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Home My WebLink AboutLog028 . m JOINT AQUATIC RESOURCES PERMIT APPLICATION FORM (JARPA) (for use in Washington State) PLEASE TYPE OR PRINT IN BLACK INK o 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. Based on the instructions provided, I am sending copies of this application to the following: (check all that apply) D Local Government for shoreline: IRISubstantiaI Development D Conditional Use D Variance D Exemption D Revision D Floodplain Management D Critical Areas Ordinance D Washington Department of Fish and Wildlife for HPA (Submit 3 copies to WDFW Region) D Washington Department of Ecology for 401 Water Quality Certification (to Regional Office-Federal Permit Unit) D Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification D Corps of Engineers for: D Section 404 D Section 10 permit D Coast Guard for General Bridge Act Permit 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 Port Ludlow Associates, LLC/Trendwest Resorts Attention: Mark Dorsey/Wayne Helm MAILING ADDRESS 70 Breaker Lane, Port Ludlow WA 98365/9805 Willows Road NE, Redmond WA 98052 WORK PHONE E-MAIL ADDRESS 360.437.2101/425.498.2688 MDorsey@portludlowassociates.com wayne. helm@cendant-trg.com 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 HOME PHONE FAX # 360.437.2522 425.498.3062 2. AUTHORIZED AGENT Nicole Faghin, Reid Middleton Inc. MAILING ADDRESS 728 134th Street SE, Suite 200 Everett, WA 98204 WORK PHONE 425.741.3800 E-MAIL ADDRESS nfaghin@reidmidd.com HOME PHONE FAX # 425.741.3900 3, RELATIONSHIP OF APPLICANT TO PROPERTY: IRI OWNER 0 PURCHASER 0 LESSEE 0 OTHER: 4, NAME, ADDRESS. AND PHONE NUMBER OF PROPERTY OWNER(S}, IF OTHER THAN APPlICAfH: (See above) 5, LOCATION (STREET ADDRESS. INCLUDING CITY, COUNTY AND ZIP CODE, WHERE PROPOSED ACTIVITY EXISTS OR WILL OCCUR) Paradise Bay Road at Breaker Lane (extended) Port Ludlow, WA 98365 LOCAL GOVERNMENT WITH JURISDICTION (CITY OR COUNTY) Jefferson County ITEM.1At.,. # .. 1-rt '\lI}V' Page.==L~=-otj: JARP A, Revised 7/02 Contact the State of Washington Office of Permit Assistance for latest version, 360/407-7037 or 800/917-0043 1 WATERBODY YOU ARE WORKING IN Port It..~low~ay lSvTHIS WATERBODY ON THE 303(d) LIST? YES 0 NO lEI . . IF Y~S, WHAT P#RAMETER(S)? http://www.ecv.wa.gov/programs/wq/links/impaired wtrs.htn:!l. WEBSITE FOR 303d LIST TRIBUTARY OF WRIA# Puget Sound WRIA #17 Yo SECTION SECTION TOWNSHIP RANGE 17 28 N 1 E, WM GOVERNMENT LOT SHORELINE DESIGNATION Urban LATITUDE & LONGITUDE: Lat. Long. ZONING DESIGNATION Port Ludlow Master Planned Resort TAX PARCEL NO: 968800102 DNR STREAM TYPE, IF KNOWN Type 5 6. DESCRIBE THE CURRENT USE OF THE PROPERTY, AND STRUCTURES EXISTING ON THE PROPERTY, HAVE YOU COMPLETED ANY PORTION OF THE PROPOSED ACTIVITY ON THIS PROPERTY? YES lEI NO FOR ANY PORTION OF THE PROPOSED ACTIVITY ALREADY COMPLETED ON THIS PROPERTY, INDICATE MONTH AND YEAR OF COMPLETION, The site is currently undeveloped; the site was a former commercial log dump facility owned and operated by the Pope & Talbot Company for over 100 years. Ludlow Cove Division 1 (17 single-family dwellings) borders the project site to the north and east. Paradise Bay Road borders the project site on the west. IS THE PROPERTY AGRICULTURAL LAND? 0 YES lEINO ARE YOU A USDA PROGRAM PARTICIPANT? o YES lEI NO la. 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, Ludlow Cove Division 2 will encompasses six residential timeshare buildings, one reception/recreation building, a private road system, recreational amenities including a private swimming pool, outdoor barbecues, spas, and public and private trails. The proposed project will be served by public water and sanitary sewer systems, and a storm drainage system. An existing wetland and Type 5 stream, together with their associated buffers, will be located in a native growth protection easement, the boundaries of which were established as part of the Ludlow Cove Division 1 platting process. No work is proposed below the Ordinary High Water (OHW) mark of Port Ludlow Bay. Vehicular access to the new development will be provided via a new private road off Paradise Bay Road. Residential development is a "primary use" within the Urban shoreline environment. A site plan, storm drainage plan, water and sewer plan, landscaping plan and building el~ati.onsar.eattached lQJbis__ application. i r" .\ , I 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,SUB,STlIu:U="E.OR Pftil.WJ!'lGS. TI:fE~C)RPSOF I ENGINEERS AND COAST GUARD REQUIRE DRAWINGS ON 8.1/2 X 11 INCH SHEETS. LARGER DRAWINGS MA Y BE REQUIRED BY OTHER AGENCIES. ' lb. 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. The proposed project is construction of a 120-unit residential development on a 14.66-acre site known as Ludlow Cove Division 2. Ludlow Cove Division 2 will encompasses six residential buildings, one reception/recreation building, a private road system, recreational amenities including a private swimming pool, outdoor barbecues, spas, and public and private trails. The JARP A, Revised 7/02 Contact the State of Washington Office of Permit Assistance for latest version, 360/407-7037 or 800/917-0043 2 prop,?sed _pr,9ject will be served by publ ter and sanitary sewer systems, and a s drainage system. An existing wetlaQd'and.Type 5 stream, together with their associated buffers, will be located within a Native Growth Protection Easement, the boundaries of which were established as part of the Ludlow Cove Division 1 platting process. It is anticipated all work will be completed in one construction phase, however individual buildings may be completed and occupied sequentially. No work is proposed below the Ordinary High Water (OHW) mark of Port Ludlow Bay. 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. The proposed project will not impact Port Ludlow Bay. No work is proposed below the Ordinary High Water (OHW) mark of Port Ludlow Bay. 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-ll0? 0 YES 0 NO (SEE USEFUL DEFINITIONS AND INSTRUCTIONS) No in-water work is proposed. 8, WILL THE PROJECT BE CONSTRUCTED IN STAGES? DYES IRINO PROPOSED STARTING DATE: Fall 2006 ESTIMATED DURATION OF ACTIVITY: 18 months 9. CHECK IF ANY TEMPORARY OR PERMANENT STRUCTURES WILL BE PLACED: N/ A o WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH OR TIDAL WATERS; ANDIOR DWATERWARD OF MEAN HIGHER HIGH WATER LINE IN TIDAL WATERS 10. WILL FILL MATERIAL (ROCK, FILL, BULKHEAD, OR OTHER MATERIAL) BE PLACED: No o WATERWARD OF THE ORDINARY HIGH WATER MARK OR LINE FOR FRESH WATERS? IF YES, VOLUME (CUBIC YARDS) IAREA (ACRES) IF YES, VOLUME (CUBIC YARDS) AREA (ACRES) o WATERWARD OF THE MEAN HIGHER HIGH WATER FOR TIDAL WATERS? 11. WILL MATERIAL BE PLACED IN WETLANDS? IF YES: No DYES IRINO 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. D, TYPE AND COMPOSITION OF FILL MATERIAL (E.G., SAND, ETC.): CVIiS o YE4 Dir'-lO JUN - 8 2006 \ A, IMPACTED AREA IN ACRES: E, MATERIAL SOURCE: F. 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): G, WILL PROPOSED ACTIVITY CAUSE FLOODING OR DRAINING OF WETLANDS? DYESDNO IF YES, IMPACTED AREA IS ACRES OFDRAINED WETLANDS, NOTE: If your project will impact greater than 'h 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 ~ acre in size, or b) tidal wetlands or wetlands adjacent to tidal water. Please submit the JARPA form and maigation plan to Ecology for an individual 401 cerlification if a) or b) applies, 12, STORMWATERCOMPLlANCE FOR NATiONWIDE PERMiTS ONLY: N/A THIS PROJECT IS (OR WILL BE) DESIGNED TO MEET ECOLOGY'S MOST CURRENT STORMWATER MANUAL, OR AN ECOLOGY APPROVED LOCAL STORMWATER MANUAL YES 0 NO IF YES - WHICH MANUAL WILL YOUR PROJECT BE DESIGNED TO MEET If NO - FOR CLEAN WA TER ACT SECTiON 401 AND 404 PERMITS ONL Y - PLEASE SUBMITTO ECOLOGY FOR APPROVAL, ALONG WITH THIS JARPA APPLlCA TiON, DOCUMENTA TiON THA T JARPA, Revised 7/02 Contact the State of Washington Office of Permit Assistance for latest version, 360/407-7037 or 800/917-0043 3 DEMONSTRA TES THE STORMWA TER RUNOFF FROM YOU JECT OR ACTIVITY WILL COMPL Y WITH THE WA TER QUALITY ARDS, WAC 173.201(A) ~ . ~ . . . . 13. WILL EXCAVATION OR DREDGING BE REQUIRED IN WATER OR WETLANDS? No DYES IBlNO IF YES: A. VOLUME: (CUBIC YARDS) /AREA (ACRES) 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 IBlNO SEPA LEAD AGENCY: Jefferson County SEPA DECISION: DNS, MDNS, EIS, ADOPTION, EXEMPTION DECISION DATE (END OF COMMENT PERIOD): Pending 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 (LE., 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, Building Permit Jefferson County June, 2005 Construction Plan Approval Jefferson County June, 2005 Hydraulic Project Approval WA State DFW Not yet filed SSDP - Primary Use/Type A Permit Jefferson County June 7, 2006 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 xNO IF YES, EXPLAIN: c.. ~.'''''-_''''''''';'''.''''''''''-~ JUN - 8 2006 JARP A, Revised 7/02 Contact the State of Washington Office of Permit Assistance for latest version, 360/407-7037 or 800/917-0043 4