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HomeMy WebLinkAboutSDP2013-00051 - JARPA AGENCY USE ONLY 2010 US A Ar Date received: rmy Corps WASHINGTON STATE of pincers° Seattle Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form 1 Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Part 1—Project Identification 5 --Ec -EovEl 1. Project Name (A name for your project that you create. Examples: Smith's Docl 6abrook Lane Development) [hg p12 I Quilcene Bay Spit Restoration ) EP 2 Part 2—Applicant JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT The person or organization responsible for the project. [helpl 2a. Name(Last, First, Middle)and Organization(if applicable) Kathleen& Reimer Douglas 2b. Mailing Address(Street or PO Box) 2021 North 78th Street 2c. City, State, Zip Seattle,WA 98103 2d. Phone(1) 2e. Phone(2) 2f. Fax 2g. E-mail (206) 335-2991 (206) 524-6640 ( ) Kathleen @kmdouglas.com 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.) [help] 3a. Name (Last, First, Middle) and Organization (if applicable) Wilson, Justin C., NTI Engineering & Land Surveying 3b. Mailing Address(Street or PO Box) 717 South Peabody; (914 Washington St., Ste. 6, Port Townsend 98368) 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/jarpajarpa_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 16 3c. City, State, Zip Port Angeles, WA 98362 3d. Phone(1) 3e. Phone(2) 3f. Fax 3g. E-mail ( 360) 452-8491 (360) 460-0683 (360 ) 452-8498 justin @nti4u.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. [help' ❑ Same as applicant. (Skip to Part 5.) X Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) X 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) Frosholm, Donna- Jefferson County DCD 4b. Mailing Address (Street or PO Box) 621 Sheridan Street 4c. City, State, Zip Port Townsend,WA 98368 4d. Phone(1) 4e. Phone(2) 4f. Fax 4g. E-mail (360) 379-4466 ( ) dfrostholm @co.jefferson.wa.us Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help' ❑ There are multiple project locations (e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [help' ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources(DNR)at(360)902-1100) ❑ Federal X Other publidy 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.) [help' Intertidal land is immediately adjacent to 101 Wampum Point Road 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) [help' Quilcene, WA 98376 5d. County [help] Jefferson JARPA 2010 v1 3/30/2010 Page 2 of 16 5e. Provide the section, township, and range for the project location. [neip] '/4 Section Section Township Range SE 1/4 19 27N 1W 5f. Provide the latitude and longitude of the project location. [kelp] • Example:47.03922 N lat./-122.89142 W long. (NAD 83) 47.816172 N lat. /-122.8490056 W long. (NAD 83) 5g. List the tax parcel number(s) for the project location. [help] • The local county assessor's office can provide this information. Intertidal land is located immediately adjacent to 701194029 5h. Contact information for all adjoining property owners. (if you need more space, use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel #(if known) Kathleen & Reimer Douglas 101 Wampam Point Road 701194029 Quilcene, WA 98376 John & Muriel Gusoskey 83 Wampam Point Road 701194030 Quilcene, WA 98376 William and Lindsay Wright 25008 SE Mirrormont Way Issaquah,WA 98027 Robert Palmer P.O. Box 1560 Port Townsend,WA 98368 5i. List all wetlands on or adjacent to the project location. [help] 5j. List all waterbodies(other than wetlands) on or adjacent to the project location. [help] Unnamed Stream, East Quilcene Bay 5k. Is any part of the project area within a 100-year flood plain? [help] X Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [help] Native and imported plants and foliage, including small bushes, grasses and wildflowers are on the (new) uplands adjacent to the project area. Existing/ pre-existing (prior to 2008 dredging of unnamed stream) habitat includes riverine and stream bank aquatic, aviary and small mammal wildlife. Estuarine habitat includes existing shellfish beds on community tidelands property and shellfish beds on Jefferson County property. Photographs below show the site in 2006 and 2011 (Figures 1 and 2). JARPA 2010 v1 3/30/2010 Page 3 of 16 e r 4 Aff Figure 1. May 23,2006(courtesy Klass Aerial Photography). Figure 2. September 1,2011 (courtesy Klass Aerial Photography) 5m. Describe how the property is currently used. [help Rural residential and vacation home development, recreational uses (picnics, hiking, shellfish harvesting) and shellfish and wildlife habitat. 5n. Describe how the adjacent properties are currently used. [heipi Same as above. 5o. Describe the structures (above and below ground) on the property, including their purpose(s). [help) Residential/vacation homes, with rock bulkhead along shoreline. Piers from past logging operation remain in bay/tidelands area, sediment trap (see JARPA Control No. 115558-1; issued 12/12/2008) and various wooden and other retaining structures (observed) alongside channel in unnamed stream. Note that these are outside the proposed project area but they may be exacerbating the deep trench condition of project area. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help Follow Highway 104 west to Chimacum/Quilcene exit. Turn right at the end of the exit onto Center Road. Continue 7.7 miles and turn left on East Quilcene Bay Road. Go 1.9 miles, turning right(just past Lindsey Hill Road) at Wampum Point sign. Go through East Bay gate. Douglas property is second house. Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. [help] Project seeks to return Unnamed Stream channel to original discharge location into Quilcene Bay, pre-2008 stream dredging project, with a discharge direction approximately N70-8CE across beach berm. To re-route this stream to its original east-west direction and contour, a small east-west channel will be excavated and backed with a small berm. The amount of material which will be excavated to form the new stream is approximately 11 cubic yards. The excavated channel bdtom width will be 4 ft., and the depth will be approximately 1.5 ft. The excavated material will be used to create a 1-2' tall berm along the entire length of the new stream channel. To complete this berm, approximately 9.5 additional cubic yards of material will be "scalped"from the area north of the proposed channel and berm. The "scalp" area is the currently existing berm created in the 2008 dredging event. Scalping 9.5 cubic yards of material from this berm will allow for regular tidal inundation of the eastern side of the spit; this area has been `cut off from regular tidal exchange by the existing tall berm and as a result supports upland vegetation uncharacteristic of an intertidal area The existing berm reaches heights of greater than +10' above MLLW. The goal is to lower this berm to a height of between +8.0' above MLLW and +9.0' above MLLW. All work will occur on Jefferson County property, and will be done using the minimum amount of material practical. This will minimize fill within the marine waters of the United States, as required by the USACE. The project will restore community tidelands access to property owners and help to protect existing, threatened JARPA 2010 v1 3/30/2010 Page 4 of 16 shellfish beds to prevent additional loss of aquatic life, and may enhance fishway to Unnamed Stream (see Figures 1-6 and attached Biological Evaluation). See Figures 7 and 8 below for site plans. 6b. Indicate the project category. (Check all that apply) [help] ❑ Commercial ® Residential ❑ Institutional ❑ Transportation X Recreational Maintenance ® Environmental Enhancement 6c. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam/Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike/ Levee/Jetty ❑ Land Clearing Measurement Device ❑ Boat Launch ® Ditch ❑ Marina /Moorage ❑ Stairs ❑ Boat Lift ❑ Dock/ Pier ❑ Mining ❑ Stormwater facility ❑ Bridge ❑ Dredging ❑ Outfall Structure ❑ Swimming Pool ❑ Bulkhead ❑ Fence ❑ Piling ❑ Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall ® Channel Modification ❑ Fishway (upland) X Other: 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. [r,e!o] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. Existing channel will be redirected from N-S discharge to approximate 2008 discharge channel path by creating a small E-W berm as shown on attached plans. A light, mini-excavator or similar equipment will be used, gaining access via temporary ramp from Douglas property. Some reinforcement may be needed to ensure bulkhead/ ramp stability. The upper portions of the previously-dredged N-S berm will be scalped and material will be used to create the new E-W berm. Activity is timed to avoid salmon or other fish runs, performed between July 16, 2014 and February 1, 2015 as soon as permit authorization is granted. Project will be completed within approximately one week of start date and is anticipated to be a one-time project. 6e. What are the start and end dates for project construction?(month/year) [help] • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date: 7/16/2014* End date: 02/2015 ❑ See JARPA Attachment D *or upon permit approval, if later 6f. Describe the purpose of the project and why you want or need to perform it. [help] JARPA 2010 v1 3/30/2010 Page 5 of 16 In 2008 under a prior JARPA permit (Control No. 115558-1; issued 12/12/2008), the Unnamed Stream was dredged, the channel was redirected and additional ditching was created in an approximately north-south orientation (see Figure 4, project plans). Excessive spoils from the dredging process were left along channel/ditch banks, adding significant material to both upland and bayward side of ditch. East Bay property owners' access to the community tidelands has been significantly limited by the deep channel /ditch created by the dredging, and the additional uplands. Redirecting of the stream has altered the preexisting sediment transport paths, resulting in areas of deep scour of the spit area and exposing piers from the former logging operation, and adversely affecting the health of the existing shellfish beds which have become subaerially exposed a's the overlying fine sediments have been scoured and dispersed north by the new channel (see Figure 3-6). ; st x�F y r Figure 3. July,2006,view of beach from Douglas property SE corner. Figure 4. August,2011,view showing new uplands&trench. Via: ,_ n. ti .r16 f ''':44't.17 .fir ' u a . n v . ,1% IL it # Figure 5. 2006 overview of beach and spit from Douglas property. Figure 6. 2011 view of trench and reworked spoils from Douglas property. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [helms] Estimated project cost: Less than $5,000.00 (including mobilization, demobilization &temporary access development and equipment/operator charge). 6h. Will any portion of the project receive federal funding? [n ]l • If yes, list each agency providing funds. ❑ Yes ® No ❑ Don't know Page 6 of 16 JARPA 2010 v1 3/30/2010 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.)[help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ❑ Not applicable 7b. Will the project impact wetlands? [help' ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [help] ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? [neip] • If yes,submit the report, including data sheets, with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] • If yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [help] • If yes,submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ Not applicable 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] 7h. Use the table below to list the type and rating of each wetland impacted; the extent and duration of the impact; and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table,you can state (below)where we can find this information in the plan. [help] Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type4 (sq.ft. or category2 Acres) acres) '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. 3 Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. 4Creation(C), Re-establishment/Rehabilitation(R),Enhancement(E),Preservation(P),Mitigation Bank/In-lieu fee(B) Page number(s) for similar information in the mitigation plan, if available: JARPA 2010 v1 3/30/2010 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. [help] 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. [neipl 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 vetlands.) [help] X 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. [heipl ❑ Not applicable Restoration of the spit area of East Quilcene Bay west of the Unnamed Stream will provide nourishment to the existing shellfish beds. The project is planned to avoid or minimize adverse impact on salmon runs and other aquatic populations Light equipment will be used and carefully monitored, with daily equipment inspections prior to use to ensure no pollutants are introduced to the aquatic environment. Temporary access will be gained across Douglas bulkhead. Standard BMP's will be utilized to ensure no adverse impacts to the aquatic environment. 8b. Will your project impact a waterbody or the area around a waterbody? [help] ® Yes 0 N 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [help] • If yes, submit the plan with the JARPA package and answer 8d. • If No, or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ® Not applicable This purpose of this project is to mitigate adverse impacts from a previous permit action (HPA Control No.115558-1). Specific mitigation includes restoration of preexisting sediment transport paths to restore existing shellfish /aquatic habitat and restoration of access to community tidelands by property owners. No adverse impacts to non-wetland waterbodies is anticipated. 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7g., you do not need to restate your answer here. [help] 8e. Summarize impact(s) to each waterbody in the table below. [help] Activity Waterbody Impact Duration of Amount of material Area (sq. ft. or (clear, name' location2 impact3 to be placed in or linear ft.) of dredge, fill, removed from waterbody pile drive, waterbody directly affected etc.) Re-locate East In TI B (see 3-5 days Approximately 9.5 cy Estimate about material from Quilcene Bay attached will be moved from 40 linear ft. of N-S berm to map) existing berm to new berm to be new E-W berm moved berm JARPA 2010 v1 3/30/2010 Page 8 of 16 sediment Construction Unnamed Mouth of 1-2 days Approximately)1 cy will Estimate about of new E-W Stream in Unnamed be excavated and 80 linear ft. berm Bay stream added to berm to re- route stream. 'If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 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. [helpl Material removed from N-S stream channel will be placed on new E-W berm (approximately 9.5 cy). Material will be removed to a depth of approximately 1.5' and a width of approximately 4' for 80' to create re-routed stream; this material will be placed on the new E-W berm (approximately 11 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. [help] Light equipment such as a rubber tired small excavator will be used to re-contour the extension ditch of the Unnamed Stream that currently directs the stream discharge northward from the mouth of the stream. The Unnamed Stream is planned to discharge slightly north of due west, at project completion. Sediment transport is expected to be restored along the beach northward,directed westward as it approaches the mouth of the Unnamed Stream, replenishing the now exposed shellfish beds with needed sediment cover and nutrients. Part 9—Additional Information Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. It is ok if you cannot answer a question. 9a. If you have already worked with any government agencies on this project, list them below. [help] Agency Name Contact Name Phone Most Recent Date of Contact Army Corps of Christina Tong (206) 764-6878 08/28/2014 Engineers Department of Ecology Rick Mraz (360) 407-6221 02/20/2012 Dept. of Fish &Wildlife Chris Byrne (360) 417-1426 08/2011 Marjorie Shirato (360)427-2179 02/2012 Dan Dafoe (360)457-2516 03/2014 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? [help] • If yes,list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecy.wa.gov/programs/wq/303a;. ❑ Yes X No JARPA 2010 v1 3/30/2010 Page 9 of 16 II 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [r,eip] • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110019 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [help] • Go to http://www.ecy.wa.gov/services/qis/maps/wria/wria.htm to find the WRIA#. WRIA 17 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to http://www.ecy.wa.gov/programs/wq/swgs/criteria.html for the standards. X Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? [help] • If you don't know, contact the local planning department. • For more information, go to: http://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. ❑ Rural X Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplicxxations/Pages/fp_watertyping.aspx for the Forest Practices Water Typing System. X 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? [help] • If no, provide the name of the manual your project is designed to meet. X Yes ❑ No Name of manual: 9i. If you know what the property was used for in the past, describe below. [help] Historical use of the property in the vicinity of the Unnamed Stream and its bay-ward discharge was as a log dump operation during mid 1900's. At that time, or at some time prior, the Unnamed Stream was relocated to the existing channel. Properties to the south of the stream channel were developed as residential or vacation properties in the mid-1900's and later. By the late1900's the logging operation was discontinued, and the property was sold and subdivided. Homes on the north side of the unnamed stream were developed in the mid- 2000's. 9j. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If yes, attach it to your JARPA package. ❑ Yes X 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. [help] See Biological Evaluation JARPA 2010 v1 3/30/2010 Page 10 of 16 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. [help] See Biological Evaluation 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.ecv.wa.gov/opas/. • Governor's Office of Regulatory Assistance at(800) 917-0043 or help(a�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.) [hela1 • For more information about SEPA,go to www.ecv.wa.gov/programs/sea/sepa/e-review.html. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ®A SEPA determination is pending with_Jefferson Co (lead agency). The expected decision date is Fall 2014 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.)[help] ❑ 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. 1 Ob. Indicate the permits you are applying for. (Check all that apply.) [neipt LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type (explain): SDP Exemption (limited dredging to regain homeowner tideland access and improve shellfish habitat from 2008 "emergency" JARPA that may have exceeded permit intent.) Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: X 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 JARPA 2010 v1 3/30/2010 Page 11 of 16 United States Department of the Army permits (U.S. Army Corps of Engineers): X 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) Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. fhelpi 11a. Applicant Signature (required) [help] I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby 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) Kathleen& Reimer Douglas August 29, 2014 Applicant Printed Name Applicant Signature Date 11 b. Authorized Agent Signature [help] I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Justin C. Wilson August 29, 2014 Authorized Agent Printed Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant). [help Not required if project is on existing rights-of-way or easements. I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Name Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or JARPA 2010 v1 3/30/2010 Page 12 of 16 4 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 disability can call(877)833-6341. ORA publication number: ENV-019-09 JARPA 2010 v1 3/30/2010 Page 13 of 16 AGENCY USE ONLY WASHINGTON STATE of Army Corps of enyineers° Date received: Seattle Distr t Joint Aquatic Resources Permit Application (JARPA) [help Agency reference#: Attachment C. Tax Parcel#(s): Contact information for adjoining ` TO BE COMPLETED BY APPLICANT [helpl property owners. [hel Project Name: Location Name(if applicable): Use this attachment only if you have more than four adjoining property owners. Use black or blue ink to enter answers in white spaces below. 1. Contact information for all adjoining property owners. [help] Name Mailing Address Tax Parcel#(if known) Claudia&Lawrence Sherman 18544 NE 19th Place Bellevue, WA 98008 AJ &Jacqueline Schwagler 233 Alice Road ..................................................................................................................................................................................................................................... Port Angeles,WA 98363 If you require this document in another format, contact the Governor's Office for Regulatory Innovation and Assistance(ORIA)at (800)917-0043. People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833- 6341. ORIA publication number: ENV-022-09 rev. 08/2013 JARPA 2010 v1 3/30/2010 Page 14 of 16 ~ | I § )q 4 | \ e I oot m � 58 §8 |` 2,IA( p∎ a kq !0§ § ( g§ !f§\� , / I*, , \ S \ ! a § § � . ~ , .4∎ *4� \ '~ | f/ �� • I iS ` / ' 7! R� ) 27 26 2|» "!| � � ;,?,E gip m q �ye | �; \// � ` rl )/ 2 ; / ~ i / ! I \| ¢ i i / / 4"� C , ®\ -f $wi� zM 11 ts, 1,f t.4= Ne c NORTHWESTERN__e INC ». DATE: 7/18/2014 �, SCALE: � SHOWN NWS-044-SSTREAM RESTORATION Nil ENGINEERING DRAWN BY: zs m &S R E hG 101 WAMPUM PT. ROAD, OU|gCENE ■ ��► ` S� .,PORT WWW\_O2 REVIEW: JCW DOUGLAS, KATHLEEN & REIMER NT! P F -8498 2 SHEET 2 OF J Figure 7. Site plan: Overhead view. JARP&2gya3ZO2Zae Page 15 of 16 0 8 8 0 0 0 Y 4 ° §1 8 IN8 z F1 o •1 0 J 0 I. u^ 20 nA -0 I 2 fm 0 •i • 0 S< cn �o Cr) m � m = CO o $m O I I I m m I I s u I „I p K °. ` m \\ cn I\ o! 5 m Ii o I 4P --I v -1 A' 0 I o F . - I °s m m g= z I I , I ° I 4� k I a °o o S I I I )�� -q l I O -52-N .,/�y I 2 En 0, • t 11 _Ts� 2. r r1 0 r's 13 /F =�� 9 N °`o i• N 0 0 O 0 NORTHWESTERN TERRITORIES, INC.2014 DATE: 7/18/2014 r SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION /'` ■ NTI ENGINEERING DRAWN BY: ZNS/CR od &SURVEYING FOR: 101 WAMPUM PT. ROAD, QUILICENE ;BSI, 1PST AB°� ;�z REVIEW: JCW DOUGLAS, KATHLEEN & REIMER NT! F( )45 SHEET 3 OF 3 Figure 8. Site plan: proposed ditch and berm profiles. JARPA 2010 v1 3/30/2010 Page 16 of 16 I • AGENCY USE ONLY 2 0 1 Date received: 30; US Army Corps WASHINGTON STATE of Engineers Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form 1 Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) [helpl2 Quilcene Bay Spit Restoration Part 2—Applicant The person or organization responsible for the project. [help] 2a. Name (Last, First, Middle)and Organization(if applicable) Kathleen & Reimer Douglas 2b. Mailing Address (Street or PO Box) 2021 North 78th Street 2c. City, State, Zip Seattle,WA 98103 2d. Phone(1) 2e. Phone(2) 2f. Fax 2g. E-mail (206) 335-2991 (206) 524-6640 ( ) Kathleen @kmdouglas.com 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.) [help] 3a. Name (Last, First, Middle) and Organization (if applicable) Wilson, Justin C., NTI Engineering & Land Surveying 3b. Mailing Address(Street or PO Box) 717 South Peabody; (914 Washington St., Ste. 6, Port Townsend 98368) 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/aqr_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/jarpajarpa_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 16 3c. City, State, Zip Port Angeles, WA 98362 3d. Phone(1) 3e. Phone(2) 3f. Fax 3g. E-mail ( 360) 452-8491 (360) 460-0683 (360) 452-8498 justin @nti4u.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. [help] ❑ Same as applicant. (Skip to Part 5.) X Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) X 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) Frosholm, Donna- Jefferson County DCD 4b. Mailing Address (Street or PO Box) 621 Sheridan Street 4c. City, State, Zip Port Townsend,WA 98368 4d. Phone(1) 4e. Phone(2) 4f. Fax 4g. E-mail (360) 379-4466 ( ) dfrostholm @co.jefferson.wa.us Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help] ❑ There are multiple project locations(e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [helpl ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources(DNR)at(360)902-1100) [' Federal X Other publidy 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.) [help] Intertidal land is immediately adjacent to 101 Wampum Point Road 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) [help] Quilcene,WA 98376 5d. County [helpl Jefferson JARPA 2010 v1 3/30/2010 Page 2 of 16 5e. Provide the section, township, and range for the project location. [help] 1/4 Section Section Township Range SE 1/4 19 27N 1W 5f. Provide the latitude and longitude of the project location. [help] • Example:47.03922 N lat./-122.89142 W long. (NAD 83) 47.816172 N lat. /-122.8490056 W long. (NAD 83) 5g. List the tax parcel number(s) for the project location. [help] • The local county assessor's office can provide this information. Intertidal land is located immediately adjacent to 701194029 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel #(if known) Kathleen & Reimer Douglas 101 Wampam Point Road 701194029 ............................................... .................................................................................................................................................................................. Quilcene, WA 98376 John & Muriel Gusoskey 83 Wampam Point Road 701194030 Quilcene,WA 98376 William and Lindsay Wright 25008 SE Mirrormont Way . ............................................................... Issaquah,WA 98027 Robert Palmer P.O. Box 1560 Port Townsend,WA 98368 5i. List all wetlands on or adjacent to the project location. [help] 5j. List all waterbodies(other than wetlands) on or adjacent to the project location. [help] Unnamed Stream, East Quilcene Bay 5k. Is any part of the project area within a 100-year flood plain? [help' X Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [help] Native and imported plants and foliage, including small bushes, grasses and wildflowers are on the (new) uplands adjacent to the project area. Existing/ pre-existing (prior to 2008 dredging of unnamed stream) habitat includes riverine and stream bank aquatic, aviary and small mammal wildlife. Estuarine habitat includes existing shellfish beds on community tidelands property and shellfish beds on Jefferson County property. Photographs below show the site in 2006 and 2011 (Figures 1 and 2). JARPA 2010 v1 3/30/2010 Page 3 of 16 Figure 1. May 23,2006(courtesy Klass Aerial Photography). Figure 2. September 1,2011 (courtesy Klass Aerial Photography) 5m. Describe how the property is currently used. [help] Rural residential and vacation home development, recreational uses (picnics, hiking, shellfish harvesting) and shellfish and wildlife habitat. 5n. Describe how the adjacent properties are currently used. [h] Same as above. 5o. Describe the structures (above and below ground) on the property, including their purpose(s). [heJ Residential/vacation homes, with rock bulkhead along shoreline. Piers from past logging operation remain in bay/tidelands area, sediment trap (see JARPA Control No. 115558-1; issued 12/12/2008) and various wooden and other retaining structures (observed) alongside channel in unnamed stream. Note that these are outside the proposed project area but they may be exacerbating the deep trench condition of project area. 5p. Provide driving directions from the closest highway to the project location, and attach a map. f heli l Follow Highway 104 west to Chimacum/Quilcene exit. Turn right at the end of the exit onto Center Road. Continue 7.7 miles and turn left on East Quilcene Bay Road. Go 1.9 miles, turning right(just past Lindsey Hill Road) at Wampum Point sign. Go through East Bay gate. Douglas property is second house. Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. [hei Project seeks to return Unnamed Stream channel to original discharge location into Quilcene Bay, pre-2008 stream dredging project, with a discharge direction approximately N70-8CE across beach berm. To re-route this stream to its original east-west direction and contour, a small east-west channel will be excavated and backed with a small berm. The amount of material which will be excavated to form the new stream is approximately 11 cubic yards. The excavated channel bcttom width will be 4 ft., and the depth will be approximately 1.5 ft. The excavated material will be used to create a 1-2' tall berm along the entire length of the new stream channel. To complete this berm, approximately 9.5 additional cubic yards of material will be "scalped"from the area north of the proposed channel and berm. The "scalp" area is the currently existing berm created in the 2008 dredging event. Scalping 9.5 cubic yards of material from this berm will allow for regular tidal inundation of the eastern side of the spit; this area has been `cut off from regular tidal exchange by the existing tall berm and as a result supports upland vegetation uncharacteristic of an intertidal area The existing berm reaches heights of greater than +10' above MLLW. The goal is to lower this berm to a height of between +8.0' above MLLW and +9.0' above MLLW. All work will occur on Jefferson County property, and will be done using the minimum amount of material practical. This will minimize fill within the marine waters of the United States, as required by the USACE. The project will restore community tidelands access to property owners and help to protect existing, threatened JARPA 2010 v1 3/30/2010 Page 4 of 16 shellfish beds to prevent additional loss of aquatic life, and may enhance fishway to Unnamed Stream (see Figures 1-6 and attached Biological Evaluation). See Figures 7 and 8 below for site plans. 6b. Indicate the project category. (Check all that apply) [help] ❑ Commercial ® Residential ❑ Institutional ❑ Transportation X Recreational ® Maintenance ® Environmental Enhancement 6c. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization [' Dam/Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike/ Levee/Jetty ❑ Land Clearing Measurement Device ❑ Boat Launch ® Ditch ❑ Marina /Moorage ❑ Stairs ❑ Boat Lift ❑ Dock/ Pier El Mining ❑ Stormwater facility ❑ Bridge ❑ Dredging ❑ Outfall Structure E Swimming Pool El Bulkhead ❑ Fence El Piling Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall ® Channel Modification El Fishway (upland) X Other: 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. [ih,ep] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. Existing channel will be redirected from N-S discharge to approximate 2008 discharge channel path by creating a small E-W berm as shown on attached plans. A light, mini-excavator or similar equipment will be used, gaining access via temporary ramp from Douglas property. Some reinforcement may be needed to ensure bulkhead/ ramp stability. The upper portions of the previously-dredged N-S berm will be scalped and material will be used to create the new E-W berm. Activity is timed to avoid salmon or other fish runs, performed between July 16, 2014 and February 1, 2015 as soon as permit authorization is granted. Project will be completed within approximately one week of start date and is anticipated to be a one-time project. 6e. What are the start and end dates for project construction? (month/year) [help] • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date: 7/16/2014* End date: 02/2015 ❑ See JARPA Attachment D *or upon permit approval, if later 6f. Describe the purpose of the project and why you want or need to perform it. [help] JARPA 2010 v1 3/30/2010 Page 5 of 16 In 2008 under a prior JARPA permit (Control No. 115558-1; issued 12/12/2008), the Unnamed Stream was dredged, the channel was redirected and additional ditching was created in an approximately north-south orientation (see Figure 4, project plans). Excessive spoils from the dredging process were left along channel/ditch banks, adding significant material to both upland and bayward side of ditch. East Bay property owners' access to the community tidelands has been significantly limited by the deep channel /ditch created by the dredging, and the additional uplands. Redirecting of the stream has altered the preexisting sediment transport paths, resulting in areas of deep scour of the spit area and exposing piers from the former logging operation, and adversely affecting the health of the existing shellfish beds which have become subaerially exposed as the overlying fine sediments have been scoured and dispersed north by the new channel (see Figure 3-6). • �HMI - t '3'k a" .6. an( ` f` F "u' { '. ,� .�"` P t, + , .,° mace Figure 3. July,2006,view of beach from Douglas property SE corner. Figure 4. August,2011,view showing new uplands&trench. rt I I g..4. , ` is, oks _ x'•i=ce•` #_ ,s Figure 5. 2006 overview of beach and spit from Douglas property. Figure 6. 2011 view of trench and reworked spoils from Douglas property. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [ham] Estimated project cost: Less than $5,000.00 (including mobilization, demobilization &temporary access development and equipment/operator charge). 6h. Will any portion of the project receive federal funding? [help] • If yes, list each agency providing funds. ❑ Yes ® No ❑ Don't know JARPA 2010 v1 3/30/2010 Page 6 of 16 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.) [help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ® Not applicable 7b. Will the project impact wetlands? [help] ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [help] ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? [help] • If yes,submit the report, including data sheets,with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] • If yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [help] • If yes, submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ Not applicable 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] 7h. Use the table below to list the type and rating of each wetland impacted; the extent and duration of the impact; and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below)where we can find this information in the plan. [help' Activity (fill Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type4 (sq.ft. or category2 Acres) acres) 1 If no official name for the wetland exists,create a unique name(such as'Wetland 1"). The name should be consistent with other project documents,such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3 Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. '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: JARPA 2010 v1 3/30/2010 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. [help] 7j. For all excavating activities identified in 7h., describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. [help] Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) [help] X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. [help] ❑ Not applicable Restoration of the spit area of East Quilcene Bay west of the Unnamed Stream will provide nourishment to the existing shellfish beds. The project is planned to avoid or minimize adverse impact on salmon runs and other aquatic populations. Light equipment will be used and carefully monitored, with daily equipment inspections prior to use to ensure no pollutants are introduced to the aquatic environment. Temporary access will be gained across Douglas bulkhead. Standard BMP's will be utilized to ensure no adverse impacts to the aquatic environment. 8b. Will your project impact a waterbody or the area around a waterbody? [help] Z Yes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [help] • If yes, submit the plan with the JARPA package and answer 8d. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ® Not applicable This purpose of this project is to mitigate adverse impacts from a previous permit action (HPA Control No.115558-1). Specific mitigation includes restoration of preexisting sediment transport paths to restore existing shellfish /aquatic habitat and restoration of access to community tidelands by property owners. No adverse impacts to non-wetland waterbodies is anticipated. 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7g.,you do not need to restate your answer here. [help] 8e. Summarize impact(s) to each waterbody in the table below. [help' Activity Waterbody Impact Duration of Amount of material Area (sq. ft. or (clear, name' location2 impact3 to be placed in or linear ft.) of dredge, fill, removed from waterbody pile drive, waterbody directly affected etc.) Re-locate East In TI B (see 3-5 days Approximately 9.5 cy Estimate about material from Quilcene Bay attached will be moved from 40 linear ft. of N-S berm to map) existing berm to new berm to be new E-W berm moved berm JARPA 2010 v1 3/30/2010 Page 8 of 16 sediment Construction Unnamed Mouth of 1-2 days Approximately)1 cy will Estimate about of new E-W Stream in Unnamed be excavated and 80 linear ft. berm Bay stream added to berm to re- route stream. 11f no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 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. [help] Material removed from N-S stream channel will be placed on new E-W berm (approximately 9.5 cy). Material will be removed to a depth of approximately 1.5' and a width of approximately 4' for 80' to create re-routed stream; this material will be placed on the new E-W berm (approximately 11 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. [help] Light equipment such as a rubber tired small excavator will be used to re-contour the extension ditch of the Unnamed Stream that currently directs the stream discharge northward from the mouth of the stream. The Unnamed Stream is planned to discharge slightly north of due west, at project completion. Sediment transport is expected to be restored along the beach northward, directed westward as it approaches the mouth of the Unnamed Stream, replenishing the now exposed shellfish beds with needed sediment cover and nutrients. Part 9—Additional Information Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. It is ok if you cannot answer a question. 9a. If you have already worked with any government agencies on this project, list them below. [help Agency Name Contact Name Phone Most Recent Date of Contact Army Corps of Christina Tong (206) 764-6878 08/28/2014 Engineers Department of Ecology Rick Mraz (360) 407-6221 02/20/2012 Dept. of Fish &Wildlife Chris Byrne (360) 417-1426 08/2011 Marjorie Shirato (360)427-2179 02/2012 Dan Dafoe (360)457-2516 03/2014 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? [help] • If yes,list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecv.wa.dov/proarams/wd/303d/. ❑ Yes X No JARPA 2010 v1 3/30/2010 Page 9 of 16 9c. What U.S. Geological Survey Hydrological Unit Code(HUC) is the project in? [help] • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. 17110019 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? [help] • Go to http://www.ecv.wa.qov/services/qis/maps/wria/wria.htm to find the WRIA#. WRIA 17 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to http://www.ecv.wa.gov/programs/wq/swgs/criteria.html for the standards. X Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? [help] • If you don't know, contact the local planning department. • For more information, go to: http://www.ecv.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. ❑ Rural X Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplicxxations/Pages/fp_watertyping.aspx for the Forest Practices Water Typing System. X 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? [help] • If no, provide the name of the manual your project is designed to meet. X Yes ❑ No Name of manual: 9i. If you know what the property was used for in the past, describe below. [nelp] Historical use of the property in the vicinity of the Unnamed Stream and its bay-ward discharge was as a log dump operation during mid 1900's. At that time, or at some time prior, the Unnamed Stream was relocated to the existing channel. Properties to the south of the stream channel were developed as residential or vacation properties in the mid-1900's and later. By the Iate1900's the logging operation was discontinued, and the property was sold and subdivided. Homes on the north side of the unnamed stream were developed in the mid- 2000's. 9j. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If yes, attach it to your JARPA package. ❑ Yes X 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. [help] See Biological Evaluation JARPA 2010 v1 3/30/2010 Page 10 of 16 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. [help] See Biological Evaluation 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 help @ora.wa.cov. • 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.) [help] • For more information about SEPA,go to www.ecy.wa.gov/programs/sea/sepa/e-review.html. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ® A SEPA determination is pending with _Jefferson Co (lead agency). The expected decision date is Fall 2014 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 1 ob.)[help] ❑ 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. 1 Ob. Indicate the permits you are applying for. (Check all that apply.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type (explain): SDP Exemption (limited dredging to regain homeowner tideland access and improve shellfish habitat from 2008 "emergency" JARPA that may have exceeded permit intent.) Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: X 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 JARPA 2010 v1 3/30/2010 Page 11 of 16 United States Department of the Army permits (U.S. Army Corps of Engineers): X 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) Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help' 11a. Applicant Signature (required) [help' I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby 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) Kathleen & Reimer Douglas August 29, 2014 Applicant Printed Name Applicant Signature Date 11 b. Authorized Agent Signature [help' I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities and I agree to start work only after all necessary permits have been issued. Justin C. Wilson August 29, 2014 Authorized Agent Printed Name Authorized Agent Signature Date 11 c. Property Owner Signature (if not applicant). [help] Not required if project is on existing rights-of-way or easements. I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Name Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or JARPA 2010 v1 3/30/2010 Page 12 of 16 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 disability can call(877)833-6341. ORA publication number: ENV-019-09 JARPA 2010 v1 3/30/2010 Page 13 of 16 AGENCY USE ONLY US Army Corps WASHINGTON STATE SoffEegiisteers" Date received: Joint Aquatic Resources Permit Application (JARPA) [help] Agency reference#: Tax Parcel#(s): Attachment C. ------------------------------ Contact information for adjoining L TO BE COMPLETED BY APPLICANT [helpl property owners. [hell ] Project Name: Location Name(if applicable): Use this attachment only if you have more than four adjoining property owners. Use black or blue ink to enter answers in white spaces below. 1. Contact information for all adjoining property owners. [help] Name Mailing Address Tax Parcel#(if known) Claudia&Lawrence Sherman 18544 NE 19th Place ..................................................................................................................................................................................................................................... Bellevue,WA 98008 AJ &Jacqueline Schwagler 233 Alice Road Port Angeles, WA 98363 If you require this document in another format, contact the Governor's Office for Regulatory Innovation and Assistance(ORIA)at (800)917-0043. People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call (877)833- 6341. ORIA publication number: ENV-022-09 rev.08/2013 JARPA 2010 v1 3/30/2010 Page 14 of 16 § y. Tfl ° Io / IR , ,, „,, 0„,., i, 11, .4,, , .Ai L g° L,c° AA i/ lifiri. \ i g \Wii414\,, 11111141404444...„ 111 4441,04%ip � � N °4 �;:;;!:; rn Da tm FE a eN W I md° 2 x° ^"'i r--"\ i4el 4! n I 0 AI 4, FI i o-b6 - — g )- r. - t k rit,im6i r r3 O , -411L64 l'' NS O N 0 NORTHWESTERN TERRITORIES, INC.2011 DATE: 7/18/2014 SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION /7 ''.' NTI ENGINEERING &SURVEYING DRAWN BY ZNS/CR 101 WAMPUM PT. ROAD, QUILICENE "T SOUTH PEABODYSTREET PORT ANGELES.WA 98362 FOR WWWNTI4U COM REVIEW: JCW DOUGLAS, KATHLEEN & REIMER NT! Pi36°)° 91 SHEET 2 OF 3 Figure 7. Site plan: Overhead view. JARPA 2010 v1 3/30/2010 Page 15 of 16 o co 4 co 8 • I I 1 1 Fi o 1 - 8 l4 8 1 x m T UI 2225 F, 2 G] FT P ro ' T 1 17, $$a O ; ) 0 I. u9 2e -a o m I _a N 0 tg 0 I N2 fm 6< g ( p@ ( o m A m B I " ' o g o o N. A rli k 00 9 CO I + AI X O o I ♦ m „I C + = 6 t1,1 O. - m cn m >78- C 11 0 I Am — 03 m I z� I o �� O o ,_ , ci= z o m I n ra I z I o I o I ow I I ° ' o o g I I I I � A �� l 11* I z y m •.g r a ri p ,If l'e,,, ';', 4"r'- 0 ©NORTHWESTERN TERRITORIES, INC.2014 DATE: 7/18/2014 SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION 4"1 '�< NTI ENGINEERING DRAWN BY ZNS/CR &SURVEYING 101 WAMPUM PT. ROAD, QUILICENE it , '11 SOUTH PEAB DY STREEI FOR: PORT ANGELES WA 48362 'NWN NTI/U.COM REVIEW: JCW DOUGLAS, KATHLEEN & REIMER NT! F(W)452M9 SHEET 3 OF 3 Figure 8. Site plan: proposed ditch and berm profiles. JARPA 2010 v1 3/30/2010 Page 16 of 16 AGENCY USE ONLY Ci 2 0 1 0 Date received: usA9,YCr�rps WASHINGTON STATE of Engineers Seattle District Joint Aquatic Resources Permit Agency reference#: 1 Tax Parcel#(s): Application (JARPA) Form USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) [help]2 Quilcene Bay Spit Restoration Part 2—Applicant The person or organization responsible for the project. (ilelpj 2a. Name (Last, First, Middle) and Organization (if applicable) Kathleen & Reimer Douglas 2b. Mailing Address (Street or PO Box) 2021 North 78th Street 2c. City, State, Zip Seattle, WA 98103 2d. Phone(1) 2e. Phone(2) 2f. Fax 2g. E-mail (206) 335-2991 (206) 524-6640 ( ) Kathleen @kmdouglas.com 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.) (help] 3a. Name (Last, First, Middle) and Organization (if applicable) Wilson, Justin, C., NTI Engineering & Land Surveying 3b. Mailing Address (Street or PO Box) 717 S. Peabody; (914 Washington St., Ste. 6, Port Townsend, WA 98368) 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.mill PublicMenu/Menu.cfm7sitename=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 12 3c. City, State, Zip Port Angeles, WA 98362 • 3d. Phone(1) 3e. Phone(2) 3f. Fax 3g. E-mail (360) 452-8491 (360) 460-0683 (360) 452-8498 justin @nti4u.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. [help] 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) Frostholm, Donna-Jefferson County DCD 4b. Mailing Address (Street or PC Box) 621 Sheridan Street 4c. City, State, Zip Port Townsend, WA 98368 4d. Phone(1) 4e. Phone(2) 4f. Fax 4g. E-mail (360) 379-4466 ( ) dfrostholm @co.jefferson.wa.us Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help] ❑ There are multiple project locations (e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [help] ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources(DNR)at(360)902-1100) ❑ Federal , X 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.) [help] Intertidal land is located immediately adjacent to 101 Wampum Point Road 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) [help] Quilcene, WA 98376 5d. County [help] Jefferson JARPA 2010 v1 3/30/2010 Page 2 of 12 • • 5e. Provide the section, township, and range for the project location. [help] 1/4 Section Section Township Range SE 1/4 19 27N 1W 5f. Provide the latitude and longitude of the project location. [help] • Example:47.03922 N lat./-122.89142 W long. (NAD 83) 47.816172 N lat. /-122.8490056 W long. (NAD 83) 5g. List the tax parcel number(s) for the project location. Api • The local county assessor's office can provide this information. Intertidal land is located immediately adjacent to 701194029 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel#(if known) Kathleen & Reimer Douglas 101 Wampum Point Road .._..__.__..- 701194029 Quilcene, WA 98376 83 Wampum Point Road John & Muriel Gusoskey _ 701194030 Quilcene, WA 98376 William & Lindsay Wright 25008 SE Mirrormont Way Issaquah, WA 98027 Robert Palmer P.O. Box 1560 Port Townsend, WA 98368 51. List all wetlands on or adjacent to the project location. [help] 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Unnamed Stream, East Quilcene Bay 5k. Is any part of the project area within a 100-year flood plain? [help] X Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [help] Native and imported plants and foliage, including small bushes, grasses and wildflowers are on the (new) uplands adjacent to the project area. Existing /pre-existing (prior to 2008 dredging of unnamed stream) habitat includes riverine and stream bank aquatic, aviary and small mammal wildlife. Estuarine habitat includes existing shellfish beds on community tidelands property and shellfish beds on Jefferson County property. Photographs below show the site in 2006 and 2011 (Figures 1 and 2). JARPA 2010 v1 3/30/2010 Page 3 of 12 Figure 1. May 23,2006(courtesy Klass Aerial Photography). Figure 2. September 1,2011(courtesy Klass Aerial Photography) 5m. Describe how the property is currently used. (help] Rural residential and vacation home development, recreational uses (picnics, hiking, shellfish harvesting) and shellfish and wildlife habitat. 5n. Describe how the adjacent properties are currently used. [held Same as above. 5o. Describe the structures (above and below ground) on the property, including their purpose(s). [help) Structures on parcels immediately adjacent to County intertidal property consist of residential/vacation homes,with rock bulkhead along shoreline. Piers from past logging operation remain in bay/tidelands area, sediment trap(see HPA Control No. 115558-1; issued 12/12/2008)and various wooden and other retaining structures(observed)alongside channel in unnamed stream. Note that these are outside the proposed project area but they may be exacerbating the deep trench condition of project area. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help) Follow Highway 104 west to Chimacum/Quilcene exit. Turn right at the end of the exit onto Center Road. Continue 7.7 miles and turn left on East Quilcene Bay Road. Go 1.9 miles, turning right (just past Lindsey Hill Road) at Wampum Point sign. Go through East Bay gate. Douglas property is second house. Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. [act) Project seeks to return Unnamed Stream channel to original discharge location into Quilcene Bay, pre-2008 stream dredging project, with a discharge direction approximately N70-80° E across beach berm. Project will re- contour remaining dredged spoil piles stacked along bayside of dredge channel, using existing material to help fill existing deep N-S trench. The project will restore community tidelands access to property owners and help to protect existing, threatened shellfish beds to prevent additional loss of aquatic life, and may enhance fishway to Unnamed Stream (see attached Figure 3 showing proposed project area with ownership. and Figures 4 and 5, current site aerial view and project plans). The work area will be accessed via private property owned by the applicants (101 Wampum Point Road). 6b. Indicate the project category. (Check all that apply) [tie! ] ❑ Commercial Residential ❑ Institutional ❑ Transportation X Recreational X Maintenance X Environmental Enhancement JARPA 2010 v1 3/30/2010 Page 4 of 12 6c. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam /Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike /Levee / Jetty ❑ Land Clearing Measurement Device ❑ Boat Launch X Ditch ❑ Marina/ Moorage El Stairs ❑ Boat Lift ❑ Dock/Pier 0 Mining ❑ Stormwater facility ❑ Bridge X Dredging ❑ Outfall Structure 0 Swimming Pool ❑ Bulkhead ❑ Fence ❑ Piling ❑ Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall X Channel Modification X Fishway (upland) X Other: Recontouring existing materials. 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. Existing channel will be redirected from N-S discharge to approximate 2008 discharge channel path by excavating a shallow ditch as shown on attached plans. A light, mini-excavator or similar equipment will be used, gaining access via temporary ramp from Douglas property. Some reinforcement may be needed to ensure bulkhead/ ramp stability. Remaining, previously-dredged spoil piles along N-S trench will be cut and material used to infill trench and restore land to approximate pre-dredge contours. Material from the minor channel modification will also contribute fill to bring the deep N-S trench (bayward of the Douglas property)to finish grade. Activity is timed to avoid salmon or other fish runs, performed between July 15, 2014 and February 1, 2015 as soon as permit authorization is granted. Project will be completed within approximately one week of start date and is anticipated to be a one-time project. 6e. What are the start and end dates for project construction? (month/year) [help] • If the project will be constructed in phases or stages,use JARPA Attachment D to list the start and end dates of each phase or stage. Start date: 7/15/2014 End date: 02/2015 ❑ See JARPA Attachment D 6f. Describe the purpose of the project and why you want or need to perform it. Ihelpl JARPA 2010 v1 3/30/2010 Page 5 of 12 In 2008 under a prior HPA permit (Control No. 115558-1; issued 12/12/2008), the Unnamed Stream was dredged, the . channel was redirected and additional ditching was created in an approximately north-south orientation (see Figure 4, project plans). Excessive spoils from the dredging process were left along channel/ditch banks, adding significant material to both upland and bayward side of ditch. East Bay property owners' access to the community tidelands has been significantly limited by the deep channel/ditch created by the dredging, and the additional uplands. Redirecting of the stream has altered the preexisting sediment transport paths, resulting in areas of deep scour of the spit area and exposing piers from the former logging operation, and adversely affecting the health of the existing shellfish beds, which have become subaerially exposed as the overlying fine sediments have been scoured and dispersed north by the new charnel (see Figure 4, 6-9 attached, and below). II . _ ' ,,:e �. r9R.�}y. s?,c in�" . .,:i.'*' .f °`y%w., icy xw .�c-- l"'A4.�� Figure 6. July,2006,view of beach from Douglas property SE corner. Figure 7. August, 2011,view showing new uplands&trench. 4 " 4 6` § *- .•„ .„4„ • • • • k . • Figure 8. 2006 overview of beach and spit from Douglas property. Figure 9 2011 view of trench and reworked spoils from Douglas property. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. hel Estimated project cost: $5,000.00 (including mobilization, demobilization & temporary access development and equipment/ operator charge). 6h. Will any portion of the project receive federal funding? [ijclpj • If yes, list each agency providing funds. ❑ Yes X No ❑ Don't know JARPA 2010 v1 3/30/2010 Page 6 of 12 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.)[help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ❑ Not applicable 7b. Will the project impact wetlands? help] ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [heir)] ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? [help] • If yes,submit the report,including data sheets, with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating • System? [help] • If yes, submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [help] • If yes, submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No [ Not applicable • 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] 7h. Use the table below to list the type and rating of each wetland impacted; the extent and duration of the impact; and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below) where we can find this information in the plan. [help] Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type° (sq. ft. or category2 Acres) 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. 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"it applicable. `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: JARPA 2010 v1 3/30/2010 Page 7 of 12 7i. For all filling activities identified in 7h., describe the source and nature of the fill material, the amount in cubic yards that will be used, and how and where it will be placed into the wetland. [help] 7j, For all excavating activities identified in 7h., describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. [help] Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) [help] X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. [help] ❑ Not applicable Restoration of the spit area of East Quilcene Bay west of the Unnamed Stream will provide nourishment to the existing shellfish beds. The project is planned to avoid or minimize adverse impact on salmon runs and other aquatic populations. Light equipment will be used and carefully monitored, with daily equipment inspections prior to use to ensure no pollutants are introduced to the aquatic environment. Temporary access will be gained across Douglas bulkhead. Standard BMP's will be utilized to ensure no adverse impacts to the aquatic environment. 8b, Will your project impact a waterbody or the area around a waterbody? [help] X Yes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [help] • If yes,submit the plan with the JARPA package and answer 8d. • If No,or Not applicable,explain below why a mitigation plan should not be required. © Yes ❑ No Not applicable Native plant species displaced by the filling and re-contouring of the current stream channel will be salvaged and replanted to the banks of the restored stream channel.These species include dunegrass (Elymus mollis),silver burweed(Ambrosia chamissonis),seashore saltgrass(Distichlis spicata), American glasswort(Salicornia virginica),and Plantain species.A Biological Evaluation has been prepared for federal permitting and an addendum letter has been prepared to address Jefferson County requirements for critical areas. 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7g.,you do not need to restate your answer here. [help] The methods used in the mitigation plan utilize"no net loss"techniques to prevent a reduction to existing native plant species. 8e. Summarize impact(s) to each waterbody in the table below. [help] Activity Waterbody Impact Duration of Amount of material Area (sq. ft. or (clear, name location2 impact3 to be placed in or linear ft.) of dredge, fill, removed from waterbody pile drive, waterbody directly affected etc.) . Re-contour East In TI B (see 3-5 days Approximately 15 cy Estimate about N-S trench Quilcene Bay attached will be moved from 40 linear ft. of with existing map) spoil piles to existing existing trench & sediment trench. spoils to be re- contoured JARPA 2010 v1 3/30/2010 Page B of 12 • Channel Unnamed Mouth of 1-2 days Approximately 7 cy will Estimate about dredge Stream in Unnamed be removed. 75 linear ft. Bay stream If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. 7 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. [help] Material dredged from E-W stream channel will be placed in existing deep N-S trench (approximately 7 cy). Spoil from bayside of existing trench will be source of additional fill (approximately 15 cy), redistributed and graded per attached plans. 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. [hvirj Light equipment such as a rubber tired small excavator will be used to re-contour the extension ditch of the Unnamed Stream that currently directs the stream discharge northward from the mouth of the stream. Materials placed as spoils will be used to re-contour the area such that it approximates the 2006 —2008 (pre-dredge) contours. The Unnamed Stream is planned to discharge slightly north of due west, at project completion. Sediment transport is expected to be restored along the beach northward, directed westward as it approaches the mouth of the Unnamed Stream, replenishing the now exposed shellfish beds with needed sediment cover and nutrients. 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. Mg] Agency Name Contact Name Phone Most Recent Date of Contact Army Corps of Jess Jordan (206)439 -4536 02/17/2012 Engineers (360)407-6221 Department of Ecology Rick Mraz 02/20/2012 Dept. of Fish &Wildlife Chris Byrne (360)417-1426 08/2011 Marjorie Shirato (360)427-2179 02/2012 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? [help] • If yes, list the parameter(s)below. • if you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecy.wa.clOV/PrOciraMs/wW303d/. ❑ Yes X No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [help] • Go to htto://cfpub.epa.00v/surf/locate/index.cfm to help identify the HUC. JARPA 2010 v1 3/30/2010 Page 9 of 12 17110019 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? (haIP] • Go to http://www.ecy.wa.cloy/seryices/gis/maps/wria/wria.htm to find the WRIA#. VVR|A17 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? (help] • Go to http://www.ecy.wa.goy/programs/wo/swos/criteria.html for the standards. X Yes Ei No [I] Not applicable 9f. If the pr jectiovv|thinthejuhadictimnofthaShona|ineK8anoQennentAct. vvhetiothe |oma| ohone|ine environment designation? [help] • If you don't know,contact the local planning department. • For more information, go to: mtp:Kwxww.aoy.wa.gov/ormqromx/oeu/amonavvo ru|en/173'20/211 dou|gnationu.hVDl El] Rural X Urban Natural Ell Aquatic El Conservancy CI Other 9g. What is the Washington Department of Natural Resources Water Type? [heir)] • Sotohttp:Vwmvw.dnrwu owBuoi000xPermi��Towu�Foreo�Pra�ivaxAp�ioxxohon�PeDoaxtL�a/o�ypingavpxfur�haFomo� � � PuachcoxVVamTyping System. - — - � X Shoreline [l Fish Ej Non-Fish Perennial Ej Non-Fish Seasonal 9h. Will this project be deoignod to meet the Washington Department of Ecology's most current stormwater manual? [hello] • If no, provide the name of the manual your project is designed to meet. XYaa No — Name of manual: 9i. If you know what the prope�ywas uaedforinthepoat. describe be|ovv. [(AA Historical use of the property in the vicinity of the Unnamed Stream and its bay-ward discharge was as a log dump operation during mid 1900's. At that time, or at some time prior, the Unnamed Stream was relocated to the existing channel. Properties to the south of the stream channel were developed as residential or vacation properties in the mid-1900's and later. By the latel900's the logging operation was discontinued, and the property was sold and subdivided. Homes on the north side of the unnamed stream were developed in the mid- 2000's. 9j. Has a cultural resource (archaeological) survey been performed on the p ject area? ps_flpy • If yes, attach Ito your JARPA package. Yes XNo 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. Uigdd N/A 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. EL-1dp) N/A JxnpAzo1om000mnm Page mm1z 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 help @ora.wa.gov. • For a list of agency addresses to send your application, click on the "where to send your completed DARPA" at http://www.epermitting.wa.gov. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) [help] • For more information about SEPA, go to www.ecy.wa.gov/programs/sea/sepa/e-review.html. ❑ A copy of the SEPA determination or letter of exemption is included with this application. 71-A SEPA determination is pending with Ji'i-retS n C.- (lead agency). The expected decision date is 5:priAgq zcl y . ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in lob.)[help] ❑ This project is exempt (choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) [1- t_] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type (explain): Based on cost of project Other city/county permits: Floodplain Development Permit El Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: X 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): • X 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 11 of 12 K Ti a rn V v .+s it g. I.0 e+ < c • t ..4. i N o}--,0 f SS -,11 i3" f`-- J ni p_ Q .. gr. •LY.a... S k a xi•.. .. 0 , F- 1. . , a a < = > Oa o wsfa..� 0_ Q 1 c ' °Cl ,r 5 a r6 Y WO In i v a 141,..., :- 0 = ` ua V `1 W tl d V of • o. t N L cu 0 3 0 t a, T !"0. c ro . .¢° s C C ° = L �. 3 y� . •,, m O Z I- co Z p L C U o 0 aJ C B v +r 0 W 7 0 v ...! a C 4, •c v -° 4..) 0.f 0 c . i= U _ }, as o cp U a .' 0 a a, • m o c m O3 a LL ° j "5 `TU1' co 1{,,r'$ �+. cT', - C 11 t 9"°,e ,,I.-,4,- 1C QJ s „ yy L 1 r3ary�Cc I- . a • '*id ...4 ' 'i ._ ,� . , _ LL V a R T . c,. ...,,,,. ., , ::9 • a „ , mil ..., . ...., .. .. . . . fa.. ... , ,1 b y 10”. ;-= - * tit,t; !.:„ ., -4 4f . Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [ . , 11 a. Applicant Signature (required) [heio 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 auth rize the agent named in Part 3 of this application to act on my behalf in matters related to this application. -1C (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 entp . el operty where the project is located to inspect the project site or any work related to the project. /y i '(initial) (2/2013 121411-Kt IoM 4zr 1 12-/2 3 Applicant Printed Name Applicant Signature Date 11 b. Authorized Agent Signature [ ) 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 car out the proposed activities and I agree to start work only after all necessary permits have been issued Wig on I/" 14/0 Authorized Agent Printed Name drized Agen Signature Date 11 c. Property Owner Signature (if not applicant) poi] Not required if project is on existing rights-of-way or easements. I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at r-sonable times and, if practical, with prior notice to the landowner. / 4W, .�'e C.mc+n • WIN Property Owner Printed Name Property Owner Signature Date CP 1 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies,conceals,or covers up by any trick,scheme, or device a material fact or makes any false,fictitious,or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact the Governor's Office for Regulatory Innovation and Assistance(ORIA)at(800) 917-0043. People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call (877)833-6341. ORIA publication number: ENV-019-09 rev. 08/2013 JARPA Revision 2012.2 Page 14 of 14 O n� G XI m \ ri 2 O 13 T, ■ • �m WASHINGTON COORDINATE SYSTEM, NORTH ZONE, NAD 83(9 1) \ \5 0 O\ a 0 AO v (Ol10 r p- O m \\ rn m0 I UT I Dm D2 O Ax \\ \ o— I r , 20 20 m (73?5. F On i I �O �O yy �Z Z I r I z0 z0 vI_n mn 1 tiS tit 00 / 1 N 03 moo, r l� , 0 7 . ,__, ,_ I � ; D 0 ___ _ 0 , ,._0 ,, ����JJJJ D /f I�-_-J / _ ��� O 11 Z 1, \ i� �____ � � 11 m ■ In / /O� Ol 4 \\ G E / in= 4 \ ■1 a= i r .5 p $ ```\� `� \ ` u* / � m � /-, \ J ■ t O 44 / 1 R _ \ _ _-- - R/w RAW RAT IAiti 10153 \ 1 \ F \ \ I A O O O + + A O O O O O P O O O 00 00 O O I R• O O V m M ti _ m ii _ x m O 0. n m 0 'Z` o 0 X m O D 03 O V/ O \ ‘ z cam CO O i 73 X -p N- n O V/ 7 C--C U I /, 0 III N D + N N m r sN N T ^ 0 Q� I p m N ' T -I m f® O T Ca g 0 R m O m Z =o z r M 0� N v I ,° II m y N n r O C I O C,,,,,,,,_.,..111- lJ Z N -< 2 n I Z O m ----..‹...........________. I\ O O o _ I 4, O D ID ■o m T J 00 T s = n D 0 z O Q A rn co _ > v v SI '0 I n m V 4 O y r-. A C3 m Z I m = Ln D o 73 0 on O O ID o o m r� p O p ° o o O 0 n0 0 C C n0 !^ O �7 n n W m cMFli O m m rn N C r 0 I D N O O Z O o _—I N -,J I + co 01 + + I + A. O Q N CO m o 0 N //v^ A O ^ l J ®NORTHWESTERN TERRITORIES.INC 2072 ,.@ SITE EXHIBIT . NTI ENGINEERING & SURVEYING ° � SYN. REVISION DATE BY CHECKED 101 WAMPUM POINT RD. QUILCENE, WA 98376 ,_ ,I;„- ∎�-'q SCALE: AS SHOWN I DATE: 4/09/2012 KATHLEEN & REIMER DOUGLAS r 717 SOUTH PEABODY STREET,PORT ANGELES,WA 98362 DESIGNED BY Engineers-Land Surveyors-Geologists C `71lz.. DRAWN BY: TTA Y yfFq w� CHECKED: Construction Inspection-Materials Testing N O. REVIEW: ENGR. .CONST. NTI S HEET of 19(27-7) (360)452-8491 FAX(360)452-8498 AGENCY USE ONLY 2 I ' iRa_ �+ Date received: US Army Corps WASHINGTON STATE Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form. Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) [help]2 Quilcene Bay Spit Restoration Part 2—Applicant The person or organization responsible for the project. [help] 2a. Name(Last, First, Middle)and Organization (if applicable) (Contact) Frostholm, Donna - Jefferson County DCD 2b. Mailing Address(Street or PO Box) 621 Sheridan Street 2c. City, State, Zip Port Townsend, WA 98368 2d. Phone(1) 2e. Phone(2) 2f. Fax 2g. E-mail 360.379.4466 ( ) donnaf @co.jefferson.wa.us 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.) [help] 3a. Name (Last, First, Middle) and Organization (if applicable) Wilson, Justin, C., NTI Engineering & Land Surveying 3b. Mailing Address(Street or PO Box) 717 S. Peabody; (914 Washington St., Ste. 6, Port Townsend, WA 98368) 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/aqr 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/jarpajarpa_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 12 3c. City, State, Zip Port Angeles, WA 98362 3d. Phone(1) 3e. Phone(2) 3f. Fax 3g. E-mail (360) 452-8491 (360) 460-0683 (360) 452-8498 justin @nti4u.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. [help] X Same as applicant. (Skip to Part 5.) X Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) X 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) 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. [help] [' There are multiple project locations (e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [help] ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources (DNR)at(360)902-1100) [' Federal X Other publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal X Private 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) [help] 101 Wampum Point Road 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) [help] Quilcene, WA 98376 5d. County [help] Jefferson JARPA 2010 v1 3/30/2010 Page 2 of 12 5e. Provide the section, township, and range for the project location. [Help] 1/4 Section Section Township Range SE 1/4 19 27N 1W 5f. Provide the latitude and longitude of the project location. [help] • Example: 47.03922 N lat./-122.89142 W long. (NAD 83) 47.816172 N lat. /-122.8490056 W long. (NAD 83) 5g. List the tax parcel number(s) for the project location. [help] • The local county assessor's office can provide this information. 701194029 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel #(if known) Kathleen & Reimer Douglas 101 Wampum Point Road 701194029 Quilcene, WA 98376 83 Wampum Point Road John & Muriel Gusoskey 701194030 Quilcene, WA 98376 5i. List all wetlands on or adjacent to the project location. [help] 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Unnamed Stream, East Quilcene Bay 5k. Is any part of the project area within a 100-year flood plain? [help] X Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [help] Native and imported plants and foliage, including small bushes, grasses and wildflowers are on the (new) uplands adjacent to the project area. Existing /pre-existing (prior to 2008 dredging of unnamed stream) habitat includes riverine and stream bank aquatic, aviary and small mammal wildlife. Estuarine habitat includes existing shellfish beds on community tidelands property and shellfish beds on Jefferson County property. Photographs below show the site in 2006 and 2011 (Figures 1 and 2). JARPA 2010 v1 3/30/2010 Page 3 of 12 r Figure 1. May 23,2006(courtesy Klass Aerial Photography). Figure 2. September 1,2011 (courtesy Klass Aerial Photography) 5m. Describe how the property is currently used. [help] Rural residential and vacation home development, recreational uses (picnics, hiking, shellfish harvesting) and shellfish and wildlife habitat. 5n. Describe how the adjacent properties are currently used. [l- i2] Same as above. 5o. Describe the structures (above and below ground) on the property, including their purpose(s). [help] Residential/vacation homes, with rock bulkhead along shoreline. Piers from past logging operation remain in bay/tidelands area, sediment trap (see JARPA Control No. 115558-1; issued 12/12/2008) and various wooden and other retaining structures (observed) alongside channel in unnamed stream. Note that these are outside the proposed project area but they may be exacerbating the deep trench condition of project area. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help] Follow Highway 104 west to Chimacum/Quilcene exit. Turn right at the end of the exit onto Center Road. Continue 7.7 miles and turn left on East Quilcene Bay Road. Go 1.9 miles, turning right (just past Lindsey Hill Road) at Wampum Point sign. Go through East Bay gate. Douglas property is second house. Part 6-Project Description 6a. Summarize the overall project. You can provide more detail in 6d. [help] Project seeks to return Unnamed Stream channel to original discharge location into Quilcene Bay, pre-2008 stream dredging project, with a discharge direction approximately N70-80° E across beach berm. Project will re- contour remaining dredged spoil piles stacked along bayside of dredge channel, using existing material to help fill existing deep N-S trench. The project will restore community tidelands access to property owners and help to protect existing, threatened shellfish beds to prevent additional loss of aquatic life, and may enhance fishway to Unnamed Stream (see attached Figure 3 showing proposed project area with ownership, and Figures 4 and 5, current site aerial view and project plans). 6b. Indicate the project category. (Check all that apply) [help] ❑ Commercial X Residential ❑ Institutional ❑ Transportation X Recreational X Maintenance X Environmental Enhancement JARPA 2010 v1 3/30/2010 Page 4 of 12 6c. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam/Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike / Levee/Jetty ❑ Land Clearing Measurement Device CI Boat Launch X Ditch ❑ Marina/ Moorage ❑ Stairs CI Boat Lift CI Dock/ Pier ❑ Mining ❑ Stormwater facility ❑ Bridge X Dredging ❑ Outfall Structure ❑ Swimming Pool CI Bulkhead CI Fence ❑ Piling ❑ Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall X Channel Modification X Fishway (upland) X Other: Recontouring existing materials. 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. Existing channel will be redirected from N-S discharge to approximate 2008 discharge channel path by excavating a shallow ditch as shown on attached plans. A light, mini-excavator or similar equipment will be used, gaining access via temporary ramp from Douglas property. Some reinforcement may be needed to ensure bulkhead / ramp stability. Remaining, previously-dredged spoil piles along N-S trench will be cut and material used to infill trench and restore land to approximate pre-dredge contours. Material from the minor channel modification will also contribute fill to bring the deep N-S trench (bayward of the Douglas property)to finish grade. Activity is timed to avoid salmon or other fish runs, performed between July 15, 2012 and February 1, 2013 as soon as permit authorization is granted. Project will be completed within approximately one week of start date and is anticipated to be a one-time project. 6e. What are the start and end dates for project construction? (month/year) [help] • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date: 7/15/2012* End date: 02/2013 ❑ See JARPA Attachment D *or upon permit approval, if later 6f. Describe the purpose of the project and why you want or need to perform it. [help] JARPA 2010 v1 3/30/2010 Page 5 of 12 In 2008 under a prior JARPA permit (Control No. 115558-1; issued 12/12/2008), the Unnamed Stream was dredged, the channel was redirected and additional ditching was created in an approximately north-south orientation (see Figure 4, project plans). Excessive spoils from the dredging process were left along channel/ditch banks, adding significant material to both upland and bayward side of ditch. East Bay property owners' access to the community tidelands has been significantly limited by the deep channel/ditch created by the dredging, and the additional uplands. Redirecting of the stream has altered the preexisting sediment transport paths, resulting in areas of deep scour of the spit area and exposing piers from the former logging operation, and adversely affecting the health of the existing shellfish beds which have become subaerially exposed as the overlying fine sediments have been scoured and dispersed north by the new channel (see Figure 4,6-9 attached, and below). yy 1.40 r � Figure 6. July,2006,view of beach from Douglas property SE corner. Figure 7. August,2011,view showing new uplands&trench. • • ti • A s Figure 8. 2006 overview of beach and spit from Douglas property. Figure 9 2011 view of trench and reworked spoils from Douglas property. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. h[ el ] Estimated project cost: $5,000.00 (including mobilization, demobilization &temporary access development and equipment/operator charge). 6h. Will any portion of the project receive federal funding? [hll • If yes, list each agency providing funds. ❑ Yes X No ❑ Don't know JARPA 2010 v1 3/30/2010 Page 6 of 12 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.)[help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ❑ Not applicable 7b. Will the project impact wetlands? [help] ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [help] ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? [help] • If yes, submit the report, including data sheets, with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] • If yes,submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [help] • If yes, submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ Not applicable 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] 7h. Use the table below to list the type and rating of each wetland impacted; the extent and duration of the impact; and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below) where we can find this information in the plan. [help] Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type4 (sq. ft. or category2 Acres) acres) — 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. 3 Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. °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: JARPA 2010 v1 3/30/2010 Page 7 of 12 7i. For all filling activities identified in 7h., describe the source and nature of the fill material, the amount in cubic yards that will be used, and how and where it will be placed into the wetland. [help] 7j. For all excavatin g activities identified in 7h., describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. [help] Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) [help] X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. [help] ❑ Not applicable Restoration of the spit area of East Quilcene Bay west of the Unnamed Stream will provide nourishment to the existing shellfish beds. The project is planned to avoid or minimize adverse impact on salmon runs and other aquatic populations. Light equipment will be used and carefully monitored, with daily equipment inspections prior to use to ensure no pollutants are introduced to the aquatic environment. Temporary access will be gained across Douglas bulkhead. Standard BMP's will be utilized to ensure no adverse impacts to the aquatic environment. 8b. Will your project impact a waterbody or the area around a waterbody? [help] X Yes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [hp] • 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 X Not applicable This purpose of this project is to mitigate adverse impacts from a previous permit action (HPA Control No.115558-1). Specific mitigation includes restoration of preexisting sediment transport paths to restore existing shellfish /aquatic habitat and restoration of access to community tidelands by property owners. No adverse impacts to non-wetland waterbodies is anticipated. 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7g., you do not need to restate your answer here. [help] 8e. Summarize impact(s) to each waterbody in the table below. [help] Activity Waterbody Impact Duration of Amount of material Area (sq. ft. or (clear, name location2 impact3 to be placed in or linear ft.) of dredge, fill, removed from waterbody pile drive, waterbody directly affected etc.) Re-contour East In TI B (see 3-5 days Approximately 15 cy Estimate about N-S trench Quilcene Bay attached will be moved from 40 linear ft. of with existing map) spoil piles to existing existing trench & sediment trench. spoils to be re- contoured JARPA 2010 v1 3/30/2010 Page 8 of 12 Channel Unnamed Mouth of 1-2 days Approximately 7 cy will Estimate about dredge Stream in Unnamed be removed. 75 linear ft. Bay stream If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. '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, arid how and where it will be placed into the waterbody. [help] Material dredged from E-W stream channel will be placed in existing deep N-S trench (approximately 7 cy). Spoil from bayside of existing trench will be source of additional fill (approximately 15 cy), redistributed and graded per attached plans. 8g. For all excavating or dredging activities identified in 8e., describe the method for excavating or dredging, type and amount of material you will remove, and where the material will be disposed. [help] Light equipment such as a rubber tired small excavator will be used to re-contour the extension ditch of the Unnamed Stream that currently directs the stream discharge northward from the mouth of the stream. Materials placed as spoils will be used to re-contour the area such that it approximates the 2006 —2008 (pre-dredge) contours. The Unnamed Stream is planned to discharge slightly north of due west, at project completion. Sediment transport is expected to be restored along the beach northward, directed westward as it approaches the mouth of the Unnamed Stream, replenishing the now exposed shellfish beds with needed sediment cover and nutrients. Part 9—Additional Information Any additional information you can provide helps the reviewer(s) understand your project. Complete as much of this section as you can. It is ok if you cannot answer a question. 9a. If you have already worked with any government agencies on this project, list them below. [help] Agency Name Contact Name Phone Most Recent Date of Contact Army Corps of Jess Jordan (206)439 -4536 02/17/2012 Engineers Department of Ecology Rick Mraz (360)407-6221 02/20/2012 Dept. of Fish &Wildlife Chris Byrne (360) 417-1426 08/2011 Marjorie Shirato (360)427-2179 02/2012 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? [help] • If yes,list the parameter(s)s below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecv.vva.dov/prodrams/wd/303d/. ❑ Yes X No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [help] • Go to http://cfpub.epa.dov/surf/locate/index.cfm to help identify the HUC. JARPA 2010 v1 3/30/2010 Page 9 of 12 17110019 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [help] • Go to http://www.ecv.wa.gov/services/qis/maps/wria/wria.htm to find the WRIA#. WRIA 17 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to http://www.ecy.wa.gov/programs/wg/swgs/criteria.html for the standards. X Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? [help] • If you don't know,contact the local planning department. • For more information, go to: http://www.ecy.wa.gov/programs/sea/sma/laws rules/173-26/211_designations.html. ❑ Rural X Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplicxxations/Pages/fp_watertyping.aspx for the Forest Practices Water Typing System. X 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? [help] • If no, provide the name of the manual your project is designed to meet. X Yes ❑ No Name of manual: 9i. If you know what the property was used for in the past, describe below. [help] Historical use of the property in the vicinity of the Unnamed Stream and its bay-ward discharge was as a log dump operation during mid 1900's. At that time, or at some time prior, the Unnamed Stream was relocated to the existing channel. Properties to the south of the stream channel were developed as residential or vacation properties in the mid-1900's and later. By the late1900's the logging operation was discontinued, and the property was sold arid subdivided. Homes on the north side of the unnamed stream were developed in the mid- 2000's. 9j. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If yes, attach it to your JARPA package. ❑ Yes X 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. [help] N/A 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. [help] N/A JARPA 2010 v1 3/30/2010 Page 10 of 12 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 help(c�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.) [help] • For more information about SEPA,go to www.ecv.wa.00v/programs/sea/sepa/e-review.html. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ❑ A SEPA determination is pending with (lead agency). The expected decision date is ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 1ob.)[help) ❑ 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.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type (explain): SDP Exemption (limited dredging to regain homeowner tideland access and improve shellfish habitat from 2008 "emergency" JARPA that may have exceeded permit intent.) Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: X 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): X 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 11 of 12 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help] 11a. Applicant Signature (required) [help] I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby 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 11 b. Authorized Agent Signature [help] I certify that to the best of my knowledge and belief, the.information provided in this application is true, complete, and accurate. I also certify that I have the authority to r rry out the proposed activities and I agree to start work only after all necessary permits have been issued. ' Ty rm1 c, W/Ls /o g/13 Authorized Agent Printed Name Authorized Agent Signature Date t J 11 C. Property Owner Signature (if not applicant). [help] Not required if project is on existing rights-of-way or easements. I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. Property Owner Printed Name Property Owner Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies, conceals, or covers up by any trick, scheme, or device a material fact or makes any false, fictitious, or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious,or fraudulent statement or entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both. If you require this document in another format, contact The Governor's Office of Regulatory Assistance(ORA). People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341. ORA publication number: ENV-019-09 JARPA 2010 v1 3/30/2010 Page 12 of 12 2 0 0 AGENCY USE ONLY US Army Corps WASHINGTON STATE of Engineers neers Date received: Joint Aquatic Resources Permit Application (JARPA) Form (help] Agency reference#: Tax Parcel#(s): JARPA Attachment A: For additional property owner(s) [help] TO BE COMPLETED BY APPLICANT[help] Project Name: Use this attachment only if you have more than one property owner. Complete one attachment for each additional property owner impacted by the project. Signatures of property owners are not needed for repair or maintenance activities on existing rights-of-way or easements. Use black or blue ink to enter answers in white spaces below. 4a. Name (Last, First, Middle)and Organization (if applicable) Jefferson County 4b. Mailing Address(Street or PO Box) P.O. Box 1220 4c. City, State, Zip Port Townsend, WA 98368 4d. Phone(1) 4e. Phone(2) 4f. Fax 4g. E-mail ( 360) 385-9125 ( ) ( ) Address or tax parcel number of property you own: Tidelands Tax "B" (Quilcene Bay) (see attached) Signature of Property Owner Printed Name Signature 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 disability can call(877)833-6341. ORA publication number: ENV-020-09 JARPA Attachment A v1 04/08/2010 Page 1 of 1 JARPA: 5a—Based on input from NTI, all work will be conducted on County intertidal land so 'Private' should not be checked 5b. Add before the address for Kathleen: "Intertidal land is located immediately adjacent to...". 5g: Add before parcel number for Kathleen: "Intertidal land is located immediately adjacent to...". 5h. Add the following property owners: William and Lindsay Wright, 25008 SE Mirrormont Way, Issaquah, WA 98027 Robert Palmer, P.O. Box 1560, Port Townsend, WA 98368 Using JARPA Attachment C, add the following: Claudia and Lawrence Sherman, 18544 NE 19th PI, Bellevue, WA 98008 Al and Jacqueline Schwagler, 233 Alice Rd, Port Angeles, WA 98363 5o. Add as a preface to the first sentence: "Structures on parcels immediately adjacent to County intertidal property consist of residential/vacation...". 6f. Change first sentence from "...prior JARPA permit..." to "...prior HPA permit...". 8c. Add to end of paragraph (revise as necessary to match the biological reports you have prepared for the project): "A Biological Evaluation has been prepared for federal permitting and an addendum letter has been prepared to address Jefferson County requirements for critical areas." 8f. I do not know if DCD has the plan sheets that will be submitted to the Corps so I cannot check the upper limits of fill distribution. Please check plan sheets to confirm that fill will not be placed beyond county property line or in any area of native vegetation (landward of the existing channel). 10a. For the Corps permit, you do not need to check a SEPA box since the application has not come in to the County yet. When you apply to the County, check the box that says: A SEPA determination is pending with Jefferson County (lead agency). The expected decision date is winter or spring 2014. 10b. After SDP Exemption, add: "based on cost of project" 10b. Check the boxes in front of Flood Development Permit and Critical Areas Ordinance. 10b. State Governments: Has Bridget Kaminsky-Richardson with Washington Department of Natural Resources been contacted? If not, she should be prior to submittal of the County application to determine if an Aquatic Resources Use Authorization is needed. p — LI\ Fo f)C1/1.)- c-E 66t (-4-1 TIMELINE FOR STREAM DREDGING AT QUILCENE BAY May 7, 2008(Palmer): DRD minutes say that permits are needed, may not be allowed to dredge stream,check with WDFW. October 8,2008(Gusoskey): DRD meeting minutes say that SEPA review and a shoreline permit would be needed; Al Latham may be able to help with SEPA; possible streamlined fish enhancement project. December 12, 2008(Gusoskey): WDFW issues HPA(Control Number 115558-1)with an expiration date of February 11,2009. December 16, 2008(Gusoskey): WDFW sends BoCC a letter pertaining to Hardship Declaration by WDFW under RCW 77.55.012(12). December 24, 2008(Gusoskey): DRD meeting minutes state that a decision was made that a permit was needed. January 21, 2009(Gusoskey): DRD meeting minutes state that Mr.Gusoskey was notified by DCD that a permit would be needed for work conducted under the hardship HPA. May 9, 2011(Palmer): The Palmers submit an application for a shoreline exemption to dredge stream. August 10, 2011 (Gusoskey): WDFW issues HPA(Control Number 115558-2)to dredge the unnamed stream. September 6, 2011 (Gusoskey): WDFW sends letter to revoke HPA issued August 10, 2011. September 22, 2011(Palmer): WDFW issues expedited HPA(Control Number 123600-1)with an expiration date of October 15, 2011. October 10, 2011(Palmer): Representative for the Palmers sends email asking DCD to issue permit as USACE may have permit situation worked out. October 11, 2011(Palmer): DCD issues final MDNS and shoreline exemption. May 21,2012 (Douglas): Pre-app received to fill in the portion of the channel on county land. June 7, 2012(Douglas): On-site pre-application meeting with property owner,engineer,and surveyor. While on the beach, Gusoskey comes out to determine why we are meeting and then to discuss proposal. June 14, 2012(Douglas): Donna forwards pre-app info on to WDFW,WDNR,WDOE,and COE. June 26, 2012(Douglas): WDFW send letter to applicants and NTI (representative)that SEPA is needed for stream re-location project. July 16, 2012(Douglas): Kathleen Douglas and Justin Wilson come in to DCD to discuss with the Director(and Donna). T aii y s * j w . o n D -J D rt rD�l —o -a S o n H nsZ CD 'v - N .. C --- c '0 a on 0 •Z'a d N = O �: CD O 0 H Q o $ 8 n z° c 0 ,.$ 0 p C f...- DA ,,,,4'..' '" , IUD vi �! 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Add before the address for Kathleen: "Intertidal land is located immediately adjacent to...". 5g: Add before parcel number for Kathleen: "Intertidal land is located immediately adjacent to...". 5h. Add the following property owners: William and Lindsay Wright, 25008 SE Mirrormont Way, Issaquah, WA 98027 Robert Palmer, P.O. Box 1560, Port Townsend, WA 98368 Using JARPA Attachment C, add the following: Claudia and Lawrence Sherman, 18544 NE 19th PI, Bellevue,WA 98008 Al and Jacqueline Schwagler, 233 Alice Rd, Port Angeles, WA 98363 50. Add as a preface to the first sentence: "Structures on parcels immediately adjacent to County intertidal property consist of residential/vacation...". 6f. Change first sentence from "...prior JARPA permit..." to "...prior HPA permit...". 8c. Add to end of paragraph (revise as necessary to match the biological reports you have prepared for the project): "A Biological Evaluation has been prepared for federal permitting and an addendum letter has been prepared to address Jefferson County requirements for critical areas." 8f. I do not know if DCD has the plan sheets that will be submitted to the Corps so I cannot check the upper limits of fill distribution. Please check plan sheets to confirm that fill will not be placed beyond county property line or in any area of native vegetation (landward of the existing channel). 10a. For the Corps permit,you do not need to check a SEPA box since the application has not come in to the County yet. When you apply to the County, check the box that says: A SEPA determination is pending with Jefferson County (lead agency). The expected decision date is winter or spring 2014. 10b. After SDP Exemption, add: "based on cost of project" 10b. Check the boxes in front of Flood Development Permit and Critical Areas Ordinance. 10b. State Governments: Has Bridget Kaminsky-Richardson with Washington Department of Natural Resources been contacted? If not, she should be prior to submittal of the County application to determine if an Aquatic Resources Use Authorization is needed. . AGENCY 1ISE ONLY JARPA FO9,81 LAST jJJPDAATED:March 19.2007 /gooey PierercMO1: ! ! -�J V ILflp ketlived• /07,„Z U/o �s •Circulated by: (k,uad govt.a'money) Project Tracking Nutaber: 14: Washington State JOINT AQUATIC RESOURCES PERMIT APPLICATION (JARPA) Form Step 1:Get Ready Step 2:Complete Form Step 3:Check Work Step 4:Copy and Send 1n Go to 11w,a.AZ/lc-math-moot Use black ink. lice Internet°Help„ Use final review See JARPA Contacts it.. . for correct ferns and Check curreet buttons to answer checklist at ,� . cpr.tir.itlin�.ure£er instructions. rect 3dtrrs cs.rk� u. ❑ Fish Habitat Enhancement Projects per RCW 77.55,181. You must submit copy of completed JARPA form and Fish Habitat Enhancement JARPA Addition to your Local Government Planning Oep't and WA Dep't of Fish and Wildlife(Wt)FW)Area Habitat Biologist on same day. Note for Local Govemments:You must submit comments to WDFW within 15 working days. Based on instructions at www..epermitting org,I am sending copies of this application to the following: (check all that apply) ®Local Government for Shoreline: RSubstantial DeveloamE j ❑Condit<lonrl Use ['Variance wxemption ❑Revision ❑F1cx dpiairt•Mapagelnertt ❑Critical Areas Ordinance ".c ashingten Department of Fish and Wildlife for Hydraulic Prolcect App,rovgi,(Submit 2 copies to WCDFW Region) 4w-4/ VC* Department of Ecology for 401 Water Quality.Ceriific Ilion(to Regional Office-Federal Permit Unit) 4� �0 ❑Washington Department of Natural Resources for Aquatic Resources Use Authorization []Corps of Engineers for: r1:ection 404 permit [ection 10 permit e 200 Roast Guard for OGeneral Bridge Act Eerrriit [Private Aids to Navigatic rs(for non-bridge projects) yaIT.T or Department of Transportation projects only: This project will be designed to meet conditions of the most current pA0i^r,94M Ecology/Department of Transportation Water Quality Implementing Agreement PROJECT TITLE: Wampum Pt.Cr.improvements T PROJECT DESCRIPTION: Remove accunadeted gravaJsediment from creek channel SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all permit applications. 1.APPLICANT John Gusoskey MAILING ADDRESS POB 397,Quilcene WA 98378 WORK PHONE E-MAIL ADDRESS HOME PHONE —1-FAX 360 S-23.1 "nNreisos •,. 360-765-0998 366 76`'lf .,. if an agent is acting for the appllc t during the permit process,complete#2. Be sure agent signs Section C(Signature clock)fo all permit applications NMI 2.AUTHORIZED AGENT MAILING ADDRESS W--'"_ —._ „ .. ..... .... . .. _ WORK PHONE �.�— E-MAfL ADDRESS ' HOME PHONE _~. -r FAX Af 111:1111 3.Relationship of applicant to property: p OWNER- [] PURCHASER Q LESSEE NM 4.Name,address and phone number of property owner(s)if other than applicant: ®5.Location(street address,including city,county and zip code,where proposed activity exists or will occur) — '"_...___...... ... 83 Wampum Pt.Rd.; 1954 East Quilcene Bay Rd.,Quilcene,Jefferson,WA 85376 OM Local government with jurisdiction(city or county) Jetfierson Waterbody you are working in Unnamed stream EMI Tributary of Quilcene Bay } WRIA# 17 NM Is this waterbody on the 303(d)List CJ YES ® NQ Ggr /_. . If YES.what parameter(s)? OM Shoreline designation 1118112oning designation Rural Residential 1:5 Y Section Section 'Township Range. •Government Lot - -._._._ .. ... ..__ SE 1 g 27N 1W ®DNR stream type if known F ®Latitude and Longitude: 47.81502 122.84944 Tax Parcel Number 701194030;701154010 O£fir,_w..!Regulatory Assistaryr.,JARFA JARPA FORM MAST UPDATED:March 19,2007 For help call 800-917-0043 cr visit www epermittmg ar9 1 �ScJdd 2280S9Z09£ A9>S0S119 SE:0T 800x-se-07 NIB 6: Describe(a)the current use of the property,(b)structures existing on the property,and (c)existing environmental conditions. Have you completed any portion of the proposed activity on this property? 0 YES p NO For any portion of the proposed activity already completed on this property,indicate month and year of completion. Current use residential. Houses on properties. Existing environmental conditions: Stream was relocated and ditched in early to mid 1900's. Properly on north bank was developed as log dump and currently for housing. Property on south bank was developed as residence in early to mid 1900's. Culvert at county rd.is perched and a fish passage barrier. Stream channel has filled with gravel/sediment-bottom of stream ig 4'higher than house foundation on south bank. Stream used to run straight out on beach but siinnce removal of log dump jetty a spit has developed—stream follows inside edge of spit to the north. Stream is dry from June through November. Some problems associated with county road work—see court settlement attached. l Is the property agricultural land? 0 YES ® NO ®Are you a USDA program participant? ❑ YES r NO Jilin®7a. Describe the proposed work that needs aquatic permits: Complete plans and specifications should be provided ford work waterward of the ordinary high water mark or line,including types of equipment to be used. If applying for a shoreline permit, describe pa work within and beyond 200 feet of the ordinary high water mark. If you have provided attached materials to describe your project,you still must summarize the proposed work here. Attach a separate sheet if additional space is needed. Excavate accumulated gravel/sediment from stream channel and through beach berm(see plans), Construct sediment basin to trap future gravel/sediment load and maintain basin yearly. Project extends from approximately mean tide level 600 feet back from mean tide line, total of 700 lineal feet of channel excavation. PREPARATION OF DRAWINGS: See sample drawings and guidance for completing the drawings. ONE SET OF ORIGINAL OR GOOD QUALITYREPRODt1CISU OF ENGINEERS AND coast. UARD REQUIRE DRAWINGS ON encouraged to submit X I f MICN SHEETS..of he LARGER D b W GS MA DO RE substilUte for drawings. CI CORPS i11RGJ�R DRAHyHWQ3 MAY BE REQUIRED,qY OTHFI?AGL'NCIES. 7b. Describe the purpose of the proposed work and why you want or need to perform it at the site. Please explain any specific needs that have influenced the design. Existing conditions threaten houses adjacent to creek and riparian improvements on north bank. Due to upstream land use changes over the years additional sediment flows are expected. Sediment basin will allow landowners to keep the channel open and preclude larger scale dredging in future, Min 7c, Describe the potential Impacts to characteristic uses of the water body. These uses may Include fish and aquatic life,water quality,water supply,recreation and aesthetics. Identify proposed actions to avoid,minimize,and mitigate detrimental impacts and provide proper protection of fish and aquatic life. Identify which guidance documents you have used. Attach a separate sheet if additional space is needed. Will improve fish access to stream when it is flawing, up to the county rd. (1,000 ft). 7d. For in-water construction work,will your project be in compliance with the State of Washington water quality standards for BOIM turbidity(WAC 173-201A.410)? ® YES ❑ NO work done when creek is dry. S. Will the project be constructed in stages? Q YES ® NO Proposed starting date: ASAP Estimated duration of activity: 1 week BIN 9. Check if any temporary or permanent structures will be placed: Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR • 0 Waterward of the mean higher high water for tidal waters? BD 10. Will fill material(rock,fill,bulkhead,or other material)be placed: Waterward of the ordinary high water mark or line for fresh waters? it YES,VOLUME(cubic yards) 10 cu yes /AREA ❑ Waterward of the mean higher high water for tidal waters? (acres) togs or rock for sediment basin controls If YES,VOLUME(cubic yards) /AREA . (acres) office of eagulutpry Assistance,,1gRPA JARPA R AST rah 15 o07 For help call 800-917.OG43 or visit www.eucrrrmlina.org 2 £aid ££8059L09£ A3Nsos o 92:0T 9002-B2-0ti ion 1 is Will material be placed in wetlands? ❑ YES ® NO If YES: ®A. Impacted area.in acres; s1.1Zi V� B.Has a delineation been completed? If YES,please submit with application. ❑ YES 14 NO A.,M >E C.Has a wetland report been prepared? If YES,please submit with application [] YES .- NO ti ®D.Type and composition of fill material (e.g.,sand, etc.) $ 4 raves' ®E.Material source: Upsve- .r r vIL.1 Og- ®F.List all soil series(type of soil)located at the project site,and indicate if they are on the county's list of hydric soils. Soils information can be obtained from the natural Resources Conservation Service(NRCS). I`-' IA I=G.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑ YES If YES,IMPACTED AREA IS ACRES OF DRAINED WETLANDS, NO NOTE:if your project will In tct greater than 1110 of an we of wetland,submit a mitigation plan to the Corps and Ecology for approval along with the DARPA form. NOME,A 401 water quality certification may be required from Ecology in addition to an approved mitigation plan If your project wetland Impacts are greater than 1110 acre in size. Please submit the DARPA form and mitigation plan to Ecology for 401 certification review. CIMI 12. Stormwater Compliance; This project Is(or will be)designed to meet ecology's most current stormwater manual,or an Ecology approved local stormwater manual. ® YES ❑ NO If YES—Which manual will your project be designed to meet? If NO—For Clean Water Act Section 401 and 404 permits only—Please submit to Ecology for approval,along with this JARPA application,documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality standards.WAC 173-201(A) MI 13. Will excavation or dredging be required in water or wetlands? p YES ® NO excavation done in dry channel. If YES: A. Volume: (cubic yards) /area (acre) B. Composition of material to be removed; C. Disposal site for excavated material: D. Method of dredging: ,®14. Has the State Environmental Policy Act(SEPA)been completed E] YES 1 NO SEPA Lead Agency: WDFW? Jefferson Co.? SEPA Decision: DNS,MONS, EIS,Adoption,Exemption Decision Date(end of comment period) MMII SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION 15. List other Applications,approvals or certifications from other federal,state or local agencies for any structures,construction discharges or other activities described in the application(i.e.preliminary plat approval,health district approval,building permit, SEPA review. federal energy regulatory commission license(FERC), Forest practices application,etc.). Also,indicate whether work has been completed and indicate all existing work on drawings. NOTE:For use with Corps Nationwide Permits,identify whether your project has or will need an NPDES permit for discharging wastewater and/or stormwater. TYPE OF APPROVAL AGENCY - --- ... LI . . ...,.•.,.-... _ IDENTIFICATfON DATE OF Ar cknoN DATE APPROVED COMPLETED? M0. NO 16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described herein? ❑ YES ® NO If YES,explain: Office gegulMitiY 11, &ncE,,IARE'A JARPA FORM LAST UPDATED:March 10_2Q07 For help call 800..917-0043 or visit ww,F. :? ,ittm b39tid 228099.092 A3)IS05reJ 52:01 8002-R2-0T SECTION B - Use for Shoreline and Corps of Era ineers permits oat : 17a. Total cost of project. This means the fair market value of the project,lndudirn9 rnatenals,labor, machine rentals,etc. $5,000,00+1- 17b. If a project or any portion of a project receives funding from a federal agency,that agency is responsible for ESA consultation. Please indicate if you will receive federal funds and what federal agency is providing those funds. FEDERAL FUNDING [I YES [X] NO If YES, please list the federal agency. ®18. Local government with jurisdiction: efferson Co. on 19, Provide names,addresses and telephone numbers of adjoining property owners,lessees,etc. Please note: Shoreline Management Compliance may require additional notice--consult your local government. NAME ADDRESS PHONE NUMBER Robert Palmer Jr. POB 1580,Port Townsend WA 98388 360-3a5-416e SECTION C-This section MUST be cony•Iced iror art it covered b this application ®20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the Information contained in this application, and that to the best of my knowledge and belief,such information is true,complete, and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies tq which this application is made,the right to enter the above-described location to inspect the proposed,in-progress or completed work, I agree to start work ONLY after all necessary permits have been received, DATE . L S SIGNATURE OF APPLICANT 1 -7 OC. f r DATE SIGNATURE OF AUTHORIZED AGENT I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED,I MUST SIGN THE PERMIT. SIGNATURE OF APPLICANT • DATE SIGNATURE OF LA :OWNER(EXCEPT •UBLIC ENTITY LANDOWNERS, E.G. ONR) • THiS APPLICATION MOST SE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED. 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$10,000 or imprisoned not more than 5 years or both. COMPLETED BY LOCAL OFFICIAL A. Nature of the existing shoreline. (Describe type of shoreline,such as marine,stream,lake,lagoon,marsh, bog,swamp,flood plain,floodway,delta; type of beach, such as accretion,erosion, high bank,low bank,or dike;material such as sand, gravel, mud,clay, rock,riprap;and extent and type of bulkheading,if any) B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level, Indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view; C. If the application Involves a conditional use or variance,set forth in fuN that portion of the master prograa m which provides that the proposed use may be a conditional use,or,in the Case of a variance,from which the variance is being sought: ice.. These Agencies are Equal Action A9 q Opportunity and Affirmative cti employers. ... For special accommodation needs,please contact the appropriate y i agency in the instructions Office of Recui2tory.A iscame,JAR PA 4ARPAfoRIir LAST UPDATED;Mgmh 19,2007 For help call 800-917-0043 or visit www rrh±irrrirring,orr 4 S3Sad 22SBS9L092 �l9>ISOSIID 92:0T 8002-82-0Z AGENCY IDS&ONLY JARP_A FCI Apn,cy ttererence Ii: t/$-S 5 L r:Wre Received s 0 cDAr�D<'MAt�h 19.?�l01 / V •Circulated by: (lacxit govt.M'c41Uwy) Roixt TractcingNumber: 1—� Washington State JOINT AQUATIC RESOURCES PERMIT APPLICATION (JARPA) Form 1 Step 1: Get Ready^ - _ Step 2:Complete Form Step 3:Check Work Step 4:Copy and Send In I Go to tt Ix•"w.cficrnuttirmorre UU`e black ink. tJse Internet°Help" Use final review Sec JARPA Contacts at for correct form and Cheek correct buttons to answer checklist at i,iv.c,;N.:jn:rrn iii r}i.ure ibr instructions. emit boxes. questions ccmiplei.efy, ∎,1\11•i. wriiiiii iiir.l rrL. OQrret't mailing addresses. ❑ Fish Habitat Enhancement Projects per RCW 77,55,161. You must submit copy of completed JARPA form and Fish Habitat Enhancement JARPA Addition to your Local Government Planning Dep't and WA Dept of Fish and Wildlife(INDFW)Area Habitat Biologist on same dam. Note for Local Governments:You must submit comments to WDFW within 15 working days. Based on instructions at www.epermittirig.org, I am sending copies of this application to the following: (check all that apply) ®Local Government for Shoreline: f Substant;al Development Dcpnditrc,nal Use ❑'variance cemption DRevision ❑Flood lain Ma ❑Critical Areas Ordinance p": .....iJ' percent �f gy:., ashington Department of Fish and Wildlife for:'.lydraulic Prejctct,Approval,(Submit 2 copies to WDFW Region) ashin®ton Department of Ecology for 4(}1 Water Quality Cer(i(ic i1ioti(to Regional Office Federal Permit Unit) ['Washington Department of Natural Resources for Aquatic Reso Trees Use Aurthorizatiort 'iotificatiorr (,) 1/ ❑Corps of Engineers for; (Section 404 permit (Section 10 permit 0,9 [Coast Guard for- (General Bridge Ac:)Eerrit [,Private Aids to Nevigat,anz(for non-bridge projects) Ii48/t47P For Department of Transportation projects only: This project will be designed to meet conditions of the most current RO(1/ Ecology/Department of Transportation Water Quality implementing Agreement PROJECT TiTLE: Wampum Pt_ Cr.improvements PROJECT DESCRIPTION: Remove accumulated graveI/sediiment from creek channel SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all permit applications. ®1.APPLICANT John Gusoskey MAILING ADDRESS P05 387,Quilcene WA 98375 _ WORK PHONE E-MAIL ADDR SS HOME PHONE �' FAX# 36o - -.: - .-�l . '',J. o . lk.l oL,c 360-765-0996 36b 7b`( /,, ._... If an agent is acting for the appiic,r t during the permit process, complete#2. Be sure agent signs Section C(Signature Block)for ail permit applications 2.AUTHORI7FD AGENT ,'._ MAILING ADDRESS WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# sib 3. Relationship of applicant to property: p yOWNER © PURCHASER DD LESSEE D _ _ ...�~� NM 4. Name,address and phone number of property owner(s)if other than applicant: ®5. Location(street address, including city,county and zip code,where proposed activity exists or will occur) 83 Wampum Pt. Rd.; 1954 East Quilcene Bay Rd_, Quilcene,Jefferson,WA 99376 ME Local government with"urisdiction(city or county Jefferson ®Waterbody you are working in Unnamed stream Tributary of Qailcene Bay WRIA# 17 WM r Is this waterbody on the 303(d)List [`J YES C7 NO 4, If YES,what parameter(s)7 ---EIMI Shoreline designation 0111112oning designation Rural Residential 1:5 1h Section Section Township Range Government Lot -. SE 19 27N 1W ®DNR stream type if known F ®Latitude and Longitude: 47.61502 122.84944 Tax Parcel Number 701194030;701194010 Officesg RequlatorY Assistantai,4ARFA DARPA FORM LAST UPDATED;March 19,2007 For help call 800-917-0043 or visit www epermitbr,g-grg 1 EEntld £280S9) c ,GNsosno ca:ST. »caa_raa-or 6: Describe(a)the current use of the property, (b)structures existing on the property,and (c)existing environmental conditions. Have you completed any portion of the proposed activity on this property? Q YES [] NO For any portion of the proposed activity already completed on this property,indicate month and year of completion. Current use residential. Houses on properties. Existing environmental conditions: Stream was relocated and ditched in early to mid 1900's, Property on north bank was developed as log dump and currently for housing. Property on south bank was developed as residence in early to mid 19001s. Culvert at county rd. is perched and a fish passage barrier. Stream channel has filled with gravel/sediment-bottom of stream is*higher than house foundation on south bank. Stream used to run straight out on beach but since removal of log dump jetty a spit has developed—stream follows inside edge of spit to the north. Stream is dry from June through November. Some problems associated with county road work—see court settlement attached. MMI is the property agricultural land? ❑ YES El NO ®Are you a USDA program participant? ❑ YES la NO i®7a. Describe the proposed work that needs aquatic permits: Complete plans and specifications should be provided foray work waterward of the ordinary high water mark or line,including types of equipment to be used. If applying for a shoreline permit, describe gli work within and beyond 200 feet of the ordinary high water mark. If you have provided attached materials to describe your project,you still must summarize the proposed work here. Attach a separate sheet if additional space is needed. Excavate accumulated gravel/sediment from stream channel and through beach berm (see plans), Construct sediment basin to trap future gravel/sediment load and maintain basin yearly, Project extends from approximately mean tide level 600 feet back from mean tide line, total of 700 lineal feet of channel excavation. PREPARATION OF DRAWING$: See sample drawings and guidance for completing the dtawings. ONE SET OF ORIGINAL OR GOOD QUALITY REPRODUCIBLE DRAWINGS MUST GE ATTACHED. NOTE: Applicants are encouraged to submit phatogrept,t of the project bile,but these DO NOT substitute for drawings. THE CORPS OF ENGINEERS AND COAST f3t1ARD REQUIRE DRAWINGS ON&1R X 11 INCH SHEE7S. LARGER DRAWINGS MAY as REQUIRED a OTHER AGENCIES. 7b. Describe the purpose of the proposed work and why you want or need to perform it at the site. Please explain any specific needs that have influenced the design. Existing conditions threaten houses adjacent to creek and riparian improvements on north bank. Due to upstream land use changes over the years additional sediment flows are expected. Sediment basin will allow landowners to keep the channel open and preclude larger scale dredging in future, int 7c. Describe the potential impacts to characteristic uses of the water body. These uses may include fish and aquatic life,water quality,water supply, recreation and aesthetics. Identify proposed actions to avoid, minimize,and mitigate detrimental impacts and provide proper protection of fish and aquatic life, Identify which guidance documents you have used. Attach a separate sheet if additional space is needed. Will improve fish access to stream when it is flowing, up to the county rd. (1,000 ft). EMI 7d. For in-water construction work,will your project be in compliance with the State of Washington water quality standards for turbidity(WAC 173-201A-410 ) .3 YES ❑ NO work dons when creek is dry. BEI 8. Will the project be constructed in stages? ❑ YES ® NO Proposed starting date: ASAP Estimated duration of act : 1 week ®9. Check if any temporary or permanent structures will be placed: Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR ❑ Waterward of the mean higher high water for tidal waters? GO 10. Will fill material(rock,fill,bulkhead,or other material) be placed: ® Waterward of the ordinary high water mark or line for fresh waters? If YES,VOLUME(cubic yards) 10 cu yds I AREA (acres) logs or rock for sediment basin controls ❑ Waterward of the mean higher high water for tidal waters? If YES,VOLUME(cubic yards) /AREA (acres) Office of Regulatory Assistance,,.g(PA JARPA ORM AST 7 l3: rch 19 2007 For help call 800-917-0043 or visit www.epor,TllitincLOrd1 2 239dd c_c'gtcicg7 oqc- on•tar nrwn-1 r----- 11. Will material be placed in wetlands? ❑ YES ® NO If YES: ® NMI A. Impacted area.in acres: i_assl B.Has a delineation been completed? If YES,please submit with application. ❑ YES -4 NO A3/44 MB C. Has a wetland report been prepared? If YES,please submit with application ❑ YES .pr NO Ai ti ®D.Type and composition of fill material (e.g.,sand, etc.) s' m gravel Mei E. Material source: Op -y�,, .,, r i ®F. List all soil series (type of soil)located at the project site,and indicate if they are on the county's list of hydric soils. Soils Information can be obtained from the natural Resources Conservation Service(NRCS). , 1 IA RES G.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? 0`-`YES 13 NO If YES, IMPACTED AREA IS ACRES OF DRAINED WETLANDS, NOTE if your project will Impact greater than 1/10 of an acre of wetland,submit a mitigation plan to the Corps and Ecology for approval along with the JARPA lorm. NOTE;A 401 water quality certification may be required from Ecobgy in addition to an approved mitigation plan If your piled wetland Impacts are greater than 1/10 acre in size. Please submit the JARPA fain and mitigation plan to Ecology for 401 certilicatlon review. NUN 12. Stormwater Compliance: This project is(or will be)designed to meet ecology's most current stormwater manual,or an Ecology approved local stormwater manual. ® YES ❑ NO If YES—Which manual will your project be designed to meet? ®If NO—For Clean Water Act Section 401 and 404 permits only—Please submit to Ecology for approval,along with this JARPA application,documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality standards,WAC 173-201(A) CM 13. Will excavation or dredging be required in water or wetlands? L7 YES ® NO excavation done in dry channel. If YES: A. Volume: (cubic yards) /area (acre) E. Composition of material to be removed; C. Disposal site for excavated material: D. Method of dredging: ®14. Has the State Environmental Policy Act(SEPA)been completed Q YES ® NO SEPA Lead Agency: WDFW? Jefferson Co.? SEPA Decision: DNS, MONS, EIS,Adoption, Exemption Decision Date(end of comment period) SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION MO 15. List other Applications, approvals or certifications from other federal,state or local agencies for any structures,construction discharges or other activities described in the application(i.e.preliminary plat approval, health district approval,building permit, SEPA review. federal energy regulatory commission license(FERC), Forest practices application,etc.). Also,indicate whether work has been completed and indicate all existing work on drawings. NOTE:For use with Corps Nationwide Permits,identify whether your project has or will need an NP DES permit for discharging wastewater and/or stormwater. TYPE OF APPROVAL ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED? NO. ®16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described herein? ❑ YES Et NO If YES,explain: Office of i.ecguia{,?ry Assistance, JARPA JARPA FORM LAST UPDATED Myrrh 19 2 For help cali 800-917-0043 or visit www;f.ceill ittin p t 3 b3GJdd ££80S9L09£ J.S>ISOS(S q?:nI. POGt?_f=_1T SECTION B - Use for Shoreline and Corps of Engineers permits only: OEN 17a. Total cost of project, This means the fair market value of the project,including materials,labor, machine rentals, etc. $5,000.00+1- 17b. if a project or any portion of a project receives funding from a federal agency, that agency is responsible for ESA consultation. Please indicate if you will receive federal funds and what federal agency is providing those funds. FEDERAL FUNDING ❑ YES K] NO If YES, please list the federal agency. ®18. Local government with jurisdiction: [Jefferson Co. lagil 19. Provide names,addresses and telephone numbers of adjoining property owners, lessees,etc. Please note: Shoreline Management Compliance may require additional notice—consult your local government. NAME ADDRESS r PHONE NUMBER Robert Palmer Jr. POB 1580,Port Townsend WA 98368 360-385-4165 SECTION C-This section MUST be CoteIp eted for any permit covered by this application ®20. Application is hereby made for ■► • APP Y permit or permits to authorize the activities described herein. I certify that I am familiar with the information contained in this application, and that to the best of my knowledge and belief,such information is true,complete, and accurate. I further certify that t possess the authority to undertake the proposed activities, I hereby grant to the agencies to which this application is made,the right to enter the above-described location to inspect the proposed, in-progress or completed work, I agree to start work ONLY after all necessary permits have been received. DATE • SIGNATURE OF APPLICANT 4-7 QC I"? •242911 DATE SIGNATURE OF AUTHORIZED AGENT 1 HERESY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SiGN THE PERMIT, SIGNATURE OF APPLICANT - DATE • _ t# .L_ ail SIGNATURE OF LA ■OWNER (EXCEPT •UBLiC ENTITY LANDOWNERS, E.G. ONR) THIS APPLICATION MUST SE SIGNED SY THE APPLICANT AND THE AGENT.IF AN AUTHORIZED AGENT IS DESIGNATED. 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. 4•14MOIMMEW AV COMPLETED BY LOCAL OFFiClAL A. Nature of the existing shoreline. (Describe type of shoreline,such as marine,stream,lake,lagoon,marsh, bog, swamp,flood plain,f oodwa delta, type p P Y� ype of beach, such as accretion,erosion, high bank,low bank,or dike;material such as sand,gravel, mud,clay, rock, riprap:and extent and type of bulkheading, if any) B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level, Indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view: C. If the application Involves a conditional use or variance,set forth in full that portion of the master program which provides that the proposed use may be a conditional use,or,in the case of a variance,from which the variance is being sought: These Agencies are Equal Opportunity and Affirmative Action employers. For special accommodation needs,please contact the appropriate agency in the instructions Office of Regulatory A”Jstance, JAIjPA JARPA FORM LAST UPDATED: March t8 20Q7 For help call 800-917-0043 or visit www r•prrrnrl:rrrato 4 5901:3d c28059L09£ Q 'oT oman_on_raT 47- : C61 , E'vriu -- 21,-); / z dt.4a/c1 ct,931--te-it m. e_ X 60 -S" .-S~' tx'.4 #� C4'07-Q2-40 LIP( -.1-44. 63„4.4.4 Q •J;TetAA au'L-4-446Aj T3Er d £288S9L092 AmISnsnn ' 71:171T RAMP-PP-MT 4-31u : c.{It n 5 l 0.042_?„) cu-4)--tew zl.sd e_ 360 .9' ‘ C ;ZS-) c■ •'' 14:1 t‘,.. ce,e€07,00 6.tr44,4 Q Q ald'a-P416AJ T3ald £280S92.092 ABNSQSf19 Sc:0Z 2-82-01 AGENCY USE ONLY 'Rap ao� 2 0 1 0 I Date received: WASHINGTON STATE US Army Corps of Engineers• Seattle District Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN WHITE SPACES BELOW. Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) [helpl2 Quilcene Bay Spit Restoration Part 2—Applicant The person or organization responsible for the project. [help] 2a. Name (Last, First, Middle) and Organization (if applicable) Kathleen & Reimer Douglas 2b. Mailing Address (Street or Po Box) 2021 North 78th Street 2c. City, State, Zip Seattle, WA 98103 2d. Phone(1) 2e. Phone(2) 2f. Fax 2g. E-mail (206) 335-2991 (206) 524-6640 ( ) v-kadoug @microsoft.com 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.) [help] 3a. Name (Last, First, Middle) and Organization (if applicable) Cornachione, Harriet S., NTI Engineering & Land Surveying 3b. Mailing Address (Street or Po Box) 914 Washington St., Ste. 6 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 2 city or county government to make sure they will accept the JARPA. To access an online JARPA form with[help]screens,go to http://www.epermitting.wa.gov/site/alias resourcecenter/jarpaJarpa_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 12 3c. City, State, Zip Port Townsend, WA 98368 3d. Phone(1) 3e. Phone(2) 3f. Fax 3g. E-mail ( 360) 379-5430 (360)452-8491 (360) 385-4213 harriet @nti4u.com Part 4—Property Owner(s) Contact information for people or organizations owning the property(ies)where the project will occur. [heipl ❑ Same as applicant. (Skip to Part 5.) X Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) X 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) Kathleen & Reimer Douglas 4b. Mailing Address (Street or PO Box) 2021 North 78th Street 4c. City, State, Zip Seattle, WA 98103 4d. Phone(1) 4e. Phone(2) 4f. Fax 4g. E-mail (206) 335-2991 (206) 524-6640 ( ) v-kadoug @microsoft.com Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help ❑ There are multiple project locations (e.g., linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [help) ❑ State Owned Aquatic Land (If yes or maybe, contact the Department of Natural Resources(DNR) at(360)902-1100) ❑ Federal X Other publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal X Private 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) [help' 101 Wampum Point Road 5c. City, State, Zip(If the project is not in a dty or town, provide the name of the nearest city or town.) [help' Quilcene, WA 98376 5d. County [help) Jefferson JARPA 2010 v1 3/30/2010 Page 2 of 12 p 5e. Provide the section, township, and range for the project location. [help 1/4 Section Section Township Range SE 1/4 19 27N 1W 5f. Provide the latitude and longitude of the project location. [help • Example:47.03922 N lat./-122.89142 W long. (NAD 83) 47.816172 N lat. /-122.8490056 W long. (NAD 83) 5g. List the tax parcel number(s)for the project location. [helps • The local county assessor's office can provide this information. 701194029 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) [help' Name Mailing Address Tax Parcel#(if known) ..................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................... 5i. List all wetlands on or adjacent to the project location. [heipi 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help' Unnamed Stream, East Quilcene Bay 5k. Is any part of the project area within a 100-year flood plain? [help X Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [helps Native and imported plants and foliage, including small bushes, grasses and wildflowers are on the (new) uplands adjacent to the project area. Existing /pre-existing (prior to 2008 dredging of unnamed stream) habitat includes riverine and stream bank aquatic, aviary and small mammal wildlife. Estuarine habitat includes existing shellfish beds on community tidelands property and shellfish beds on Jefferson County property. Photographs below show the site in 2006 and 2011 (Figures 1 and 2). JARPA 2010 v1 3/30/2010 Page 3 of 12 -::: '::-. I A¢ ;3 ;,.. ,..< * .. per..,+ v �,` ;::- l'..*:4'4:::-'''''';:1;ig:''' Figure 1. May 23,2006(courtesy Klass Aerial Photography). Figure 2. September 1,2011(courtesy Klass Aerial Photography) 5m. Describe how the property is currently used. fhelpI Rural residential and vacation home development, recreational uses (picnics, hiking, shellfish harvesting) and shellfish and wildlife habitat. 5n. Describe how the adjacent properties are currently used. [help Same as above. 50. Describe the structures (above and below ground) on the property, including their purpose(s). [hetpl Residential/vacation h omes, with rock bulkhead along shoreline. Piers from past logging operation remain in bay/tidelands area, S ediment trap (see DARPA Control No. 115558-1; issued 12/12/2008) and various wooden and other retaining structures (observed) alongside channel in unnamed stream. Note that these are outside the proposed project area but they may be exacerbating the deep trench condition of project area. 5p. Provide driving directions from the closest highway to the project location, and attach a map. (helpl Follow Highway 104 west to Chimacum/Quilcene exit. Turn right at the end of the exit onto Center Road. Continue 7.7 miles and turn left on East Quilcene Bay Road. Go 1.9 miles, turning right (just past Lindsey Hill Road) at Wampum Point sign. Go through East Bay ate. Douglas property is second house. Part 6—Project Description 6a. Summarize the overall project. You can provide more detail in 6d. [help) Project seeks to return Unnamed Stream channel to original discharge location into Quilcene Bay, pre-2008 stream dredging project, with a discharge direction approximately N70-80° E across beach berm. Project will re- contour remaining dredged spoil piles stacked along bayside of dredge channel, using existing material to help fill existing deep N-S trench. The project will restore community tidelands access to property owners and help to protect existing, threatened shellfish beds to prevent additional loss of aquatic life, and may enhance fishway to Unnamed Stream (see attached Figure 3 showing proposed project area with ownership, and Figures 4 and 5, current site aerial view and project plans). 6b. Indicate the project category. (Check all that apply) [helpl ❑ Commercial X Residential ❑ Institutional ❑ Transportation X Recreational X Maintenance X Environmental Enhancement JARPA 2010 v1 3/30/2010 Page 4 of 12 6c. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Road ❑ Bank Stabilization ❑ Dam/Weir ❑ Geotechnical Survey ❑ Scientific ❑ Boat House ❑ Dike/Levee/Jetty ❑ Land Clearing Measurement Device ❑ Boat Launch X Ditch ❑ Marina /Moorage ❑ Stairs ❑ Boat Lift ❑ Dock/Pier ❑ Mining ❑ Stormwater facility ❑ Bridge X Dredging ❑ Outfall Structure ❑ Swimming Pool ❑ Bulkhead ❑ Fence ❑ Piling ❑ Utility Line ❑ Buoy ❑ Ferry Terminal ❑ Retaining Wall X Channel Modification X Fishway (upland) X Other: Recontouring existing materials. 6d. Describe how you plan to construct each project element checked in 6c. Include specific construction methods and equipment to be used. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year flood plain. Existing channel will be redirected from N-S discharge to approximate 2008 discharge channel path by excavating a shallow ditch as shown on attached plans. A light, mini-excavator or similar equipment will be used, gaining access via temporary ramp from Douglas property. Some reinforcement may be needed to ensure bulkhead/ramp stability. Remaining, previously-dredged spoil piles along N-S trench will be cut and material used to infill trench and restore land to approximate pre-dredge contours. Material from the minor channel modification will also contribute fill to bring the deep N-S trench (bayward of the Douglas property)to finish grade. Activity is timed to avoid salmon or other fish runs, performed between July 15, 2012 and February 1, 2013 as soon as permit authorization is granted. Project will be completed within approximately one week of start date and is anticipated to be a one-time project. 6e. What are the start and end dates for project construction? (month/year) [help] • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start date: 7/15/2012* End date: 02/2013 ❑ See JARPA Attachment D *or upon permit approval, if later 6f. Describe the purpose of the project and why you want or need to perform it. [help] JARPA 2010 v1 3/30/2010 Page 5of12 In 2008 under a prior JARPA permit (Control No. 115558-1; issued 12/12/2008), the Unnamed Stream was dredged, the channel was redirected and additional ditching was created in an approximately north-south orientation (see Figure 4, project plans). Excessive spoils from the dredging process were left along channel/ditch banks, adding significant material to both upland and bayward side of ditch. East Bay property owners' access to the community tidelands has been significantly limited by the deep channel /ditch created by the dredging, and the additional uplands. Redirecting of the stream has altered the preexisting sediment transport paths, resulting in areas of deep scour of the spit area and exposing piers from the former logging operation, and adversely affecting the health of the existing shellfish beds which have become subaerially exposed as the overlying fine sediments have been scoured and dispersed north by the new channel (see Figure 4,6-9 attached, and below). , ` !eek ism Figure 6. July,2006,view of beach from Douglas property SE corner. Figure 7. August,2011,view showing new uplands&trench. „a s .6 4.4. IP' r a11k, . "w..' f - i „it Figure 8. 2006 overview of beach and spit from Douglas property. Figure 9 2011 view of trench and reworked spoils from Douglas property. 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [help Estimated project cost: $5,000.00 (including mobilization, demobilization &temporary access development and equipment/operator charge). 6h. Will any portion of the project receive federal funding? [help] • If yes, list each agency providing funds. ❑ Yes X No ❑ Don't know JARPA 2010 v1 3/30/2010 Page 6of12 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.)[help} 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help} ❑ Not applicable 7b. Will the project impact wetlands? [help ❑ Yes ❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [help] ❑ Yes ❑ No ❑ Don't know 7d. Has a wetland delineation report been prepared? [helps • If yes, submit the report, including data sheets,with the JARPA package. ❑ Yes ❑ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] • If yes,submit the wetland rating forms and figures with the JARPA package. ❑ Yes ❑ No ❑ Don't know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [help] • If yes,submit the plan with the JARPA package and answer 7g. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No ❑ Not applicable 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] 7h. Use the table below to list the type and rating of each wetland impacted; the extent and duration of the impact; and the type and amount of mitigation proposed. Or if you are submitting a mitigation plan with a similar table, you can state (below)where we can find this information in the plan. [help] Activity (fill, Wetland Wetland Impact Duration Proposed Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type4 (sq. ft. or category2 Acres) acres) '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. 'Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanent"if applicable. '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: JARPA 2010 v1 3/30/2010 Page 7 of 12 7i. For all filling activities identified in 7h., describe the source and nature of the fill material,the amount in cubic yards that will be used, and how and where it will be placed into the wetland. [help] 7j. For all excavating activities identified in 7h., describe the excavation method, type and amount of material in cubic yards you will remove, and where the material will be disposed. [help] Part 8—Waterbodies (other than wetlands): Impacts and Mitigation In Part 8, "waterbodies" refers to non-wetland waterbodies. (See Part 7 for information related to wetlands.) [help] X Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 9.) 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. [help] ❑ Not applicable Restoration of the spit area of East Quilcene Bay west of the Unnamed Stream will provide nourishment to the existing shellfish beds. The project is planned to avoid or minimize adverse impact on salmon runs and other aquatic populations. Light equipment will be used and carefully monitored, with daily equipment inspections prior to use to ensure no pollutants are introduced to the aquatic environment. Temporary access will be gained across Douglas bulkhead. Standard BMP's will be utilized to ensure no adverse impacts to the aquatic environment. 8b. Will your project impact a waterbody or the area around a waterbody? [help] XYes ❑ No 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland waterbodies? [help] • If yes, submit the plan with the JARPA package and answer 8d. • If No,or Not applicable,explain below why a mitigation plan should not be required. ❑ Yes ❑ No X Not applicable This purpose of this project is to mitigate adverse impacts from a previous permit action (HPA Control No.115558-1). Specific mitigation includes restoration of preexisting sediment transport paths to restore existing shellfish/aquatic habitat and restoration of access to community tidelands by property owners. No adverse impacts to non-wetland waterbodies is anticipated. 8d. Summarize what the mitigation plan is meant to accomplish. Describe how a watershed approach was used to design the plan. • If you already completed 7g., you do not need to restate your answer here. [help] 8e. Summarize impact(s) to each waterbody in the table below. [help] Activity Waterbody Impact Duration of Amount of material Area (sq. ft. or (clear, name' location2 impact3 to be placed in or linear ft.) of dredge, fill, removed from waterbody pile drive, waterbody directly affected etc.) Re-contour East In TI B (see 3-5 days Approximately 15 cy Estimate about N-S trench Quilcene Bay attached will be moved from 40 linear ft. of with existing map) spoil piles to existing existing trench & sediment trench. spoils to be re- contoured JARPA 2010 v1 3/30/2010 Page 8 of 12 Channel Unnamed Mouth of 1-2 days Approximately 7 cy will Estimate about dredge Stream in Unnamed be removed. 75 linear ft. Bay stream 'If no official name for the waterbody exists,create a unique name(such as"Stream 1")The name should be consistent with other documents provided. 2 Indicate whether the impact will occur in or adjacent to the waterbody. If adjacent,provide the distance between the impact and the waterbody and indicate whether the impact will occur within the 100-year flood plain. '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. [help Material dredged from E-W stream channel will be placed in existing deep N-S trench (approximately 7 cy). Spoil from bayside of existing trench will be source of additional fill (approximately 15 cy), redistributed and graded per attached plans. 8g. For all excavating or dredging activities identified in 8e., describe the method for excavating or dredging, type and amount of material you will remove, and where the material will be disposed. [help] Light equipment such as a rubber tired small excavator will be used to re-contour the extension ditch of the Unnamed Stream that currently directs the stream discharge northward from the mouth of the stream. Materials placed as spoils will be used to re-contour the area such that it approximates the 2006 —2008 (pre-dredge) contours. The Unnamed Stream is planned to discharge slightly north of due west, at project completion. Sediment transport is expected to be restored along the beach northward, directed westward as it approaches the mouth of the Unnamed Stream, replenishing the now exposed shellfish beds with needed sediment cover and nutrients. 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. [helot Agency Name Contact Name Phone Most Recent Date of Contact Army Corps of Jess Jordan (206) 439 -4536 02/17/2012 Engineers Department of Ecology Rick Mraz (360) 407-6221 02/20/2012 Dept. of Fish &Wildlife Chris Byrne (360)417-1426 08/2011 Marjorie Shirato (360)427-2179 02/2012 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? [helps • If yes,list the parameter(s)below. • If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: http://www.ecy.wa.dov/proorams/wq/303d/. ❑ Yes X No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [help' • Go to http://cfpub.epa.00v/surf/locate/index.cfm to help identify the HUC. JARPA 2010 v1 3/30/2010 Page 9 of 12 17110019 9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [help' • Go to http://www.ecv.wa.gov/services/qis/maps/wria/wria.htm to find the WRIA#. WRIA 17 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to http://www.ecv.wa.qov/programs/wq/swas/criteria.html for the standards. X Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? [help] • If you don't know, contact the local planning department. • For more information, go to: http://www.ecv.wa.gov/programs/sea/sma/laws rules/173-26/211 designations.html. ❑ Rural X Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to http://www.dnr.wa.gov/BusinessPermits/Topics/ForestPracticesApplicxxations/Pages/fp_watertyping.aspx for the Forest Practices Water Typing System. X 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? [helpl • If no, provide the name of the manual your project is designed to meet. X Yes ❑ No Name of manual: 9i. If you know what the property was used for in the past, describe below. [help] Historical use of the property in the vicinity of the Unnamed Stream and its bay-ward discharge was as a log dump operation during mid 1900's. At that time, or at some time prior, the Unnamed Stream was relocated to the existing channel. Properties to the south of the stream channel were developed as residential or vacation properties in the mid-1900's and later. By the Iate1900's the logging operation was discontinued, and the property was sold and subdivided. Homes on the north side of the unnamed stream were developed in the mid- 2000's. 9j. Has a cultural resource (archaeological) survey been performed on the project area? [helot • If yes, attach it to your JARPA package. ❑ Yes X 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. [help] N/A 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. [helot N/A JARPA 2010 v1 3/30/2010 Page 10 of 12 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 helpora.wa.qov. • 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.) [help] • For more information about SEPA,go to www.ecy.wa.gov/programs/sea/sepa/e-review.html. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ❑ A SEPA determination is pending with (lead agency). The expected decision date is ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in lob.)[help] ❑ This project is exempt (choose type of exemption below). ❑ Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? ❑ Other: ❑ SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance X Shoreline Exemption Type (explain): SDP Exemption (limited dredging to regain homeowner tideland access and improve shellfish habitat from 2008 "emergency" JARPA that may have exceeded permit intent.) Other city/county permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: X 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): X 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 11 of 12 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. ; j ha. Applicant Signature (required) [ 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 auth r�ze,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.l__ (initial) r-h Kathleen & Reimer Douglas t_ Ap ril 18, 2012 Applicant Printed Name — —-- Date Signature Date 11 b. Authorized Agent Signature [heip] 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. Tvirr,v c. wlcso/i, pF ro.Q,Harriet S. Cornachione April 18, 2012 Authorized Agent Printed Name 9 Aut razed Agent Signature Date lam` 11 c. Property Owner Signature (if not applicant). [help] Not required if project is on existing rights-of-way or easements. I consent to the permitting agencies entering the property where the project is located to inspect the project site or any work. These inspections shall occur at reasonable times and, if practical, with prior notice to the landowner. vacG-LA--s met 44 4.18 • 1 Property Owner Printed Name Property 0 er Signature Date 18 U.S.0§1001 provides that:Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly falsifies, conceals,or covers up by any trick, scheme, or device a material fact or makes any false,fictitious, or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious,or fraudulent statement or entry, shall be fined not more than$10,000 or imprisoned not more than 5 years or both. if you require this document in another format,contact The Governor's Office of Regulatory Assistance(ORA). People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call(877)833-6341. ORA publication number: ENV-019-09 JARPA 2010 v1 3/30/2010 Page 12 of 12 2 0 0 AGENCY USE ONLY '� ' US Army Corps WASHINGTON STATE of Engineers Date received: Joint Aquatic Resources Permit Application (JARPA) Form [help] Agency reference 4: Tax Parcel 4(s): JARPA Attachment A. For additional property owner(s) [help, TO BE COMPLETED BY APPLICANTIre1J Project Name: Use this attachment only if you have more than one property owner. Complete one attachment for each additional property owner impacted by the project. Signatures of property owners are not needed for repair or maintenance activities on existing rights-of-way or easements. Use black or blue ink to enter answers in white spaces below. 4a. Name(Last, First,Middle)and Organization (if applicable) Jefferson County 4b. Mailing Address(Street or PO Box) P.O. Box 1220 4c. City, State, Zip Port Townsend,WA 98368 4d. Phone(1) 4e. Phone(2) 4f. Fax 1 4g. E-mail (360)385-9125 ( ) ( ) Address or tax parcel number of property you own: Tidelands Tax "B" (Quilcene Bay) (see attached) Signature of Property Owner V {-tx D end l _ Printed Name Signature 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 disability can call(877)833-6341. ORA publication number: ENV-020-09 JARPA Attachment A v1 04/08/2010 Page 1 of 1 : 0 CI .< # * C) 0 • *I.- 0 , *t , ,tor, al • at;._- , - .....z. A - -- ___Itz. - • .,--4,- 1 d .., *4 1? ...2 2\... • L.) i IR a r. 2 ..... 4.1 „ 3■•3 It t r 4 . , 44440 • ;- -*. -g -,' ' ".■• .4 3. ' C..) ' 3 62 '3 r ' i 1 ., 1Z < :a 4. :z 2 .444 ........ 3 , * „ 4-, f aj o 4, — > 5" cy" a ,. , o 0_ , . . . . .- rla 4 0 , ,z 0 . , - z - . 0 , .' . 0 4 4 11/4 _0 ci ._ ,.. ,,, " 3 W 444 r C >33 43.0 1.. 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' ie. , . ,,., ,... . .. , ..,. . , -4- 4' - f.- --". - ..i,- t, ' ,.,. . li"-li . - .410.01"" . - „,....,. ^•a .4„ $�j S I z x yy ■ WASHINGTON COOROINRNC SYSTEM.NORTH GONG NAG 03(VU \''T4x S o YT i' M E i g a / F "x. ■ D m P //�, _ ----- -- -ti��� 8 � N , ��,\ m it - .'. i i� IF 8 r 1138 I $ 8 8+ O. g' 88 VJ m m m m X 1 X 1 � I Z o m xi x ,`I CO Fi N m 6-) s �� r3 I I v o 0 Z = cn Fm ge o m D 15' 14 n s o i z Y O 3 w m �8 r FI r _ I 1 o m X 8 • °S n 31 o 0 0 0 8 ONO ° �73 014 0O CC Ncn 1 cmm 0 a I r�r1 mN , D C) II II II -I O n N -4 Y Y z 1 N V A w m Y ' . m Y o iv Co M ° n n n 0,....rsr.,r.,rte:■a.2012 SITE EXHIBIT NTI ENGINEERING&SURVEYING �' sin MOM 101 WAMPUM POINT RD. QUINALT, WA �t sennoll I 2 na 201: KATHLEEN & REIMER DOUGLAS 220 souTN E neoOY STREET,PORT ANGELES,WA 98342 I r FT' Engineers-Lantl Surveyrors-Geologists MIMI/OF:m Construction Inspeclwn-Materials Testing ate_ T N 1� SKOI or .can*, /ORS-r) NTI (360)452Aa91 FAX(3901 45284Be Donna Frostholm From: Bigelow Schirato, Margaret M (DFW) [Margaret.BigelowSchirato @dfw.wa.gov] Sent: Friday, June 15, 2012 8:23 AM To: Donna Frostholm Subject: RE: Douglas Pre-application Meeting Follow-up Attachments: 115558-02-42439-115558[1].pdf This is the JARPA for the permit I wrote then rescinded because they had not done SEPA. I'm not sure if this is the HPA he was referring to. I can also look to see if Chris's permit is in the system and I'll send that info if I can find it. From: Donna Frostholm [mailto:dfrostholm @co.jefferson.wa.us] Sent: Thursday, June 14, 2012 2:50 PM To: Mraz, Richard A. (ECY); Bigelow Schirato, Margaret M (DFW); Kaminski-Richardson, Bridget (DNR); Jordan, Jess NWS Subject: Douglas Pre-application Meeting Follow-up Hello All: This is a follow up to a County pre-app held last week to re-direct a stream in Quilcene Bay. The portion of the stream that the applicants want to divert is on intertidal County land. The pre-application submittal came in as restoration of a spit for shellfish. During the pre-app, the applicants stated that they believe that previous dredging of an unnamed stream (on the Gusoskey and Palmer parcels immediate south) went beyond what was allowed under the HPA(as I understand it, an emergency HPA was issued in 2008 to protect the residence just south of the stream). At the pre-app, the applicants noted that the proposal would also allow them the access to the shoreline that they had prior to the 2008/2009 stream dredging. Rick: One of the applicants, Kathleen Douglas, has had communications with you about work previously completed in Quilcene Bay. She indicated that she will be contacting you again to further discuss the proposal. Margie: The applicants consider this proposal to be restoration of habitat conditions for shellfish. I explained to them that fish and shellfish are not my areas of expertise, so the representative for the project(Justin Wilson with NTI) will be contacting you soon to discuss, if they have not done so already. In the Jefferson County Code,there is a shoreline exemption for habitat improvements, and the applicants are hoping to use that shoreline exemption. Since the applicants say that the extent of excavations completed under HPA 115558-1 (which was issued in 2008 for Gusoskey)go beyond what was permitted, I will be contacting Chris Byrnes to see about getting copies of the plans submitted for that HPA. Bridget: Please see the attached file for location of the proposed project. I gave the project representative,Justin Wilson with NTI, a copy of the DNR handout (the one with the stop sign) so he knows to contact you before submitting an application. Jess: The applicants or their representative will be contacting you about Corps requirements. Regards, Doivwtcv Fvos;`hwi 1,w .associate PCanner/WetCandSpecialist Jefferson County Department of Community Development 621 Sheridan Street Tort Townsend,-Washington 98368 dfrostho(m @co jefferson.wa.us 360.379.4466 1 Department of Community Development is open from 9:00 to 4:30 Monday through Thursday;DCD is closed on Friday. All'e-mails 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 +s AGENCY USE ONLY DARPA FO LAST UPDATED:March L9,2007 Agency kar■renai it: e/rS— u IL71C ke aivat• -� n • �v u�G Cice„latcd by: (loud govt.a mangy) Projoot Tracking Numeer: _ {TT Washington State JOINT AQUATIC RESOURCES PERMIT APPLICATION (JARPA) Form -"A t 4r Step 1:Get Ready Step 2:Complete Form Step 3:Check Work , Step 4:Copy and Send In �`' Go to 11 H%e•LT.:mat-I:Long Use black ink. Ilse Internet"Help" Use final review Sett JARPA Contacts ut for correct form and Cheek correct buttons to answer checklist at „tti_+t,e.hrc win ina,urr Jim instructions. permit boxes. questions compleiCly. ‘t%%a•t. yrluia ;if!.Iwa. correct mailing addresses D Fish Habitat Enhancement Projects per RCW 77.55,181. You must submit copy of completed JARPA form and Fish Habitat Enhancement JARPA Addition to your Local Government Planning Dept and WA Dep't of Fish and Wildlife(WDFW)Area Habitat Biologist on some day. Note for Local Governments:You must submit comments to WDFW within 15 working days. _ _ _ Based on instructions at www.eperrneting ore,I am sending copies of this application to the following: (check all that apply) ]Local Government for Shoreline: rlSubstantial Development EKonclitional Use OVartance Exemption [Revision QFlnodplain.Mania.ment I:Critical Areas Ordinance i'I,e* ashington Department of Fish and Wildlife for�•iyclraufic Projctct App.LOvpii(Submit 2 copies to WDFW Region) F�' Washington Department of Ecology for 4(}1 Water qualitx.Geriifitioft(to Regional Office Federal Permit Unit) , �C) ['Washington Department of Natural Resources for Aquatic Resources Use Autllcjization�Notification ��"' []Corps of Engineers for: n5ection 404 permit Section 10 permit ,e 0,9 oast Guard for- rlGenl-.ral Bridge Act_'ermit rlPrivate Aids to NaVi.a ign(for non.bridge projects) HAB/T,gI or Department of Transportation projects only: This project will be designed to meet conditions of the most current p7OQA Ecology/Department of Transportation Water Quality Implementing Agreement '�/�/ PROJECT TITLE: Wampum Pt.Cr.improvements - - PROJECT DESCRIPTION: Remove accumulated gray.Usediment from creek channel SECTION A.•Use for all permits p s.. covered by this• .. ..... ......__.__�- Y application. Be Lie sure!o ALSO complete Section C(Signature Block)for all permit applications. ®1.APPLICANT John Gusoskey MAILING ADDRESS POB 397,Quilcene WA 98378 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX# 36o 7.14:11-S •+l .•t:aM etsosk 360-765-0996 7e 091.,„?. if an agent is acting for the applic t during the permit. ermit process, complete#2. Be sure agent g signs Section'C(Slgnatui'e Block)fo all permit applications RIM 2_AUTHORIZED AGENT "" MA1UNG ADDRESS .� WORK PHONE E-MAIL ADDRESS HOME PHONE ° -_..•--FAX# I EMI 3.Relationship of applicant to property: [J OWNER 0 PURCHASER D LESSEE Q �. SU 4.Name,address and phone number of property owner(s)if other than applicant: ®5. Location(street address,including city,county and zip code,where proposed activity exists or will occur) - -� '-"__......... .,. 83 Wampum Pt.Rd.; 1954 East Quilcene Bay Rd.,Quilcene,Jefferson,WA 95378 ' Ini Local government with jurisdiction(city or county) Jefferson ®Waterbody you are working in Unnamed stream I Tributary of Quilcene SaY 11111WRIA# 17 lall Is this waterbody on the 303(d)List 0 YES [J NO �1f•S. If YES,what parameter(s)7 1111111Shoreline designation 2111112oning designation Rural Residential 1:5 %Section Seclion Township Range Government Lot _. SE 111 27N 1W LEI DNR stream type if known F ®Latitude and Longitude: 47.81502 122.84944 Tax Parcel Number 701194030;701194010 Officipst Reaulatory Assistar cit,DARPA DARPA FORM LAST UPDATE March 19.2007 For help call 800-917-0043 cr visit www eperrnittina.F9 1 29Jdd 2280S9L092 A�>ISOSIl9 S2:ET 8002-B2-0T NEI 6: Describe(a)the current use of the property,(b)structures existing on the property,and(c)existing environmental conditions. Have you completed any portion of the proposed activity on this property? Q YES NO For any portion of the proposed activity already completed on this property,indicate month and year of completion. Current use residential. Houses on properties. Existing environmental conditions: Stream was relocated and ditched in early to mid 1900's. Property on north bank was developed as log dump and currently for housing. Property on south bank was developed as residence in early to mid 1900's. Culvert at county rd.is perched and a fish passage barrier. Stream channel has filled with grevet/sedbnent-bottom of stream is 4'higher than house foundation on south bank. Stream used to run straight out on beach but since removal of log dump jetty a spit has developed.-stream follows inside edge of spit to the north. Stream is dry from June through November. Some problems associated with county road work—see court settlement attached. Is the property agricultural land? ❑ YES ® NO ®Are you a USDA program participant? ❑ YES NI NO MI 7a. Describe the proposed work that needs aquatic permits: Complete plans and specifications should be provided for all work waterward of the ordinary high water mark or line,including types of equipment to be used. If applying for a shoreline permit, describe?i work within and beyond 200 feet of the ordinary high water mark. If you have provided attached materials to describe your project,you still must summarize the proposed work here. Attach a separate sheet if additional space is needed. Excavate accumulated gravel/sediment from stream channel and through beach berm(see plans), Construct sediment basin to trap future gravel/sediment load and maintain basin yearly. Project extends from approximately mean tide level 600 feet back from mean tide line,total of 700 lineal feet of channel excavation. PREPARATION Of DRAWINGS: See sample drawings and guidance fSr completing the drawings. ONE SET OF ORIGINAL OR GOOD QUALITYREPRODUCIBt.E DRAWINGS MUST BE ATTACHED. NOTE: applicants are encouraged to outwit photographs of the project site,but these DO NOT substitute Tor drawings. tHE CORPS OF ENGINEERS AND COAST GUARD RSQUIRE DRAWINGS ON 8-111 X 11 INCH SHEETS. LARGER DRAWINGS MAY BE REQUIRRD a V OTHER AGENCIES. ®7b. Describe the purpose of the proposed work and why you want or need to perform it at the site. Please explain any specific needs that have influenced the design. Existing conditions threaten houses adjacent to creek and riparian improvements on north bank. Due to upstream land use changes over the years additional sediment flows are expected. Sediment basin will allow landowners to keep the channel open and preclude larger scale dredging in future, MEI 7c, Describe the potential Impacts to characteristic uses of the wader body. These uses may Include fish and aquatic life,water quality,water supply,recreation and aesthetics. Identify proposed actions to avoid,minimize,and mitigate detrimental impacts and provide proper protection of fish and aquatic life. Identify which guidance documents you have used. Attach a separate sheet if additional space is needed. Will improve fish access to stream when it is flowing, up to the county rd. (4,000 ft). 7d. For in-water construction work,will your project be in Compliance with the State of Washington water quality standards for turbidity(WAC 173-201A-410)? ® YES ❑ NO work done when creek is dry. 8. Will the project be constructed in stages? Q YES ® NO Proposed starting date; ASAP Estimated duration of activity: 1 week IN 9. Check if any temporary or permanent structures will be placed: Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR p Waterward of the mean higher high water for tidal waters? ,____ Eli 10. Will fill material(rock,fill,bulkhead,or other material)be placed: Waterward of the ordinary high water mark or line for fresh waters? It YES,VOLUME(cubic yards) 10 eu yds /AREA (acres) logs or rock for sediment basin controls ❑ Waterward of the mean higher high water for tidal waters? If YES,VOLUME(cubic yards) I AREA . (acres) Office of Regulatory Assistance,JJMt A JARPA FORM LAST UPDATED:March le,2007 For help call 800-917-0043 or visit wwr+.eocimillinu.orq 2 �39dd 2280S9Z092 A9NSOSfi 92:0T 8002-B2-0T III 11.. Wilt material be placed in wetlands? ❑ YES ® NO If YES: ®A.Impacted area.in acres, :1 14,41.1 / MO B.Has a delineation been completed? If YES,please submit with application. ❑ YES NO A.//04 MI C.Has a wetland report been prepared? If YES,please submit with application p YES , NO t� irai D.Type and composition of fill material(e.g.,sand, etc.) Sahul qE gray 4e( ®E.Material source: Opstir , n. r try ea— F. 7 List all soil series(t pe of soil)located at the project site,and indicate if they are on the county's list of hydric soils. Soils information can be obtained from the natural Resources Conservation Service(NRCS). ij e% G.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? ❑ YES ® NO If YES,IMPACTED AREA IS ACRES OF DRAINED WETLANDS, 110TE:if your protect we impact greater than 11111 of an slew of wetland,submit a mitigation panto the Colpa and Ecology for approval along wins the DARPA Iorm. NOTE,A 401 water quality certification may be required from Ecobgy in addition to an approved mitigation plan tryout project wetland Impacts are greater than 1110 erne in size. Please submit the DARPA forte and mitigation plan to Ecology for 401 certification review. MIN 12. Storrnwater Compliance; This project Is(or will be)designed to meet ecology's most current stormwater manual,or an Ecology approved local stormwater manual. ® YES ❑ NO If YES—Which manual will your project be designed to meet? ®If NO—For Clean Water Act Section 401 and 404 permits only—Please submit to Ecology for approval,along with this JARPA application,documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality standards,WAC 173-201(A) 13. Will excavation or dredging be required in water or wetlands? }] YES ® NO excavation done in dry channel. If YES: A. Volume: (cubic yards) /area (acre) B. Composition of material to be removed: C. Disposal site far excavated material: D. Method of dredging: 14. Has the State Environmental Policy Act(SEPA)been completed 0 YES ® NO SEPA Lead Agency: WDFW? Jefferson Co.? SEPA Decision:DNS,MDNS, EIS,Adoption,Exemption Decision Date(end of comment period) SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION t 5. Lest other Applications,approvals or certifications from other federal,state or local agencies for any structures,construction discharges or other activities described in the application(i.e.preliminary plat approval,health district approval,building permit, SEPA review,federal energy regulatory commission license(FERE). Forest practices application,etc.). Also,indicate whether work has been completed and indicate all existing work on drawings. NOTE:For use with Corps Nationwide Permits,identify whether your project has or wilt need an NPDES permit for discharging wastewater and/or stormwater, TYPE OF APPROVAL. i$SUINGAGENCY IDENTIFICATFON DATE OF APrLICAT10N DATE APPROVED COMPLETED? NO. ®16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described herein? 0 YES ® NO If YES,explain: Office of Regulatyry_Agsstance,DARPA DARPA FORM LAST UPDATED:Marsh 19.2007 For help call 800-917-0043 or visit tnww;/tpi;rrnittuuljj 3 i73L dd ££80S9L09£ 1.E)ISOSf1S 92:0T 8002-82-0T SECTION B- Use for Shoreline and Corps of En ineers permits onl MI 17a. Total cost of project. This means the fair market value of the project,Including materials,labor, machine rentals,etc. $5,000Ao+1- 17b. If a project or any portion of a project receives funding from a federal agency, that agency is responsible for ESA consultation. Please indicate if you will receive federal funds and what federal agency is providing those funds. FEDERAL FUNDING ❑ YES [] NO If YES, please list the federal agency. ®18. Local government with jurisdiction efferson Co. ®19, Provide names,addresses and telephone numbers of adjoining property owners, lessees,etc. Please note: Shoreline Management Compliance may require additional notice—consult your local government. NAME ADDRESS PHONE NUMBER Robert Palmer Jr. Poe 1580,Pat Townsend WA 98388 360-385-4185 SECTION C-This section MUST be o' feted fora it covered b this a licstion ®20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the Information contained in this application, and that to the best of my knowledge and belief,such Information is true,complete, and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to which this application is made,the right to enter the above-described location to Inspect the proposed, In-progress or completed agree to start work ONLY after al necessary permits have been received. DATE SIGNATURE OF APPLICANT 4-7 °c fir , Z ' DATE SIGNATURE OF AUTHORIZED AGENT I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO ThIS APPLICATION FOR PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED, I MUST SIGN THE PERMIT. SIGNATURE OF APPLICANT DATE SIGNATURE OF LA WNER(EXCEPT UBLIC ENTITY LANDOWNERS, E.G.DNR) THIS APPLICATION Km SE SIGNED RV THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED. 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. COMPLETED BY LOCAL OFFICIAL A. Nature of the existing shoreline. (Describe type of shoreline,such as marine,stream,lake,lagoon,marsh,bog,swamp,flood plain,fioodway,delta;type of beech, such as accretion,erosion, high bank,low bank,or dike;material such as sand,gravel, mud,clay, rock,riprap;and extent and type of bulkheading,if any) B. In the event that any of the proposed buildings or structures wie exceed a height of thirty-five feet above the average grade level, indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view; C, If the application Involves a conditional use or variance,set forth In full that portion of the master program which provides that the proposed use may be a conditional use,or,in the case of a variance,from which the variance Is being sought: These Agencies are Equal Opportunity and Afflrmetive Acton employers. For special accommodation needs,please contact the appropriate agency in the instructions Office of Reculatorry R sS�a .1ARPA JARPA FORM LAST UPDATED;March 19.20Q7 For help car 800-917-0043 or visit www esx;,r,ul.:rrtg,or i 4 S3JUd £I80S9L092 A3>ISOSI1D 92:0T 8002-82-0Z o ifrO -0 Pt al m m a) -0 Q rr fti 1 e I I '140 1 1 I G) 0 0 Pr C ■ cvcm2 � m b m b31D C oCa • m• . 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Ilse interact"Help" Usc final review Sec JARPA Contacts ttt-. for correct form and Cheek correct buttons to answer checklist at r..w...,.perrr.hiiiv .ure for instructions. crmit boxes. questions completely. a 1l a•, )4:nitin into 4 n correct mailing addresses. ❑ Fish Habitat Enhancement Projects per RCW 77.56.181. You must submit copy of completed JARPA form and Fish Habitat Enhancement JAR PA Addition to your Local Government Planning Dept and WA Dep't of Fish and Wildlife(WDFVVi Area Habitat Biologist on same du. Note for Local Governments:You must submit comments to WDFW within 15 working days.__ Based on instructions at www.epermttting.org,I am sending copies of this application to the following: (check all that apply) ®Local Government for Shoreline: nSubstantial Development DCpnditlonal Use ['variance gjExemption Dtevision ❑Floodplain Management []Critical Arras Ordinance L. ashingtnn Department of Fish and Wildlife for:;�yclraulic Projc;ct App.LQ-vtl.(Submit 2 copies to WDFW Region) /j/ .� Washington Department of Ecology for 401 Water Quaality.•Certific Lion(to Regional Office-Federal Permit Unit) ,41j , C ❑Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification []Corps of Engineers for: nSection 404 permit QSection..10 permit ' U09 ROast Guard for FIGeneral Bridge Act_Eerntit nPrivate Aids to Navigatto n(for non-bridge projects) H.,48,gTpA or Department of Transportation projects only: This project will be designed to meet conditions of the most current 0GRA41 Ecology/Department of Transportation Water Quality implementing Agreement PROJECT TITLE: Wampum Pt. Cr.improvements PROJECT DESCRIPTION: Remove accumulated grevel/sedirttent from creek channel SECTION A-Use for all permits covered by this application. Be sure to ALSO complete Section C(Signature Block)for all permit applications. ®1.APPLICANT John Gusoskey MAILING ADDRESS POB 397,Quilcene WA 98378 WORK PHONE E-MAIL ADDR SS L ` HOME PHONE FAX# 360 it f S ../ . 'ewe p 360-785-0996 366 76.�l y G' .,. .... If an agent is acting for the appllc t during the permit process,complete NZ Be sure agent signs Section C(Si�7nature Block)for . .. . ail permit applications I 2.AUTHORIZED AGENT --~ — MAILING ADDRESS WORK PHONE -..M- E-MAIL ADDRESS HOME PHONE -r:FAX# Ill 3. Relationship of applicant to property: El OWNER 0 PURCHASER [' LESSEE [' Ma 4. Name,address and phone number of property owner(s)if other than applicant ®5. Location(street address,including city,county and zip code.where proposed activity exists or will occur) 83 Wampum Pt.Rd.; 1954 East Quilcene Bay Rd.,Quilcene,Jefferson,WA 95378 OBE Local government withjurisdiction(city or county) Jefferson ®Waterbody you are working in Unnamed stream ION Tributary of Quiicene Bay In WRIA# 17 Is this waterbody on the 303(d)List n YES E NO GL ___ if YES,what parameter(s)? OM Shoreline designation Ell'Zoning designation Rural Residential 1:5 Y. Section Sea:nTownship Range Government Lot _ SE 19 27N 1W ®DNR stream type if known F ®Latitude and Longitude: 47.81502 122.84944 Tax Parcel Number 701194030;701194010 Officw9!Reaulatory Aseistanytt,J_ARFA DARPA FORM LAST UPDATED:March 19.2007 For help call 800-917-0043 er visit www epermittin r rg 1 E ltd 2E80E9Z092 A .4SOSfl9 s2:C'I 8a02-92-0T MIN 6: Describe(a)the current use of the property,(b)structures existing on the property,and (c)existing environmental conditions. Have you completed any portion of the proposed activity on this property? ID YES 0 NO For any portion of the proposed activity already completed on this property,indicate month and year of completion. Current use residential. Houses on properties. Existing environmental conditions: Stream was relocated and ditched in early to mid 1900's. Property on north bank was developed as log dump and currently for housing. Property on south bank was developed as residence in early to mid 1900's. Culvert at county rd.is perched and a fish passage baffler. Stream channel has filled with gravel/sediment-bottom of stream ie 4'higher than house foundation on south bank. Stream used to run straight out on beach but since removal of log dump jetty a spit has developed.-stream follows inside edge of spit to the north. Stream is dry from June through November. Some problems associated with county road work—see court settlement attached. • EINI Is the property agricultural land? ❑ YES ® NO ®Are you a USDA program participant? ❑ YES NO IBM 75. Describe the proposed work that needs aquatic permits: Complete plans and specifications should be provided for ail work waterward of the ordinary high water mark or line,including types of equipment to be used. If applying for a shoreline permit, describe jail work within and beyond 200 feet of the ordinary high water mark. If you have provided attached materials to describe your project,you still must summarize the proposed work here. Attach a separate sheet if additional space is needed. Excavate accumulated gravel/sediment from stream channel and through beach berm(see plans). Construct sediment basin to trap future gravel/sediment load and maintain basin yearly. Project extends from approximately mean tide level 600 feet back from mean tide line,total of 700 lineal feet of channel excavation. PREPARATION OF DRAWINGS: See sample drawings and guidance for completing the drawings. ONE SET OF ORIGINAL OR GOOD QUAUTYREPRODUCI8L,E OP-AWINGS MUST SE ATTACHED. NOTE' Applicants are encouraged to submit phatographt of tha project site,but those DO NOT substitute for drawings. THE CORPS OF ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON 15-1/2 X 11 INCH SHEETS.,LARGER DRAWINGS MAY BE REQUIRED a Y OTHER AGENCIES. 7b. Describe the purpose of the proposed work and why you want or need to perform it at the site. Please explain any specific needs that have influenced the design. Existing conditions threaten houses adjacent to creek and riparian improvements on north bank. Due to upstream land use changes over the years additional sediment flows are expected. Sediment basin will allow landowners to keep the channel open and preclude larger scale dredging in future. MO 7c, Describe the potential Impacts to characteristic uses of the wader body. These uses may Include fish and aquatic life,water quality,water supply,recreation and aesthetics. Identify proposed actions to avoid,minimize,and mitigate detrimental impacts and provide proper protection of fish and aquatic life. Identify which guidance documents you have used. Attach a separate sheet if additional space is needed. Will improve fish access to stream when it is flowing, up to the county rd. (1,000 fit). OM 7d. For in-water construction work,will your project be in compliance with the State of Washington water quality standards for turbidity(WAC 173-201A-410)? YES ❑ NO work done when creek is dry. Billi 8. Will the project be constructed in stages? ❑ YES ® NO Proposed starting date: ASAP Estimated duration of activity: 1 week ®9. Check if any temporary or permanent structures will be placed: Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR ❑ Waterward of the mean higher high water for tidal waters? 10. Will fill material(rock,fits,bulkhead,or other material)be placed: Waterward of the ordinary high water mark or line for fresh waters? If YES,VOLUME(cubic yards) 10 cu yds /AREA (acres) logs or rock for sediment basin controls 0 Waterward of the mean higher high water for tidal waters? If YES,VOLUME(cubic yards) II AREA (acres) Office of Regulatory Assistance,j_ARPA JARPA FORM LAST UPDATED_March 15.2007 For help call 500-917-0043 or visit wwvi.eucrmiltina,ord 2 £39Ud ££80SSLa9£ J,3)ISOSIno 9Z:Oti 9002-82-0ti NM 11.. Will material be placed in wetlands? ❑ YES ® NO if YES: ®A. Impacted area.in acres, 4,40S1 litsiokJ / UM B.Has a delineation been completed? If YES,please submit with application. ❑ YES NO ItV A MS C.Has a wetland report been prepared? If YES,please submit with application EJ YES NO its,(A SIM D.Type and composition of fill material(e.g.,sand, etc.) siwa.d 4 g rev @1 E.Material source: vAs"��,.,.r rV� o,QQ 7 ®F.List all soil series(type of soil)located at the project site,and indicate if they are on the county's list of hydric soils. Soils information can be obtained from the natural Resources Conservation Service(NRCS). Fa /,A MI G.WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? 0 YES ® NO If YES,IMPACTED AREA IS ACRES OF DRAINED WETLANDS. NOTE if your project with impact greater than 1110 of an arse of wetland,submit a mitigation panto the Corps and Ecology li r approval along with the DARPA lot m. NOTE;A401 water qualty certification may be required from Ecvbgy in addition to an approved mitigation plan If your project wetland impacts are greater than MC are in size. Please submit the JARPA form and mitigation plan to Ecology for 401 ramification review. NMI 12. Stormwater Compliance; This project is(or will be)designed to meet ecology's most current stormwater manual,or an Ecology approved local stormwater manual. ® YES ❑ NO If YES—Which manual will your project be designed to meet? ®If NO—For Clean Water Act Section 401 and 404 permits only—Please submit to Ecology for approval,along with this JARPA application,documentation that demonstrates the stormwater runoff from your project or activity will comply with the water quality standards,WAC 173-201 A Mil 13. Will excavation or dredging be required in water or wetlands? ❑ YES ® NO excavation done in dry channel. If YES: A. Volume: (cubic yards) !area (acre) B. Composition of material to be removed; C. Disposal site for excavated material: D. Method of dredging: ®14. Has the State Environmental Policy Act(SEPA)been completed [] YES ® NO SEPA Lead Agency: WDFW? Jefferson Co.? SEPA Decision:DNS,MONS, EIS,Adoption,Exemption Decision Date(end of comment period) SUBMIT A COPY OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION #5. List other Applications,approvals or certifications from other federal,state or local agencies for any structures,construction discharges or other activities described in the application(i.e.preliminary plat approval,health district approval,building permit, SEPA review,federal energy regulatory commission license(FERC), Forest practices application,etc.). Also,indicate whether work has been completed and indicate all existing work on drawings, NOTE:For use with Corps Nationwide Permits,identify whether your project has or will need an NPDES permit for discharging wastewater and/or stormwater. TYPE OF APPROVAL, ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED? NO. 9 ®16. Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described herein? ❑ YES ® NO If YES,explain: Office ofeguisWrLAlsistance,JARPA JARPA FOR%t LAST UPDATED;March 19.2007 For help Call 800-917-0043 or visit www;.•p tiiptt,r1r o 3 173Jtid 2280S9L09E A3>ISCSf1S S2:0T 81302-S2-0l SECTION B- Use for Shoreline and Corps of Engineers permits on:: 178. Total cost of project. This means the fair market value of the project,Including materials,labor, machine rentals.etc. $5,000.00+1- 17b. If a project or any portion of a project receives funding from a federal agency,that agency is responsible*w ESA consultation. Please indicate if you will receive federal funds and what federal agency is providing those funds FEDERAL FUNDING E] YES ® NO If YES, please list the federal agency. ®18. Local government with jurisdiction: Jefferson Co. �..•.., ®n 19, Provide names,addresses and telephone numbers of adjoining property owners,lessees,etc_ Please nom Shoreline Management Compliance may require additional notice--consult your local government. NAME — ADDRESS PHONE NUMBER Robert Palmer Jr_ PUB 1580,Port Townsend WA 98368 3g1385-41a5 SECTION C-This section MUST be completed fora it coveted by this a Petition ®20. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the Information contained in this application, and that to the best of my knowledge and belief,such Information is true,complete, and accurate. I further certify that I possess the authority to undertake the proposed activities, I hereby grant to the agencies to which this application is made,the right to enter the above-described location to inspect the proposed,in-progress or completed work, I agree to start work ONLY alter all necessary permits have been received. wh DATE SIGNATURE OF APPLICANT eee 4-7 O .tr DATE SIGNATURE OF AUTHORIZED AGENT I HEREBY DESIGNATE TO ACT AS MY AGENT IN MATTERS RELATED TO THIS APPLICATION FOR PERMIT(S). I UNDERSTAND THAT IF A FEDERAL PERMIT IS ISSUED,I MUST SIGN THE PERMIT. SIGNATURE OF APPLICANT DATE SIGNATURE OF • •.WNER (EXCEPT •UBLIC ENTITY LANDOWNERS, E.G.DNR) THIS APPLICATION fdusr RE SIGNED BY THE APPLICANT AND THE AGENT,IF AN AUTHORIZED AGENT IS DESIGNATED. 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. COMPLETED BY LOCAL OFFICIAL A. Nature of the existing shoreline. (Describe type of shoreline,such as marine,stream,lake,lagoon,marsh,bog,swamp,flood plain,floodway,delta;type of beach, such as accretion,erosion,high bank,tow bank,or dike;material such as sand,gravel, mud,clay, , rock,riprap;and extent and type of bulkheading,if any) B. In the event that any of the proposed buildings or structures will exceed a height of thirty-five feet above the average grade level, Indicate the approximate location of and number of residential units,existing and potential,that will have an obstructed view; C, If the application involves a conditional use or variance,set forth in full that portion of the master program which provides that the proposed use may be a concttional use,or,in the case of a variance,from which the variance is being sought These Agencies are Equal Opportunity and Affirmative Action employers. For special accommodation needs,please contact the appropriate agency in the instructions Office of ReculAtorry A 5lstance,JAR PA JARPA FORM L,AST UPDATED:Marsh 18.2Q07 Far help call 800-917-0043 or visit ewe feetlrreiirtg,c 4 s3Oad £280S9L092 A2NSOSfS 92:0T 9002-e2-0T o CD cl? -1 CD = �. 3 0" ~' C fl� v 1 f s . I • G) Pr CD la) o 71 -, • = D " m CD Q- EIERZ. Z C o 3 / 1 ■ It 31 p io / { 0 • as m .• d N 1! 1 � rrt C :'I Pi Nimmoi d `I W f SX391:fd ££80S92.09£ A3)ISOSM9 22:01 8000-88-01 • Elevation(1111.1.W=0) 0.1,46.4.mo-..iftmo.mw.i.thm.4mmNUMNWUNQWUgt!net , ii ifl , : : : . 4 : . • -;- , L , : I . : 1-1 a e: i W • : 10c1 . • 1 1 , ti . ' 1 , . . , 0 : ! 1. 1 Hiii ill i -1 • ! '. CI ! j . t , . , : llti Eel 1 iii i t . Hi . . 11 ; 1 = . . . 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