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HomeMy WebLinkAboutLog023 e e Enclosure 2 "JARP A" to Marrowstone Island Permit LOG ITEM # 2~ Pags----Lof l'v - "' \,.'. 7 !/ I I TO FILL IN ELECTRONICALLY, USE F11 TO MOVE THROUGH THE FORM -----J D Application for a Fish Habitat Enhancement Project per requirements of RCW 77,55.290. You must submit a copy of this completed JARPA application form and the (Fish Habitat Enhancement JARPA Addition) to your local Government Planning Department and Washington Department of Fish & Wildlife Area Habitat Biologist on the same day. NOTE: LOCAL GOVERNMENTS - You must submit any comments on these projects to WDFW within 15 working days. JOINT AQUATIC RESOURCES PERMIT APPLICATION F (t! (for use in Washington State) PLEASE TYPE OR PRINT IN BLACK INK. Based on the instructions provided, I am sending copies of this application to the following: (check al/ that apply) [K] Local Government for shoreline: DSubstantial Development [K]Conditional Use []Variance DExemption DRevision DFloodplain Management DCritical Areas Ordinance [K] Washington Department of Fish and Wildlife for HPA (Submit 3 copies to WDFW Region) [K] Washington Department of Ecology for 401 Water Quality Certification (to Regional Office-Federal Permit Unit) [K] Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification [K] Corps of Engineers for: D Section 404 D Section 10 permit D Coast Guard for: D General Bridge Act Permit D Private Aids to Navigation (for non-bridge projects) D For Department of Transportation projects only: This project will be designed to meet conditions of the most current Ecology/Department of Transportation Water Quality Implementing Agreement 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 Public Utility District Number 1 of Jefferson County MAILING ADDRESS P,O, Box 929 Port Hadlock Washington 98339 WORK PHONE E-MAIL ADDRESS HOME PHONE FAX # 360 385 5800 jeffpud@olypen,com 360 385 5945 If an agent is acting for the applicant during the permit process, complete #2. Be sure agent signs Section C (Signature Block) for all permit applications 2, AUTHORIZED AGENT James G, Parker, PE Manager PUD #1 MAILING ADDRESS P,O, Box 929 Port Hadlock, Washington 98339 WORK PHONE E-MAIL ADDRESS 360 385 5800 ext 307 jparker@jeffpud.org 3, Relationship of applicant to property: DOWNER HOME PHONE 360 379 6877 D PURCHASER 0 LESSEE FAX # 360 385 5945 [!] franchise/ permit 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) Marrowstone Island along all roadways Local government with jurisdiction (city or county) Waterbody you are working in Kilisut Harbor Is this waterbody on the 303(d) List** YES D NO [K] If YES, what parameter(s)? **For 303d List, http://www.ecv.wa.gov/proaramslwa/303d/index.htm I Tributary of N/A WRIA# 17 Shoreline designation Zoning designation Rural Residential Y. Section DNR stream type if known Tax Parcel Number ECY 070-15 (Rev, 11/04) JARPflcontact the~~ofWaShington Office of Regulatory Assistance for latest version or call 360/407-7037 or 800/917-0043 1 Page 2- of l'2- 6. ~~!~~:~~~~;~~O::g::r~::~~"!~:::::~:i::::::::ca:a:~:hu a:t:~:~e~~~.'.:.;.O.~...h.c_~.. 00.... ,..~POI The PUD will be installing 8, 6, 4 and 2 inch PVC water lines in the existing ~TaDd JeffE;r;sonCountyroad rights-of-way throughout Marrowstone Island. The water lines will be placed either in orbeh~b9r; on the shoulder of the roads, The lines will be covered by a minimum of 36 inches of compacted soil. PUD was petitioned to provide water to the island as a result of seawater intrusion problems, ~'--:.-... ~ Is the property agricultural land? DYES [KI NO Are you a USDA program participant? DYES [KI NO 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 all 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. Work will consist of installing 8, 6, 4 and 2 inch water mains, with accoutrements, in and along the road ditches throughout Marrowstone Island. A large portion of the road ways are within 200 feet of the shoreline. The installation should not disturb any water ways or wetlands. We will be crossing the cause way on the south end of the Island, PREPARATION OF DRAWINGS: See sample drawings and guidance 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 AND COAST GUARD REQUIRE DRAWINGS ON 8-112 X 11 INCH SHEETS. LARGER DRAWINGS MAY BE REQUIRED BY 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, Marrowstone Island is a sole source aquifer, located in the Olympic rain shadow, which is experiencing seawater intrusion problems: This coupled with its growing population resulted in WWGMHB directing Jefferson County to remedy the water quality problems. The County passed a resolution supporting a public water system. As a result island residents petitioned the PUD to install a public water system, conveying water from the Quimper Peninsula to the Island. The water system should solve most of the water quality and resulting health and environmental issues on the island, 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. Water system should reduce seawater intrusion problems on the Island. During construction erosion control plan will be monitored to ensure no impacts to the waters of the state. Position and size of piping has been designed to minimize environmental impacts. 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-110? DYES D NO (See USEFUL DEFINITIONS AND INSTRUCTIONS) 8, Will the project be constructed in stages? YES [KI NO D Proposed starting date: 30 September 2005 Estimated duration of activity: 30 September 2007 9, Check if any temporary or permanent structures will be placed: D Waterward of the ordinary high water mark or line for fresh or tidal waters AND/OR D Waterward of the mean higher high water for tidal waters? 10. Will fill material (rock, fill, bulkhead, or other material) be placed: D Waterward of the ordinary high water mark or line for fresh waters? If YES, VOLUME (cubic yards) / AREA (acres) D Waterward of the mean higher high water for tidal waters? If YES, VOLUME (cubic yards) / AREA (acres) LOG ITEM ECY 070-15 (Rev, 11ft> JARPA cO!-~he State of Washington Office of Reaulatorv Assistance for latest version or call 360/407-7037 or 800/917-0043 2 Page 3 of (2- e ei i i ! '-~"'\----- "-...._,-- ~ . / 11. Will material be placed in wetlands? DYES If YES: A. Impacted area in acres: B, Has a delineation been completed? If YES, please submit with application, C. Has a wetland report been prepared? If YES, please submit with application 0, Type and composition of fill material (e,g" sand, etc,) sand or existing soil E, Material source: 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). Varied, G, WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? DYES If YES, IMPACTED AREA IS _ACRES OF DRAINED WETLANDS, NOTE: If your project will impact greater than Y. of an acre of wetland, submit a mitigation plan to the Corps and Ecology for approval along with the JARPA form. NOTE: A 401 water quality certification will be required from Ecology in addition to an approved mitigation plan if your project impacts wetlands that are: a) greater than Y. acre in size, or b) tidal wetlands or wetlands adjacent to tidal water. Please submit the JARPA form and mitigation plan to Ecology for an individual 401 certification if a) or b) applies, [R] NO I J'YES DYES ~ [R] NO 12. Stormwater Compliance for Nationwide Permits Only: This project is (or will be) designed to meet ecology's most current stormwater manual, or an Ecology approved local stormwater manual. [R] YES D NO If YES - Which manual will your project be designed to meet? 2001 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? DYES If YES: A. Volume: (cubic yards) /area _ (acre) B. Composition of material to be removed: _ C, Disposal site for excavated material: 0, Method of dredging: 14, Has the State Environmental Policy Act (SEPA) been completed DYES SEPA Lead Agency: PUD#1 of Jefferson County SEPA Decision: DNS, MONS, EIS, Adoption, Exemption Exemption Decision Date (end of comment period) SUBMIT A COpy OF YOUR SEPA DECISION LETTER TO WDFW AS REQUIRED FOR A COMPLETE APPLICATION [R] NO [R] NO 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 ISSUING AGENCY IDENTIFICATION DATE OF APPLICATION DATE APPROVED COMPLETED? NO. Water S stem Plan DOH March 2002 Feb 2005 Yes Water line Permit DOT March 2002 Water line Permit Jefferson Count March 2002 DOT En ineer Re ort DOH Ma 2004 Jeff Count DCD - Permit Jefferson Count A ril 2004 16, Has any agency denied approval for the activity you're applying for or for any activity directly related to the activity described herein? D YES ~ NO If YES, explain: # Page LOG ITE~,,1 23 '-f of ('2- ECY 070-15 (Rev. 11/04) JARPA Contact the State of Washington Office of Regulatory Assistance for latest version or call 360/407-7037 or 800/917-0043 3 SECTION B - Use for Shoreline !d Corps of Engineers permits on' 17a, Total c~s~ of project. This means the fair market value of the project, including materials, labtinaTine I l'itll'ls,'lltg, 2005 4,2 Million ! c........ L ........ .... .....,.._~- .,. .. ....,. 17b, If a project or any portion of a project receives funding from a federal agency, that agency is responsible fOr E$ACOflsult9tion, Pie e indicate if you will receive federal funds and what federal agency is providing those funds, See instructions for informaUon-on'~A."i.i) ---- FEDERAL FUNDING 0 YES 0 NO If YES, please list the federal agency, 18, Local government with jurisdiction: Jefferson County 19, For Corps, Coast Guard and DNR permits, provide names, addresses and telephone numbers of adjoining property owners, lessees, etc, Please note: Shoreline Management Compliance may require additional notice - consult your local govemment. NAME ADDRESS PHONE NUMBER 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 ri to enter the above-described location to inspect the proposed, in-progress or completed work, I a to start work ON aft r a I necessary permits have been received, DATE 28' ~ 'Z(t)j- 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 LANDOWNER (EXCEPT PUBLIC ENTITY LANDOWNERS, E,G, DNR) THIS APPLlCA nON MUST BE SIGNED BY THE APPLICANT AND THE AGENT, IF AN AUTHORIZED AGENT IS DESIGNA TED, 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. These Agencies are Equal Opportunity and Affirmative Action employers, LOG litlii:Mal accommodation needs, please contact the appropriate agency in the instructions ECY 070-15 (rr/" 11/04) JAR~~ntact the State of Washington Office of Reoulatorv Assistance for latest version or call 360/407-7037 or 800/917-0043 Page~__~..of_J 2..-- . 4 cml WASHINGTON JOINT AQUATIC RESOURCE PERMITS APPLlC~TlaN (JARPA) INSTRUCTIONS, SAMPLE DRAWINGS & AGENCY iCONT A~S - 3 2005 , " I e . NOTE: DO NOT SUBMIT this section with your application. L This Joint Application may be used to apply for Hydraulic Project Approvals, Shoreline Management Permits, Appro~aiSfoTEx of Water Quality Standards, Water Quality Certifications, Coast Guard Bridge Permits, Department of Natural Resources Use Authorization, and Army Corps of Engineers Permits, You must submit readable copies of the completed application form together with detailed drawings, prepared in accordance with the drawing guidance to the appropriate agencies. When applvina. yOU do NOT need to send copies of the instructions. Remember, depending on the type of project you are proposing, other permits may be required that are not covered by this application, cff'Use the following list to determine which permits to apply for. Your project may require some or all of these permits, If you have trouble deciding which permits you need, please contact the appropriate agency for questions, Agency telephone numbers are attached, IF ANY OF THE BOXED ITEMS LISTED UNDER A PERMIT TITLE BELOW APPLY TO YOUR PROJECT, THEN YOU MUST CHECK THE BOX FOR THAT PERMIT ON THE TOP OF PAGE ONE OF THE JARPA FORM AND SEND A COMPLETED COPY OF THE APPLICATION FORM TO THE AGENCY RESPONSIBLE FOR ISSUING THAT PERMIT. Complete Sections A & C for any of the permits listed below, Also complete Section B for Shoreline and Army Corps of Engineers permits, Detailed drawings are required for any of these permits (see attached drawing guidelines for drawing requirements), o Hvdraulic Proiect Approval from the Department of Fish and Wildlife under 77,55 RCW is required if your project includes construction or other work, that: · will use, divert, obstruct, or change the natural flow or bed of any fresh or salt water of the state. This includes bed reconfiguration, all construction or other work waterward under and over the ordinary high water line, including dry channels, and may include projects landward of the ordinary high water line (e,g" activities outside the ordinary high water line that will directly impact fish life and habitat, falling trees into streams or lakes, dike construction etc,), o Shoreline Substantial Development, Conditional Use, Variance Permit. or Exemption from Local Government (under the Shoreline Management Act, 90,58 RCW;) required for work or activity in the 100-year floodplain, or within 200 feet of the ordinary high water mark of Shorelines of the State (check with your local government); and which includes anyone of the following: . dumping; . drilling; · dredging; . filling; · placement or alteration of structures (whether temporary or permanent); or · any activity which substantially interferes with normal public use of the waters regardless of cost. o Floodplain Manaaement Permits and/or Critical Areas Ordinances review by Local Government for: · work in frequently flooded areas, geologically unstable areas, wildlife habitats, aquifer recharge areas, and wetlands, o Section 401 Water Quality Certification from the Department of Ecology Regional office under 33 USC ~ 1341 of the Clean Water Act is needed when a federal approval is required for a project, including the following: · Corps of Engineers 404 Permit --Send to Ecology's Federal Permits Unit in the Regional Office; · FERC hydropower license--Attach FERC exhibit E or an Applicant Prepared Environmental Assessment and send to the State of Washington's Office of Permit Assistance o Aauatic Resources Use Authorization Notification from the Department of Natural Resources is required if your project: · is on, crosses, or impacts the bedlands, tidelands or shorelands of a navigable water, o Section 404 Permit from the Corps of Engineer under 33 USC ~ 1344 of the Clean Water Act is required if your project includes: · placement of dredged or fill material waterward of the ordinary high water mark, or the mean higher high tide line in tidal areas, in waters of the United States, including wetlands*; · mechanized land clearing and sidecasting in waters of the United States, including wetlands*. · Endangered Species Act (ESA) Consultation** ECY 070-15 (Rev, 11/04) JARPA contaLGGtel~~Mgton Office of Regulatory Assistance for latest version or call 360/407-7037 or 800/917-0043 # Page 2-~ Ce 1 of-L2-- o Section 10 Permit from the Corps of E,eer is required for: _. · any work in or affecting navigable waters of the United States (e,g" floats, piers, docks, dredgirig,exGaVE!tion, piling, buoys, overhead power lines, etc.), . - --'___ -----., ! ! 'j 3 ;)()(1" I o Private Aids to Naviaation from the Coast Guard is required for: i L/"'~), I · installing a fixed structure or floating object within the waters of the United States, '. *Wetlands that are determined to be isolated by the Army Corp of Engineers are no longer regulated under Sectlon404...()!~he Clean ater Act. These wetlands are regulated by the Department of Ecology under the state Clean Water Act RCW 90.48, For further I ' n please contact the Office of Regulatory Assistance at 1-800-917-0043 or at assistance@ora,wa.gov, . General BridQe Act Permit from the Coast Guard is required for: construction of a new bridge or modification to an existing bridge over a navigable waterWay~ o ** Endangered Species Act (ESA) Consultation with the National Marine Fisheries Service and/or U.S, Fish and Wildlife Service: If your project is authorized, funded or carried out by a Federal agency and the Federal agency determines that the proposed project may affect ESA listed species or critical habitat, consultation under Section 7 of the ESA is required, ESA Consultation is the responsibility of the Federal agency, not the aoolicant. JARPA forms should be submitted directly to the responsible Federal agency, not to the National Marine Fisheries Service or the U,S, Fish and Wildlife Service, The responsible Federal agency may require additional information from the applicant to assess potential project impacts to listed species and their habitat. Information on ESA - http://endangered,fws.gov/hcp/index.html or http://endangered.fws,gov/whatwedo.html or htto :lIoffices, fws. gov/di rectory/ListOffices, cfm USEFUL DEFINITIONS & INSTRUCTIONS The following definitions are presented to help applicants in completing the JARPA. They may not necessarily represent specific language from the laws implemented through JARPA. Ordinary High Water Mark or Line means the visible line on the banks where the presence and action of waters are so common as to leave a mark upon the soil or vegetation. In any area where the ordinary high water line cannot be found, the ordinary high water line adjoining saltwater shall be the line of mean higher high water, and the ordinary high water line adjoining freshwater shall be the elevation of the mean annual flood, Mean Lower Low Water is the 0.0 tidal elevation, determined by averaging each day's lowest tide at a particular location over a period of 19 years, It is the tidal datum for vertical tidal references in the salt water area, Mean High Water and Mean Higher High Water Tidal Elevations at any specific location can be found in tidal benchmark data compiled by the United States Department of Commerce, Environmental Science Services Administration, Coast and Geodetic Survey, dated January 24, 1979, This information can be obtained from the Corps of Engineers at (206) 764-3495, The determination of tidal elevation is obtained by averaging each day's highest tide at a particular location over a period of 19 years, measured from mean lower low water, which equals 0,0 tidal elevation. Shorelands or shoreland areas means those lands extending landward for 200 feet in all directions as measured on a horizontal plane from the ordinary high water mark; floodways and contiguous floodplain areas landward 200 feet from such floodways; and all wetlands and river deltas associated with the streams, lakes, and tidal waters which are subject to the provisions of 90.58 RCW, Shorelines means all water areas of the state, including reservoirs, and their associated wetlands, together with the lands underlying them, except stream segments upstream of the point where mean annual flow is less than 20 cubic feet per second, and lakes less than 20 acres in size. Wetlands mean areas that are inundated or saturated by surface water or ground water at a frequency and duration sufficient to support, and that under normal circumstances do support, a prevalence of vegetation typically adapted for life in saturated soil conditions, Wetlands generally include swamps, marshes, bogs, and similar areas, Bridge means any structure including pipelines and conveyor belts, which transports traffic or materials across a navigable water, Aquatic Tidelands means the area between the ordinary high tide line and extreme low tide line, unless otherwise established, Aquatic Shorelands means the shore areas of non-tidal navigable lakes or rivers between the ordinary high water line and the line of navigability unless otherwise established. Page l of , 2---' Nation.,;de Permo issued by 'he Corps of En!e" 'or projects with minimal impacts. For a cotle/e pa:.:::n'!ide'".";';;;;;;-j application information, contact the Corps Regulatory branch at (206) 764-3495 or visit theirwebsite ,http://www,nws,us~3ce,armY'~11. i I I , " 'I ~:~~:~d~~~~ ~~~::::::~: ~:::~~~~~~i%~::~ :~:~~:: "kes, and s'reams ~at fall tof~tgte,~~~:e_~ter Qua":! ,.j' Mixing zone means that portion of a water body adjacent to an effluent outfall where mixing results in the dilution of the efftuent~with.1licL. receiving water, Water quality criteria may be exceeded in a mixing zone as conditioned and provided for in WAC 173-201A-400, Turbidity means the clarity of water expressed as nephelometric turbidity units (NTU) and measured with a calibrated turbidimeter, Background conditions means the biological, chemical, and physical conditions of a water body, outside the area of influence of the discharge under consideration, Instructions for question 7d. Water Quality Standards - Compliance for turbidity mixing zone requirements. The water downstream of the allotted mixing zone (100 ft, 200 ft, 300 ft, dependent on how fast the water is flowing and measured in cubic feet per second) must have the same visual clarity as the water upstream of the project impact site (the water cannot be greater than 5 NTUs above the background water), The following section from WAC 173-201A-11 0 authorizes the turbidity mixing zone. All work in or near the water, and water discharged from the site shall meet the State's Water Quality Standards, WAC 173-201 A. A mixing zone for turbidity is authorized within WAC 173,201 A-030 during and immediately after necessary in-water or shoreline construction activities that result in the disturbance of in-place sediments, Use of a turbidity mixing zone is intended for brief periods of time (such as a few hours or days) and is not an authorization to exceed the turbidity standard for the entire duration of the construction, Use of the mixing zone is subject to the constraints of WAC 173-201A-100(4) and (6), requiring an applicant have supporting information that indicates the use of the mixing zone shall not result in the loss of sensitive or important habitat, substantially interfere with the existing or characteristic uses of the water body, result in damage to the ecosystem, or adversely affect public health, The mixing zone is authorized only after the activity has received all other necessary local and state permits and approvals, and after the implementation of appropriate best management practices to avoid or minimize disturbance of in-place sediments and exceedances of the turbidity criteria, Within the mixing zone, the turbidity standard is waived, and all other applicable water quality standards shall remain in effect. The mixing zone is defined as follows: 1) For waters up to 10 cis flow at time of construction, the point of compliance shall be 100-feet downstream of project activities, 2) For waters above 10 cfs up to 100 cfs flow at time of construction, the point of compliance shall be 200-feet downstream of project activities, 3) For waters above 100 cis flow at the time of construction, the point of compliance shall be 300 feet downstream of project activities. 4) For projects working within or along lakes, ponds, wetlands, estuaries, marine waters or other non-flowing waters, the point of compliance shall be at a radius of 150-feet from the activity causing the turbidity exceedance. # Page LOG ITEM f-~f /2- ECY 070-15 (Rev. 11/04) JARPA Contact the State of Washington Office of Reaulatorv Assistance for latest version or call 360/407-7037 or 800/917-0043 3 GUleCE FOR COMPLETION OF DRAWINGe General Information, Three types of illustrations are needed to properly depict the proposed activity: Vicinity Map, Plan View, and Cross-Sectional View, Drawings to scale should be prepared using clear printing, black ink, and the fewest number of sheets possible, Include the scale, The importance of clear accurate drawings cannot be overstated, At a minimum, drawings must contain the following information; other information may be required depending on project type, If you have questions regarding completing the drawings, call the appropriate agency, *NOTE: Army Corps of Engineers drawina reauirements are found at: , .. .... > http://www.nws.usace.army.mil/PublicMenu/Menu.cfm?sitename-REG&pagename=mainpagePermitApplicant..ln.fo , ,i' ,""",-, ---..-.,'"--..,------C"l 1, Vicinity Map, A copy of a county or city road map, or a U,S, Geological Survey topographic map m~ybeysed. InClude>. ! a, North arrow, ' b, Name of water body (and river mile if appropriate), c, Location of the proposed activity (indicate with a circle, arrow, X, or similar symbol), I d. Provide latitude and longitude of the site to the nearest second, e, Provide directions to the site, L. 2, Plan View, This drawing illustrates the proposed project area as if you were looking down at the site from overnead:_. . ii' i " a, North arrow, --~ b, Name of waterbody and direction of water flow, c, Location of existing shoreline, Tidal Waters: Show the Ordinary High, Mean High, Mean Low, Mean Higher High, and Mean Lower Low Water Marks or Lines, and/or wetland boundaries, Indicate elevation above datum, Non-tidal waters: Show the Ordinary High Water Mark or Line, Meander Line, and/or wetland boundary, d, Dimensions of the activity or structure and impervious surfaces, distance from property lines, and the distance it extends into the waterbody beyond the Ordinary High, Mean High, Mean Higher High, and Mean Low Water Mark or Line, and/or wetland boundaries, as appropriate, e, For Corps permits, indicate the distance to Federal projects and/or navigation channels (if applicable). To ascertain, call the Corps Regulatory Branch Office at (206) 764-3495, f, Show existing structures on subject and adjoining properties, g, Indicate adjoining property ownership, h, If fill material is to be placed, identify the type of material, amount of material (cubic yards), and area to be filled (acres), i. If project involves dredging, identify the type of material, amount of material (cubic yards), area to be dredged, method of dredging, and location of disposal site. Dredging in areas shallower than -10 feet needs to be clearly identified on drawings, j, Identify any part of the activity that has been completed, k, Indicate types and location of aquatic, wetland, riparian and upland vegetation, I. Erosion control measures, stabilization of disturbed areas, etc, m, Utilities, including water, sanitary sewer, power and stormwater conveyance systems (e,g" bioswales), n. Indicate stormwater discharge points. o. Proposed landscaping where applicable (for complex landscape plans, please attach a separate drawing). p. Where applicable, plans for development of areas on or off site as mitigation for impacts associated with the proposal. q, On all variance applications the plans shall clearly indicate where development could occur without approval of a variance, the physical features and circumstances on the property that provide a basis for the request, and the location of adjacent structures and uses, 3, Cross-Sectional View, This drawing illustrates the proposed activity as if it were cut from the side and/or front. Include: a, Location of water lines, Tidal Waters: Show the Ordinary High, Mean High, Mean Higher High, and Mean Lower Low Water Marks or Lines, and/or wetland boundary. Non-tidal waters: Show the Ordinary High Water Mark or Line, and/or wetland boundary, b, Water depth or tidal elevation at waterward face of project, c, Dimensions of the activity or structure, and the distance it extends into the waterbody beyond the Ordinary High, the Mean High, the Mean Higher High and Mean Low Water Mark or Line, and/or wetland boundaries, d, Indicate dredge and/or fill grades as appropriate. e, Indicate existing and proposed contours and elevations. f, Indicate types and location of aquatic, wetland, and riparian vegetation present on site. g, Indicate type and location of material used in construction and method of construction, h, Indicate height of structure. 4, Clearance and Elevations, Applies to Coast Guard Bridge Permits only, a, Vertical clearance measured from Mean Higher (tidal waters) or Ordinary High (non-tidal water), b, Horizontal clearance between piers or pilings, c. Bottom elevation of the waterway at the bridge. LOG ITEM #- 2-~ Page q If- ECY 070-15 (Rev. 11/04) JARPA 'Coll"\.I.I~d~~/~.hington Office of ReQulatorv Assistance for latest version or call 360/407-7037 or 800/917-0043 4 e AGENCY CONTACTS e Below is a list of agencies to which a copy of the Joint Application may be sent, and which permit each agency issues, Technical assistance and information is also available from these offices. State of Washinaton Office of Reaulatorv Assistance State of Washington Office of Regulatory Assistance Mailing Address PO Box 47600 Olympia, WA 98504-7600 Physical Address 300 Desmond Drive Lacey, WA 98504 Department of the Armv Permit(s}(Section 404 or Section 10) U,S, Army Corps of Engineers, Seattle District Regulatory Branch Post Office Box 3755 Seattle, WA 98124-2255 U,S, Army Corps of Engineers Eastern Washington Information P,O, Box 273 Chattaroy, WA 99003-0273 U,S, Army Corps of Engineers Central Washington Information P,O, Box 2829 Chelan, WA 98816-2829 Department of Ecoloav Permits - 401 Water Quality Certification Washington State Department of Ecology - Headquarters Mailina Address Post Office Box 47600 Olympia, WA 98504-7600 Physical Address 300 Desmond Drive Lacey,WA 98504 Central Region 15 West Yakima Avenue, Ste 200 Yakima, WA 98902-3401 Eastern Region 4601 North Monroe, Suite 202 Spokane,WA 99205-1295 Northwest Region 3190 - 160th Avenue S,E, Bellevue, WA 98008-5452 Southwest Region Mailing Address: P,O. Box 47775 Olympia, WA 98504-7775 Physical Address: 300 Desmond Drive Lacey, WA 98504 LOG JTErv1 2..~ I~ of # - Page, ( '1.- ECY 070-15 (Rev, 11/04) JARPA Contact the State of Washington Office of Reaulatorv Assistance for latest version or call 360/407-7037 or 800/917-0043 5 Telephone 1-800-917c0043 or (360) 4'b7;703~,. ." Fax (360) 407-6904'" Telephone (206) 764-3495 FAX (206) 764-6602 Telephone (509) 238-4570 FAX (509) 238-4570 Telephone (509) 682-7010 FAX (509) 682-7710 Telephone (360) 407-6000 Telephone (509) 575-2490 FAX (509) 575-2809 Telephone (509) 329-3400 FAX (509) 329-3529 Telephone (425) 649-7000 FAX (425) 649-7098 Telephone (360) 407-6300 FAX (360) 407-6305 '. - <'-...~ ii - .. / ..'- .....J ....~-. Department of Fish and Wildlife (HYdr_prOject Approval) - Submit 3 copies of the JAe application to Regional offices, Contact regional offices for questions or assistance, Headquarters Washington State Department of Fish and Wildlife 600 Capitol Way North Olympia, Washington 98501-1091 . .''''~'''. Region 1 (Pend Oreille, Ferry, Stevens, Spokane, Lincoln, Whitman, Columbia, Garfield, Asotill:and.v;jall~WaJ.I<l,COUriti;5)"", Washington State Department of Fish and Wildlife Telephone (509) 456~4082 i"". '?-,_ 8702 North Division Street FAX (509) 456-40711 i ! Spokane, WA99218-1199 . r, <1 Telephone (360) 902-2534," TOO (360) 902-2207 FAX (360) 902-2946 '- Region 2 (Okanogan, Douglas, Grant, Adams, and Chelan Counties) Washington State Department of Fish and Wildlife 1550 Alder Street NW Ephrata, WA 98823-9699 ( .j ! ! / I ~"- / ~'----'.",",J Telephone (509) 754-4624 FAX (509) 754-5257 Region 3 (Franklin, Kittitas, Yakima, and Benton Counties) Washington State Department of Fish and Wildlife 1701 South 24th Avenue Yakima, WA 98902-5720 Telephone (509) 575-2740 FAX (509) 575-2474 Region 4 (Whatcom, Skagit, Snohomish, King, Island, and San Juan Counties) Washington State Department of Fish and Wildlife Telephone (425) 775-1311 16018 Mill Creek Boulevard FAX (425) 338-1066 Mill Creek, WA 98012-1296 Region 5 (Lewis, Wahkiakum, Cowlitz, Skamania, Clark, and Klickitat Counties) Washington State Department of Fish and Wildlife Telephone (360) 696-6211 2108 Grand Blvd, FAX (360) 906-6776 Vancouver, WA 98661-4624 Region 6 (Pacific, Pierce, Thurston, Grays Harbor, Mason, Jefferson, Clallam, and Kitsap Counties) Washington State Department of Fish and Wildlife Telephone (360) 249-4628 48 Devonshire Road FAX (360) 664-0689 Montesano, WA 98563-9618 Local Government (Shoreline Management Act Approval) Appropriate City or County Planning, Building, or Community Development Department Refer to: htto:/Iwww,ora,wa,gov/counties/index,htm for city and county contact information, Natural Resources Conservation Service (NRCS), formerly Soil Conservation Service (SCS) for information regarding activities on agricultural land NRCS West 316 Boone Avenue, Suite 450 Spokane,WA 99201-2348 Telephone (509) 323-2900 FAX (509) 323-2909 Coast Guard Section 9 Bridge Permit Commander 13th Coast Guard District (OAN) Telephone (206) 220-7282 915 Second Avenue, Room 3510 FAX (206) 220-7265 Seattle, WA 98174-1067 Attn: Bridge Administrator Private Aids to Navigation Commander 13th Coast Guard District (OAN) 915 Second Avenue, Room 3510 Seattle, WA 98174-1067 Attn: PATON Manager Telephone (206) 220-7285 FAX (206) 220-7265 Department of Natural Resources, Aquatic Resources Authorization to use bedlands, tidelands, or shorelands of navigable waters. Headquarters Telephone (360) 902-1000 Northwest Region Telephone (360) 856-3500 Pacific Cascade Region Telephone (360) 577-2025 South Puget Sound Region Telephone (360) 825-1631 Northeast Region LOG IT Telephone (509) 684-7474 Southeast Region .., EM Telephone (509) 925-8510 Olympic Region # 2-$ Telephone (360) 374-6131 Pane l ( -- ECY 070-15 (Rev, 11/04) JARPA Conta'Ef the 'mate Ilf~~~ce of Reaulatorv Assistance for latest version or call 360/407-7037 or 800/917-0043 6 e "'0 s::: . c:lj ~ rJ:J. ~ (l) s::: o ~ rJ:J. ~ o b c:lj ~ '1 ~ I '----- L -.---, '1' '-"- ,. ~'-"''''''--''>''---''''7 I i 1 I , . . ,; J(B ...., --.-..---1--.--.,.,) I I I I I I I I i I I I I I I I I I I I I I I I I I I I I e . LOG ITE~v1 #__.~~ Pagw3:..,i~ _of~_ z < ~ 0... Z o ~ u CI.1 f- ~ 0... Z 8~ ;:J<E-< ~~u ~CIl~ ~~o ~6g: E-<E-<z <CIlO ~~- ~o~ ~~~ 0<><: ~~CI.1 rJl <!) ~ .... <!) 1e ~ ~"2 CI.1 ~ og. CI.1 .... ~o...