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stampedLog Item 1 Pre-app App
Chu k/ H' .�� -AW 4W uO &(I AA I Ail Z cxy ,T4 f "' I •'' I •l DE 9;P �'�. m`E� �s'r��iHWok• J� _• •jury �OW , F 1 � 99 Z COUN C. 1.0 FSE �T n 7 p 4�v n 7 t":. d9 K tl� l i 1 T I- 113 ps--t ,�h.«"' a=' .i Jl�_ _ A�.0 _l .d_,_'ti �,.at .k.ri �i� ' �... - a'k..i,e- ...e_. 487y The Jefferson County Code (JCC) 18.40.090 & 18.25.640 requires that before an application is made for all Type II and Type -III project applications and Type I applications proposing impervious surfaces of ten thousand j10,000) square feet or more and/or non -single family structures of five thousand (5,000) square feet or more, or all projects involving in -water work'or work below OHWM, a pre -application consultation must be held. The consultation includes preliminary review and administrative assistance. This service does not include extensive field inspection or correspondence. Pre -application consultation does not limit subsequent administrative review. At the conference, Department of Community development personnel shall provide the applicant with: (1) A list of the requirements for a completed application; (2) A general summary of the procedures to be used to process the application; (3) The references to relevant code provisions or development standards that may apply to the approval of the application; and (4) A list of any applicable hourly review fees that may be charged by one or more County agencies upon the filing of a project permit application with the County. Discussions at the conference or the information provided by the staff shall not bind or prohibit the County's future application or enforcement of all applicable laws and regulations. No statements or assurances made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consistent with all relevant requirements of County, state and federal codes, laws, regulations and land use plans. w - NAME: lu �'� � MAILING ADDRESS: y L—L� I t Z r Lo r C �y C ' WQ IL j I �jj TELEPHONE: (HOME) r� 5 - 0 ��"+ �t�[� EMAIL V- la, SB , d fT REPRESENTATIVE: ry�= MAILING ADDRESS: TELEPHONE: (HOME) 3 r} (i J 0 EMAIL W j�e� i' DIRECTIONS 1. Please answer all questions on this form completely. 2. Attach one sketch of the Conceptual Design for the proposed use or activity, showing the following information: a. Vicinity sketch; b. North arrow and scale; c. Property boundaries and identification of land uses on adjacent properties; d. Means of ingress and egress; e. Property/lot drainage; f. Possible locations of sewage disposal and water supply systems; g. Location of utility easements; and h. Proposed location of buildings, including setbacks to property boundaries. 3. Attach payment of the applicable fee, as set forth in the Jefferson County Fee Ordinance. i�r6 I�_)-U-0 F4- Property Description General Location: o dy 1) u x - y: A Legal Description (from Property Tax Statement): S� r -ria_,''?-- 9 -Digit Parcel Number (from Property Tax Statement): Total Acreage: Zone: Applicant: Proiect Description ❑ Owner ❑ Contract Purchaser % Lot Coverage: ❑ Lessee i) ❑ Other !, — % e'FFIC 11FINIF Standar Disclosure Information provided to a prospective applicant during the pre -application consultation is based on County regulations in effect at the time of the pre -application consultation. Revised or new Coun regulations could affect a futur d v ent application. A pre - application consultation does not vest a future development application. By signing the application form, the applicantlowner attests that the information provided herein is true and correct to the best of their knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. This right of entry shall expire when the County (through the Administrator or the Administrator's representatives) concludes the application has complied with all applicable laws and regulations. Access and Aht of entry to the applicant's property shall be requested and shall occur only during regular business hours. (SIGNA (DAT I hereby designate W ,A i � �. �� � ��. to act as my agent in matters related to this pre -application conference. T (I�ND�WNER SIGNATURE) (DATE) G:1PennitcentefW##FORMS#MDRD1Pre-Applpr"ppconference form.doc REV.1111/2013 Page i v iC �� - �t •c Lo,��. � 6L�. LLt' t 4 1 - i G 1 � Property Owner (name and mailing address): 4 n- E"Le c T il, Ln 141MUit►T L `1 t �x Inv_ a k. n: L - - aa -n:) !z - - Standar Disclosure Information provided to a prospective applicant during the pre -application consultation is based on County regulations in effect at the time of the pre -application consultation. Revised or new Coun regulations could affect a futur d v ent application. A pre - application consultation does not vest a future development application. By signing the application form, the applicantlowner attests that the information provided herein is true and correct to the best of their knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. This right of entry shall expire when the County (through the Administrator or the Administrator's representatives) concludes the application has complied with all applicable laws and regulations. Access and Aht of entry to the applicant's property shall be requested and shall occur only during regular business hours. (SIGNA (DAT I hereby designate W ,A i � �. �� � ��. to act as my agent in matters related to this pre -application conference. T (I�ND�WNER SIGNATURE) (DATE) G:1PennitcentefW##FORMS#MDRD1Pre-Applpr"ppconference form.doc REV.1111/2013 Page a State of Washington Department of Fish and Wildlife Mailing Address: PO Box 43234, Olympia, WA 93504-3234, (360) 902-2201 Main Office Location: Natural Resources Building, 1111 Washington Stre May 7, 2018 Dell Keehn 3906 5151 Ave Court NW Gig Harbor, WA 98335 Dear Dell Keehn: 0] SUBJECT: INCOMPLETE APPLICATION FOR ROCKY BROOK HYDROELECTRIC LP (WDFW APPLICATION ID: 14175) On March 22, 2018, Washington Department of Fish and Wildlife (WDFW) first received your application materials for a Hydraulic Project Approval (HPA) for the project referenced above. The application was incomplete. You must submit the additional information noted below to allow further processing of your application. This email is in reference to the phone call we just had, further steps are required to determine SEPA compliance. After speaking with the Forest Service, it is my understanding that the scope of work falls outside of their jurisdiction, and that the role of Lead agency may belong to the county. Please contact the county in regards to your proposed project and determine if they require a permit or have a SEPA exemption for the work proposed. If they do not provide an exemption or require a SEPA review the responsibility of lead agency will become the Department of Fish and Wildlife's and we can discuss the next steps required. State Environmental Policy Act (SEPA) compliance information is missing from the "SEPA Compliance" section of the application. Please identify the method of SEPA compliance and include written evidence of that compliance, or provide the WAC citation authorizing exemption. NOTE: Under WAC 220-660-050 applications that are incomplete or on hold longer than 12 months may be closed by the Department due to inactivity. If you wish to continue with your project after the application is closed you will need to submit a new application. If you submitted your application using 1"J1'4, please login to �%PI'.S and provide the missing information. Otherwise, please send the missing information, including reference to Application ID (14175) to one of the following: • Washington Department of Fish and Wildlife, PO Box 43234, Olympia, WA 98504-3234 or • Fax to (360) 902-2946 or • Email to I-IPAci )licatioii;, rr dr,�v.►va. gov. Subject: Rocky Brook Compliance From: joelnowak@fs.fed.us To: herrwayne@yahoo.com Dale: Monday, April 9, 2018 02:39:50 PM PDT This message contains blocked images. Show images or Always show images Hi Wayne, As requested, here's confirmation of Rocky Brook Hydroelectric LLC's compliance relative to the facilities located on Forest Service land. There has been a Special Use Permit in place since 1982 (minus the years it was expired, due to FS lack of staff), and in this time the permit was in good standing with no compliance related issues according that I could find. All fees were paid and continue to be paid on time. Let me know if you have questions. Thanks, Joel Forest Joel Nowak Service Lead Natural Resource Specialist Shield Forest Service Olympic National Forest p: 360-956-2266 f: 360-956-2330 joelnq_W41q@fs.fed.us 1835 Black Lake Blvd. SW Olympia, WA 98512 www.fs.fed.us Caring for the land and serving people C) m o 3 n m �y m -4 a y o � � o � m = a ,y C K p, � m m � m h N D c� m o m 1l b V V �� N N � � C n [➢Ls fD � Q V m ro� � m x n m n � � d o a p'I � m � � w E3 x �T m m3 m °1 ah S a I I i W n co C a ti o D CD i L I G)� I FISH BARRIER DETAILS r Y _A V � 1, ENR DP BRAVN BY W APRRMD BY . pP Relocate Turbine Discharge SCALE, NIS RR, DATE 03/20/2018 REVISED DRAW, ou Kt ill NEaC REVISED REVISED RB 732-12 1 ROCKY BROOK HYDRO s ° .ryD CA REVISED REVISED EsaMBOX i7�•1168 v� hUp:/lisserver/roadsearch.aspx - l� isserver File Edit View Favorites Tools Help http--isserver- (2) #-_ http--isserver-road... ? hup--issewer- eP Jefferson County,... I" Job Openings �= Road Name: I DQSEWAWPS RD v� Seacri DOSEWALLIPS RD C25M8 S101 Hy 101 30.07 R 6.81 232.2 DO SEW ALLIPS RD O1t22146 12405 DOSEIVALLIPS RD 12/22/94 1241 DOSEWALLIPS RD 12"19114 2418 DOSEUTALLIPS RD D&IGA5 12420 DOSEWALLIPSRD 05/11/04 12682 DOSEWALLIFS RD 03116/07 13003 DO SEWALLIPS RD 07/02149 13(P0 DO SEWALLIPS RD 01/01=64 j3027 DOSEWALLiPSRD 07102,'99 143:31 f I DO SEW ALLI?P5RD 01;01!64 'IHOMPSON, DENNIS P 602284007 B RACK ETT, DAVID Joe & Joy b2l5ok 602353007 geuv am-ptw 4022834)3 -- HERBERTWALUM 602253011 ;all., diam & ksren 402285001 KUKLOK, DENNIS 602282002 R ROCKY BROOK ELEC. KUKLOK, DENNIS 602282002 FRED SPF. fN CrER 12345678 10czYmr=,, 2 3ebb I JEFFwtso y Coutay OCO Pro"ect Type and Plan Please indicate project type(s) for which you are requesting an HPA (check all that apply). Attach plans for the project type(s) indicated below. You can find more detail on project plan requirements at I►ttp:/Iwdfw.wa.govllicensinglhpalhpa _criteria.htrr . ❑ Road maintenance work (Plans required) ❑ Mineral prospecting (Plans required) ❑ Beaver dam modification (Plans required) ❑ Repositioning or removal of large wood ❑ Dock maintenance/repair (Plans required) ❑ Scientific instrument installation (beyond hand tools) ❑ Trenchless conduit (utility) crossing (Plans required) 0 Fish screen maintenance or replacement (Plans required) Activities to repair existing structures associated with roads, such as bridge surface repairs, culvert cleaning, and ditch maintenance Activities not covered by the Gold and Fish pamphlet, including _anning, dredging, sluicing, and hi hbankin Activities to alter or remove existing'beaver dams, such as breaching the dam to relieve water pressure, full removal of the dam, or installing levelers or deceivers Activities to relocate or remove one or more pieces of large woody material los trees, or large limbs)' Activities to repair existing docks and associated structures such as piers, ramps, and floats, including decking or piling repair or replacement, or relocation of a dock Activities to place, move, or remove small scientific instruments such as flow meters, thermometers, and staff gauges using more Man simple hand tools Activities to install electrical, water, gas, or other conduits using trenchless methods such as directional drilling Activities to repair or clean existing fish screen structures Project Site Location (if multiple project sites, attach additional site Site Address 3020 Dosewallips Rd Brinnon Washington County I Jefferson County Latitude Longitude 47.7197 1 122.9431 Waterbody Name WRIA Rocky Brook Project Description Summary of project: Driving Di r 4W Section I Quarter Section 28 I NW Township Range 26 north 2 west This project has been in operation since 1986. It has an FERC exemption. Only one time over the course of 32 years was there any issue raised about our compliance with any state or federal obligations and that occurred in 1997 with an operator who is deceased. The project has a minimum flow obligation and we are not seeking to modify of alter that obligation. This is, however, a very old facility and it is a genuine run of the river project. When it was established the discharge for the plant was located upstream of the plant approximately 200'. That was not done to provide minimum flows which are diverted at the top of the intake and the balance of the water in the stream comes from the Rocky Brook water falls itself. The outflow should have been established adjacent to the power house because when it is upstream there is a flooding issue if the plant has to shut down. In addition to the flood problem a pelton, which is the -appropriate turbine for smooth operations, requires a straight discharge and that is the equipment we would like to utilize moving forward. It is impossible to operate efficeintly with an antiquated pump turbine system and a pelton has the added benefit of a smoother discharge stream. We are seeking permission to move our discharge downstream 200 feet and will not need to operate in the water to do so. We will put a new fish screen in place. This is a pretty straignt forward request and we have already checked with the Forestry people and they have no objection. HPA SIMPLIFIED APPLICATION Version 3.0 (7/3/17) Page 2 of 4 -Itm \_ I ««;■;o U U. si■ S"s \ g ` q m 1 2 q § \ � 7 / f f (MZ -_-9ZVON) (MZ -_-e<t3N) | §)§ § § !--x + / o�o} $&& 777f§f.\ /§ §/\ '��§§)■� /2§ / ®| ® K �\�� ■ { §�§��ik� (2� c, §} j }(i\- ! ■w�]§§|))§ Map Output 602202000 642293001 602294003 . 602294012 0107Y _�YY� 60229402 602285009 ArcIMS HTML Viewer Ma R4cXy 60221200 602285048 Rd w: 602265W? 60228205 '+'•: 60228500'4 �0228ZW5. 60228503 8022E'S9o3:' 602285002 W22810<4 80228502 602281002 I if ( 02281007 60228102 Page 1 of 1 8S22B54J1 642285044 ` ti 8022B�Of}7 602283001 64229405 602'283001 �i 1. � :Na;n trmdod trt•�r!krmrrrCorrty CerVta'.Se+ncr_s GiS 70411 "OR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 01 08:34:12 1018 http://gisserverlservleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 6/1/2018 Legend t JC—Roads Parcels+) SMP Shoreline Environmental Desgnatlons D Aquatic conmrvancy '..-.-..�',,.-•.- Nigh Intensity UNatural O NA ❑ Pdwity Acpsix ® S7rororno Hc..+ria+1 wr 8S22B54J1 642285044 ` ti 8022B�Of}7 602283001 64229405 602'283001 �i 1. � :Na;n trmdod trt•�r!krmrrrCorrty CerVta'.Se+ncr_s GiS 70411 "OR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 01 08:34:12 1018 http://gisserverlservleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 6/1/2018 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma 1 l6Q2242o00 6022,2(100 I • 1 _ Legend _ Selected Features % Jc .Roads 60229,00, Paroefsfl 602285009 X004 602285008 1 FEMA FIRMS ■ • 1 602291003 f ANI ~ 64228s0D2 xWe � 602241012 6022a2043 Other 602291012 �-DO ^^ &aW81r�8 Rd 642285006 ~ 291 I &1729. Tota '-tel 1 602285007 I 64229,01 602281001 602281+002 602265905 1 642282045 602285044 G0228196}S — 602285043 W22a5OD1 602765007 602291002 6022&',W2642285002 6OM301A WIN I g • 60228540, � lr - 602283006 6()22&3007602244001 1 602283001 Ik. im nam pre by ,lu, carry car&.(S GL. q ' r4a11 FOR INFORMATIONAL PURPOSES ONLY - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Tue Jul 03 10:46:25 018 http://gisserverlservleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 7/3/2018 M ap Output Page I of I ArcIMS HTML Viewer Mae 602202" 602212(m Legend ClSelected Features JC -Roads 602291WI 10^1' F- Parcels -H 602285(= DNR FP Str am 6022820N Classification 602291003 �waljps Rd 602296(" 262005 FOR INFORMATIONAL PURPOSES ONLY - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 01 08:35:50 2018 hMn '0— 6/1/2010 Map Output ArcIMS HTML Viewer 602.291001 �a2zexsln l CGUI 03 - — – aazsa5ixls 602291003 = 6022910/2 6022820@3 602297012 -- - rkSSBVt�I"WS Rd 90228'�S7f78 6022910015 FlJ2295015 602285007 Page 1 of 1 Legend selected features JCRoads "i Parcals-N . Marbled Murrelets Heritage Points Spotted Owls Priority Habitats and species nL128! ii]2 Rare Plants -Ecosystems 2013 60229/016 ti422&SOG9 602281001 60228 1002 d017#Si�S 602AMS 64229•.i71fj �� ��• I � N)2281005 602765004 60228500.3 1 ` 6W2S50M r 802285009 4 aoaxsl+wz ��2 svz2sso� tw2za3�3+.� W2285001 602285001 602283W5 802282001 602183007 6022110W 602;!83001 4.. N•TS*aerr.ded !{:ab vx�Ca.rry CKrJY :"xr: e+n (,YS OPMENEEMENEdom 10411 =OR INFORMATIONAL PURPOSES ONLY- lefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its :nrrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 0108:36:39 ?018 http://gisserverlservleticom.esri.esrimap.Esrimap?ServiceNarne=ovmap&ClientVersion=4.0... 6/1/2018 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma I W220ff" 6022120W f Legend j Selected Features Jc_Roads 602291(1 r` Parcels -H 60228;000 1 Seismic Hazard 60228!'' 64228200+1 i 602299003 r 11 GOM 602299012 gp�220py - — 602293012 "' DOseWatlig]s Rd 6022g,1Xa6 � i 602291(5 - 602291016 602285001f 602291016 '- - 602285009 602281(1 602281002 602285005 60'2'282005 ` 602291016 -` 602285004 602282(5 602285003 602�8St7(?i 602285W-3 60229?00'2 �J1k285L� 2 602285002 60228301A- 6022850p07 601285041 _ 60221183OW1 602283)01 6022830 6022WO01 602283001 �. 'M 4 am waeclsd by,;c#-Cu r.y Ca*a Scr GLS �i 100 FOR INFORMATIONAL PURPOSES ONLY - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 01 08:37:05 018 http://gisserverlservlet/com. a sri. esrimap. Esrimap?ServiceName=ovmap&ClientVersion=4.0... 6/1/2018 Map Output Page 1 of 1 http://gisserverlservleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 6/l/2018 Map Output Page 1 of 1 http://gisserver/servleticom.esri. esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 6/l/2018 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma eo2z,2oov 60229,00, Legend Selected Features FS ear, :.c JC Roads 602289009 602282004 _ Parcela+i Critical Aquifer Recharge Areas 602291003 BUSC■UNK ® SARPA • SUSC oSUBC 60L28m — SARPA --` ouse1I'm 'Ps Rd f , I SARPA 4 UNK i 602285006 602289007 ~602291016 4 ---�� 602285005 602282005 60'129,016 602285004 602283014 602282005 602291002 1 I Mam µ, Pm ndxl my Jam= Cant' cental swv.em GIS FOR INFORMATIONAL PURPOSES ONLY - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 0108:38:34 2018 http://gisserverlservleticom.esri. esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 6/1/2018 Map Output Page I of I ArcIMS HTML Viewer Map 60M1001 Legond Selected Features 602295" JC. -Roads 602� 6D22SUM 602282OD4 Parcels -H Cha nrie I Kgration Zone Hazards 60mlow ED 09K*rmedad C N Z ModeaWy High Risk 602� MadwAd R*A 00sewa �.j �L 60=50W 6=&W07 90221120M 60229SOD4 6022NM 60229CO2 MaM wooded ey deffarsm Caun�r CaWd Swv=ft GM FOR INFORMATIONAL PURPOSES ONLY - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 0108:38:57 :2018 http://gisserverlservleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion7--4.0... 6/1/2018 Map ArcIMS HTML Viewer Ma Legend Selected Features JC Roads 2015 Aerial Photos FOR INFORMATIONAL PURPOSES ONLY - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jun 01 08:40:27 hnn eor .O— 6/1/2018 Rocky Brook Falls - Google Maps Maps Rocky Brook Falls https://www.google.com/maps/place/Rocky+Brook+Falls/@47.720... Imagery ©2018 Google, Map data ©2018 Google 100 ft 1 of 1 6/1/2018, 8:41 AM