2014108101 SR507 and Old Hwy 99 COUNTY COMNBSSIONERS
' �;�R-� Cadiy��olfe
-�`� ��-. District One
� �k Sandia Romero
_ �r:u:`
Disn-ict T�uo
THUI�STON COUNrl'� Karen Valenzuela
Dist�-ict Three
SINCE 1S52
RESOURCE STEWARDSHIP DEPARTMENT
Creatiszg Solutions for Our Future ClifF Moore
TRANSMITTAL MEMORANDUM Director
Date Submitted �'
PROJECT NAME: � , , , � �'
PROJECTNO.: 20 I� ID R�I� � E. ��t�r�S���e-�- �,vr%7�
FOLDER SEQUENCE NO.: �`7 1;.X /f��! � �
_ _ _ . _ _ _ _
RELATED CASES LISTED BY SEQUENCE NO.: �
❑ SUBAREA# ❑FIRE DISTRICT#
❑ SCHOOL DISTRICT�LisT) DJACENT JURISDICTION(LisT� i f���
F�,II i1.�CJ.��-�j 1���.-�r `�
❑PHONE COMPANY ❑TC PUBLIC WORKS—UTILITES - 7.King
❑AGRICULTURE COMM 0 WATER RESOURCES—R.Langan
❑ TCOMM 911 ❑ ORCCA
�TC ENVIRONMENTAL HEALTH ❑ WILLIAMS GAS PIPELINE—wEST
�,TC PUBLIC WORKS -DEVELOPMENT REVIEW ❑PUGET SOUND ENERGY
�TC PUBLIC WORKS—Real Estate Services/Survey �WA DEPT OF FISH&WILDLIFE
❑WA DEPT OF TRANSPORTATION -D.Severson �t�l T.NATION []L.MACHUT []D.WIEDEMEI�R
❑ TC FIRE MARSHAL �,WA DEPT OF ECOLOGY
�TC FLOOD REVIEW �[�], SHORELINE REVIEW �ENVIRONMENTAL REVIEW
❑TC BUILDING PLAN REVIEW �9 US ARMY CORPS OF ENGINEERS
[]C.Edmark-Commercial []Dock Review ❑WA DEPT OF NAT RES -Pacific Cascade Region
❑TC NOXIOUS WEEDS ❑ TC ADDRESSING
�TRIBE-�NISQUALLY�SQUAXIN�CHEHALIS ❑ TC ASSESSOR'S OFFICE-PROPERTY CONTROL
0 HENDERSON 1NLET ❑ TC SHERIFF'S OFFICE
❑NISQUALLY REACH ❑AT&T BROADBAND
❑VEENA TABBUTT—T.R.P.C. ❑ THURSTON P.U.D. —J.wEiDEt�rFELLEx
❑THCJRSTON CONSERVATION DISTRICT ❑ INTERCITY TRANSIT-D.BLOOM
❑WATER RESOURCES—M.Biever(Geotech Review) 0 OTHER
PLEASE SEE REVERSE SIDE FOR LIST OF REPORTS SUSMITTED WITH APPLICATION.
Please review the enclosed project information and notify our office in writing of any comments or
recommendations on or before the date noted below. Your comments will become part of the record and
utilized in the decision-making process by staff or the Hearing Examiner. "No comment"by the due date
will be considered an indication that the application is complete.
Department: Complete❑ Incomplete❑ Not Applicable❑
Signature: Date:
Please return comments to: by S:OOpm on: �� �,�' �
2000 Lakeridge Drive SW,Olyinpia,Washington 98502(360)786-5490/FAX(360)754-2939
TDD(360)754-2933 Website: www.co.thurston.wa.us/permittiny
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O:\admin\TRANSMITTAL MEMORANDLTM.doc
���= SCANNED
Thurston County Permit Assistance Center
y*jt , 2000 Lakeridge Dr.SW,Olympia,WA 98502
�-=����_��-�._ (360)786-5490 / (360)754-2939(F�)
TDD Line(360)754-2933
- ,L, ,� Email:permit�co.thurston.wa.us
THURSTOi�I COUNTY www.co.thurston.wa.us/permitting
.�.��,�s_ Creating Solutions for Our Future
MASTER APPLICATION
. STAFF USE ONLY DATE STAMP
T�����`�� ��1.DRi�Y
��������
���.i� . �-; ����t
2�141�81�1 PERMiT ASSBSTANCE CENTER
14 127681 XL
Site Address:
Parcel#:
Intake by: •
The Master Application is required for all projects and shall accompany a project-specific supplemental
application(s). The Master Application may not be submitted alone.
Property Tax Parcel Number(s): N/A
Subdivision Name(if applicable): N/A Lot#:
Property Address: SR 507,MP 13.64 to MP 36.22 City: Tenino to Roy State: WA Zip Code:
Directions to the Property:
From Tenino,head east on SR 507,thru Yelm to Nisqually River bridge(county line).
Property Access Issues(locked gate,code required,dogs or other animals): ❑X No ❑Yes
If yes,Describe:
OWNER IS RESPONSIBLE FOR SECURING ANIMALS BEFORE SITE VISIT.
DESCRIPTION OF PROJECT PROPOSAL
SR 507/Old Hwy 99 to E.of Water Street—Paving
This project is located on SR 507 between MP 13.64 and MP 36.22 in Thurston and Pierce Counties,and SR 702 between MP 0.00 and
0.30 in Pierce County.
The project will utilize a mill and fill process to replace the top course of Hot Mix Asphalt to rehabilitate SR 507 and SR 702.Other
work will include pavement repair,
pre-level and tack coat.This project will also evaluate and upgrade pedestrian crosswalks to meet cunent ADA compliance.
Revrsed 8-13 Form No. MA001
Thurston County Permit Assistance Center
r Master Application
Page 2 of 2 � �
Type Or PPint: Additional property owner sheet can be obtained online at www.co.tJaurston.wa.i�s/neYmitting or copy obtained
from the Permit Assistant Center.
Property Owner(s): WA State Dept.of Transportation
Mailing Address: PO Box 47440
City: Olympia State: WA Zip Code: 98504-7440
Phone#: (360)570-6700 Ext. Fax#: (360)357-2601
Cell#: E-mail:
Signature:* Date:
' AppliCant(if different than owner): Jeff Sawyer/WA State Dept.of Transportation
Mailing Address:
City: State: Zip Code:
Phone#: (360)570-6701 Ext. Fax#:
Cell#: E-mail: sawyerj a,wsdot.wa.gov
.
Signature:* Date: l �
Point of Contact:
Mailing Address:
City: State: Zip Code:
Phone#: Ext. Fax#:
Cell#: E-mail:
Signature:* Date:
BILLING INVOICES
The base application fee charged at the time of application covers base hours listed on the fee schedule. When the base
hours by a Department are used, a monthly billing invoice will be generated for additional hours at the hourly rate listed
on the fee schedule. Should review of the project exceed the base hours allotted,billing invoices shall be mailed to:
Q Owner ❑ Applicant ❑ Point of Contact
*Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar
with the information contained in the application and that to the best of my knowledge and belief, such inforniation is true,
complete,and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the
agencies to which this application is made or forwarded,the right to enter the above-described location to inspect the proposed,
in-progress or completed work. I agree to start work only after all necessary permits/approvals have been received.
Revised 8-13 Form No. MA001
� � `� �CANN �_______________________________________
�, ED ; AGENCY USE ONLY �
: ;�_ "�" � Date received: � '��`���'� �
O US Army Corps i . �
WASHINGTON STATE otEngineers� � ,
- Seattle Oistrict � � - �r,j, �
� �: ,. . t�t if :' �
Joint Aquatic Resources Permit � Agencyreference#�: �"� ;
� ,
Application (JARPA) Form',2 � TaxParce������r-. _ � .z�� ;
,
USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. 1,4 127681 XL �
Permit Type: JARPA-Exemption _____!
Sub Type: Roads(New or Repair)
Work Type: Repair/Maintenance
Part 1—Project Identification
1. PI'OJeCt Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) hel
SR 507 /Old Hwy 99 to E. of Water Street- Paving �
Part 2—Applicant
The person and/or organization responsible for the project. [nesa
2a. Name (Last, First, Middle)
Sawyer, Jeff B.
2b. Organization(ifappiicabie)
Washington State Department of Transportation
2c. Mailing Address (street or Po Box)
P.O. Box 47440
2d. City, State, Zip
Olympia, WA , 98504-7440
2e. Phone(�) 2f. Phone(2) 2g. Fax 2h. E-mail
(360) 570-6701 (360) 790-9646 (360)357-2601 sawyerj@wsdot.wa.gov
�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 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 tnformation Form(SPIF)or
prepare a Biological Evaluation. Forms can be found at
�t��;/lw�rr,�r,r�w������-,�r�v.r�i!l�rti��i0r;�;�i��il��erk�/����f��rwl��rr�it��;Ed���e�1�r���n��r�d�c���i��,���s�.
• 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
fp`.�,`Ii<�fp'v 46�s�t?*ti�/i����J/�(t���E1�9 f����f�BFBfi��CI[�f�� i�f � �ft'J -� �1l'€3'E�� f�rt'��°'�i�.
For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or��y��f�:t,��:go�i.
IARP� Ao��icinn 9(199 9 0..,.,. � ,.a��
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.) t�.f eP�]
i 3a. Name (�ast, First, Middle)
3b. Organization (If applicable)
3c. Mailing Address (street or Po Box)
3d. City, State, Zip
3e. Phone(�) 3f. Phone(2) 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. t�et
❑ 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 JARPP�pttachment p 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 Attachme�nt 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(2) 4g. Fax 4h. E-mail
( ) ( ) ( )
JARPA Revision 2012.2 Page 2 of 12
Part 5-Project Location(s)
- ' identifying information about the property or properties where the project will occur. n( e��l
❑ There are multiple project locations (e.g. linear projects). Complete the section below and use JARPA
Attachment B for each additionai project location.
5a. Indicate the type of ownership of the property. (cneck aii tnat aPPiy.) n[�
❑ 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. Stre2t Addl'2SS (Cannot be a PO Box. If there is no address, provide other location information in 5p.) hel
SR 507, milepost (MP) 13.64 to 14.72, MP 27.38 to 32.60, MP 34.67 to 36.22 and SR 702, MP 0.00 to 0.30.
5C. Clty, State, Zlp(If the project is not in a city or town, provide the name of the nearest city or town.) hel
Tenino WA, 98589, Yelm WA, 98597, and Roy WA, 98580.
5d. County n[�
Thurston and Pierce Counties.
5e. Provide the section, township, and range for the project location. ne�
'/4 Section Section Township Range
SR 507, City of 19 16 N 1 W
Tenino
SR 507, City of Yelm 25, 30, and 29 17 N 1 E
SR 507, City of Roy 28 and 29 17 N 2 E
SR 702, City of 21 and 28 17 N 2 E
McKenna
5f. Provide the latitude and longitude of the project location. nei
• Example:47.03922 N lat./-122.89142 W long. (Use decimal degrees-NAD 83)
Project begins at: 46.851648 / -122.861951, and ends at: 46.988763 /-122.547955
5g. List the tax parcel number(s)for the project location. he�
• The local county assessor's office can provide this information.
N/A
5h. Contact information for all adjoining property owners. (if you need more space, use J,4R�A Rttachrtt�nt C.) h[��p]
Name Mailing Address Tax Parcel # (if known)
Numerous property owners
JARPA Revision 2012.2 Page 3 of 12
5i. List all wetlands on or adjacent to the project location. [net�
� There are numerous wetlands throughout the project area. �
5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [n�
Mill Pond at MP 27.75, Yelm Creek at MP 29.41, Centralia Canal at MP 30.52, Unnamed Drainage at MP
30.60, Nisqually River at MP 30.65 and Muck Creek at MP 35.85.
5k. Is any part of the project area within a 100-year floodplain? hel
❑ Yes ❑ No ❑ Don't know
51. Briefly describe the vegetation and habitat conditions on the property. ne�
Native vegetation occurs along both sides of the existing roadway. Habitat conditions vary from
sparsely vegetated to fairly dense mature timber.
5m. Describe how the property is currently used. n�
The project is on SR 507 and SR 702. Both are transportation corridors within state owned right of way.
5n. Describe how the adjacent properties are currently used. he�
The adjacent properties are currently used as residential, commercial and forest.
50. Describe the structures (above and below ground) on the property, including their purpose(s) and current
condition. t�eiQ
The structures are all transportation related and include guardrails, roadway surface, culverts and
bridges. The condition of the roadway is in need of resurfacing and sidewalks within city limits need to
be upgraded to current ADA standards.
5p. Provide driving directions from the closest highway to the project location, and attach a map. heE
From the City of Tenino at MP 13.66, head east on SR 507 to the city of Roy at MP 36.22.
Part 6—Project Description
6a. Briefly summarize the overall project. You can provide more detail in 6b. he►
This paving project will use a mill and fill process to rehabilitate the existing roadway in both directions
of SR 507, milepost (MP) 13.64 to 14.72, MP 27.38 to 32.60, MP 34.67 to 36.22 and SR 702, MP 0.00 to
0.30.
The project will remove .15 depth of existing pavement and replace .15 depth with Hot Mix Asphalt
(HMA). Other work activities will include pavement repair, pre-level and tack coat. Project work also
includes miscellaneous pavement repair. No new impervious surfaces will be added and no earthwork
is anticipated.
Pedestrian ramps at street crossings will be evaluated and upgraded to meet current ADA standards.
The work will be performed within 200 feet of the following shorelines of the state:
• Nisqually River at MP 30.65 in Thurston and Pierce Counties. Paving will occur up to bridge
abutments, bridge deck has concrete surface.
6b. Describe the purpose of the project and why you want or need to perform it. h�
The purpose of this project is to rehabilitate the road surface to extend the life of the roadway and to
update pedestrian sidewalks and pedestrian access ramps.
JARPA Revision 2012.2 Page 4 of 12
6c. Indicate the project category. (Check all that apply) nf elal
� � � ❑ Commercial ❑ Residential ❑ Institutional � Transportation ❑ Recreationai
� Maintenance ❑ Environmental Enhancement
6d. Indicate the major elements of your project. (Check all that apply) [hetp]
❑ Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall
❑ Bank Stabilization ❑ Dam /Weir ❑ Floating Home (upiand)
❑ Boat House ❑ Dike / Levee /Jetty ❑ Geotechnical Survey � Road
❑ Boat Launch ❑ Ditch ❑ Land Clearing ❑ Scientific
Measurement Device
❑ Boat Lift ❑ Dock / Pier ❑ Marina / Moorage
❑ Stairs
❑ Bridge ❑ Dredging ❑ Mining
❑ Stormwater facility
❑ Bulkhead ❑ Fence ❑ Outfall Structure
❑ Swimming Pool
❑ Buoy ❑ Ferry Terminal ❑ Piling/Dolphin
❑ Utility Line
❑ Channel Modification ❑ Fishway ❑ Raft
� Other:
Road maintenance.
6e. Describe how you plan to construct each project element checked in 6d. Include specific construction
methods and equipment to be used. he�
• Identify where each element will occur in relation to the nearest waterbody.
• Indicate which activities are within the 100-year floodplain.
This project will resurFace both directions of SR 507 from MP 13.66 to 14.22 in the city of Tenino, SR 507
from MP 27.38 to MP 32.60 in the city of Yelm, from MP 34.67 to 36.22 in the town of Roy and SR 702
from MP 0.00 to MP 0.30 in the town of McKenna. Existing asphalt surface will be leveled using a
grinder. This will be followed by repairs to damaged surface in select locations. The new asphalt will be
applied and then a roller will follow behind and compact the new asphalt to create a smooth wearing
surFace. This project will resurface over Yelm Creek culvert at MP 27.75, the Centralia Canal culvert at
MP 30.52, and an unnamed drainage culvert at MP 30.60. No work will be conducted within a 100-year
floodplain.
The types of equipment to be used include the following:
• pavement grinder
• asphalt spreader
• dump truck
• rollers
• sweepers
• paint truck
• plastics truck
• striping equipment
• pickup broom/sweeper.
JARPA Revision 2012.2 Page 5 of 12
6f. What are the anticipated start and end dates for project construction? (nnontn/Year) nf elpl
. • If the project will be constructed in phases or stages, use JARRA Attachment D to list the start and end dates of each pha�e or '
stage.
Start date: April 2015 End date: Auqust 2015 ❑ See JARPA Attachment D
6g. Fair market value of the project, including materials, labor, machine rentals, 2tC. hel
$2,987,462
6h. Will any portion of the project receive federal funding? n( e�]
• If yes, list each agency providing funds.
� Yes ❑ No ❑ Don't know Federal Highway Administration
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.) t,era
7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [heia�
� Not applicable
This project has avoided impacts to wetlands by staying within the existing roadway prism.
7b. Will the project impact wetlands? nf elal
❑ Yes � No ❑ Don't know
7c. Will the project impact wetland buffers? hel
❑ Yes � No ❑ Don't know
7d. Has a wetland delineation report been prepared? [her
• 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? f���
• 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? he�
• If Yes,submit the plan with the JARPA package and answer 7g.
• !f No,or Not applicable,explain below why a mitigation plan should not be required.
❑ Yes ❑ No � Not applicable
The project is staying within the existing roadway prism, so there won't be any adverse wetland impacts.
7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was
used to design the plan. [�
N/A
JARPA Revision 2012.2 Page 6 of 12
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. [he�
Activity (fill, Wetland Wetland Impact Duration Proposed Wetland
drain, excavate, Name' type and area (sq. of impact3 mitigation mitigation area
flood, etc.) rating ft. or type4 (sq. ft. or
category2 Acres) acres)
N/A
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.
2 Ecology wetland category based on current Western Washington or Eastern Washington Wetland Rating System.Provide the wetland
rating forms with the JARPA package.
'Indicate the days,months or years the wetland will be measurably impacted by the activity.Enter"permanenY'if applicable.
4 Creation(C),Re-establishmenURehabilitation(R),Enhancement(E),Preservation(P), Mitigation Bank/In-lieu fee(B)
Page number(s) for similar informa#ion 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
ards that will be used, and how and where it will be placed into the wetland. neE
N/A
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. ne�
N/A
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.) ��t
❑ 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.
t�eR
� Not applicable
This project has avoided impacts to waterbodies by staying within the existing roadway prism.
8b. Will your project impact a waterbody or the area around a waterbody? he►
❑ Yes � No
8c. Have you prepared a mitigation plan to compensate for the project's adverse impacts to non-wetland
waterbodies? t��E
• 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 ❑ Not applicable
The project is staying within the existing roadway prism, so won't adversely impact non-wetland
waterbodies.
JARPA Revision 2012.2 Page 7 of 12
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]
N/A
8e. Summarize impact(s) to each waterbody in the table below. n( eipl �
Activity (clear, Waterbody Impact Duration Amount of material Area (sq. ft. or
dredge, fill, pile name' location2 of impact3 (cubic yards) to be linear ft.) of
drive, etc.) placed in or waterbody
removed from directly affected
waterbody
N/A
If no o�cial name for the waterbody exists,create a unique name(such as"Stream 1")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.
3lndicate the da s,months or ears the waterbod will be measurabl im acted b the work. Enter" ermanenY'if a licable.
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. [he!
N/A
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. [neE
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. he�
Agency Name Contact Name Phone Most Recent
Date of Contact
City of Yelm Tami Merriman (360) 458-8496 9/8/2014
City of Roy Debbie Dearinger (253) 843-1113 9/10/2014
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? t���
• tf Yes, list the parameter(s)below.
• If you don't know, use Washington Department of Ecology's Water Quality Assessment tools at:
�t�€�:l/�ivcn,a�.��w.���.�av/�rogr�rr��l��xF36�dl.
❑ Yes � No
9c. What U.S. Geological Survey Hydrological Unit Code (HUC) is the project in? �
• Go to t���:.rl���p���,��,��fj����li����c��frs�to help identify the HUC.
Deschutes Watershed— 17110016 and Nisqually Watershed - 17110015
JARPA Revision 2012.2 Page 8 of 12
9d. What Water Resource Inventory Area Number(WRIA#) is the project in? [h�
. � • Go to h�tR:rtvnvw.ec�.wa.qavl�s-u�ices.!gis�rr�apslwrialwria.htm to find the W RIA#.
WRIA 13 — Deschutes and WRIA 11- Nisqually
9e. Will the in-water construction work comply with the State of Washington water quality standards for
turbidity? e�
• Go to h�€p:!/w�_ecy_u�a_c�oul�arcxyramsEwqfswctsfcriteria.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? n[�
• If you don't know, contact the local planning department.
• For more information, go to: h�p:6fwrtiv�.�_eev.vu�a_czovfprogramslsealsma/IaKS rules/173-26f211 desiqnations.html.
� Rural ❑ Urban � Natural ❑ Aquatic � Conservancy ❑ Other
9g. What is the Washington Department of Natural Resources Water Type? ne�
• Go to�s��:lr`r,v�sv�rr_s4r�r_�sa.qoe�iBa�ss�eessPermr6sfropicslForesEPraeticesRRplccatiar�slPaqesffp watertvpinq.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? �e�
• If No, provide the name of the manual your project is designed to meet.
❑ Yes � No
Name of manual: WSDOT Highway Runoff Manual, April 2014, M31-16
9i. Does the project site have known contaminated sediment? h[ efal
• If Yes, please describe below.
❑ Yes � No
9j. If you know what the property was used for in the past, describe below. heE
Transportation corridor.
9k. Has a cultural resource (archaeological) survey been performed on the project area? [he�
• If Yes, attach it to your JARPA package.
❑ Yes � No
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. �@�
None
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. �
There are no priority habitats and species that will be affected by this work within the project action area.
JARPA Revision 2012.2 Page 9 of 12
`. Part 10—SEPA Compliance and Permits �
Use the resources and checklist below to identify the permits you are applying for.
• Online Project Questionnaire at htt�:ffapbs.ecv.wa.qov!opasl.
• Governor's Office for Regulatory Innovation and Assistance at (800) 917-0043 or help(c�ora.wa.qov.
• For a list of addresses to send your JARPA to, click on aaencV addresses for completed JARPA.
10a. Compliance with the State Environmental Policy Act (SEPA). (check a��that app�y.) [ne��]
• For more information about SEPA,go to 4wuw_ecv.wa_goviproqramstsea/seaa�e-review_html.
❑ A copy of the SEPA determination or letter of exemption is inciuded with this application.
❑ A SEPA determination is pending with (lead agency). The expected decision date is
❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box be�ow in �ob.)[ne�a
� ThIS pt'OjeCt IS eXempt (choose type of exemption below).
� Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt?
WAC 468-12-800(1)(u)
❑ Other:
❑ SEPA is pre-empted by federal law.
10b. Indicate the permits you are applying for. (cneck a��tt,at aPp�y.) [het
LOCAL GOVERNMENT
Local Government Shoreline permits:
❑ Substantial Development ❑ Conditional Use ❑ Variance
X Shoreline Exemption Type (explain): Maintenance to an existing roadway
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 — ,��ta�h Ex�:m�tion F�rm
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.
❑Charge to billing account under agreement with WDFW. Agreement#
❑ My project is exempt from the application fee. (check appropriate exemption)
❑ HPA processing is conducted by applicant-funded WDFW staff.
Agreement#
❑ Mineral prospectin and minin .
JARPA Revision 2012.2 Page 10 of 12
. ❑ Project occurs on farm and agriculturai 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.
H PA#
Washington Department of Natural Resources:
❑ Aquatic Use Authorization
Complete J�,€��A,��acE��g��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
FEDERALGOVERNMENT
United States Department of the Army permits (U.S. Army Corps of Engineers):
❑ SeCt1011 404 (discharges into waters of the U.S.) ❑ SeCtiOr1 10 (work in navigable waters)
United States Coast Guard permits:
❑ Private Aids to Navigation (for non-bridge projects)
JARPA Revision 2012.2 Page 11 of 12
- Part 11—Authorizing Signatures
� Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, �
project plans, photos, etc. F���
11a. Applicant Signature (required) t��
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. (�nitia�)
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. (initia�)
Applicant Printed Name Applicant Signature Date
11 b. Authorized Agent Signature t,eF�
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.,
r �
� �"'1�
/ \ .
"��'_.,.,, / }
�,� � � I I `�t' ��
tiLt:i�'t') � i �<-,c'���'- = . � ���; � I
Authorized Agent Printed Name A�u�horized Agent`5ignature Date
��;�-�- ,.SCtt�.i��'i
11 c. Property Owner Signature (if not applicant) [r���
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.
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 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.
ORI,4 ublication number: ENV-019-09 rev. 08/2013
JARPA Revision 2012.2 Page 12 of 12
��yx SCANNED
� .�.
Washington State Olympic Region
�� Department of Transportation Environmental&Hydraulic Services
5720 Capitol Blvd
Lynn Peterson Tumwater,WA 98501
Secretary of Transportation P.O. Box 47440
O�ympia,WA 98504-7440
October 27, ZO 14 360-570-6700/Fax 360-357-2601
TTY: 1-800-833-6388
www.wsdot.wa.gov
Thurston County Development Services
Thurston County Courthouse �.,,, :-. ,,
Building 1, Second Floor � �4 t ' . `'"`�`�
�<<yr
2000 Lakeridge Dr..SW f�{j��
Olympia, WA 98502 � � 2��'�
;;�-�
..p��- �r-;°,
pof,.f e
RE: SR 507 / Old Hwy 99 to East of Water St. —Paving -'`` �
SR 507 / Milepost (MP) 13.64 to MP 14.72
SR 507 /MP 27.38 to MP 32.60
SR 507 /MP 34.67 to MP 36.22
SR 702 /MP 0.00 to MP 0.30
Shoreline Substantial Development Permit Exemption
Dear Sirs:
Enclosed please find a Joint Aquatic Resources Permit Application (JARPA) for the
project referenced above proposed by the Washington State Department of
Transportation (WSDOT). This project is located on SR 507 between milepost (MP)
13.64 and MP 36.22 in Thurston and Pierce Counties, and SR 702 between MP 0.00
and MP 0.30 in Pierce County.
Also enclosed you will find copies of the vicinity map of the proposed project, a
Thurston County Master Application, and check#849844F, issued 9/16/2014, in the
amount of$1,194.00 for processing.
The Nisqually River at MP 30.65 in Thurston County is a shoreline of the state. No
paving or sidewalk improvements will occur over water at this location. The bridge
deck is constructed of concrete.
No Shoreline Substantial Development Permit Exemption will be required from the
City of Yelm for Yelm Creek at MP 29.41 or the Centralia Power Canal at MP 30.52.
They are no longer considered shorelines of the state. Please refer to attached e-mail.
This project will utilize a mill and fill process to replace the top course of Hot Mix
Asphalt to rehabilitate SR 507 and SR 702. Other work will include pavement repair,
pre-level and tack coat. This project will also evaluate and upgrade pedestrian
crosswalk ramps to meet current ADA compliance.
Thurston County Development Services
October 27, 2014 _.
Page 2
Design steps taken to avoid or minimize impacts to the environment include the
following:
• No in-water work will occur as part of this project.
• Construction will occur in the roadway prism within the right-of-way.
• Proper use of Best Management Practices will ensure that no related
pollutants, sediment or debris enter waters of the State.
• Consultation with the National Marine Fisheries Services and United States
Fish and Wildlife Service will ensure that project activities do not jeopardize
listed species, or destroy or adversely affect designated critical habitat.
• Conservation measures outlined in the Biological Assessments will be
included in the construction contract.
WSDOT has determined this project to be Categorically Exempt from a State
Environmental Policy Act threshold determination per WAC 468-12 (1)(u).
If you have any questions, please contact Scott Boutilier at 360-570-6742 or Dave
Evans at 360-570-6738.
Sincerely,
g,a,v..�,'�
Jeff Sawyer
Environmental & Hydraulic Manager
Olympic Region
JBS:sb:ip
Enclosures: Listed above
cc: Mike Hoffman, w/enclosures, 47447
Steve Fuchs, w/o enclosures, 47447
Project File w/enclosures
SF10272014 (7080)
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- � Bridge Deck Condition Report
� Wast�ingtan State
Depariment ofi Transporiation
BRIDGE DATA BRIDGE PHOTO
BRIDGE NUMBER: 507/128 hiP:30.64 ° "~ xM ';` -
� .• . . . .
BRIDGE NAhIE: NISQUALLY RIVER
REGION: OIyrllpfC r.'
YEAR BUILT/YR WIDENED 1987 � 0
SUFFICIENCY RATING: 61.22 � `_
BRIDGE TYPE: PCB •i�
BRIDGE WIDTH: 44.0 ft. -� � � � -
;�_ ,.
BRIDGE LENGTH: 284 ft. ' � � � `"!� -"� _ -
� -. ,
AVERAGE DAILY TRAFFIC: 20,000 h'z
{� �
NUMBER OF LANES: 3
�',.' ... `` �-��,
.�,_
�'�x• ��..� "_'.g�
SIDEWALK/CURB WIDTH: OA Lt 0.0 Rt .�,,,,-��. .
CURB HEIGHT: in g " r �
�: �
PAVING VERTICAL CLEARANCE WEARING SURFACE or DECK PRO'FECTIQN
Design Manual 720.d4(5): SURFACE 7YPE: Original Conc.&ECR
Adual VC under:Tra�c Not Under LOCAL AGENCY PAVING: No
Actual VC over deck: Does not appiy OVERLAY CONTRACT HISTORY
BRIDGE RAIL
BRIDGE RAIL TYPE: New)ersey Barrier w(fype BP
RAIL h1EETS CURRENT STANDARDS? vES BRIDGE RESURFACING/DECK COMMENTS
RAIL CONTRACT HISTORY
Grade transition improvement required for both
approaches due to roadway settlement
EXPANSION JOINTS
Use Conc/HMA Butt Joint Detail 4, Std. Plan A40.20-02,
at back-of-pavement seats: Std Item 6514 Longitudinal
Joint Seal, 93 LF = $2,048
EXPANSION JOINT COPJTRACf HISI'ORY
507/128 BRIDGE DECK HMA PAVING DESIGN OP710NS h1ax.Brid9e HG�AA Depth:
_ _ __ _ ._ ---------- _..__...__. ---- ----_ _ _ _.___ _.___ _ ---
DESCRIPTION �e t•ticrostation celi for erg Paving Table: PAVING EXISfING MAX. PLANE DEPT€1 PAVING
SH_DT_RDSECBridgeDeckOveriay_Detail CLASSIFICATION HhtA DEPTH pqRT./FUIL QEP f H ��`��DEPTH :
__. _ .._._. _-- -- ------- -------- __._._ __.._.__.___ __ . . ____---- _...___ _.. ._._ ---...____- ---- -------- --------____
Concrete Deck Pavi�g Excepted
BFtIDGE CONTACTS See Bridge website For information on Bridge HMA Overlay
Bridge Paving!Sheets Suppart Dick Stoddard 360.705J217 Policies/Specs,Scoping,Region Design,and Construdion Inspedion:
Bridge Raii/Barner and Retrofit David Sa�r�ahata 360J05.6941 http://vnvwi.wsdot.wa.gov/eesc/bridge/bridyeaverlays/
Vertical Clearance George Comstock 360.570.2540
BCRs-Brg Ht•1A-P2 Bruce Thill 360.705.7393 REV1E�'/ED U'f: DAic:
Bridge Website: http,/J�wrrii.wsdot.wa.gov/eesc/bridge/ C$�e�j� Ii/18/2013
E«�;� � w p,�µ,
�� Structure Details Page 1 of 1
��
= NISQUALLY RNER �
Bridge Numb�r 507ji28 Structur€�Ty{�� ���
S�r�ctufe Iden�ifier 001395SA Op�rati�ig RaCiiig Tc�ns 46
Location 2.4 N JCT SR 510 Inventory Rating Tons 27
Route 00507 Min Over Deck 99' 99"
Mile Post 30.64 Min Under Bridge 0"
Feature Intersected NISQUALLY RIVER Sufficiency Rating 6�.22
Facilities Carried SR 507 Year Built 1987
Region OL Year Rebuilt
Owner Washington State . SD/FO Neither
Open Close Posted Coda4
� Inspections Performed � NISQUALLY RIVER Image
Report Date Frequency - Type �
Type
Routine 2013-09-10 24
�
Equipment 2011-09-26 48 `""�
Informational 2014-01-23 - ;,,� ��`�
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