditions. The Property currently consists of a manufactured wood frame structure, improved with a covered porch on the east side entrance to the residence, and additional living room and bedroom have been added on the western side of the home. The wooden garage is located in the center of the property adjacent to the residence and contained 3-bays, 3-covered ports and personal property including, a boat, truck, camp trailer, and personal property for working on personal vehicle. One aboveground storage tank (AST) was observed beneath the eastern covered area and did not appear to be in use or associated with the Site. The northern portion is overgrown with vegetation and provides a buffer along the Big Quilcene River immediately to the north. During the site inspection ADESA observed no indicators of potential RECs or historic RECs. Other site observations are presented below. 7 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford @adesa-wa.com Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 , —•- h �; � �rR dk, s r,......,4::"i ` yew a --°'t; ..»yam a,.tk ' *° ,'.:4,....i u Subject Property �,. Big Quilcene are. -.. h„ - 44 - dlir River Adjacent Vacant '3 •v - _ Residences h $ > r- -4,1.11 ",.`` """' Adjacent Vacant r + Residences f .* ,nom Figure 3.0: Property Detail Map(Subject Property Boundary in Red), Ecology 2006. Condition or Present/Comment REC Reference Sources Feature Site Visit, Jefferson County Petroleum Environmental Health, Jefferson Underground No No County property information, WA Storage Tank (UST) State Department of Ecology UST Database Search Yes Site Visit, Jefferson County Petroleum Stored empty on-site under Environmental Health, Jefferson Aboveground covered area. No fuel oils No County property information, WA Storage Tank (AST) or use of tanks have been State Department of Ecology ISIS used at the Site. Database Search Vapor No REC or likely contamination Encroachment No No source was identified on the Condition (VEC) Subject Property or nearby sites Asbestos Containing Site Visit; Inspection completed Building Materials Yes, Potential AGMs N/A 12/12/2012. No results available (ACM) by the date of this report. Lead paint No No Site Visit Biolswale along Muncie Drainage points Ave. conveys water to the No Site Visit east toward Quilcene Bay. Dumping No No Site Visit Odors No No Site Visit 8 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax 360-264-2028•email:wrutherford@adesa-wa.com Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 Pools of liquids No No Site Visit Operation or management of equipment No No Site Visit. potentially containing PCBs Unknown, no radon Review of the EPA Map of Radon Radon sampling was conducted No Zones places the Site in Zone 3, for this investigation. where average predicted radon levels are less than 2.0 pCi/L. Limited gravel staining Surface stains within the garage area No Site Visit from vehicle storage Stressed vegetation No No Site Visit Areas that are apparently filled or No No Site Visit graded by non- natural causes Wells Yes No Site Visit, Interview with Property Owner, Donald Newman. Septic, sewage, Yes No Site Visit, Jefferson County and/or waste water Septic& Permit Records 5.1 ADJACENT PROPERTY OBSERVATIONS Property Description Location Relative to REC Anticipated Subject Property (Y/N) Big Quilcene River, beyond that is vegetation and limited residential North N development. Vacant land with abandoned camp trailers West N Residential development. East N Muncie Avenue and beyond that is sparse South N residential development and vacant land. No potential RECs were identified on the Property or surrounding properties during the site inspection. 9 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford(M,adesa-wa.com Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 6.0 CONCLUSIONS AND RECOMMENDATIONS ADESA has developed and performed this Phase I Environmental Site Assessment within the scope and limitations of ASTM Practice E 1527-05, and in conformance with the Federal AAI Rules. Any exceptions to, or deletions from, this practice are described in this report. The Phase I Site Assessment of Jefferson County Tax Parcel #991-201-003 has revealed no evidence of Recognized Environmental Conditions (RECs). Recommendations No further investigation is recommended regarding the environmental integrity of the Subject Property. 10 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford@adesa-wa.com n Phase I Environmental Site Assessment .DESA Jefferson County Tax Parcel#991-201-003 7.0 QUALIFICATIONS, INVESTIGATION LIMITATIONS, AND USER RELIANCE 7.1 STATEMENT OF QUALIFIED ENVIRONMENTAL PROFESSIONAL Mr. Matthew Loxterman is a qualified Environmental Professionals under the EPA's All Appropriate Inquiries Final Rule. Mr. Loxterman received a BA from an accredited college and has held/holds multiple state and federal certifications to perform environmental investigations, including Washington State for eight years. Mr. Loxterman has been completing due diligence assignments for over 10 years. I declare that, to the best of my professional knowledge and belief, I meet the definition of Environmental Professional as defined in §312.10 of 40 CFR Part 312. I have the specific qualifications based on education, training, and experience to assess a property of the nature, history, and setting of the Subject Property. I have developed and performed the all appropriate inquiries in conformance with the standards and practices set forth in 40 CFR Part 312. Matthew P. Loxterman, RSA, AHERA Senior Manager 7.2 RELIANCE This report has been prepared for the benefit of the Hood Canal Salmon Enhancement Group, and their designated representatives and/or partners. Any other party without the express written consent of the Hood Canal Salmon Enhancement Group and ADESA may not use the information contained in this report, including all exhibits and attachments. It should be emphasized that conditions at the Subject Property can change over time. The use of this report by third parties shall be at their own risk. 7.3 INVESTIGATION LIMITATIONS ADESA's site inspection included observations of areas that were accessible by foot and a visual inspection of surrounding and adjacent properties, including those properties identified in the environmental regulatory agency database search that were located adjacent to the Subject Property. Certain conditions may have prevented or limited access to all on-site locations. The work conducted by ADESA is limited to the services agreed to with the Hood Canal Salmon Enhancement Group (i.e. Phase I ESA per ASTM Standard E 1527-05), and no other services beyond those explicitly stated should be inferred or are implied as a part of this Phase I ESA. Asbestos inspection efforts were completed as a separate task. ADESA's Phase I ESA is limited to visual observations of site conditions on the day inspected, review of readily available and relevant data, and statements made and information provided by the client, their agents, outside parties and regulatory agencies. ADESA has exercised due 11 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford(c8adesa-wa.com 4 Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 diligence and customary care in the conduct of its assessment. The Phase I ESA is a limited and non-exhaustive survey that is intended to evaluate whether readily available information indicates that the historic or current use of the Subject Property resulted in contamination by hazardous substances or waste. As a result, without a comprehensive sampling and analysis program or implementation of services beyond the original scope-of-work, certain conditions, including, but not limited to those summarized below, may not be revealed: 4- Naturally occurring toxic substances or elements found in the subsurface soils, rocks, or water; Toxic substances commonly found in current habitable environments, such as, stored household products, building materials, and consumables; 4. Biological or infectious agents and pathogens; 4. Contaminant plumes (liquid or gaseous) below the surface from a remote or unknown source; •- Contaminants or conditions that do not violate current regulatory standards, but may violate such standards in the future 4- Unknown, unreported, and not readily visible site contamination. In preparing this report, ADESA has reviewed historical records, conducted interviews with certain private and public officials, and performed an on-site visual inspection of the property. ADESA has examined and relied upon documents referenced in the report and has relied on oral statements made by certain individuals. ADESA has not conducted an independent examination of the facts contained in referenced materials and statements. ADESA has assumed the genuineness of the documents and that the information provided in documents or statements is true and accurate. ADESA has prepared this report in a professional manner, using that degree of skill and care exercised for similar projects under similar conditions by reputable and competent environmental consultants. ADESA shall not be responsible for conditions or consequences arising from relevant facts that were concealed, withheld, or not fully disclosed at the time the report was prepared. ADESA also notes that the facts and conditions referenced in this report may change over time, and the conclusions and recommendations set forth herein are applicable only to the facts and conditions as described at the time of this report and the site inspection. ADESA believes the conclusions stated herein to be factual, but no guarantee is made or implied. No data failures/gaps were indentified in this Phase I Environmental Site that are considered to be significant to the findings and conclusions of this report. 12 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:It rutheford(a6,adesa-wa.com Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 8.0 REFERENCES Other sources used in the completion of this report, including interviews and maps reviewed are cited elsewhere in the document, generally at the point of use. EPA Enviromapper. http://www.epa.gov/emefdata/em4ef.home, December 13, 2012. FEMA National Flood Insurance Program. FEMA Zone A2, Community Map Panel 5300690855B, 7/19/82. Simonds, W., Longpre, C., and Justin, G. "Ground-Water System in the Chimacum Creek Basin and Surface Water/Ground Water Interaction in Chimacum and Tarboo Creeks and the Big and Little Quilcene Rivers, Eastern Jefferson County, Washington. Produced by USGS. 2004. Metsker, Charles F., Metzker's Map of Jefferson County: 1936, 1943, 1952 and 1978. Microsoft Research Maps. www.terraserver.microsoft.com. 1990 USGS Aerial Photograph. 2011. NRCS, USDA. Soil Survey of Jefferson County. http://www.or.nres.usda.gov/. December 2012. Jefferson County Assessors Online/Hardcopy Data. All property records for Subject Property and limited adjoining properties. December 2012. Washington State Department of Ecology. Aerial Photograph reviewed online at Ecology Coastal Zone Atlas https://fortress.wa.gov/ecy/coastalatlas/. December 2012 Washington State Department of Ecology. Facility/Site Atlas. http://apps.ecy.wa.qov/website/facsite/viewer.htm. December 13, 2012. 13 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford9l,adesa-wa.com Phase I Environmental Site Assessment ev •DESA Jefferson County Tax Parcel#991-201-003 APPENDIX A REGULATORY DATABASE SEARCH TABLE 14 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford @,adesa-wa.com \ ? _ [ / k , a a a 2 ]W \ \ \ \ \ \ \ / / / § / \ \ N k § ƒ\ \ \ % § 2 § « @ @ % @ 4 4 + + 4 w § § 4 2 ?_ o \ e # • (n g & & R & & \ \ \ & & R & R \ \ \ \ C 2 7 \ _ ,- _ _ , r .- r r r r r _ ,- , / @ \ % o 0 2 0 0.. 7 C * N a N N CV a s (N a (N a a a a a a a \ \ [ / g 0 0 0 0 = o o 5 8 8 3 5 5 o o o o 2 2 % a e e e e 9 2 § e a a e e e e ® z § \ § .- 2 > § $ @ # § § 4 « 3 & Q 4 @ § # Q b § Q / R R R & & \ \ \ R R & & & \ \ \ \ m ) k _ CT) m $ CO 0 \ ¥ > 2 o } < < < < < < < < 8 0 0) 0) 0) 0) 0) 0) 0 0 3 , _ _ = a = _ _ = ± 2 2 2 2 2 2 \ \ / E i ± = u ± ± ± u 2 4 0 0 0 0 0 o o 8 _ g Cl) < & u ± ± ± u = 2 co . = § 0\ s « � r \ •C k • _ $ > / ▪ �§ \ E . ■ cI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o e 3 6 w 00 Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z z z 2 = 2 • O �11.1 Li. -o cts a) 0— n 2 \ $ $z / 5 Cl)_ 2 c . 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O- >a 0 20 ccc coo >± __ a ± .® ! @ , 0 0 0 0 2 E) e m m _ = m 7 = 0 = , g o Cc c 0 0 0 0 o .0 & , & $ 0 0 0 0 _ _ Cl) 0 2 o c 2 2 CO _ _ _ _ _ _ \ _ _ — _ c< 2 § ƒ q / '74W. 0 0 0 ; » » o c § ; m m m ° ° 2 § 5 k o= _ _ _ _ _ _ _ _ 0 = e CO CO CO CO/ _ ° « « ± z! E ± $\ Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 APPENDIX B PHASE I ESA QUESTIONNAIRE '5 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford(a8,adesa-wa.com Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 APPENDIX C SITE INSPECTION PHOTOGRAPHS 16 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherford(a,,adesa-wa.com Z M � o Eo ui cn o 1 !: 1 \' a W U ,t; o o c e f!1 (, ot " , .F . 10 t Z t 0 i ' to - .).l cu os a 00 b O N �,O O M .F. Ohl l■ o p oN tiO • N. ■ :F. 0, b r 0 a> 4 4 a '°� t4;'`:' • y-: . 3 O N ,4 A.,, O ^O . yam, E o t .( o 0 W (1 tAtii, _, �°l Z co a) O E O ti N N It O ii , ' ': p. o a ,1�ti s't , O "S' C , r , a W U � tl` . : a) ,.,.i... .d? E TJ ., , 0 et o x. o cn o s cn '02 f 0O illt O -10 Ol - h N O N O ; U s O t. I Q 75 2' ' ' ° U .0 ` O ^S .t O o Q rv< ,A• rfi J asi cn cn U W " o 4.f a O f,- Q , , f ,, iii) , Phase I Environmental Site Assessment ADESA Jefferson County Tax Parcel#991-201-003 APPENDIX D HISTORIC PROPERTY INFORMATION AND SUPPORTING DOCUMENTS 17 PO BOX 1009•Tenino, WA•98589 Phone:360-701-8797•Fax:360-264-2028•email:wrutherfordAadesa-wa.com Permit Details 12/13/12 3:24 PM -1 " Jefferson County weather Station .08140.,.baffietTOCISr. ,.,,M,aps Withvion Home County Info Departments Search Permit Case Summary Case Number: I Search 1 ? OAP Case Number: SEP77-00106 'Case Status: Finaled Date Received: 8/23/1977 Description: Date Issued: 8/29/1977 Applicant: DONALD NEWMAN Expiration Date: 8/29/1978 Site Address: MUNCIE AVE Case Finaled: 10/2/1977 Parcel No: 991201003- Other Cases Parcel Data Map It More Details Imacies Case Actions Below is a list of actions that have been taken by staff for this permit case.They are sorted based on the date they were added to the database with most recent actions at the top. A value in the "Date Completed" field indicates that the action has been completed. Description: Case Entered Date Completed: 8/23/1977 Description: Inspection Date Completed: Description: Issue permit no form Date Completed: 8/29/1977 Description: SEPTIC PERMIT FINALED "F" Date Completed: 10/2/1977 No Conditions or Findings Found , Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH 000IF Best viewed with Microsoft Internet Explorer 6.0 or later gO Windows- Mac http://www.codefferson.wa.us/commdevelopment/ppguery/caseDetails.asp?csm_caseno=SEP77%2D00106 Page 1 of 1 Hazardous Substances Assessment Newman Properties 17 Parcels along Muncie Avenue Quilcene, WA 98376 RCO PRISM Project #11-1349 Big Quilcene Delta Acquisition Hood Canal Salmon Enhancement Group Belfair, WA June 2012 EXECUTIVE SUMMARY A hazardous substances assessment was conducted on 17 parcels off Muncie Avenue (in Quilcene,WA) identified as the Newman properties owned by Daniel B. Newman (c/o John E. Newman). These subject properties are comprised of nearly 30 acres (ten of which are tidelands);four parcels are designated as residential (but are vacant residences),and the remaining 13 are vacant lots(which are mostly cleared). These properties are being proposed for acquisition by the Hood Canal Salmon Enhancement Group in partnership with the Washington State Recreation and Conservation Office(RCO). The proposed use of the properties is for restoration of the Big Quilcene River's delta floodplain and lower river reach which will benefit salmon and other wildlife. A hazardous substances assessment was completed for each of the following 17 parcels: 991201404, 991201501,991201502,991201503,991201504,991201505,991201507,991201508,991201510, 991201512,991201514,991201601,991201602,991201603,991201701,991201702, and 701193001. Each parcel has an individual Hazardous Substances Certification document (from RCO, Manual 3: Appendix L),as well as a Property Assessment Checklist(from RCO, Manual 3:Appendix M) both which can be found in Appendix D. The Hazardous Substances Assessment included a site inspection (conducted on April 6, 2012), an interview with the property owner(John E. Newman), and a review of government agency records and historical uses of the property. Current and historical aerial photographs were also reviewed,and asbestos testing was conducted on each of the three abandoned residential houses. Based on the information obtained during this Hazardous Substances Assessment,there is a low level of risk associated with two of the subject properties which can be mitigated. Two houses on separate parcels have asbestos-containing material which will have to be removed by a certified asbestos abatement contractor. There is also some residential debris/equipment and derelict vehicles which will need to be removed. All houses and outbuildings are planned for demolition as part of this project. There is no other evidence of contaminants, or the effects of contaminants, present on the subject properties. ii Table of Contents Introduction 1 Scope of Work 1 Site Description and Assessment 1 Records Review 8 Federal Listings 9 State Listings 9 County Record Search 11 Historical Review 12 Conclusions and Recommendations 13 References 14 APPENDICIES 15 Appendix A- Site and Vicinity Maps Appendix B- Site Photographs Appendix C- Landowner Questionnaire Appendix D- Property Assessment Checklists, Hazardous Substances Certifications, and Asbestos Sampling Results Appendix E- State Regulatory Records Review Appendix F- County Records Review Appendix G- Historical Aerial Photographs Appendix H-Qualifications List of Figures and Tables Figure 1— Subject Properties relative to Quilcene Bay. 1 Figure 2— Seventeen Subject Parcels Owned by Daniel Newman 2 Figure 3— Regulatory database findings for facilities of environmental interest within one mile of subject properties. 9 Table 1— Site Identification and Size for each of the 17 Parcels 3 iii Table 2— Residential houses/outbuildings summary and description 4 Table 3— Summary Results from Asbestos Sampling on the Three Residential Properties 7 Table 4— Sample results of asbestos detected for each house 7 Table 5— Regulatory database findings for facilities of environmental interest within one mile of subject properties. 10 List of Photos Photo 1— Parcel 991201502—321 Muncie Ave 4 Photo 2— Parcel 991201503—331 Muncie Ave 5 Photo 3— Parcel 991201510—330 Muncie Ave 5 Photo 4— Parcel 991201702 (Block 18) 5 Photo 5— Parcel 991201701(Block 17) 6 More site photographs can be found in Appendix B. iv Introduction The Newman properties are located 1/2 mile east of the intersection of SR 101 and Linger Longer Road in Quilcene,Washington. The 17 properties are comprised of 29.61 acres of land,ten of which are tidelands. The properties are owned by Daniel B. Newman (deceased)co-owned by John E. Newman, and the current uses are both vacant residences and vacant undeveloped, but generally cleared land. The Hood Canal Salmon Enhancement Group(HCSEG) in partnership with the WA State Recreation and Conservation Office (RCO)are proposing to use the properties as part of a large restoration project along the Big Quilcene River to restore the delta floodplain and lower river reaches in the name of salmon restoration. The property is planned to be turned over to a land conservation organization and protected from future development. Figures showing the site and vicinity are located in Appendix A. SCOPE OF WORK . ., c. The purpose of the Hazardous Substances c Assessment was to evaluate the potential for current or historical environmental impacts to the �` e 17 Newman parcels along Muncie Avenue. This ;t_ work involved a site inspection,compiling a property assessment checklist for hazardous substances for each parcel,an interview with the current landowner,and a review of regulatory agency lists and aerial photographs encompassing current and historical information to determine Figure 1.Subject Properties relative to Quilcene Bay any environmental impacts on the subject ("A"=330 Munice Ave) properties. Site Description and Assessment SITE DESCRIPTION The 17 parcels are located 1/2 mile east of the intersection of SR 101 and Linger Longer Road; most lots are accessible by Muncie Avenue. The subject properties span a total of 29.61 acres,ten acres are tidelands. These properties are contiguous, but irregularly shaped. The adjoining properties to the north,south and east are primarily vacant land and to the west are residential properties: 1iPage North—Partially bound by the Big Quilcene River,and vacant land owned by Jefferson County South—Vacant land used as open space and was encumbered by a conservation easement; has a land use code'open space-agriculture' East— Vacant land, partially wooded owned by WA Dept.of Fish and Wildlife;Quilcene Bay West— Two residential properties,one currently occupied The following parcel map(from the Jefferson County Assessor's Office) illustrates the relationship of these properties with respect to adjacent parcels. Quilcene Bay lies to the east,and the Big Quilcene River flows from west to east (shown as the curved line through the purple-outlined Jefferson County- owned parcels). The table below correlate parcel numbers to block and lot identifiers as described by the Jefferson County Assessor's office. 961211050[ 99120120f swam y02 99120122 4/01201303 949201202 910'21061 910202" 99/2zX12 41 941 s^42'OS 99 1202'•94 99'T(}i'9i•. Ate.......'_•_..... 94:202005 VV'202:0S 9ti"202tOS 991201402 _ 991m1902 910120'161 99'102201 .»: 99••'41YA 901/01401 19120190' 991201900 .._. 96126110/ 94120140' 99.21102 00121901 9■12 101 •••- 1F1'2D116. 94129'903 991262.'0x' 99.292220' 99°14., 94'20!46 1 @ff. ALS 1K3 40 9911°110 v9Yn 0 911126'463 McOana 451210903 ---"'"***N. DONALD Not on tar an 99 29x542 A, 506 941201002 9412!1991 r,.:•'. 991260706 9412/401 . 99 '•,,3 99119 5 4 re'_.' tf 09`20`422 ...114/301 950 202301 950 29206 991201004 N'20•;'_ .�._ _ __.__*191011 A9"` —.....-. 99120090' 99''20064 w` 9'a_.° Daniel Newman 991200902 i . .. 19"200101 99'.200961 91*2C0566 ',�`•.:''.-_: Tatham ai 1�^�ti J v2244ii1i: 162244009 vcs yr.-4W w:sbwn G rM Cats;.e,,cs CAS WWI Figure 2. Seventeen Subject Parcels(highlighted in yellow)Owned by Daniel Newman. 21Page Table 1.Site ite Identification and Size for each of the 17 Parcels. Block(or TRS) Lot(s) Parcel Number(s) Acres 14 19 991201404 0.09 15 1-9, 991201501,991201502,991201503, 2.44 11-16 991201504,991201505,991201507, (all but 991201508,991201510,991201512, and Lot 10) 991201514 16 All 991201601,991201602,and 991201603 2.59 17 All 991201701 2.56 18 All 991201702 2.8 (S19 T27 R1W) 1 701193001 19.13 Totals: 17 parcels 29.61 acres All 17 parcels are designated with a land use code for'vacant land' by the Jefferson County Assessor's office with the exception of four parcels which have codes for"houses (single units, non-farm)". These four parcels are underlined in the table above. The three parcels in bold have vacant single-level houses in various stages of disrepair,one of which has collapsed. Each of these have a garage or outbuilding associated with it in varying conditions. The underlined parcel which is not in bold has a collapsed unit that was a three-sided structure used as an outdoor kitchen. The properties are relatively flat and all parcels are located within an area inundated with 100-year floods. SITE ASSESSMENT A site inspection of the property and buildings was conducted by Renee Scherdnik, Environmental Specialist,on April 6, 2012. The property was walked with minimal limitations to accessibility, however two collapsing structures were only viewed from the outside as safety protocols limit. A follow-up visit was conducted June 29, 2012,and an asbestos survey was conducted. John Edward Newman,co-landowner representing the Newman family,was onsite and interviewed during the original site inspection. John Newman grew up in one of the houses(the others were owned by other family members)and he has been associated with these properties for the last 55 years. According to the property owner,the properties have been utilized only as residential sites (or vacant undeveloped, but cleared land). The landowner was questioned about current and past hazardous substances/practices on the sites (this questionnaire with Mr. Newman's responses can be found in Appendix C). The property owner was not aware of any previous or current hazardous materials used onsite. He indicated a 100-gallon above ground storage tank(AST) had been used as part of a heating system for the residence on Parcel No.991201503 (House No. 331 Muncie Ave). Mr. Newman is unaware of any past or current leaks or spills associated with the AST. The landowner also pointed out the location of four septic systems on the properties which were marked with a flag and GPS coordinates were collected during the site visit. 3 ! Page A Property Assessment Checklist for hazardous substances certification was also conducted for each parcel. This followed RCO's guidelines as outlined in their December 2010 "Acquisitions Manual 3". These checklists can be found in Appendix D along with their associated Hazardous Substances Certifications. The properties include three abandoned single-family residences in poor condition and are in various stages of collapsing. A garage or storage building is associated with each one, and a pump house between parcels 991201502 and 991201503. They are all in some disrepair and they contain excessive amounts of debris including machinery and abandoned vehicles. A fourth building(a three-sided structure)used as an outdoor kitchen (likely a cabin for the previous owners)does not have a house number, but exists on Block 18 (Parcel 991201702)and has partially collapsed. Table 2. Residential houses/outbuildings summary and description. Block/Lot Parcel No. House No. Year House House Garage/ Purpose on Muncie Ave Built Size Condition Outbuilding (all vacant) Size 15/2 991201502 321 1940 903 ft2 Collapsed Yes residence 15/3 991201503 331 1940 1,377 ft2 Poor Yes-1,200 residence ft2 15/17&18 991201510 330 1950 744 ft2 Poor Yes-378 ft2 residence 18 991201702 N/A 1,710 ft2 Collapsed 3-sided outdoor kitchen House number 321(Block 15, Lot 2; Parcel No.991201502)was built in 1940 and has partially collapsed. This was formerly a residence and was 903 ft2 based on records from Jefferson County Assessor's Office. The inside of this building was not inspected as the structure was not safe to enter. There is a large outbuilding on the lot(size unknown estimated near 1,500 2 Photo 1.Parcel 991201502-321 Muncie Ave,Facing North ft )which has an excessive amount of debris including machinery, abandoned vehicles,fuel containers, a chemical storage drum labeled "hydraulic oil" (uncertain amount) and multiple five-gallon buckets labeled "hydraulic fluid",tools, and other items associated with a household. There did not appear to be any stained soil in the vicinity near the drum or fuel containers. (Refer to Appendix B for more site photographs). 41 Page House number 331(Block 15, Lot 3; i ,.p Parcel No 991201503)was also built in 4 'f,.. ` 1940 and is in poor condition. This was the most recently occupied house and i 1 there was evidence that the family drops in from time to time to check conditions(but not occupying the house). This house is 1,377 ft2 as described in Jefferson County Assessor documents. There is some old furniture Photo 2.Parcel 991201503-331 Muncie Ave,Facing North and evidence that a wood stove was inside the house. There is an unattached garage in good-fair condition which still contains old vehicles, household wastes such as paint and car fluids, and other tools and equipment. House number 330(Block 15, Lots 17& '10� 18; Parcel No.991201510)was built in .10.4 1950 and is in poor condition. This was }F,: - ° formerly the residence John Newman occupied and is 744 ft2 in size with a 378 ft2 garage as described in Jefferson County Assessor files. This house has some household debris and appliances within the building and rat poison is used for rodent control. Photo 3.Parcel 991201510-330 Muncie Ave,Facing South Parcel No.991201702 (on Block 18) has partially collapsed and is unsafe to enter. Based off Jefferson County Assessor photos and an interview Vie, with John Newman,this was a three-sided structure used as a covered outdoor kitchen and - . had a small closed restroom and storage area. This structure was 1,710 ft2 as described in County files. The structure could not be inspected in its collapsed state. Photo 4.Parcel 991201702(Block 18) 5IPage The access road that continues past Muncie Avenue ends at Parcel No 991201701 (Block 17). Within this Parcel,there is an old bus which has been converted with a wood stove and is still used by the Newman family when hunting. Two more hunting hides can be viewed in the tideflats out past the bus within Parcel 701193001. The remaining parcels are undeveloped, but contain open fields, wetland,forest,estuary and tidal land. Invasive knotweed was photo 5.Parcel 991201701(Block 17) present on Blocks 17 and 18. Deer and numerous birds were observed during the site visit. The parcels are all less than 20' in elevation from sea level as shown on Jefferson County Assessor online maps. Notes in the assessor files mention the house on Block 18 was flooded. During the site visit an old "Newman Logging" business sign was found and old remnants of log- processing equipment under some overgrown vegetation on the property. Mr. Newman was asked about whether a logging/milling business ever existed on the property. Mr. Newman reported that a cousin had an old sawmill which was stored on the property(Block 18, Parcel#991201702) but that log- processing and/or activities related to the Newman Logging business were never conducted on the property. The sawmill was used rarely by the family and not for business. A roof was built over it to keep it covered and out of the rain (this can be seen in aerial photographs adjacent to the outdoor kitchen structure in more recent photos, but no longer exists). No further evidence was found to suggest a milling operation was ever present on this property. Large tower lines owned by the Bonneville Power Administration run north-south across the property, crossing over eight parcels(991201505,991201508,991201507,991120601,991201602, 991201603, 991201504,and 991201510). This is a 257'easement for high voltage power lines that supply regional electric power. Electrical transformers are a potential source of Poly-Chlorinated Biphenyls (PCBs), which are considered hazardous materials. There was no indication these towers contained PCBs nor were there any records with the Jefferson County Public Health reporting any past issues. Underground and Aboveground Storage Tanks Each of these four parcels has a septic tank and utilizes a groundwater well. The landowner pointed out the location of four septic systems on the property and their GPS coordinates were recorded within the interview questionnaire(Appendix C). Mr. Newman is not aware of any other underground or above ground storage tanks on the property,other than the heating oil tank mentioned previously. Asbestos-Containing Materials An asbestos survey was conducted of the three residential houses by a Certified Asbestos Consultant. The inspection started with a visual survey looking for Asbestos Containing Building Material(ACBM). Of 61 Page the three houses surveyed,a total of 44 samples were collected. Asbestos was detected in seven of these samples from two of the residences (house numbers 321 and 330); asbestos was not found in House No. 331. Table 3.Summary Results from Asbestos Sampling on the Three Residential Properties House Address #of samples #Samples where #Samples with Tested collected per Asbestos was Non-detects house Detected 321 Muncie Ave 10 4 6 330 Muncie Ave 16 3 13 331 Muncie Ave 18 0 18 Totals 44 7 37 Samples were collected from window glaze, roofing material, multiple layers of vinyl flooring,floor and ceiling tile,wall material, attic insulation, and exterior siding material. The results of the analysis are presented in the following table. Table 4. Sample results of asbestos detected for each house. chrysotile Size(approx.)of House Address Material Tested asbestos asbestos-containing detected material 330 Muncie Ave Exterior siding material 10% Approx. 24'x 30'x(9' and 12' Height) Kitchen and dining room top layer floor 15% Approx. 240 sq.ft. vinyl with mastic.Yellow Living room top layer floor vinyl with 15% Approx. 180 sq.ft. mastic. Off-white pebble pattern with gold flecks, under carpet. 321 Muncie Ave Skirting material. 18% Perimeter approx. 30'x30'x2' Living room floor vinyl with mastic. Green 15% Approx. 240 sq.ft. pebble pattern. Bedroom floor vinyl with mastic. Tan 12% Approx.96 sq.ft. stone pattern. Bathroom floor vinyl with mastic. Gold 12% Approx.30 sq.ft. **A material is considered by the EPA to be asbestos-containing if at least one sample collected from the area shows asbestos present in an amount greater than one percent(>1%). A more specific list of asbestos sampling results can be found in Appendix D. 7IPage Lead-based Paint The Environmental Protection Agency presumes that structures built prior to 1978 are coated with lead- based paint (LBP), unless proven otherwise. A lead-based paint survey was not conducted in this investigation.The three residences are the only painted structures and since they were constructed between 1940 and 1950 it is possible they may contain LBP. Urea-Formaldehyde In general, urea-formaldehyde foam insulation was installed in some older homes during the late 1970's and early 1980's across the US. No suspect-foam insulation was observed during the site visit. Hazardous Conditions The'hazardous condition' box was checked within the Property Assessment Checklists for each of the residential structures, because they are all in danger of collapsing and/or have weak foundations. All of these structures are planned for demolition. Adjacent Properties Two above ground storage tanks (which appear to be empty)are located on adjacent parcels on Block 14 along Chattanooga Avenue (north of Block 15). There is no evidence of stained soil around the tanks. One is hidden under brush;the second is currently blocking an access road to discourage people from trespassing. The two adjacent residential properties were visually inspected from the road. Parcel 991200905 (owned by the Latham's)did not appear to be occupied, and Parcel 991201003 (owned by Donald Newman) had tenants. There did not appear to be any conditions representing an environmental concern on the adjoining properties. Additional site photographs are included in Appendix B. Records Review A review of available regulatory agency lists encompassing current and historical information was conducted to determine any environmental impacts on the subject properties. This included reviewing historical aerial photographs,federal and state regulatory and environmental listings,and a request from all Jefferson County departments for any current and historical information related to the environmental integrity of these parcels and those adjacent. 81 Page The following government agency records were researched for current and past environmental concerns: Federal Listings A Freedom of Information Act(FOIA) request was submitted to the U.S. EPA office in Washington D.C. and was forwarded to the regional office for follow up regarding the federal regulatory listings. None of the parcels or adjacent parcels was on a federal regulatory list. No properties within a one-mile radius were on the Superfund (CERCLA) listing. State Listings A regulatory search utilizing WA State Department of Ecology(Ecology)databases was conducted regarding the state regulatory listings which include sites of environmental interest such as State cleanup sites, Federal superfund sites, hazardous waste generators,solid waste facilities, underground storage tanks(USTs),and enforcement. Regulatory searches and database findings were conducted in April and kz i h�Rra1 'oi < S' > 't z xas updated in July _ CAOGY • ' k of 2012. None of Home/Tabular Search Map Search Help the seventeen parcels or their adjacent 4 ... properties was * . �. '. s. reported on any "�` of these listings. _ •• The searches indicated that there were nine " o �e f�q ~ faciliti es within a 1 one-mile radius .� of the subject : ED properties listed as sites of environmental interest in one or more of Quilcene Bay Ecology's databases(see Appendix E). Figure 3.Regulatory database findings for facilities of environmental interest within one mile of subject properties(330 Muncie Ave is the center of the circle). 9 jPage Table 5.Regulatory database findings for facilities of environmental interest within one mile of subject properties. Facility/Site Name Address Notes JEFFERSON COUNTY LUST-currently being cleaned QUILCENE SHOP SITE 101 RODGERS ST up former LUST,still contaminated soil at site;4 SANDYS CHEVRON 294752 HWY 101 USTs on site former-LUST; possible UST on L& L VILLAGE STORE 294235 HWY 101 site LEE YEAGER TEXACO HWY 101 S possible UST on site L& L VILLAGE STORE 294235 HWY 101 former LUST PEDERSON MILLING & LOGGING 295472 HWY 101 former UST QUILCENE LUST SITE HWY 101 &CENTER VALLEY RD former state cleanup site _ QUILCENE SCHOOL DISTRICT 48 HWY 101 former UST UNITED TELEPHONE CO UST 3505 HAMILTON ST former UST report on file for storing SPRINT COMMUNICATIONS hazardous substances (no spill CO QUILCENE 310 RODGERS ST or incident has occurred) The nearest site was about a half-mile away(the United Telephone CO)which had an underground storage tank on-site reported to Ecology 6/8/1998 and 'ended' (assuming it was removed)3/22/2000. Another site(owned by Sprint Communication CO)after further investigation with Ecology personnel did not have a spill or incident associated it, but instead was a record of a report on file of contaminants being stored on the property. Three of the remaining seven sites all had end dates associated with them (due to tank removal, project closeout, and/or'No Further Action').The remaining four sites had underground storage tanks'USTs' (which may no longer be in the ground;which Ecology could not confirm). Two of them are of concern because they are currently or in the past were leaking underground storage tanks(LUSTs)and cleanup is either in process,or pending. (Refer to Appendix E for documents supporting this review.) For further investigation, phone interviews with multiple Ecology personnel were conducted of these two remaining sites of environmental interest. • Jefferson County Quilcene Shop Site (at 101 Rodgers St) has three USTs listed in Ecology's records,all of which have been reported as removed. When the diesel tank from 1960 was removed there was stained soil reported and a small sheen on groundwater. A phone interview with Carol Johnston (the Ecology Project Manager for this cleanup site) indicated that cleanup 101Page has started for the LUST and she did not know how much contamination may have leached. The tank capacity was 1,000 gallons of motor fuel for vehicles(diesel, not leaded). • Sandy's Chevron (294752 Hwy 101;almost one mile away from the subject properties) is the other site of concern. This site has had eight USTs,four of which have been removed, and the remaining four are temporarily closed. In 1997, Ecology was notified of a gasoline release into the soil. Soil was removed from the site, but the reports indicate some contamination is remaining. Groundwater was contaminated. The site has been in the Volunteer Cleanup Program (VCP) on and off,and cleanup is on hold. Carol Johnston mentioned the owner of the facility has recently been inquiring about re-entering the VCP. These sites have the potential to contaminate groundwater around the subject properties. The WA State Department of Ecology's Hazardous Sites List was also reviewed to access any information about sites which have been assessed and ranked using the WA Ranking Method. Also listed are National Priorities List(NPL)sites. This list was last updated February 28th 2012. No sites listed were within one mile of the property. (There was one site in Quilcene on this list,the USFS Auto Shop, but it is over a mile away.) Refer to Appendix E. County Record Search A public disclosure request went into all Jefferson County departments for current and historical conditions which could potentially impact the environmental integrity of the properties, including information on file concerning existing or historical violations, property improvements, history of property transfers, deed citations, UST listings,county enforcement related to contaminant spills,fire district responses,old landfills or county dumpsites, etc. Jefferson County Police, Fire Department,and Public Works had no responsive records related to contamination,spills,or impacts to the environmental integrity of the site or adjacent parcels. There is an old landfill along Center Road, but it was greater than one mile away—outside of the specified search criteria for this assessment. The JC Assessor's office provided ownership cards,ownership history sheets,Assessor field sheets, real estate tax affidavits, and quarter section maps(Appendix F). Jefferson County Public Health had no responsive records to the subject properties, but did provide information on adjacent properties and sites of concern within a one-mile radius. No environmental concerns were identified in the Jefferson County government agency search for any of the subject properties. The Jefferson County Public Health (JCPH)department provided records of properties with environmental concern. Both adjacent residences have septic systems. There was only one complaint (as of April 2012) related to a septic violation on one of the adjacent properties bordering the subject properties to the west: • Private residence, 290 Muncie Ave (Parcel No. 991200905), has a history of septic violations. As of 3/26/2012 the JCPH informed the new landowners that any septic system on their property is not approved for use. Landowners have a mailing address in Hastings, MN. It did not appear during the site visit that anyone lived in the house. HI Page The JCPH department did indicate that there were many gas stations that have(or had) USTs or LUSTs which are not on Ecology's list or JCPH's lists. No environmental concerns on the subject properties were identified in the government agency search conducted for this Hazardous Substances Assessment. There were two sites with past or current leaky underground storage tanks spills within one mile of the properties which have not been fully cleaned up that may impact groundwater. Historical Review The majority of the historical data was provided by the current property owner and the Jefferson County Assessor files. Additional historical information was provided by reviewing historical aerial photographs and topographical maps. Historical Sanborn Maps and City Directories were not available for this rural area. Aerial photographs were reviewed for the years 1939, 1951, 1968, 1979, 1994 and 2012 (refer to Appendix G). No other developments are noted on the property,with the exception of a covered structure over a sawmill (approximately 12'x 12')as seen in the more recent(2012 or earlier)aerial photographs although the structure was not present during the 4-6-2012 site visit. The tower lines owned by BPA are visible in the 1951 aerial photographs, but not as far back as 1939. Based on the sources reviewed and interviews conducted during the Hazardous Substances Assessment, the properties have purportedly been owned by Daniel B. Newman (deceased). In 1940 most of the parcels(and adjacent properties)were open fields and undeveloped land. Parcels 991201502 and 991201503 (house no.'s 321 and 331 Muncie)were developed as residential properties and two houses were constructed. In the 1950's Parcel 991201510(House No. 330 Muncie/blue house)was developed as a residential property. (Refer back to Appendix F for County ownership records.) Daniel Newman presumably took over ownership of blocks 17, 18 and Lot 1 (Parcel No.701193001) in 1975 from the Andrews Family. John Newman recalled the Andrews Family lived in Port Townsend but would visit the property. In 2004, a tax affidavit shows Dan Newman purchasing the remaining 50% interest from Elsie E.Andrew for 100%ownership of eight tax parcels(991201504,991201507, 991201510,991201512,991201514,991201701,991201702, and 701193001). No environmental conditions of concern were identified in the historical uses inquiry conducted for this Hazardous Substances Assessment. 12IPage Conclusions and Recommendations Based on the site inspection, interviews,and records search conducted for this hazardous substances assessment the following environmental conditions were noted: • Asbestos-containing material was noted in the exterior siding material of Parcel No. 991201510 (330 Muncie Ave),as well as the top layer of vinyl flooring in the kitchen,dining room,and living room. This should be removed by a certified asbestos abatement company during demolition. • Asbestos-containing was also noted in Parcel No. 991201502 (321 Muncie Ave) in the skirting material, and in the vinyl flooring of the living room, bedroom and bathroom. This should be removed by a certified asbestos abatement company during demolition. • Based on the construction date of the residence(1940's-50's),there is a potential that the painted surfaces of the structure contain lead-based paint. It is recommended that a LBP survey be conducted prior to demolition. • Miscellaneous materials are stored on the site by the Newman family including derelict vehicles, old appliances, a drum labeled 'hydraulic fluid', multiple 5-10 gallon containers of fuel,other fluids,tools, lawnmowers,old tires,etc. which should be cleaned up and cleared out prior to demolition. • Two leaky underground storage tanks within one mile away. Well or groundwater testing could be conducted to determine whether the subject properties have been impacted. Based on the information obtained during this Hazardous Substances Assessment,there is no evidence of any further contaminants present on this property,and there are no obvious signs of the effects of contamination. All asbestos-containing material will need to be removed by a certified Asbestos Abatement Contractor,and the additional residential materials/debris will need to be removed. 13IPage References Interview. January 6, 2012. John Newman,Co-landowner of the 17 Newman parcels along Muncie Ave, Quilcene,WA. Jefferson County Public Records Request, March 19, 2012: JC Assessor's Office,Ownership Cards, Ownership History Sheets,Assessor Field Sheets, Real Estate Tax Affidavits,Assessor Quarter Section Map, 3-19-12 JC Fire Department,Quilcene, no responsive records 6/11/12 JC Public Health, Records from dangerous waste complaints including USTs and LUSTs. 4/6/12 JC Public Safety,JEFFCOM 9-1-1 Communications, no responsive records,3/22/12 JC Public Works, Parcel Ownership Map, (no other responsive records),4-2-12 JC Recording, Property Records documents, 3/23/12 JC Sheriff's Department,Susan Zoya, (no responsive records),3-19-12 Northwest Asbestos Consultants,Asbestos Survey, Bob Witheridge E.F.M., Port Townsend, 7/3/12. Puget Sound River History Project, University of WA. Historical maps and aerial photographs. 1883 1- 1557a,Sheet No.5 US Coast&Geodetic Survey, 1939, USGS Quarter-quad: Quilcene NW. Washington State Department of Ecology,Toxic Cleanup databases, publications,and phone interviews April,June,and July 2012. Washington State Department of Ecology, Shoreline Aerial Photo,Quilcene Bay,JEF0110, 1994. Washington State Recreation and Conservation Funding Board, Manual 3,Acquisition Projects,Appendix L and M. December 2010. United States Environmental Protection Agency, FOIA response, no responsive records,4/2/12. United States Geological Society, Earth Explorer,Aerial photographs 1951 USGS GS-QC, 1968 USGS GS- VCBB 1-66, 1979 USGS GS-VEUH-F 1-21. United States Geological Society,Topographic Map,Quilcene,WA, Map MRC:47122G7, NAD27. 14IPage Appendices 151Page Appendix A: Site and Vicinity Maps Topographic Map Appendix B: Site Photographs Adjacent Lot Photographs Appendix C: Landowner Questionnaire Appendix D: RCO Property Assessment Checklists Northwest Asbestos Consultants - Asbestos Survey Results RCO Hazardous Substances Certifications Appendix E: State Regulatory Records Review WA Ecology- Facilities Search Results Radius Map WA Ecology- Facilities Search Results within One-Mile Radius WA Ecology- Hazardous Sites List Appendix F: Jefferson County Records Review Ownership History Ownership Cards Assessor Field Sheets Real Estate Tax Affidavits Assessor Quarter Section Maps Appendix G: Historical Aerials Recent Aerial & Parcel Map Appendix H: Qualifications illUL-3-2012 11: 18A FROM:WITHERIDGE 3603850584 TO:13602750648 P.1/10 NORTHWEST ASBESTOS CONSULTANTS Surveys, Inspection, Sampling AHERA Building Inspector / Mgmt. Planner EPA Certification WAMOA-0042 406 Reed St.Port Townsend,WA 98368 northwestasbestosconsultants @cablespeed.com 360-385-0584 Date: 7/3/12 fob Locations: 331 Muncie Ave. t : 9c f . 2-0f . 5a'3 Quilcene,WA 98376 Contact: Pacific Northwest Salmon Center Renee Rose-Scherdnik 600 NE Roessel Rd. P.O.Box 2169 Belfair,WA 98528 5ubiect: Demolition Inspector: Bob Witheridge AHERA - Building inspector / Management Planner WAMOA-0042-1021201102 Expires - 10/21/12 JUL-3-2012 11:18A FROM:WITHERIDGE 3603850584 TO:13602750648 P.2/10 Scope of work 1) Good faith inspection for asbestos containing building materials (ACBM). 2) Report to Renee Rose-Scherdnik with results from Northern Industrial Hygiene, Inc. Summary Report The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Sample results: 331 Muncie Ave. Sample #1: Window glaze. No asbestos detected. Sample #2: Roofing material. No asbestos detected. Sample #3: Living room ceiling tile. No asbestos detected. Sample#4: Front bedroom ceiling material. No asbestos detected. Sample #5: Living room top layer floor vinyl with mastic. Tan with green and brown pebble pattern. No asbestos detected. Sample #6: Living room, laundry and center storage room, bottom layer floor vinyl with mastic. Bright multi colors. No asbestos detected. Sample #7: Kitchen top layer floor vinyl with mastic. Tan No asbestos detected. Sample #8: Kitchen Second layer floor vinyl with mastic. White with blue. No asbestos detected. Sample #9: Kitchen third layer floor vinyl with mastic. Red No asbestos detected. Sample#10: Kitchen bottom layer floor vinyl with mastic. Gray No asbestos detected. Sample #11: Back entry floor vinyl with mastic. Gold and white. No asbestos detected. Sample#12: Bathroom bottom layer floor vinyl with mastic. Green No asbestos detected. Sample #13: Bathroom top layer floor vinyl with mastic. Tan and white. No asbestos detected. Sample #14: Laundry / storage room top layer floor vinyl with mastic. Brown No asbestos detected. JUL-3-2012 11:19A FROM:WITHERIDGE 3603850584 TO:13602750648 P.3/10 Sample #15: Storage room bottom layer floor vinyl with mastic. Tan, black and red. No asbestos detected. Sample#16: Center bedroom floor vinyl with mastic. Gray with pink and green. No asbestos detected. Sample #17: Hallway and south bedroom floor vinyl with mastic. Gray with blue and pink. No asbestos detected. Sample#18: Back side of house, roofing material. Black and gray. No asbestos detected. All asbestos containing building materials with a reading greater than 1% is considered a hazardous material if disturbed. If removed a certified abatement contractor must follow the rules of the EPA and governed by Olympic Region Clean Air Agency. During demolition it is possible that additional suspect asbestos containing building material (ACBM) may be found. Should such suspect material be discovered an AHERA certified inspector will have to sample and test the material to prove it is of non- asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiable with reasonable diligence. Thank you, Bob Witheridge, E.F.M. JUL-3-2012 11:19A FROM:klITHERIDGE 3603850584 TO:13602750648 P.4,10 Client Sample Number 331-1 tab Sample Number 1200401.0027 Client Sample Description: Window Glaze Client Sample Location: 331 Munch Sample Comments Materials dlsdnuulshabts but Inseparable Checked It Semple Not Anayzed (—( Blue and red palm on white compressed powdery material Imbostos Fibrous Components. Nan-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 25% Pa h 75% Filler and 8lnder • Client Sample Number: 331-2 Lab Semple Number:12.00401.0028 Client Sample Description: Roofing Materiel Client Sample Location: 331 Muncie•Root Sample Comments: Checked II Sample Not Analyzed [j Brown and ten pebbles on aleck fibrous asphalt I Asbestos Fibrous Components: Non-Asbestos Fibrous Components; Non-Fibrous Components: No Asbestos Detected 12% Fiberglass 58% Asphalt Filler and Binder 30% Aggregate Client Sample Number: 3313 Lab Sample Number 12.00401.0029 Client Sample Description: Ceiling Tee Client Sample Location: 331 Muncie Living Room Sample Comments: Materials distinguishable but Inseparable Checked 0 Sample Not Analyzed [) White paint and brown compressed fibers Asbestos Fibrous Componsnts Nor-Asbestos Flbmue Components: Non-Fibrous Components: No Asbestos Detected 8e% Cellulose 5% Paint 7% Filler and Binder (Sample roues continued on next page) . Sampled by sob Wttheridgs 6120/2012 ` ,ate e Recehred by Jude Cummings 0129/2012 Reviewed by: Jude Cummings T1212012 Jude Cummings,Laboratory Manager Page 9 JUL-3-2012 11:19A FRO1i:WITHERIDGE 3603850584 TO:13602750648 P.5/10 215 SW 153rd Street Burien,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 O T H E Z ~ NVLAP Lab Code:200511-0 INOUNTRiAa-NYeNatNat,, INC- Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12-00401 406 Reed Street Client Job Number: Port Townsend,WA 96368- Turn Around Time: 5 Day C Project Location: 321,331,390 Muncie Ave.,Qullcine Samples Analyzed: 44 Client Sample Number: 331.4 Lab Sample Number: 12-00401.0030 Client Sample Description: Ceiling Material Client Sample Location: 331 Muncie Front Bedroom Sample Comments: Checked If Sample Not Analyzed n Layer 1 Blue paint on white lumpy material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 30% Fine Grains 30% Paint 40% Filler and Binder • Layer 2 Tan paper Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 95% Cellulose 5% Filler and Binder Client Sample Number 331-5 Lab Sample Number.12-00401.0031 Client Sample Description: Floor Vinyl with Mastic Tan with Green and Brown Pebble Pattern Client Sample Location: 331 Muncie Living Room(top layer) Sample Comments: Checked If Sample Not Analyzed Li Layer, 1 Tan vinyl with brown spots and black fibrous backing Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non Fibrous Components: Asbestos Detected 20% Cellulose 55% Asphalt Filler and Binder 25% Vinyl Filler and Binder Layer No 2 Dark brown mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non Fibrous Components: No Asbestos Detected 5% Cellulose 95% Filler and Binder Client Sample Number: 331-6 Lab Sample Number: 12.00401.0032 Client Sample Description: Floor Vinyl with Mastic-Bright Multi-colors Client Sample Location: 331 Muncie Living room,Laundry and Storage Center(bottom layer) Sample Comments: Checked If Sample Not Analyzed [J (Sample results continued on next page.) Sampled by: Bob Witherldge 6/28/2012 k.Z_� 0 4.�«M-----tech Received by: Jude Cummings 6/2912012 `U�� Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 10 JUL-3-2012 11:20A FROM:WITHERIOGE 3603850584 TO:13602750648 P.6/10 215 SW 153rd Street Burien,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 CP Z T H E ~ NVLAP Lab Code:200511-0 rwauarwras HVro/11awi,■wC- Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number. 12-00401 406 Read Street Client Job Number: Port Townsend,WA 98368- Turn Around Time: 5 Day C Project Location: 321,331,330 Muncie Ave.,Qullcine Samples Analyzed: 44 Layer 1 Bright colors vinyl with black fibrous backing Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 50% Asphalt Filler and Binder 35% Vinyl Filler and Binder Layer 2 Dark brawn mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 5% Cellulose 95% Filler and Binder Client Sample Number: 331-7 Lab Sample Number:12-0040t0033 Client Sample Description: Floor Vinyl with Mastic-Tan . Client Sample Location: 331 Muncie Kitchen(top layer) Sample Comments: Checked If Sample Not Analyzed (l Layer 1 Tan vinyl Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 30% Aggregate 70% Vinyl Filler and Binder • •- Layer 2 Dark brown mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 5% Cellulose 95% Filler and Binder Client Sample Number: 331-8 Lab Sample Number: 12-00401.0034 Client Sample Description: Floor Vinyl with Mastic White with Blue Client Sample Location: 331 Muncie Kitchen(2nd layer) Sample Comments: Checked If Sample Not Analyzed l7 Layer 1 Tan and black vinyl with black fibrous asphalt Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 20% Cellulose 50% Asphalt Filter and Binder 30% Wood Layer 2 Tan mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 3% Cellulose 97% Filler and Binder (Sample results continued on next page.) Sampled by: Bob Wltheridge 6/28/2012 Received by: Jude Cummings 6/29/2012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 11 JUL-3-2012 11:20A FROM:WITHERIDGE 3603850584 TO:13602750648 P.7/10 215 SW 153rd Street Burlen,WA 98166 OFFICE:(206)988.1746 FAX:(206)968-1978 CR]O R.T H E Z P1 NVLAP Lab Code:200511-0 rwousswu�11awo•wrars, �etic_ Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Belch Number: 12-00401 408 Reed Street Client Job Number: Port Townsend,WA 88358- Turn Around Time; 5 Day C Project Location: 321,331,330 Muncie Ave.,Quilcine Samples Analyzed: 44 Client Sample Number: 331-9 Lab Sample Number: 12-00401.0035 Client Sample Description: Floor vinyl with mastic•Red Client Sample Location: 331 Muncie Kitchen(2nd layer) Sample Comments: Materials distinguishable but Inseparable Checked if Sample Not Analyzed Red vinyl with black fibrous backing and residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 5% Filler and Binder 45% Asphalt Filler and Binder 35% Vinyl Filler and Binder Client Sample Number: 331-10 Lab Sample Number:12-00401.0036 Client Sample Description: Floor vinyl with mastic-Gray Client Sample Location: 331 Muncie Kitchen(bottom layer) Sample Comments: Materials distinguishable but Inseparable Checked If Sample Not Analyzed r1 Tan and gray vinyl with black fibrous backing and tan residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 5% Filler and Binder 40% Asphalt Filler and Binder 40% Vinyl Filler and Binder Client Sample Number: 331-11 Lab Sample Number:12-00401.0037 Client Sample Description: Floor Vinyl with Mastic-Gold and White Client Sample Location: 931 Muncie Back Entry Sample Comments: Checked If Sample Not Analyzed L_] Layer 1 Gold,Yellow and white vinyl with black fibrous backing Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 20% Cellulose 50% Asphalt Filler and Binder 30% Vinyl Filler and Binder Layer 2 Tan mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 5% Cellulose 95% Filler and Binder (Sample results continued on next page.) Sampled by: Bob Witherldge 6/28/2012 C Received by: Jude Cummings 6/29/2012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 12 JUL-3-2012 11:21A FROM:WITHERIDGE 3603850584 TO:13602750648 P.8,10 215 SW 153rd Street Burlen,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 G7 O R T H ERN 1Y NVLAP Lab Code:200611-0 INDYSTRII*L"WOMBS ,AMC. Bulk Asbestos Analysis Report Northwest Asbestos,Consultants NIH Batch Number: 12.00401 408 Reed Street Client Job Number: Port Townsend,WA 98388- Turn Around Time: 5 Day C Project Location: 321,331,330 Muncie Ave.,Quilc/ne Samples Analyzed: 44 Client Sample Number: 331-12 Lab Sample Number: 12-00401.0038 Client Sample Description: Floor vinyl with mastic-Green Client Sample Location: 331 Muncie Bathroom(bottom layer) Sample Comments: Materials distinguishable but inseparable Checked(t Sample Not Analyzed f1 Green end gray vinyl with black fibrous backing and red residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 20% Cellulose 10% Filler and Binder 50% Asphalt Filler and Binder 20% Vinyl Filler and Binder Client Sample Number: 331-13 Lab Sample Number:12-00401.0039 Client Sample Description: Floor Vinyl with Mastic Tan and White Client Sample Location: 331 Muncie Bathroom(top layer) Sample Comments: Checked If Sample Not Analyzed [] Layer 1 Tan and white vinyl Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 100% Vinyl Filler and Binder Layer 2 Clear sticky material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 100% Filler and Binder Client Sample Number: 331-14 Lab Sample Number:12-00401.0040 Client Sample Description: Floor Vinyl with Mastic-Brown Client Sample Location: 331 Muncie Laundry/Storage Room(top layer) Sample Comments: Materials distinguishable but Inseparable Checked If Sample Not Analyzed (' ] Black,white,gray and red vinyl with black fibrous backing and red residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 5% Filler and Binder 40% Asphalt Filler and Binder 40% Vinyl Filler and Binder Client Sample Number: 331-15 Lab Sample Number:12-00401.0041 Client Sample Description: Floor Vinyl with Mastic-Tan Client Sample Location: 331 Muncie Storage Room(bottom layer) Sample Comments: Materials distinguishable but Inseparable Checked if Sample Not Analyzed l (Sample results continued on next page.) Sampled by: Bob Witherldge 6/28/2012 C �---�----moo Received by: Jude Cummings 6/29/2012 Reviewed by Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 13 JUL-3-2012 11:21A FROM:WITHERIDGE 3603850584 TO:13602750648 P.9'10 215 SW 153rd Street Borten,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 EI J O R T H E R N NVLAP Lab Code:200511-0 wousrwuu.mvamwa.INC. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12-00401 406 Reed Street Client Job Number: Port Townsend,WA 98368- Turn Around Time: 6 Day C Project Location: 321,331,330 Muncie Ave.,Quifcine Samples Analyzed: 44 Red,green and gray vinyl with black fibrous backing and gray residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 5% Filler and Binder 40% Asphalt Filler and Binder 40% Vinyl Filler and Binder Client Sample Number: 331.016 Lab Sample Number: 12-00401.0042 Client Sample Description: Floor Vinyl with Mastic-Gray Pink and Green Client Sample Location: 331 Muncie Center Bedroom Sample Comments: Materials distinguishable but Inseparable Checked 0 Sample Not Analyzed [i Gray,red and green vinyl with black fibrous asphalt and gray residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 5% Filler and Binder 50% Asphalt Filler and Binder 30% Vinyl Filler and Binder Client Sample Number: 331-17 Lab Sample Number: 12-00401.0043 Client Sample Description: Floor Vinyl with Mastic-Gray with Blue and Pink Client Sample Location: 931 Muncie Hallway and South Bedroom Sample Comments: Materials distinguishable but inseparable Checked if Sample Not Analyzed [1 Gray,pink and white vinyl with black fibrous backing and tan residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 5% Filler and Binder 50% Asphalt Filler and Binder 30% Vinyl Filler and Binder Client Sample Number: 331-18 Lab Sample Number: 12-00401.0044 Client Sample Description: Roofing Material Black end Gray Client Sample Location: 331 Muncie Back Side of House Sample Comments: Checked If Sample Not Analyzed [ White pebbles and black fibrous asphalt Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 30% Aggregate 55% Asphalt Filler and Binder Sampled by: Bob Wttherldge 6/28/2012 e Received by: Jude Cummings 6/29/2012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 14 JUL-3-2012 11:22R FROM:WITHERIDGE '% lA °t m , 3603850584 TO:13602750648 P.10r10 r":^ �'", q a^tpw 'A ,�✓ 1►I'�..,iiR'r" 1 s e�F-}'4 ' AR,''- •tity•• -N 0,;Tt:is �:.-- ,' 4./..w ?;•°�-' l a ;�f .4,. I}`,+1..• . -At,WO.- , ...:,t .� ;A..;. t JS:....:_.1f:-.: > g ....._, 1 .,, )•' .'IF ti% 1'al, _.�lI t.; . �:I ,••, ` D . .I 1 S.1 O 'l ' W i? '1 m d t ; L: .,,.�,,,,tN V.� %1 Fel sf A ,,M,,r ii,z1-,ALA' '�.grrs�i' A ... Ir y`. `�'r yid�G "^tt 7. 1 a:o;a:a:a:o•aa•o;o•o:o:o;ao - J t�t , '' A 2 1. ._�4:0 Q► WASHINGTON W , ;;x " a � ASSOCIATION of ,*-y*:-.:-,,,,;,; MAINTENANCE and )• iF ,�'0d w �° OPERATIONS 1 A 'c'7,.1, _ N ADMINISTRATORS : , , • r THIS IS TO CERTIFY THAT r ,� Bob Witheridge .*,,!) 2t, 4 ... .b w' Participated in the i . :: a I EPA AHERA :i . 1,' r INSPECTOR, . ' g ,r.` :>:- I MANAGEMENT PLANNER f`;• ' w his `\r Refresher Course offered by the : :jf )1 iogi)''`;i°4 ' 4.'«mss>l j � WASHINGTON ASSOCIATION of MAINTENANCE ; _,` �` 1,,ll i and OPERATIONS ADMINISTRATORS " `x,° ' • K• -; The full day training program _,_ t covered all topics specified ,,: � s ecified in the ' ` f Model Accreditation Plan under 'i• ,; 206 of Title II f .:'�.r /F r i . Section T' i o TSCA \4•• -, ;,,A.: . The course was taken on October 21 , 2011 h ,. ' ir,4 in Silverdale, Washington. : ' Certificate #1021201102 — Expiration October 21 , 2012 .,••v, ,e. I ....... • --.• ' , , �._ Colin MacRae Course Administrator ' > 2714 228th St, SE, Bothell, WA 98021 I' I,x "• ' (425) 485-6980 4`., 4 I n 1' m ' �• .t e f' �. ^��': a.o:o;O:a:o:Y.o:o:o;o:o;o:OlO:a]o:o:o.o_o:o_o:o:o;q:o:aa,oa tiaaaao,A o:o:o:o•o;ofo:G:o:e;o:o:ato:•:o:o.o;o;o.o:o:a:o:o:o:o:a:o:o:o:afolo:oco;o;o:o;o:O:O:o:o:q'O:o.o:OCO:o:a'o:a•k� ro;y 4Vilt14 ;a'seFl;'T' Ii rirTA r �, 1 , S14 r1 r"'>"1010}4;1( 444 s9i' 1' a3..- y'- s 1P' 4472:4 '`� 1' ry_�,� ,.QQ.+�'WHO p���p.• {I,llp�}'ilk.s�.,�®.�x-�,�-���{a„+p+y�ji'r! ; 7 �d�a�+ �? CO lif0341”yy +�'1` h �;�.��p' .��ifiq�+►'�1't�=.g�;'", �,y�vz el 9,PA® r,tQ�ys}Yn.lSTg4'*y�u ,'Vey% 10 ic� �'il+}�j y I+ �Dw�R�t i e� E ' r�41 i `04,40 �R7dt O . rt,q4 X40 t;;'4uiade�' 04 �` '' ¢ •fi , , „r.i± ( , NII Q �n: i+��i t�' '�' t&.'' i4• _�. 1 r , 1 i t(�jt,�"IP .rte ' ti �'��`i>'I �.i,y,��.,�it ,'1� f :�':, 'y!'�t •7"�t';f�}-�,,`' �� .ti VP'. 411,'�+�� 2�' .li''�`�•�% � {�'+.y.;J;�,.�Yl•,' J, �t �,114, I.. 'is+7.� ✓�•;�I r.r ,,� .{�S`a ''-.k � 1?0,,IVIt rl i" �i.1 v3j r i��i)te..4141; -. -41.13/"' 0r� .t;44,;,510i, max— -x� '� lit-t ;eitr t .. u- a°1* - b'' ..'4 yr/YYvt"'''' Y .�4�a��yf:d-.iJ '::�+ • Y!Y"1t' -"/,�r4 ¢?x r-'!--` ..-"" ���.refs iliU L-3-2012 11:10A FROM:WITHERIDGE 3603850584 TO:13602750648 P.1'10 NORTHWEST ASBESTOS CONSULTANTS Surveys, Inspection, Sampling AHERA Building Inspector / Mgmt. Planner EPA Certification WAMOA-0042 406 Reed St.Port Townsend, WA 98368 northwestasbestosconsultants @cablespeed.com 360-385-0584 Datel 7/3/12 • 9(3/ • 2-0/ - G/0 i/ Tob Locations: 330 Muncie Ave. Quilcene,WA 98376 Contact Pacific Northwest Salmon Center Renee Rose-Scherdnik 600 NE Roessel Rd. P.O.Box 2169 Belfair,WA 98528 Subject: Demolition Ji spector: Bob Witheridge AHERA - Building inspector / Management Planner WAMOA-0042-1021201102 Expires - 10/21/12 JUL-3-2012 11:11A FROM:WITHERIDGE 3603850584 TO:13602750648 P.2/10 Scope of work 1) Good faith inspection for asbestos containing building materials (ACBM). 2) Report to Renee Rose-Schercinik with results from Northern Industrial Hygiene, Inc. Summary Report The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Sample results: 330 Muncie Ave. Sample #1: Exterior siding material. 10%chrysotile asbestos. Approx. 24' x 30'x (9' and 12' Height). Sample #2: Kitchen and dining room top layer floor vinyl with mastic. Yellow 15%chrysotile asbestos.Approx. 240 sq. ft. Sample #3: Kitchen and dining room middle layer floor vinyl with mastic. Tan No asbestos detected. Sample #4: Kitchen and dining room bottom floor vinyl with mastic. Red No asbestos detected. Sample #5: Living room top layer floor vinyl with mastic. Off white pebble pattern with gold flecks, under carpet. 15% chrysotile asbestos. Approx. 180 sq. ft. Sample#6: Living room and hallway bottom layer floor vinyl with mastic. Tan marbled pattern with gold flecks. No asbestos detected. Sample #7: Kitchen wall material. No asbestos detected. Sample #8: Living room ceiling tile. No asbestos detected. Sample #9: Attic insulation. No asbestos detected. Sample#10: Bathroom 12" x 12" floor tile with mastic. Off white. No asbestos detected. Sample #11: Both bedrooms, top layer floor vinyl with mastic. Brown wood pattern. No asbestos detected. Sample #12: Both bedrooms, bottom layer floor vinyl with mastic. Gold No asbestos detected. Sample#13: Wall material, sheet rock mud and tape. No asbestos detected. JUL-3-2012 11:11A FROM:WITHERIDGE 3603850584 TO:13602750648 P.3/10 Sample#14: Window glazing on west side. No asbestos detected. Sample #15: Window glazing on north side. No asbestos detected. Sample#16: Roofing material. No asbestos detected. All asbestos containing building materials with a reacting greater than 1% is considered a hazardous material if disturbed. If removed a certified abatement contractor must follow the rules of the EPA and governed by Olympic Region Clean Air Agency. During demolition it is possible that additional suspect asbestos containing building material (ACBM) may be found. Should such suspect material be discovered an AHERA certified inspector will have to sample and test the material to prove it is of non- asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiable with reasonable diligence. After the facility is completely cleaned out a walk through and inspection is required by the original AHERA building inspector (NW Asbestos) after abatement, then a copy of the letter certifying that abatement has been completed needs to be received by the local permit center and Olympic Region Clean Air Agency. Thank you, Eet(Alt 441 Bob Witheridge, E.F. . JUL-3-2012 11:11A FROM:WITHERIDGE 3603850584 TO:13602750648 P.4,10 215 SW 153rd Street Burien,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 . MIDIRTHER. N NVLAP Lab Code:200511.0 ■. SAL PIYtiSSRWASS,SWAG. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12-00401 406 Reed Street Client Job Number: Port Townsend,WA 88368- Turn Around Time: 5 Day C Project Location: 321,331,330 Muncie Ave.,Quilcine Samples Analyzed: 44 White and gold coating on medium brown compressed fibrous material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 85% Cellulose 5% Coating 10% Filler and Binder Client Sample Number: 330.1 Lab Sample Number:12-00401.0011 Client Sample Description: Siding Material Client Sample Location: 330 Muncie-Exterior Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed Li Gray and white paint on gray fibrous hard material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 10°x. Ghry4ptile Asbestos . ., 10% Paint 80% Filler and Binder Client Sample Number: 330.2 Lab Sample Number: 12-00401.0012 Client Sample Description: Floor Vinyl with Mastic-Yellow Client Sample Location: 330 Muncie-Kitchen&Dining Roo(Top Layer) Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed D Yellow vinyl with oft-white fibrous backing and gold residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: • 1ti% Ch 019, Asbsstos 40% Filler and Binder 45% Vinyl Filler and Binder Client Sample Number: 330-3 Lab Sample Number: 12-00401,0013 Client Sample Description: Floor Vinyl with Mastic-Tan Client Sample Location: 330 Muncie-Kitchen&Dining Room(middle Layer) Sample Comments: Materials distinguishable but inseparable Checked Ii Sample Not Analyzed [1 Tan vinyl with black fibrous backing and dark brown residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 10% Filler and Binder 40% Asphalt Filler and Binder 35% Vinyl Filler and Binder (Sample results continued on next page.) Sampled by: Bob Witherldge 6/28/2012 "r_,_ e Received by: Jude Cummings 6/29/2012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 4 3-2012 11:12A FROM:klITHERIDGE 3603850584 TO:13602750648 P.5'10 215 SW 153rd Street Burien,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 H O Z T H E , N NVLAP Lab Code:200511.0 INOY.TRIAL NYQrarNR.SP10 Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Satoh Number: 12-00401 408 Reed Street Client Job Number: Port Townsend,WA 98388- Turn Around Time: 5 Day C Project Location: 321,331,330 Muncie Ave.,Oullcine Samples Analyzed: 44 Client Sample Number: 330-4 Lab Sample Number: 12-00401.0014 Client Sample Description: Red Floor Vinyl with Mastic Client Sample Location: 330 Munde-Kitchen&Dining Room(bottom layer) Sample Comments: Materials distinguishable but inseparable Checked It Sample Not Analyzed Red vinyl with black fibrous backing and dark brown reidue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 10% Filler and Binder 40% Asphalt Filler and Binder 35% Vinyl Filler and Binder Client Sample Number: 3305 Lab Sample Number:12-00401.0015 Client Sample Description: Floor Vinyl with Mastic,Off-white Pebble Pattern with Gold Flecks Client Sample Location: 330 Muncie•Living Room(top layer) Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed [-1 White pebble pattern vinyl with off-white fibrous backing and tan residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 15'0.-c .cii0 A0e8t99 35% Filler and Binder 50% Vinyl Filler and Binder Client Sample Number: 330.6 Lab Sample Number:12.00401.0016 Client Sample Description: Floor Vinyl with Mastic,Tan Marble Pattern with Gold Flecks Client Sample Location: 330 Muncie•Living Room and Hallway(bottom layer) Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed r 1 Oft-white,tan and gold marble look vinyl with black fibrous backing ens brown residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 5% Filler and Binder 40% Asphalt Filler and Binder 40% Vinyl Filler and Binder Client Sample Number: 330-7 Lab Sample Number: 12-00401.0017 Client Sample Description: Wall Material Client Sample Location: 330 Muncie-Kitchen Sample Comments: Checked If Sample Not Analyzed [ (Sample results continued on next page.) Sampled by: Bob Witheridge 6/28/2012 e � Received by: Jude Cummings 6/29/2012 Reviewed by: Jude Cummings 7/212012 Jude Cummings,Laboratory Manager Page 5 JUL-3-2012 11:12A FROM:WITHERIDGE 3603850584 TO:13602750648 P.6/10 215 SW 153rd Street Burlen,WA 98166 O Z T f i E Z N OFFICE:(206)988-1746 FAX:(206)998-1978 NVLAP Lab Code:200511.0 INOWITRUAU.MYOrarNar, INC. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12-00401 406 Reed Street Client Job Number: Port Townsend,WA 88368- Turn Around Time: 5 Day C Project Location: 321,331,330 Muncie Ave.,Quilcfne Samples Analyzed: 44 Layer 1 ON-white vinyl with black fibrous backing Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 22% Cellulose 40% Asphalt Filler and Binder 3B% Vinyl Filler and Binder Layer 2 Dark brown mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 5% Cellulose 95% Filler and Binder Layer 3 Tan paper and white compressed powder Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 25% Cellulose 75% Filler and Binder Client Sample Number: 330-8 Lab Sample Number: 12-00401.0016 Client Sample Description: Ceiling Tile Client Sample Location: 330 Munclo LivIng Room Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed pi White paint and medium brown compressed fibers Asbestos Fibrous Components. Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 85% Cellulose 5% Paint 10% Filler and Binder Client Sample Number: 330.9 Lab Sample Number: 12-00401.0019 Client Sample Description: Insulation • Client Sample Location: 330 Muncie Attic Sample Comments: Checked If Sample Not Analyzed 11 Medium brown loosely compressed fibers Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 100% Mineral Wool Client Sample Number: 330-10 Lab Sample Number:12-00401.0020 Client Sample Description: Oft-white 12"x12"Floor Tile with Mastic Client Sample Location: 330 Muncie Bathroom Sample Comments: Checked if Sample Not Analyzed I ] (Sample results continued on next page.) Sampled by: Bob Witheridge 8/28/2012 = �"a.._ Received by: Jude Cummings 8/29/2012 '0 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 6 JUL-3-2012 11:13A FROM:WITHERIDGE 3603850584 TO:13602750648 P.7/10 • 215 SW 153rd Street Burton,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 [Jl�O Z T !-'I E R N NVLAP Lab Code:20011-0 INOYatTwIAs.MrO�al,aR.IMO. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NiH Belch Number: 12-00401 406 Reed Street Client Job Number: Port Townsend,WA 98368- Turn Around Time: 5 Day C Project Location: 321,331,330 Muncie Ave.,Quilcine Samples Analyzed: 44 Layer 1 White vinyl Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 30% Aggregate 70% Vinyl Filter and Binder Layer 2 Yellow mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 3% Cellulose 97% Filler and Binder Client Sample Number: 330.11 Leb Sample Number:12-00401.0021 Client Sample Description: Floor Vinyl with Mastic,Brown Wood Pattern Client Sample Location: 330 Muncie-Both Bedrooms(top layer) Sample Comments: Checked If Sample Not Analyzed [ Layer 1 Yellow foam with clear sticky material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 3% Synthetic 5% Filler and Binder 92% Foam Layer 2 Brown wood grain pattern vinyl with black fibrous backing Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 20% Cellulose 45% Asphalt Filler and Binder 35% Vinyl Filler and Binder Layer 3 Brown mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 5% Cellulose 95% Filler and Binder Client Sample Number: 330-12 Lab Sample Number:12-00401.0022 Client Sample Description: Ftor Vinyl with Mastic-Gold Client Sample Location: 330 Muncie-Both Bedrooms(bottom layer) Sample Comments: Materials distinguishable but Inseparable Checked If Sample Not Analyzed [] Brown and gold vinyl with black fibrous backing and residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 25% Cellulose 5% Filler and Binder 50% Asphalt Filler and Binder 20% Vinyl Filler and Binder (Sample results continued on next page.) Sampled by: Bob Withertdge 6/28/2012 C Received by: Jude Cummings 6/29/2012 Reviewed by Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 7 JUL-3-2012 11:13A FROM:WITHERIDGE 3603850584 T0:13602750648 P.8/10 215 SW 153rd Street Burls n,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 �r O i T E R N NVLAP Lab Code:200511-0 INCY*TOIAa,HVOIlNt- IMO. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12.00401 405 Reed Street Client Job Number: Port Townsend,WA 88368- Turn Around Time: 5 Day C Project Location: 321,391,330 Muncie Ave.,Quilcine Samples Analyzed: 44 Client Sample Number: 330.13 Lab Sample Number. 12-00401.0023 Client Sample Description: Sheetrock,Mud and Tape Client Sample Location: 330 Muncie Wall Sample Comments: Checked If Sample Not Analyzed (^] Layer 1 White and blue paint with white compressed powdery material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 5% Mineral Fibers 30% Paint 65% Filler and Binder Layer 2 White paper Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 88% Cellulose 12% Filler and Binder Layer 3 Tan paper and white compressed powder Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 20% Pertite 65% Filler and Binder Client Sample Number: 330-14 Lab Sample Number: 12-00401.0024 Client Sample Description: Window Glazing Client Sample Location: 330 Muncie West Side Sample Comments: Materials distinguishable but inseparable Checked II Sample Not Analyzed L j Brown and white paint on white compressed powdery material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 2% Wollastonite 30% Paint 68% Filler and Binder Client Sample Number: 330-15 Lab Sample Number: 12-00401.0025 Client Sample Description: Window Glazing Client Sample Location: 330 Muncie on North 81de Sample Comments: Materials distinguishable but Inseparable Checked If Sample Not Analyzed [ 1 Various colors of paint and white compressed powder Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 25% Paint 75% Filler and Binder • (Sample results continued on next page.) Sampled by: Bob Wltherldge 6128/2012 Received by: Jude Cummings 6129/2012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 8 JUL-3-2012 11:13A FROM:WITHERIDGE 3603850584 TO:13602750648 P.9/10 215 SW 153rd Street Burton,WA 98166 OFFICE:(206)8881746 FAX:(205)888.1978 NORTHERN NVLAP Lab Code:200511-0 -oT rt two RMat.IMO. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number. 12.00401 400 Read Strata Client Job Number: Port Townsend,WA 00366- Tum Around Time: 6 Day C Project Location: 321,331,330 Muncie Ava,Qu ine Samples Analyzed: 44 Client Sample Number: 330.18 Lab Semple Number:12.00401.0026 Gram Sample Description: Rooting Materiel Client Sample Locattan: 330 Muncie Root sample Comments: Checked It Sample Not Analyzed [l Layer 1_. Brown and tan pebbles on bleak Obrous asphalt Asbestos Fibrous Components: Norr•Aabastas Fibrous Components: Non-Fibrous Component: No Asbestos Detected 15% Fiberglass 35% Aggregate 50% Asphalt Filter and Binder • JUL-3-2012 11:14A FROM:WITHERIDGE 3603850584 T0:13602750648 P.10/10 r."«'� i, i :'� j a _ti tom u' u� : + i1;pc .ifor.„:{i�(llL"AIIJ.>., , : 11 �i �:z 1' V, ? X4,0 I{ iY i •co,,,i�. � v ,,'. {�!4. �), � �1�1s1, w r Q4, I� M ��` es. itt 1 feri „r vi f � ,y V. ' 1/1 �+!irA is 1�++1 e r! ,J4 e' v '�ti 41'' `. 4 r{1 �`�� 1`h'fi`++ +i�'al%9 ��� 0;O.0,0'0 0 ;0;0,00:0:0' 070,0'0 10[0 , 0.0.0:0,0 0.0.0`0 O 0. 0.0.0'0 0.4.0.0;0:0:0.0:0:0 0 0 0 0 0 0-0,0,0)0.0:0.0:0.0:0:0;0:070;00:0 { `� �(, :!,- o -c- I. o sue( r: I F _ �►mo WASHINGTON 2 4"V • �o z,,._ MAINTENANCE and ,T 1v ' �4 , OPERATIONS 01 ,. +, � x- r !� I '" ADMINISTRATORS �,• `� # 6Iti +d' o <Siirs / 4. �. 4a; THIS IS TO CERTIFY THAT o s., - 6z Bob Witheridge a• _ ; '1,`C- PP' S o I :C` ,z A ,'4+4 o Participated in the a,�'_ y "fr ; ' r1 r = EPA AHERA o'_: 7`,.. t tits = a j ji) INSPECTOR, , . C• r o MANAGEMENT PLANNER °$,...„...... �. t:,.3 Refresher Course offered by the ) !:T<4 0. W, a • t� \ `e> f:, • ' WASHINGTON ASSOCIATION of MAINTENANCE ,t=-�,„,,:, , ' ° Qy : -. ; and OPERATIONS ADMINISTRATORS o,• — ",.=>> i . t y r 0 1 = oI The full day training program oa ,'',c:.:'',= :� 0• covered all topics specified in the o 1+K - ,' , ' Model Accreditation Plan under :: �r. . i o; Section 206 of Title I I of TSCA o �fti 120: ; ° 1x ,'. ,>1„ �?, o • ^icl, •i C3 •L%4' '' :i The course was taken on October 21 , 2011 e i a, ,z i' ,8 ' f „ ° in Silverdale, Washington. o`,°-4 : •+,',`.w, . , • o Certificate #1021201102 Expiration October 21, 2012 , .-' ,,:ti,=` -i - a u ‘‘A......„---- :::P G i rpjdrT¢g LYr a1D- o. Colin MacRae Course Administrator o ,• 0 2714 228th St, SE, Bothell, WA 98021 ° ,. .:;ry `, F r 1 ; 8 • , (425) 4 5-6980 a P ... .._. .. .. _ ...-. _ -. .. .�:es 311E 0 t'd::••:w 411t`�^}0:0:0:0;0:0;0:0:0:0:0:0:O;0:0r000:0:0:410.0:0[0:0:0:0:0 070(0 0:•,'y;0;0:0:0'0.0 0.0:0I0:0:0!0.0IO:40.O:0i0:O:0:0i0,0.0:v:O.o;0:0.0:0:0:0;o:0:O:0.0.0.0:0:1:0:0;0:0.0:0:0i0;O:IX0.0.Xo h'- .'.+4. '�'' i't 1(4 '1? '''*'''1-{109 `4'.?.0-e �If+{+sitrOg"';: ?v i p! .gni,,;"?�;R '(t+ti:K�r� -'YMrst k. N :7 ∎ t' ":?• ,' -T, 8+i:+tM" h �4 -.A.=1•. l',ter vS 111,1,f; '{!,d+91 q( 6"�qq z1'0 001` I '{080+i .!{u0l6ld l{1 �r 4 i.�! .440,4, 1 1 1�1atb"4 S�l{ 'fir: , ,�h, �' a�� I so I' ¢°��p*VP s,.i�. �n: � Gss N.+��q eo ���H�^'� + �1s I'V° �.�,+�,� lv��p'�!.+,}°� �;y✓'y. +a' �' A .t+ 6,, ,010.:A vi VP� � yr'y� ri A� i(*I, 160.1 tht• itV I '^ 9 'h1 4,; � a 'l N '40- v' !� 2/• yt /p bey �:- p! .•J {i.� 1(, 't .:•n''� %�wi i •�'- .�(%,'`k �+? - yy',,��((so�;..+• (�f,!. ,:./JJ,....,:S•.u`�.,...�+ ,�Aj.:`.'1.jT'y '�"� ^�-- '-%I{)/!j... wV[ti.•• f - ' ^ `n i•`�'+:,,-� :�3'.; 1 '• 4h;�C tVY4�iitc,.. 1�_�.YY:Nt1W^V\rjtjA!q 14+V',�y, :•1r:l,V,/ 7•.'x.•7 V. f. '.. ♦., � Y4 C%Yy, r-N!V,,. .�.,t,.'tp V,-. N-.•.+7'Lti,'}i.;'�°X 4,,I.;,..1..q,X�� ••-�;;�• xr�ir�. ...a':'[;;.y ,V;y ��..;,:�! 1;y�yy,,•,•. M1r. i�t � ��y' ' tom" iliU L-3-2012 11:03A FROM:WITHERIDGE 3603850584 T0:13602750648 P.1/9 NORTHWEST ASBESTOS CONSULTANTS Surveys, Inspection, Sampling AHERA Building Inspector / Mgmt. Planner BPA Certification WAMOA-0042 406 Reed St.Port Townsend,WA 98368 northwestasbestosconsultants @cablespeed.com 360-385-0584 Billing: Date: 7/3/12 Tob Locations: 321,330,331 Muncie Ave. Quilcene,WA 98376 Contact: Pacific Northwest Salmon Center Renee Rose-Scherdnik 600 NE Roessel Rd. P.O.Box 2169 Belfair,WA 98528 Subject: Demolition Regards to survey inspection. 1) Survey and inspection. $595.00 2) 44 samples @ $35.00 ea. (total samples for all 3 structures). $1540.00 Balance due upon receipt: $2135.00 Thank you, B,91, (4,-.1,6„,44,2 Bob Witheridge, E.F.M. JUL-3-2012 11:03A FROM:WITHERIDGE 3603850584 T0:13602750648 P.2/9 NORTHWEST ASBESTOS CONSULTANTS Surveys, Inspection, Sampling AHERA Building Inspector / Mgmt. Planner EPA Certification WAMOA-0042 406 Reed St.Port Townsend,WA 98368 northwestasbestosconsultants @cablespeed.com 360-385-0584 7/3/12 lob Locations: 321 Muncie Ave. R 20( so Z Quilcene,WA 98376 Cpntact: Pacific Northwest Salmon Center Renee Rose-Scherdnik ' 600 NE Roessel Rd. P.O.Box 2169 Belfair,WA 98528 Subject: Demolition Inspector: Bob Witheridge AHERA - Building inspector / Management Planner WAMOA-0042-1021201102 Expires - 10/21/12 JUL-3-2012 11:04A FROM:WITHERIDGE 3603850584 T0:13602750648 P.3/9 Scope of work 1) Good faith inspection for asbestos containing building materials (ACBM). 2) Report to Renee Rose-Scherdnik with results from Northern Industrial Hygiene, Inc. Summary R•port The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Sample results: 321 Muncie Ave. Sample #1: Roofing material. White No asbestos detected. Sample #2: Roofing material. Red No asbestos detected. Sample #3: Window glaze. No asbestos detected. Sample #4: Skirting material. 18% chrysotile asbestos. Perimeter approx. 30' x 30' x 2' Sample #5: Living room floor vinyl with mastic. Green pebble pattern. 15% chrysotile asbestos.Approx. 240 sq. ft. Sample #6: Living room floor vinyl with mastic. Green wood pattern. No asbestos detected. Sample #7: Living room floor vinyl with mastic. Wood pattern. No asbestos detected. Sample #8: Bedroom floor vinyl with mastic. Tan stone pattern. 12%chrysotile asbestos.Approx. 96 sq. ft. Sample #9: Bathroom floor vinyl with mastic. Gold 12%chrysotile asbestos.Approx. 30 sq. ft. Sample #10: Ceiling tile. No asbestos detected. JLt_-3-2012 11:04A FROM:L4ITHERIDGE 3603850584 TO:13602750E48 P.4/s 215 SW 153rd Street Burlen,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 CO Z T H E R N NVLAP Lab Code:200511-0 INUUSTAIS6.NVOISNN. INC. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12.00401 408 Reed Street Client Job Number: Port Townsend,WA 98988- Turn Around Time: 5 Day C • Project Location: 321,331,330 Muncie Ave.,Qul/cine Samples Analyzed: 44 Client Sample Number: 321.1 Lab Sample Number: 12-00401.0001 Client Sample Description: Roofing Materiel-White Client Sample Location: 321 Muncie-Roof Sample Comments: Materials distinguishable but Inseparable Checked If Sample Not Analyzed 0 White coating on black fibrous asphalt Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 10% Aggregate 20% Coating 55% Asphalt Filler and Binder Client Sample Number: 321.2 Lab Sample Number:12-00401.0002 Client Sample Description: Roofing Material•Red Client Sample Location: 321 Muncie-Roof Sample Comments: Checked If Sample Not Analyzed 1 j Red and white pebbles and black fibrous asphalt Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Cellulose 35% Aggregate 50% Asphalt Filler and Binder Client Sample Number: 3214 Lab Sample Number: 12-0040t0003 Client Sample Description: Window Glaze Client Sample Location: 321 Muncie•3 Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed Red paint on gray and white compressed material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 1% Cellulose 30% Paint 69% Filler and Binder Client Sample Number: 321.4 Lab Sample Number: 12-00401.0004 Client Sample Description: Skirting Materiel Client Sample Location: 321 Muncie-Skirt Sample Comments: Materials distinguishable but Inseparable Checked if Sample Not Analyzed [ l (Sample results continued on next page.) Sampled by: Bob Witherldge 6/28/2012 ie___.....e.. t2 .- -----leo Received by: Jude Cummings 6/29/2012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 1 - I JLL-3-2012 11:04A FROM:NITHERIDGE 3603850584 TO:13602750949 P,5/9 • • 215 SW 153rd Street Burien,WA 98166 OFFICE:(206)988-1746 FAX:(206)988-1978 CIPZTHERNI NVLAP Lab Code:200511.0 MAU HVQJ WNS-1510. Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12.00401 408 Reed Street Client Job Number: Port Townsend,WA 98368- Turn Around Time: 6 Day C Project Location: 321,331,330 Muncie Ave.,Quilcine Samples Analyzed: 44 Off-white paint and white fibrous material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 18°x.Chtysotile Asbe3to; _ 10% Paint 72% Filler and Binder • Client Sample Number: 321.5 Lab Sample Number: 12.00401.0005 Client Sample Description: Floor Vinyl with Manic-Green Pebble Pattern Client Sample Location: 321 Muncie-Living Room Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed [I Green peeble pattern vinyl with off-white fibrous backing and brown residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 1.5%_Chryss0t11e Asbsiftos 40% Filler and Binder 45% Vinyl Filler and Binder Client Sample Number: 321.6 Lab Sample Number.12.00401.0006 Client Sample Description: Floor Vinyl with Mastic-Green Wood Pattern Client Sample Location: 921 Muncie-Living Room Sample Comments: Checked If Sample Not Analyzed. n Layer 1 Green wood grain pattern vinyl Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 1% Cellulose 99% Vinyl Filler and Binder Layer 2 . Clear sticky material with residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 3% Cellulose 30% Miscellaneous Materials 5% Hair 62% Filler and Binder Client Sample Number: 321-7 Lab Sample Number: 12-00401.0007 Client Sample Description: Floor Vinyl with Mastic•Wood Pattern Client Sample Location: 321 Muncie-Living Room Sample Comments: Checked If Sample Not Analyzed [] (Sample results continued on next page.) • Sampled by: Bob Witherldge 6/28/2012 4 0 e Received by: Jude Cummings 6/29/2012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 2 JUL-3-2612 11:65A FROM:WITHERIDGE 3663850584 TO:1360275064E P.6'9 215 SW 153rd Street Burien,WA 98166 W n7 O Z T H E N OFFICE:(206)988-1748 FAX:(206)988-1978 NDU*Y *u_MVOISN;,•NO. NVLAP Lab Code:200511-0 Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number; 12-00401 406 Reed Street Client Job Number: Port Townsend,WA 88388- Turn Around Time: 5 Day C Project Location: 321,331,330 Muncie Ave.,Qullcine Samples Analyzed: 44 Layer 1 Brown wood grain pattern vinyl Asbestos Fibrous Components: Non-Asbeslas Fibrous Components: Non-Fibrous Components: No Asbestos Detected 100% Vinyl Filler and Binder Layer 2 Clear sticky material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 12% Miscellaneous Materials 88% Filter and Binder Layer 3 White compressed powder Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 3% Cellulose 97%.Filter and Binder Client Sample Number: 321.8 Lab Sample Number.12-00401.0008 Client Sample Description: Floor Vinyl with Mastic•Tan Stone Pattern Client Sample Location: 321 Muncie-Bedroom Sample Comments: Checked If Sample Not Analyzed (- 1 White stone pattern vinyl with off-white fibrous backing and brown residue Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 12%Chryyatlis Asbestos. 5% Cellulose 35% Filler and Binder 48% Vinyl Filler and Binder Client Sample Number: 321-9 Lab Sample Number: 12-00401.0009 Client Sample Description: Floor Vinyl with Mastic-Gold Client Sample Location: 321 Muncie•Bathroom Sample Comments: Materials distinguishable but inseparable Checked If Sample Not Analyzed C 1 Gold and tan vinyl with oif-white and blue fibrous backing Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 1296 Ch-ry ills Asbestos - 40% Filler and Binder 48% Vinyl Filler and Binder Client Sample Number: 321-10 Lab Sample Number,12-00401.0010 Client Sample Description: Ceiling Tile Client Sample Location: 321 Muncie Sample Comments: Materials distinguishable but Inseparable Checked If Sample Not Analyzed (Sample results continued on next page.) Sampled by: Bob Wltherldge 6/28/2012 C . � Received by: Jude Cummings 612912012 Reviewed by: Jude Cummings 7/2/2012 Jude Cummings,Laboratory Manager Page 3 JUL-3-2012 11:05A FROM:WITHERIDGE 3503850584 TO:13602750648 F.7'9 R 215 SW 153rd Street Stirlen,WA 98166 4 OFFICE:(206)988-1746 FAX:(206)988-1978 U 0 Z T H E R N NVLAP Lab Code:200511-0 mOUireaum NrIOlINt.IWO- Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number: 12.00401 408 Reed Street Client Jab Number: Port Townsend,WA 98358- Turn Around Time: 5 Day C Project location: 321,331,330 Muncie Ave.,Ouilcine Samples Analyzed: 44 White and gold coating on medium brown compressed fibrous material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 85% Cellulose 5% Coating 10% Filler and Binder JUL-3-2012 11:05A FROM:WITHERIDGE 3603850584 TO:13602750648 P.8'9 All asbestos containing building materials with a reading greater than 1% is considered a hazardous material if disturbed. If removed a certified abatement contractor must follow the rules of the EPA and governed by Olympic Region Clean Air Agency. During demolition it is possible that additional suspect asbestos containing building material (ACBM) may be found. Should such suspect material be discovered an AHERA certified inspector will have to sample and test the material to prove it is of non- asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiable with reasonable diligence. After the facility is completely cleaned out a walk through and inspection is required by the original AHERA building inspector (NW Asbestos) after abatement, then a copy of the letter certifying that abatement has been completed needs to be received by the local permit center and Olympic Region Clean Air Agency. Thank you, Bob Witheridge, E. .M. JUL-3-2012 11:06A FROM:WITHERIDGE 3603850584 TO:13602750648 P.9/9 K: r ti '�`1a q)y :f ,i. . S+ J,:-.,-,311.----,..-..„, _, t .. - �., .- ,%':.--,.-,,:-,..„ TV: :;! . 4 ^ ;t, •., . w ,y'0*;,,A� ,_;. i”�,,4iPiH _.M:{+g irikt'i.-.�„ iG 4 t� : : .. - ?1'r15144P. _ �t4�∎Ver�• - .,�,, 1 f 1 I0'4 { . 1 00 �r y o liyy 3 1� I f s P 11, L:^ laf;.;' 1 �1 `' ,'11,4 VI -' 11 ,t • a Ili( 111 c it 4li - li 1110 t� tr a x111)11"fl• a ( a r_._._... —... .... . 11r�/4.... . , � 1131 `` d 1Ps -t ai r OH't 0h{I 1 .t...•"•-. Z'411. >{ V o 00:0 0 q0 0 0.0 OOOOO 00 •a:E00:0.0'0:0:Q 000.0:0:0000. . 0.0^0^0:0,0:0:0 000:0:0 0000:0:000000:000 0,0:0:0:00:0:0:0' ,,,q ., ti( �Q, , WASHINGTON r } by 'p ASSOCIATION of `� tss)s , t > _ MAINTENANCE and ...1.- >,, : "h ' _^ °° OPERATIONS r.. I,1r.) ADMINISTRATORS ' t alliq111$4r")4 711-■ICOV( ,i THIS IS TO CERTIFY THAT f.' '� a? Bob Witheridge !f'y i s; a�. 4„, 4 - Participated in the �. 7,-..,,,,. '' }� y EPA ANERA , •-: t: � ��? INSPECTOR, a� 4 •A rti MANAGEMENT PLANNER _ ' n: _, Refresher Course offered by the .Q "k�.�,�s'■ e}fie i'4::-.),`,>y, 4....WASHINGTON ASSOCIATION of MAINTENANCE, and OPERATIONS ADMINISTRATORS `=� Ti i r�o)D 1. jr l =V The full day training program `a T z ',, ...;, covered all topics specified in the ''*.;'4 .'''''`, -` Model Accreditation Plan under _ of l II of TSCA 1it�" a`F Section 206 f Tit e t�.`'- > i} '`=_.1.7.-. The course was taken on October 21 2011 a4'•�i ,4 in Silverdale, Washington. f$„�- ; Certificate #1021201102 Expiration October 21 , 2012 �'� ” .- a '•t ‘e.A... / yr! w4 w (e3iY D�'.r . . ; . Cohn MacRae Course Administrator _ ' 2714 228th St, SE, Bothell, WA 98021 -N t ,` g 4 4 '4 (425)485-6980 _ ' ''` ' ,''0_ f 'o:J:O:d:D:O:.,:0:0:0:0:0:0:o:a0:o:0:0:0:0:0:0:0.0:0:0:0:•;0:0.•:0:0:6:C:0.o;b;do:0:0:0:0:0:0:0:0:4:0:0:0:e0LA.0:0:0.0.0:0:0:0:0:0:0:0:o.0:al o,o:0:0:o:0i0:o:0:0:0:0:O;0:o:0.0.0.0 4 ,,,,I ;3' .1 %° ,1. L O C, 9 1#{ 111`,{,¢,'°Kp . !11 r:. k - 1 1 Y't'."£n I. Finis{ .V 1!{ q,$,• ... r4a QQ Db„hd,; ara d'm��.4fi4 10+�l11 r'1 11� p�;'BX#q�,p i��Ay�Al rl �C��y��1• V���I01 f S/II 15'y��.},y} 1 4{I�1 �.�{ !{II 1,! � wL}"-,'"�((� �J{f1} 1111+ ';w�Y^�I'+'-?'�'yf'�' t .•'?', '7.10 (,g.4 �, jrvy^y8 j l�iett Iii. ,,`�.'Y1 ',aio, „ 4:144 /i',A111,1 l�pdw��y��p 'q�y` AVgtPLY i,�Y`.f49'1 �l •V kW r:,,,, v .„iv i. 5� r I� sw �1'tv i'i � t :I 'il',+IMC'4�1t"'... **NA 1 f.1$10,* Jf .•a `, �S.4'.. ;e+.,.. r. .; �q. ...q:� rtlk ''At���'2��� "fA', y,vK• Itl�r ,� % i6 !'MS---- ^Twk'' ` ;,,, 'F�' r L�,,.L,; '�'.'�.4.�' y., .---,. �� 'S' -,04,-,A,_:-l��s`il • .. v r •b:6� Stacie Hoskins From: Stacie Hoskins Sent: Monday, December 23, 2013 3:00 PM To: Linda Atkins Cc: 'Pat McCullough'; 'Michelle Myers'; Randy Marx Subject: RE: BLD13-00239 Hi, Linda, I'm forwarding this message to you since I understand Randy is on vacation. Can you help? Thanks so much! Stacie From: Stacie Hoskins Sent: Monday, December 23, 2013 3:00 PM To: Randy Marx Cc: 'Pat McCullough'; 'Michelle Myers' Subject: BLD13-00239 Hi, Randy, I just met with Pat McCullough and Michelle Myers, copied with this message, regarding the demo and enhancement project in Quilcene on Muncie Avenue. The Hood Canal Salmon Enhancement Group is the applicant. They stated they intend to remove the tanks for the septic removal instead of just decommissioning them by filling them. What else do they need to do to obtain septic sign off for the demolition permit? Thanks so much! Stacie 4. qadeitut Planning Manager,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend,WA 98368 Phone 360-379-4463 * Fax 360-379-4451 shoskinsAco.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW SAVE PAPER - Please do not print this e-mail unless absolutely necessary 1 Stacie Hoskins From: Stacie Hoskins Sent: Monday, December 23, 2013 2:56 PM To: 'mike.shults @orcaa.org' Cc: 'Pat McCullough'; 'Michelle Myers' Subject: Asbestos removal, Muncie Ave, Quilcene Hi, Mike, I just met with Pat McCullough and Michelle Myers, copied with this message, regarding the demo and enhancement project in Quilcene on Muncie Avenue. The Hood Canal Salmon Enhancement Group is the applicant. Pat explained an issue with some remaining asbestos removal that cannot be completed until they conduct the demolition of the structure. Our typical process requires submittal of your approval first. Could you please let me know what the best course of action and coordination needed to proceed? From the ORCAA website: Demolition and Major Renovation Before a demolition (the wrecking, dismantling, fire protection agency training, or removal of any load supporting structural member that makes that portion of the structure unusable) can occur an approved demolition permit must be onsite. An asbestos survey needs to be included with the demolition permit application. If there is no asbestos, the demolition permit may be approved. If there is asbestos in the structure, it will need to be removed (with the proper permits) before the demolition permit can be approved. Additional permits from other agencies may be needed before a demolition or renovation can occur. To receive asbestos or demolition information from ORCAA, or to request permit forms, call (360) 539-7610 or 1-800-422-5623. Try out our new electronic Demolition Permit Application or download a PDF on the forms page. Thanks so much and Happy Holidays! Stacie 1'. ',Tfo Planning Manager,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend,WA 98368 Phone 360-379-4463 * Fax 360-379-4451 shoskinspco.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW filt SAVE PAPER - Please do not print this e-mail unless absolutely necessary 1 W , -}cirtar. — P ► �.. cr. i...0■. ._e ►_. .., ..: K-�- Ott)qV�S OEc tc OrA '- _ ` gowl(\ gefiLt_ CA-%F.4 447-4-4- v.110 -bf olee-& JU �,c-e_ fcr—ekks--g—,.) • SPECIAL PROVISIONS FOR THE BIG QUILCENE ESTUARY • RESTORATION PROJECT—PHASE 3 SPECIAL-GENERAL AND TECHNICAL SPECIFICATIONS FOR HCSEG CONTRACT NO. 2014-1 SPECIAL GENERAL CONDITIONS Owner/Grantee: Hood Canal Salmon Enhancement Group (HCSEG) PO Box 2169 Belfair, WA 98528 (360) 275-0373 Contact Persons: Michelle Myers Habitat Projects Manager& Education Outreach Coordinator Pacific Northwest Salmon Center Hood Canal Salmon Enhancement Group 600 Roessel Road P.O. Box 2169 Belfair, WA 98528 360-275-9722 ext. 22 Engineer: Engineering Services Associates Inc. (ESA Inc.) 210 N.E. Cherokee Beach Belfair, WA 98528 (360) 275 - 7384 Fax (360) 277-3187 path@wavecable.com Permits: Jefferson County Demolition Permit: Note that the asbestos has been removed from site except for a small section of asbestos flooring located in Building C. That asbestos could not be removed because the building was in danger of collapse. The contractor will have to coordinate with the asbestos removal contractor, KDS Inc. of Aberdeen, WA to assist KDS in removing the remainder of the asbestos in building C. Time of Completion: The site cleanup and building demolition shall be completed by February 15, 2014. Bid Proposals Due: Bid Proposals are due by 3 PM on Monday, January 6th, 2014 HCSEG office located at 600 Roessel Road, Belfair, WA. 1 SPECIAL PROVISIONS FOR THE BIG QUILCENE ESTUARY RESTORATION PROJECT—PHASE 3 Site Inspection and Location: Prior to bidding the work the Contractor is strongly encouraged to thoroughly investigate the site. Site location maps and project descriptions have been included with this document. Pat McCullough, P.E. of Engineering Services Associates will escort a site visit on Monday, December 23, 2014 at Noon. Meet at the Twana Restaurant in Quilcene, WA. Attendance is Mandatory. Unit Price Bid: This bid will be a lump sum bid. Bonding: A performance bond and payment bond is required on this project. The owner reserves the right to waive the payment bond and performance bond based on previous experience with the contractor and the past performance of the contractor. The contractor's bid shall include the full cost of the payment bond and performance bond. Right to Award: The Hood Canal Salmon Enhancement Group (HCSEG) is a "not for profit" organization that receives all its revenue from grants and donations. Based on the engineer's estimate, sufficient funds have been set aside to construct the project. If the qualified low bidder's bid exceeds the funds available for the construction of the project the HCSEG reserves the right not to award the contract or to negotiate a suitable price and scope of work with the low bidder at no cost to the HCSEG. Increased or Decreased Quantities: Section 1-04.6 of the standard specifications allows for an increase or decrease in unit price if there is more then a 25% increase or decrease in the quantity. For this contract there will be no increase or decrease in the cost per unit of the quantity if the amount of the quantity change GENERAL REQUIREMENTS AND STANDARD SPECIFICATIONS GENERAL REQUIREMENTS: The State of Washington Standard Specifications for Road and Bridge Construction, current edition are hereby incorporated in this agreement by reference thereto. Acceptance of all materials will be as set forth in the Standard Specifications. This includes submittals of samples, Manufacturer's Certifications, mill tests, and/or selection of materials from the WSDOT Qualified Products List. This work shall be completed in accordance with the provisions of Section 1-08 of said Standard Specifications by February 15, 2014. The Contractor shall submit a construction schedule within 5 calendar days after the contract award. This offeror agrees that the work that is listed as lump sum is subject to a binding lump sum amount for the work described herein and shown on the plans. All other work is subject to the provisions of Section 1-02.3 of said Standard Specifications. 2 SPECIAL PROVISIONS FOR THE BIG QUILCENE ESTUARY RESTORATION PROJECT—PHASE 3 Site Inspection and Location: Prior to bidding the work the Contractor is strongly encouraged to thoroughly investigate the site. Site location maps and project descriptions have been included with this document. Pat McCullough, P.E. of Engineering Services Associates will escort a site visit on Monday, December 23, 2014 at Noon. Meet at the Twana Restaurant in Quilcene, WA. Attendance is Mandatory. Unit Price Bid: This bid will be a lump sum bid. Bonding: A performance bond and payment bond is required on this project. The owner reserves the right to waive the payment bond and performance bond based on previous experience with the contractor and the past performance of the contractor. The contractor's bid shall include the full cost of the payment bond and performance bond. Right to Award: The Hood Canal Salmon Enhancement Group (HCSEG) is a "not for profit" organization that receives all its revenue from grants and donations. Based on the engineer's estimate, sufficient funds have been set aside to construct the project. If the qualified low bidder's bid exceeds the funds available for the construction of the project the HCSEG reserves the right not to award the contract or to negotiate a suitable price and scope of work with the low bidder at no cost to the HCSEG. Increased or Decreased Quantities: Section 1-04.6 of the standard specifications allows for an increase or decrease in unit price if there is more then a 25% increase or decrease in the quantity. For this contract there will be no increase or decrease in the cost per unit of the quantity if the amount of the quantity change GENERAL REQUIREMENTS AND STANDARD SPECIFICATIONS GENERAL REQUIREMENTS: The State of Washington Standard Specifications for Construction current edition are hereby incorporated in this Road and Bridge y rp agreement by reference thereto. Acceptance of all materials will be as set forth in the Standard Specifications. This includes submittals of samples, Manufacturer's Certifications, mill tests, and/or selection of materials from the WSDOT Qualified Products List. This work shall be completed in accordance with the provisions of Section 1-08 of said Standard Specifications by February 15, 2014. The Contractor shall submit a construction schedule within 5 calendar days after the contract award. This offeror agrees that the work that is listed as lump sum is subject to a binding lump sum amount for the work described herein and shown on the plans. All other work is subject to the provisions of Section 1-02.3 of said Standard Specifications. 2 1 SPECIAL PROVISIONS FOR THE BIG QUILCENE ESTUARY RESTORATION PROJECT—PHASE 3 It is understood that the offeror is authorized to do business in the State of Washington and agrees to comply with the special provisions, attached hereto, or any and all applicable Local, State and Federal Laws. It is further understood that the agreement shall not be effective until such time as it has been accepted and signed by the Director of the Hood Canal Salmon Enhancement Group and a copy thereof is returned to the offeror. QUANTITIES SHOWN ON THE BID SHEET: Quantities shown in the special provisions, shown on the plan sheets or on the bid sheets are an estimate only and intended only as an assist to the Contractor in the preparation of the bid. The Contractor must verify quantities before submitting the bid. CONSTRUCTION INSPECTION: The HCSEG has retained Pat McCullough, President of Engineering Services Associates Inc. as the Engineer of record for this project. Mr. McCullough or his representative will be on the project daily during the site clearing and cleanup and building demolition. All questions and concerns by the Contractor should be directed to Mr. McCullough or his designated assistant. (360-275-7384). CONTRACTORS INSURANCE: See Agreement for Contractor Services - HCSEG 2014-1. Written proof of insurance must be provided before notice to proceed. The Hood Canal Salmon Enhancement Group, Jefferson County, and ESA Inc. shall be named as insured. PREVAILING WAGE RATES: The owner has been informed that the Washington State prevailing wages for Jefferson County and or wage rates that comply with the Davis- Bacon Act as amended (40 U. S. C. 276a to a-7) for Jefferson county are required to be paid on this project. Use the higher of the wage rates for any category of labor. Go to http://www.lni.wa.gov/prevailingwage/iwaqes/20081/JEFFERSON.PDF and http://www.wsdot.wa.gov/publications/fulltext/ProiectDev/Ad Ready/FederalWages/WA1. pdf for Washington State and Davis Bacon Wage rates. PAYMENT: See Section 10 of Agreement for Contractor Services. The Contractor shall conduct the work so that the work is continuous. It is expected to take approximately 4 weeks to process the payment vouchers. There will be a 5% retainage on the project until the project is accepted by the Washington State Department of Labor and Industries. PROJECT SOILS: Soils investigations have been completed for this project and are available upon request. WASTE SITES: All demolition materials shall be disposed of in a permitted waste site. The engineer must approve the waste sites to be used by the contractor in advance. The contractor is encouraged to recycle as much of the waste as is practical. 3 SPECIAL PROVISIONS FOR THE BIG QUILCENE ESTUARY • RESTORATION PROJECT—PHASE 3 UNDERGROUND AND OVERHEAD UTILITIES: The Contractor shall call for a LOCATE at 1-800-424-5555 for a utility locate. It appears that site A has been disconnected from the power. Site B, C, and D appear to still be connected to the power. The contractor shall call the power company and the other utility companies and proceed with the disconnection and removal of the overhead wires and other utilities from the site. DRAWINGS: The following drawings for Big Quilcene Estuary Restoration— Phase 3 Project are made a part of these contract documents. DRAWING LIST: 1.COVER SHEET 2.SITE CLEANUP AND BUILDING DEMOLITION PLAN SPECIAL TECHNICAL PROVISIONS Big Quilcene Estuary Restoration — Phase 3: Demolition Scope of Work Restoration Site Cleanup and Building Demolition Phase - Scope of work. The purpose of the site clearing, cleanup, and demolition phase of this project is to restore the previously developed portion of the property recently purchased by the HCSEG to its pre-development condition. There are five derelict dwelling units and several outbuildings located on the site. Three of derelict dwelling units appear to be on concrete foundations. The project includes, but is not limited to, the following scope of work: 1.Mow the site vegetation and expose the debris spread around the site. Clear the site of loose debris and garbage. Leave all existing trees. 2.Demolish, remove and dispose of all the debris from the five derelict dwelling units including all roofing, framing, concrete foundations, and fireplaces. 3.Remove and dispose of the existing septic tanks. This work includes pumping out the existing septic tanks prior to removal. Contact the Jefferson County Department of Health prior to starting the removal of the septic systems. Jefferson County may require that a licensed septic installer remove the septic tanks. 4.Removal and dispose of all auxiliary buildings and associated debris, the old car bodies, and other junk on the property. 5.Disconnect all power, water, and other utilities from the derelict dwelling units and auxiliary buildings. The contactor will be required to coordinate this work with the utility companies. 6.Remove and dispose of all the existing driveways down to native soils. Re-grade the area to blend into the surrounding lawn areas. 4 SPECIAL PROVISIONS FOR THE BIG QUILCENE ESTUARY RESTORATION PROJECT—PHASE 3 7.Fill in the existing foundation crawl spaces and otherwise re-grade the disturbed areas of the site to prepare it for planting and hydroseeding. 8.Hydroseed the area of the site that has been disturbed. Place 6" of straw over the hydroseeded areas to prevent erosion. 9.The existing wells on the site must be abandoned in accordance with the WSDOH and Jefferson County requirements. This work will be completed under a separate contract. The contractor for this contract will locate and prepare the wells for abandonment as directed by the engineer. Measurement and Payment; This is a lump sum contract for completion of the work described in the scope of work and/or for the work necessary to cleanup and clear the site, to demolish the buildings, and to dispose of the waste on the site. 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PJI gy m - .all4€gymoigi 1 h 1 J t i ;+01g '; qo e rl 7S A 6- 1911 a g6 12! m g 11/21 R 21 2 AR 1- ; j j1 4 :i' 1I s ii ig m C '2 M° 1 01 ' Oi 9= 6 A M fA 013 f] ,qP i g II n Z ?. r-r r- Pin 9 9 �� � r 8.0 t 1 1 N ib It 1;: 41" b� _!�k �y m 1 j e " �� 9 p9ri m ¢�oS73 t s� ,y+. !roy 454 I o °` I � gy`'5 g R ,., cszlo g FP=� s tiG•ili g Ais3� o „g;.7. C '� �'^ z =Kd i rl L Q th VI O X r AGENCY USE ONLY !. Date received: us Army Corps WASHINGTON STATE of e a$�o Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form1'2 Tax Parcel AO: 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) [help BIG QUILCENE ESTUARY RESTORATION—PHASE 3 (SFRB PROJECT 11-1349) Part 2-Applicant The person and/or organization responsible for the project. [help] 2a. Name (Last, First, Middle) Mendy Harlow—Director 2b. Organization(If applicable) Hood Canal Salmon Enhancement Group 2c. Mailing Address (Street or Po Box) PO Box 2169 2d. City, State, Zip Belfair,WA 98628 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail ( 360-275-3575) ( 360-275-9722) ( 360-275-0648) mendy @pnwsalmoncenterorg • 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.) [help] 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.armv.mil/Missions/Civi lWorks/Reaulatory/PermitG uidebook/EndanneredS pecies.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.epermittinq.wa.uov/site/alias resourcecentediama lama form/9984/iarpa form.aspx. For other help,contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or help @ora.wa.gov. JARPA Revision 2012.1 Page 1 of 16 3a. Name (Last, First, Middle) • Pat McCullough, PE 3b. Organization (If applicable) ESA Inc. 3c. Mailing Address (Street or PO Box) 210 NE Cherokee Beach Road 3d. City, State, Zip Belfair, WA. 98528 3e. Phone(1) 3f.: Phone(2) 3g. Fax 3h. E-mail (360—275-7384) (360) 204-2356 (360) 277-3187 path @wavecable.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. [help X 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 • ( ) ( ) ( ) Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help] JARPA Revision 2012.1 Page 2 of 16 ❑ 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] X 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] No. Address—The estuary restoration site is located at the end of Munchie Ave. in Quilcene WA See Attached Drawings and Vicinity 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] Quilcene,WA 98376 5d. County [help] • Jefferson • 5e. Provide the section, township, and range for the project location. [help] 1/4 Section Section Township Range NE 24 27N R2W 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) LAT 47.81798N, LONG 122.86580W 5g. List the tax parcel number(s)for the project location. [help] • The local county assessor's office can provide this information. JEFFERSON CO. 991201701 and 991201702 5h. Contact information for all adjoining property owners. of you need more space,use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel #(if known) ADAM NEWMAN PO BOX 872,QUILCENE,WA 98376 991201506 360-765-3521 HERON HOUSE LLC 12002 SE 218TH PLACE,KENT,WA.98031-3930 ALSO:CONTACT LAWRENCE SCHINKE OR 14813 SE FAIRWOOD BLVD.,RENTON,WA 98058 702244005 PHONE 426-266-8150 • STATE OF WASHINGTON FISH AND 600 CAPITAL WAY NORTH 991202301 WILDLIFE—REAL ESTATE SERVICES OLYMPIA,WA.98501 991202401 5i. List all wetlands on or adjacent to the project location. [help] There are no wetlands within the estuary restoration excavation zone. The excavation zone was filled several years ago for use as a log storage yard. The goal of the project is to remove the fill material from the estuary and re-establish most of the historic estuarine habitat. The site is bounded on the • JARPA Revision 2012.1 Page 3 of 16 south, east, and west by estuarine wetlands and tidal channels. 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Quilcene Bay (Hood Canal) and the Big Quilcene River. 5k. Is any part of the project area within a 100-year floodplain? [hem X Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [hem Most of the site is covered with grasses and bare soil. See attached drawings — Sheet 2 Project Summary Plan. Approximately 1 acre of the proposed excavation area is covered with second growth deciduous and conifer trees. There is a considerable amount of junk remaining on the site from previous logging operations and an old house that has been abandoned for several years. The old house will be demolished and the debris taken to disposal. 5m. Describe how the property is currently used. [helpl The property is not being used at the current time. • 5n. Describe how the adjacent properties are currently used [hem To the west of the excavation site—on HCSEG property- is a 258 foot wide Bonneville Power power line easement. It is vacant except for the overhead power lines and an occasional tower. To the north is the Quilcene River and properties owned by the HCSEG and WDFW that are held in flood plain conservation. The properties are vacant. To the south is an 80 acre parcel owned by Heron House LLC (Larry Schinke) that is under a conservation easement . This property was previously restored to estuary by removing a 2,500 foot levee on the easterly portion of the site. A Coastal Wetland and SRFB funded project. To the east is the flood plain conservation property owned by the WDFW. The properties are vacant. In the northwest corner of the restoration site Adam Newman owns a 72' wide by 100' deep parcel that is being used as a hunting and fishing base camp for the Newman family. There are no structures on the property. An old RV that is being used as a temporary shelter during hunting and fishing trips on Quilcene Bay. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current JARPA Revision 2012.1 Page 4 of 16 condition. [help] The only structure on the property is an old abandoned house with a rock fireplace chimney that will be demolished and disposed of offsite as a separate project element of the estuary restoration project. It will be removed as part of the uplands property cleanup. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help] From Olympia. Take Hwy 101 from Olympia to Quilcene,WA Turn right on Linger Longer Road Turn left on Munchie Ave. Drive to the end of Munchie Ave. walk around the gate and, across the Bonneville Power easement to the restoration site. • Part 6-Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. [help] See attached engineering drawings. The project consists of 1) removing the junk and derelict building from the site, 2) clearing and grubbing the excavation area, 3) removing the fill from the estuary restoration area of the site, 4) excavating and grading the estuary, 5) constructing an 827 foot long main tidal channel through the proposed estuary and 6) constructing 1,255 feet of new distributary channels that feed into the main tidal channel. The side slopes of the excavated are will be 3:1 to allow for planting. The side slopes will be planted with winter rye and cedar and Douglas fir trees spaced ten feet center to center. 6b. Describe the purpose of the project and why you want or need to perform it. [help] U.S. Fish and Wildlife Service's National Status and Trends findings indicate that the decline of coastal wetlands has gradually been decreasing since the 1980s (Dahl 2006). Yet population growth and residential development continue to pose a major risk to the high-quality wetlands that still exist as functional coastal watersheds. In the Hood Canal region of Puget Sound, WA, coastal wetland losses have been extensive - only 22% of historic tidal wetlands are considered fully functional (Point No Point Treaty Council 2006 In Quilcene Bay, federally-listed Hood Canal summer chum, Puget Sound Chinook salmon and Steelhead use estuarine and tidal marsh habitat during their juvenile rearing stage, as do Puget Sound/Strait of Georgia Coho (federal species of.concern) and pink salmon, Puget Sound steelhead trout (federally threatened), coastal Puget Sound bull trout (federally threatened) and coastal cutthroat trout. This project will address components of four of the major factors leading to the decline of Hood Canal summer chum habitat in Quilcene Bay by 1) protecting natal sub-estuarine tidal marsh habitat, 2) protecting floodplain wetlands, 3) restoring instream habitat, and 4) restoring riparian forests (Summer Chum Recovery Plan, NOAA 2007). This project will also address the limiting factors for salmon habitat in the Big Quilcene River that were identified by the Water Resource Inventory Area (WRIA) 17 Limiting Factors Analysis (2002). The limiting factors identified included channel confinement, floodplain disconnection and lack of large woody debris and riparian vegetation in the lower reaches. JARPA Revision 2012.1 Page 5 of 16 This project is key to completing a phased approach to large-scale ecosystem restoration in Quilcene Bay (upper Quilcene Bay includes tidal marsh estuaries of the Big and Little Quilcene Rivers and Donovan Creek) —the third largest delta and tidal marsh complex in Hood Canal (PNPTC 2006). The proposed protection and restoration actions in the Big Quilcene River system comprise one of the last phases required for the ecosystem-scale conservation of Quilcene Bay. The proposed project builds on extensive protection and restoration actions within upper Quilcene Bay, including Donavan Creek restoration, a project previously funded by the National Coastal Wetlands Conservation Grant program (C56-1). Project actions will build on restored habitat connections between Quilcene Bay and The Little Quilcene River, Indian George Creek, the Big Quilcene River and Donovan Creek, initiated by the HCSEG in 2007 by the removal of an undersized culvert at the mouth of Donovan Creek. See image below. The lower segment of the river associated with this restoration is tidally influenced. Historic maps indicate that a salt marsh complex existed at the location of the land parcels to be acquired by this project. More current maps of the landscape suggest this feature could once again be established as part of the river restoration. This project will attempt to enhance the function and feature as part of the river and riparian restoration. The land parcels included in this project include the expanse of the entire floodplain, so the redesign of the channel will include side channels providing for increased salmon habitat and serving to reduce the effects of high-water flood events. This project will conserve a functional coastal wetland ecosystem by restoring a transitional ecosystem, including riparian forest, a coastal stream, freshwater forested, shrub and emergent wetlands, freshwater tidal wetlands, and estuarine intertidal wetlands. See also: National Coastal Wetlands Conservation Program Grant Proposal Big Quilcene River Coastal Stream Acquisition and Restoration Quilcene Bay,Washington a� nar}, Quilcene Ba Y upto a rovaJ G'ka ry owl = .. oeito-oe.�e.awn 41, doYttll�4•r-14 i� �6 kRtFT9f+41 _- _ 6c. Indicate the project category. (Check all that apply) [help] JARPA Revision 2012.1 Page 6 of 16 ❑ Commercial ❑ Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance X environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] El Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall El Bank Stabilization ❑ Dam/Weir ❑ Floating Home (upland) ❑ Boat House [1] Dike/Levee/Jetty ❑ Geotechnical Survey ❑ Road 111 Boat Launch El Ditch El Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift ❑ Dock/ Pier ❑ Marina/ Moorage ❑ Stairs El Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility ❑ Bulkhead ❑ Fence ❑ Outfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft X Other: This is an estuary restoration project. fie. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. For Construction of the portion of the project below OHW. 1. Set out erosion control BMP's. 2. Clear and grub the excavation area. 3. Construct the main tidal channel and the minor distributary channels. 4. Start excavation at east end of the site and excavate to grade moving west across the site. 5. Plant the slopes of the new estuarine habitat. Use natural recruitment of estuarine plants for the remainder of the project. Big Quilcene Estuary Restoration - Newman Property: Project Schedule TASK DATE COMPLETE 1. Complete Property Boundary Survey 12/15/12 2. Complete Property Topographic Survey _ 3/15/13 3: Complete Soil Test Holes 3/26/13 4. Complete 50% Design — Design Review 4/5/13 by HCCC Tech. Team 5. Complete Archeological Studies and 5/7/13 submit to SHPO & USFW - Section 106 6. Complete JARPA, SEPA, and 5/19/13 Shorelines Permit Application. 7. Complete 90% Design —Submit for 6/1/13 Review by HCCC Tech. Team. 8. Complete Final Design and Contract 1/1/14 Documents— Include Demolition, JARPA Revision 2012.1 Page 7 of 16 Asbestos Removal, Excavation, and Planting in Contract Documents—Submit for Review by RCO. 9. Receive HPA from WDFW 12/15/13 10. Apply for Jefferson County Grading, 1/6/14 Drainage, and Demolition. Permits. 11. USFW— Richard Carlson —Complete Section 7 Review and submit to COE. 2/15/14 12. Advertise for Bids 4/15/14 13. Complete Permitting for Project— 4/15/14 COE and WDDOE 404, 401 Permits 14. Award Bid and start Construction 5/1/14 • 15. Complete Construction 11/15/14 16. Close Out Project 12/6/14 6f. What are the anticipated start and end dates for project construction? (Month/Year) [help] . • 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: August 1, 2013 End date: December 6, 2014 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals,etc. [help] $420,000 6h. Will any portion of the project receive federal funding? [help • If yes, list each agency providing funds, X Yes ❑ No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation X Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.)[help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help ❑ Not applicable The estuary excavation will connect to the existing estuarine habitat at several locations. The excavation within the property will remain isolated from the existing tidal flow during construction. The new estuary will connected to the existing estuary during a low tidal episode when water is not present. 7b. Will the project impact wetlands? [help] X Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [help] JARPA Revision 2012.1 Page 8 of 16 X Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? [help • If Yes,submit the report,including data sheets,with the JARPA package. X 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. X Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands'? [helpl • 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 X No ❑ Not applicable We will be merging the new estuary into the existing wetlands around the edges of the fill removal excavation. The estuarine wetland restoration project is the mitigation for any incidental impacts to the surrounding wetlands that will take place during this project. We will be connecting to existing wetlands during low tide periods when tidal waters are not present. 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help) See 7f above. 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. [heiDi Activity(fill, Wetland Wetland Impact Duration Proposed Wetland drain,excavate, Name' type and area(sq. of impact' mitigation mitigation area flood, etc.) rating ft. or type4 (sq.ft.or category2 Acres) acres) Excavate WETLAND C Forested 26,500 sq. 1 week Project Project Fresh Water feet. Excavate WETLAND A Estuarine 14,500 sq. 1 week Project Project feet. NONE WETLAND B Forested None 'If no official name for the wetland exists,create a unique name(such as'Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the JARPA package. 3 Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. 4 Creation(C), Re-establishment/Rehabilitation(R),Enhancement(E),Preservation(P),Mitigation Bank/In-lieu fee(B) Page number(s)for similar information in the mitigation plan, if available: 7i. For all filling activities identified in 7h,describe the source and nature of the fill material, the amount in cubic yards that will be used, and how and where it will be placed into the wetland. (help] JARPA Revision 2012.1 Page 9 of 16 . 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] The project will be creating 4 acres of estuarine wetlands. The contractor will use the standard excavator and 11 CY dump trucks for the excavation. Waste soils will be hauled to an approved and permitted waste soil disposal area. 22,000 CY of fill will be removed to re-create the historic estuarine habitat. 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] X 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. [help] ❑ Not applicable The excavation work will be isolated from water bodies until completed. The connected during low tidal episodes when tidal waters are not present. 8b. Will your project impact a waterbody or the area around a waterbody? [help] X Yes ❑ No The project will improve the habitat of Quilcene Bay by adding 4 acres of estuarine habitat and 2,82 feet tidal and distributary channels for fisheries habitat. JARPA Revision 2012.1 Page 10 of 16 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 X No ❑ Not applicable The project is a mitigation. The purpose of the project is to restore an historic estuary to the Big Quilcene River and Quilcene Bay. 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 [help.' 8e. Summarize impact(s) to each waterbody in the table below. iheip] Activity(clear, Waterbody Impact Duration Amount of material Area(sq. ft. or dredge, fill, pile name' location2 of impact3 (cubic yards)to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected • waterbody 11f no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2lndicate 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. 3lndicate 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. [help 8g. For all excavating or dredging activities identified in 8e, describe the method for excavating or dredging, JARPA Revision 2012.1 Page 11 of 16 M..MM7MIMM.MIMMmmImmImmIml'm'i ' ---:-7--'type and amount of material you will remove,and where the material will be disposed. [helpt • 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: [helpl 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 JARPA on the Washington Department of Ecology's 303(d) List? [help • 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" XNo 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [help1 • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110018 Hood Canal; state(s): WA • 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? [help] • Go to http://www.ecy.wa.gov/services10is/maps/wria/wria.htm to find the WRIA#. WRIA#17 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [helpl • Go to http://www.ecy.wa.gov/programs/wo/swps/criteria.html for the standards. Page 12 of 16 JARPA Revision 2012.1 X 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.ecv.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. X Rural ❑ Urban ❑ Natural ❑ Aquatic X Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplications/Pages/fp watertvping.aspx for the Forest Practices Water Typing System. X Shoreline X Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal 9k 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. X Yes ❑ No Name of manual: Storm Water Management Manual for the State of Washington—latest edition 9i. Does the project site have known contaminated sediment? [helpi • If Yes, please describe below. ❑ Yes XNo • 9j. If you know what the property was used for in the past, describe below. [help] A log storage yard. • 9k. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If Yes,attach it to your JARPA package. X Yes ❑ No JARPA Revision 2012.1 Page 13 of 16 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. [help] Hood Canal Summer Chum Puget Sound Chinook Hood Canal Steel Head Marbled Merlot Brown Trout species Washington ht ' i ity s and 9m. Name Species List that lmS ht be affected by the proposed wor [ l f Fish and Wildlife's Priority Habitat. Spec 9 Hood Canal Summer Chum Puget Sound Chinook. Hood Canal Steel Head Marbled Merlot Brown Trout 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.00v/opas/. • Governor's Office of Regulatory 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.) [help] • For more information about SEPA,go to www.ecv.wa.gov/programs/sea/sepa/e-review.html. X A copy of the SEPA determination or letter of exemption is included with this application. ❑ A SEPA determination is pending with Jefferson County (lead agency). The expected decision date is July 15, 2013. ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in lob.)[help) ❑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 2012.1 Page 14 of 16 • 10b. Indicate the permits you are applying for (Check all that apply.) ihelpl • LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type (explain): Restoration of the Big Quilcene River Estuary Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: X 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: X $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 Julyi 0, 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: X Section 401 Water Quality Certification FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): X 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) JARPA Revision 2012.1 Page.15 of 16 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help. 11a. 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 autho the agent named in Part 3 of this application to.act on my behalf in matters related to this application. VV`�---(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 enteri g the property where the project is located to inspect the project site or any work related to the project. (initial) SEE SI NA UR PAGE ENCLOSED. r t 2-I (r� 1 t 3 Applicant Pr' ed Name Applicant Signature Date 11 b. Authorized Agent Signature [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 all necessary permits have been issued. eX/ ti 96 70 /q- • Authorized Agent Printed Name Aut orized Agent Signet,re Date 11c. Property Owner Signature (if not applicant). [helot 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. . • Me-Add/ 4&40-0 Property Owner Printed Name Property Ow r Signature Date 18 U.S.0§1001 provides that:Whoever,in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme,or device a material fact or makes any false,fictitious,or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry,shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format,contact the Governor's Office of Regulatory Assistance(ORA)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. ORA publication number: ENV-019-09 rev.06-12 JARPA Revision 2012.1 Page 16 of 16 Federal Aid Section 7 Evaluation Form — PHASE 1 To be completed by Grantee [Note: If more space is needed for responses, attach additional sheets, or set up this form to accommodate your responses.] Originating Person: Chris Hempleman State/Agency: WA State Dept. of Ecology Date: 1. Grant Number and Project Title: Big Quilcene, C-85-L-1 2. County project(s)will occur in: Jefferson County 3. Section,township, and range (or latitude and longitude): The project area is 30 acres located within T27NR02WS24 and T27NRO1WS19. The mouth of the Big Quilcene River is located at 47.818241 Lat, - 122.858477 Long. 4. Listed/Proposed/Candidate species and critical habitat present and occurring within 1 mile of the project(s) area: Hood Canal summer chum salmon and chinook salmon. See Attachment A 5. Describe the proposed project. Be as specific as possible. Attach additional pages as needed. Provide map of the project's location, and include species and critical habitat occurrences. Include responses to the following: See Attachment B—Project JARPA. A. How many acres/miles does the project encompass? 30.13 ACRES B. What weeks or months will the project occur in? September 2013 to September 2014 C. How long will it take to complete the project? Asbestos Abatement—two weeks.Demolition —4 weeks in the fall of 2013, estuary restoration—two months in the summer of 2014. D. What machinery, if any, will be involved? Crawler tracker, excavator, and several 10 CY dump trucks. E. Will any herbicides be used? If so, describe what herbicide, what it will be used for, and application rate. No herbicides will be used for this restoration project. F. By implementing the project,what will be accomplished? See Attachment B. The cleanup of 15 acres of near shore habitat and the restoration of 5 acres of estuary in Quilcene Bay located near Quilcene,WA. G. If there are no field activities,what is the nature of the proposed project? 6A. What is the estimated effect of the project on each listed species and critical habitat? Evaluate each action on each species. See Attachment A 6B. List any federal permits and/or biological opinions (and their permit/tracing numbers), exemptions under ESA Section 4(d), or other permit authorizations (e.g., state or Corps permits) that may apply to this project: This will be a Limit 8 project and WDFW will be the lead in the federal permitting process under agreement with the HCESG. The ESA consultation will be coordinated by WDFW. The HCSEG will prepare the JARPA, and complete the wetland study, archeological study,prepare the JARPA, the final design and all other permits. Agency Approval Signature Date Printed Name and Title Application for Streamlined Processing of FISH HABITAT ENHANCEMENT PROJECTS Addition to the Joint Aquatic Resources Permit Application (JARPA) Under RCW 77.55.1$1 you may qualify for a streamlined permit process with no local government fees if your project is designed to enhance fish habitat. If your project meets the requirements below,you are entitled to the streamlined Hydraulic Project Approval(HPA)process,exemption from the State Environmental Policy Act(SEPA),and exemption from all local government permits and fees. To apply for the exemption process,you must provide,on the same day,a complete application package to:the Department of Fish and Wildlife(WDFW)and all applicable local government planning and permitting departments. Local governments have 15 days to provide comments to WDFW to aid it in deciding whether your project qualifies(see below for details). To QUALIFY for the fish habitat enhancement exemption you must check at least one each from A and B and provide a letter of approval from one of the agencies listed in B.It is highly recommended you discuss your proposal with the local Area Habitat Biologist(AHB)prior to submitting your application. A)My project(check all that apply): X Removes a human-made fish passage barrier.—The Property Owner filled in an historic estuary and salt marsh.This project will remove the fill and reconstruct the salt marsh and estuary. ❑Restores an eroded or unstable stream bank using bioengineering techniques. X Places woody debris or other in-stream structures that benefit naturally reproducing fish stocks. B)My project is approved by(check all that apply): ❑WDFW's Salmon Enhancement,or Volunteer Cooperative Fish and Wildlife Enhancement Programs. ❑The sponsor of a watershed restoration plan as provided in chapter 89.08RCW. ❑WDFW,as a department-sponsored fish enhancement or restoration project. ❑Conservation District,where the project complies with design standards established by the Conservation Commission through interagency agreement with the United States Fish and Wildlife Service and the Natural Resource Conservation Service. X A formal grant program established by the legislature or the Department of Fish and Wildlife for fish habitat enhancement or restoration. To APPLY for the Exemption,submit a complete application package consisting of the following documents to the local government planning department and WDFW. Indicate below which local government agency you are sending your application to and when you are sending it. Required application materials: • This addition to the JARPA. • A completed JARPA(use the most recent version of JARPA). • Payment of HPA application fee of$150(submit ONLY to Washington Department of Fish and Wildlife). • Plan drawings(no larger than 11 x 17 format). • Letter of approval of your specific project from one of the agencies listed in B,above. —This is a HCSEG Project Approved by the Hood Canal Lead Entity and WA.State RCO. I am sending my application to the following local government planning department: xx/xx/20xx [Jefferson County DCD, Distirct 6 WDFW on:l 12-15-13 �� (Date) PLEASE NOTE: • In addition to applying for this streamlined processing,you need to apply for all other applicable Federal and State permits identified in the JARPA. • If WDFW determines that your project meets the fish habitat enhancement exemption criteria,SEPA and all local government permits and fees are waived.WDFW will process your HPA within 45 days of receiving your complete application. • If significant concerns are raised during the 15-day comment period regarding adverse impacts from your project that cannot be addressed through HPA conditions,WDFW may determine that the project does not qualify for the exemption process.If WDFW makes that decision,you may re-apply to WDFW,the applicable local government,and any other applicable permitting agency for approval under the full permitting process.If WDFW determines that your project does NOT qualify for the exemption,or if your application is incomplete,you and the local government planning department will be notified. Big Quilcene Estuary Restoration- Phase 3 (RCO Project No. 11-1349) Applicant Name:�. o. �.. JARPA Fish Habitat Revision 2012.1 ATTACHMENT A LISTED Brown pelican (Pelecanus occidentalis) [outer coast] — Project is not on the outer coast, and will therefore have no effect. Bull trout (Salvelinus conf/uentus) Marbled murrelet (Brachyramphus marmoratus)— Project area is pasture and tidal flats, that are not suitable habitat. Northern spotted owl (Strix occidentalis caurina) - Project area is pasture and tidal flats that are not suitable habitat. Short-tailed albatross (Phoebastria albatrus) [outer coast] — Project is not on the outer coast, and will therefore have no effect. ORCA, Steelhead, and Rockfish. This project will have no affect on any of those species. DESIGNATED Critical habitat for bull trout Critical habitat for the marbled murrelet - Project area is pasture and tidal flats that are not suitable habitat. Critical habitat for the northern spotted owl - Project area is pasture and tidal flats that are not suitable habitat. PROPOSED Dolly Varden (Salvelinus malma) due to similarity of appearance CANDIDATE None Memo from Richard Carlson — USFW: To: Pat McCullough, PE Date: 8-27-13 I think the Big Quilcene project will be very similar to the Schinke dike removal. I don't know of any FWS species listed in the area since the consultation was done in 2008, so those should be the same. The only changes have been NOAA adding Orca, steelhead, and rockfish. Since the project is receiving SRFB funding, I would use the Limit 8 process with NOAA to consult on those species. I've included the Schinke Appendix G (our programmatic consultation form that is like the Corps SPIF), but you could use other consultations done in North Hood Canal too. I'll be in today and tomorrow if you have questions. Rich Rich Carlson, Restoration Ecologist U.S. Fish and Wildlife Service, WFWO 510 Desmond Dr, SE, Suite 102 Lacey, WA 98503 360-753-5829 rich carlson(a.fws.gov UDC CONSISTENCY REVIEW , �• Project Planner: Master#MLA14-00013 Review Type Project Description PRJ14-00010 BIG QUIL RESTORATION PROJECT w/SEPA AW44-00004- BIG QUIL RESTORATION PROJECT: Shoreline exemption )pi -0000 Lf permit for ZON14-00004 ZON14-00004 BIG QUIL RESTORATION PROJECT w/SEPA -- 5/.0 r, ,,1 Primary: HOOD CANAL SALMON ENHANCEMENT Site Address: PO BOX 2169 BELFAIR WA 985282169 WA, / WCat;ek)6Q- Project Location: • Parcel Number: 99120170 S- - : 24-27N-02W Total Acreage 3 Legal Description QUILCENE BLK 18 LOTS 1 THRU 20 W/PTN S/VAC Land Use: 1100 CHATTANOOGA AVE ADJ(RES#90-93) Flood District: Fire District: 2 Planning Area: 10 Flood Map(FIRM)Panel No: chool D 48 Zoning: / COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the pnperty lines as identified on theAssessor's 1/4 map) [ ] Legal Access to Property YES/ NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES N/ [ ] Shoreline Designation: . NO 1 ' [ ] Shoreline Slope Stability: YES N9/ b-11. Stream Type:j NO T VES n Ca'� FWHCA: �� NO ( ,Ll-i -j&'i Wetlands: '; NO Rare Plants:460 1\1.9 Seismic: ,44 NO Landslide: YES NO Flood: 0, NO Erosion: YES 1\19.-- Aquifer Recharge Area: NO >A-IL,e SIPZ: none At Risk High Risk ast CMZ: none 'g Ri_t• Moderate RiskDisconnected CMZ Stormwater site plan su.mitted: YesNo [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES [ ] Agricultural Lands: YES NO [ ] Archaeology: YES No/ [ ] No Shooting Zone: YES , [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other f 1 Buildinn Height: 35' UBC Standard [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Associated CASES status issued finaled description 991201702 MLA14-00013 PRJ 14-00010 P BIG QUIL RESTORATION PROJECT w/SEPA XMP14-00001 P BIG QUIL RESTORATION PROJECT: Shoreline exemption permit for ZON14-00004 ZON14-00004 P BIG QUIL RESTORATION PROJECT w/SEPA I UDC CONSISTENCY REVIEW ' Project Planner: Master#MLA14-00013 Review Type Project Description PRJ14-00010 BIG QUIL RESTORATION PROJECT w/SEPA SDP14-00004 BIG QUIL RESTORATION PROJECT: Shoreline exemption permit for ZON 14-00004 ZON14-00004 BIG QUIL RESTORATION PROJECT w/SEPA Primary: HOOD CANAL SALMON ENHANCEMENT •,-.Site Address: PO BOX 2169 BELFAIR WA 985282169 c9/z_. p/s-fal-i____ ' Project Location:.._ .9.0.i 2-3i—0 ''%% - 115 -2, 2,V71 00 1 Parcel Number: 991201702 S-T-R: 24-27N-02W Total Acreage 3 Legal Description QUILC 18 L• - - 1'U 20 W/PTN S/VAC Land Use: 1100 CHATT' I. e C - ' V - ' II (RES#90-93) Flood District: • ; o istrict: 2 Planning Area: 10 Flood Map(FIRM)Panel No: chool D 48 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES N9 [ ] Shoreline Slope Stability: YES N7 'Stream Type:YES N/ —= 'WHCA: YES N9 Wetlands: YES Nl ' Rare Plants:YES Nc. Seismic: YES Landslide: YES * Flood: YES 40- Erosion: YES Aquifer Recharge Area: NO SIPZ: no At Risk High Risk Coastal , - CMZ: ague-- High Risk Mod ate RiskDisconnected CMZ v"��,i t '`?' Stormwater site plan submitted: o `—�i0176AO . L) [ ] Forest Lands: YES NO,/ L I Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES 31// [ ] Agricultural Lands: YES N9 [ ] Archaeology: YES NV [ ] No Shooting Zone: YES N9 [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YEs MRL MS NO Forest Lands YE's NO [ ] Landscaping Required: Yes N V [ ] Parking Spaces Require.d N9 2 Other F 1 Building Height: 35'1■1JBC Standard [ ] Impervious Surface coverage percentage: Qta Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC: 7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: S6-1 Left Side: 5-/ Right Side: 67- Rear: l.fir 3V`rri Shoreline Setback: /CI LSHA Setback: 1116 [ ] Road Classification:s ' . sis' i 'j Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: Yi EXEMPT [ ] Flood Certificate: 1.6 Ottitl-C. ,/ 1 bOh c qe., Ma A CL ,44 a `gee l 2 -t fc L///v1 z rL r