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HomeMy WebLinkAboutSDP2014-00015 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: WA STATE PARKS & REC ATTN: ALEX WUNSCH 1111 ISREAL ROAD SW OLYMPIA WA 98504-2650 DATE ISSUED: September 30, 2014 DATE EXPIRES: September 29, 2015 MLA NUMBER: MLA14-00045 CASE NUMBER:SDP14-00015/.6 r -D — 23 3- PROJECT PLANNER: David Wayne Johnson PROJECT DESCRIPTION: PIER & FLOATING DOCK DECKING REPLACEMENT- PLEASANT HARBOR STATE PARK. NOT REPLACING FOOTINGS, JUST DECKING. WATERBODY AND/OR ASSOCIATED WETLANDS: PLEASANT HARBOR- HOOD CANAL PROJECT LOCATION: Parcel Number 502 104 016 in Section 10, Township 25N, Range 02W on Highway 101, Brinnon, WA 98320 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 on September 29, 2014 for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property:High Intensity and Aquatic Designation. 3.) The Washington Department of Fish and Wildlife issued Hydraulic Project Approval (HPA)for this activity under Log Number 2014-6-1501. The HPA expires on December 31, 2015. 4.) The project was approval under Army Corps Nationwide permit#3- NWUS-2014-556 on August 28, 2014. 5.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(3). 6.) The site plan as submitted with the Shoreline Exemption and Building permit application on May 22, 2014 (date received by DCD) and August 8, 2014 (date fees paid) 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 September 29, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) This approval is for replacement of wooden dock decking and bull rails 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. 8.) 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. All areas in Jefferson County 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. 9.) The Development Review Division finds that this proposal is consistent with Shoreline Master Program JCC 18.25.560(2) 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. 10.) See BLD14-00237 for associated building permit. 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.) 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 and Army Corps Nationwide Permit. 3.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 4.) The development shall be essentially the same as the original in location, size, configuration, and external appearance. 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Q i„ 0 _ 0 X .0 0 32 2 Q 0 _ m 0 CD X v ” '44-4\ :°, 0 as Qs o r�_ a. r (0 0 CJ r= _ C) C) 9 N CD BUILDING PERMIT APPLICATION B Review Type: Review Type: Jefferson County Department of Community Development 59e 621 Sheridan Street Port Townsend, WA 98368 IN(V- I ��S PERMIT#: BLD14-00237 Received Date: 7/8/2014 SITE ADDRESS: HWY 101 BRINNON, 98320 OWNER: STATE OF WASHINGTON-NAT RESOUR PHONE: 360-902-8500 PO BOX 47014 OLYMPIA WA 98504-7014 SUBDIVISION: Block: Lot: T 6+ PARCEL NUMBER: 502104016 Section: 10 Township: 25 N Range: 2V CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: WA STATE PARKS PHONE: 360-725-9755 ERIN CURL PO BOX 42650 PROJECT DESCRIPTIOP PLEASANT HARBOR STATE PARK, PIER AND FLOATING DOCK DECKING REPLACEMENT - NOT REPLACING FOOTINGS, JUST DECKING. TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP REP MAIN: INDUSTRIAL: VALUATION 11,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $0.00 JLA 07/08/14 Plan Check $0.00 JLA 07/08/14 State Building Code $0.00 JLA 07/08/14 Total: $0.00 \Miricmor41rio4o\forme\F RI Il Ann PH rn+ 7/2/9l11A AGENCY USE ONLY "Kbk-''% Date received: US Corps STATE Semis Dom Joint Aquatic Resources Permit Agency reference#: 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. Project Name (A name for your project that you create.Examples:Smith's Dock or Seabr •ra - - • o ment) [FWD) Pleasant Harbor—Pier and Floating Dock Decking Replacement iii M Part 2—Applicant �y� 2 2014 The person and/or organization responsible for the project. [hem DEPT 0F co OM i . . 2a. Name(Last, First,Middle) Wunsch, Alexandra L 2b. Organization(If applicable) Washington State Parks & Recreation Commission 2c. Mailing Address (Street or Po Box) 1111 Israel Road SW, PO Box 42650 2d. City, State, Zip Olympia, WA 98504 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail (360) 725-9755 ( ) (360) 664-0312 Alexandra.wunsch @parks.wa.gov 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 htto://www.nws.usace.armv.mil/Missions/CivilWorks/Regulatory/PermitGu idebook/EndangeredSpecies.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 htto://www.eoermittina.wa.gov/site/alias resourcecenter/iaroa iaroa form/9984/jaroa form.asax. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help@ora.wa.gov. JARPA Revision 2012.2 Page 1 of 15 Part 3—Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b of this application.) [help 3a. Name(Last, First,Middle) Same as above 3b. Organization (If applicable) 3c. Mailing Address (Street or Po Box) 3d. City, State, Zip 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail ( ) ( • ) ( ) Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. [heiDi ® 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 P4 Box) 4d. City, State, Zip 4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail ( ) ( ) ( ) JARPA Revision 2012.2 Page 2 of 15 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [helm ❑ There are multiple project locations (e.g. linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply) [help] ❑ Private ❑ Federal ® Publicly owned (state,county,city,special districts like schools,ports,etc.) ❑ Tribal ❑ Department of Natural Resources (DNR) —managed aquatic lands (Complete JARPA Attachment E) 5b.Street Address(Cannot be a PO Box. If there is no address,provide other location information in 5p.) [help] No Street Address 5c. City, State, Zip(If the project is not in a city or town,provide the name of the nearest city or town.) [help] Brinnon, WA 98320 5d. County [help] Jefferson 5e. Provide the section, township, and range for the project location. [help] 1/4 Section Section Township Range SE 10 25N 2W 5f. Provide the latitude and longitude of the project location. [help] • Example:47.03922 N lat./-122.89142 W long.(Use decimal degrees NAD 83) 47.664940 N lat/-122.912793 W long 5g. List the tax parcel number(s)for the project location. [heipl • The local county assessor's office can provide this information: 502104016 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) Marsh Brinnon LLC PO Box 10477 502104020. Bainbridge, WA 98110-0477 Havens Enterprises LLC 1800 Cooper Pt Rd SW#3 502104021 Olympia, WA 98502-1179 JARPA Revision 2012.2 Page 3 of 15 5i. List all wetlands on or adjacent to the project location. [help] Estuarine subtidal 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [helm Hood Canal. There is an unnamed non-fish habitat stream that crosses under U.S. Hwy. 101 above the park and outflows into Pleasant Harbor adjacent to the pier. 5k. Is any part of the project area within a 100-year floodplain? [heiDi ® Yes ❑ No [' Don't know 5L Briefly describe the vegetation and habitat conditions on the property. lheiDl The vegetation and habitat conditions of the property vary. The portion of the property where the project will be located is in Pleasant Harbor on the Hood Canal; which is a marine embayment with intertidal and subtidal habitats supporting a variety of marine species. 5m. Describe how the property is currently used. [hem Pleasant Harbor State Park is a very small 0.2-acre park with public access to the Hood Canal and overnight boating moorage in Pleasant Harbor. 5n. Describe how the adjacent properties are currently used [help] Adjacent properties are marina moorage facilities and residential homes. 50. Describe the structures (above and below ground) on the property, including their purpose(s)and current condition. (heler The parks paved entrance/exit road, small parking area, and vault toilet were recently renovated in 2007. Adjacent to the parking area is a pier, gangway, and floating boat docks. The existing wooden decking on the pier and floating docks is deteriorating. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [helm From Seattle, take 1-5 south to Olympia. From there take U.S. Hwy. 101 north towards Shelton. Continue on U.S. Hwy. 101 north approximately 60 miles; the park entrance will be located on your right. Please see attached map. JARPA Revision 2012.2 Page 4 of 15 • _ Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b [hero] This project will replace wooden decking and bull rails on the pier and floating docks with fiberglass grating and staggered cleats. 6b. Describe the purpose of the project and why you want or need to perform it. [hell)] The purpose of this project is to replace the deteriorating wooden decking and bull rail with fiberglass grating and cleats in order to improve safety conditions and enhance the functionality of the pier and floating docks for recreational users. To maintain the fiberglass grating, park staff will periodically inspect and replace grating clips. 6c. Indicate the project category. (Check all that apply) [help] ❑ Commercial ❑ Residential ❑ Institutional ❑ Transportation ® Recreational ® Maintenance ❑ Environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] ❑Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization ❑ Dam /Weir ❑ Floating Home (upland) ❑ Boat House ❑ Dike/ Levee/Jetty ❑ Geotechnical Survey ❑ Road El Boat Launch ❑ Ditch CI Land Clearing ❑ Scientific Measurement Device ❑ Boat Lift [Si Dock/ Pier ❑ Marina/Moorage ❑ Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Bulkhead ❑ Stormwater facility ❑ Fence ❑ Outfall Structure ❑ Buoy ❑ Ferry Terminal 111 Swimming Pool y ry ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ❑ Other: JARPA Revision 2012.2 Page 5 of 15 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. Ihelnl • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. The project will take place water-ward of the OHWM in Pleasant Harbor on the Hood Canal. The project area lies within the 100-year floodplain. The existing decking and bull rail will be removed using hand tools, rock bars, a reciprocating saw, and torch work. A drill gun will be used to secure the new cleats with lag bolts and screws will be used to clip down the new fiberglass grating to the existing dock. Material for this project and any required cutting of the fiberglass grating will be staged on the barge/landing craft, the Thunderbird, docked at the park. All debris will be transferred to the barge, secured to the deck, and towed away to be disposed of at an approved upland facility. To maintain the fiberglass grating, park staff will periodically inspect the clips on the grating. Clips that are worn down or are deteriorating will be replaced as needed. It is anticipated that this activity will not occur often due the sheltered location of the structures within the harbor. This project will comply with any provisions set forth in the issued Hydraulic Project Approval and Nation Wide Permit. See attached site plan for details. 6f.What are the anticipated start and end dates for project construction?(Month/Year) Ihelnl • 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: As soon as all applicable permits/approval are in place and within mandated work windows. End date: Re-decking will take approximately three days to complete. Maintenance of the grating clips will occur periodically for the life of the fiberglass grating. ❑ See JARPA Attachment D 6g.Fair market value of the project, including materials, labor, machine rentals, etc. Ihelnl 50,000 6h.Will any portion of the project receive federal funding? Ihelnl • If yes,list each agency providing funds. ❑ Yes ® No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.)[help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. Ihelnl ® Not applicable JARPA Revision 2012.2 Page 6 of 15 This project will reduce shading of the water below the pier and docks by replacing the wooden decking with fiberglass grating. No impacts to wetlands are anticipated from this project. 7b.Will the project impact wetlands? [help] ❑ Yes ® No ❑ Don't know 7c.Will the project impact wetland buffers? (help] ❑ Yes r No ❑ Don't know 7d. Has a wetland delineation report been prepared? [heinj • If Yes,submit the report,including data sheets,with the JARPA package. El Yes ® No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] • If Yes,submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ® Don't know if Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [hein1 • If Yes,submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ® No ❑ Not applicable No impacts to wetlands are anticipated from this project. The contractor will be advised that eelgrass beds are protected under both State and Federal laws. The contractor will be provided with a map delineating eelgrass boundaries, if present in the project vicinity. The contractor will adhere to the following restrictions during the life of the contract. The contractor will not: place derrick spuds or anchors in the areas designated as eelgrass; shade the eelgrass beds for a period of time greater than three consecutive days during the growing season from March through September; allow debris or any type of fuel, solvent or lubricant to enter the water; or conduct activities that may cause scouring of sediments within the eelgrass beds or result in sediments transferring out of or into the eelgrass beds. This project will comply with any provisions set forth in the issued Hydraulic Project Approval and Nation Wide Permit. 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [feint JARPA Revision 2012.2 Page 7 of 15 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. [heist Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type° (sq. ft. or category2 Acres) acres) If no official name for the wetland exists,create a unique name(such as'Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland rating forms with the JARPA package. 3Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. °Creation(C),Re-establishment/Rehabilitation(R),Enhancement(E),Preservation(P),Mitigation Bank/In-lieu fee(B) Page number(s)for similar information in the mitigation plan, if available: it 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. [hem 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] JARPA Revision 2012.2 Page 8 of 15 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 ►1 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 No impacts to non-wetland waterbodies are anticipated from this project. This project will comply with any provisions set forth in the issued Hydraulic Project Approval and Nation Wide Permit. 8b.Will your project impact a waterbody or the area around a waterbody? [help] 111 Yes El No JARPA Revision 2012.2 Page 9 of 15 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies?[help] • If Yes,submit the plan with the JARPA package and answer 8d. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ® No ❑ Not applicable No mitigation. 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. [hell)] 8e. Summarize impact(s)to each waterbody in the table below. [heloi 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. 3 Indicate the days,months or years the waterbody will be measurably impacted by the work. Enter"permanent"if applicable. 8f. For all activities identified in 8e, describe the source and nature of the fill material,amount(in cubic yards) you will use, and how and where it will be placed into the waterbody. [help JARPA Revision 2012.2 Page 10 of 15 - 8g. For all excavating or dredging activities identified in 8e, describe the method for excavating or dredging, type and amount of material you will remove, and where the material will be disposed. meiol Part 9—Additional Information Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. It is ok if you cannot answer a question. 9a. If you have already worked with any government agencies on this project, list them below. (help} Agency Name Contact Name Phone Most Recent Date of Contact WDFW Dan Dafoe (360) 457-2516 5/12/14 USAGE Joanne Gardiner (206) 764-6878 5/07/14 Jefferson County Donna Frostholm (360) 379-4450 5/05/14 9b.Are any of the wetlands or waterbodies identified in Part 7 or Part 8 of this JARPA on the Washington Department of Ecology's 303(d) List? ltl • 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/brograms/wq/303d/. ID Yes ® No 9c.What U.S. Geological Survey Hydrological Unit Code(HUC) is the project in? (help) • Go to http://cfnub,epa.gov/surfllgcatelindex.cfm to help identify the HUC. 17110018 9d.What Water Resource Inventory Area Number(WRIA#)is the project in? [help] • Go to ''.AsJi •r.11, -JL1 fUlto find the WRIA#. JARPA Revision 2012.2 Page 11 of 15 16 • 9e.Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to htto://www.ecy.wa.gov/programs/wa/swas/criteria.html for the standards. ❑ Yes ❑ No ® Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? [help] • If you don't know,contact the local planning department. • For more information,go to: htto://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. ❑ Rural ❑ Urban ❑ Natural ❑Aquatic ❑ Conservancy ® Other Suburban 9g.What is the Washington Department of Natural Resources Water Type? [helot • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplications/Pagesffp watertyoing.asox for the Forest Practices Water Typing System. ® Shoreline ❑ Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal 9h.Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? [help] • If No provide the name of the manual your project is designed to meet. ❑ Yes ❑ No Name of manual: 91. Does the project site have known contaminated sediment? [help] • If Yes,please describe below. ❑ Yes No 9j. If you know what the property was used for in the past,describe below. [help] 9k.Has a cultural resource(archaeological) survey been performed on the project area? [helo] • If Yes,attach into your JARPA package. ❑ Yes ® No JARPA Revision 2012.2 Page 12 of 15 91. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. hLos An analysis of Washington Department of Fish and Wildlife Priority Habitat and Species indicates that the following ESA species are identified in the vicinity of the project area: fall/summer Chum salmon (Oncorhynchus keta); fall Chinook salmon (Oncorhynchus tshawytscha); summer/winter Steelhead (Oncorhynchus mykiss); and Bull trout (Salvelinus confluentus) (PHS GIS Data, 4/2014). Additional ESA listed species for the Puget Sound include Yelloweye rockfish (Sebastes ruberrimus), Canary rockfish (Sebastes pinniger), and Bocaccio rockfish (Sebastes paucispinis). 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. [helpl In addition to species listed in 91, PHS species identified in the vicinity of the project area include the following: Coho salmon (Oncorhynchus kisutch); Pink Salmon (Oncorhynchus gorbuscha); Coast Resident Cutthroat trout (Oncorhynchus clarki dark); Hooded merganser(Lophodytes cucullatus), and Bald eagle (Haliaeetus leucocephalus). A Priority Habitat for the winter range of Dosewallips/Duckabush elk (Cervus elaphus) is also listed within a mile of the project area. The project area is located in an estuarine zone with intertidal habitats associated with it. A PHS listed eelgrass meadow is mapped in the vicinity of the project area along the shoreline in Pleasant Harbor. (PHS GIS Data, 4/2014) GIS analysis of Washington Department of Natural Resource's Natural Heritage Program data indicates that golden log moss (Brotherella roellb) may occur within the project site and an occurrence of giant chain fern (Woodwardia fimbriata) is noted within one-half mile of the project area (NHP GIS Data, 4/2014). CUPA— F .r) / Cc. `2- 0 G4-t— — ter Fed- 2 ins -- d 5-6 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 for Regulatory Innovation and 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.wa.gov/programs/sea/sepa/e-review.htmt. ® A copy of the SEPA determination or letter of exemption is included with this application. ❑A SEPA determination is pending with (lead agency). The expected decision date is ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 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? WAC 197-11-800 (3) Repair, remodeling, and maintenance activities ❑ Other: ❑ SEPA is pre-empted by federal law. JARPA Revision 2012.2 Page 13 of 15 10b. Indicate the permits you are applying for.(Check all that apply.) [help]. LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance ® Shoreline Exemption Type (explain): Normal maintenance or repair of existing developments Other City/County permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption—Attach Exemption Form Effective July 10, 2012, you must submit a check for$150 to Washington Department of Fish and Wildlife, unless your project qualifies for an exemption or alternative payment method below. Do not send cash. Check the appropriate boxes: ❑$150 check enclosed. Check# Attach check made payable to Washington Department of Fish and Wildlife. ®Charge to billing account under agreement with WDFW. Agreement# 12-1417 ❑My project is exempt from the application fee. (Check appropriate exemption) ❑ HPA processing is conducted by applicant-funded WDFW staff. Agreement# ❑ Mineral prospecting and mining. ❑ Project occurs on farm and agricultural land. (Attach a copy of current land use classification recorded with the county auditor,or other proof of current land use.) ❑ Project is a modification of an existing HPA originally applied for, prior to July 10, 2012. HPA# Washington Department of Natural Resources: ❑Aquatic Use Authorization Complete JARPA Attachment E and submit a check for$25 payable to the Washington Department of Natural Resources. Do not send cash. Washington Department of Ecology: ❑ Section 401 Water Quality Certification FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) ® Section 10 (work in navigable waters) United States Coast Guard permits: ❑ Private Aids to Navigation (for non-bridge projects) JARPA Revision 2012.2 Page 14 of 15 . Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [hem 11a.Applicant Signature (required) [helm 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 aut orize 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) Altxaneirrk lvcros 5 / 20 ) 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. A ► y l t��ln, 5/ 20/ 1Lt Authorized Agent Printed Name Authoriz d Agent Signature Date 11c. Property Owner Signature (if not applicant) [helm 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 for Regulatory Innovation and Assistance(ORIA)at(800) 917-0043. People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341. ORIA publication number: ENV-019-09 rev.08/2013 JARPA Revision 2012.2 Page 15 of 15 �T3T OFD $`! Tv ' < </ DEPARTMENT OF THE ARM ;,' 2 9 2014 \ SEATTLE DISTRICT,CORPS OF ENGINEERS II /� P.O.BOX 3755 SEATTLE,WASHINGTON 981243755 Nor }({ �.+`� REPLY TO i 1 Wit4.;`,,,314 01.3;!,4i eli;t. Sl"rG5'F ATTENTION OF Regulatory Branch AUG 2 8 2814 RECEIVED SEP 02 2Q14 WA State Parks-PDSW Reg' Ms. Alexandra Wunsch Washington State Parks and Recreation Commission 1111 Israel Road Southwest P.O. Box 42650 Olympia, Washington 98504 Reference: NWS-2014-556 WA ST Parks and Recreation Commission (Pleasant Harbor Marine - State Park,decking replacement) Dear Ms. Wunsch: We have reviewed your application to replace 1,547 square feet of decking with grating on existing floats in Pleasant Harbor near Brinnon,Jefferson County, Washington. Based on the information you provided to us,Nationwide Permit(NWP)3,Maintenance (Federal Register February 21, 2012,Vol. 77,No. 34),authorizes your proposal as depicted on the enclosed drawings dated May 16,2014. In order for this authorization to be valid,you must ensure the work is performed in accordance with the enclosed NWP 3, Terms and Conditions. We have reviewed your project pursuant to the requirements of the Endangered Species Act, the Magnuson-Stevens Fishery Conservation and Management Act and the National Historic Preservation Act. We have determined this project complies with the requirements of these laws provided you comply with all of the permit general and special conditions. The authorized work complies with the Washington State Department of Ecology's (Ecology) Water Quality Certification and the Coastal Zone Management Act requirements for this NWP. No further coordination with Ecology is required. Hood Canal is a water of the United States. If you believe this is inaccurate,you may request a preliminary or approved jurisdictional determination(JD). If one is requested,please be aware that we may require the submittal of additional information to complete the JD and work authorized in this letter may not occur until the JD has been completed. Our verification of this NWP authorization is valid until March 18,2017,unless the NWP is modified, reissued,or revoked prior to that date. If the authorized work has not been completed -2 by that date and you have commenced or are under contract to commence this activity before March 18, 2017, you will have until March 18,2018,to complete the activity under the enclosed terms and conditions of this NWP. Failure to comply with all terms and conditions of this NWP verification invalidates this authorization and could result in a violation of Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act. You must also obtain all local, State, and other Federal permits that apply to this project. Upon completing the authorized work,you must fill out and return the enclosed Certificate of Compliance with Department of the Army Permit form. Thank you for your cooperation during the permitting process. We are interested in your experience with our Regulatory Program and encourage you to complete a customer service survey form. This form and information about our program is available on our website at www.nws.usace.army.mil select "Regulatory Branch, Permit Information"and then "Contact Us." If you have any questions, please contact me at kristina.g.tong@usace.army.mil or(206) 764-6913. Sincerely, Z4:14:1-4.• /4°.1‘-17 Kristina G. Tong, Senior Scientist Regulatory Branch Enclosures RIF t ** 111,44 ! Ik AUG 9 2a1 y , %9 ; '� Washington Department of Fish&Wildlife HYDRAULIC PROJECT APPROVAL PO Box 43234 u^ Owtata,P Olympia,WA 98504-3234 flSff WILDLIFE (360)902-2200 Issued Date: June 13, 2014 Permit Number: 2014-6-15+01 Project End Date: December 31, 2015 FPA/Public Notice Number: N/A Application ID: 4 LOCATION#1: Pleasant Harbor, ,WA WORK START: June 14, 2014 WORK END: December 31,2015 WRIA Waterbody: Tributary to: 16 Skokomish-Dosewallips Wria 16 Marine 1/4 SEC: Section: ;Township: Range: Latitude: Longitude: County: SE 1/4 10 25 N 02 W 47.6649 -122.912793 Jefferson Lopation#1 Driving Directions From Seattle,take 1-5 south to Olympia. From there take U.S. Hwy. 101 north towards Shelton. Continue on U.S. Hwy. 101 north approximately 60 miles;the park entrance will be located on your right. APPLY TO ALL HYDRAULIC PROJECT APPROVALS This Hydraulic Project Approval pertains only to those requirements of the Washington State Hydraulic Code, specifically Chapter 77.55 RCW. Additional authorization from other public agencies may be necessary for this project. The person(s)to whom this Hydraulic Project Approval is issued is responsible for applying for and obtaining any additional authorization from other public agencies (local,state and/or federal)that may be necessary for this project. This Hydraulic Project Approval shall be available on the job site at all times and all its provisions followed by the person(s)to whom this Hydraulic Project Approval is issued and operator(s)performing the work. This Hydraulic Project Approval does not authorize trespass. The person(s)to whom this Hydraulic Project Approval is issued and operator(s)performing the work may be held liable for any loss or damage to fish life or fish habitat that results from failure to comply with the provisions of this Hydraulic Project Approval. Failure to comply with the provisions of this Hydraulic Project Approval could result in a civil penalty of up to one hundred dollars per day and/or a gross misdemeanor charge, possibly punishable by fine and/or imprisonment. All Hydraulic Project Approvals issued under RCW 77.55.021 are subject to additional restrictions, conditions, or revocation if the Department of Fish and Wildlife determines that changed conditions require such action. The person(s) to whom this Hydraulic Project Approval is issued has the right to appeal those decisions. Procedures for filing appeals are listed below. Page 3 of 5 Washington Department of Fish&Wildlife HYDRAULIC PROJECT APPROVAL PO Box 43234 Olympia,WA 98504-3234 ISJta,ld}WILDLIFE (360)902-2200 Issued Date: June 13, 2014 Permit Number: 2014-6-15+01 Project End Date: December 31,2015 FPA/Public Notice Number: N/A Application ID: 4 MINOR MODIFICATIONS TO THIS HPA: You may request approval of minor modifications to the required work timing or to the plans and specifications approved in this HPA.A minor modification to the required work timing means up to a one-week deviation from the timing window in the HPA when there are no spawning or incubating fish present within the vicinity of the project. You may request subsequent minor modifications to the required work timing.A minor modification of the plans and specifications means any changes in the materials, characteristics or construction of your project that does not alter the project's impact to fish life or habitat and does not require a change in the provisions of the HPA to mitigate the impacts of the modification. Minor modifications do not require you to pay additional application fees or be issued a new HPA. If you originally applied for your HPA through the online Aquatic Protection Permitting System(APPS),you may request a minor modification through APPS. A link to APPS is at http://wdfw.wa.gov/licensing/hpa/. If you do not use APPS you must submit a written request that clearly indicates you are seeking a minor modification to an existing HPA. Include the HPA number and a description of the requested change and send by mail to:Washington Department of Fish and Wildlife, PO Box 43234, Olympia, Washington 98504- 3234, or by email to HPAapplications @dfw.wa.gov. Do not include payment with your request. You should allow up to 45 days for the department to process your request. MAJOR MODIFICATIONS TO THIS HPA:You may request approval of major modifications to any aspect of your HPA. Any approved change other than a minor modification to your HPA will require issuance of a new HPA. If you paid an application fee for your original HPA you must pay an additional$150 for the major modification. If you did not pay an application fee for the original HPA, no fee is required for a change to it. If you originally applied for your HPA through the online Aquatic Protection Permitting System(APPS), you may request a major modification through APPS.A link to APPS is at http://wdfw.wa.gov/licensing/hpa/. If you do not use APPS you must submit a written request that clearly indicates you are requesting a major modification to an existing HPA. Include the HPA number, check, and a descriptior of the requested change. Send your written request and payment, if applicable, by mail to:Washington Department of Fish and Wildlife, PO Box 43234, Olympia,Washington 98504-3234. You should allow up to 45 days for the department to process your request. APPEALS INFORMATION If you wish to appeal the issuance, denial, conditioning, or modification of a Hydraulic Project Approval (HPA), Washington Department of Fish and Wildlife(WDFW)recommends that you first contact the department employee who issued or denied the HPA to discuss your concerns. Such a discussion may resolve your concerns without the need for further appeal action. If you proceed with an appeal,you may request an informal or formal appeal.WDFW encourages you to take advantage of the informal appeal process before initiating a formal appeal.The informal appeal process includes a review by department management of the HPA or denial and often resolves issues faster and with less legal complexity than the formal appeal process. If the informal appeal process does not resolve your concerns, you may advance your appeal to the formal process.You may contact the HPA Appeals Coordinator at¢60)902-2534 for more information. A. INFORMAL APPEALS:WAC 220-110-34Q is the rule describing how to request an informal appeal of WDFW actions taken under Chapter 77.55 RCW. Please refer to that rule for complete informal appeal procedures. The following information summarizes that rule. Page 4 of 5 Washington Department of Fish&Wildlife HYDRAULIC PROJECT APPROVAL PO Box 43234 Olympia,WA 98504-3234 FISH,, WILDLIFE (360)902-2200 Issued Date: June 13, 2014 Permit Number: 2014-6-15+01 Project End Date: December 31,2015 FPA/Public Notice Number: N/A Application ID: 4 A person who is aggrieved by the issuance, denial, conditioning, or modification of an HPA may request an informal appeal of that action.You must send your request to WDFW by mail to the Washington Department of Fish and Wildlife HPA Appeals Coordinator,600 Capitol Way North, Olympia,Washington 98501-1091; e-mail to HPAapplications @dfw.wa.gov;fax to(360)902-2946; or hand-delivery to the Natural Resources Building, 1111 Washington St SE, Habitat Program, Fifth floor.WDFW must receive your request within 30 days from the date you receive notice of the decision. If you agree, and you applied for the HPA, resolution of the appeal may be facilitated through an informal conference with the WDFW employee responsible for the decision and a supervisor. If a resolution is not reached through the informal conference,or you are not the person who applied for the HPA,the HPA Appeals Coordinator or designee will conduct an informal hearing and recommend a decision to the Director or designee. If you are not satisfied with the results of the informal appeal,you may file a request for a formal appeal. B. FORMAL APPEALS:WAC 220-110-350 is the rule describing how to request a formal appeal of WDFW actions taken under Chapter 77.55 RCW. Please refer to that rule for complete formal appeal procedures.The following information summarizes that rule. A person who is aggrieved by the issuance,denial, conditioning, or modification of an HPA may request a formal appeal of that action.You must send your request for a formal appeal to the clerk of the Pollution Control Hearings Boards and serve a copy on WDFW within 30 days from the date you receive notice of the decision. You may serve WDFW by mail to the Washington Department of Fish and Wildlife HPA Appeals Coordinator,600 Capitol Way North, Olympia, Washington 98501-1091; e-mail to HPAapplications @ dfw.wa.gov;fax to(360)902-2946; or hand-delivery to the Natural Resources Building, 1111 Washington St SE, Habitat Program, Fifth floor. The time period for requesting a formal appeal is suspended during consideration of a timely informal appeal. If there has been an informal appeal, you may request a formal appeal within 30 days from the date you receive the Director's or designee's written decision in response to the informal appeal. C. FAILURE TO APPEAL WITHIN THE REQUIRED TIME PERIODS: If there is no timely request for an appeal, the WDFW action shall be final and unappealable. Habitat Biologist Daniel.Dafoe @dfw.wa.gov for Director Daniel Dafoe 360-457-2516 t WDFW Page 5 of 5 AUG 2 9 2014 Washington Department of Fish&Wildlife HYDRAULIC PROJECT APPROVAL PO Box 43234 ,,. Olympia,WA 98504-3234 FISH wdWFiLD IFE (360)902-2200 Issued Date: June 13, 2014 Permit Number: 2014-6-15+01 Project End Date: December 31,2015 FPA/Public Notice Number: N/A Application ID: 4 PERMITTEE AUTHORIZED AGENT OR CONTRACTOR Washington State Parks&Recreation Commission ATTENTION:Alexandra Wunsch 1111 Israel Rd SW, PO Box 42650 Olympia,WA 98502 Project Name: Pleasant Harbor-Pier and Floating Dock Decking Replacement Project Description: The project will replace wooden decking and bull rails on the pier and floating docks with fiberglass grating and staggered cleats. PROVISIONS 1. The project may begin June 14, 2014 and shall be completed by December 31, 2015. 2. Work shall be accomplished per plans and specifications approved by the Washington Department of Fish and Wildlife entitled "Washington State Parks&Recreation Commission, Pleasant Harbor Marine-Pier&Floating Decking Replacement"and dated May 16,2014, except as modified by this Hydraulic Project Approval. A copy of these plans shall be available on site during construction. 3. This approval is for repair/replacement of the existing structures only and shall not result in expansion of the structures. 4. If at any time, as a result of project activities,fish are observed in distress or a fish kill occurs, or water quality problems develop, immediate notification shall be made to the Washington Military Department's Emergency Management Division at 1-800-258-5990 and the Area Habitat Biologist listed below. 5. All lumber and other materials treated with preservatives shall be sufficiently cured to minimize leaching into the water or bed. 6. All lumber to be used for the project shall meet or exceed the standards established in the most recent version of"Best Management Practices For the Use of Treated Wood in Aquatic and Wetland Environments"developed by the Western Wood Preservers Institute, Wood Preservation Canada, Southern Pressure Treaters'Association, and Southern Forest Products Association. As of January,2012,the latest version is dated November 1, 2011. 7. Eelgrass and kelp shall not be adversely impacted due to any project activities(e.g., barge shall not ground, equipment shall not operate, and other project activities shall not occur in eelgrass and kelp). 8. Intertidal wetland vascular plants shall not be adversely impacted due to project activities(e.g., barge shall not ground, equipment shall not operate, and other activities shall not occur in intertidal wetland vascular plants). 9. All debris or deleterious material resulting from construction shall be removed and prevented from entering waters of the state. Page 1 of 5 Department artment of p Fish&Wildlife HYDRAULIC PROJECT APPROVAL POBox43234 �4u:eErrr✓,;;?M.x:rc;;v'u<.; Olympia,WA 98504-3234 flSHa a WILDLIFE (360)902-2200 Issued Date: June 13, 2014 Permit Number: 2014-6-15+01 Project End Date: December 31, 2015 FPA/Public Notice Number: N/A Application ID: 4 10. Extreme care shall be taken to ensure that no petroleum products, preservatives, paint products, chemicals, or any other toxic or deleterious materials are allowed to enter or leach into surface waters. Treated wood sawdust and metal shavings resulting from the drilling of holes shall also be totally contained and removed from the work site. 11. Project activities shall not degrade water quality to the detriment of fish life. Page 2 of 5 (woo•;pdenou•nnnnnn//:di44)iie upd dadenou 04 lupd 04 pasueo!I;ou s!4ey4 uoi}eoildde ue woJ,I dad siyn pa}eeio noA o Z , ^°D z W W 0O Z 1N3'rVdO ai1130(1IN JuU00"'---- 5 0o m z w ri, A-N000 NO d 01d3Q at 3 u. ii a W 3dd3f I Z m 3 W (Lif til 0' 77 bW o .a (, G ri Q d w z v�n N a...yil , EA 8 a ,i) . 3 ao , ,N.. - a 8 al„...,Z o in V1 W Ir Ir W 2 N u W o I o wa:1 4 0 z C O a :(/) ao s N V � J= 3 O a 3 N i.J Q WJ G O W ° �O+ 3Q J z i ,1 \ g Uu W W 1,(f m Z y1a� J in U pi V 4 ~ O . r°in avWi �� 40 � > 3 v a 3 oC z i- v' d z E ii ° o u z. „, W Q��)� O g W. 6 W= Z V U W c ~ qa W n a.i > n o S N W d c^� _ w o as 4.:N V1 ,I...) ~ ° "V Z a 1-1 el z m a a-, . - . w . '''t \ ''''..15:AN"•--....s°3 11-% el i . 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Z a W -- Z FF q oz o r. z W u3 °C a_ M 4 z o pz z t n' W 6 2 6 2 6' < 6 2 H ♦ ti osON coe„ JEFFERSON COUNTY DEPARTMENT OF COMMUNITY'DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelooment 15'11/1•1019 Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(aco.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): Pleasant Harbor State Park,Pier and Floating Dock Decking Replacement(see attached project description,vicinity map,and site plan). Tax Parcel Number: 502104016 Property Size: 1.24 acres (acres/square feet) Site Address and/or Directions to Property:No street address,Brinnon,WA.The specific location is S10 T25N R2W,47.664940 N let/-122.912793 W long. From Brinnon, WA, take U.S. Hwy. 101 south approximately 2 miles. The park entrance will be on your left. Property Owner(s)of Record: Washington State Parks and Recreation Commission,Alexandra Wunsch Telephone:(360)725-9755 Fax: (360)664-0312 email: alexandra.wunsch @parks.wa.gov Mailing Address: 1111 Israel Road SW,PO Box 42650 Olympia,WA 98504 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation HIBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or R le Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d), ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnam s lt7 a 7 ❑ Commercial* ❑Special Use(Essential Publ I- v Lam, )i " ro ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** I ' ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** �I I+ MAY 2 2 204 ❑Propane ❑Long Plat** Li U , ❑Sign ❑Planned Rural Residential evel•:•--• --RD)/Amendmen ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** JEFFERSON COUN ❑Stormwater Management la Shoreline Master Progra C-xe s {� PMEI�r ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Develop l�iErrt -- ❑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: USACE - Nation Wide Permit, WDFW- Hydraulic Project Approval DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 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 entry will be assumed unless the applicant informs the County in writing at the time of the a•y:�'c, ion t he or sh wants prior notice. Signature: /�. Date: �5 21 I 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-tran a 7 re�sp bility for adhering to and complying with the ESA. The Applicant has read this dis laim r a d signs and dates it below. Signature: a Date:512a 1 l 07/24/2013 BUILDER STATEMENT The signe!f t 's.tateme. ••e he -by certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will b..\s-,m g the esp• ibi ■ of the General Contractor for the proposed proje i. c � it Signature: 1k Ca ■ Date: 1 ■ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ((360)T25-9755 0360)164-0312 MAILING ADDRESS: 1111 Israel Road SW,PO Box 42650 Olympia,WA 98504 EMAIL alexandra.wunsch @parks.wa.gov CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ((360))'25-9755 FAX:((360)G64-0312 MAILING ADDRESS: 1111 Israel Road SW,PO Box 42650 Olympia,WA 98504 EMAIL alexandra.wunsch©parks.wa.gov 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 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 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 I knaT retaWtoH I 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: 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 50,000 Initials: 07/24/2013 Jodi Adams From: Wunsch, Alexandra (PARKS) [Alexandra.Wunsch @PARKS.WA.GOV] Sent: Wednesday, June 25, 2014 10:35 AM To: Jodi Adams Subject: RE: Pleasant Harbor Pier& Dock replacement Jodi, Thank you for the email. Yes,the Pleasant Harbor project includes only the replacement of the decking and the bull rail. There will be no work to the footings of the existing dock. For this project,we were told that a building permit would be required, will you be processing that permit application as well? If you have any other questions, please feel free to email me or give me a call, (360)725-9755. -Alex Alexandra Wunsch Environmental Planner Washington State Parks& Recreation Commission PO Box 42650 1 1111 Israel Road SW I Olympia,WA 98504 (360)725-9755 I Alexandra.Wunsch @parks.wa.gov From: Jodi Adams [mailto:jadams@co.jefferson.wa.us] Sent: Wednesday, June 25, 2014 10:14 AM To: Wunsch, Alexandra (PARKS) Subject: Pleasant Harbor Pier& Dock replacement Hi Alexandra, I am processing your applications for both Pleasant Harbor and Triton Cove dock projects. I wanted to verify with you, on the Pleasant Harbor project you mention on the application that it is a Pier and Floating Dock Decking Replacement. Does this mean that you will not be replacing or removing the footings of the existing dock? I have also attached an invoice for both of these applications and a hard copy is in the mail. SDP14-15/MLA14-45—Pleasant Harbor application SDP14-14/MLA14-46—Triton Cove State park application Thank you, Jodi Adams Office Coordinator Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 Phone 360-379-4494 1 Fax 360-379-4451 jadamsPco.lefferson.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. 2 4�4�s0N co G Jefferson County Community Development Inv# 14-094 621 Sheridan Port Townsend,WA 98368 if N°'t (360)385-4450 Name: Washington State Parks&Rec-Alexandra Wunsch Date: 7/8/2014 Address: 1111 Israel Rd SW BLD14-237 City: Olympia State: WA 98368 Case: SDP14-14 Phone: SDP14-15 DATE DESCRIPTION OF SERVICES QTY UNIT PRICE TOTAL 7/8/14 SDP14-14-Triton Cove State Park Pier Removal 1 $ - -SMP Exemption 1 532.00 $ 532.00 -Scan fee 1 19.00 $ 19.00 SDP14-15-Pleasant Harbor Dock Decking Replacement -SMP Exemption 1 532.00 $ 532.00 -Scan fee 1 19.00 $ 19.00 BLD14-227-Pleasant Harbor Dock Decking Replacement -Building Base 1 168.00 $ 168.00 -Plan Check 1 109.20 $ 109.20 -Scan fee 1 19.00 $ 19.00 -State fee 1 4.50 $ 4.50 -Consistency Review 1 228.00 $ 228.00 TOTAL: 10 $ 1,630.70 *****PLEASE PAY FROM INVOICE***** Submitted By: Make Check Payable to: Name: Jodi Adams Jefferson County Community Development Title: Office Coordinator 621 Sheridan Port Townsend,WA 98368 Date: 7/8/2014 a aatko STATE OF WASHINGTON WASHINGTON STATE PARKS AND RECREATION COMMISSION Parks Development Service Center, Southwest Region 1111 Israel Road SW•Olympia, Washington 98504-2650 Ph. (360) 725-9770•Fax(360)586-4272 May 21, 2014 To: Donna Frostholm Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 From: Alexandra Wunsch, Regional Environmental Planner Re: Pleasant Harbor State Park, Pier and Floating Dock Decking Replacement Enclosed is the application for a Shoreline Substantial Development(Exemption)Permit and Jefferson County Building Permit for the proposed pier and floating dock decking replacement project located at Pleasant Harbor State Park. The Jefferson County Master Permit Application, JARPA, SEPA record, vicinity map, site plans, and material specifications are enclosed with the permit application. Please invoice Washington State Parks and Recreation Commission for any applicable fees related to the permit applications. If you have any questions regarding this matter,please contact Alexandra Wunsch at(360) 725- 9755. Thank you for your time, \\' ,)■PC 1 yECEOVE Alexandra Wunsch MAY 2 2 2014 Environmental Planner, Southwest Region Washington State Parks&Recreation Commission JEFFERSON COUNTY (360) 725-9755 I Alexandra.Wunsch @parks.wa.gov DEPT OF COMMUNITY DEVELOPMENT P y.. _ t ♦ �ii?I STATE OF WASHINGTON WASHINGTON STATE PARKS AND RECREATION COMMISSION PARKS DEVELOPMENT-SOUTHWEST REGION 1111 Israel Road•Olympia, WA 98504-2650•(360)725-9750 Fax(360)664-0312 http:I/www.parks.wa.gov-TDD:(360)664-3133 May 7,2014 To: SEPA Center From: Alexandra Wunsch, Environmental Planner, Southwest Region Subject: SEPA Categorical Exemption—Replace Decking on Pier and Floating Boat Docks at Pleasant Harbor State Park The staff of Washington State Parks and Recreation Commission(Parks)proposes to replace decking on the pier and floating docks at Pleasant Harbor State Park. The purpose of this project is to replace deteriorating wooden decking and bull rail with fiberglass grating and cleats in order to improve safety conditions and enhance the functionality of the pier and floating docks for recreational users. Pleasant Harbor State Park is located two miles south of Brinnon, WA 98320 in Jefferson County. The project area is located in the SE 1/4 of Section 10,Township 25 North,and Range 2 West,W.M. I have determined this proposal to be categorically exempt from the procedural requirements of the State Environmental Policy Act(SEPA)under WAC 197-11-800(3)Repair,remodeling, and maintenance.The following activities shall be categorically exempt: The repair, remodeling,maintenance,or minor alteration of existing private or public structures,facilities or equipment,including utilities,recreation,and transportation facilities involving no material expansions or changes in use beyond that previously existing;except that,where undertaken wholly or in part on lands covered by water,only minor repair or replacement of structures may be exempt(examples include repair or replacement of piling,ramps,floats,or mooring buoys,or minor repair,alteration,or maintenance of docks). I have placed this determination in the agency files and have made a copy for the project file.No further SEPA documentation is required. RESPONSIBLE OFFICIAL gin COVIE• MAY 222014 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Screen: 01 REAL PROPERTY MASTER Mode : INQUIRY Auto Roll : OFF Parcel # 000502104016 Geo Cd 250210411440 S10 T25 R2W Nbhd Cd 1220 TAX 6 & TL TAX A4 1. 53CH Loc ID * Taxpayer Cd STAT 4500 STATE OF WASHINGTON-DNR T/P Chg Dt * Title Owner T/P Chg Usr Tax Code 0401 Status ST STATE Land Use 9700 EXEMPT Affidavit- Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer STAT4500 STATE OF WASHINGTON-DNR PO BOX 47014 OLYMPIA WA 98504-7014 Search Key CMD 6 : End Window CMD 7: End of Job \(2 Alv � OION ci,E;9 , 76v ,,./`11 % Got a project *ft' 1 planned? ORCAA =4 Make sure you are Air Aware! As a regulatory authority, the Olympic Region Clean Air Agency (ORCAA) relies on a number of forms designed to streamline processes and make it as simple as possible for businesses and individuals to comply with clean air laws and regulations. These forms are available online. Visit www.ORCAA.org and click on the forms tab. fy, s .7 u r da 4 e , s a� Yy^ e4 �YtL. 45r�p it fir; i� s trj ''a if100 You do, if you plan to: • Demolish or remodel a home, business or rental structure. • Remove or disturb asbestos-bearing materials • Burn outdoors. • Establish a new business. • Upgrade or change equipment at an existing business. See reverse side of this card for examples of the types of permits issued by ORCAA. NOTE:Businesses within ORCAA's jurisdiction which emit air pollution must be registered with the agency. Olympic Region Clean Air Agency www.ORCAA.org Olympia Office: (360)539-7610 or 1-800-422-5623 Raymond Office: (360)942-2137 Port Angeles Office; (360)417-1466 (OVER) 'Q , �' ,, � ' , Got a project �z`°) planned? „ ORCAA r .�' (page 2) `,y Hd9BOR,�4rriRSnM.M110H�,_i The Olympic Region Clean Air Agency (ORCAA) issues permits to businesses and individuals for a number of activities that may impact local air quality. The Five Most Commont i ""� "�`� Air!l e lated'Permit�seare:'n : 1. Residential Asbestos removal 2. Commercial Asbestos removal 3. Demolition 4. Land Clearing Burning 5. Notice of Construction (business operating permit) Examples of activities requiring an ORCAA permit: • Agricultural burns • Fire training burns • Asbestos abatement/ • Gas stations removal • Incinerators • Auto body shops • Internal combustion • Boat manufacturing generators or repair (stationary) • Boilers(non-electric) • Kilns • Cabinet Shops • Landfills • Coating Applications • Log yards • Coffee roasters • Metal fabrication • Concrete batch • Paint/finish spray plants coating • Demolition projects • Powder Coating • Dry-cleaning • Printing/publishing • Fiberglass • Saw mills application