The URL can be used to link to this page

Home My WebLink AboutJARPAr-f � WASHINGTON STATE Joint Aquatic Resources Permit AGENCY USE ONLY m Us ArmY corps Date Received: of Fnglneef% i Seal% Dislrlel Application (DARPA) Form',' h[ m USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. 7 2020 Part 1 - Project Identification Agency reference #: Tax Parcel #(s): i j s 1. Project Name (A name for your project that you create Examples: Smith's Dock or Seabrook Lane Development) ' Westler Bulkhead Replacement and Extension Part 2 - Applicant The person and/or organization responsible for the project. h[ elol 2a. Name (Last, First, Middle) Westler, Robin 2b. Organization (if applicable) 2C. Mailing Address (Street or Po Box) 621 Ludlow Bay Rd 2d. City, State, Zip Port Ludlow, WA 98365 2e. Phone (1) 2f. Phone (2) 2g. Fax 2h. E-mail ( 206 ) 947-6762 ( ) ( ) robinwestler@gmail.com '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 hilp:llwww.nws.usace, amty.millMlssions/CivilWorkslRequiatvrylPermitGuideb aaklEndangere- dSpPA-aasnx. • Not all cities and counties accept the JARPA for their local Shoreline permits. If you need a Shoreline permit, contact the appropriate city or county government to make sure they accept the JARPA. rro access an online JARPA form wth [help) screens, go to ht :Ilwww.e erm { .wa. ov! i 1 lia &WuLqeeenWJrja1pa -ar a Lqrm/99841iarva_Lbrm,asDx. For other help, contact the Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or holigggrigrwa.gov. JARPA Revision 2015.1 Page 1 of 15 Part 3 - Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b of this application.) of eM 3a. Name (Last, First, Middle) Rotsten, Jennifer 3b. Organization (if applicable) Sealevel Bulkhead Builders, Inc. 3c. Mailing Address (Street or Po Box) PO Box 375 3d. City, State, Zip Kingston, WA 98346-0375 3e. Phone (i) 3f. Phone (2) 3g. Fax 3h. E-mail ( 360 ) 297-2401 ( 360 ) 710-0899 ( 360 ) 297-2308 Jenny@sealevelbb.com 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. of elpl ® Same as applicant. (Skip to Part 5.) ❑ Repair or maintenance activities on existing rights -of -way easements. (Skip to Part 5.) ❑ There are multiple upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. ❑ Your project is on Department of Natural Resources (DNR)-managed aquatic lands. If you don't know, contact the DNR at (360) 902-1100 to determine aquatic land ownership. If yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) Westler, Robin 4b. Organization (if applicable) 4c. Mailing Address (Street or Po Box) 621 Ludlow Bay Rd 4d. City, State, Zip Port Ludlow, WA 98365 4e. Phone (1) 4f. Phone (2) 4g. Fax 4h. E-mail ( 206 ) 947-6762 ( ) ( ) robinwestler@gmail.com JARPA Revision 2015.1 Page 2 of 15 Part 5 - Project Location(s) Identifying information about the property or properties where the project will occur. k ❑ 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.) hf e ® Private ❑ Federal ❑ Publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal ❑ Department of Natural Resources (DNR) - managed aquatic lands (Complete DARPA Attachment E) 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) lbglo 621 Ludlow Bay Rd, 5c. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) hel Port Ludlow, WA 98365-8727 5d. County hf el Jefferson 5e. Provide the section, township, and range for the project location. hf ell 1/4 Section Section Township Range SE 1/4 16 28 N 01 E 5f. Provide the latitude and longitude of the project location. hf elal • Example: 47.03922 N lat. /-122.89142 long. (Use decimal degrees - NAD 83) 47.91522 /-122.67873 5g. List the tax parcel number(s) for the project location.Lbp.!pl • The local county assessors office can provide this information. 969000004 5h. Contact information for all adjoining property owners. (if you need more space, use ,IARPA Attachment C.) hf ell Name Mailing Address Tax Parcel # (if known) Bruce Caldwell 591 Ludlow Bay Rd Port Ludlow, WA 98365-W- ...�. 969000003 Pensco Trust Co 651 Ludlow Bay Rd Port Ludlow, WA 98365 - -_-- 969000005 . ........ . ....... . ... . .. ...... ....... ............. . ...... . .............. . . ............. —"T JARPA Revision 2015.1 Page 3 of 15 5i. ,List all wetlands on or adjacent to the project location. Jtgm N/A 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. of 910 Port Ludlow Bay 51k. Is any part of the project area within a 100-year floodplain? IbRIO ® Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. of eM Please review attached habitat assessment 5m. Describe how the property is currently used. of eM SFR 5n. Describe how the adjacent properties are currently used. hf elal SFR So. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. LtLeM Owner's home, garage, bulkhead, dock, 5p. Provide driving directions from the closest highway to the project location, and attach a map. of @M From Hwy 104 at the Hood Canal Bridge turn Right onto Paradise Bay Rd. turn right onto Ludlow Bay Rd. End at site. JARPA Revision 2015.1 Page 4 of 15 Part 6 - Project Description I6a. Briefly summarize the overall project. You can provide more detail in 6b. n[ M This proposal includes replacing the existing +/-80' concrete rubble/wood/rock bulkhead with a new basalt rock bulkhead. The bulkhead will extend the remaining +/-20' to the property line. Base rocks will be 4-5-man rock and be buried +/-3' below beach grade. The remaining rocks will be stacked on top to a total above beach grade height to be approximately as tall as the existing bulkhead. Quarry spalls will be placed behind the armor rock and filter fabric placed between the spalls and the bank. All materials and equipment will access the site by land. 6b. Describe the purpose of the project and why you want or need to perform it. ItgM Replace existing failing bulkhead 1 6c. Indicate the project category. (check all that apply.) [bgl2l j ❑ Commercial ® Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ❑ Environmental Enhancement 1 6d. Indicate the major elements of your project. (check an that apply.) hei ❑ 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 ❑ Floating Home ❑ Geotechnical Survey ❑ Land Clearing ❑ Marina / Moorage ❑ Mining ❑ Outfall Structure ❑ Piling / Dolphin ❑ Raft ❑ Retaining Wall (upland) ❑ Road ❑ Scientific Measurement Device ❑ Stairs ❑ Stormwater Facility ❑ Swimming Pool ❑ Utility Line JARPA Revision 2015.1 Page 5 of 15 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. of el • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. The bulkhead will be built with 200 sized excavator. The excavator will dig out the footing for the base rocks behind the existing bulkhead and build up the bulkhead before removal of the existing section. 6f. What are the anticipated start and end dates for project construction? (Month/Year) hf el • If the project will be constructed in phases or stages, use J8RPA Attachment a to list the start and end dates of each phase or stage. Start Date: 07/15/2020 End Date: 08/03/2020 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. h[ elp] $46,000 6h. Will any portion of the project receive federal funding? hf elpl • 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 M 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. 1het ❑ Not applicable JARPA Revision 2015.1 Page 6 of 15 7b. Will the project impact wetlands? hi eiol ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? hi elpl ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? jhel • If Yes, submit the report, including data sheets, with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? hel ■ If Yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? fllel • 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 used to design the plan. hf em 71h. 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. hf M JARPA Revision 2015.1 Page 7 of 16 Activity (fill, drain, excavate, flood, etc.) Wetland Name' Wetland type and rating category2 Impact area (sq. ft. or Acres) Duration of Impact3 Proposed mitigation type4 Wetland mitigation area (sq. ft. or acres) ' If no official name for the wetland exists, create a unique name (such as "Wetland 1 "). The name should be consistent with other project documents, such as a wetland delineation report. z Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating fors with the JARPA package. 3 Indicate the days, months or years the wetland will be measurably impacted by the activity. Enter "permanent" if applicable. 4 Creation (C), Re-establishment/Rehabilitation (R), Enhancement (E), Preservation (P), Mitigation Bank/In-lieu fee (B) Page number(s) for similar information in the mitigation plan, if available: 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. 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. hf ip JARPA Revision 2015.1 Page 8 of 15 Part 8 - Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non -wetland waterbodies. (See Part 7 for information related to wetlands.) hf elpl ® 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. hf eIW ❑ Not applicable The project will result in a net gain of habitat with the bulkhead being installed just landward of the existing. 8b. Will your project impact a waterbody or the area around a waterbody? hf el ❑ Yes ® No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non -wetland waterbodies? LtLeM • 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 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. hf elpl If you already completed 7g you do not need to restate your answer here. hel See attached goetechnical report and Habitat Assessment 8e. Summarize impact(s) to each waterbody in the table below. LtLem JARPA Revision 2015.1 Page 9 of 15 'Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or dredge, fill, pile name' location2 of impact3 (cubic yards) to be linear ft.) of drive, etc.) placed in or waterbody removed from directly affected waterbody Dredge/Excavation PortBLaudlow Adjacent Permanent +/-50 cy 100, Fill (Rock) Port att' low Adjacent Permanent +/-150 cy 100, 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. z Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent, provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 3 Indicate the days, months or years the waterbody will be measurably impacted by the work. Enter "permanent' if applicable. 8f. For all activities identified in 8e, describe the source and nature of the fill material, amount (in cubic yards) you will use, and how and where it will be placed into the waterbody. JLeipj Fill will consist of basalt rock, total +/-150 cy. 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. nr eM Excavation for the footing will result in +/-50 cy, which will be placed on the beach if suitable. 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. hf elol JARPA Revision 2015.1 Page 10 of 15 Agency Name Contact Name Phone Most Recent Date of Contact Jefferson County Donna Frostholm 360-379-4466 Oct 2, 2019 WDFW Nam Siu 360-522-6035 91b. 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?It@-!pi • If Yes, list the parameter(s) below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at hftoi ecy.wa.gov/prograrn%LAg/303d)- LAA/303d1. ❑ Yes ® No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? h[ elal • Go to htln:Ilcfoub.epa.govlst,rfllocatelindex.cfzi, to help identify the HUC. 17110019 9d. What Water Resource Inventory Area Number (WRIA #) is the project in? Lhget Go to httPJ1www.ecy wa. ovlservioe iWmaps/wriaiwria.htm to find the WRIA #. 17 9e. Will the in -water construction work comply with the State of Washington water quality standards for turbidity? hf eM • Go to htto:llwww.ecv.wa.00vlprogram slwgl§nslcritena.html for the standards. ® Yes ❑ No ❑ Not Applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? hf M ■ If you don't know, contact the local planning department. • For more information, go to: hit :11www.e .w ovl ry ramslse lam !taws rules/17-251211 designations. htmi. ® Rural ❑ Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other: 9g. What is the Washington Department of Natural Resources Water Type? hf eM • Go to nttp://www.dnr_M.grey/BusingssPermiLvToi3imtForestPrapticesApplicationsleaneslfn watertVping.asnx for the Forest Practices Water Typing System. ® Shoreline ❑ Fish ❑ Non -Fish Perennial ❑ Non -Fish Seasonal 9h. Will this project be designed to meet the Washington Department of Ecology's most current stormwater manual? hf elpl • If No, provide the name of the manual your project is designed to meet. JARPA Revision 2015.1 Page 11 of 15 ® Yes ❑ No Name of manual: 91i. Does the project site have known contaminated sediment? rf elpl • If Yes, please describe below: ❑ Yes ® No 9j. If you know what the property was used for in the past, describe below. of el SFR 9k. Has a cultural resource (archaeological) survey been performed on the project area? n[ elpl ■ If Yes, attach it to your JARPA package. ❑ Yes ® No 91. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. h( ell Marbeld murrelet, spotted owl, chinook salmon, steelhead, killer whale, humpback whale, gray wolf 9m. Name each species or habitat on the Washington Department of Fish and Wiildlife's Priority Habitats and Species List that might be affected by the proposed work. Itpio JARPA Revision 2015.1 Page 12 of 15 Habitat: Puget Sound Nearshore Species: Pacific Lamprey, River Lamprey,White Sturgeon,Pacific Herring,Longfin Smelt,Surfsmelt,Bull Trout/ Doily Varden,Chinook Salmon,Chum Salmon,Coastal Res./ Searun Cutthroat,Coho,Pink Salmon,Rainbow Trout/ Steelhead/ Inland Redband Trout,Pacific Cod,Pacific Hake,Walleye Pollock,Black Rockfish,Bocaccio Rockfish Brown Rockfish,Copper Rockfish,Greenstriped Rockfish,Quillback Rockfish,Redstripe Rockfish,Tiger Rockfish Yellowtail Rockfish,Lingcod,Pacific Sand Lance,English Sole,Rock Sole,Western Toad,Pacific Pond Turtle, Common Loon,Common Murre,Marbled Murrelet,Tufted Puffin,Western grebe,W WA nonbreeding concentrations of: Loons, Grebes, Cormorants, Fulmar, Shearwaters, Storm -petrels, Alcids W WA breeding concentrations of. Cormorants, Storm -petrels, Terns, Alcids, Great Blue Heron,Brant,Cavity-nesting ducks: Wood Duck, Barrow's Goldeneye, Common Goldeneye, Bufflehead, Hooded Merganser,Western Washington nonbreeding concentrations of: Barrow's Goldeneye, Common Goldeneye, Bufflehead,Harlequin Duck,Trumpeter Swan,Waterfowl Concentrations ,Bald Eagle Peregrine Falcon,Mountain Quail,Sooty Grouse,"W WA nonbreeding concentrations of Charadriidae, Scolopacidae, Phalaropodidae "Band -tailed Pigeon Yellow -billed Cuckoo, Vaux's Swift,Pileated Woodpecker Purple Martin,Dall's Porpoise,Humpback Whale,Gray Whale,Sperm Whale,Harbor Seal,Orca (Killer Whale) Pacific Harbor Porpoise,California Sea Lion,Steller (Northern) Sea Lion,Roosting Concentrations of: Big -brown Bat, Myotis bats, Pallid Bat,Townsend's Big -eared Bat,Keen's Long-eared Bat (formerly Keen's Myotis) Columbian Black -tailed Deer,Pinto (Northern) Abalone,Geoduck ,Butter C1am,Native Littleneck Clam Manila Clam,Olympia Oyster,Pacific Oyster,Dungeness Crab,Pandalid shrimp (Pandaiidae),Puget Blue Part 10 - SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at htt :/la s.oria.wa. ov/o as/. • Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or help@oria.wa.coy. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (check all that apply.) lb§& • For more about SEPA, go to c .w . vl o rams/ ea/se ale-review.html ❑ 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 03/02/2020 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b) hl elol ❑ 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.) JL@jPJ 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 JARPA Revision 2015.1 Page 13 of 15 Washington Department of Fish and Wildlife: ® Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption-1�t_tah_Exem tion Farm You must submit a check for $150 to Washington Department of Fish and Wildlife, unless your project qualifies for an exemption or alternative payment method below. Do not send cash. Check the appropriate boxes: ❑ $150 check enclosed. Check #: Attach check made payable to Washington Department of Fish and Wildlife ® My project is exempt from the application fee. (Check appropriate exemption) ❑ HPA processing is conducted by applicant -funded WDFW staff. Agreement # ❑ Mineral prospecting and mining. ❑ Project occurs on farm and agricultural land. (Attach a copy of current land use classification recorded with the county auditor, or other proof of current land use.) ❑ Project is a modification of an existing HPA originally applied for, prior to July 10, 2012. HPA # Washington Department of Natural Resources: ❑ Aquatic Use Authorization Complete JARPA Attachment C and submit a check for $25 payable to the Washington Department of Natural Resources. Do not send cash. Washington Department of Ecology: ❑ Section 401 Water Quality Certification FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coastal Guard permits: ❑ Private Aids to Navigation (for non -bridge projects) JARPA Revision 2015.1 Page 14 of 15 Part 11 -Authorizing Signature Signatures are required before submitting the JARPA package. the JARPA package includes the JARPA form, project plans, photos, etc. hf @10 I la. Applicant Signature (required) hf !p1 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) Robin Westler Applicant Printed Name Applicant Signature Date 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. Jennifer Rotsten Authorized Agent Printed Name Auth zed A46nt Signature I Ic. Property Owner Signature (if not applicant). hf elol Not required if project is on existing rights -of -way or easements. 1 /17/2020 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. Robin Westler Property Owner Printed Name Property Owner Signature Date 18 U.S.0 1001 provides that: Whoever, in any manner within the jurisdiction of any department of agency of the United States knowingly falsifies, conceals, or covers up any trick, scheme, or devise 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 Govemor's Office for Regulatory Innovation and Assistance (ORIA) at (800) 917-0043. People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call (877) 833-6341. ORIA publication number: ENV-019-09 rev. 09/2015 JARPA Revision 2015.1 Page 15 of 15