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ORIA-16-011 Page 1 of 13 WASHINGTON STATE Joint Aquatic Resources Permit Application (JARPA) Form1,2 [help] USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. Part 1–Project Identification 1. Project Name (A name for your project that you create. Examples: Smith’s Dock or Seabrook Lane Development) [help] Willows Road Culvert Replacement Part 2–Applicant The person and/or organization responsible for the project. [help] 2a. Name (Last, First, Middle) Emily Flanagan 2b. Organization (If applicable) City of Redmond 2c. Mailing Address (Street or PO Box) 15670 NE 85th St. MS: 2NPW │ 2d. City, State, Zip Redmond, WA 98073 2e. Phone 2f. Phone 2g. Fax 2h. E-mail [PHONE REDACTED] [EMAIL REDACTED] 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://www.nws.usace.army.mil/Missions/CivilWorks/Regulatory/PermitGuidebook/EndangeredSpecies.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. 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 [EMAIL REDACTED]. AGENCY USE ONLY Date received: Agency reference Tax Parcel ---PAGE BREAK--- ORIA-16-011 Page 2 of 13 Part 3–Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11b of this application.) [help] 3a. Name (Last, First, Middle) 3b. Organization (If applicable) 3c. Mailing Address (Street or PO Box) 3d. City, State, Zip 3e. Phone 3f. Phone 3g. Fax 3h. E-mail 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. [help] ☐ Same as applicant. (Skip to Part ☒ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part ☐ 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 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 4f. Phone 4g. Fax 4h. E-mail ---PAGE BREAK--- ORIA-16-011 Page 3 of 13 Part 5–Project Location(s) Identifying information about the property or properties where the project will occur. [help] ☒ 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.) [help] ☐ 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.) [help] NE 91st Street 5c. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) [help] Redmond, WA, 98052 5d. County [help] King 5e. Provide the section, township, and range for the project location. [help] ¼ Section Section Township Range NE 3 25N 5E 5f. Provide the latitude and longitude of the project location. [help] • Example: 47.03922 N lat. / -122.89142 W long. (Use decimal degrees - NAD 83) Willows Creek 47.6863, -122.1465 5g. List the tax parcel number(s) for the project location. [help] • The local county assessor’s office can provide this information. Public ROW, [PHONE REDACTED]. The City has easements to access private property and complete the project. 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment [help] Name Mailing Address Tax Parcel # (if known) Wakefield Redmond West LLC 9521 Willows Rd [PHONE REDACTED] Redmond, WA 98052 Green Star Properties LLC 9461 Willows Rd [PHONE REDACTED] Redmond, WA 98052 Kelly Patrick JJ 14570 NE 95th St [PHONE REDACTED] Redmond, WA 98052 NWB Willows LLC 14940 NE 95th St Unit B [PHONE REDACTED] Redmond, WA 98052 ---PAGE BREAK--- ORIA-16-011 Page 4 of 13 5i. List all wetlands on or adjacent to the project location. [help] • There are three riparian wetlands in the project area within or associated with the ordinary high water mark of Willows Creek or associated roadside drainage features created in remnant wetlands. Additional information is provided in the Critical Area Study prepared for the project. 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] • Willows Creek 5k. Is any part of the project area within a 100-year floodplain? [help] ☐ Yes ☒ No ☐ Don’t know 5l. Briefly describe the vegetation and habitat conditions on the property. [help] The majority of habitat is roadside ditches and wetlands inhabited primarily by non-native invasive species such as reed canarygrass. Some portions the property are landscaped with streetscape vegetation including native and non-native species. 5m. Describe how the property is currently used. [help] The site is primarily thee roadway and right of way for Willows Road. The Redmond Central Connector trail parallels the roadway to the east of the culvert location. The upstream extent of each culvet extends onto private property and are contained within easements that provide the City of Redmond permission to access the sties and complete the proposed project. 5n. Describe how the adjacent properties are currently used. [help] The adjacent properties are commercial and light industrial uses within a developed business park area. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. [help] The existing structure is a culvert under Willows Rd. The existing Willows Creek culvert is a 43”x27” corrugated metal pipe arch culvert. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help] From I-405 exit at NE 85th St (Redmond Way). Turn left on Willows Road and proceed 1.0 mile to the subject property. Part 6–Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. [help] The City of Redmond intends to rehabilitate the pavement surface on Willows Road between NE 90th and 124th Streets. The existing road section will be repaved and ADA ramps will be updated. In addition, the project will replace two culverts that span Willows Road, one at Willows Creek and one at Gun Club Creek. 6b. Describe the purpose of the project and why you want or need to perform it. [help] Willows Road between NE 90th and 124th Streets needs rehabilitation to extend service life. The culverts carrying Willows and Gun Club Creek under Willows Road are at the end of their anticipated service life and would be replaced as part of the road rehabilitation. The new culverts would generally be in the same footprint as the culverts being removed, but additional width would be provided to improve fish passage. ---PAGE BREAK--- ORIA-16-011 Page 5 of 13 6c. Indicate the project category. (Check all that apply) [help] ☐ Commercial ☐ Residential ☐ Institutional ☒ Transportation ☐ Recreational ☒ Maintenance ☒ Environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] ☐ Aquaculture ☐ Bank Stabilization ☐ Boat House ☐ Boat Launch ☐ Boat Lift ☐ Bridge ☐ Bulkhead ☐ Buoy ☐ Channel Modification ☒ Culvert ☐ Dam / Weir ☐ Dike / Levee / Jetty ☐ Ditch ☐ Dock / Pier ☐ Dredging ☐ Fence ☐ Ferry Terminal ☐ Fishway ☐ Float ☐ Floating Home ☐ Geotechnical Survey ☐ Land Clearing ☐ Marina / Moorage ☐ Mining ☐ Outfall Structure ☐ Piling/Dolphin ☐ Raft ☐ Retaining Wall (upland) ☒ Road ☐ Scientific Measurement Device ☐ Stairs ☐ Stormwater facility ☐ Swimming Pool ☐ Utility Line ☐ Other: 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. At Willows Creek, the existing 43”x27” corrugated metal pipe arch culvert will be replaced with a 12’ wide by 5’ foot high three-sided box culvert. Strip footings on each side of the culvert will be 2 by 2 feet and the culvert will be stabilized in place with seven 4” diameter pin piles on each side of the culvert, for a total of 14 pin piles. The piles will extend 25 feet beneath the existing ground surface. At Gun Club Creek, the existing 36”x22”corrugated metal pipe arch culvert will be replaced with a 10’ wide by 4’ foot high four-sided box culvert The culvert will be placed on an 18” deep rock pad foundation. An existing water line will be expanded to 1 foot in diameter and lowered to a depth of 7-8 feet below surface parallel to Willows Road. The project area is located outside the Sammamish River 100-year floodplain. The culvert replacements will be accomplished with equipment such as a pile driver, crane, excavator, dump truck, concrete truck, light service vehicles, and various hand tools. A nearby parking lot will be used for material storage and equipment staging. Access to the Project site will be via existing roads. 6f. What are the anticipated start and end dates for project construction? (Month/Year) [help] • If the project will be constructed in phases or stages, use JARPA Attachment D to list the start and end dates of each phase or stage. Start Date: Spring 2019 End Date: Spring 2020 ☐ See JARPA Attachment D ---PAGE BREAK--- ORIA-16-011 Page 6 of 13 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [hIelp] $6,000,000 6h. Will any portion of the project receive federal funding? [help] • 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 [help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ☐ Not applicable The culvert replacement is designed to avoid permanent impacts to wetlands and wetland buffers. 7b. Will the project impact wetlands? [help] ☒ Yes ☐ No ☐ Don’t know (Temporary short term construction impacts, less than 6 months only) 7c. Will the project impact wetland buffers? [help] ☒ Yes ☐ No ☐ Don’t know 7d. Has a wetland delineation report been prepared? [help] • If Yes, submit the report, including data sheets, with the JARPA package. ☒ Yes ☐ No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] • 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? [help] • 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 ☐ Don’t know 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] The project will require no permeant wetland impacts. The project will only have short term temporary impacts required to construct the new, wider culverts. The project does not include extending the culverts or increasing the extents of the existing road prism. The mitigation plan provides details restoring temporary impacts to wetland and riparian areas. Native trees and shrubs would be planted adjacent to the new culverts. ---PAGE BREAK--- ORIA-16-011 Page 7 of 13 7h. 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. [help] Activity (fill, drain, excavate, flood, etc.) Wetland Name1 Wetland type and rating category2 Impact area (sq. ft. or Acres) Duration of impact3 Proposed mitigation type4 Wetland mitigation area (sq. ft. or acres) Willows Creek - Temporary fill to install construction bypass for stream flows and recontour stream at culvert approaches to accommodate the wider culvert structures Wetland D- Willows Creek Wetland D- Cat III Wetland D- 225 sf Temporary, approx. 3 months. Restoration of disturbed vegetation in kind. Wetland D- 225 sf Gun Club Creek - Temporary fill to install construction bypass for stream flows and recontour stream at culvert approaches to accommodate the wider culvert structures Wetland B- Gun Club Creek Wetland B- Cat III Wetland A- 445 sf Temporary, approx. 3 months. Restoration of disturbed vegetation in kind. Wetland B- 225 sf 1 If no official name for the wetland exists, create a unique name (such as “Wetland The name should be consistent with other project documents, such as a wetland delineation report. 2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System. Provide the wetland rating forms with the JARPA package. 3 Indicate the days, months or years the wetland will be measurably impacted by the activity. Enter “permanent” if applicable. 4 Creation Re-establishment/Rehabilitation Enhancement Preservation Mitigation Bank/In-lieu fee Page number(s) for similar information in the mitigation plan, if available: 7i. 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. [help] All fill in wetlands will occur within the associated OHWM of the streams. See Section 8e. 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. [help] See Section 8e. ---PAGE BREAK--- ORIA-16-011 Page 8 of 13 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.) [help] ☒ Check here if there are waterbodies on or adjacent to the project area. (If there are none, skip to Part 8a. Describe how the project is designed to avoid and minimize adverse impacts to the aquatic environment. [help] ☐ Not applicable The project will replace two deficient culverts with new larger box culverts. In-water work will occur within the permitted work windows. The culverts will be installed to meet Washington Fish and Wildlife fish passage standards for road crossings. All demolition and construction within the stream will occur in dewatered or bypassed stream reaches. The project will utilize erosion control measures and water quality BMPs required by the City of Redmond standard specifications during all work. The removal of streamside trees and vegetation will be avoided where possible, however some vegetation clearing will be required for culvert replacements. Any disturbed riparian vegetation will be restored with native vegetation plantings. 8b. Will your project impact a waterbody or the area around a waterbody? [help] ☒ Yes ☐ No 8c. Have you prepared a mitigation plan to compensate for the project’s adverse impacts to non-wetland waterbodies? [help] • 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 ☐ Don’t know The project is self-mitigating with existing deficient culverts being replace by new larger culverts. Temporary impacts will be restored in kind with native vegetation. 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. [help] The project will require no permeant stream impacts. The project will only have short term temporary impacts required to construct the new, wider culverts. The project does not include extending the culverts or increasing the extents of the existing road prism. The mitigation plan provides details restoring temporary impacts to streams and riparian areas. Native trees and shrubs would be planted adjacent to the new culverts. ---PAGE BREAK--- ORIA-16-011 Page 9 of 13 8e. Summarize impact(s) to each waterbody in the table below. [help] Activity (clear, dredge, fill, pile drive, etc.) Waterbody name1 Impact location2 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 Recontour stream at culvert approaches to accommodate the wider culvert structures; install stream substrate Willows Creek In-water and directly adjacent to culvert inlet and outlet 3 months 10 CY 300 SF temporary impact, 0 SF permanent impact Temporary fill for coffer dam for stream bypass diversion Willows Creek In-water and directly upstream and of culvert inlet and outlet 3 months 6 CY Included in area above. Recontour stream at culvert approaches to accommodate the wider culvert structures; install stream substrate Gun Club Creek In-water and directly adjacent to waterbody 3 months 10 CY 520 SF temporary impact, 0 SF permanent impact Temporary fill for coffer dam for stream bypass diversion Gun Club Creek In-water and directly upstream and of culvert inlet and outlet 3 months 5 CY Included in area above. 1 If no official name for the waterbody exists, create a unique name (such as “Stream The name should be consistent with other documents provided. 2 Indicate 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. 3 Indicate the days, months or years the waterbody will be measurably 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. [help] Willows Creek: Stream material – commercial source – 10 CY; coffer dam – commercial source (gravel filled bags) – 6 CY Gun Club Creek: Stream material – commercial source – 10 CY; coffer dam – commercial source (gravel filled bags) – 5 CY ---PAGE BREAK--- ORIA-16-011 Page 10 of 13 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. [help] Stream bank excavation- Tracked Mounted Excavator – Native bank soils – Commercial landfill Stream bank excavation- Tracked Mounted Excavator – Native Stream Sediment– Commercial landfill 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. [help] Agency Name Contact Name Phone Most Recent Date of Contact WDFW Casey Costello (425) 427-0969 February 2018 Muckleshoot Tribe Karen Walter (253) 876-3116 February 2018 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? [help] • If Yes, list the parameter(s) below. • If you don’t know, use Washington Department of Ecology’s Water Quality Assessment tools at: http://www.ecy.wa.gov/programs/wq/303d/. ☒ Yes ☐ No Willows Creek: - Bacteria - Dissolved Oxygen 9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? [help] • Go to http://cfpub.epa.gov/surf/locate/index.cfm to help identify the HUC. HUC 171100120400 (Lake Washington-Sammamish River) 9d. What Water Resource Inventory Area Number (WRIA is the project in? [help] • Go to http://www.ecy.wa.gov/water/wria/index.html to find the WRIA WRIA 8 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to http://www.ecy.wa.gov/programs/wq/swqs/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? [help] • If you don’t know, contact the local planning department. • For more information, go to: http://www.ecy.wa.gov/programs/sea/sma/laws_rules/173-26/211_designations.html. ☐ Urban ☐ Natural ☐ Aquatic ☐ Conservancy ☐ Other: ---PAGE BREAK--- ORIA-16-011 Page 11 of 13 9g. What is the Washington Department of Natural Resources Water Type? [help] • Go to http://www.dnr.wa.gov/forest-practices-water-typing 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? [help] • 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? [help] • If Yes, please describe below. ☐ Yes ☒ No 9j. If you know what the property was used for in the past, describe below. [help] The site is within the road ROW for Willows Road and has been historically in that use. The property to the east is owned by City of Redmond and was a part of the Eastside Rail Corridor. The upstream extends of the culverts extend onto sites that are currently commercial office developents. The City has easements to access the work area and complete the project. 9k. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If Yes, attach it to your JARPA package. ☒ Yes ☐ No 9l. 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. [help] Chinook salmon (Puget Sound ESU)- Threatened - Sammamish River Steelhead mykiss) (Puget Sound DPS)- Threatened - Sammamish River Bull trout (Salvelinus confluentus)- Threatened - Sammamish River 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. [help] Coho salmon kisutch) ---PAGE BREAK--- ORIA-16-011 Page 12 of 13 Part 10–SEPA Compliance and Permits Use the resources and checklist below to identify the permits you are applying for. • Online Project Questionnaire at http://apps.oria.wa.gov/opas/. • Governor’s Office for Regulatory Innovation and Assistance at (800) 917-0043 or [EMAIL REDACTED]. • For a list of addresses to send your JARPA to, click on agency addresses for completed JARPA. 10a. Compliance with the State Environmental Policy Act (SEPA). (Check all that apply.) [help] • For more information about SEPA, go to www.ecy.wa.gov/programs/sea/sepa/e-review.html. ☐ A copy of the SEPA determination or letter of exemption is included with this application. ☒ A SEPA determination is pending with City of Redmond (lead agency). The expected decision date is August 2018 . ☐ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) [help] ☐ 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. 10b. Indicate the permits you are applying for. (Check all that apply.) [help] 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 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: ☐ General Bridge Act Permit ☐ Private Aids to Navigation (for non-bridge projects) ---PAGE BREAK--- ORIA-16-011 Page 13 of 13 Part 11–Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help] 11a. Applicant Signature (required) [help] 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 authorize 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. (initial) Applicant Printed Name Applicant Signature Date 11b. Authorized Agent Signature [help] 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. Authorized Agent Printed Name Authorized Agent Signature Date 11c. Property Owner Signature (if not applicant) [help] Not required if project is on existing rights-of-way or easements (provide copy of easement with JARPA). 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. Property Owner Printed Name Property Owner Signature Date 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. If you require this document in another format, 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: ORIA-16-011 rev. 07/2017 ---PAGE BREAK--- JARPA Attachment B Rev. 10/2016 Page 1 of 2 WASHINGTON STATE Joint Aquatic Resources Permit Application (JARPA) [help] Attachment B: For additional project location(s) [help] Use this attachment only if you have more than one project location. Use a separate form for each additional location. Use black or blue ink to enter answers in white spaces below. 1. Indicate the type of ownership of the property. (Check all that apply.) [help] ☐ 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) 2. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 16) [help] NE 91st Street 3. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) [help] Redmond, WA, 98052 4. County [help] King 5. Provide the section, township, and range for the project location. [help] ¼ Section Section Township Range NE 3 25N 5E 6. Provide the latitude and longitude of the project location. [help] • Example: 47.03922 N lat. / -122.89142 W long (Use decimal degrees - NAD 83) Gun Club Creek 47.6877, -122.1476 7. List the tax parcel number(s) for the project location. [help] • The local county assessor’s office can provide this information. Public ROW, [PHONE REDACTED]. The City has easements to access private property and complete the project. AGENCY USE ONLY Date received: Agency reference Tax Parcel TO BE COMPLETED BY APPLICANT [help] Project Name: Willows Road Restoration Location Name (if applicable): Gun Club Creek ---PAGE BREAK--- JARPA Attachment B Rev. 10/2016 Page 2 of 2 8. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment [help] Name Mailing Address Tax Parcel # (if known) KW Fund V - 9845 Willows Rd [PHONE REDACTED] Redmond, WA 98052 Wakefield Redmond West LLC 9521 Willows Rd [PHONE REDACTED] Redmond, WA 98052 Vulcan Northwest Inc 9840 Willows Rd [PHONE REDACTED] Redmond, WA 98052 Puget Sound Energy NE 91st St 98052 [PHONE REDACTED] Redmond, WA 98052 9. List all wetlands on or adjacent to the project location. [help] There are three riparian wetlands in the project area within or associated with the ordinary high water mark of Gun Club Creek or associated roadside drainage features created in remnant wetlands. Additional information is provided in the Critical Area Study prepared for the project. 10. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] • Gun Club Creek 11. Is any part of the project area within a 100-year flood plain? [help] ☐ Yes ☒ No ☐ Don’t know 12. Briefly describe the vegetation and habitat conditions on the property. [help] The majority of habitat is roadside ditches and wetlands inhabited primarily by non-native invasive species such as reed canarygrass. Some portions the property are landscaped with streetscape vegetation including native and non-native species. 13. Describe how the property is currently used. [help] The site is the roadway and right of way for Willows Road. The Redmond Central Connector trail parallels the roadway to the east of the culvert location. 14. Describe how the adjacent properties are currently used. [help] The adjacent properties are commercial and light industrial uses within a developed business park area. 15. Describe the structures (above and below ground) on the property, including their purpose(s). [help] The existing Gun Club Creek culvert 36 inch diameter culvert. The structure also includes an existing 72” catch basin/manhole that connects the culvert to the existing stormwater drainage system for this portion of the roadway. 16. Provide driving directions from the closest highway to the project location, and attach a map. [help] From I-405 exit at NE 85th St (Redmond Way). Turn left on Willows Rd and proceed 1.0 mile to the subject property. If you require this document in another format, 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: ORIA-16-013 rev. 10/2016 ---PAGE BREAK--- JARPA Attachment D Rev. 10/2016 Page 1 of 1 WASHINGTON STATE Joint Aquatic Resources Permit Application (JARPA) [help] Attachment D: Construction sequence [help] Use this attachment only if your project will be constructed in phases or stages. Complete the outline showing the construction sequence and timing of activities, including the start and end dates of each phase or stage. Use black or blue ink to enter answers in white spaces below. Phase or Stage Start Date End Date Activity Description Willows Creek Culvert July 1, 2019 September 30, 2019 Replace existing culvert with new culvert and stabilize with pin piles. Restore disturbed vegetation after project completion. Some follow up restoration planting may occur through Spring 2020. Gun Club Creek Culvert July 1, 2019 September 30, 2019 Replace existing culvert with new culvert and stabilize with pin piles. Restore disturbed vegetation after project completion. Some follow up restoration planting may occur through Spring 2020. If you require this document in another format, 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: ORIA-16-015 rev. 10/2016 AGENCY USE ONLY Date received: Agency reference Tax Parcel TO BE COMPLETED BY APPLICANT [help] Project Name: Willows Road Replacement Location Name (if applicable): ---PAGE BREAK--- VICINITY MAP 1 DATE: PROPOSED PROJECT: COUNTY: STATE: Willows Cr. (47.6863,-122.1465) Gun Club Cr. (47.6877,-122.1876) APPLICANT: REFERENCE: LOCATIONS (Lat/Long): WATERWAY: CITY: SHEET OF ADJACENT PROPERTY OWNERS: Rehabilitate Willows Road between NE 90th St. and NE 124th St, including the replacement of deficient culvert crossings at Willows Creek and Gun Club Creek. Willows and Gun Club Creeks Redmond King WA 9 See Sheet 9 City of Redmond March 26, 2018 Driving Directions: - From I-405, Exit at NE 85th St (Redmond Way) - Turn left onto Willows Road - Proceed 1.0 mile. ---PAGE BREAK--- X X X X X X X X X X X X X X X X X X X X X T T T T T T T T 3' CHAINLINK G G G G G G G W W T T T T T T T WILLOWS ROAD SIDEWALK FLOW FLOW N 0 SCALE: 5' 10' 20' 1:20 PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Trail Willow Creek Willows Creek - Plan 2 ---PAGE BREAK--- 10+00 10+20 10+40 10+60 10+80 11+00 11+20 11+40 11+60 11+80 STREAM IE=39.9' STREAM IE=40.5' IE=39.6' IE=38.5' PROFILE WILLOWS CREEK - _ SCALE: HORIZ. 1" = 10' VERT: 1" = 5' PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Trail Willow Creek Willows Creek - Profile 3 ---PAGE BREAK--- 17 45.000 ELEC EL UNK VIF 18 45.000 ELEC EL UNK VIF 19 45.000 TELE EL UNK VIF 20 45.000 GAS EL UNK VIF 21 45.000 TELE EL UNK VIF 22 45.000 TELE EL UNK VIF 89 LF 12" CPE IE=34.14' IE=35.44' AY SD EJ SIDEWALK SIDEWALK FLOW FLOW N 0 SCALE: 5' 10' 20' 1:20 PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Trail Gun Club Creek Gun Club Creek - Plan 4 Willows Road Gun Club Creek ---PAGE BREAK--- 0+60 0+80 1+00 1+20 1+40 1+60 1+80 2+00 2+20 IE=34.2' IE=35.3' IE=33.3' IE=32.2' PROFILE GUN CLUB CREEK - _ SCALE: HORIZ. 1" = 10' VERT: 1" = 5' PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Gun Club Creek Gun Club Creek - Profile 5 ---PAGE BREAK--- W2 10.0' 6.0' 41.5' 4.5' 4.5' 4.5' 45°' 45°' EXIST. 15" SAN. SEWER (BEYOND PILES) ROAD PROFILE 3.00' EXIST. 43"W x 27"H CMPA (TO BE REMOVED) 3-SIDED 12'W x 5'H CONC BOX CULVERT 2'X2' FOOTING 4" PIN PILE SUPPORTS. EXIST. 12" DI WATER (TO BE RELOCATED) STREAMBED MATERIAL UNDISTURBED GROUND 6" CSTC 1 3 1 10 1 3 1 10 1 1 5.0' EAMBED TERIAL 1 STREAMBED MATERIAL 2 4.5' THALWEG TOE OF ROCK CLUSTER R5' 1' SECTION 1.5' 1 3 1 10 1 10 1 3 WINGWALL PLAN AND STREAMBED PLAN - _ SCALE: 1" = 10' ROCK CLUSTER DETAIL - _ SCALE: 1" = 2' CULVERT SECTION - _ SCALE: 1" = 3' PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Willows Creek Culv. Details 6 ---PAGE BREAK--- 1 1 4.0' STREAMBED MATERIAL 1 THALWEG TOE OF ROCK CLUSTER R4' 3.0' 1.0' SECTION PLAN 1 3 1 10 STREAMBED MATERIAL 2 1 10 1 3 3.5' 1.5' G2 13.7' 3.5' 5.0' 3.5' 3.5' 52.5' 45°' 45°' 45°' 45°' ROAD PROFILE 2.5' EXIST 36"W x 22"H CMPA (TO BE REMOVED) 10'W X 4'H CONC. BOX CULVERT EXIST. 12" DI WATER (TO BE RELOCATED) 2' PERMEABLE BALLAST UNDISTURBED GROUND 6" CSTC 1.0' 3.0' 1.5' 1 3 1 10 STREAMBED MATERIAL 1 3 1 10 WINGWALL PLAN AND STREAMBED PLAN - _ SCALE: 1" = 10' ROCK CLUSTER DETAIL - _ SCALE: 1" = 2' CULVERT SECTION - _ SCALE: 1" = 3' PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Gun Club Creek Culv. Details 7 ---PAGE BREAK--- 10+50.00 11+50.00 12'W X 5'H CONC BOX CULVERT WILLOWS ROAD SIDEWALK FLOW FLOW FLOW TEMPORARY BYPASS PIPELINE MINIMUM 24" INSIDE DIAMETER SANDBAG COFFER DAM EXISTING CULVERT 10+00 11+00 FLOW 20 45.000 GAS EL UNK VIF WILLOWS ROAD 1+00 2+00 ALK PROPOSED 10'WX4'H CONC. BOX CULVERT TEMPORARY BYPASS PIPELINE MINIMUM 18" INSIDE DIAMETER FLOW FLOW SANDBAG COFFER DAM EXISTING CULVERT SANDBAG COFFER DAM N 0 SCALE: 5' 10' 20' 1:20 PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Stream Bypass Plans 8 GUN CLUB CREEK BYPASS PLAN - _ SCALE: 1:20 WILLOWS CREEK BYPASS PLAN - _ SCALE: 1:20 ---PAGE BREAK--- PROPOSED PROJECT:Willows Road Rehab. REFERENCE: APPLICANT: City of Redmond DATE: SHEET OF 9 March 26, 2018 Willows Road, NE 90th - NE 124th LOCATION: Adjacent Property Owners 9