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15-102240i�- aderi firth FILE - June 3 2015 Jim Ferrell, Mayor Ken Miller Lakehaven Utility District PO Box 4249 Federal Way, WA 98063-4249 RE: File #15-102240-00-AD; STREAM REHABILITATION APPROVAL Lakota Creek Fish Ladder Repair, 3203 SW Dash Point Road, Federal Way Dear . . filler: KF,�J The Community Development Department is in receipt of your proposal to perform repairs and maintenance work to the existing Lakota Creek fish ladder. The proposal is to install temporary stream bypass facilities, construction of one and/or two additional rock weirs, relocation of boulder field downstream and reintroduction of removed sediment back into the stream channel to reduce peak flow channel scour. Additional maintenance includes cleaning the sediment trap, culverts, and stream channel as necessary to promote passage of fish and improve the natural habitat. The proposed rehabilitation project will maintain the effectiveness of the existing fish ladder and improve it with the addition of a rock weir to reduce the fish jumps as recommended by the Washington Department of Fish and Wildlife (WDFW). The Director of Community Development may permit rehabilitation of a stream by allowing removal of detrimental materials such as sediments and invasive, nonnative vegetation and corrective action for degradation of the stream or riparian zone as necessary pursuant to Federal Way Revised Code (FWRC) 19.165.060 `Rehabilitation.' The above -mentioned Lakota Creek fish ladder repair project is hereby conditionally approved, based on the conditions noted below. CONDITIONS OF APPROVAL 1. As a minimum erosion control measure, silt fence should be installed where the gravel access road is directly adjacent to stream (near sta 3+70 for example). A detailed erosion and sediment control plan should be prepared, installed, and overseen by a CESCL and inspected by the City prior to commencement of work. 2. Additional sand bags should be stored on site to protect the bypass culvert/pumping installation in the event of a rain event. 3. It is recommended that the construction timeframe be late August to early September to work within lowest stream flow rates. Work must be completed by September 30. 4. Contact Ann Dower at 253-835-2732 prior to start of work to discuss erosion control and when the project is completed for final inspection. 33325 8th Avenue South, Federal Way, WA 98003-6325 (253) 835-7000 www.cityoffederalway.com Mr. Miller June 3, 2015 Page 2 5. A planting plan that depicts the quantity, size, and location of proposed vegetation shall be submitted prior to re -planting; please email or provide a copy of the planting plan to Associate Planner Becky Chapin, beck .cha in .ci cffederalwa .com for review and approval. Please contact Becky Chapin, Associate Planner, at 253-835-2641 or becky.chapin@61yoffederalway if you have any questions about this decision. Sincerely, Michael A. Morales Community Development Director c: Tim Osbome, tosbome@lakehaven.org Ann Dower, Senior Engineering Plans Reviewer Tony Doucette, SWM Engineer 15-102240 Doc 1 D 69457 LOCATION MAPS KING COUNTY 11 LITY Dlsf Ro FEDERAL WAY, 'WASHiNGTON Preliminary 90% Review Set Not For Construction 05-2015 LAKOTA CREEK FISH LADDER REPAIRS MAY 2015 VICINITY MAP NTS mom ��� C 11F Y ><�ffi ill . r marls rrrrKIN DISTRICT COMMISSIONERS Leonard D, Englund Charles I. Gibson Ronald E. Nowicki Timothy A. McClain Donald L.P. Miller DISTRICT GENERAL MANAGER John Bowman, PE PREPARED BY BHC Consultants, LLC 1601 Fifth Avenue, Suite 500 _ Seattle, Washington 913101 206.505.3400 IsL A N $ 505.3406 l www-bhcconnsullants corn G-1 1 of XX COPY RIGHT 0 2015 BHC CONSULTANTS, LLC ALL RIGHTS RESERVED 03AM3S3U S1 DIHlIV 011 'S,MV1lnsN0 OHBSIOZOIMDWAdOO ZZ6Z-LZ6(£9Z) Xe3 .t j�i�l�•Ikl ju 9M-I,V6 (£9Z) lal £9086 uol6ulyseM `Rem lejapaj yLnog anuanV lsL LZ9 L£ ;71J;SIQ ;Ill;n uiiAp.Na��, -�� P.nC-' E awo n n SLOZ Am :a1e0 Sl 1tlNJIS3a aNtl SNOI1tl1A32188tl aN3°J31 °S310N Itl213N3O `SONIMtl21a d0 X34N1 S211tld321 ZI3OOtll HSId )i3321'J V10Htll 4-I-0 ION)I �� a-Spjle4,WaUo X :Pano,ddV woO's(uej�nsuo�o4q mmM (m) 904E SOS 90Z - N �Il �n.5 N O oaaesossoz LOLe6 uo]6ul4se%A -rneaS 009 ajmS'.nu.AV 44ij L091 0ll `s;ue3lnsuo0 OH8 Z-J EZO-PVCOL-Pld :al!j X :Pa,1-40 X Jo X .1aa4S V/N :aI�S uowl6'd :�Ae10 z_cJ :su!Me,a '3'd'uo im*r :Pau61sa0 irr�0,s Its, 4 LOZ-SO uOl10Lv}suOO JO=l ;ON Yo a hMs as alAab %0 3OIA83S ONn080830Nn 9999-17Zb-008- 6 61a nOA 6-1008 sinoH 8b IIsO .L6'LL Z6"99689Zl K Z06EZL IH 6 .EbOZ LC£9999Z1 6VL£9EZL 1H 8 AbSZ 99'LL999ZL ZVE9L£ZL 1H L .09L7 4669982ZL 9L7LL£ZL 1H 9 .696L 6919L69ZL E917 ZCZI Id/Ad Z ,90'LL 9Z'ZVL99ZL E9'b99EZl Id/Ad L NOIIVA313 0NIISV3 9NIHIHON NOI1d18OS30 #ld 1SI1 1NI0d 10alN00 100d L=IVAN31NI anOINOO'Z %0Z'£0'9dN :A3A8nSOl31d'L :S310N £OLMd'8 ZOLMd S1NIOd ION1N00 AVM 1V8303d d0 A110 NO 03SV8 6Z OA91M :Wnl.VU IV3LLH3A f 10 co LMd 8 ZOLMd SINIOd I081NOO AVM IVH3O3d d0 A1I0 NO 03SV8 L6/£8 OVN '3NOZ HINON 'W31SAS 31VNIGN0003NV1d31VISN019NIHSVM :Wn1VOIV1NOZ1801' S310N A3Awns llAlO o 'SJOS'L SIMOId 3SV8 C13ld30X3 'b 1o81NO0 NOISON3 03 NOLLVA313 00 AL 1V S83dIN00 N338983A3 HIIM 031V1393A311 N 38VHS SV38V 038Nn1S10 -E a 1V83N39 9 gyp+ lodS 8n8HS 'NOIlon81SNOO 018018d mmn038 30 THAA NVId 83dSNV81 HSId _ 33N3213d321 ON IMtl21 a V' WV381S 3H38 1 JO S3H0V38 WV1SNMOO 01 Nomon81SNOO JO V38V NI HSId 3381 SnOnO1030 O d0 83dSNV81 ONV 38n-LdVo 3dVS 83NMO HAM 31VNIOM000 -I-]VHS 8o10V81N00 'Z N91S v "S9NIMV80 N91S3O ONV1108 NI O31N3S38d38 SV SNOIlIONO3 SS333V ONV 311S Adl83A ONV 31V911S3ANI '03Sn SIV1831VW 3dld A1dWl lON OO ONV A1NO 901A83S d0 3dA1 1tl1S303d 3NOHd3l31 n Ol NOI-LVNVd38d O10 3H1 d018Vd SV 11SIA 31IS V lonON00IIVHS 6010V81NO0 ' L 31VOI0NI 9Nldld 9NI1SIX3 80d SNOI1VN91S30 W31SAS ONIdId S31ON NIDuon211SNOO xoe NOIlONnr a3MOd ® "SNOIlV01d103dS 33S 'S3AIVAONV'S0NIl11d'1V1831VW0NIdIdAUN80d 381MAn9 F 3lod ki-run o OS „ZL 9Nldld 9NIISIX3 S31VN9IS3O 838WnN 03X08Nn '133HS SIHl 1HOI1 OBVA A NO NMOHS SV ONV NOIlV018103dS 103r08d 3H1 d0 0091,0 N01103S NI O31d103dS 13ontld 831VM vrt SV 38llVHS 8O10V81NOO 3Hl A8 O3Zlllln SV38V ONI9VIS ONV 9NIANVd 311S-NO 'b 9Nldld M3N S31VN91S30 838WnN O3X08 3A-IVA 331A83S/8313W 831VM ® '1NVldl311S 9NLMX3 3H1 W088 O3AOW38 NO/ONV :SMOIIOd O31V831M39 SI1V1831VW 3H1831dV A131V103WW1 d0 03SOdSIO 98 IIVHS ONV SV W31SAS ONldld A8 03MO-nOd 3ZIS Sll A8 (131JIlN3GI SI ONldld 3A-IVA 831VM ® 311S 1NVld lN31?f1V3Ul3H1 N0038O-LS A118VHOdW313810N IIVHS SWI831VW 113M ® 31SVM'SNOIlb'1n938 31V-LS N019NIHSVM ONV A1Nnoo 9NIN 'AVM IV8303d JOAlIOONVSNOIlVOId103dS08VONV1SAH1JOS1N3W381nom318VMddV SNOI1tlNO1S3a ONldld NISVO HO1VO W8O1S ❑ H1IM 30NVO8O33V NI HOIOVN1N00 3H1 A8 JO (13SOdSIO 38 IIVHS 8010V81N0o 31OHNVW NIV80 WNO1S ® 31-11 A8 O3W80d83d )MOM 3H1 A8 031V83N39 S1VI831VW 31SVM 11V E 3A1VA 3Nn HOV318 ly A901003 d01N31N18Vd3O 31VIS NOl0NIHSVM 3H1 d0 1VA08ddV 801Nd 3AVH Ism S831VM 31VIS 01398VHOSIO MOIIV AllVI1N310d "SHVgdd 3AIVA HWAS ANVIINVS x 1VHl SNOIIOV ANV 'S08VONVIS 1V83O3d 8O 31V.LS O330X3 H01HM'383HdSOW1V SV 133HS 3Hl Ol SNOISSIW3 31Vlnouuvd MOIIV 80'S831VM ONn089 8O 3oVd8nS 831N3 3WVS NO 'NMV V NO dl •NMV80SINOIlVA3l3 1nONV3l0 83M3S A8V11NVS o Ol1V1831VWMOlIV'1N3WN081AN33Hld0NOIlVOV893O3H10131n8181N0o HSVO3Sn SI NOU A3 383HM 838WnN 9NIMV80 3-IOHNVW 83M3S ANVIINVS Q IIVHS AlIAl1oV M-LV138 NOIlon81SNO0 ON -LN3WNO81AN3 31-1180 N01103108d 'Z 3NI130N3d '839VNVW 103ro8d 3H1 AdI-LON Al31VIO3WM IIVHS 8o10V81NO0 3H1 #1IV130 9NIMV80 H3119l NOI-LVA313 3dO-IS d0 301 ------- '0131J 3H1 NI S-LSIX31VHM ONV SE)NIMV80 3S3H1 NO NMOHS SI 1VHM N33M138 S1SIX31OIldNO0 V A 'Nouon81SN00018O18d SNOIIIONOO 311S 9NI1SIX3 t �� 31V89 3dolS d0 dol .....-- - 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NOIlO3S 038Vd38d 80 ONn089 0310VdW00 0V0813AV89 d0 3903 311808d ONV NVId 83OOVl HSId 9NI1SIX3 L-0 9 311d08d 80 NOUVA313 'N01103S 31111 1N3W3AVd d0 3003 - lIAlO 31111 3dOIS3HS "O30N383d38 13 BnOlN00 szt SlIVl30 ONV S310N 0S31 L-03 b SV 133HS 3114VS 3H1 NO SNV3ddV 183A1no IONIN00 NOISOM3 IIV130 dI HSVO 3Sn 'MION383d38 1N3W3SV3 — SI1IV130 383HM 838vm 9NIMV80 �` H0110 3NIl A183d08d -- - SNOIlVN91S3O ONV SNOIlVIA3888V Z-o o-,l=.,Z L:3lV0S O3NOONVBV 80 03A01138 38 Ol 'S310N 1V83N39'S9NIMV8O -AO X3ONI Z-9 Z � 11tl13a 9NIlSIX3 AVM dOlH918 --- ---- 193HS83AOO L-0 L 3NI1831N90 — 1V83N39 838WnN 11V130 31111 03SOd08d 31111 03SOdONd `JNIISIX3 311119NIMV80 9MO 133HS SNOI1tlNO1S3O aN3931 SONIMVHCI d0 X3aNl 2" x 2" x 14 GA WIRE OR FILTER FABRIC JOINT, FILTER EQUIVALENT, IF STANDARD SEE NOTE FABRIC STRENGTH FABRIC USED FILTER FABRIC BACKFII ILLTRENCHLWTH NATIVESOI WRAP FABRIC I I AROUNDTR NCH � o Z v MINIMUM4"x4" f.CY TRENCH Z I LJ 2" x 4" WOOD POSTS, 6'MAX STEEL FENCE POSTS, POST SPACING MAY BE REBAR, OR EQUIVALENT INCREASED TO 8' IF WIRE BACKING IS USED NOTES: 1. FILTER FABRIC FENCES SHALL BE INSTALLED ALONG CONTOUR WHENEVER POSSIBLE, JOINTS IN FILTER FABRIC SHALL BE SPLICED AT POSTS. USE STAPLES, WIRE RINGS, OR EQUIVALENT TO ATTACH FABRIC TO POSTS. INSTALL FILTER FABRIC ACCORDING TO THE MANUFACTURER'S SPECIFICATIONS. 2, FILTER FABRIC FENCE TO BE USED WHERE NEEDED IN ACCORDANCE WITH THE CONTRACT DOCUMENTS. FILTER FABRIC FENCE DETAIL LI1 NTS TYP TEMPORARY EROSION AND SEDIMENT CONTROL NOTES 1. ALL TEMPORARY EROSION AND SEDIMENT CONTROL MEASURES REQUIRED FOR THE PROJECT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR- THE TESC BMPS SHOWN ON THE PLANS ARE THE MINIMUM REQUIREMENTS FOR ANTICIPATED SITE CONDITIONS. DURING THE CONSTRUCTION PERIOD, THESE TESC FACILITIES SHALL BE UPGRADED (E.G., ADDITIONAL SUMPS, RELOCATION OF DITCHES AND SILT FENCES, ETC,) AS NEEDED FOR UNEXPECTED STORM EVENTS AND AS THE CITY REQUIRES. 2. EROSION CONTROL MEASURES SHALL BETAKEN BY THE CONTRACTOR DURING CONSTRUCTION TO PREVENT SILT AND DEBRIS FROM ENTERING THE EXISTING STORM DRAINAGE FACILITIES AND WATERWAYS, IN COMPLIANCE WITH THE DRAWINGS, THE SPECIFICATIONS AND THE WASHINGTON DEPARTMENT OF ECOLOGY STORM WATER MANAGEMENT MANUAL 3. EROSION AND SEDIMENT CONTROL MEASURES PROVIDED FOR CONSTRUCTION OF THE PROJECT SHALL BE DETERMINED AND FIELD LOCATED BY THE CONTRACTOR TO SUIT CONDITIONS. THE EROSION AND SEDIMENT CONTROL MEASURES SHALL BE IN COMPLIANCE WITH THE CURRENT EDITION OF THE WASHINGTON STATE DEPARTMENT OF ECOLOGY STORM WATER MANAGEMENT MANUAL FOR WESTERN WASHINGTON. 4. ALL REQUIRED EROSION/SEDIMENT CONTROL FACILITIES SHALL BE CONSTRUCTED AND IN OPERATION PRIOR TO LAND CLEARING AND/OR OTHER CONSTRUCTION TO ENSURE THAT SEDIMENT LADEN WATER DOES NOT ENTER THE DRAINAGE SYSTEM OR VIOLATE APPLICABLE WATER STANDARDS. ALL EROSION AND SEDIMENT FACILITIES SHALL BE MAINTAINED IN A SATISFACTORY CONDITION UNTIL SUCH TIME THAT CLEARING AND/OR CONSTRUCTION IS COMPLETED AND POTENTIAL FOR ONSITE EROSION HAS PASSED. THE IMPLEMENTATION, MAINTENANCE, REPLACEMENT AND ADDITIONS TO EROSION/SEDIMENT CONTROL SYSTEMS SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR. 5. IN ANY AREA WHICH HAS BEEN STRIPPED OF VEGETATION AND WHERE NO FURTHER WORK IS ANTICIPATED FOR A PERIOD OF 30 DAYS OR MORE, ALL DISTURBED AREAS MUST BE IMMEDIATELY STABILIZED WITH MULCHING, GRASS PLANTING OR OTHER APPROVED EROSION CONTROL TREATMENT APPLICABLE TO THE TIME OF YEAR IN QUESTION. GRASS SEEDING ALONE WILL BE ACCEPTABLE ONLY DURING THE MONTHS OF APRIL THROUGH SEPTEMBER, INCLUSIVE. SEEDING MAY PROCEED, HOWEVER WHENEVER IT IS IN THE INTEREST OF THE CONTRACTOR, BUT MUST BE AUGMENTED WITH MULCHING, NETTING, EROSION BLANKETS OR OTHER APPROVED TREATMENT OUTSIDE THE SPECIFIED TIME PERIOD, 6. SHOULD THE TEMPORARY EROSION AND SEDIMENTATION CONTROL MEASURES TAKEN PROVE INADEQUATE TO CONTROL EROSION AND SEDIMENTATION, THE CONTRACTOR SHALL INSTALL ADDITIONAL FEATURES AS NECESSARY TO PROTECT, SENSITIVE AREAS, NATURAL WATER COURSES AND/OR STORM DRAINAGE SYSTEMS- 7- THE TESC FACILITIES SHALL BE INSPECTED AFTER EACH STORM AND DAILY DURING PROLONGED RAINFALL BY THE CONTRACTOR AND MAINTAINED AS NECESSARY OR AS DIRECTED BY THE ENGINEER TO ENSURE THEIR CONTINUED FUNCTIONING. NECESSARY REPAIRS OR REPLACEMENT OR FACILITIES SHALL BE ACCOMPLISHED PROMPTLY- 8. RETURN SILTATION CONTROL AREAS TO ORIGINAL OR BETTER GROUND CONDITIONS AT PROJECT COMPLETION- C S;LTANTS Revision BHC Consultants, LLC 1601 Fifth Avenue, Suite 500 Seattle, Washington 98101 206 505.3400 206.505 3406 (fax) v—v bhcconsultanls,com Call 48 Hours Before You Dig 1-800-424-5555 yRDERGxpURDBERYM Prel imi nary �. Wr�Q 90% Review Set v A Not For Construction 05-2015 $ µs �SsrgvAL Designed: J. W Ison, P E Scale: NIA Lakehaven Utility District 31627 1st Avenue South Federal Way, Washington 98063 LAKOTA CREEK FISH LADDER REPAIRS EROSION CONTROL NOTES AND DETAILS Drawing: EC - 'I Dravm: A Cadaso Sheet X of X One mon at Full Scale Checked: X I�-if If Not Ono Inch Scale A—dirgly y f IRY ,�glC� D Tel (253) 941-1516 Fax(253)927-2922 File: P14-10344-023 EC-1 Approved: X Date: May 2015 wPl' Wr G 2013 BHC CONSULTAHIS, LLC ALL RIGHTS RESERVED 03A83SM UHOlU lltl'011 s1 viin SNOO OHS 9LOZO1HOlHAdO0 Nwlw000tl ales "111OloNll 1— —1 NWirUun+� X :panoiddy woasfueLlnsuomyq nuA N di7 n s N OO (>�l9oaesas9oz IV V I�1.7I�E �J ot16£'sos 9oz LO LB6 uol6u!ysely! a01eaS oosap!ns'anuaAV yU!3 Lo9L 011 `s;uLIlnsuoo OHe 9LOZ Any :aled 311��.id aNV NV�d 2l3aaVl HSId 9NI1SIX3 SMItld3M M3U0tll HSId M33HO tl10MVl ZZ6Z LZ6 (£SZ) xed ] 1I1 949V- t,6(M)lal j E9086 uo;6u! se I(e 4 O Ml LZ9p j yj6 jgseu 'AL LZ9L£ ;3!j;sIQ A;1I1;n uaAegeme7 r Rd V AB a]ea uup:!naS •o!p '�'^ t� sto rrcoL•�Le :a!!� X :pa>laay� X to X :laayg �,0-,Z=„L :>JaA Zllo o-,s=„L eas uowlg •d :uwela 4.0 :6u!..Cl 3d uos!M• :pau6!saa i .pry' 19, s+i Y 04 'ir0'�cvA i� C Z4 571,1'�.a 301AN3SONnoaOa3a Nn SS55-4Zti-008-6 44 81a noA ejopg sinoH 8b 11Y33 94 9 L OZ-90 uol;onjisuoo job ION 108 AnarwOM %06 B4 AJ13U!L I-IOJd oz ZZ YZ OL 51 ZF �qSq m $S 0 m oz »R ZZ Y 8 VZ AM ImuoM'M31 a f�io as \\ Li9Z ;hTG3 ZLTg��� 1 \ - \ ' xa o3lvao, 9ZL \ eff �• \ Zl'L'9/rLlH m a aNnbd a \ \ \ w4 Hvoa \ �dNnodwoa lw-4 ul SMS ' , r rrrr r i l I�iII o \ \ or s r f � T 311s deaa,l,,Y6s r r `�J LLZ�Lxnru spas 1NMIO3s 1VLLN31(�C3d r r \ 6r[i'sczL �e! \\� 1 \ \ \Sa3ifiCR19WV3alSX3 ' \ ol oc 00 or a32i1nO311 sV 'CIV 030 WV3alS lSn /\\ ----- --- — / / C1131J mminc zi C131VOO13a _ ViOa 1113MA0011aNnO 110, A Revision - 1B± 'I r11 COMPOUND ROCK WEIRS NOTES: 1, FOOTER STONE AND VANE STONE SHALL BE THREE-MAN ROUNDED ROCK AT LEAST 3' x 2' x 2' WEIGHING AT LEAST 1,000 POUNDS EACH. 2. SET CENTER BOULDER 2"4" LOWER THAN OTHER BOULDERS. WEIR TO BE VEE SHAPED. 3. GAPS IN ROCK WEIRS SHALL BE FILLED WITH LIGHT LOOSE RIP -RAP. 4. SEAL REMAINING GAPS WITH EXCAVATED STREAMBED MATERIAL PLAN BHC Consultants, LLC 1601 Fifth Avenue, Suite 500 jns;ap� Seattle, Washington 96101 206 505.3400 206 3406 (Pax) www bhcconsultanls com bli 14'± 4± BANKFULL WIDTH 4'± CUTTOFF VANE STONE ROCK RIGHT LEFT I -CUTTOFF BANK BANK j TOCK PICAL STREAM BOTTOM DESIGN GRADE , FOOTER STONE - ` SECTION A -A ROCK WEIRS STEP DISTANCE 9"± 3'- BOULDERS FILL GAPS ON U/S SIDE WITH SMALLER RIPRAP. SEAL REMAINING GAPS WITH EXCAVATED STREAMBED MATERIAL SET CENTER BOULDER 2"4" LOWER THAN OTHER BOULDER WEIR TO BE VEE SHAPED VANE STONE BANKFULL 4TO7o DESIGN GRADE COMPOUND ROCK WEIR DETAIL %71 NTS TYP Designed: J Wilson, P E Scale: N/A Drawn: A Cadaso One 4vA1 el F W Sma Checked: X I - If No One Inch Approved: X scale Accordingly FOOTER STONE SECTION B-B Lakehaven Utility District 31627 1 , nue South Federal ay, Washington Federal Way, Washington 98063 Tel 941-1516 253) l�nSiC' Fax((253) 927 29 2 FW STEP DISTANCE 9"± Call 48 Hours Before You Dig 1-800-424-5555 UNDERGROUND SERVICE Preliminary w1�s 90% Review Set a, Not For Construction 05-2015 LAKOTA CREEK FISH LADDER REPAIRS Drawing: C-2 COMPOUND ROCK WEIR Sheet x o1 x DETAILS File: P14-10344-023 C-2 Date: May 2015 COPYRIGHT ®2015 MC CONSULTANTS, LUG ALL RIGHTS RESERVED 03AN3S3H Sl OICIIV 011'S1 viinSNOOOH9 GMZ®1HOIHAdO3 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT REVIEW COMMITTEE TRANSMITTAL DATE: May 22, 2015 TO: E.J. Walsh, Development Services Manager Tony Doucette, SWM Engineer FROM: Becky Chapin, Associate Planner FOR DRC MTG. ON: No Meeting. Please review the attached documents and provide technical comments and/or conditions of approval. FILE NUMBER(s): 15-102240-00-AD RELATED FILE NOS.: None PROJECT NAME: LAKOTA CREEK FISH LADDER REPAIR PROJECT ADDRESS: 3203 SW DASH POINT RD ZONING DISTRICT: RS 15.0 PROJECT DESCRIPTION: Repair and maintenance of stream enhancements. LAND USE PERMITS: Administrative Decision - Stream Rehabilitation PROJECT CONTACT: Ken Miller Lakehaven Utility District PO Box 4249 MATERIALS SUBMITTED: • Cover Letter • Fish Habitat Enhancement Project Application • JARPA • Preliminary 90% Review Set Drawings A0 1Z-- /off y o LAKEHAVEN UTILITY DISTRICT 31627 15t Ave South • P.O. Box 4249 • Federal Way, Washington 98063-4249 Federal Way: 253-941-1516 • Tacoma: 253-927-2922 www.lakehaven.org May 6, 2015 Ms. Becky Chapin, Associate Planner City of Federal Way — City Hall 33325 8t" Avenue South Federal Way, WA 98003-6325 Re: Lakota Creek Fish Ladder Repair Project Dear Ms. Chapin: RECEIVED BY COMMUNITY & ECONOMIC DEVELOPMENT DEPARTMENT MNr 0 8 Z015 Lakehaven Utility District is proposing to perform repairs and maintenance to the existing stream enhancements which include installation of temporary stream bypass facilities, construction of one and/or two additional rock weirs, relocation of boulder field downstream and possible re- introduction of removed sediment back into stream channel to reduce peak flow channel scour. Existing facilities within Lakota Creek include a sediment trap, two culverts, several embedded logs, rock weirs, boulder fields and some stream bank armor. Additional maintenance includes cleaning the sediment trap, culverts and stream channel as necessary routine maintenance to promote passage of fish and improve the natural habitat. All work will be under the guidelines of the 2011-2016 Washington Department of Fish and Wildlife (WDFW) — Hydraulic Project Approval (HPA) permit. Construction work will occur between 1 July and 30 September when precipitation is minimal. Erosion control measures will be installed during construction to minimize soil disturbance and erosion potential. We appreciate your consideration in reviewing and approving this maintenance repair work within the Lakota Creek. If you have any questions, please contact Tim Osborne, Project Engineer at tosborne()a�,lakehaven.org or call (253) 945-1582. Sincerely, Ken Miller, P.E. Engineering Manager Lakehaven Utility District Enclosed: Washington State Joint Aquatic Resources Permit Application (DARPA) Fish Habitat Enhancement Exemption Project Plan Sheet cc: Project File Leonard D. Englund Charles I. Gibson Timothy A. McClain Donald L.P. Miller Ronald E. Nowicki Commissioner Commissioner Commissioner Commissioner Commissioner Application for Streamlined Processing of FISH HABITAT ENIIANCEMENT PROJECTS Addition to the Joint Aquatic Resources Permit Application (JARPA) Page 1 Under RCW 77.55.181 you may qualify for a streamlined permit process with no local government fees if your project is designed to enhance fish habitat. If your project meets the requirements below, you are entitled to the streamlined Hydraulic Project Approval (HPA) process, exemption from the State Environmental Policy Act (SEPA), and exemption from all local government permits and fees. To apply for the exemption process, you must provide, on the same day, a complete application package to: the Department of Fish and Wildlife (WDFW) and all applicable local government planning and permitting departments. Local governments have 15 days to provide comments to WDFW to aid it in deciding whether your project qualifies (see below for details). To QUALIFYfor the fish habitat enhancement exemption you must check at least one each from A and B and provide a letter of approval from one of the agencies listed in B. It is highly recommended you discuss your proposal with the local Habitat Biologist prior to submitting your application. A) My project (check all that apply): ❑Removes a human -made or caused fish passage barrier. ❑Restores an eroded or unstable stream bank using bioengineering techniques. Places woody debris or other in -stream structures that benefit naturally reproducing fish stocks. B) My project is approved by (check all that apply): T heM Salmon Enhancement, or Volunteer Cooperative Fish and Wildlife Enhancement Programs. ]The sponsor of a watershed restoration plan as provided in chapter 89.08RCW. 111WDFW, as a department -sponsored fish enhancement or restoration project. ❑Conservation District, where the project complies with design standards established by the Conservation Commission through interagency agreement with the United States Fish and Wildlife Service and the Natural Resource Conservation Service. ❑A formal grant program established by the legislature or the Department of Fish and Wildlife for fish habitat enhancement or restoration. ❑The Washington State Department of Transportation's environmental retrofit program as a stand-alone fish passage barrier correction project. ❑A local, state, or federally approved fish barrier removal grant program designed to assist local governments in implementing stand-alone fish passage barrier corrections. .A city or county for a stand-alone fish passage barrier correction project funded by the city or county. To APPLYfor the Exemption, submit a complete application package consisting of the following documents to the local government planning department and WDFW. Indicate below which local government agency you are sending your application to and when you are sending it Required application materials: Iam • This addition to the JARPA. ■ A completed JARPA (use the most recent version of JARPA). Payment of EPA application fee of $150 (submit ONLY to Washington Department of Fish and Wildlife). • Plan drawings (no larger than 11 x 17 format). Letter of approval of your specific project from one of the agencies listed in B, above. to the Following local rovernnrenf CtrY of F6 0E RO L. WA Y_l Asr !aCn ToA1 Continued on back of page 1 xx/xx/20xx on: oSo411ao1S (Date) JARPA Fish Habitat Revision 2014 Application for Streamlined Processing of FISH HABITAT ENHANCEMENT PROJECTS Addition to the Joint Aquatic Resources Permit Application (JARPA) Page 2 PLEASE NOTE: • In addition to applying for this streamlined processing, you need to apply for all other applicable Federal and State permits identified in the JARPA. a If WDFW determines that your project meets the fish habitat enhancement exemption criteria, SEPA and all local government permits and fees are waived. WDFW will process your HPA within 45 days of receiving your complete application. • If significant concerns are raised during the 15-day comment period regarding adverse impacts from your project that cannot be addressed through HPA conditions, WDFW may determine that the project does not qualify for the exemption process. If WDFW makes that decision, you may re -apply to WDFW, the applicable local government, and any other applicable permitting agency for approval under the full permitting process. If WDFW determines that your project does NOT qualify for the exemption, or if your application is incomplete, you and the local government planning department will be notified. A�plic$nt Name: I Lakehaven Utility District JARPA Fish Habitat Revision 2014 AGENCY USE ONLY 1 f Date received: i rS5 Army Cnrpa WASHINGTON STATE $� roorasis` Joint Aquatic Resources Permit Agency reference#:. Application (JARPA) Form1,2 Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. r i r � Part 1—Project Identification 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) help] Lakota Creek Fish Ladder Repairs & Maintenance Part 2—Applicant The person and/or organization responsible for the project. he[ ___pjl 2a. Name (Last, First, Middle) Osborne, Tim 2b. Organization (If applicable) ' Lakehaven Utility District 2c. Mailing Address (Street or PO Box) 31623 — 1 st Avenue South 2d. City, State, Zip Federal Way, WA 98003-5201 2e. Phone (1) 2f. Phone (2) 2g. Fax 2h. E-mail ( 253-945-1582 } (253-941-1516 ) (253-529-4081 ) tosborne@lakehaven.org 1Additional 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:itw.rw.nws.usace.armv.mit/MiSsion slCiviIWorks/Rgu]atoEyRermitGuideb0oklEndangeredSDenies. aspx. • Not all cities and counties accept the JARPA for their local Shoreline permits. If you need a Shoreline permit, contact the appropriate city or county government to make sure they accept the JARPA. ZTa access an online JARPA form with [help) screens, go to htto:INJww.epermittino.wa.eoylsftelaiias resource_centerliarDa iama form199841LDa form.as�x For other help, contact the Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or help@ora.wa.gov. JARPA Revision 2012.2 Pagel 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.) hf V 3a. Name (Last, First, Middle) Wilson, John C 3b. Organization (If applicable) BHC Consultants LLC 3c. Mailing Address (Street or PO Box) 1601 Fifth Avenue Suite 500 3d. City, State, Zip Seattle, WA 98101 3e. Phone (1) 3f. Phone. (2) 3g. Fax 3h. E-mail (206-357-9928 ) (206-505-3400 } (206-505-3406 ) John.wilson@bhcconsultants.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. hT m 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. 1f yes, complete JARPA Attachment E to apply 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) 0. Phone (2) 4g. Fax 4h. E-mail JARPA Revision 2012.2 Page 2 of 15 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. h[ ell ❑ 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.) tgu ❑ Private ❑ Federal ■ Publicly owned (state, county, city, special districts like schools, ports, etc.) ❑ Tribal ❑ Department of Natural Resources (DNR) — managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) hjp] 3203 SW Dash 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.) h[ elp] Federal Way, WA 98023 5d. County h[ ell King 5e. Provide the section, township, and range for the project location. hLelp] '/4 Section Section Township Range NW114 12 21 N 03E 5f. Provide the Iatitude and longitude of the project location. hf eU • Example: 47.03922 N lat.1-122.89142 W long. (Use decimal degrees - NAD 83) N 47.32674 W 122.37037 5g. List the tax parcel number(s) for the project location. hf gAl • The local county assessor's office can provide this information. 1221039105 5h. Contact information for all adjoining property owners. (if you need more space, use DARPA Attachment C.) Lelp Name Mailing Address Tax Parcel # (if known) City of Federal Way :3200 SW Dash Point Road 1221039146 Federal Way, WA 98023 Lakehaven Utility District NIA 0121039075 JARPA Revision 2012.2 Page 3 of 15 Si. List all wetlands on or adjacent to the project location. belpi Lakota Creek 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. Dgm Puget Sound 51k. Is any part of the project area within a 100-year floodplain? t,[ eM Yes ❑ No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. hj gM Second growth forest with mixed undergrowth generally shading Lakota Creek from most sunlight 5m, Describe how the property is currently used. h[ eM LUD property north of SW Dash Point Road is maintained as habitat along Lakota Creek for fish. 5n. Describe how the adjacent properties are currently used. hM Adjacent parcels to east are single family residential. Parcel to west is Dumas Bay Center operated by City of Federal Way as a park and recreation facility 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. NeipJ Fish ladder of rock weirs, boulder fields and embedded logs with some stream armor for fish habitat. Current condition of the facilities is good with minor maintenance required. 5p. Provide driving directions from the closest highway to the project location, and attach a map. of pij Property is on north side of SR 509 at Lakota Creek across street from LUD Lakota Wastewater Treatment Plant just west of 3WI Avenue SW. JARPA Revision 2012.2 Page 4 of 16 Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. hel Maintenance work will repair as needed the existing Lakota Creek rock weirs, and one and possibly two additional rock weirs, and relocate the existing boulders further downstream to create space for the added rock weirs. 6b. Describe the purpose of the project and why you want or need to perform it. hL eAl Project will maintain the effectiveness of the existing fish ladder and improve it with the addition of one or two rock weirs to reduce the fish jumps to about 9 inches per the recommendations of the Washington Department of Fish and Wildlife (VVDFW). .6c. Indicate the project category. (Check all that apply) h[ .el ❑ Commercial ❑ Residential ■ Institutional ❑ Transportation ❑ Recreational ® Maintenance ❑ Environmental Enhancement 6d. Indicate.the.major elements of your project. (Check all that apply) [llelpj ❑ Aquaculture ❑ Bank Stabilization ❑ Boat House ❑ Boat Launch ❑ Boat Lift ❑ Bridge ❑ Bulkhead ❑ Buoy ❑ Channel Modification ❑ Other. ❑ culvert Dam / Weir ❑ Dike / Levee / Jetty ❑ Ditch ❑ Dock / Pier ❑ Dredging ❑ Fence ❑ Ferry Terminal ❑ Fishway ❑ Float ❑ Floating Home ❑ Geotechnicai Surrey ❑ Land Clearing ❑ Marina / Moorage ❑ Mining ❑ Outfall Structure ❑ Piling/Dolphin ❑ Raft ❑ Retaining Wall (upland) ❑ Road ❑ Scientific Measurement Device ❑ Stairs ❑ Stormwater facility ❑ Swimming Pool ❑ Utility Line JARPA Revision 2012.2 Page 5 of 15 6e. Describe how.:you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. htelp] • : Identify where each element will occur in relation to the nearest waterbody. • 'Indicate which activities are within the 'ioo-year floodplain. Temporary bypass culvert or pumping installation will be installed before any in -stream work is performed, with sand bags as necessary to isolate the work area. Fish within the work area will be captured and relocated. Some existing vegetation and trees will be removed to provide access to the in -stream work area. Existing boulder field will be relocated and the new rock weirs installed. When work is complete and accepted, the temporary bypass will be removed. Bank vegetation will be restored with native plants as needed. Lakota Creek culvert and channel downstream of sediment trap will be cleaned as found necessary. Sediment accumulated in the sediment trap will be removed. Some or all of this material may be stockpiled near the stream channel to be re -introduced into Lakota Creek as needed to minimize channel scour that has occurred in the past and stabilized the fish habitat. All elements and activities are within the 100-year floodplain and the Lakota Creek. 6f. What are the anticipated start and end dates for project construction? (MonthNear) ffield If the project will be constructed in phases or stages, use DARPA Attachment D to list the start and end dates of each phase or stage. Start date: 1 July 2015 End date: 30 September 2015 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. h[ elf $100,000 6h. Will any portion of the project receive federal funding? hi elol ■ If yes, list each agency providing funds. ❑ Yes ■ No ❑ Don't know - 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.) hLeip] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. hell ) ❑ Not applicable JARPA Revision 2012.2 Page 6 of 15 Existing rock access road to the site will be used to the extent practical. Vegetation removal and extension of the road to access the extended work area will be minimized. Temporary bypass will be installed and in operation before any in -stream work is begun. Where significant vegetation damage occurs during construction, restoration will be accomplished with native plantings. Slit fences and/or straw bales will be used as necessary to prevent temporary erosion. 7b. Will the project impact wetlands? h[ elp ❑ Yes ❑ No Don't know 7c. Will the project impact wetland buffers? hL,ell ❑ Yes ❑ No M Don't know 7d. Has a wetland delineation report been prepared? hL tm • If Yes, submit the report, including data sheets, with the JARPA package. ❑ Yes 0 No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? bel • 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? hll] 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 0 Not applicable Project is routine on -going maintenance of an existing fish ladder as has been done for many years under previous HPA authorizations. An EIS was prepared for the initial fish ladder construction which was in fact mitigation for relocation of Lakota Creek to provide space to upgrade the Lakota WWiP to provide secondary treatment for the Federal Way area. 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. hel NIA 71h. 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. hel Activity (fill, Wetland Wetland Impact Duration Proposed I Wetland drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area flood, etc.) rating ft. or type4 (sq. ft. or category Acres) acres) JARPA Revision 2012.2 Page 7 of 15 None 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. '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" 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: 71i. 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. h� elan None 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. fhelpi None 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.) hr eU ❑ 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. heU E Not applicable JARPA Revision 2012.2 Page 8 of 15 8b. Will your project impact a waterbody or the area around a waterbo Yes M No DARPA Revision 2012.2 Page 9 of 15 8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non -wetland waterbodies? hl�] 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 NNotapplicable 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. h[ ell ] NIA 8e. Summarize impact(s) to each waterbody in the table below. hr esi ] Activity (clear, dredge, fill, pile drive, etc.) Waterbody name' Impact location Duration of impact3 Amount of material (cubic yards) to be placed in or removed from waterbody Area (sq. ft. or linear ft.) of waterbody directly affected NIA ' 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. 2Indicate 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. 3Indicate the days, months or years the waterbody will be measurab!y 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. h[ M N/A JARPA Revision 2012.2 Page 10 of 15 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. h[ eM N/A 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. hel Agency Name Contact Name WDFW Larry Fisher Phone Most Recent Date of Contact { 425 ) 313-5683 5 December 2014 9b. Are any of the wetlands or waterbodies identified in Part 7 or Part 8 of this JARPA on the Washington Department of Ecology's 303(d) List? h ■ If Yes, list the parameter(s) below. ■ If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at: hftp://www.egy.wa.gov/r)ragrams/wcil3O3dL ❑ Yes E No 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? Thelpl • Go to http: Jcipub.ega.00vlsu!/Incaterindex.cIm to help identify the HUC. None 9d. What Water Resource Inventory Area Number (WRIA #) is the project in? gipj ■ Go to http:/Jwww.ecv.wa.aQvlservicesluial apslwria/wi,ia, iitrxi to find the WRIA #. 09.0386 JARPA Revision 2012.2 Page 11 of 15 9e, Will the in -water construction work comply with the State of Washington water quality standards for turbidity? hLei Go to h_ttn:llwww.ecy.wa.gov/programs/wulswas/criteria.html for the standards. Yes ❑ No ❑ Not applicable 9f. If the project is within the jurisdiction of the Shoreline Management Act, what is the local shoreline environment designation? hT eld • If you don't know, contact the local planning department. • For more information, go to: httn:flwww.acy.�va.gov_lprograms/sea/smalla►us_rules/t73-26/211_designations.himl. ❑ Rural ❑ Urban ❑ Natural ❑ Aquatic ❑ Conservancy ❑ Other 9g. What is the Washington Department of Natural Resources Water Type? el • Go to htto:llwww.dnr.wa.gov/gusinessPermits/Tooicsll=orestPracticesAao#ications/Pageslfpwatedyping.aspx for the Forest Practices Water Typing System. ❑ 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? hI elo . • If No, provide the name of the manual your project is designed to meet. Yes ❑ No Name of manual: 9i. Does the project site have known contaminated sediment? eAi 4t If Yes, please describe below. ❑ Yes No 9j. If you know what the property was used for in the past, describe below. h[_elpj Lakota Creek fish habitat. 9k. Has a cultural resource (archaeological) survey been performed on the project area? g[pel ] • If Yes, attach it to your JARPA package. ❑Yes 8No JARPA Revision 2012.2 Page 12 of 15 91. 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. 9LeM Chum (threatened), 9m. 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. h€ eM Part 10—SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. F Online Project Questionnaire at http://apps.egy.wa.goy/opal/. Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or he€p@ora.wa.gov. For a list of addresses to send your DARPA to, click on agency addresses for completed DARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) hfel • For more information about SEPA, go to www.egy.wa.ciov/programs/sea/Sena/e-review.htmf. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ® A SEPA determination is pending with Lakehaven Utility District, (lead agency). The expected decision date is 04/01/15. I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) hel ❑ 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. JARPA Revision 2012.2 Page 13 of 15 1 Ob. Indicate the permits you are applying for. (Check all that apply.) hf gm LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance ❑ Shoreline Exemption Type (explain): Other City/County permits: ❑ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: Hydraulic Project Approval (HPA) ® Fish Habitat Enhancement Exemption -- Attach Exemption Form Effective July 10, 2012, you must submit a check for $150 to Washington Department of Fish and Wildlife, unless your project qualifies for an exemption or alternative payment method below. Do not send cash. Check the appropriate boxes: $150 check enclosed. Check # Attach check made payable to Washington Department of Fish and Wildlife. ❑ My project is exempt from the application fee. (Check appropriate exemption) ❑ HPA processing is conducted by applicant -funded WDFW staff. Agreement # ❑ Mineral prospecting and mining. ❑ Project occurs on farm and agricultural land. (Attach a copy of current land use classification recorded with the county auditor, or other proof of current land use.) ❑ Project is a modification of an existing HPA originally applied for, prior to July 10, 2012. HPA ## Washington Department of Natural Resources: ❑ Aquatic Use Authorization Complete JARPA Attachment E and submit a check for $25 payable to the Washington Department of Natural Resources. Do not send cash. Washington Department of Ecology: ❑ Section 401 Water Quality Certification FEDERAL GOVERNMENT United States Department of the Army permits (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) United States Coast Guard permits: ❑ Private Aids to Navigation (for non -bridge projects) JARPA Revision 2012.2 Page 14 of 15 Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help] 112. Applicant Signature (required) hel 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 authori a 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. f H (initial) Tim Osborne T of ' ot/S Applicant Printed Name licant Sig tore Dat 11b. Authorized Agent Signature hbg!o 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. John C Wilson Authorized Agent Printed Name ut rued Agent Signature Date 11 c. Property Owner Signature (if not applicant) hf pM 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. NIA 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 formal, 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. 0812013 JARPA Revision 2012.2 Page 15 of 15