The URL can be used to link to this page

Home My WebLink AboutSDP2019-00001 - 04 JARPARe o /ellouae ear&t// Motthew L. Tyler Monager 623 Sheridan St. Port Townsend, WA 98368 360-i85-9129CU P. Depa rtment of Community Development 621 Sheridan St. Port Townsend, WA 98368 RE: Site Address: 1090 Shine Road, Case # MLA19-0004 February 12,2079 Dear Donna Frostholm lnformation is enclosed in response to your request for additional information regarding the Shoreline Substantial Development Permit Exemption Application for Hicks Park in Shine, Boat Ramp Repair Project dated February 51h,2019. Please find: 7. Revised site plan with OHWM and extent of proposed project; 2. Revised plan view sheet with above and side views, showing OHWM; 3. JARPA; 4. lnformation about how long it will take for the concrete to dry, when the concrete will be pumped relative to tide cycles, and what measures are proposed to prevent wet concrete from entering the marine environment. This information is provided in the JARPA, and in the revised plan view sheet. Please let me know if you have any questions. Sincerely Yours, Matt Tyler Jefferson County Parks and Recreation Manager FEB 1 ? 2019 Legend ? w.R. Hcks county Park Hicks Park Parcel #721031 008, Site Address: 1090 Shine Rd", Port Ludlory, WA o) Ocv C\I cou'r l-l- UU e UU o UU I @,1i+-= b--- " t:x- {I :;-;*;---r./ .,.J ,--frI Vault Toilet *i Parcel r&r 0lrl l Sqr-... ->- a I h R Hich S- --froiect Boat Ramp I A NGoogle Earth 200 fr Hicks Park in Shine Boat Ramp Repair Schematic February L2,20L9 Matt Tyler; Parks and Recreation Manager, 360-385-9L29 Not to Scale TOP VIEW Overall boat ramp dimension: 90 feet long x 16 feet wide x 8 inches thick tr trOVtr FEB 1 2 2019 oz ]J.J tt!F = ozlIJ FoJ (9z =G, CL OHWM S!DE VIEW Estimated volume of concrete:2.73 cubic yards. Wet concrete will be kept out of the marine environment by us- ing fast curing additives which will result in a 4 hour cure time; and pouring on an outgoing tide, on a day in which the tide will reach at least a 0.5 low. The pour will begin when the tide reaches 3 feet, which will leave approxi- mately 6 hours before it reaches 3 feet again. This plan will allow for a safety margin of approximately 7 vertical feet, and 60 linear feet. Scope: clean wood from under damaged area, place forms around the damaged area, pump concrete into the damaged area. il]ffiilItililnffiil Area of repair is under the existing ramp: 7 feet wide by 16 feet long x 8 inches thick - + AGENCY USE ONLY WASHINGTON STATE Joint Aquatic Resources Permit Application (JAR PA Forml'2 U9 Army Corps ol Engineers Seatlle Dislncl Date received: Agency reference #: USE BLACK OR BLUE INK TO ENTER Tax Parcel #(s): L Part 1 -Project ldentificati tEB 1 2 2019 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) thelpl Hicks Boat Ramp Emergency Boat Ramp Repair Shoreline Exemption Part 2-Applicant The person and/or organization responsible for the project. Ihetpl 2a. Name (Last, First, Middle) Matt Tyler 2b. Organization (lf applicable) Jefferson County Public Works, Parks and Recreation Division 2c. Mailing Address (Street or Po Box) 623 Sheridan St. 2d. City, State, Zip Port Townsend, WA 98368 2e. Phone 1ty 2f. Phone 1zy 29.Fax 2h. E-mail 360-385-91 29 360-531-1744 360-385-9234 mtyle r@co.jefferson. wa. us lAdditional forms may be required for the following permits: o lf 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.. Not all cities and counties accept the JARPA for their local Shoreline permits. lf you need a Shoreline permit, contact the appropriate city or county government to make sure they accept the JARPA. 2To access an online JARPA form with [help] screens, go to htto://www.eoermittinq.wa.qov/site/alias resourcecenter/jarpa iarpa_form/9984/iarpa form.aspx. For other help, contact the Governor's Office for Regulatory lnnovation and Assistance at (800) 917-0043 or help@oria.wa.Qov. oRtA-16-011 Page 1 of 16 Part 3-Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign '1 1b of this application.) tnetpl 3a. Name (Last, First, Middle) 3b. Organization (lf applicable) 3c. Mailing Address (Street or PO Box) 3d. City, State, Zip 3e. Phone (t)3f. Phone 121 39. 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. hetol X Same as applicant. (Skip to Part 5.) n Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) E There are multiple upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. E Your project is on Department of Natural Resources (DNR)-managed aquatic lands. lf you don't know, contact the DNR at (360) 902-1100 to determine aquatic land ownership. lf yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) 4b. Organization (lf applicable) 4c. Mailing Address (street or Po Box) 4d. City, State, Zip 4e. Phone (t)4f. Phone 1zy 49. Fax 4h. E-mail oRtA-16-011 Page 2 of 16 Part S-Project Location(s) ldentifying information about the property or properties where the project will occur. thetpl tr There are multiple project locations (e.9. linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. !ndicate the type of ownership of the property. (Check allthat apply.) thelpl E Private tr Federal E Publicly owned (state, county, city, special districts like schools, ports, etc.) tr Tribal n Department of Natural Resources (DNR) - managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. lf there is no address, provide other location information in 5p.) Ihelpl 1090 Shine Road 5c. City, State, Zip 1tt tne project is not in a city or town, provide the name of the nearest city or town.) thelpl Port Ludlow, WA 98365 5d. County rnetpl Jefferson 5e. Provide the section, township, and range for the project location. hetpl % Section Section Township Range NE 3 27N 1E 5f. Provide the latitude and longitude of the project location. hetpl o Example: 47.03922 N lat. / -122.89142 W long. (Use decimal degrees - NAD 83) 47.86745 N Lat I -122.66390 W Long 59. List the tax parcel numbe(s) for the project location. hetpl o The local county assessor's office can provide this information. 721031008 5h. Contact information for all adjoining property owners. (lf you need more space, use JARPA Attachment C.) metpl Name Mailing Address Tax Parcel # (if known) James Smersh 1 160 Shine Road 721031007 Port Ludlow, WA 98365 Jeanne Stauffer Barbara Gase, Jeanne Stauffer 821343022 1051 Shine Road, Port Ludlow, WA 98365 oRrA-'t6-011 Page 3 of 16 5i. List all wetlands on or adjacent to the project location. tnetpl Tidelands of the Hood Canal and Squamish Harbor 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. hetpl Squamish Harbor of the Hood Canal n Yes tr No n Don't know 5!. Briefly describe the vegetation and habitat conditions on the property. metpl Nearshore marine habitat including upland and marine habitat typical of the inland coastal waters of Puget Sound and the Strait of Juan de Fuca. Vegetation includes American Dune Grass, Ocean Spray, Oregon Grape, Pacific Madrone, Nootka Rose, and Red Alder. 5m. Describe how the property is currently used. hetol The property is used as a public park. 5n. Describe how the adjacent properties are currently used. rnetpl The property to the East is used as a private residence. The property to the West is largely undeveloped. lt is used for beach access. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. rnetpl (1) Vault toilet with 500 gallon holding tank and wooden toilet building; (2) Jefferson County Road - WM R Hicks Park Road; (3) parking lot; (4) concrete boat ramp. 5p. Provide driving directions from the closest highway to the project location, and attach a map. thetpl Take WA - 104 to Shine Road. Take Shine Road to WM R Hicks Park Road, and turn into park. Map is located on last page of this document. oRtA-'16-011 Page 4 of 16 Part G-Project Descri ption 6a. Briefly summarize the overall project. You can provide more detail in 6b. Inetp] Repair and undercut boat ramp. The boat ramp is 90 feet long, by 16 feet wide by approximately 8" thick. It was undercut by a storm at high tide in December of 2018. The undercut area is l6 feet long by 7 feet wide, by approximately 8 to 12 inches high, and is located at the highest corner of the boat ramp (see photos). The repair is to remove wood debris from under the ramp, form along the edge of the void, and pump a concrete slurry into the void. 6b. Describe the purpose of the project and why you want or need to perform it. rnetpl The purpose of project is to repair a normal repair of an existing boat ramp, to return it to its original condition before the storm damage. The boat ramp is an essential public facility, in active use by the general public. 6c. lndicate the project category. (Check allthat apply) Ihelol E Commercial X Maintenance n Residential n lnstitutional E Environmental Enhancement X Transportation X Recreational 6d. lndicate the major elements of your project. (Check all that apply) [help] n Aquaculture tr Bank Stabilization n Boat House X Boat Launch tr Boat Lift tr Bridge n Bulkhead n Buoy E Channel Modification tr Culvert tr Dam / Weir n Dike / Levee / Jetty tr Ditch tr Dock / Pier n Dredging E Fence tr Ferry Terminal n Fishway tr Float tr Floating Home E Geotechnical Survey tr Land Clearing E Marina / Moorage tr Mining tr Outfall Structure tr Piling/Dolphin n Raft E Retaining Wall (upland) n Road tr Scientific Measurement Device tr Stairs E Stormwater facility tr Swimming Pool tr Utility Line tr Other: oRtA-16-011 Page 5 of 16 6e. Describe how you plan to construct each project element checked in 6d methods and equipment to be used. hetpl o ldentiil where each element will occur in relation to the nearest waterbody. o lndicate which activities are within the 10O-year floodplain. I nclude specific construction Restore 38 linear feet of existing quarry rock bulkhead on the South Side of boat launch with 28 tons of 3 man and 14 tons of 2" lo 4" quarry rock. Fill voids under concrete boat launch with up to 9 yards of 7 sack sand/pea gravel flowable concrete mix. Wet concrete will be kept out of the marine environment by using fast curing additives which will result in a 4 hour cure time; and pouring on an outgoing tide, on a day in which the tide will reach at least a 0.5 low. The pour will begin when the tide reaches 3 feet, which will leave approximately 6 hours before it reaches 3 feet again. This plan will allow for a safety margin of approximately 7 vertical feet, and 60 linear feet. 6f. What are the anticipated start and end dates for project construction? (Month^rear) Ihetp] o lf 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: March 3,2019 End Date: March 3,2019 tr See JARPA Attachment D 69. Fair market value of the project, including materials, labor, machine rentals, etc. hetpl $6,343 6h. Will any portion of the project receive federal funding? metpl o lf yes, list each agency providing funds. tr Yes X No E Don't know Part 7-Wetlands: lmpacts and Mitigation X Check here if there are wetlands or wetland buffers on or adjacent to the project area (lf there are none, skip to Part 8.) metot 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. Ihetpt tr Not applicable This project is only for maintenance of existing structures and will not result in any impacts to wetlands. Equipment will operate from existing paved Jefferson County Roads, and existing Jefferson County Parking Lot. No equipment will enter the tidelands. 7b. Willthe project impact wetlands? hetpl n Yes X No n Don't know 7c. Willthe project impact wetland buffers? tnetpl n Yes X No E Don't know oRtA-16-011 Page 6 of 16 7d. Has a wetland delineation report been prepared? hetpl o lf Yes, submit the report, including data sheets, with the JARPA package. trYes XNo 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? rnetpt o lf Yes, submit the wetland rating forms and figures with the JARPA package. n Yes [] No X Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? tnetpl o lf Yes, submit the plan with the JARPA package and answer 79. o lf No, or Not applicable, explain below why a mitigation plan should not be required. tr Yes X No E Don't know A mitigation plan should not be required because this project is maintenance of existing structures, no work will occur in wetlands. 79. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. fnetpl 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. hetet Activity (fill, drain, excavate, flood, etc.) Wetland Namel Wetland type and rating category2 Impact area (sq ft. or Acres) Duration of impacf Proposed mitigation typen Wetland mitigation area (sq. ft. or acres) None 1 lf no official name for the wetland exists, create a unique name (such as 'Wetland 1"). The name should be consistent with other project documents, such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3lndicate the days, months or years the wetland will be measurably impacted by the activity. Enter "permanent" if applicable.aCreation (C), Re-establishmenVRehabilitation (R), Enhancement (E), Preservation (P), Mitioation BanUln-lieu fee (B) Page number(s) for similar information in the mitigation plan, if available oRtA-16-011 Page 7 of 16 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. hetol None, not applicable 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. hetpl None, not applicable Part 8-Waterbodies (other than wetlands): Impacts and Mitigation ln Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) rnetot X Check here if there are waterbodies on or adjacent to the project area. (lf there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. lhelpl tr Not applicable All work will occur above the ordinary high water mark. Only maintenance of existing structures will occur 8b. Will your project impact a waterbody or the area around a waterbody? metol trYes XNo oRtA-16-011 Page 8 of 16 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? hetpl o lf Yes, submit the plan with the JARPA package and answer 8d. o lf No, or Not applicable, explain below why a mitigation plan should not be required. E Yes X No n Don't know Not applicable, maintenance of existing structures only 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. o lf you already completed 79 you do not need to restate your answer here. [he!p] Not applicable 8e. Summarize impact(s) to each waterbody in the table below. hetpt Activity (clear, dredge, fill, pile drive, etc.) Waterbody namel lmpact Iocation2 Duration of impact3 Amount of material (cubic yards) to be placed in or removed from waterbody Area (sq. ft. or linear ft.) of waterbody directly affected None 1 lf no official name for the waterbody exists, create a unique name (such as "Stream 1") The name should be consistent with other documents provided. 2lndicate whether the impact will occur in or adjacent to the waterbody. lf adjacent, provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 3lndicate the days, months or years the waterbody will be measurably impacted by the work. Enter "permanent" if applicable. 8f. For all activities identified in 8e, describe the source and nature of the fill material, amount (in cubic yards) you will use, and how and where it will be placed into the waterbody. Ihetpl Maintenance of existing structure oRrA-I6-011 Page 9 of 16 89. 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 materialwill be disposed. hetpl Not applicable Part g-Add itional I nformation Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. lt is ok if you cannot answer a question. 9a. lf you have already worked with any government agencies on this project, list them below. hetol Agency Name Gontact Name Phone Most Recent Date of Gontact Jefferson County Department of Community Development Donna Frostholm 360-379-4450 February 5, 2019 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? rnetot o !f Yes, list the parameter(s) below. . lf you don't know, use Washington Department of Ecology's Water Quality Assessment tools at https://ecoloqv.wa.qovAy'y'ater- ShorelinesAluater-qualitvMater-im provemenUAssessment-of-state-waters-303d. trYes XNo My search did not indicate the waterbody was on the 303(d) list. 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? tnetol o Go to htto://cfpub.epa.qov/surf/locate/index.cfm to help identify the HUC. 9d. What Water Resource lnventory Area Number (WRIA #) is the project in? hetpl o Go to https://ecology.wa.qovMater-ShorelinesMater-supplyAlVater-availabilityMatershed-look-up to find the WRIA #. oRtA-'t6-01 1 Page 10 of 16 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? metpl o Go to https;//ecologv.wa.qovAl/ater-ShorelinesA/Vater-qualitv/Freshwater/Surface-water-quality-standards/Criteria for the standards. n Yes tr No tr Not applicable 9f. lf the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? metol o lf you don't know, contact the local planning department. o For more information, go to: httos://ecology.wa.qovMater-Shorelines/Shoreline-coastal-manaoemenUShoreline-coastal- olanning/Shoreline-laws-rules-and-cases. n Urban E Natural [1 Aquatic n Conservancy n Other: 99. What is the Washington Department of Natural Resources Water Type? metpl o Go to http://www.dnr.wa.qov/forest-practices-water-tvpinq for the Forest Practices Water Typing System. tr Shoreline tr Fish n Non-Fish Perennial n Non-Fish Seasonal th. Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? thelpl o lf No, provide the name of the manual your project is designed to meet. trYes trNo Name of manual 9i. Does the project site have known contaminated sediment? hetpl o lf Yes, please describe below. trYes trNo 9j. lf you know what the property was used for in the past, describe below. metpl 9k. Has a cultural resource (archaeological) survey been performed on the project area? hetpl o lf Yes, attach it to your JARPA package. oRtA-16-011 Page 11 of16 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. tnetpl 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. hetpl Part 1O-SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. . Online Project Questionnaire at http://apps.oria.wa.qov/opas/. . Governor's Office for Regulatory lnnovation and Assistance at (800) 917-0043 or help@oria.wa.qov. r For a list of addresses to send your JARPA to, click on aqency addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (check all that apply.) thelpl o For more information about SEPA, go to https://ecoloqv.wa.gov/requlations-permits/SEPA-environmental-review. tr A copy of the SEPA determination or letter of exemption is included with this application tr A SEPA determination is pending with (lead agency). The expected decision date is n I am applying for a Fish Habitat Enhancement Exemption. (cneck the box below in too.) metol tr This project is exempt (choose type of exemption below). tr Categorical Exemption. Under what section of the SEPA administrative code WAC) is it exempt? tr Other: tr SEPA is pre-empted by federal law oRrA-16-011 Page 13 of 16 10b. lndicate the permits you are applying for. lCnecr all that apply.) thelpl Locel Govenrumerur Local Government Shoreline permits: tr Substantial Development tr Conditional Use E Variance X Shoreline Exemption Type (expla in): Maintenance of existinq Other Gity/Gounty permits: tr Floodplain Development Permit n CriticalAreas Ordinance Sure Govenxuent Washington Department of Fish and Wildlife: tr Hydraulic Project Approval (HPA) tr Fish Habitat Enhancement Exemptio n - Attach Exemption Form Washington Department of Natural Resources: tr 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: tr Section 401 Water Quality Certification FEDERAL AND TRIBAL GOVERNMENT United States Department of the Army (U.S. Army Corps of Engineers): E Section 404 (Oiscnarges into waters of the U.S.) n Section 10 (work in navigable waters) United States Coast Guard: E General Bridge Act Permit E Private Aids to Navigation (for non-bridge projects) United States Environmental Protection Agency: tr Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do not have treatment as a state (TAS) Tribal Permits: (Cneck with the tribe to see if there are other tribal permits, e.9., Tribal Environmental Protection Act, Shoreline Permits, Hydraulic Project Permits, or other in addition to CWA Section 401 WOC) E Section 401 Water Quality Certification (discharges into waters of the U.S.) where the tribe has treatment as a state (TAS). oRtA-16-01 1 Page 14 of 16 Part 1 1-Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. hetpl 11a. Applicant Signature (required) rnetpl I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby authorize the agent named in Part 3 of this application to act on my behalf in matters related to this appticaiion 4- (initiar) 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 the property where the project is located to inspect the project site or any work related to the project M qrt h<-r,nJ L - (initial) i--r \e r Anr^fL^J.-1[ - App[cant S€nature V J 11b. Authorized Agent Signature rnetol I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Printed Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant) rnetpt Not required if project is on existing rights-of-way or easements (provide copy of easement with JARPA) I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Name Property Owner Signature Date 18 U.S.C $1001 provides that. Whoever, in any manner within the jurisdiction of any department or of the United States knowingly falsifies, conceals, or covers up by any trick, scheme, or device a material fact or makes or representations or makes or uses any false writing or document knowing same to contain entry, shall be fined not more than $10,000 or imprisoned not more than 5 years or both. or 1 2 2019FEB oRtA-16-011 Page 15 of 16 zltzltq Ddte INE.GRI- .R. Hicks County lf you require this document in another format, contact the Governor's Office for Regulatory lnnovation and Assistance (ORIA) at (800) 917-0043. People with hearing loss can call711 for Washington Relay Service. People with a speech disability can call (877) 833- 6341. ORIA publication number: ORIA-16-011 rev. 09/2018 tr trOVtr FEB 1 2 2019 oRtA-16-0'11 Page 16 of 16 ,G;) -;/'-[aG} \r o{ Donna Frostholm From: Sent: To: Subiect: Attachments: Matt Tyler Wednesday, March 20,2019 9:06 AM Donna Frostholm RE: MLAl9-00004 PW Shoreline Application Schematic Design for Boat Ramp Repair Hicks Park 032019.pdf; Hicks Park JARPA 032019.pdf Donna, I updated the JARPA and the design and attached it to this email. lt is not 38 feet, it is 16 linear feet of parking lot frontage revetment. I also printed and dropped off at your office. Please let me know if you have any questions. Thank you, Matt klloroo* eotr$ Matthew L. Tyler, MPA Jefferson County Parks and Recreation Manager 623 Sheridan Street Port Townsend, WA 98368 360-385-9129 desk mtvler@co.iefferson.wa.us I www.countyrec.com Serving the Community All e-mail sent by this e-mail address has been sent by the Jefferson County e-mail system and is therefore subject to Public Records Act, a State law found at RCW 42:56. Under the Public Records Law, the County must release this e-mail & itrs contents to any person who asks to obtain a copy (or for inspection) of this e-mail unless it is also exempt from disclosure under State Law RCW 42.56. From : Don na Frostholm < DFrosthol m @co.jefferso n.wa. us> Sent: Friday, March L5,2079 3:30 PM To: Matt Tyler <MTyler@co.jefferson.wa.us> Subject: RE: MLA19-00004 PW Shoreline Application Hi Matt Just want to check in with you. I reviewed the JARPA and it mentions (on page 6) that 38 linear feet of rock bulkhead will be repaired. Allthe other information submitted indicates concrete will be poured within a 7-foot-wide by 16-foot- long area of an existing boat ramp. lf no bulkhead repairs are proposed, please reply to this email stating that the proposal is limited to the 7-foot x 16-foot area of concrete at the existing ramp. 1 lf a bulkhead repair is proposed, please send drawings and details about what is proposed I am hoping to make a site visit on Tuesday (31L9), so if at all possible, please let me know by Monday Thanks, Donna From: Matt Tyler Sent: Monday, March tt,2OL9 8:27 AM To: Donna Frostholm <DFrosthol m @co. iefferson.wa.us> Subject: RE: MLA19-00004 PW Shoreline Application Hello Donna, Any work on this application? We are anxious to repair this boat ramp. Thank you. Matt From: Donna Frostholm < DFrostho I m @co. ieffe rso n.wa. us> Sent: Tuesday, February 5,2OL9 2:38 PM To: Matt Tyler <MTvler@co. iefferson.wa.us> Subject: M LA19-00004 PW Shoreline Applicatio n Matt I have started reviewing your application and will be bringing over a request for additional information. I will ask the PW receptionist to put it in your inbox. Donna frostfiofu y'WS As s o c iat e ? (a nner - .t e ad/W et knd Sy e c i.a fis t Jefferson County DeJrartttent of Community Devebyment 6zr Sheritan Street, ?ort (owrcen['Wasfiington eSs6S 360379-4466 4i'r os I fr ofm s t o.J10 e rs on. )v.1. ur DCD is open from 9:00am - 12:00pm and 1:00pm - 4:30pm Monday through Thursday; DCD is closed on Friday. All emails sent to and from this address will automatically be archived by Jefferson County and emails may be subject to Public Disclosure under Chapter 42.56 RCW. 2 Hicks Park in Shine Boat Ramp Repair Schematic March 18, 2019 Matt Tyler, Parks and Recreation Manager, 350-385-9129 Not to Scale TOP VIEW Overall boat ramp dimension:90 feet lont x 16 feet wide x 10 inches thick oz Fo (,z =E d <-Restore 16 linear feet x 10 feet existint quarry rock revetment adjacent to ramp OHWM SIDE VIEW SCOPE Restore 16'x 10'existing quarry rock revetment using 13 tons of 3 man and 7 tons of 2" to 4" quarry rock.. Fill voids under concrete boat launch with up to I yards of 7 sack sand/pea gravel flowable concrete mix. Wet concrete will be kept out of the marine environment by using fast curing additives which will result in a 4 hour cure time; and pouring on an outgoing tide, on a day in which the tide will reach at least a 0.5 low. The pour will begin when the tide reaches 3 feet, wtrich will leave approximately 6 hours before it reaches 3 feet again. This plan will allow for a safety margin of approximalely 7 vertical feet, and 60 linear feet. No vehicles or machinery will be driven on the tidelands. Work will occur from the parking lot, or from the boat ramp. + Fill undercut boat ramp area with concrete slurry - 7 feet wide by 16 feet long x 8 inches tlAH 2 a 2019 tr[Vtrtr trt AGENCY USE ONLY WASHINGTON STATE US Army Corps ol Enginers " Date received: Joint Aquatic Reso Application (JARPA S€anb Ddricl SPACES BELOW. [lAR 2 0 2019 VE Agency reference #:I USE BLACK OR BLUE INK TO ENTER ANSWERS Parcel #(s): Part 1 -Project ldentification 1. Project Name (A name for your p@ect that you create. Examples: Smith's Dock or Seabrook Lane Development) thelpl Hicks Boat Ramp Emergency Boat Ramp Repair Shoreline Exemption Part 2-Applicant The person and/or organization responsible for the project. herpl lAdditional forms may be required for the following permits: .lfyourprojectmayqualifyforDepartmentoftheArmyauthorizationthroughaRegional General Permit(RGP),contacltheU.S.ArmyCorpsof Engineers for application information (206) 764-3495.. Not all cities and counties accept the JARPA for their local Shoreline permits. lf you need a Shoreline permit, contact the appropriate city or county govemment to make sure they accept the JARPA. 2To access an online JARPA form with [help] screens, go to http://www.epermittinq.wa.qov/site/alias resourcecenter/iarpa iarpa form/9984/iama form.asox. For other help, contact the Governo/s ffice for Regulatory lnnovation and Assistance at (800) 917-0043 or helo@oria.wa.oov. 2a. Name (Last, First, Middle) Matt Tyler 2b. Organization (tf appticabte) Jefferson County Public Works, Parks and Recreation Division 2c. Mailing Address (Street or PO Box) 623 Sheridan St. 2d. City, State, Zip Port Townsend, WA 98368 2e. Phone 1t1 2f. Phone (z)29.Fax 2h. E-mail 360-385-9129 360-531-1 744 360-385-9234 mtyler@co.jefferson.wa. u s oRrA-16-01 1 Page 't of 16 @ I I t, I Part 3-Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11b of this application.) rneto; 3a. Name (Last, First, Middle) 3b. Organization 1tr appticabte) 3c. Mailing Address (Street or Po Box) 3d. City, State, Zip 3e. Phone 1ty 3f. Phone (z)39. 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 ownershi p because the upland owners may not own the adjacent aquatic land. lnetpl X Same as applicant. (Skip to Part 5.) tr Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) E There are multiple upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. tr Your project is on Department of Natural Resources (DNR)-managed aquatic lands. lf you don't know, contact the DNR at (360) 902-1100 to determine aquatic land ownership. lf yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) 4b. Organization (lf applicable) 4c. Mailing Address (Street or PO Box) 4d. City, State, Zip 4e. Phone 1r 1 4f. Phone (z)49. Fax 4h. E-mail oRrA-16-01 1 Page 2 of 16 Part 5-Project Location(s) ldentifying information about the property or properties where the project will occur. tnerol tr There are multiple project locations (e.9. linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. lndicate the type of ownership of the property. (Crrect< al that appty.) therol tr Private n Federal X Publicly owned (state, county, city, special districts like schools, ports, etc.) tr Tribal tr Department of Natural Resources (DNR) - managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. lf there is no address, provide other location information in 5p.) thelpl 1090 Shine Road 5C. City, State, Zip 1tt ttre prolect is not in a city or town, provide the name of the nearest city or town.) thetpl Port Ludlow, WA 98365 5d. County therol Jefferson 5e. Provide the section, township, and range for the project location. herpl % Section Section Township Range NE 3 27N 1E 5f. Provide the latitude and longitude of the project location. tnerpl o Example: 47.03922 N lat. / -122.89142 W long. (Use decimal degrees - NAD 83) 59. tist the tax parcel numbe(s) for the project location. tnerpl o The local county assessor's office can provide this information. 721 031 008 5h. Contact information for all adjoining property owners. (lf you need more space, use JARPA Attachment C.) frretpl Name Mailing Address Tax Parcel# (if known) James Smersh 1160 Shine Road 721031007 Port Ludlow, WA 98365 Jeanne Stauffer Barbara Case, Jeanne Stauffer 821343022 1051 Shine Road, Port Ludlow, WA 98365 oRtA-l6-01 1 Page 3 of 16 47.86745 N Lat / -1 22.66390 W Long. 5i. List all wetlands on or adjacent to the project location. tnetpl Tidelands of the Hood Canal and Squamish Harbor 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. tnerpl Squamish Harbor of the Hood Canal tr Yes tr No E Don't know 51. Briefly describe the vegetation and habitat conditions on the property. 1neto1 Nearshore marine habitat including upland and marine habitat typical of the inland coastal waters of Puget Sound and the Strait of Juan de Fuca. Vegetation includes American Dune Grass, Ocean Spray, Oregon Grape, Pacific Madrone, Nootka Rose, and Red Alder. 5m. Describe how the property is currently used. rnetol The property is used as a public park. 5n. Describe how the adjacent properties are currently used. tnerol The property to the East is used as a private residence. The property to the West is largely undeveloped. lt is used for beach access. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. rnetol (1) Vault toilet with 500 gallon holding tank and wooden toilet building; (2) Jefferson County Road - WM R Hicks Park Road; (3) parking lot; (4) concrete boat ramp. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [heto] Take WA - 104 to Shine Road. Take Shine Road to WM R Hicks Park Road, and turn into park. Map is located on last page of this document. oRtA-16-01 1 Page 4 of 16 Part G-Project Descri ption 6a. Briefly summarize the overall project. You can provide more detail in 6b. tnetpl Repair an existing boat ramp that has been undercut, and maintain l6 linear feet of existing quany rock revetment. The boat ramp is 90 feet long, by l6 feet wide by approximately 8" thick. It was undercut by a storm at high tide in December of 201 8. The undercut area is l6 feet long by 7 feet wide, by approximately 8 to l2 inches high, and is located at the highest corner of the boat ramp (see photos). The revetment maintenance is 16 linear feet long, by l0 feet wide. 6b. Describe the purpose of the prqect and why you want or need to perform it. tnerol The purpose of project is to repair an existing boat ramp and quarry rock revetment in order to return it to its original condition before the storm damage. The boat ramp is an essential public facility, in active use by the general public. 6C. lndicate the project category. (Check ail that appty) Ihetol tr Commercial X Maintenance tr Residential n lnstitutional ! Environmental Enhancement X Transportation X Recreational 6d. lndicate the major elements of your project. (Check ail that apply) [hetp] tr Aquaculture tl Bank Stabilization tr Boat House X Boat Launch tr Boat Lift tr Bridge tl Bulkhead tr Buoy tr Channel Modification tr Culvert E Dam / Weir D Dike / Levee / Jetty tr Ditch tr Dock / Pier tr Dredging E Fence tr Ferry Terminal tr Fishway tr Float tr Floating Home tr GeotechnicalSurvey tr Land Clearing E Marina / Moorage tr Mining tr OutfallStructure tr Piling/Dolphin tr Raft tr Retaining Wall (upland) tr Road tr Scientific Measurement Device tr Stairs E Stormwater facility tr Swimming Pool tr Utility Line n Other: oRlA-16-01 1 Page 5 of 16 6e. Describe how you plan to construct each project element checked in 6d methods and equipment to be used. tnetpl r ldentify where each element will occur in relation to the nearest waterbody. e lndicate which activities are within the 1OO-year floodplain. I nclude specifi c construction Restore 16 linear feet x 10 feet of existing quarry rock revetment adjacent to the West Side of boat launch with 13 tons of 3 man and 7 tons of 2" lo 4" quarry rock. Fill voids under concrete boat launch with up to 9 yards of 7 sack sand/pea gravelflowable concrete mix. Wet concrete will be kept out of the marine environment by using fast curing additives which will result in a 4 hour cure time; and pouring on an outgoing tide, on a day in which the tide will reach at least a 0.5 low. The pour will begin when the tide reaches 3 feet, which will leave approximately 6 hours before it reaches 3 feet again. This plan will allow for a safety margin of approximately 7 vertical feet, and 60 linear feet. No vehicles or machinery will be driven on the tidelands. Work will occur from the parking lot, or from the boat ramp. 6f. What are the anticipated start and end dates for project construction? (Montht/ear) thetpl r lf the pdect will be construcled in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start Date: April3, 2010 End Date:April 3, 2019 tr See JARPA Attachment D 69. Fair market value of the project, including materials, labor, machine rentals, etc. tnetpl $6,343 6h. Will any portion of the project receive federal funding? rnetol e lf yes, list each agency providing funds. E Yes X No E Don't know Part 7-Wetlands: lmpacts and Mitigation X Check here if there are wetlands or wetland buffers on or adjacent to the project area (lf there are none, skip to Part 8.) rnetpl 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. thetol tr Not applicable This project is only for maintenance of existing structures and will not result in any impacts to wetlands. Equipment will operate from existing paved Jefferson County Roads, and existing Jefferson County Parking Lot. No equipment will enter the tidelands. 7b. Willthe project impact wetlands? hetpl tr Yes X No E Don't know 7c. Willthe project impact wetland buffers? tnetol tr Yes X No E Don't know oRrA-16-01 1 Page 6 of 16 7d. Has a wetland delineation report been prepared? hetot o !f Yes, submit the report, including data sheets, with the JARPA package. trYes trNo 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? rnetol r !f Yes, submit the wetland rating forms and figures with the JARPA package. tr Yes tr No X Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? tnetpl o lf Yes, submit the plan with the JARPA package and answer 79. o !f No, or Not applicable, explain below why a mitigation plan should not be required. tr Yes X No I Don't know A mitigation plan should not be required because this project is maintenance of existing structures, no work will occur in wetlands. 79. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. rnetpt 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. fnetol Activity (fill, drain, excavate, flood, etc.) Wetland Namel Wetland type and rating category2 lmpact area (sq. ft. or Acres) Duration of impact3 Proposed mitigation typeo Wetland mitigation area (sq. ft. or acres) None 1 lf no official name for the rrretland exists, create a unique name (such as 'Wetland 1"). The name should be consistent Wth other project documents, such as a lvetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3lndicate the days, months or years the \ivetland will be measurably impacted by the activity. Enter "permanent" if applicable. a Creation (C), Re-establishmenURehabilitation (R), Enhancement (E), Preservation (P), Mitiqation BanUln-lieu fee (B) Page number(s) for similar information in the mitigation plan, if available: oRlA-16-01 I Page 7 of 16 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. tnetpl None, not applicable 7i. 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 materialwill be disposed. herol None, not applicable Part 8-Waterbodies (other than wetlands): Impacts and Mitigation ln Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) 1neto1 X Check here if there are waterbodies on or adjacent to the project area. (lf there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment lhelol tr Not applicable All work will occur above the ordinary high water mark. Only maintenance of existing structures will occur 8b. Will your project impact a waterbody or the area around a waterbody? trretpl trYes XNo oRrA-16-011 Page 8 of 16 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? tnetpl r lf Yes, submit the plan with the JARPA package and answer 8d. o lf No, or Not applicable, explain below why a mitigation plan should not be required. tr Yes X No E Don't know Not applicable, maintenance of existing structures only 8d. Summarize wtrat the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. o lf you already completed 79 you do not need to restate your answer here. [helo] Not applicable 8e. Summarize impact(s) to each waterbody in the table below. tnetpl Activity (clear, dredge, fill, pile drive, etc.) Waterbody namel lmpact location2 Duration of impact3 Amount of material (cubic yards) to be placed in or removed from waterbody Area (sq. ft. or linear ft.) of waterbody directly affected None t lf no official name for the waterbody exists, create a unique name (such as "stream '1") The name should be consistent with other documents provided. 2lndicate whether the impact will occur in or adjacent to the waterbody. lf adjacent, provide the distance betra/een the impact and the waterbody and indicate whether the impact will occur within the 1oo-year flood plain. 3lndicate lhe days, months or years the waterbodv will be measurablv impacted bv the work. Enter "permanent" if apolicable. 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. rnetpl Maintenance of existing structure oRtA-16-011 Page 9 of 16 89. 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 materialwill be disposed. hetpl Not applicable Part 9-Additional lnformation Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. lt is ok if you cannot answer a question. 9a. lf you have already worked with any government agencies on this project, list them below. hetol Agency Name Contact Name Phone Most Recent Date of Contact Jefferson County Department of Community Development Donna Frostholm 360-379-4450 February 5, 2019 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part I of this JARPA on the Washington Department of Ecology's 303(d) List? metot o lf Yes, list the parameter(s) below. o lf you don't know, use Washington Department of Ecology's Water Quality Assessrnent tools at httos://ecoloqv.wa.oovMater- ShorelinesMater<ualitvMater-imorovemenUAssessment-of-state-waters-303d. trYes XNo My search did not indicate the waterbody was on the 303(d) list. 9c. What U.S. GeologicalSurvey Hydrological Unit Code (HUC) is the project in? hetpl o Go to htto://cfpub.eoa.qov/surf/locate/index.cfm to help identify the HUC. 9d. What Water Resource lnventory Area Number (WRIA #) is the project in? rnetpl o Go to httos://ecoloov.wa.oovMater-ShorelinesMater-suoplvMater-availabilityMatershed-look-up to find the WRIA #. oRrA-16-01 1 Page 'l 0 of '16 9e. Willthe in-water construction work comply with the State of Washington water quatity standards for turbidity? rnetot o Go to httos://ecoloov.wa.oovMater-ShorelinesMater-qualitv/Freshwater/Surface-watercualitv-standards/Criteria for the standards. tr Yes tr No tr Not applicable 9f. lf the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? tnetol o lf you don't know, contact the local planning department. o For more information, go to: httos.//ecoloov.wa.qovArVater-Shorelines/Shoreline-coastal-manaqemenVShoreline-coastal- plannino/Shoreline-laws-rules-and-cases. tr Urban tr Natural tr Aquatic E Conservancy tr Other: 99. What is the Washington Department of Natural Resources Water Type? rnerol o Go to http://www.dnr.wa.oov/foreslpractices-water{voino for the Forest Practices Water Typing System tr Shoreline tr Fish tr Non-Fish Perennial tr Non-Fish Seasonal th. Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? tnetol o lf No, provide the name of the manual your project is designed to meet. trYes trNo Name of manual: 9i. Does the project site have known contaminated sediment? tnerol o If Yes, please describe below. trYes trNo 9j. lf you know what the property was used for in the past, describe below. rnerpl 9k. Has a cultural resource (archaeological) survey been performed on the project area? tnerol r lf Yes, attach it to your JARPA package. oRtA-16-01 1 Page 11 of16 trYes INo oRtA-16-01 'l Page 12 of 16 91. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. tnetpl 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. tnetpl Part 10-SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. . Online Project Questionnaire at http://apps.oria.wa.qov/opas/. . Governor's Office for Regulatory lnnovation and Assistance at (800) 917-0043 or help@oria.wa.qov. . For a list of addresses to send your JARPA to, click on aqencv addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check al that appty.) thetpl r For more information about SEPA, go to https://ecoloqv.wa.oov/reoulations-permits/SEPA-environmental-review. n A copy of the SEPA determination or letter of exemption is included with this application tr A SEPA determination is pending with (lead agency). The expected decision date is E I am applying for a Fish Habitat Enhancement Exemption. (crrect the box betow in tou.) lrretpl tr This project is exempt (choose type of exemption below). tr Categorical Exemption. Under what section of the SEPA administrative code WAC) is it exempt? tr Other: tr SEPA is pre-empted by federal law oRtA-16-01 1 Page 13 of 16 10b. lndicate the permits you are applying for. lCnect al that appty.) thetpl Loclt- GovenxmeNr Loca! Government Shoreline permits: tr Substantial Development tr Conditional Use tr Variance X Shoreline Exemption Type (explain): Maintenance of existino Other City/County permits: tr Floodplain Development Permit tr CriticalAreas Ordinance Srere Govenrumenr Washington Department of Fish and Wildlife: tr Hydraulic Project Approval (HPA) tr Fish Habitat Enhancement Exemption - Attach Exemption Form Washington Department of Natural Resources: tr 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: tr Section 401 Water Quality Certification Feoenll AND TRTBAL GoveRnmenr United States Department of the Army (U.S. Army Corps of Engineers): tr Section 404 (discharges into waters of the U.S.) tr Section 10 (work in navigable waters) United States Coast Guard: tr General Bridge Act Permit tr Private Aids to Navigation (for non-bridge projects) United States Environmental Protection Agency: E Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do not have treatment as a state (TAS) Tribal PermitS: (Cne* with the tribe to see if there are other tribal permits, e.g., Tribal Environmental Protection Act, Shoreline Permits, Hydraulic Project Permits, or other in addition to CWA Section 401 WOC) tr Section 401 Water Quality Certification (discharges into waters of the U.S.) where the tribe has treatment as a state (TAS). oRtA-16-01 'l Page 't4 of '16 Part 1 1-Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. tnerol 1 1a. Applicant Signature (required) lnerpl I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby authorize the agent named in Part 3 of this application to act on my behalf in matters related to this application (initial) By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the permitting agencies entering the property where the project is located to inspect the project site or any work related to the project.(initial) Applicant Printed Name Applicant Signature Date 11b. Authorized Agent Signature tnerol I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant) rnerpl Not required if project is on existing rights-of-way or easements (provide copy of easement with JARPA). I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property er Printed Name Property Owner Signature Date 18 U.S.C $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. oRlA-16-01 1 Page 15 of 16 INE.GR Hicks County you require this document in contact Office at (800) 917-0043. People with hearing loss can call711 forWashington Relay Service. People with a speech disability can (877) 833- oRrA-16-01 1 Page 16 of 16 @E (D G} sguan )rsh Harbor o€o L a @ AGENCY USE ONLY WASHINGTON STATE Joint Aquatic Resources Permit Application (JARPA) Forml,2 h",01 US Army Corp3 ot Engineo6 . Seafi€ Drsricl Date received: Agency reference #: USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. Tax Parcel #(s): Part 1-Project ldentification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) thelpl Hicks Boat Ramp Emergency Boat Ramp Repair Shoreline Exemption Part 2-Applicant The person and/or organization responsible for the project. fnetpl lAdditional forms may be required for the following permits: .lfyourprojectmayqualifoforDepartmentoftheArmyauthorizationthroughaRegional General Permit(RGP),contacttheU.S.ArmyCorpsof Engineers for application information (206) 764-3495.. Not all cities and counties accept the JARPA for their local Shoreline permits. lf you need a Shoreline permit, contact the appropriate city or county government to make sure they accept the JARPA. 2To access an online JARPA form with [help] screens, go to htto://www.epermittinq.wa.qov/site/alias resourcecenter/iarpa iarpa form/9984/iama form.asox. For other help, contact the Governor's Office for Regulatory lnnovation and Assistance at (800) 917-0043 or helo@oria.wa.oov. L 2a. Name (Last, First, Middle) Matt Tyler 2b. Organization 1tt appticabte) Jefferson County Public Works, Parks and Recreation Division 2c. Mailing Address (Street or PO Box) 623 Sheridan St 2d. City, State, Zip Port Townsend, WA 98368 2e. Phone 1t1 2f. Phone (z)29.Fax 2h. E-mail 360-385-9129 360-531-1744 360-385-9234 mtyler@co.jefferson.wa. us oRlA-16-01 I Page 1 of 16 I t Part 3-Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11b of this application.) tnerot 3a. Name (Last, First, Middle) 3b. Organization (tf appticabte) 3c. Mailing Address (Street or Po Box) 3d. City, State, Zip 3e. Phone (r)3f. Phone (z)39. 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. tnerot X Same as applicant. (Skip to Part 5.) tr Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) tr There are multiple upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. E Your project is on Department of Natural Resources (DNR)-managed aquatic lands. lf you don't know, contact the DNR at (360) 902-1 100 to determine aquatic land ownership. lf yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) 4b. Organization (tf appticabte) 4c. Mailing Address (Street or Po Box) 4d. City, State, Zip 4e. Phone(r)4f. Phone (z)49. Fax 4h. E-mail oRtA-'16-011 Page 2 of 16 Part S-Project Location(s) ldentifying information about the property or properties where the project will occur. tnerpl tr There are multiple project locations (e.9. linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. lndicate the type of ownership of the property. (Cnecr all that apply.) thetol tr Private tr Federal X Publicly owned (state, county, city, special districts like schools, ports, etc.) tr Tribal tr Department of Natural Resources (DNR) - managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. lf there is no address, provide other location information in 5p.) thelpl 1090 Shine Road 5C. City, State, Zip 1tt tfre project is not in a city or town, provide the name of the nearest city or town.) lhelo] Port Ludlow, WA 98365 5d. County lnerpt Jefferson 5e. Provide the section, township, and range for the project location. herot % Section Section Township Range NE 3 27N 1E 5f. Provide the latitude and longitude of the project location. tnerol r Example: 47.03922 N lat. / -122.89142 W long. (Use decimal degrees - NAD 83) 47.86745 N Lat / -1 22.66390 W Long. 59. tist the tax parcel numbe(s) for the project location. tnetpl o The local county assessor's office can provide this information. 721 031 008 5h. Contact information for all adjoining property owners. (lf you need more space, use JARPA Attachment C.) tnetpl Name Mailing Address Tax Parcel # (if known) James Smersh 1160 Shine Road 721031007 Port Ludlow, WA 98365 Jeanne Stauffer Barbara Case, Jeanne Stauffer 821343022 1051 Shine Road, Port Ludlow, WA 98365 oRtA-16-01 1 Page 3 of 16 5i. List all wetlands on or adjacent to the project location. tnetol Tidelands of the Hood Canal and Squamish Harbor 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. hetpl Squamish Harbor of the Hood Canal tr Yes tr No E Don't know 51. Briefly describe the vegetation and habitat conditions on the property. thetol Nearshore marine habitat including upland and marine habitat typical of the inland coastal waters of Puget Sound and the Strait of Juan de Fuca. Vegetation includes American Dune Grass, Ocean Spray, Oregon Grape, Pacific Madrone, Nootka Rose, and Red Alder. 5m. Describe how the property is currently used. tnetol The property is used as a public park. 5n. Describe how the adjacent properties are currently used. herpl The property to the East is used as a private residence. The property to the West is largely undeveloped. lt is used for beach access. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. tnerot (1) Vault toilet with 500 gallon holding tank and wooden toilet building; (2) Jefferson County Road - WM R Hicks Park Road; (3) parking lot; (4) concrete boat ramp. 5p. Provide driving directions from the closest highway to the project location, and attach a map. thetol Take WA - 104 to Shine Road. Take Shine Road to WM R Hicks Park Road, and turn into park. Map is located on last page of this document. oRtA-16-01 1 Page 4 of 16 Part 6-Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. ttretot Repair an existing boat ramp that has been undercut, and maintain 16 linear feet of existing quarry rock revetment. The boat ramp is 90 feet long, by l6 feet wide by approximately 8" thick. It was undercut by a storm at high tide in December of 201 8. The undercut area is l6 feet long by 7 feet wide, by approximately 8 to 12 inches high, and is located at the highest corner of the boat ramp (see photos). The revetment maintenance is l6 linear feet long, by l0 feet wide. 6b. Describe the purpose of the project and why you want or need to perform it. hetpl The purpose of project is to repair an existing boat ramp and quarry rock revetment in order to return it to its original condition before the storm damage. The boat ramp is an essential public facility, in active use by the general public. 6c. lndicate the project category. (Check allthat apply) thelpl E Commercial X Maintenance tr Residential tr lnstitutional E Environmental Enhancement E Transportation X Recreational 5d. lndicate the major elements of your project. (Check allthat apply) [hetp] E Aquaculture tr Bank Stabilization tr Boat House X Boat Launch tr Boat Lift tr Bridge tr Bulkhead tr Buoy tr Channel Modification tr Culvert tr Dam / Weir tr Dike / Levee / Jetty tr Ditch n Dock / Pier tr Dredging E Fence tr Ferry Terminal tr Fishway tr Float tr Floating Home tr GeotechnicalSurvey tr Land Clearing tr Marina / Moorage tr Mining tr OutfallStructure tr Piling/Dolphin tr Raft tr Retaining Wall (upland) tr Road tr Scientific Measurement Device tr Stairs E Stormwater facility tr Swimming Pool tr Utility Line tr Other: oRrA-16-011 Page 5 of 16 6e. Describe how you plan to construct each project element checked in 6d. lnclude specific construction methods and equipment to be used. hetpl o ldentify where each element will occur in relation to the nearest waterbody. r lndicate which activities are within the 100-year floodplain. Restore 16 linear feet x 10 feet of existing quarry rock revetment adjacent to the West Side of boat launch with 13 tons of 3 man and 7 tons of 2" to 4" quarry rock. Fillvoids under concrete boat launch with up to 9 yards of 7 sack sand/pea gravel flowable concrete mix. Wet concrete will be kept out of the marine environment by using fast curing additives which will result in a 4 hour cure time; and pouring on an outgoing tide, on a day in which the tide will reach at least a 0.5 low. The pour will begin when the tide reaches 3 feet, which will leave approximately 6 hours before it reaches 3 feet again. This plan will allow for a safety margin of approximately 7 vertical feet, and 60 linear feet. No vehicles or machinery will be driven on the tidelands. Work will occur from the parking lot, or from the boat ramp. 6f. What are the anticipated start and end dates for project construction? (Monthf/ear) Iherol o lf 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: April 3,2010 End Date:April3,2019 tr See JARPA Attachment D 69. Fair market value of the project, including materials, labor, machine rentals, etc. trretol $6,343 6h. Will any portion of the project receive federal funding? rnetpl r If yes, list each agency providing funds. tr Yes X No E Don't know Part 7-Wetlands: lmpacts and Mitigation X Check here if there are wetlands or wetland buffers on or adjacent to the project area. (lf there are none, skip to Part 8.) rnetol 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. thelpl tr Not applicable This project is only for maintenance of existing structures and will not result in any impacts to wetlands. Equipment will operate from existing paved Jefferson County Roads, and existing Jefferson County Parking Lot. No equipment will enter the tidelands. 7b. Will the project impact wetlands? 1netp1 tr Yes X No E Don't know 7c. Will the project impact wetland buffers? 1netp1 tr Yes X No tr Don't know oRtA-16-01 I Page 6 of 16 7d. Has a wetland delineation report been prepared? tnetpl o lf Yes, submit the report, including data sheets, with the JARPA package IYes XNo 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? lnetot o lf Yes, submit the wetland rating forms and figures with the JARPA package. tr Yes tr No X Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? tnerol r lf Yes, submit the plan with the JARPA package and answer 79. r lf No, or Not applicable, explain below why a mitigation plan should not be required. tr Yes X No E Don't know A mitigation plan should not be required because this project is maintenance of existing structures, no work will occur in wetlands. 79. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. lnetpl 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. rnetot Activity (fill, drain, excavate, flood, etc.) Wetland Namei Wetland type and rating category2 !mpact area (sq ft. or Acres) Duration of impact3 Proposed mitigation typen Wetland mitigation area (sq. ft. or acres) None 1 lf no ofiicial name for the raretland exists, create a unique name (such as'Wetland 1"). The name should be consistent wlttr otfrer proiect Oocumentq such as a wetland delineation report. 2 Ecology vletland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3lndicate the days, months or years the wetland will be measurably impacted by the activity. Enter "permanent" if applicable.aCreation (C), Re-establishment/Rehabilitation (R), Enhancement (E), Preservation (P), Mitiqation BanUln-lieu fee (B) Page number(s) for similar information in the mitigation plan, if available: oRtA-16-0'1 't Page 7 of 16 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. tnerol None, not applicable 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 materialwill be disposed. herol None, not applicable Part 8-Waterbodies (other than wetlands): lmpacts and Mitigation ln Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) rnerot X Check here if there are waterbodies on or adjacent to the project area. (lf there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. Ihelol tr Not applicable All work will occur above the ordinary high water mark. Only maintenance of existing structures will occur 8b. Will your project impact a waterbody or the area around a waterbody? tnerol trYes XNo oRtA-16-01 1 Page 8 of 16 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? hetpl o lf Yes, submit the plan with the JARPA package and answer 8d. o If No, or Not applicable, explain below why a mitigation plan should not be required. tr Yes X No E Don't know Not applicable, maintenance of existing structures only 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. . lf you already completed 79 you do not need to restate your answer here. [helol Not applicable 8e. Summarize impact(s) to each waterbody in the table below. tnetol Activity (clear, dredge, fill, pile drive, etc.) Waterbody namel !mpact location2 Duration of impact3 Amount of material (cubic yards) to be placed in or removed from waterbody Area (sq. ft. or linear ft.) of waterbody directly affected None. 1 lf no official name for the waterbody exists, create a unique name (such as "Stream 1") The name should be consistent with other documents provided. 2lndicate whether the impact will occur in or adjacent to the waterbody. lf adjacent, provide the distance betr,veen the impact and the waterbody and indicate lvtether the impact will occur within the 100-year flood plain. 3lndicate the days, months or years the waterbody will be measurably impacted by the work. Enter "permanent" if applicable. 8f. For all activities identified in 8e, describe the source and nature of the fill material, amount (in cubic yards) you will use, and how and where it will be placed into the waterbody. rnetol Maintenance of existing structure oRtA-16-0'1 '1 Page I of 16 89. 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 materialwill be disposed. tnetpl Not applicable Part 9-Additional lnformation Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. lt is ok if you cannot answer a question. 9a. lf you have already worked with any government agencies on this project, list them below. herpl Agency Name Contact Name Phone Most Recent Date of Contact Jefferson County Department of Community Development Donna Frostholm 360-379-4450 February 5, 2019 9b. Are any of the wetlands or waterbodies identified in Parl7 or Part 8 of this JARPA on the Washington Department of Ecology's 303(d) List? rnetpl o lf Yes, list the parameter(s) below. o lf you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: https://ecoloov.wa.oovMater- ShorelinesAtVater<ualitvMater-improvemenVAssessment-of-state-waters-303d. trYes XNo My search did not indicate the waterbody was on the 303(d) list. 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? rnetpl . Go to htto://cfoub.eoa.oov/surf/locate/index.cfm to help identify the HUC. 9d. What Water Resource lnventory Area Number (WRIA #) is the project in? tnetpl o Go to https://ecology.wa.govAffater-ShorelinesMater-supplvAlVater-availabilityMatershed-look-up to find the WRIA #. oRtA-16-01 1 Page 10 of 16 9e. Willthe in-water construction work comply with the State of Washington water quality standards for turbidity? frretot o Go to httos://ecolooy.wa.oovMater-ShorelinesMater-qualitv/Freshwater/Surface-water-ouality-standards/Criteria for the standards. tr Yes E No tr Not applicable 9f. lf the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? hetol . lf you don't know, contact the local planning department. o For more informatlon, go to: https://ecolooy.wa.oovMater-Shorelines/Shoreline-coastal-manaoemenUShoreline-coastal- pla n ninq/Shoreline-laws-ru les-and-cases. tr Urban tr Natural ! Aquatic E Conservancy tr Other: 99. What is the Washington Department of Natural Resources Water Type? fnetol . Go to htto://www.dnr.wa.oov/forest-practices-water-tvoino for the Forest Practices Water Typing System. E Shoreline tr Fish tr Non-Fish Perennial tr Non-Fish Seasonal th. Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? hetol o lf No, provide the name of the manual your project is designed to meet. trYes trNo Name of manual 9i. Does the project site have known contaminated sediment? lnetpl o lf Yes, please describe below. trYes trNo 9j. lf you know what the property was used for in the past, describe below. hetpl 9k. Has a cultural resource (archaeological) survey been performed on the project area? hetpl r lf Yes, attach it to your JARPA package. oRtA-16-011 Page 11 of 16 trYes DNo oRrA-16-01 1 Page 12 of 16 91. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. therpl 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. lnerol Part 1O-SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. . Online Project Questionnaire at http://apps.oria.wa.qov/opas/. . Governor's Office for Regulatory lnnovation and Assistance at (800) 917-0043 or help@oria.wa.qov. . For a list of addresses to send your JARPA to, click on aqencv addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check attthat appty.) thetpl o For more information about SEPA, go to https://ecoloqy.wa.qov/reoulations-permits/SEPA-environmental-review. tr A SEPA determination is pending with (lead agency). The expected decision date is tr I am applying for a Fish Habitat Enhancement Exemption. (Check the box betow in t oo.) tnetpl tr This project is exempt (choose type of exemption below). tr Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? tr Other: tr SEPA is pre-empted by federal law oRrA-16-011 Page 13 of 16 tr A copy of the SEPA determination or letter of exemption is included with this application. 10b. lndicate the permits you are applying for. lcne* all that apply.) thetpl Locll Govenuueur Local Government Shoreline perm its : I Substantial Development tr Conditional Use E Variance X Shoreline Exemption Type (explain): [/aintenance of existinq Other City/County permits: tr Floodplain Development Permit tr CriticalAreas Ordinance Sure GoveRnueNr Washington Department of Fish and Wildlife: tr Hydraulic Project Approval (HPA) tr Fish Habitat Enhancement Exemption - Attach Exemption Form Washington Department of Natural Resources: tr 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: E Section 401 Water Quality Certification FeoeRnI AND TRIBAL GOvenxuENr United States Department of the Army (U.S. Army Corps of Engineers): tr Section 404 (aiscnarges into waters of the U.S.) tr Section 10 (work in navigable waters) United States Coast Guard: E General Bridge Act Permit tr Private Aids to Navigation (for non-bridge projects) United States Environmental Protection Agency: tr Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do not have treatment as a state (TAS) Triba! Pefmits: (Cnecf with the tribe to see if there are other tribal permits, e.g., Tribal Environmental Protection Act, Shoreline Permits, Hydraulic Project Permits, or other in addition to GWA Section 401 WOC) tr Section 401 Water Quality Certification (discharges into waters of the U.S.) where the tribe has treatment as a state (TAS). oRrA-'16-0'1 1 Page 14 of '16 Part 1 1-Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. tnerol 1 1a. Applicant Signature (required) rnerot I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby authorize the agent named in Part 3 of this application to act on my behalf in matters related to this application (initial) By initialing here, I state that I have the authority to grant access to the property. I also give my consent to the permitting agencies entering the property where the project is located to inspect the project site or any work related to the project.(initial) Applicant Printed Name Applicant Signature Date 11b. Authorized Agent Signature rrretpl I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Authorized Agent Printed Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant) rnetol Not required if project is on existing rights-of-way or easements (provide copy of easement with JARPA). I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Name Property Owner Signature Date 18 U.S.C $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. oRtA-16-011 Page 15 of 16 ! I t I \ { I INE-GRI- .R. Hicks County lf you require this document in another format, contact the Governor's Office for Regulatory lnnovation and Assistance (ORIA) at (800) 917-0043. People with hearing loss can call711 for Washington Relay Service. People with a speech disability can call (877) 833- 6341. ORIA publication number: ORIA-16-011 rev. 09/2018 oRrA-16-01 1 Page 16 of 16 (o .1 6a) (*) \ I l,{o Hicks Park in Shine Boat Ramp Repair Schematic March L8,2079 Matt Tyler, Parks and Recreation Manage; 360-385-9129 Not to Scale oz lrJ &.IJF = ozIJ FoJ (9z =E, o- TOP VIEW Overall boat ramp dimension: 90 feet long x 16 feet wide x 10 inches thick Restore L6 linear feet x 10 feet existing quarry rock revetment adjacent to ramp OHWM SIDE VIEW SCOPE Restore 16'x 10' existing quarry rock revetment using 13 tons of 3 man and 7 tons of 2" to 4" quarry rock.. Fillvoids under concrete boat launch with up to 9 yards of 7 sack sand/pea gravel flowable concrete mix. Wet concrete will be kept out of the marine environment by using fast curing additives which will result in a 4 hour cure time; and pouring on an outgoing tide, on a day in which the tide will reach at least a 0.5 low. The pour will begin when the tide reaches 3 feet, which will leave approximately 6 hours before it reaches 3 feet again. This plan will allow for a safety margin of approximately 7 vertical feet, and 60 linear feet. No vehicles or machinery will be driven on the tidelands. Work will occur from the parking lot, or from the boat ramp. <- Fill undercut boat ramp area with concrete slurry - 7 feet wide by 16 feet long x 8 inches