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HomeMy WebLinkAbout12C- JARPAWASHINGTON STATE us Army Corps Date received: of Engineers ® Seattle District AGENCY USE ONLY Joint Aquatic Resources Permit Application (JARPA) Form1,2 []}g!Q] Agency reference#: ________ _ USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. Tax Parcel #(s): _________ _ L--------------------------------------1 Part 1-Project Identification 1.Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) []}g!Q] Whitney Road Pond Removal Project Part 2-Applicant The person and/or organization responsible for the project. [bQ!Q] 2a. Name (Last, First, Middle) David Whitney 2b. Organization (If applicable) NIA 2c. Mailing Address (Street or PO Box) 1060 Whitney Road 2d. City, State, Zip Quilcene, WA 98376 2e. Phone (1)2f. Phone (2)2g. Fax 2h. E-mail 206-406-8084 N/A NIA dwwhitney@hotmail.com 1 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 ofEngineers for application information (206) 764-3495.•Not all cities and counties accept the JARPA for their local Shoreline permits. If you need a Shoreline permit, contact the appropriate city or countygovernment to make sure they 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 for Regulatory Innovation and Assistance at (800) 917-0043 or help@oria.wa.gov. ORIA-revised 02/2020 Page 1 of 15 Part 3-Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b of this application.) [.!:)_g!Q] 3a. Name (Last, First, Middle) G.Bradford Shea 3b. Organization (If applicable) Westech Company 3c. Mailing Address (Street or PO Box) P.O. Box 1239 3d. City, State, Zip Winston, OR 97496 3e. Phone (1)3f. Phone (2)3g. Fax 3h. E-mail 360-460-6451 N/A N/A brad@westechcompany.com Part 4-Property Owner(s) Contact information for people or organizations owning the property(ies) where the project will occur. Consider both upland and aquatic ownership because the upland owners may not own the adjacent aquatic land. [h!tlQ] � 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 upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner.□Your project is on Department of Natural Resources (DNR)-managed aquatic lands. If you don't know, contact the DNR at (360) 902-1100 to determine aquatic land ownership. If yes, complete JARPA Attachment E toapply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) 4b. Organization (If applicable) 4c. Mailing Address (Street or PO Box) 4d. City, State, Zip 4e. Phone (1) 4f. Phone (2)4g.Fax 4h. E-mail ORIA-revised 02/2020 Page 2 of 15 47.7070N.Lat/-122.7902 W.Long X WAC 197-11-800 Dr. G. Bradford Shea 12/15/2021 Figure 4. Project Cross-Section Westech Company 2021 Source: Westech Company 2021 6’ Natural Stream Channel Remove Culverts, Rip-Rap and Soil to Natural Stream Elevation 40’ OHWM Figure 5. Plan View Pond Removal at 1060 Whitney Road (470 42’ 25.47” N.Lat. 1220 47’ 9.04” W.Long) Westech Company 2021 Source: Google Earth 2021