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AGENCY USE ONLY
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Agency Reference #:
SEP A Lead Agency:
Other:
Date Received:
JEFFERSON COUN
DEPT. OF COMMUNITY DEV
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-JARPA APPLICATION FORM
- for use in Washington State -
PLEASE TYPE OR PRINT IN BLUE OR BLACK INK
Based on the preceding checklist, I am sending copies of this application to the following: (check all that apply)
o Local Government: for shoreline lID Substantial Development 0 Conditional Use 0 Variance
o Exemption; or 0 Floodplain Management 0 Critical Areas Ordinance
lID Washington Department of Fish and Wildlife for HP A
o Washington Department of Ecology Approval to Allow Temporary Exceedance of Water Quality Standards
o 401 Water Quality Certification Nationwide Permits
lID Corps Engineers for Section 404 or Section 10 permit(s)
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:
Mailing Address:
Olympic PropertY Group
19245 Tenth Avenue NW. P.O. Box 1780
Poulsbo, W A 98370-0239
Work Phone: (360) 697-6626
Fax Number: (360) 697-1156
If an agent is acting for the applicant during the permit process, complete #2 & 3.
2, Authorized Agent: Nicole Faghin, Reid Middleton, Inc,
Mailing Address: 728 - 134th Street SW, Suite 200, Everett, WA 98204
Work Phone: (425) 741-3800
Fax Number: (425) 741-3900
3, Designation of Authorized Agent, if applicable:
I hereby designate Nicole Faghin 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.
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4. Rela onship of applicant to property: lID Owner 0 Purchaser 0 Lessee 0 Other (
5. Name, address, and phone number of property owner(s), if other than applicant:
)
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Application Page 1 of 5
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Waterbody: Port Ludlow Bay
DNR Stream Type (if known)
Tributary of
6. Location where proposed activity exists or will occur:
Street Address: ,Port Ludlow Marina
I Gull Drive, Port Ludlow, W A 98365
City, County, State, Zip Code
Legal Description: A portion of the bed of Port Ludlow
Tax Parcel No.:
V<I
V<I
Section
16
Township
28
Range
1 East WM
7, Describe the current use of the property, and structures existing on the property. If any portion of the proposed activity is
already completed on this property, indicate month and year of completion.
Port Ludlow Marina has 280 existing slips plus areas for approximately 40 additional boat sideties.
Is the property agricultural land? 0 Yes r&l No
Are you a USDA program participant? 0 Yes r&l No
8. Describe the proposed activity, and the activity's purpose. Include expected water quality and fish impacts, and proposed
actions to reduce the duration and severity of those impacts and provide proper protection for fish life, 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, and for all work if applying for a shoreline permit. If additional space is needed, please attach a
separate sheet,
Port Ludlow Marina has 280 existing slips plus areas for approximately 40 additional boat sideties, The owners propose
expansion of the facility with the addition of 100 new slips and adjacent sidetie areas. The following is a discussion of the key
elements of the conceptual layout for the expanded Marina, The following key factors guided the conceptual layout:
. Provide 100 slips in the range of 36 feet in length up to 60 feet in length.
. Provide additional side tie areas for vessels larger than 60 feet to moor.
. Cost-effective solution utilizing existing infrastructure as feasible.
. Minimize environmental impacts
. by eliminating alternatives in shallow water and constructing slips in deeper non-intertidal water
. by not utilizing treated-timber piling
. by removing an existing wide dinghy float area to improve light penetration
. by requiring best management practices during construction to protect the environment
. by replacing a solid float for the kayak storage with a grated float to allow light penetration
. others as detailed in the Biological Evaluation,
. Minimize impact to existing tenants and facilities.
. Ability to phase the project.
. Work within the constraints of the neighboring Scott Property dock.
. Include amenities such as dinghy floats and an expanded kayak float.
The proposed 100-slip expansion for the Port Ludlow Marina is shown in Figure 1. The proposed expansion occurs to the
west and south of the existing Marina. The expansion is connected to the C, D, and E dock system, No change is proposed
to the A/B dock system at this time, The proposed layout includes extension of the D and E lateral systems and a new F
lateral system. The F lateral dock will also serve as the new floating breakwater for waves approaching from the south.
Preparation of drawings: See Appendix A - sample drawings and checklist for completing the drawings. One set of
original or good quality reproducible drawings must be attached, NOTE: Applicants are encouraged to submit
photographs of the project site, but these do not substitute for drawings, THE CORPS OF ENGINEERS REQUIRES
DRAWINGS ON 8-1/2 X 11 INCH SHEETS. Larger drawings may be required by other agencies.
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Application Page 2 of 5
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9. Proposed Starting Date: Spring 2001 or following receipt of permits- Anticipated duration of activity: Four months,
Whichever is later.
Will the project be constructed in stages? DYes 00 No
10. Will any structures be placed:
a, waterward of the Ordinary High Water Mark or Line for fresh or tidal waters? [EJ Yes D No
b, waterward of Mean High Water Line in tidal waters? 00 Yes D No
11. Will fill material (rock, fill, bulkhead, pilings or other material) be placed waterward
of Ordinary High Water Mark or Line for fresh or tidal waters? [&l Yes DNo
a. If "yes," in fresh water indicate volume in cubic yards:_
b. If "yes," in tidal waters, indicate volume in cubic yards waterward of the line of mean higher high
water: # pilings? Approximately 95 steel or concrete pilings will be used to anchor the floats
12. Will material be placed in wetlands? DYes [EJ No If yes, impacted area: (acres)
If yes:
a, Has a delineation been completed? DYes D No (If yes, please submit with application.)
b, Type and composition of fill material (e,g., sand, etc.):
c. Material source:
d. List all soil series (type of soil) located at the project site, & indicate if they are on the county's list of hydric soils: Soils
information can be obtained from the Natural Resources Conservation Service (NRCS), formerly Soil Conservation
Service (SCS).
13. Will proposed activity cause flooding or draining of DYes [EJ No If yes, impacted area: (acres)
wetlands?
14. Will excavation or dredging be required in water or wetlands? DYes [EJ No
If yes, volume: (cubic yards) Alternatives that involved dredging were reviewed and eliminated to minimize
environmental impacts,
a Composition of material removed:
b. Disposal site for excavated material:
c. Method of dredging:
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 (Le" preliminary plat approval, health district
approval, building permit, SEPA review, FERC license, Forest Practices Application, etc.) Also indicate whether work has
been completed and indicate all existing work on drawings,
Date of Date Completed?
Type of Approval Issuing Agency Identification No. Application Approved Yes or No
Shoreline Permit Jefferson County N/A pending N/A No
SEP A Determine Jefferson County N/A pending N/A No
HPA WADFW N/A pending N/A No
COE Section 10 US COE N/A pending N/A No
Revised Aquatic Lease W A DNR N/A pending N/A No
Temp, Water Quality W A DOE N/A pending N/A No
Building Permit Jefferson County N/A pending N/A No
SEPA Lead Agency: Jefferson County SEPA Decision Date: Pending
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Application Page 3 of 5
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16, Has any agency denied approval for the activity described herein or for any activity directly related to the activity
described herein? 0 Yes lEI No Ifyes, explain:
SECTION B - Use for Shoreline & Corps of Engineers permits only:
17. Total cost of Project. This means the fair market value of the project, including materials, labor, machine rentals, etc.
$2,200,000
18. Local government wi jurisdiction:
Shoreline Environment designation:
Zoning designation: RCICF
19, For corps permits, provide names, addresses, and telephone numbers of adjoining property owners,
Jefferson County
Suburban Environment
lessees, etc.,
See attached list
PLEASE NOTE: Shoreline management compliance may require additional notice - consult your local government.
SECTION C - Complete for any permit covered by 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 to which thO application is made, the right to enter the above-des ribed ocation to inspect the proposed or
completed work.
Signature of
Signature of Landowner (REQUIRED if other than applicant) Date
This application must be signed by the applicant. If an authorized agent is to be designated, the applicant must also sign at
Item #3.
18 U.S,C ~1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
falsifies, conceals, or covers up by any trick, scheme, or device a material fact or makes any false, fictitious, or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false, fictitious, or fraudulent statement or entry,
shall be fined not more than $10,000 or imprisoned not more than 5 years or both,
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Application Page 4 of 5
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DO NOT SEND FEDERAL PROCESSING FEE WITH APPLICATION
A. Nature of the existing shoreline.
floo<iway, delta; type of beach, such as
riprap; and extent and type
B. ", In the event that any of the proposed buildi
".the approximate location of and number of
C. {fthe application involves a conditional
proposed use maybe a conditional use,
These Agencies are Equal Opportunity and Affirmative Action employers.
For special accommodation needs, please contact the appropriate agency from Appendix A,
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Application Page 5 of 5
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Appendix B-1