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HomeMy WebLinkAboutSDP2015-00003 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: WASHINGTON STATE PARKS & RECREATION COMMISSION PO BOX 42650 OLYMPIA WA 98504-2650 DATE ISSUED:April 06, 2015 DATE EXPIRES:April 06, 2016 MLA NUMBER: MLA15-00016 CASE NUMBER:SDP15-00003 PROJECT PLANNER: David Wayne Johnson PROJECT DESCRIPTION: REPLACEMENT OF FLOATING DOCKS AT TRITON COVE STATE PARK- FLOODPLAIN DEVELOPMENT PERMIT WATERBODY AND/OR ASSOCIATED WETLANDS: PUGET SOUND PROJECT LOCATION: This project is located in Triton Cove State Park, eight miles south of Brinnon, WA, off U.S. Hwy. 101, in Jefferson County. The legal description is Parcel 502 313 013 in the SE 1/4 of Section 31, Township 25 North, and Range 2 West, W.M 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 staff of Washington State Parks and Recreation Commission (Parks) proposes the in -kind replacement of floating docks at Triton Cove State Park. The project will replace the six existing derelict, creosote treated wooden floats with six newly constructed floats. The new floats will be of the same size and configuration as the existing floats; and are to be constructed of fiberglass grating, plastic float tubes, and ACZA pressure-treated wood. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on March 23, 2015 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: Conservancy and Aquatic Shoreline Designations; FEMA Flood Zone A. 4.) Reviewed under the State Environmental Policy Act(SEPA) by Washington State Parks and Recreation acting as lead agency. Determination of Non-Significance (DNS) issued on October 15, 2014. 5.) The site plan as submitted with the Shoreline Exemption application on March 16, 2015 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 March 23, 2015 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for a Shoreline Exemption to Replace Existing Dock Floats 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. 7.) 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 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. 8.) The Development Review Division finds that this proposal is consistent with Shoreline Master Program Section 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. 9.) The proposal is exempt from the requirement for a biological habitat impact assessement within the FEMA Flood Zone A under the Model Washington NFIP-ESZ Ordinace 7.2(A). CONDITIONS: 1.) 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. 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. 3.) 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. 4.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 5.) The development shall be essentially the same as the original in location, size, configuration, and external appearance. 6.) All lumber and other materials treated with preservative shall be sufficiently cured to minimize leaching into the water or shore bed, in accordance with the Best Management Practices approved by the Washington Department of Fish and Wildlife. 7.) The proponents shall comply with all relevant state and federal regulations pertaining to the discharge of oil. 0,4 ?/7/2-6)/Z- Department of Community Development Staff c: Department of Ecology, Shorelands Office, Rick Mraz Washington State Department of Fish &Wildlife, Washington State Department of Natural Resources, Bridget Kaminski-Richardson ALENANDRA WUNSCH \\tidemark\data\forms\F SDP Exemption U.rpt 4/6/2015 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: WASHINGTON STATE PARKS & RECREATION COMMISSION PO BOX 42650 OLYMPIA WA 98504-2650 DATE ISSUED: DATE EXPIRES: MLA NUMBER: MLA15-00016 PROJECT PLANNER: David Wayne Johnson PROJECT DESCRIPTION: REPLACE EXISTING FLOATING DOCK AT TRITON COVE STATE PARK REPLACEMENT OF FLOATING DOCKS AT TRITON COVE STATE PARK REPLACEMENT OF FLOATING DOCKS AT TRITON COVE STATE PARK- FLOODPLAIN DEVELOPMENT PERMIT PROJECT LOCATION: This project is located in Triton Cove State Park, eight miles south of Brinnon, WA, off U.S. Hwy. 101, Parcel 502 313 013 in Jefferson County. The specific project location is the SE '/4 of Section 31, Township 25 North, and Range 2 West, W.M CONDITIONS: 1.) 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. 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. 3.) 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. 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 staff of Washington State Parks and Recreation Commission (Parks) proposes the in -kind replacement of floating docks at Triton Cove State Park. The project will replace the six existing derelict, creosote treated wooden floats with six newly constructed floats. The new floats will be of the same size and configuration as the existing floats; and are to be constructed of fiberglass grating, plastic float tubes, and ACZA pressure-treated wood. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on March 23, 2015 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: Conservancy and Aquatic Shoreline Designations; FEMA Flood Zone A. 4.) Reviewed under the State Environmental Policy Act(SEPA) by Washington State Parks and Recreation acting as lead agency. Determination of Non-Significance(DNS) issued on October 15, 2014. 5.) The site plan as submitted with the Building Permit application on March 16, 2015 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 March 23, 2015 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for a Shoreline Exemption to Replace Existing Dock Floats 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. 7.) 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 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. /7(z-4/X"--- UDC Administrator MLA15-00016 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 4/6/2015 Page 2 of 2 — ° i........_ ...411-1„........-- Z ' ) -41;04,f t, . . ..,- ' ; w,"';- f-, .11t,• .^.'. ,i.,4 .'' 4 ,:i.w., ..*".. •..` ''' .'t'. ''". t;c 2e-. .... '-- _ 4 ' tti ...'t d' '.. '''' r•-". --/-1.'-'7,' - ',;..,°...":-,-4- :„:,-..;.7 - . •,y'' '"-- - - - (ii ,1,Idlt- .." ,:' ' " . -- ;4, C _ l ,,.,,*. „ . .„ ,,,• *....„ .. . ..4.)A.F... T.....‘,:.i..., .,....„,„ .., ... , ... . ." -1Yr ..„0.:,-,,,,-, .>„:,;,-.-- 'se, ..'. ••,, ,,- „,,,,. .r.r ‘ '.' ',1:irTW .ty e4P-10,,,te _ ,.:..),, :4---- - ', _ ,.:,, .44-, - -Eife > -.. - 2 .. ■''. ' 0: ** •• 'ottt!" ;46 '`,. 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Johnson Sent: Tuesday, April 07, 2015 11:20 AM To: Wunsch, Alexandra (PARKS) Cc: Mraz, Richard A. (ECY); Bigelow, Margaret M (DFW); Bridget.Kaminski- Richardson©dnr.wa.gov; David W. Johnson Subject: MLA15-00016 Triton Cove Dock Float Replacement Attachments: MLA15-00016 WA State Parks Dock Float Replacement.pdf Attached. David Wayne Johnson- LEED AP- Neighborhood Development Associate Planner- Port Ludlow Lead Planner Department of Community Development Jefferson County 360.379.4465 LIED AP D Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. i► SAVE PAPER - Please do not print this e-mail unless absolutely necessary All e-mail may be considered subject to the Public Records Act and as such may be disclosed to a third-party requestor. toff.?rsoux County U€-p r*m* it of Cornr:rurrty Ovvo!opmnrn? 5 UA � - '`w ;°:¢°' Better Bwiding Starts Here. WI i■hooti»V,jai Vwovervd,%%V 13QIn44%I dortigke,Or rip#to 1 `!�. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Jefferson County No Net Loss Checklist The purpose of completing this checklist is to show consistency between the policies and regulations in the Jefferson County Shoreline Master Program and the implications for shoreline ecological functions,as it pertains to the no net loss (NNL) requirement. This checklist is to be completed by the Planner reviewing the proposal for all development and use applications within shoreline jurisdiction. Is the proposal within shoreline jurisdiction? f Yes(Complete this form) No(Form not required) Planner PI Date Application Information MLA# l � (f2 SDP# C �' G or Case# Of case number is used,has the'Special Conditions tab/Shorelines'been checked in Tidemark? Yes No ) Applicant Information Landowner Name Applicant(if different from landowner) Representative A—Le—Y.; G�C� �l�l.iiC Project Information ((b�� w Project Address ( h l L (0 Parcel Number j0-2— 3 0(3 Type of Ownership(if other than Private) POGL Proposed Project Description Cam_ we ��� cS \ Shoreline Information t / Shoreline Type: Marine V River Lake Waterbody Name ti JDO . Shoreline Reach A Shoreline Use(based on Table 18.25.220) -5 a0 C a-- -C J^' 1d (VWLI 1� i d62&A lcD , Environmental Designations: Priority Aquatic Aquatic No in-water components Natural Conservancy ✓ Shoreline Residential High Intensity Type of shoreline approval: Shoreline Exemption 17—Shoreline Substantial Development Conditional administrative Conditional discretionary Variance G:\PLANNING\GRANTS-Apps&Opportunities\2010 EPA GRANTS\2010 EPA-Enhanced Shoreline Protection NNL\Implementation\deliverable 3c apply nnl\nnl checklist final jcc rev1072914 1 PRELIMINARY NNL REVIEW Answer all Preliminary NNL Review questions on this page. For any'Yes'responses,also complete the Detailed NNL Review questions(with the corresponding number 1 through 13)on the following pages. GENERAL SHORELINE MASTER PROGRAM(SMP)REGULATIONS: 1. Will the proposed project be constructed within a standard shoreline buffer and setback (JCC 18.25.270(4)(e) and 18.25.300(2)(a))jor conforming lots or exceed the provisions of JCC 18.25.270(5)for non-conforming lots? No Yes V (If yes,answer Detailed Review questions on page 3) 2. Will any portion of the proposed project be constructed in a geologically hazardous area, a landslide hazard area buffer, or a setback for a landslide hazard area or a high-risk channel migration zone (Article V, Chapter 18.22 1C C.)? No V Yes (If yes,answer Detailed Review questions on page 4) 3. Will any portion of the proposed project be constructed in a fish and wildlife habitat conservation area, buffer, or setback(Article VI,Chapter 18.22 JCC)? No Yes l/(If yes,answer Detailed Review questions on page 5) 4. Will any portion of the proposed project be constructed in a wetland or wetland buffer (Article VII, Chapter 18.22 JCS)? No V Yes (If yes,answer Detailed Review questions on page 6) 5. Will any portion of the proposed project be constructed in a frequently flooded area (Article IV, Chapter 15.15 JCC)? No • Yes i/ (If yes,answer Detailed Review questions on page 7) SHORELINE MODIFICATION REGULATIONS: 6. Does the proposal include Beach Access Structures(JCC 18.25.340)? No Yes (if yes,answer Detailed Review questions on pages 8-9) 7. Does the proposal irykude Boating Facilities(JCC 18.25.350)? No Yes 17 (If yes,answer Detailed Review questions on page 10-11) 8. Does the_proposal include Dredging or Disposal of Dredged Materials(JCC 18.25.360)? No F/ Yes If yes, answer Detailed Review questions on page 12) 9. Does thpproposal include Filling and/or Excavation(JCC 18.25.370)? No 47 Yes (If yes,answer Detailed Review questions on page 13) 10. Does th roposal include Flood Control Structures(JCC 18.25.380)? No V Yes (If yes, answer Detailed Review questions on page 14) 11. Does the,,proposal include In-stream Structures(JCC 18.25.390)? No V Yes (If yes,answer Detailed Review questions on page 15) 12. Does th/proposal include Restoration (JCC 18.25.400)? No ✓ Yes (If yes,answer Detailed Review questions on page 16) 13. Does theproposal include Structural Shoreline Armoring and/or Shoreline Stabilization (JCC 18.25.410)? No V Yes (If yes,answer Detailed Review question on pages 17-19) If the answer is'No'to all of the above,the likelihood of the project negatively affecting shoreline ecological functions is minimal and it is assumed that the'No Net Loss'requirement is met. Sign page 20. G:\PLANNING\GRANTS-Apps&Opportunities\2010 EPA GRANTS\2010 EPA-Enhanced Shoreline Protection NNL\Implementation\deliverable 3c apply nnl\nnl checklist final rcc rev1072914 2 F,STATF ii• P.I1Z 1889� Don Hoch Director STATE OF WASHINGTON WASHINGTON STATE PARKS AND RECREATION COMMISSION 1111 Israel Road S.W. •P.O. Box 42650.Olympia,WA 98504-2650•(360)902-8500 TDD(Telecommunications Device for the Deaf): (360)664-3133 www.parks.wa.gov October 15,2014 To: SEPA Center From: Alexandra Wunsch, Environmental Planner, Southwest Region Subject: SEPA Categorical Exemption-Replace Floating Boat Docks at Triton Cove State Park The staff of Washington State Parks and Recreation Commission(Parks)proposes the in-kind replacement of floating docks at Triton Cove State Park. The project will replace the six existing derelict, creosote treated wooden floats with six newly constructed floats. The new floats will be of the same size and configuration as the existing floats; and are to be constructed of fiberglass grating,plastic float tubes,and ACZA pressure-treated wood. This project is located in Triton Cove State Park, eight miles south of Brinnon, WA,off U.S. Hwy. 101 in Jefferson County. The specific project location is the SE 1/4 of Section 31, 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 a , , _ . /►� — Je• . K. Logan D S 'egion Environmental Specialist ti f i MAR 1 6 t 2015 . . IEEFERSGP CDUIVTY L'---�`-`'T-�D_F,COMMUNIiYDE�IELOP INVOICE Date: 3/20/2015 Invoice ID: DCD15SDP15-00003 C N cp JEFFERSON COUNTY (/ DEPARTMENT OF COMMUNITY DEVELOPMENT < 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 I email: dcd @co.jefferson.wa.us r NO,�2Y www.co.jefferson.wa.us/commdevelopment Date Due: BILLING ADDRESS: 4/19/2015 WASHINGTON STATE PARKS& RECREATION COMMISSION PO BOX 42650 SMP Exemption Base 546.00 OLYMPIA WA 98504-2650 Scanning Fee 19.50 REMIT TO: Total Amount Due: $565.50 Jefferson County DCD 621 Sheridan St. Port Townsend, WA 98368 Please return the above portion with your payment Permit Number: SDP15-00003 SMP Exemption Base 546.00 Scanning Fee 19.50 Total Amount Due: $565.50 Payment is accepted by cash, check, debit or credit card (Visa, Mastercard, Discover, American Express) To pay by credit card, go to www.co.jefferson.wa.us/commdevelopment, and click on the "Online Credit Card & echeck Payments" link on the left side of the page. (questions: call 360-379-4450) r. ,,, , Tr",, M LA15-00016 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00091 Received Date: 3/20/2015 SITE ADDRESS: 314515 HWY 101 BRINNON, 98320 OWNER: WASHINGTON STATE PARKS & PHONE: 360-725-9755 RECREATION COMMISSION PO BOX 42650 OLYMPIA WA 98504-2650 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502313013 Section: 31 Township: 25 N Range: 2V\ CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: ALEXANDRA WUNSCH PHONE: 360-725-7955 WA ST. PARKS & REC P.O. BOX 42650 PROJECT DESCRIPTIO1 REPLACE EXISTING FLOATING DOCK AT TRITON COVE STATE PARK TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: 780 TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 20,000.00 ADD'L: HEAT TYPE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: GARAGE: 0 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 SRE 03/20/15 State Building Code $0.00 SRE 03/20/15 Plan Check $0.00 SRE 03/20/15 Total: $0.00 f���. SPt53 \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/20/2015 tiTA+r v ~ 4 Don Hoch ",s._ {, s Director H.j 1299 STATE OF WASHINGTON WASHINGTON STATE PARKS AND RECREATION COMMISSION 1111 Israel Road S.W. • P.O. Box 42650. Olympia,WA 98504-2650• (360) 902-8500 TDD (Telecommunications Device for the Deaf): (360)664-3133 www.parks.wa.gov March 16, 2015 To: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 From: Alexandra Wunsch, Environmental Planner Re: Triton Cove State Park, Float Replacement Permit Application Please find enclosed the application for a Shoreline Master Program Exemption Permit and a Building Permit for a proposed float replacement project located at Triton Cove State Park. The Jefferson County Permit Application and all supplemental application materials are enclosed. Washington State Parks and Recreation Commission(WSPRC) believes this project to be exempt under WAC 173-14-040 developments exempt from substantial development requirement under section (b) of the above listed code as the proposed project is "normal maintenance or repair of existing structures or developments". Please invoice WSPRC for any applicable fees related to these permit applications. If you have any questions regarding this matter, please contact Alexandra Wunsch at (360) 725-9755. Thank you for your time, ik FE Alexandra Wunsch Environmental Planner, Southwest Region 1-H �� say„� 1 ;� (;I � � Washington State Parks & Recreation Commission , , ( tt (360) 725-9755 I Alexandra.Wunsch@parks.wa.gov 1,1-4 T_ ��, soN coG� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Sto ct Port Townscnd,WA 98368 W 1cl:360.379. 450 I Fax:360.3 9.1151 (- -• I Ll f7 V F. n\ \\el):www.co.icthicon.wa.ulcomnumitvdevclopmcnt I i' ---.7 1:-mail:dcd(i-co.ieffcrxon.wa.us .Y6v//IN°�O MAR 1 6 2015 �` PERMIT APPLICATION l:ii s in the Permit Process: iCO r, i„ ;E Steps OI COMMUNITY DEVELOPMENT -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. kjL_'I S -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 502313012 ,D,'2- 313 - r r - Site Address and/or Directions to Property:70 Handley Ln, Brinnon,WA 98320 From Brinnon, WA, head south on U.S. 101 approximately 8 miles. The park entrance will be on your left. Access(name of street(s)) from which access will be gained: Hwy. 101 Present use of property: State Recreation Park Description of Work(include proposed uses): The staff of Washington State Parks and Recreation Commission (Parks) proposes the in-kind replacement of floating docks at Triton Cove State Park. Please see attached JARPA and site plans for further project details. Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES _ NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: N/A - No on-site wastewater _ Community Septic Name of System: Case#: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete Partial _ _ Has a reserve drainfield been designated? Yes _ — No Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: N/A The authorized agent/representative is the primary contact for all project related questions and correspondence. The County will mail/ e-mail requests and information about the application to the authorized agent/representative and will copy(cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e.,County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: Name: Washington State Parks and Recreation Commission, ATTN: Alexandra Wunsch Address: 1111 Israel Rd SW, PO BOX 42650, Olympia, WA 98504 Phone#: 060) 725-9755 E-mail Address: alexandra.wunsch @parks.wa.gov _ — Please c tact uthorized Agent/Representative with project info. (select only one). Property Owner Signature: ° . Date: 5/ :( Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative Of other than owner) Name: Alexandra Wunsch Address: Same as above Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Attach additional pages if necessary Builders Statement The signer of this statement certifies 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: 01- //ti Print Name: CLrl i Date: 3 -r/c –1 r)61,.1"-QA1 c<_. r ti.SON co DEPARTMENT OF COMMUNITY DEVELbPF . . --r 1 G 621 Sheridan Street, on Townsend,A\.1 98368 �! t f J �, .1 Tel:36(1.3'9<1�30 ! 1 � 3611 3?4.-1-131 1 i� -G W\'eb:\vw co.ietterson ws-a.us%communit<deveiopment MA�1' 6 J j E-mail:dcd(a-:co.jettcrson.wa.us II U ii E-mail: No'O SUPPLEMENTAL APPLICATION ot�cor�rfuraln DEVFLOPr�EN1 RESIDENTIAL OR COMMERCIAL BLDG PERMIT ' For Department Use Only Receipt#: Date: Related Application #s: Payment#: Site Information 1 Owner Name: V1/i stale Parks Assessor Tax Parcel #: So23130 J 2, Type of Building New Replacement )‹. Relocated Addition Repair Demolition * *A separate permit is required I Select One: Single Family Residence Modular Other 1�,Gk,, list Proposed Building/Project Number of floors # new bedrooms existing total bed #new bathrooms existing total bath Heat Source Select all that apply: Electric Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft Residential/Commercial Main Floor Residential/Commercial Second Floor _ j Additional Floors-heated/unheated Basement-unfinished Basement-finished space or habitable Detached Garage -heated/unheated Attached Garage- heated/unheated I Garage 2nd fl- unfinished storage I Garage 2nd fl -finished space or habitable Carport- 2 walls or less Deck- uncovered Covered porch Other(shed, barn, pole bldg,etc.) Ibeit. 7 g0 pe ?g'0 Pei Estimated Cost of Project (Required): $ 2.0 j OCO List existing buildings on property (i.e. house, garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Property Use 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visit related to this application and subsequent permit issuance. . • Signature: - - Print Name: F(.'/10n.f& Date: J I \ GV) Estimated Cost of Project $ Z.C24 (7") For Department Use Only Building Base Fees „Building Base � p (p- ( 0 Plan Check Review 13-3 . 55 Land Use Review $234.00 Septic Review �. Potable Water Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Road Approach Total Fees Receipt # Date:- Cash/Check/CC: 4:c3°N e% JEFFERSON COUNTY _-_ .:.) DEPARTMENT OF COMMUNITY DEVELOPMENT `;') �c. i > 621 Sheridan Street • Pod Townsend • Washington 98368 ,/,s, �O 360/379-4450 • 360/379-4451 Fax 6 2015 �, IIN� http://www.co.jefferson.wa.us/commdevelopment/ Ll 0-COMfviu1 TY DEVELO°MENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: J 7��` � P 6 f kk,( 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 2.9 - 1 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 17 0�9'-1 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 acres or more of Construction site for structures PJ 'A sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. sq/ft Circle: Yes liP Well, utilities,etc. sq/ft Does the project convert 2 1/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance \` sq/ft Cut °'VITA Fill 1∎.'/I (cu/yd) [over] 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 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 NEW EXISTING Structures (all roof area) sq/ft Structures (all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc sq/ft Other 'Po c_k ?g, )g, ) sq/ft Other DO CI'' !�7 L) sq/ft Total New 7 sq/ft Total Existing 7 g-r) sq/ft TOTAL NEW+ TOTAL EXISTING* SairV-C__r 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. DEVELOPMENT v. REDEVELOPMENT //}} Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: / tJ 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. 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S r tr•t L +� * t' ,l �` i"� , � r , C. .. �'., 5, ` 'spa°r r� ?�,p I tilt I it 4 } w / a , w • . iiis ,...,...,,, ,. 1, $ e 5- y h da `aS ...71,..11,1„,_ .,.:!\%,. $ „. t ' . ry Y Y ' r x 4 f" { {l i '. 3" • AGENCY USE ONLY a "�" Date received: � US Army Corps WASHINGTON STATE ofE gingers 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 Seabrook Lane Development) [help] Triton Cove Float Replacement Part 2—Applicant The person and/or organization responsible for the project. [help] 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 http://www.nws.usace.armv.mil/Missions/CiviM/orks/Regulatory/PermitGuidebook/EndarmeredSpecies.lsax- • Not all cities and counties accept the JARPA for their local Shoreline permits. If you need a Shoreline per it,coact the appropriat ••u government to make sure they accept the JARPA. I 1 I IU, � 2To access an online JARPA form with[help]screens,go to ! MAR 1 6 2015 http://www.epermittinq.wa.gov/site/alias resourcecenter/jarpa iarpa form/9984/jarpa form.aspx. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or helpAora.wa ad tl?ct ':ilidTY COMMUNITY DEVELOPMf_NT _. JARPA Revision 2012.2 Page 1 of 14 • Part 3—Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b of this application.) [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. [help] Z 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) Same as above 4b. Organization (If applicable) 4c. Mailing Address (Street or PO Box) 4d. City, State, Zip 4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail ( ) ( ) ( ) JARPA Revision 2012.2 Page 2 of 14 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help] ❑ 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] n 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] 70 Handley Ln 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 31 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) 47.608553 N lat/-122.984833 W long 5g. List the tax parcel number(s) for the project location. [help] • The local county assessor's office can provide this information. 502313013 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) See JARPA Attachment C JARPA Revision 2012.2 Page 3 of 14 5i. List all wetlands on or adjacent to the project location. [help] Estuarine intertidal 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Hood Canal 5k. Is any part of the project area within a 100-year floodplain? [help] ® Yes ❑ No Li Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [help] The floating docks are located on a bedrock lined shoreline, with associated seaweed and microalgae vegetation. 5m. Describe how the property is currently used. [heio Triton Cove State Park is a 29-acre day-use park with 555 feet of shoreline, providing public access to the Hood Canal from U.S. Hwy. 101. 5n. Describe how the adjacent properties are currently used. [help] U.S. Hwy. 101 runs north/south through the property. On the west side of the highway, adjacent properties are state timberlands, national forest, and rural residential properties. East of the highway, properties adjacent to the park and the project area are rural residential properties. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. [help] Structures on the site include one vault toilet, four picnic tables, a concrete boat launch and six floating boat docks (to be replaced in this project). 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help] From Seattle, take I-5 south to Olympia. From there take U.S. Hwy 101 north towards Shelton. Continue on U.S. Hwy. 101 north approximately 46 miles, the park entrance will be located on your right. Please see attached project vicinity map. Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. [help] The staff of Washington State Parks and Recreation Commission (WSPRC) proposes the in-kind replacement of JARPA Revision 2012.2 Page 4 of 14 floating docks at Triton Cove State Park. 6b. Describe the purpose of the project and why you want or need to perform it. [help] The purpose and need for the project is to replace the six existing, derelict wooden floats with six newly constructed floats constructed of fiberglass grating, plastic float tubes, and ACZA pressure-treated wood. 6c. Indicate the project category. (Check all that apply) [help] I I Commercial I Residential I I Institutional I I Transportation ® Recreational ® Maintenance ❑ Environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] I I Aquaculture ❑ Culvert ® Float ❑ Retaining Wall El Bank Stabilization ❑ Dam /Weir n Floating Home (upland) 111 Boat House 111 Dike / Levee /Jetty 111 Geotechnical Survey 111 Road I Boat Launch El Ditch 111 Land Clearing I I Scientific Measurement Device PI Boat Lift ❑ Dock/ Pier ❑ Marina / Moorage ❑ Stairs ❑ Bridge ❑ Dredging ❑ Mining ❑ Stormwater facility ❑ Bulkhead I I Fence ❑ Outfall Structure ❑ Swimming Pool ❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ❑ Other: JARPA Revision 2012.2 Page 5 of 14 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. Work will take place on the Hood Canal shoreline at Triton Cove. The project area lies within a 100-year floodplain. The five existing 6' x 20' floats, and an additional 6' x 30' float (total of six floats), will be detached from pilehoops, floated to the adjacent boat launch and removed from the water on a trailer for off-site disposal at an approved upland facility. The new floats will be of the same size and configuration as existing floats; and are to be constructed of fiberglass grating, plastic float tubes, and ACZA pressure-treated wood. The 6' x 30' float will be a standard 6' x 20' float design with an additional 10' of added decking surface that will attach to the shoreline concrete bulkhead and form the ramp connecting the docks to the shore. The replacement floats will be launched from a trailer on the adjacent boat launch and floated into place. Two of the floats will be secured to existing piling by pilehoop, which will require four holes to be drilled into two of the new floats while in the water. Please see the attached site plan for further details on the proposed float replacement. The project will comply with any provisions set forth in the issued Hydraulic Project Approval and Nation Wide Permit. 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: As so rmits/approv ithin mandated work windows. End date: The project will take approximately one to two days to complete ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [help] $20,000 6h. Will any portion of the project receive federal funding? [help] • If yes, list each agency providing funds. ❑ Yes ® No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation Z 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 No impacts to wetlands are proposed or anticipated to result from this project. The new floats are designed to replace the creosote treated wooden floats with new floats utilizing fiberglass grating, plastic float tubes, and ACZA treated wood. The existing floats will be disposed of at an approved upland facility. The project will comply with any provisions set forth in the issued Hydraulic Project Approval and Nation Wide Permit. 7b. Will the project impact wetlands? [help] I Yes ® No ❑ Don't know JARPA Revision 2012.2 Page 6 of 14 7c. Will the project impact wetland buffers? [help] ❑ 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. ❑ Yes ® No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] • If Yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ® No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [help[ • If Yes, submit the plan with the JARPA package and answer 7g. • If No, or Not applicable, explain below why a mitigation plan should not be required. ❑ Yes ® No [' Not applicable No impacts to wetlands are proposed or anticipated. 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] 7h. Use the table below to list the type and rating of each wetland impacted, the extent and duration of the impact, and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below) where we can find this information in the plan. [help] Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type4 (sq. ft. or category2 Acres) acres) Replace floats Estuarine 780 sq. ft. Permanent None None intertidal wetland 1 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. 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 2012.2 Page 7 of 14 The project is the in-kind replacement of six floats. The floats will be placed in the same configuration as the existing floats. There will be no material expansion or change in use of the existing floats resulting from this float replacement. The existing floats will be disposed of at an approved upland facility. The project will comply with any provisions set forth in the issued Hydraulic Project Approval and Nation Wide Permit. 7j. For all excavating activities identified in 7h, describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. [help] Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) [help] ® Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. [help] Not applicable No impacts to waterbodies are proposed or anticipated to result from this project. The new floats are designed to replace the creosote treated wooden floats with new floats utilizing fiberglass grating, plastic float tubes, and ACZA treated wood. The existing floats will be disposed of at an approved upland facility. The 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] ❑ Yes ® No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [help] • If Yes, submit the plan with the JARPA package and answer 8d. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ® Not applicable No impacts to waterbodies are anticipated to result from this project. JARPA Revision 2012.2 Page 8 of 14 '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. [help] 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 Replace floating Hood Canal In One to Replace six floating -780 sq. ft. docks waterbody two days docks (five 6' x 20' and 100 yr. and one 6' x 30') floodplain If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent, provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 3Indicate 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] The project is the in-kind replacement of six floats. The floats will be placed in the same configuration as the existing floats. There will be no material expansion or change in use of the existing floats resulting from this float replacement. The existing floats will be disposed of at an approved upland facility. The project will comply with any provisions set forth in the issued Hydraulic Project Approval and Nation Wide Permit. 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. [help] JARPA Revision 2012.2 Page 9 of 14 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 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 El No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [help] • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110018 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? [help] • Go to http://www.ecy.wa.gov/services/gis/maps/wria/wria.htm to find the WRIA#. 16 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help • Go to http://www.ecy.wa.gov/programs/wq/swas/criteria.html for the standards. ® Yes ❑ No ( I Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? [help] • If you don't know, contact the local planning department. • For more information, go to: http://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. I— Rural ❑ Urban ❑ Natural I Aquatic ® Conservancy ❑ Other JARPA Revision 2012.2 Page 10 of 14 9g. Wliat is the Washington Department of Natural Resources Water Type? [help] • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplications/Pages/fp watertyping.aspx for the Forest Practices Water Typing System. • Shoreline ❑ Fish ❑ Non-Fish Perennial ❑ Non-Fish Seasonal 9h. Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? hel [ p] • 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 El No 9j. If you know what the property was used for in the past, describe below. [help The property is historically an existing recreation area with a trailer park, boat launch, and parking area with informal picnicking. 9k. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If Yes, attach it to your JARPA package. ❑ Yes No 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] An analysis of Washington Department of Fish and Wildlife Priority Habitat and Species indicates that a biotic detection of Marbled murrelet (Brachyramphus marmoratus) occurs within three-quarter miles of the park property. Additional ESA identified species in the vicinity of the project area include the following: fall/summer Chum salmon (Oncorhynchus keta); Chinook salmon (Oncorhynchus tshawytschal); winter Steelhead (Oncorhynchus mykiss); and Bull trout (Salvelinus confluentus), and Northern spotted owl (Strix occidentalis caurina) (PHS GIS Data, 10/2014). The following species are ESA listed for the Puget Sound: 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. [help] JARPA Revision 2012.2 Page 11 of 14 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); and Coast Resident Cutthroat trout (Oncorhynchus clarki dark). A Bald eagle (Haliaeetus leucocephalu) nest is also documented within one- quarter mile of the park property. (PHS GIS Data, 10/2014). Part 10—SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at http://apps.ecy.wa.gov/opas/. • Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or helpora.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.html. ❑ 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 I I Other: I I SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use I I Variance ® Shoreline Exemption Type (explain): Normal maintenance or repair of existing developments Other City/County permits: I I Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT JARPA Revision 2012.2 Page 12 of 14 ' Washington Department of Fish and Wildlife: Z Hydraulic Project Approval (HPA) n 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: I I$150 check enclosed. Check# Attach check made payable to Washington Department of Fish and Wildlife. [' Charge to billing account under agreement with WDFW. Agreement# I I 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.) Fl Project is a modification of an existing HPA originally applied for, prior to July 10, 2012. HPA# Washington Department of Natural Resources: I I 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): I 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 13 of 14 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 aut orize the agent named in Part 3 of this application to act on my behalf in matters related to this application. 1. \-'° (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 en rin the property where the project is located to inspect the project site or any work related to the project. (initial) Alexandra Wunsch i ((o((z. Applicant Printed Name Ap licant Signature Date 11b.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. , 4 Alexandra Wunsch ' f �► ,3 i/G1 r�j 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 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 14 of 14 t i* ,l AGENCY USE ONLY i WASHINGTON STATE US Army Corps of Engineers Date received: Seattle Distract Joint Aquatic Resources Permit Application (JARPA) [help] Agency reference#: Attachment C: Tax Parcel#(s): Contact information for adjoining TO BE COMPLETED BY APPLICANT [help] property owners. [help] Project Name: Triton Cove State Park—Float Replacement Use this attachment only if you have more than four adjoining Location Name(if applicable):Triton Cove property owners. State Park Use black or blue ink to enter answers in white spaces below. 1. Contact information for all adjoining property owners. [help] Name Mailing Address Tax Parcel#(if known) Machael O'Rourke PO Box 3485 502313028 Jay O'Rourke Bellevue, WA Joseph Dwyer 529 Holly Dr. 502313025 ........................... Edmonds, WA 98020-3418 Martin Paulson Trstee 2931 Smith Anderson Rd. 502313024 Mabel H. Paulson Trstee Grayland, WA 98547-9774 Cary Thompson Trstee 3324 N 30th St 502313023 Harold and Karen York Tacoma, WA 98407-6253 Constance Cherrier 1515 SW Flower St 502313027 ............................. Portland, OR 97239-2709 James Aylesworth 314543 US Highway 101 502313008 ............................................................................................................................................................................................................................................. Brinnon, WA 98320 ................................................................................................................................................................................................................................................... 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-022-09 rev.08/2013 JARPA Attachment C Revision 2012.2 Page 1 of 1 1N31AldO13n3Q LJNIMOO O Id iti_,.. . ,UN1100 NOSd3a331 1 2 2 i 2 I SUE 9l LidWz j Sx O ch N o a a - 8 VZ w z m ,w, a 0. g P Q cc z O Z = z O l_ a !or.)8 :7,wa ^0 w O u o V Li-, c., ,-a N� � N Q w \ L i Q Q .Z a c- N 3 � G � L' Z ik.--� R ry 7 ooQZw^ z o x I O ug N M AAA 5 a Q N V 1 Z O m Z Z~Nn2NM 02M mm,_-_. 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ON 1- (r) rn n rn N mX rn = 2D Nrn rnrn mX rn - 2D rn -i11'? c 110> D1 �^, �D �D D� $o°y D� A'' D-ID vD �D 734+ N co rny3 Z3 1 1< n 0o rnD3 rn3 V1 1< C) 11 CPX m-aa, v 11N m -0 111 ON �`" 1 ,n° C 2111 1D 3 1 0° O -pa N tt,*a *m 2 r rn En M.--. 11v .93 I-z r- IT -0v x3 1,i 1 G) s r nM m p D� D0 Der w ° D� Z rnrn 3 D rncoo -Zl ro 2A rn5 -I0 rnwo A 7pc rn1 rn= -a1-a�n 5�D xr 0 N�2 x0 co co v,- 11-n N4.2 °°'r zrn 0114. v 1-_ 4) rn r - rnrn �1 13 -0Z co O _ .4 ,, r°n 7rn 0x11 : 71 1 7C 2rn x(70 70c 4'O N rn N co 1 1 N '�._,�_ l Z r O n -1 r 11 is I J Ill 1 F o n o o D Cl F y a m m o D C, MI 30 o c I. W z ZZooO y � m 2.1 4 ril 0 N ` '� Q ia- „y o C) Y/ rn Q \ p * < 0 C Z GI > 0 0 £ I-1 4 1'0'4 arc, CO 77 o 0 I 3 13 y M-1 z OC7 /� R (1) 0 X Z p4S �°�. 2 m NO. RCWO10ND - INT. APP. DATE 5 1/211_ 4. �x rn x n> x a,73 i\ii ornm N -I v v-I _<rn� 1 0 I 0 -IT-fal * w fir it I __ 4. —i 1= D 7 J o I n cn @ O (4' a 1 riiiii- rn r"---- 1 1 r>N D10 .0.0 ,T -4 r r� co 0-0 oI I o (5) 1=== P rn r ° N 1- 10 1/211 7Tin rno N O = � ,� 01N 1 o�No a 0 *� oi rn z rn ru o D =-__AA �xr rn rA __o 11v -C--0 D I_ I1 DID 73 1 1�,- /1 i1 ° o __ — __. i/ \ o v r ril N S _ _ -- -- -- __i -o— O I zD— -1 rn O V 0 5 1/2" O I U • -0 ----- -- 0 °_° -r ni u rn a rn o , N p= 2 O o 0 0 N D 1 z0, _1 z = r 0-D N ,-v D _ I- Zj rein O 1 O __ o 3 i:•:,:� �1 = Q. _rn ) 1 __ __ z z = I_ m 1 _ -- -- -- __4 1 = _= ==4 Z A A R v 4 O HO) Y X g ` ' �NI � I�� rno Il >r4 1 -1 I h E. o 91 1 OO-0N N - N Ili -- Z7I* rn N z 1 0 H 0- N � 1� 00,0 o - D rn° ionz y�o-3 -I N rri �_ S CO rn N O O v-C Z n 71 0 rn — �� 3� m- //� z� A,0rn rn �coDp co O v <a= D -'i-=r D-4z _ rnrnrn0 z KNNN Iy013 II 1 .Oo Zro-- O=r Sia D 0 rrnrn r:,T = 80z a G) 2 as NOO OI 1O = r0 .r, rn rn ,c N °IP am - r z x0 Nv w� _ rn� -O F Drn -4' _ !To D I c) I N _O 0) �1 Cn n (� O O D /� Fly m m 5 0 O l�J i✓ I� x x Z z Z Z D ry r , O Z \ Z C O O 0 o (, 0 0 0 ... ! 1- Vw o VN rn -n Z y T >: � 1,o D ,., p vs • O � Z z � p ,,,„:0,,, b'z < yc iz VIA'.15 m z Z S Q %O I F.T S. i Z NO. REVISIONS INT. APP. DATE gu co 8u x cP 6° 2 1/2" c+' N -arn ,-1 rn K nD 311 311 N 1- N r rn r- r _ v ID C7 x 2 1/2" -Nrn -. CPP 7D1 1--p D 01 z =rn=_ II■ Nvz t 0 0 rn • co x �G) _ X w rXXn"rn M11M re "' H p. °aD 4. -n CD N D rn vN I-� 0r —I --I Oat zID xr11 -I _ -I D rn _r r -I x .i A N ID -. A 8H \/ 611 1 1/211 - - 11_211 co 8n �/� >_ rn z K 3u re) 311 II 1 , I. I. oND .- O O A — /co Z-Tarn x co "A o o ,N O O — o-°oz MI= rn II \/ Arm 0 rn rn M1= ^' z D II /\ °zoCP 0 1 �m -C CA CD 70 • -iD II CO o n D , N 1 7C V co - rn xrn o8 O O 1- --I X N -�r N -C °D .v- rn mN co-i z --ii o Z _ ,rn o v w w ^,rn 3 1/211 o m s rn ii ID CP D r r0 rn 0 rzn rn 0) x O re �� rn rn o mD - 3 v ,p N II �D rn ID C c°)r°O= x111 �_' D -.• co 11/43 w r- >rn v_ -i 0T 4'ID , 1 1 -0 N7c r-M o O x c N W N D N ZI 4.(P rn rn .D a W_ Os Z1?flr = N rn -r -I co-4 rnXx rn 1C vc�N r0 0 70 NNN ? 211 f I117 X v o O O ' ° x 1 \ w rn rn 0 Or co 11 = I'm \1 Z -I Co,-1 NN =3 xrrn n x* ,r- wrn ?ID ID 01 M z -1p v 3 °c,, j� rn N 11 r -n o.A rn CO N z rn N 11 = ;' x N CT `I° 11II2 *a O-° m O°' ¢D D3 r=rn 4-3 III-1/2 rn �°Oo■ Z0 0> °yoa' zn ��' yr ° �D 11 I_ H= rnrrrn _-1 rn x Dx v-I rn to O O O , v� �x -1rn7C 70-C* !Tp rn rn �2 iz {zrn D -<N �°� �z w 11 70 0 to di r Z MIMI" -0 11111MWS- = rn r :ier_• --1 rn!a i° rn ` _ z Ill rn x:11 rnt ���I 1111M-Dx : D o ■ 01t v x a rn III - O ��� ° 4. O v I © O • rnD oD3 vmo Zox D @Ill 0 • Z _.../11. _ -76 rn rn Z II A� o7nCD °D - _i* �� r N N r z i- ll 3� �� rn _ rn rnrn _ N4+N *�� c ° r Do 11�x zz .zw O D....rn ���� DIDx Q.-0� CO 0 rn - 0 rn Dz0 ° *N Z rn -rrn rnr � 01 z- D N A_ N rn 2 AX-I oD i._ � r*rn �110 -p r ° WIT N rn = oD fIl o xrn wC 3-1 orn� �- 2 rn rn * -rn _1 * rn�rn -t N z° z x rn p �crn D z° cu 73 *o N 0 v 73 = rn ii tJ 0 N v n Fd L/� = x °� ° D M I— CO O C� z a H RRf2o ° R m Z Z z Z Z m m D Z � p0 � 4y n Pi d ›� o0 0 p DD, v Imo Plig v C rn 4 tt V. rr H,.q N \y-i°--�r.f< o rr A l x0 Iy r D - 1-1 Z v) v _ `�\ o v v � o 11 v ,C� z 4,4,c. XT pis z n z I NO. REVISIONS INT. APP. DATE V-8 1/2" -1 c,+ --0 = 9" 3/8" P X at W rrpCP ra o xi - p 6" 1 1/2" 9" 0-- c -IX i ° 5" Dm- -n 0I I 0 I� -< 0 2 1/2" -0 rii0 N N n Ell r AI 7 r tA A 0 0 ar z -A j n, 6"i o N rn O lo. =rw FLAT -1,rn D n,0 o niA o"'r 2� rn �' N o 111cs • r�u' 3 m D . o, p , OZ-, �D DN A = rn , D-I 1- X m N 'P7 CT�r rn x--1 p rn m N Ou p x� °=°m CD nc�� DAD =r °'m =nrn zz - oD p'� 4® m v7 r m n rn N 7N T rn m o I N r c 6� I io" ,ice .N Z N m m N x C N m co co-1 47 or Or N D o= x 2 �m NA DD -11� rznc En o cn rn 1- Nrn DX rn* v 9" 4-°� D ox =� rnv E rn -1 rn —rn r rn v N r o. 4 1/2" A b' A rnD nr •CP(9 r_ opmloorommonEolcoo rn rn !1jji 4, 4 1/2" 6"cn rn Q Q 0— ' -rn ON p A 0 !N 1 m N rn _o wr \� rn I-� 6,m N N D m_N O C N n' cn N • o rn rn-I N' p0 p, -I > -< o x v r -1 6" 2'-2 1/2" 3 1/2" 1 1/4" 6° -_ _ 911 3/8" N T 3 1/2" 1 1/4" r° - O O 9 x 6" 1 1/2" P_3n I (D limmoiniu...._ Zi o O o �rn ° I I ° crn-a ar o �` I atr eP I- rrn o orn 0° �_, �.n o= _ �= r 7C 0 7C 0 0 rnD Z 0 0 r N O, 19 OI N _—I D N p.: N A = rn N 0 m -- ,po„ '� 0Z 02rn �Z ._°=O± D� C� I'i� OI �O =r CP v -i ° r� = oa my /4� zrni Dn *x \ vA 01- 0-0 xl -6 = O,NCD \ 0 1111C c3 m �a_°m D� CO, ■ �Sp �:�=�.'.,�� m *A* v� Drn• r� K ° I N m -c� zrn i Dt7 �, I I O \ rcn - D N C Z rn 11 N rn N r a O GI pi 6 A T - -IA- M - rn = o-(c DD rna z nr> r• 1 rn 'O� co DX fl,� D r 0 0 iZ1 �m OX 2` rn-6= rn rn„ Nw _rn v �_ 6' tN rn 0 - /^� r^ n 0 0 0 > 0 F 0 'w ` 11 y�`l/,T�_��'JJ� 1� n n L� N 0 0 m 1 1 aj o O YI 4 > ��/� . .0 Z m Z ZO 0 y �” A gyp...= T . N mrn c � -iD ma m \50,- s,A<<� vo m 2Z r � D — � 0 V) ,- n m au8 -_"1 - o r-4 z• G o 0 C Z � a •0 0 s y "> c2c° *tea'' co Z ID rn Dv� zm z �p Z Z , r _ z /7 ',Q., o > z cnZ ten = .S o _...., , NO. REVISIONS INT. APP. DATE 12 1/2'1 1'-6" 1/2" 7" rA 7.l\I/ /\1/ -4 -< ' +j 0 0 II 5 1/2" •!" _ _ ,- D N Ti 0 0 1 n n rill if, R R R pO 0 0 11 II II AZ — _ — 1A -I :' P 0 0 I r" v H P T u I_� , `Fl 51/2" I I I I I I = 0 An, 1.1 v 0—133 °J O rn� --i0ac o� ..m mom oc CO 0 rrnnrn rn3 �® :P�J" 1/ 0 0 If' , -irn Nz NN D3 ..�`U ... \ r m F.-i 7N co \ > Z rnx vZ cn0rn � -I -I r 0 S CO x x -1-= I I I I OO r i 4.rn O O rn 2 N s _ <O m Al N rn *x ��/ i� A� 5 1/2° 4. -i— rz - 7n 0 zD = -° :\ 0 0 0 cn" co rn ®� vx = Ti 0 0 1\1 =.-.-- -1 O 0 p N J 3 3u ro n — — r m . NSI (.9'. O O - r'on rn 07c ( m n� <A \ \ V P 9r r.51 ^ • r :02 O O v N ^' n N rn • O -0 0 N W C-I HI 1/2" 5 2" N Ill r rn r n • op 1 -I> x il \]— .D.p v _ \/ X '4..a� N lI i 01 fT w - n N� 1 r P N, O = O�-0 A < L z r O o N I j rnN M rn - N Dc fc 111 P3 D o I:: Or �rn � a ° o o Z -i 1.1 . j0 n '2 o 0-I rnxa CO D Z iiiiI- ' : 1 P .1 m O v I— k ... O ... P v D ..�.. Hi � L! !11m _ I':� Aa Iv —I r�-NI I • rn D �+ —n Z 1EO 1/2" xrn �O , • �v ? r I' 1 W -{ rn : r rn r➢a Af =0` 0rr: -• fAA "( D GP 1 Oi a AN ON- + ? �� -I co T of = TTY -i-..--l1N• y -C tw oZ rn m0 re oov vo• x rn 31 0 f A 3 rn r � :'O � P n Z W_ O# P O °l1 oa_► �ar0 N nrn I. z r� Ti o ;-<t imm �q-11 D -I NI t2 v rn o:Nr v n 0 as or zN<� r<irn -4 rnmD� Ii = z z pi v v -v N z 0 0 o a a n z b . . rrl D 1�1� 11��11��11 M y m = vri � o Z r- Z W W 0 `-' G > z 71 z z z 0 y � � ZZZ Z p GI 0).,„, oo (n 4 n d > � o0 0 P D A 3 ND � � (T1 V1 W y� sRF< om s N m rn < 0 mz r � D _ ND cA C) o � �;� o n fo G z O ti Z = D z m Z 70 z dY r O c�RffR �� o � o zm zz MqR Z^ 0 2 n/ o !S o 1`J 4 = m III m NO. REVISIONS INT. APP. DATE 10" rf) 1'-2 3/4" an __ 11-0 1/4" 5" 2 1/2" rn / \ 0 /O O /p0 0 I \\ m I I v rn , r e 4, 1 I -0 _ D \ / 0+ 7 n> I \ � 11D rn \ // o n ` rn O r u 1 17 GO cnw r_..... �4, rn 4* rn 2 -< 1 2 - 0 ° zrn rn 0 1'-8" n� r�1 I �1 I I A I I 1 I I I CT N)U yv7 l \I I � �_ ao fil r71 rn N _ -i o 0 rn r- ro CuM rn I I 1 0 0 D v - I I I I 1 1 D CP m FR N x) m o o cP - � � o X �° Z m 1 1 I -4 a N — O I I 1 O Z 0N I I D 6 71 71 Z —I -0 r-n o o 1-Tl rn•> 2 K D -iirn °71 —I rn H I I W� 1 /---1 -.-\ I rni- in 71// 11 '-ii 0 a° rn 1 I I zxi I I I I I I I rno Z Z 0 0 ■ 111== I I I I I 1 z 47 rn -Irn -oo>{_ 73D- -0--1 -1 -1 - -p0 III rn i N z-0 Z IT m rn 0 -< orn 0 1'-2 1/4" rf) 1'-2 3/4" 6" 1'-0 1/4" 0) Xi *tI*) NIMU 0 ot***.rs.:\ 1 7*t.I rsv.4■4isi?*:4:■44) , 14*.x4w, ",•sv, 0 , N, *sr $ ,H ,**yr* -ri Vt‘S4.4 %WV?a . o H w n O - " 4. •, 1-u _ll x m O N 2 3 2 3 2 0 2 2 00 rnrfl -0F -{ '°D ri -1-co' °O rn r• rn• 7C Eit, �� °rn -0rn 2 -0 KZ rn° rn° - "D 0 D rn tu rn v x C) S N O_ ?i Cfl ^ yy e o O O D o m D n /`� D = m b° [, ►-3 XXZ0 ° ° 0) OO cn 4 n d %cJ y mm ZZ o 00 p f r _ m I1 p m Z Vf 2 c4 , mO p OCCZ > O p P �—] 4 f''*;'' �'' co Dzm 2P3 Z "ff. �� T En 0 X le 0 X s, Z i n m , NO. REVISIONS INT. APP. DATE 3 1/2" V 6" 1 1/2" — 2 1/2" — 2 1/2" y 4"— N y I - r ,,, 1= 1 N O O— i- OO O co C- O O� V N V N O 0 Or O ()CD C- O O I N O 0 C- N Co rn o o 0 o O O X = _ _ D r 1 rn 0 OO C- D O = Cl N = 1T1 01 - - 0 Z (e O N N N x 0 _ N O C I. O O D -I O - I- r o o 0 _ 0 > rn H 0. 0 Oo c- O 0 1 O 0 iA N - 0 0 1 1 'O O O o (. C- o O O o I O p- r C -p N X o N 5 N O_ rn rn ran I'll O -P O p o 6l o a X P3 rn 0 rn X > rn n rn o 1 > rJ O c- x Z x = ro x 71. - o ?D rn rn ° m r� 6 U rn C o o CO xzi x xto 3 N O N 0 N N O O C- Z1^ rn A r- D D to N D D -D ' 1 1-71 O H 5 -1 5 0 Z 0 OO C- O O O O O N p O O O 1 O ° ° O O .0r o O :z-7.-----------------1 - O A N O O _ N N T 11 -1-C n n N 2 w 0 0° Jc =0 • rn _ N 1. N rn 0-I -I Na N I - -DD w M M j o O C- -I•-• C C Or -<0 O� N ° OO C_ In I . -4 rn"O r O o OO OO C 4. I cg 5 1/2" 5 1/2" v -]N 3 1/2" K D xr 0 IJ _O cn ?r n o o ° n 0 F y l^1 /" b f D 0 n n o �c z z m z z ° ° ° m D-11 r Cc OrriZ 00 in �S4y ny d ›. C9/1 w, _ ° N T7 C '�w I Fl �`i�a_``r�`�` Q o A 3 71 Z t Xj v' v U] -7 m j <s1!° co /� O• D r 1\/ ~ 1� 1-1 I--, vii r- A - z m 0 v Z m Z D 72 Q Q ey O v ,' yC��Ff;�J�a m 0 _1Oo G z Z "� = Z �'qR Z Tn = 10 o vs °n r Z m NO. REVISIONS INT. APP. DATE STATF O, o y a _ x Don Hoch Director yl 1889 A� STATE OF WASHINGTON WASHINGTON STATE PARKS AND RECREATION COMMISSION 1111 Israel Road S.W. • P.O. Box 42650.Olympia,WA 98504-2650•(360)902-8500 TDD (Telecommunications Device for the Deaf): (360)664-3133 www.parks.wa.gov March 16, 2015 To: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 From: Alexandra Wunsch, Environmental Planner Re: Triton Cove State Park, Float Replacement Permit Application Please find enclosed the application for a Shoreline Master Program Exemption Permit and a Building Permit for a proposed float replacement project located at Triton Cove State Park. The Jefferson County Permit Application and all supplemental application materials are enclosed. Washington State Parks and Recreation Commission(WSPRC) believes this project to be exempt under WAC 173-14-040, developments exempt from substantial development requirement under section(b) of the above listed code as the proposed project is "normal maintenance or repair of existing structures or developments". Please invoice WSPRC for any applicable fees related to these permit applications. If you have any questions regarding this matter, please contact Alexandra Wunsch at (360) 725-9755. Thank you for your time, Marr4ININF Alexandra Wunsch IE O E V E Environmental Planner, Southwest Region D Washington State Parks &Recreation Commission f� MAR 1 7 2015 I L (360) 725-9755 I Alexandra.Wunsch @parks.wa.gov I�� 01 r °T 1"COM ,tip a Di vs S • ��gON e06 DEPARTMENT OF COMMUNITY S , N early '-� w� 621 Sheridan Street,Port Townsend,\\':\9S368 =: L-: 1'd:360.3794450 Fax:360.3 9.4151 I I \\'eb:v tiww.cn.icfferson.wa.us/conuntmityrtevelupment + /11' l:-mail:dcda<coaefs:er,on.wa.us t 1��; I MAR 1 6 2015 �! ESN I N G,CO PERMIT APPLICATION JEFFEE3ON COUNTY i.Or COMMUVITY DEVELOPMENT Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 502313012 - F 02° j ' Site Address and/or Directions to Property:70 Handley Ln, Brinnon,WA 98320 From Brinnon, WA, head south on U.S. 101 approximately 8 miles. The park entrance will be on your left. Access(name of street(s)) from which access will be gained: Hwy. 101 Present use of property: State Recreation Park Description of Work(include proposed uses): The staff of Washington State Parks and Recreation Commission (Parks) proposes the in-kind replacement of floating docks at Triton Cove State Park. Please see attached JARPA and site plans for further project details. Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: N/A - No on-site wastewater Community Septic Name of System: Case#: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete _ Partial Has a reserve drainfield been designated? Yes _ No _ Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: N/A • • The authorized agent/representative is the primary contact for all project--related questions and correspondence. The County will mail/e-mail requests and information about the application to the authorized agent/representative and will copy(cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.c .,County email is not blocked or sent to"junk mate"). Applicant/Property Owner Information Property Owner: Name: Washington State Parks and Recreation Commission, ATTN: Alexandra Wunsch Address: 1111 Israel Rd SW, PO BOX 42650, Olympia, WA 98504 Phone#: 060) 725-9755 E-mail Address: alexandra.wunsch @parks.wa.gov _ _ Please c tact uthorized Agent/Representative with project info. (select only one). �� I / ) Property Owner Signature: --�-,,, Date: �/ ( 5 Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative Of other than owner) Name: Alexandra Wunsch Address: Same as above Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Attach additional pages if necessary Builders Statement The signer of this statement certifies 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: ( I� Print Name: GL11, ■)■.)1. Date: 3-/6 I r)Gin'rQ.AG,1ct1 ci..tt qty r 1 J • • ,SON c. DEPARTMENT OF COMMUNITY DEVE II ►A • 621 Sheridan Street,Port Townsend,WA 98368 I V Gj Tel 360.3_9.4-13(1 ; :;ax;360.3,.:79:1-151 V -C Web:W\l-w.co.ietierson.wa.us/communinvdevelopment J E-mail:dcd@-.co.jefferson.wa.us j ,l MAR 1 6 �` 2015 SUPPLEMENTAL APPLICATION --..- ..-.. .. . FFEP,SON COUNTY RESIDENTIAL OR COMMERCIAL BLDG PEI �" oMMUNITV DEVELOPMENT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: \iVIg state Parks Assessor Tax Parcel #: 502.31 3o 12. Type of Building New Replacement )( Relocated Addition Repair l' Demolition *A separate permit is required Select One: Single Family Residence Modular Other T ,pe,, , list Proposed Building/Project Number of floors # new bedrooms existing total bed #new bathrooms existing total bath Heat Source Select all that apply: Electric Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft Residential/Commercial Main Floor Residential/Commercial Second Floor Additional Floors-heated/unheated Basement-unfinished Basement-finished space or habitable Detached Garage-heated/unheated Attached Garage-heated/unheated Garage 2nd fl - unfinished storage I Garage 2nd fl -finished space or habitable Carport- 2 walls or less Deck- uncovered Covered porch Other(shed, barn, pole bldg,etc.) x (,, 7'go F4-= Igo Estimated Cost of Project (Required): $ 2_0i OCO • List existing buildings on property (i.e. house, garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Property j Use 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visit related to this application and subsequent permit issuance. Signature: Print Name: '7,0C t`t Date: 3 ( i(b i i Estimated Cost of Project $ Ze7r ITUV For Department Use Only Building Base Fees ,.Building Base � pQV1 OO Plan Check Review -3 55 Land Use Review $234.00 Septic Review Potable Water - , Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Road Approach Total Fees ._ LQ cc Receipt # Date: . - Cash/Check/CC: • • SON C 1�1 _ ` _. r, 1 oG JEFFERSON COUNTY gDEPARTMENT OF COMMUNITY DEVELOPMENT � �` ' MOH 1 6 2015 P- `, 621 Sheridan Street • Port Townsend • Washington 98368 O 360/379-4450 • 360/379-4451 Fax ,, ,uUNr/ [..72; �51'IN0"'. http://www.co.jefferson.wa.us/commdevelopment/ =COMMUNITY DDIELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: V )"tree P(A.'y` k,(:, 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) Pc a''It, q Size of parcel 2_i • 1 acres �{ e�Ann acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet j F�tiZ { —1 - 1 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 K) 1 A sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. sq/ft Circle: Yes 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 No ) Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: s r Total Land Disturbance �° sq/ft Cut tv)If Fill r�.;/�t (cu/yd) [over] • • 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 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 NEW EXISTING Structures (all roof area) sq/ft Structures(all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc sq/ft Other To Gk- 7 sq/ft Other Do ��j�� sq/ft Total New 7 sq/ft Total Existing g sq/ft TOTAL NEW+ TOTAL EXISTING* S6LR - 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. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: I U 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 � ( I I ( U REPRESENTATIVE 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 Parcel Print Page 1 of 1 • • Parcel Number: 502313013 08/15/2014 Owner Mailing Address: WASHINGTON STATE PARKS& RECREATION COMMISSION PO BOX 42650 OLYMPIA WA 98504-2650 Site Address: 70 HANDLEY LN BRINNON 98504-2650 Section: 31 School District: Brinnon(46) Qtr Section: SW 1/4 Fire Dist: Brinnon(4) Township: 25N Tax Status: STATE Range: 2W Tax Code: 0441 Planning area: 98504-2650 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: PPR-Parks,Preserves,and Recreation Zoning 2: Zoning 3: Sub Division: Land Use Code: 9700 98504-2650 Property Description: S31 T25 R2W TAX 17 &TL TX F(S'LY 5.06CHS) LESS R/W & LESS TAX 13(ENLG) { LM5 — I ( http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=502313013 3/20/2015