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HomeMy WebLinkAboutStampedLog Item 4 JARPA2010 5WASHINGTON STATE Joint Aquatic Resources Permit Application (JARPA) Form' USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Part 1—Project Identification I- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' AGENCY USE ONLY ' Date received: US Army Corps ; of Engineers Agency reference #: Tax Parcel #(s): � 1 ------------------------------------ 1. Project Name (A name for your project that you create. Examples: Smith's Dock orSeabroof La�j$ ye 2 Rocky Brook Hydroelectric Discharge Relocation 14u, `� Part 2—Applicant t�.040UNTY®C® The person or organization responsible for the project. hej�l 2a. Name (Last, First, Middle) and Organization (if applicable) Keehn, Dell Rocky Brook Hydroelectric 2b. Mailing Address (Street or PO Box) PO Box 215 2c. City, State, Zip 2d. Brinnon, Washington 98320 Phone (1) 2e. Phone (2) 2f. Fax 2g. E-mail ( 360 ) 303-0658 ( ) ( ) dek12@isomedia.com 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.)h[ elp] 3a. Name (Last, First, Middle) and Organization (if applicable) Westervelt, Laura Ecological Land Services 13b. Mailing Address (Street or PO Box) 1 1157 3rd Avenue, Suite 220A 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.army. mil/PublicMenu/Menu.cfm?sitename=REG&pagename=mainpage_ESA • If you are applying for an Aquatic Resources Use Authorization you will need to fill out and submit an Application for Authorization to Use State - Owned Aquatic Lands form to DNR, which can be found at http://www.dnr.wa.gov/Publications/agr_use_auth_app.doc • Not all cities and counties accept the JARPA for their local Shoreline permits. If you think you will need a Shoreline permit, contact the appropriate city or county government to make sure they will accept the JARPA. 2To access an online JARPA form with [help] screens, go to http://www.epermitting.wa.gov/site/alias_resourcecenter/jarpa_jarpa_form/9984/jarpa_form.aspx . For other help, contact the Governor's Office of Regulatory Assistance at 1-800-917-0043 or help@ora.wa.gov. JARPA 2010 v1 3/30/2010 Page 1 of 13 X City, State, Zip Longview, Washington 98632 3d. Phone (1) 1 3e. Phone (2) _ 3f. Fax 3g. E-mail ( 360 ) 578-1371 ( 360 ) 674-7186 1 ( ) lauraw@eco-land.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur.hf eM ® 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 property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. 4a. Name (Last, First, Middle) and Organization (if applicable) Part 5—Project Location(s) Identifying information about the property or properties where the project will occur.hf elpl ❑ 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.) hel ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources (DNR) at (360) 902-1100) ❑ Federal ❑ Other publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal ® Private 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.)h[ elo] 3020 Dosewallips Road 5C. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) hj elp) Brinnon, Washingon 98320 5d. County (help] Jefferson JARPA 2010 v1 3/30/2010 Page 2 of 13 4b. Mailing Address (street or Po Box) 4c. City, State, Zip 4d. Phone (1) 4e. Phone (2) 4f. Fax 4g. E-mail Part 5—Project Location(s) Identifying information about the property or properties where the project will occur.hf elpl ❑ 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.) hel ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources (DNR) at (360) 902-1100) ❑ Federal ❑ Other publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal ® Private 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.)h[ elo] 3020 Dosewallips Road 5C. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) hj elp) Brinnon, Washingon 98320 5d. County (help] Jefferson JARPA 2010 v1 3/30/2010 Page 2 of 13 5e. Provide the section, township, and range for the project location.h[ ell 1A Section Section Township 28 26 N 5f. Provide the latitude and longitude of the project location.he[ e • Example: 47.03922 N lat. / -122.89142 W long. (NAD 83) 47.71921389 lat. / 122.94277778 long. .... . . ......... . . ...... 5g. List the tax parcel number(s) for the project location. h[_. elm] • The local countv assessor's office can provide this information. 2W Range JARPA 2010 v1 3/30/2010 Page 3 of 13 602282004 — 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) hj elp] Name Mailing Address Tax Parcel # (if known) .-.... _......... Forest Service Land 51. List all wetlands on or adjacent to the project location.h[ eM Not applicable 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. MM Rocky Brook, Dosewallips River 5k. Is any part of the project area within a 100 -year flood plain? hip] ® Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property.hf eM The property slopes steeply upward from Dosewallips Road to the top of the waterfall. It is intersected by Rocky Brook, a Type S waterway which bears salmon. The area is forested with a mostly deciduous tree canopy, sparse shrubs, and moderate herbaceous understory. The area is relatively undisturbed other than the existing hydroelectric plant which has been in place for nearly 40 years. The work area is relatively level and does not involve work on steep slopes. JARPA 2010 v1 3/30/2010 Page 3 of 13 5m. Describe how the property is currently used.hip] The property is used to produce electricity via hydro-energy. It provides much of the power to the community of Brinnon and the surrounding area. The area is also heavily used as a recreations attraction for tourists and locals to visit the Rocky Brook Falls. i 5n. Describe how the adjacent properties are currently used. help] Adjacent properties are primarily undeveloped forest land. There is a single family residence across Dosewallips Road from the project. 50. Describe the structures (above and below ground) on the property, including their purpose(s).h[ e]p] There is a hydroelectric powerhouse situated near Dosewallips Road and along the access road. It is connected to the existing outtake facility at the base of the falls, farther upstream by a 4 foot corrugated metal culvert. The purpose of the power house is to collect and transfer electricity. The function of the outtake facility is to prevent flooding of the creek from the powerhouse and prevent damage to fish habitat. 5p. Provide driving directions from the closest highway to the project location, and attach a map. h[ t!d From Highway 101 northbound, take Dosewallips Road west for 3 miles. At the Rocky Brook bridge, there is a driveway on the north side of the road which accesses the property. JARPA 2010 v1 3/30/2010 Page 4 of 13 Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. h[ elp] The project proposes to relocated the outfall facility associated with the powerhouse. A concrete box will be buried under the existing access road between the powerhouse and creek. 6b. Indicate the project category. (check all that apply) hel ® Commercial ❑ Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ❑ Environmental Enhancement 6C. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Bank Stabilization ❑ Boat House ❑ Boat Launch ❑ Boat Lift ❑ Bridge ❑ Bulkhead ❑ Buoy ❑ Channel Modification ❑ Other: ❑ Culvert ❑ Dam / Weir ❑ Dike / Levee / Jetty ❑ Ditch ❑ Dock / Pier ❑ Dredging ❑ Fence ❑ Ferry Terminal ❑ Fishway ❑ Float ❑ Geotechnical Survey ❑ Land Clearing ❑ Marina / Moorage ❑ Mining ® Outfall Structure ❑ Piling ❑ Retaining Wall (upland) ❑ Road ❑ Scientific Measurement Device ❑ Stairs ❑ Stormwater facility ❑ Swimming Pool ❑ Utility Line 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used.h[ eM • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100 -year flood plain. The new outfall pipe will be positioned in the soil and anchored into place with a concrete box, poured into concrete forms and re -buried using a small excavator. The outfall will be positioned several feet above the OHWM of Rocky Brook. 6e. What are the start and end dates for project construction? (month/year) hel • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date:Jpon permit approval End date: ❑ See JARPA Attachment D JARPA 2010 v1 3/30/2010 Page 5 of 13 6f. Describe the purpose of the project and why you want or need to perform it.hf e The hydroelectric facility is past the end of its useful life and in need of an upgrade. The new outfall facility is needed to upgrade the turbines in the powerhouse. New turbines will increase the efficiency the powerhouse and reduce water needs by up to 50%. Without this project, the power company will cease to operate. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [Lel . ............ ... .... ._..... ............... _.... .... ......... _ $4,750 6h. Will any portion of the project receive federal funding?hf e • If yes, list each agency providing funds. ❑ Yes ® No ❑ Don't know Part 7—Wetlands: Impacts and Mitigation ❑ Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.)hf elpl 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands.hf eM ® Not applicable 7b. Will the project impact wetlands? hel ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers?hLeM ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? hel • If yes, submit the report, includinq data sheets, with the JARPA package. ❑ Yes ❑ No , 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? MM If yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know JARPA 2010 v1 3/30/2010 Page 6 of 13 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? hlM • 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 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was -- - -1 i - -1 - - - --- i � - - -- I --- .. . - in. use the tante oelow to list the type ana 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, rheipi Activity (fill, drain, excavate, flood, etc.) Wetland Name' Wetland type and rating category2 Impact area (sq. ft. or Acres) Duration of impact3 Proposed mitigation type Wetland mitigation area (sq. ft. or acres) I If no official name for the wetland exists, create a unique name (such as "Wetland 1 "). The name should be consistent with other project documents, such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3Indicate the days, months or years the wetland will be measurably impacted by the activity. Enter "permanent' if applicable. "Creation (C), Re-establishmentlRehabilitation (R), Enhancement (E), Preservation (P), Mitigation Banklln-lieu fee (B) I 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. h[ elp] JARPA 2010 v1 3/30/2010 Page 7 of 13 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.Lb-QM 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.)h[ els FN 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. rhe 1pl ❑ Not applicable Construction activities will be conducted from the upland to avoid direct impacts to the stream. Best management practices will be used to prevent sediments from entering the stream. The new outfall will discharge above the OWHM of the stream. Fish barriers will be placed on the outfall to prevent fish from being trapped in the outfall holding. The area will be restored upon completion of construction to improve the function of the area. 8b. Will your project impact a waterbody or the area around a waterbody?hf elpl ❑ Yes ® No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non -wetland waterbodies? h[ eel � • 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 JARPA 2010 v1 3/30/2010 Page 8 of 13 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. h[ elpj The mitigation plan focuses on restoring the area temporarily impacted by construction. The area will be planted with native shrubs to improve shading of the channel and habitat. 8e. Summarize impact(s) to each waterbody in the table below.hLel Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' location of impact3 to be placed in or linear ft.) of drive, etc.) removed from waterbody waterbody directly affected excavation Rocky Brook above QHWIV temporary none 5 linear feet 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 ttie 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. hel No fill material will be placed in the waterbody nor will any material be removed from the water body. Once the new outfall pipe has been buried, any remaining material will be moved offsite 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.h[ ell A small excavator will be used to open the 20' by S trench in which the pipe and concrete housing will be laid. The only other equipment needed is hand tools. Excavated soils that are not placed back over the new facility will be taken offsite. i I JARPA 2010 v1 3/30/2010 Page 9 of 13 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.[LgjPJ Agency Name Contact Name Phone Most Recent Date of Contact Jefferson County Emma Bolin ( 360) 379-4484 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 on the Washington Department of Ecology's 303(d) List?h[ ell • If yes, list the parameter(s) below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: htt :I/www.ec .wa. ov! ro E arras/w /303d/. ❑ Yes ® No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? LgjPJ • Go to htt �!/cf ub.e a. ovlsurf/locatefindex.cfrn to help identify the HUC. 17110018 9d. What Water Resource Inventory Area Number (WRIA #) is the project in? hf elol • Go to http://www.ecy-wa.ciov/services/ is/ma s/wria/wria htm to find the WRIA #. 17 9e. Will the in -water construction work comply with the State of Washington water quality standards for turbidity? hLeM • Go to httj:+/N/y% ecy.waovrprograms!wg/swgslcrikeria.f?tFnl for the standards. ® Yes EJNo ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? heL�]I • If you don't know, contact the local planning department. • For more information, go to: htt37:/Iwww.ecY,wa.gov/programslsealsmallaws rules/173-26/211 desinnations.html. ❑ Rural ❑ Urban ® Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? bLeM • Go to htt :1/www-dnr.wa. ov/BusinessPermita To ics/ForestPracticesA lications/Pa eslf watertVping.asox for the Forest Practices Water Typing System. _ ® Shoreline ❑ Fish ❑ Non -Fish Perennial ❑ Non -Fish Seasonal JARPA 2010 v1 3/30/2010 Page 10 of 13 9h. Will this project be designed to meet the Washington Department of Ecology's most current stormwater JARPA 2010 v1 3/30/2010 Page 11 of 13 manual?h[ eM • If no, provide the name of the manual your project is designed to meet. © Yes ❑ No Name of manual: 9i. If you know what the property was used for in the past, describe below. lel The property has been used as a hydroelectric plant for 3 decades. 9j. Has a cultural resource (archaeological) survey been performed on the project area?h[ ell • If yes, attach it to your JARPA package. ❑ Yes ® No 9k. - _-� 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. !p_] Birds (6 species listed) there are no habitat features available for listed bird species and none were observed during the site visit. Whitebark pine is an upland conifer that does not occur in the riparian project area. Fishes (2 species listed) there is no work proposed in water, listed fishes will be unaffected. Golden paintbrush is an upland flowering plan and does not occur in the riparian project area. Invertebrates (2 species listed) Neither listed species was identified onsite during the site visit and will no be affected by temporary construction impacts. Leatherback sea turtles are dependent on salt water environments and are not located onsite. 91. 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.h[ elp] .... . ..... ............ ._ _- There are 17 species identified on the WDFW Priority Habitats and Species List in the vicinity of the project. Seasonal and resident salmon species make up 14 of those listed and will not be impacted by onsite construction because the work is being performed above the OHWM of the creek. The other 3 terrestrial species (elk, northern spotted owls, and harlequin duck) were not noted during the site visit and will not likely be impacted by temporary construction impacts confined to an area already disturbed by human development. JARPA 2010 v1 3/30/2010 Page 11 of 13 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 of Regulatory Assistance at (800) 917-0043 or heit3(c�r�,ora.wa.gov. • For a list of agency addresses to send your application, click on the "where to send your completed JARPA" at http://www.epermitting.wa.gov. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.)hl gjPJ • For more information about SEPA, go towww.ecy.wa.gov/pro--Clfams/sea/sepa/e-review.htmi. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ® A SEPA determination is pending with Jefferson County (lead agency). The expected decision date is ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 1ob.) he[___p]I ❑ This project is exempt (choose type of exemption below) - Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) hf elpl LOCAL GOVERNMENT Local Government Shoreline permits: ® Substantial Development ❑ Conditional Use ❑ Variance ❑ Shoreline Exemption Type (explain): Other city/county permits: ❑ Floodplain Development Permit ® Critical Areas Ordinance _ — --- ......- .......... STATE GOVERNMENT Washington Department of Fish and Wildlife: ® Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption Washington Department of Ecology: ❑ Section 401 Water Quality Certification Washington Department of Natural Resources: ❑ Aquatic Resources Use Authorization FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coast Guard permits: ❑ General Bridge Act Permit ❑ Private Aids to Navigation (for non -bridge projects) JARPA 2010 v1 3/30/2010 Page 12 of 13 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc.h[�^,el i Ila, Applicant Signature (required) hal 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. itial) By initialing here, 1 state that I have the authority to grant access to the property. I also give my consent to the permitting agencies enteri tie pry y where the project is located to inspect the project site or any work related to the project. _ ( initial) Applicant Printed Name A scant Tigna ure Date 11 b. Authorized Agent Signature hei 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 11c. Property Owner Signature (if not applicant). [Iicin] Not required if project is on existing rights-of-way or easements. Date 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. '06LL_ ti�. Property Owner Printed Name K C 6 PAJ 4) 1,- — 0C_T - � i PropeftV Owner Signature Date _�YI Y 18 U.S.0 §1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly Falsifies, conceals, or covers up by any trick, scheme, or device a material fact or makes any false, fictitious, or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious, or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact The Governor's Office of Regulatory Assistance (ORA). People with hearing loss can call 711 for Washington Relay Service. People with a speech disabllity can call (877) 833-6341. ORA publication number: ENV -01M9 8] .............. ...... ...... ... ........... ... ... ... ... ... ... .....:.:.....::.:......:::::.;::::::::::::::::......�:::::::::::::: :::::::::::::... ... ..... .. ....... ........ . .................. ........... ... .. .. .. .. .