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Permit File BLD-2021-1003 5307 Doon Way
City of Anacortes Invoice/Permit#: BLD-2021-1003 904 6th Street Applied date: 12/15/2021 P.O.Box 547 Issue date: 12/20/2021 _ 0, Anacortes, WA 98221-0547 Expire date: 06/18/2023 (360) 293-1901 Job Address: 5307 DOON WAY Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-2913 Project: APN: P59634 Remarks: REPLACE DOCK PILINGS. Shoreline Exemption SLX-2021-0016. Owner: WILLIAM &JUILA STINSON Contractor: TBD Address: 5307 DOON WAY Address: ANACORTES WA 98221-2913 Phone: (360)714-1650 Phone: License#: General Information: Fees: Flood plain development N Building Permit Fee 265.25 Building Valuation 16000 Plan Review Fee 172.41 State Building Code Fee Resi 6.50 Total Calculated: 444.16 Deposits/Receipts: 0.00 Total Due: 444.16 The issuance or granting of this permit shall not be construed to be a permit for,or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor.This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to be true and correct. e SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY 1T y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 Phone: (360)293-1901 Residential Building Permit Application Submittal Packet New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR & Duplex) Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION 1. PROPERTY INFORMATION Project Address(Street,Suite#): Assessor Parcel Number: Subdivision/Lot#: Zoning Designation: Lot area (size): SKYLINE NO.7,Lot 53 sq. ft. 2. TYPE OF PROJECT ❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair) ❑ New Duplex ❑ Attached to Primary Unit ❑ Interior remodel n Detached from Primary Unit ❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall or duplex (new/repair) ❑ Other: Project Summary: Project Valuation: $ 3. PROPERTY OWNER INFORMATION Name: Phone: Address(Street,City,State,Zip): Email Address: 4. CONTRACTOR INFORMATION Name:* Phone: Contractor's Business Licenses State License#: City License#: *AII Contractors&Subcontractors must have a valid City of Anacortes business license prior to doing work in the Expiration Date: Expiration Date: City. Address(Street,City,State,Zip): Email Address: Page 1 of 19 Res. Building Permit Application Submittal Checklist Updated April 20,2021 x o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 t wo Phone: (360)293-1901 5. CONTACT PERSON Select one person the city will contact for anything related to this project: ❑ Applicant ❑ Property Owner ElContractor r1 Other(list helnwl Name: Phone: Address(Street,City,State,Zip): Email Address: 6. LENDER INFORMATION RCW 19.27.095 requires the City to obtain information with regard to lenders. If there are no lenders involved with your project, write"no lenders"on the Name Line below. Name: Phone: Address(Street,City,State,Zip): Email Address: 7. ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: I understand that when a building permit application is taken in over the counter it does not mean the application has been deemed technically complete and sufficient for staff review. I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. I understand and acknowledge that I could be responsible for providing as-built drawings (on paper or electronically) as part of the project's certificate of occupancy process. I understand and acknowledge that Special Inspections could be required as part of my project, and if needed I will be required to pay for the cost of these inspections. I understand and acknowledge that financial securities could be required as part of the work I am completing and I agree to provide the items needed for the City to calculate these securities and to provide the securities themselves. I understand that if permits are reviewed concurrently such as design review, site plan,traffic concurrency, etc., any required revisions to one permit may affect the entire plan set and could add costs and time to the project. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 2 of 19 GtT y O PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address:P.O. Box 547,Anacortes, WA 98221 { Office Location:904 6th Street,Anacortes WA 98821 7'Lq `�' Phone:(360)293-1901 I hereby declare that I am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein,and the information submitted with this application form is in all respects,true, correct,and complete to the best of knowledge and belief. �� /2 —/3- 221 Signature Date William D. Stinson Printed Name Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 3 of 19 11 x o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT �'�' Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 �� `S' Phone: (360)293-1901 co¢ SUBMITTAL CHECKLIST Residential Building Permit 0 ° L o 4, o -a n + T 3 0 3 a, ea H Submittal Requirement Checklist LL c t �, o U Y -a v, v� = o c 3 GJ � C v Qu See pages 2-3 of this handout for information about each 3 v u E +r) c E CC 3 Q V submittal item listed below. Z •� o Q 0 cc . 2 = It L 0 Residential Building Permit Application Form X X X X X (FORM BP-1—attached) Structure&Site Information Form (FORM BP-2—attached) X X X X X Mechanical & Plumbing Fixtures Form X X X (FORM BP-3—attached) Architectural Plans X X X X X (requirements listed on FORM BP-4-attached) Stormwater Management Minimum Requirements Determination X X X X (FORM BP-5,attached) Stormwater Site Plan X X X X Site Plan & Landscape Plans X X X X X (requirements listed on Form BP-6) Structural Plans&Calculations X X X X X Energy Code Plans & Forms X X Manufacturer's Specifications/Cut Sheets X Copy of recorded survey X X X X Technical Reports X X X X Other Required Permits X X X X X ADU Affidavit of Owner Occupancy(signed) X Submittal Information Fees Send applications in PDF format with a file and message Once we receive your application, we will size no greater than 30 MB. Please review our Electronic contact you about payment of the Submittal Guidelines for more information. An email required deposit, if any. with a link to a file share site (Dropbox, Google Drive, OneDrive, etc.) is acceptable. Permit fees are paid prior to building permit issuance. Email: buildingpermit@cityofanacortes.org Incomplete applications will not be processed. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 4 of 19 x o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT C411.16, Mailing Address: P.O. Box 547, Anacortes, WA 98221 • Office Location:904 6t"Street, Anacortes WA 98821 \4; w� Phone: (360)293-1901 �co¢ REQUIRED SUBMITTAL INFORMATION Additional details on certain submittal items is provided below to ensure Applicants are fully aware what City staff will be looking for when an application is submitted to the City. FORMS AND PLANS • FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION FORM. Provides key information about your project, including type of permit you are applying for, and property owner, contractor, and contact information. • FORM BP-2: STRUCTURE AND SITE INFORMATION FORM. Provides key information about the proposed structure, including height,floor areas,fire protection proposed, and asks questions about site characteristics that are used to determine whether your project requires any other information or additional permit applications to be submitted. • FORM BP-3: PLUMBING AND MECHANICAL INFORMATION. Form BP-3 provides space for you to fill in fixture information for plumbing and mechanical appliances and equipment that are included as part of your project. • FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS. Form BP-4 contains a list of all the items required to be shown on Architectural Plans. • FORM BP-5: STORMWATER MANAGEMENT DETERMINATION FORM. Most development within the City of Anacortes that involves disruption of soils, or construction of buildings, streets, parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on either the amount of soil to be disturbed (grading,vegetation removal), or the amount of hard surface that is created or replaced on a site (building footprint, concrete, asphalt or gravel parking, sidewalk, etc.). Form BP-5 assists you in determining the level of stormwater review(applicable Minimum Requirements) required for your project. • STORMWATER SITE PLAN. The Stormwater Site Plan is the comprehensive report containing all of the technical information and analysis necessary for regulatory agencies to evaluate your project for compliance with stormwater requirements. The level of stormwater review and contents of the Stormwater Site Plan will vary with the type and size of the project, and individual site characteristics. Use Form BP-5 to determine the level of stormwater review and then complete the applicable Stormwater Minimum Requirements Form on the Public Works- Engineering Department Forms website and provide required submittal items/plans. • FORM BP-6: SITE PLANS & LANDSCAPE PLANS. Form BP-6 contains a list of all the items required to be shown on Site and Landscape Plans. • STRUCTURAL PLANS: Plans prepared and stamped by a State of Washington licensed professional structural engineer drawn at a scale approved by the Building Official clearly indicating the information required by the "Permits" section of the currently adopted International Building Code and Chapter 19.27 RCW (State Building Code Act, Statewide amendments), and City submittal forms including: structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts; cross-section details, as needed,to show typical foundation, floor, wall, ceiling and roof construction; insulation of walls,floors and roof/ceiling; and details of stairs,fireplaces and special construction, if any. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 5 of 19 G� y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 ‘` ler 44' Phone: (360)293-1901 • STRUCTURAL CALCULATIONS: An analysis of loads, materials, etc., prepared and stamped by a State of Washington licensed professional structural engineer. • ENERGY CODE FORMS: The standard Washington State Energy Office form requesting the information required under Chapter 51-11 WAC detailing building components used to comply with the State Residential or Nonresidential Energy Code, as applicable. • MANUFACTURER'S SPECIFICATIONS/CUT SHEETS: A document that summarized the performance and other technical characteristics of a product, machine, component, material, or subsystem (e.g., a power supply) in sufficient detail that allows the City to determine the product will be incompliance with applicable codes. • COPY OF RECORDED SURVEY. A survey of your property is needed so that conformance with minimum setback requirements and other development standards can been confirmed and verified on site by the inspectors. Property markers must be visible on your property. If they are not at the time an inspection is requested, you may need to have a new survey completed. OTHER SUBMITTALS DETERMINED ON A CASE-BY-CASE BASIS TECHNICAL REPORTS Following is a list of technical reports that will be required to be submitted to the City when certain circumstances exist on or near a site an Applicant is planning on making improvements to. The general triggers for each of the listed technical reports I provided below: A. CRITICAL AREAS REPORTS: In general, Critical Area reports are required when wetlands and/or streams are located on or near a site. Critical area mitigation plans may also be required, depending on the project proposal. See Anacortes Municipal Code Ch. 17.70 for additional information. B. GEOTECHNICAL REPORT: In general, Geotechnical Reports are required when work is proposed on or near slopes in excess of 15%and/or known landslide hazard areas. See Anacortes Municipal Code Ch. 17.70 for additional information. OTHER PERMITS DETERMINED ON A CASE-BY-CASE BASIS OTHER FORMS Following is a list of other permits that could be required in certain circumstances. The general triggers for each of the listed permits is provided below. A. FILL AND GRADE PERMIT: Grading (importing, exporting, and/or moving material on a site) of more than 50 cubic yards and/or if grading modifies the existing flow of stormwater or groundwater. B. RIGHT-OF-WAY PERMIT: A right-of-way permit is required anytime the public right-of-way is disturbed or obstructed in any way by private development or the general public. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 6 of 19 G1� � PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 `� s' Phone: (360)293-1901 Page left blank intentionally. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 7 of 19 Gl PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 w„ Phone: (360)293-1901 FORM BP-2: STRUCTURE AND SITE INFORMATION 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: PARCEL NIJMRFR(S1 2. DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items that are not applicable with „N/A„ Structure height: AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD 1st Floor: 2nd Floor: 3rd Floor: Basement: Garage: Total deck: Total porch: Other: Other: Other: 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ❑ YES ❑ NO Is a monitored fire alarm being installed? ❑ YES ❑ NO Are retaining wall(s) being built? ❑ YES ❑ NO Are structural plans required? ❑ YES ❑ NO 4. PROJECT SITE INFORMATION A. Is work within the City's right-of-way proposed? If yes,you will be required I ❑ YES ❑ NO to submit a right-of-way permit application. If you have already submitted a ROW permit, list the permit number here: _ B. Is the property located in a flood zone? ❑ YES ❑ NO _ If yes, list the flood zone designation: • C. Are there slopes in excess of 15% on or abutting the site? If yes, a ❑ YES ❑ NO geotechnical report will likely need to be submitted. Res. Building Permit Application Submittal Checklist Updated April 20,2021 Page 8 of 19 CA1.11.1 o� PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address:P.O. Box 547,Anacortes, WA 98221 { Office Location:904 Gm Street,Anacortes WA 98821 70947 - Phone: (360)293-1901 D. Are there critical areas or buffers on or abutting(within 300-feet of)the M'YES ❑ NO project site? If yes,a critical areas report will likely need to be submitted. E. Is the lot less than 5,000 sq.ft. in area? ❑ YES ifirNO If yes,your site and building will need to comply with the standards in AMC 19.43.010.C. F. Is your project involving an accessory dwelling unit? ❑ YES Ltd NO If yes,your site and building will need to comply with the standards in AMC 19.47. G. Will more than 2-acres be cleared and/or more than 5,000 board feet ❑ YES YJ NO (about 1 log truck load)of timber be harvested? If so you may need to obtain a forest practices permit from DNR. H. Is this project subject to the SEPA process? If yes,you will be required to gd YES ❑ NO submit a SEPA checklist. If you have already completed the SEPA process,list the permit number here: SLX-2021-0016 5. REQUIRED SIGNATURE I hereby declare that I am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein,and the information submitted with this application form is in all respects,true,correct,and complete to the best of knowledge and belief. /,d'- /A'i 3t c /) So'J /2-/3 Z©zl Signature Date Printed Name Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 9 of 19 . 1`�Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT l�` wow Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 w� Phone: (360)293-1901 FORM BP-3: PLUMBING AND MECHANICAL FIXTURES i MECHANICAL N/A Equipment Type: Appliance/Equipment Information (new and relocated): Total#: Furnace: Gas#: Elec#: BTU: Other#: Wall Heater: Gas#: Elec#: Other:#: Location(s): Gas Water #: Location(s): Heat Pump: Elec#: Other#: Capacity: Air Conditioning: Elec#: Other#: Capacity: Radiant/Hydronic Gas#: Elec#: Other:#: Location(s): Exhaust Fans: Bath#: Laundry#: Other: Range Hood: #: Location(s): Fireplace: Gas#: Elec#: Other:#: Location(s): Clothes Dryer& Duct: Gas#: Elec#: Other:#: Location(s): Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s): Gas Piping/Outlet(s): #: Location(s): Boiler Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): TOTAL MECHANICAL OUTLETS: PLUMBING N/A Fixture Type (new and relocated): Total#: Fixture Type (new and relocated): Total #: Water Closet(Toilet): Refrigerator water supply(for water/ice Kitchen Sink: Pressure Reduction Valve/Pressure Regulator: Utility Sink: Water Service Line: Tub: Water Piping: Hand Sink: Clothes Washer: Shower: Electric Water Heater: Tank-less? Yes ❑ Dishwasher: Backflow Prevention Assembly: Hose Bib: Other: TOTAL PLUMBING FIXTURES: Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 10 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT — Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 V. Phone: (360)293-1901 �co¢ FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: 5307 Doon Way PARCEL NUMBER(S) 2. GENERAL INFORMATION This form is intended to assist applicants in creating complete, code compliant architectural plans. Please check the plans you wish to submit to make sure they contain each of the listed items. To the right of the Requirements column is space for you to list the sheet number of the plan set where the listed information is shown. • Minimum Plan Size: 11"x 17" and drawn in an architectural scale. • Architectural plans for structures 4,000 square feet or larger are required to be prepared and stamped by an architect licensed in the State of Washington. • Structural plans must be stamped by a structural engineer licensed in the state of Washington. 3. REQUIREMENTS FOR ALL ARCHITECTURAL PLANS COMPLETE REQUIREMENTS PAGE#ON ? YOUR PLANS Cover(or 1st page) must include: • Site address • Parcel number • Lot number(if applicable) • Lot size • Lot coverage • % impervious surface coverage Floor plans with existing (if applicable) and proposed building layout with square footages and with the use of each room/area labeled. Window and door sizes labeled and window ventilation area. Commercial, Multi-Family, and Mixed-Use Structures must also include door and window schedules. Plumbing, duct, and electrical layout. Penetration protection must be shown. Opening headers, size, and material. Cross section details, showing typical foundation,floor,wall, ceiling and roof construction and insulation. Structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts. Details documenting energy code compliance. Exterior building elevations demonstrating compliance with applicable structure type design standards (small lot, duplex, or ADU) and maximum building height Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 11 of 19 G1�Q� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT t Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 �4 w� Phone: (360)293-1901 Building height(see AMC 19.42.120 for measurement methods,exceptions and modifications). • Show a line representing,and label the elevations of,the existing natural topography at the foundation at the front of the building. • For corner lots and lots that slope downhill from the property line at the front of the building: Show a line representing,and label the elevations at the center of all exterior walls of the building. • For ADUs only, include elevations demonstrating compliance with the height/setback plane(see AMC 19.47.030(C)(6)). Special details as needed (i.e., stairs,fireplaces, special construction). Insulation and insulation values of walls, slab, floors, and roof/ceiling. Existing and proposed grades with slope of lot shown. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 12 of 19 x o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 "1" `�� Phone: (360)293-1901 coSL FORM BP-5: STORMWATER MANAGEMENT MINIMUM REQUIREMENTS DETERMINATION 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: PARCEL NUMBER(S) 2. GENERAL INFORMATION Most development within the City of Anacortes that involves disruption of soils,or construction of buildings, streets, parking lots,etc. requires a Stormwater review. Stormwater review requirements are based on either the amount of soil to be disturbed (grading,vegetation removal),or the amount of hard surface that is created or replaced on a site(building footprint,concrete,asphalt or gravel parking,sidewalk,etc.) This form is largely targeted for small projects and single family residences. For larger projects and more information please refer to the Anacortes Municipal Code(Chapter 19.76 Stormwater Management)and the latest Washington State Department of Ecology Stormwater Management Manual for Western Washington (Ecology Manual). 3. HARD SURFACE AREA CALCULATION Please calculate your project's hard surface amount;guidance is provided on the next page of this document. Use your project's total hard surface calculation to follow the flow chart(s) in this packet and determine the level of stormwater management required for you project. When determining your permit level or if stormwater thresholds are met or exceeded the entire project must be considered. A project is that portion of a property, properties, or right of way subject to land disturbing activities, new hard surfaces and replaced hard surfaces. The hard surface on your property will determine the storm water utility fees and the stormwater general facility charge. All new or replaced hard surfaces should be accounted for. Below are excerpts from the Anacortes Municipal Code and Ecology Manual that may assist you in preparing this information. "Hard surface area"means an impervious surface, a permeable pavement, or a vegetated roof. "Impervious surface"means a non-vegetated surface area which either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A non-vegetated surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. "Replaced impervious surface"means,for structures, the removal and replacement of impervious surfaces down to the foundation. For other impervious surfaces, the removal down to bare soil or base course and replacement. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 13 of 19 Gl PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 w� Phone: (360)293-1901 Land disturbance Description Total (SF) Total Area of Land disturbing activity Total area converted from vegetation to lawn or landscaped areas Hard surface area calculation Existing Removed Proposed Proposed Description (SF) (SF) Replaced New (SF) (SF) Non Pollution Generating Hard Surface Area (Sidewalks, paths, patios, etc.) Pollution Generating Hard Surface Area (Driveways, parking areas, etc.) Total Hard Surface Site Size Existing impervious surface coverage (sq.ft. hard surface/site size) Use the information in the above table to navigate the flow chart(s) on the next page and determine the applicable stormwater management minimum requirements for your project. Then complete the applicable Stormwater Minimum Requirements Form on the Public Works - Engineering Department Forms website and provide required submittal items/plans. Check applicable box Minimum Requirements Determination Minimum Requirements #1-9. Minimum Requirements #1-5. Res.Building Per Application Submittal Checklist Updated April 2021 Minimum Requirement#2. Page 14 of 19 G��Q� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 Phone: (360)293-1901 FLOW CHART FOR DETERMINING REQUIREMENTS FOR NEW DEVELOPMENT Start Here Does the site have 35% Yes See Redevelopment Minimum or more of existing ► Requirements and Flow Chart impervious coverage? (Figure I-2.4.2). No Does the project convert 3/4 ✓ acres or more of vegetation to Does the project result in lawn or landscaped areas,or 5,000 square feet,or No convert 2.5 acres or more of greater,of new plus ► native vegetation to pasture? replaced hard surface area? No Yes Yes Does the project result in 2,000 ✓ square feet,or greater,of new plus All Minimum Requirements replaced hard surface area? apply to the new and replaced hard surfaces and converted Yes No vegetation areas. Does the project have land Minimum Requirements#1 disturbing activities of 7,000 through#5 apply to the new ' Yes square feet or greater? and replaced hard surfaces and the land disturbed. No V Minimum Requirement#2 applies. Figure 1-2.4.1 Flow Chart for Determining Requirements for 1111 New Development DEPARTMENT OF Revised June2015 ECOLOGY Please see httplArvwwecyvvagov/copyright.html for copyright notice including permissions, State of Washington limitation of liability,and disclaimer. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 15 of 19 G1� YQ� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 \\711 `Q Phone: (360)293-1901 FLOW CHART FOR DETERMINING REQUIREMENTS FOR REDEVELOPMENT Does the project result in 2,000 square feet,or more,of new plus replaced hard surface area? OR Does the land disturbing activity total 7,000 square feet or greater? Yes No Minimum Requirements#1 through#5 apply to the new and replaced hard Minimum Requirement#2 applies. surfaces and the land disturbed. 1 Next Question Does the project add 5,000 square feet or more of new hard surfaces? OR Convert 3/4 acres or more of vegetation to lawn or landscaped areas? OR Convert 2.5 acres or more of native vegetation to pasture? Yes No V All Minimum Requirements apply Next Question Is this a road to the new hard surfaces and the 0related project? No converted vegetation areas. Yes Does the project add 5,000 square feet or more of new hard surfaces? Yes No Is the total of new plus replaced hard surfaces Do the new hard 5,000 square feet or more, surfaces add 50%or No No additional No AND more to the existing requirements. 1 does the value of the proposed improvements hard surfaces within -including interior improvements-exceed the project limits? 50%of the assessed value(or replacement value)of the existing site improvements? Yes" • All Minimum Requirements apply to the new and replaced hard surfaces and converted vegetation areas. Yes ft•Mr.M Figure 1-2.4.2 Flow Chart for Determining Requirements for Redevelopment DEPARTMENT OF Revised June 2015 ECOLOGY Please see http./Amw.ecy.wa.gov/copyrrght.html for copyright notice including permissions, State of Washington limitation of liability,and disclaimer Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 16 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT — Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 \+ `Q Phone: (360)293-1901 .Nco¢ FORM BP-6: SITE PLAN REQUIREMENTS 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: PARCEL NUMBER(S) 2. GENERAL INFORMATION This form is intended to assist applicants in creating complete, code compliant site plans. Please check the plans you wish to submit to make sure they contain each of the listed items. To the right of the Requirements column is space for you to list the sheet number of the plan set where the listed information is shown. • Minimum Plan Size: 11"x 17" and drawn in an engineering or architectural scale. 3. INFORMATION REQUIRED ON ALL SITE PLANS COMPLETE? REQUIREMENTS PAGE#ON YOUR PLANS Cover sheet must contain all of the following: • Vicinity Map • Name of the project • Name, address, and telephone number of owner and agent(s) • Name, address, and telephone number of Applicant (if different from the owner) • Zoning designation of the site • Area, in square feet and acreage, of the project site • Reference to the Building Code used • Proposed use • Occupancy group • Construction type • Square footage and height of each individual building • Percent lot coverage • Percent impervious surfaces Scale and North Arrow Property features: Location, identification, and dimensions of all property lines and easements. All easements shown on the title report, Record of Survey, or plat must be dimensioned and shown. Location and dimensions of existing critical areas (wetlands, streams, steep slopes) and their associated buffers. Location of Ordinary High Water Mark and shoreline jurisdiction limits (if adjacent to a shoreline). Existing and proposed contours and site elevations (i.e.finished grades) at 5-foot minimum increments. The horizontal and vertical control datum must be clearly shown. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 17 of 19 x o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT 111.16,� Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 \4; w� Phone: (360)293-1901 Structures: Location, identification, dimensions and size of all existing and proposed buildings and other structures. Location of existing and proposed retaining walls, rockeries, and Location, identification, and dimensions of all setbacks. Show proposed projections into required setbacks, including dimensions (see AMC 19.44.140) Utilities & Easements: Location and dimensions of existing and proposed stormwater, sanitary sewer, potable water, and fiber lines/facilities. All wells and septic systems located on or near the project site must also be identified. Location of all existing and proposed fire hydrants within 300 feet of the boundary of the project site. Location and dimensions of existing and proposed freestanding lighting fixtures, utility junction boxes, public utility transformers. Stormwater Proposed Temporary Erosion and Sediment Control Measures, if not located on other plans. Proposed permanent stormwater management BMPs. Access, Circulation & Parking Location, identification, and dimensions of all existing and proposed on-site and adjacent streets and alleys, including the location and dimensions of all existing and proposed curbs,gutters, sidewalks, median islands, and street trees. Show existing and proposed vehicular access to the site, including the size and location of driveways and curb cuts. Show existing and proposed parking spaces, including surface material and dimensions of spaces. Open Space (ADUs, Small Lots, and Duplexes) Show calculations, location, dimensions and provided square footage of required open space area per AMC 19.43.010.C, E, or AMC 19.47, as applicable. Landscaping Show the location and design of landscape areas to be preserved and planted, and a plant list to include the location, number, size and type of plant material by botanical and common name. Location of irrigation system if a permanent or temporary system is proposed. Show the location of existing trees to be retained in conformance with AMC 16.50, and tree protection measures to be implemented, when applicable. Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 18 of 19 G1�Q� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6t"Street, Anacortes WA 98821 ,P `4� Phone: (360)293-1901 Provide a maintenance plan for any infiltration-based stormwater best management practices (BMPs) built as part of the landscaping design, including the specifications and maintenance procedures of any soil amendments. Show new trees to be planted and tree unit credit calculations, in conformance with AMC 16.50 Tree preservation, when applicable The following table, with project specific information filled in, must be placed on the site plan: Required Landscaping For Example Calculations Site Area 7,500 sq.ft. %of site area to be landscaped (per 20%-R2A zone AMC Tables 19.42.020-.030) 1,500 sq.ft. required 1,850 sq.ft. provided Compliance with AMC Ch. 16.50 Tree unit credits required: Tree Preservation. • 8 tree units required Tree unit credits retained: • 2 trees 6"dbh=4 tree unit credits retained Tree unit credits provided: • 2 new deciduous trees(min. 2" caliper @ 6"above ground) • 2 new evergreen trees(8' in height) Number of required street trees 1 per 30'of frontage 60 lineal feet of frontage=3 street trees Res.Building Permit Application Submittal Checklist Updated April 20,2021 Page 19 of 19 r:)50,r.. ,s,c, 1111311111111111111111111 , 200608150107 Skagit County Auditor 8/15/2006 Page i of 11028AM , -- - - ,---- - , - , . a ,, i • ' • i ii Ai' 1 9V.. ..„ , a , .. o' i 111h, - ( II Skagit 'County, • irditor - • Auditor 's - CertIPIcatet ,,. .., . Reba-, No Cap ,-- eC-?C3C:34..,:e t't j.) /tt e„, Si -- ' Lot 52 ..1-\ /(:).„-, , e: „,,, 009'n° /0%1 C , Af 'tc5e' Lot 53 e,, , ( ' ----s.,- C3 ' Tax Parcel No. 51654 \&<\aro , Rebar - 4 Cap House No. 5501 LS 2ao2a N&S°04151 "1^1 . Cased 4.a.1.2 r Monument Reference Course 11Pd X Basis of Bearings if. 5t* 0 Refer to prior survey - -- -, , 0 Q par AFN12042100415- , Hedge 0 in . in ,, 0 &is Distances from ,. Land OescrIptIon 8 60d Spike carriers of 1 0.15 Bri er ck Plant .. t„ Auditor's File Number 200407080105 A4111111111/4 ,, , 0." -\ ix II1* Rebar, (no cap) Range Line /cf..4.3 - ., , (9 Lot 55, Skyline No. 1, according to the plat thereof recorded in Volume 1, of Plats, o Lot 54 pages 10 and 11, records of Skagit County, Knshington. 522°04'251AI House 20.6cl - , • Fence on Line ALSO, tidelands as described under auditor's file number 2004010e)0105 Rebar 4 Cap r; N. , " SUBJECT TO AND TOGETHER WITH covenants, conditions and restrictions on the plat of LS 21555 . is, . - - - . "it. RR Spike o gebor 4 cop Skyline No. 1. / c - 'Vs. , - c%,,... LS 241555 / 551°45'05"A Range Line V - - .* 1/ Survey Notes , - .. ,. , s,;„, 16.16 551°45'05"N ,...._______ 80.21 - 1,( Rebar 4 Cap ,. This survey has been prepared from a closed random traverse using an electronic 21555 , , / LS instrument measuring angles to 3 seconds of ore. arid distances rounded to hundredths ,,, I of feet. - . t* 25.2' - , ,Of ti\li The purpose of this survey has been to locate, describe and to set monuments to mark 0 AY" the existing lines and corners of the Tidelands as described in the above referenced 1,.)0 deed. , ''''N j----Tideland E3oundary 7 / 124it ze 00`' - , „ti• i\ / Nu 4) 0 '.---17 11.5' - - - 41. -. N tgrephia 540/0 L= 16.421 ,,st 20 0 10 20 40 R=60.00 I inch = 20 feet Aiww,f,iimpwAvaimwm.miik .J N 7.,,A----.F. p...4,6 . StirVepr IS CortfPleate . siik '''''''''' 0 o,....A .4_,..-., f#1 Record of' ,5urvey This mop correctly represents a survey made by me or rrcv' d , .A%, 0 1(44,: 37;41 -...... - f:i 91:... 5 .JOB NO.: 605-211 - , - Under my direction in conformance Nith the requirements I II 1 I 1 ...., ,,, : e prepared at the request of of the survey recording act at the request oF Evan L. . 4 - % CADD BY: rp , ... , -- and '.Ann E. Maxwell, of Skagit County, in March, 2006. ,...2)...1-0...... ‘.,. - ne Porrilphi g a Suryveyftpng Evan $ Ann Maxi-gel/ CH< BY:,,eir ./AF .1SarligIO'v I .... k 11 1 BK. REF: HI.E5 1 f7 /re2 2/),Le - 4)10"---.......---41" Located within the Nerthwast of Section 21, Township 35 North, 142 BLOSSOM LAQNE, PORT TOMSEND, WA. 98368 SCALE: I — 20 - ' certificate no. S.,4 ,019 I I range I East, N.M., City of Anacortes, Fidalgo Island, Skagit , ' LS 2c1555 a EXPIRES 12/01/06 R.obert F. Parrish ANACORTES (360) 588-1467— parrisharockisiand.com County, ifiashington DATE: 4-25-06 ‘-(ONSSssssssSssssssza222a2222zZzZar I I III 1 AGENCY USE ONLY s' Date received: WASHINGTON STATE USArmyCorps of Engineers Seattle District Joint Aquatic Resources Permit Agency reference#: Application (JARPA) Form1'2 [help] Tax Parcel#(s): USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. L Part 1—Project Identification 09 SLX-2021 21 2021-0016 1. Project Name (A name for your project that you create. Examples: Smith's Dock or Seabrook Lane Development) [help] Flounder Bay Dock Project— Location C Part 2—Applicant The person and/or organization responsible for the project. [help] 2a. Name (Last, First, Middle) Giard, Ronald 2b. Organization (If applicable) 2c. Mailing Address (Street or PO Box) 2008 Cove Place 2d. City, State, Zip Anacortes, WA 98221 2e. Phone(1) 2f. Phone(2) 2g. Fax 2h. E-mail 206-793-5801 ron@gia-ho.com 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. • 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/jarpajarpaform/9984/jarpaform.aspx. For other help,contact the Governor's Office for Regulatory Innovation and Assistance at(800)917-0043 or help@oria.wa.gov. ORIA-revised 02/2020 Page 1 of 15 Part 3—Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11 b of this application.) [help] 3a. Name (Last, First, Middle) Zimmerman, Tyler 3b. Organization (If applicable) TZ Engineering, LLC 3c. Mailing Address (Street or PO Box) 16980 Sargent Ln 3d. City, State, Zip Burlington, WA 98233 3e. Phone(1) 3f. Phone(2) 3g. Fax 3h. E-mail 360-466-8075 tyler@tzengineering.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. [help] ❑ Same as applicant. (Skip to Part 5.) ❑ Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) x❑ 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) See Attachment A 4b. Organization (If applicable) 4c. Mailing Address (Street or PO Box) 5305, 5307 Doon Way; and 2008 Cove Place 4d. City, State, Zip Anacortes, WA 98221 4e. Phone(1) 4f. Phone(2) 4g. Fax 4h. E-mail ORIA-revised 02/2020 Page 2 of 15 Part 5—Project Location(s) Identifying information about the property or properties where the project will occur. [help] ❑Z 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] ❑x 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] ; Location C: 5305, 5307 Doon Way and 2008 Cove Place 5c. City, State, Zip(If the project is not in a city or town, provide the name of the nearest city or town.) [help] Anacortes, WA 98221 5d. County [help] Skagit 5e. Provide the section, township, and range for the project location. [help] 1/4 Section Section Township Range SW 27 35 N 1 E 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) Location C: 48.495N Lat -122.67667W 5g. List the tax parcel number(s) for the project location. [help] • The local county assessor's office can provide this information. P59635, P59634, P60017 5h. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel # (if known) See attached Attachment C ORIA-revised 02/2020 Page 3 of 15 5i. List all wetlands on or adjacent to the project location. [help] None 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] The project sites are within Flounder Bay which is part of Skyline Marina adjacent to Burrows Bay 5k. Is any part of the project area within a 100-year floodplain? [help] ❑ Yes ❑x No ❑ Don't know 51. Briefly describe the vegetation and habitat conditions on the property. [help] Bottom substrate along the shoreline consists of rock, mud, clay, and gravel. The rock and gravel below the high tide line are from the riprap placed along the shoreline. The shoreline banks are lined with riprap. Beyond the shoreline bottom substrate consists of mud. Water depths at the project site range from about 10 feet to about 15 feet. There is no natural shoreline within the general vicinity of the project site. There is no overhanging vegetation at the project site or any natural vegetation landward of the project site. Flounder Bay is a human- made environment, i.e., it is a dredged marina. 5m. Describe how the property is currently used. [help] Small boat seasonal and long term moorage for upland adjacent property owners. 5n. Describe how the adjacent properties are currently used. [help] Small boat seasonal and long term moorage for upland adjacent property owners. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. [help] Upland includes single family homes and parking area. There are gangway ramps down to existing floats that are held in place by creosote piling. The residence of the upland domiciles utilize the floats for moorage of their small boats and watercraft. non-commercial in nature. 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help] From 1-5 Northbound, take Highway 20 exit to the west towards Anacortes. Continue on Highway 20 spur towards the Anacortes ferry landing. Continue past the ferry landing. For Site C continue onto Sunset way, turn left on Anaco Beach Rd, then right onto Sterling Drive, Left on Kingsway, Right on Windsor St and left on Doon Way. Project Site C will be on your right. ORIA-revised 02/2020 Page 4 of 15 Part 6—Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. [help] In general, this project will upgrade existing docks by replacement of creosote piling with 12" steel piling 6b. Describe the purpose of the project and why you want or need to perform it. [help] Existing creosote piling and docks being replaced are nearing the end of their useful lifecycle. 6c. Indicate the project category. (Check all that apply) [help] ❑ Commercial ❑x Residential ❑ Institutional ❑ Transportation ❑ Recreational ❑ Maintenance ❑ Environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] ❑ Aquaculture ❑ Culvert ❑ Float ❑ Retaining Wall ❑ Bank Stabilization ❑ Dam /Weir ❑ Floating Home (upland) ❑ Road ❑ Boat House ❑ Dike / Levee / Jetty ❑ Geotechnical Survey ❑ 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 ❑x Piling/Dolphin ❑ Utility Line ❑ Channel Modification ❑ Fishway ❑ Raft ❑ Other: ORIA-revised 02/2020 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. [help] • Identify where each element will occur in relation to the nearest waterbody. • Indicate which activities are within the 100-year floodplain. The construction and placement of the piling will not require on-site preparation work. The new piling will be pre- constructed and barged to the site. Piling will be vibrated using a 60' x 30' foot barge moved with two small skiffs. Pile vibrating will take about 2 days for each dock. The whole project is anticipated to be completed within one week. Timing will be dependent upon the Washington Department of Fish and Wildlife Hydraulics Project Approval and other federal agencies requirements to avoid affects on listed species. 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: August 16, 2021 End Date: October 30, 2021 ❑ See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [help] $25,000 6h. Will any portion of the project receive federal funding? [help] • If yes, list each agency providing funds. ❑ Yes ❑x 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.) [help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ❑x Not applicable 7b. Will the project impact wetlands? [help] ❑ Yes x❑ No ❑ Don't know 7c. Will the project impact wetland buffers? [help] ❑ Yes ❑x No ❑ Don't know ORIA-revised 02/2020 Page 6 of 15 7d. Has a wetland delineation report been prepared? [help] • If Yes, submit the report, including data sheets, with the JARPA package. ❑ Yes ❑x 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 ❑x 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 x❑ 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] 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, 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) 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. 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(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: ORIA-revised 02/2020 Page 7 of 15 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] 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] 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] x❑ 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. [help] ❑ Not applicable Steel piles will be used instead of treated wood piling. The project will be timed outside of the salmonid and bull trout migration windows and outside of winter season and bald eagle nesting season. 8b. Will your project impact a waterbody or the area around a waterbody? [help] ❑x Yes ❑ No ORIA-revised 02/2020 Page 8 of 15 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 x❑ No ❑ Don't know The project is self-mitigating by replacing creosote piles with a smaller number of steel piling. 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 is self-mitigating by replacing creosote piles with a smaller number of steel piling. 8e. Summarize impact(s) to each waterbody in the table below. [help] 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 removed waterbody from waterbody directly affected Pile drive Flounder Bay Baylounder Permanent 6- 12" Steel Piling 7.71 sq. ft. Piling Removal Flounder Bay Baylounder Permanent 11 — Creosote Piling 8.64 sq. ft. 1 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. 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] ORIA-revised 02/2020 Page 9 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. [help] Piling will be removed and installed using a vibratory hammer hooked to a crane positioned on a barge. 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 City of Anacortes Emily Morgan 360-298-4350 February 9, 2021 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: https://ecology.wa.c ov/Water- Shorelines/Water-quality/Water-improvement/Assessment-of-state-waters-303d. ❑xYes x❑ No Listing ID 64707 Rosario Straight, Inner Skyline 2006 and 2007 Copper 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. Rosario Straight— Strait of Juan De Fuca 171100191300 9d. What Water Resource Inventory Area Number (WRIA#) is the project in? [help] • Go to https://ecology.wa.gov/Water-Shorelines/Water-supply/Water-availability/Watershed-look-up to find the WRIA#. WRIA 03 ORIA-revised 02/2020 Page 10 of 15 9e. Will the in-water construction work comply with the State of Washington water quality standards for turbidity? [help] • Go to https://ecology.wa.gov/Water-Shorelines/Water-quality/Freshwater/Surface-water-quality-standards/Criteria for the standards. O 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: https://ecology.wa.gov/Water-Shorelines/Shoreline-coastal-management/Shoreline-coastal- planning/Shoreline-laws-rules-and-cases. ❑ Urban ❑ Natural ❑ Aquatic ❑ Conservancy 0 Other: shoreline residential 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. O 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. El Yes ❑ No Name of manual: 9i. Does the project site have known contaminated sediment? [help] • If Yes, please describe below. ❑ Yes O No 9j. If you know what the property was used for in the past, describe below. [help] ORIA-revised 02/2020 Page 11 of 15 9k. Has a cultural resource (archaeological) survey been performed on the project area? [help] • If Yes, attach it to your JARPA package. El Yes III No ORIA-revised 02/2020 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. [help] Marbled murrelet Bald eagle Bull trout Chinook salmon Steelhead Stellar Sea lion Leatherback sea turtle Humpback whale 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] Pinto Abalone Yuma myotis 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 help@oria.wa.gov. • 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 https://ecology.wa.gov/regulations-permits/SEPA-environmental-review. ❑ A copy of the SEPA determination or letter of exemption is included with this application. ❑ A SEPA determination is pending with City of Anacortes (lead agency). The expected decision date is May 2021 ❑ I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 1ob.) [help] ❑x 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. ORIA-revised 02/2020 Page 13 of 15 10b. Indicate the permits you are applying for. (Check all that apply.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ❑ Substantial Development ❑ Conditional Use ❑ Variance O Shoreline Exemption Type (explain): Other City/County permits: ▪ Floodplain Development Permit ❑ Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: O 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: O Section 401 Water Quality Certification ❑ Non-Federally Regulated Waters FEDERAL AND TRIBAL GOVERNMENT United States Department of the Army (U.S. Army Corps of Engineers): ❑ Section 404 (discharges into waters of the U.S.) 0 Section 10 (work in navigable waters) United States Coast Guard: For projects or bridges over waters of the United States, contact the U.S. Coast Guard at: d13-pf-dl3bridges@uscg.mil ❑ Bridge Permit ❑ Private Aids to Navigation (or other non-bridge permits) United States Environmental Protection Agency: O Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do not have treatment as a state (TAS) Tribal Permits: (Check with the tribe to see if there are other tribal permits, e.g.,Tribal Environmental Protection Act, Shoreline Permits, Hydraulic Project Permits, or other in addition to CWA Section 401 WQC) ❑ Section 401 Water Quality Certification (discharges into waters of the U.S.)where the tribe has treatment as a state (TAS). ORIA-revised 02/2020 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] 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. RG (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. RG (initial) Applicant Printed Name Applicant Signature Date 11 b. 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 11 C. 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.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. ORIA publication number: ORIA-16-011 rev. 09/2018 ORIA-revised 02/2020 Page 15 of 15 AGENCY USE ONLY ti. '' WAS H I N GTO N STATE s'Army Corps Date received: Joint Aquatic Resources Permit Agency reference#: Application (JARPA) ri,e r) Tax Parcel#(s): Attachment A. e rrrrrr rrrrrrrrsrrrrrra:� For additional property owner(s) [help] TOIIE COMPLETED BY APPLICANT(helpl Project Name: Location Name(if applicable): Use this attachment only if you have more than one property owner. Complete one attachment for each additional property owner impacted by the project. Signatures of property owners are not needed for repair or maintenance activities on existing rights-of-way or easements. Use black or blue ink to enter answers in white spaces below. 1. Name(Last, First, Middle)and Organization (if applicable) Giard, Ronald 2. Mailing Address (Street or Po Box) 2005 Cove Place 3. City, State, Zip Anacortes, WA 98221 4. Phone (1) 5. Phone(2) 6. Fax 7. E-mail (-)-0C.,) 793 00 (5007g3- / f C� C�3 icx-- -o Address or tax parcel number of property you own: 2005 Cove Place, P60026 Signature of Property Owner 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. 1'Lf' \ J - CS 1 0. CJ �Z Printed Name Signature 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 ublication number:ORIA-16-012 rev. 10/2016 JARPA Attachment A Rev. 10/2016 Page 1 of 1 AGENCY USE ONLY US Army STATE Date received: Joint Aquatic Resources Permit Agency reference#: Application (JARPA) (helot Tax Parcel#(s): Attachment A: For additional property owner(s) [help, TO BE COMPLETED RY APPLICANT(helm Project Name: Location Name(if applicable): Use this attachment only if you have more than one property owner. Complete one attachment for each additional property owner impacted by the project. Signatures of property owners are not needed for repair or maintenance activities on existing rights-of-way or easements. Use black or blue ink to enter answers in white spaces below. 1. Name(Last, First, Middle)and Organization (if applicable) Giard, Ronald 2. Mailing Address (Street or PO Box) 2008 Cove Place 3. City, State, Zip Anacortes, WA 98221 1f� 4. Phone (1) 5. Phone(2) 6. Fax 7. E-mail boE›) ?cjI-58GG (ADC) 793--S-8 UC\f da o 2 is l'vtstilcom Address or tax parcel number of property you own: 2008 Cove Place, P60017 Signature of Property Owner 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. Printed Name Signature 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. OR/A ubiication number:ORIA-16-012 rev. 10/2016 JARPA Attachment A Rev. 10/2016 Page 1 of 1 AGS SCY SSE ONLY WASHINGTON STATE t:s of lveDo.ers. Date received: S.AJoint Aquatic Resources Permit Agency reference ft: Application (JARPA) fhelnlTax Parcel#(s): Attachment A: For additional property owner(s) (hem ` 7O BE COMPLETED 9Y APPLICANT Project Name: Location Name(if applicable): Use this attachment only if you have more then one property owner. Complete one attachment for each additional property owner impacted by the project. Signatures of property owners are not needed for repair or maintenance activities on existing rights-of-way or easements, lase black or blue ink to enter answers in white spaces below. 1. Name(cast,First,Middle)and Organization(if applicable) Garcia,Thomas 2. Mailing Address(Street or PO Box) 5305 Doon Way 3. City,State,Zip Anacortes,WA 96221 4. Phone(1) 5. Phone(2) 6. Fax 7. F-mail -tom Z z c)C735 C7R5vy J r-t - Address or tax parcel number of property you own: 5305 Doon Way,P59635 Signature of Property Owner 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. Printed Name Signature If you require this document in another format,contact the Governor's Office for Regulatory Innovation and Assistance(OR1A)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. ORJA publication number:ORIA-16-012 rev.10/2016 AARRA Attachment A Rev.10/2016 Page 1 of `,"7.1,,,,,,,., �° ;,e„ AGENCY USE ONLY Ect �: U5 Army Corps,, WASHINGTON STATE usAr R@2r5Seaa Date received: Joint Aquatic Resources Permit Application (JARPA) Ihelpi Agency reference#: Tag Parcel##(s): Attachment A. For additional property owner(s) Ihelpi TO BE COMPLETED BY APPLICANT rhelpi Project Name: Location Name(if applicable): Use this attachment o y if you have more than one property owner. Complete one attachment for each additional property owner impacted by the project. Signatures of property owners are not needed for repair or maintenance activities on existing rights-of-way or easements. Use black or blue ink to enter answers in white spaces below. 1. Name (Last, First, Middle)and Organization (if applicable) Stinson, William 2. Mailing Address(Street or PO Box) 5307 Doon Way 3. City, State, Zip Anacortes, WA 98221 4. Phone (1) 5. Phone(2) _6. Fax 7. E-mail 20 -7i 2—//So /7a0,00,44U(E- a-3q-�� cane f ,t)q Address or tax parcel number of property you own: 5307 Doon Way, P59634 Signature of Property Owner 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. 4116-till-I? .7). ST,h0 5 AO 9114 I --.A-/ ___.- Printed Name Signature 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: ARIA-16-012 rev. 1012016 JARPA Attachment A Rev. 10/2016 Page 1 of 1 .,. AGENCY USE ONLY US Army Corps WASHINGTON STATE saEego"eeYSisinct Date received: Joint Aquatic Resources Permit Application (JARPA) [help] Agency reference#: Tax Parcel#(s): Attachment B: -------------------------------------- For additional project location(s) [help] TO BE COMPLETED BY APPLICANT [help] Project Name: Use this attachment only if you have more than one project location. Location Name(if applicable): 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] ❑x 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] 5305, 5307 Doon Way and 2008 Cove Place 3. City, State, Zip (If the project is not in a city or town, provide the name of the nearest city or town.) [help] Anacortes, WA 98221 4. County [help] Skagit 5. Provide the section, township, and range for the project location. [help] 1/4 Section Section Township Range Sw 27 35N 1E 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) 48.495N Lat -122.67667W 7. List the tax parcel number(s) for the project location. [help] • The local county assessor's office can provide this information. P59635, P59634, P60017 JARPA Attachment B Rev. 10/2016 Page 1 of 3 8. Contact information for all adjoining property owners. (If you need more space, use JARPA Attachment C.) [help] Name Mailing Address Tax Parcel # (if known) See Attachment C 9. List all wetlands on or adjacent to the project location. [help] None 10. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Flounder Bay 11. Is any part of the project area within a 100-year flood plain? [help] ❑ Yes ❑x No ❑ Don't know 12. Briefly describe the vegetation and habitat conditions on the property. [help] The upland portions of the lots are covered with homes or landscaping. Bottom substrate along the shoreline consists of rock, mud, clay, and gravel. The rock and gravel below the high tide line are from the riprap placed along the shoreline. The shoreline banks are lined with riprap. Beyond the shoreline bottom substrate consists of mud. Water depths at the project site range from about 10 feet to about 15 feet. There is no natural shoreline within the general vicinity of the project site. There is no overhanging vegetation at the project site or any natural vegetation landward of the project site. Flounder Bay is a human-made environment, i.e., it is a dredged marina. 13. Describe how the property is currently used. [help] Small boat seasonal and long term moorage for upland adjacent property owners. JARPA Attachment B Rev. 10/2016 Page 2 of 3 14. Describe how the adjacent properties are currently used. [help] Small boat seasonal and long term moorage. 15. Describe the structures (above and below ground) on the property, including their purpose(s). [help] Upland includes single family homes and parking area. There is a gangway ramp down to existing floats that are held in place by creosote piling. The residence of the homes utilize the floats for moorage of their small boats and watercraft. Non-commercial in nature. 16. Provide driving directions from the closest highway to the project location, and attach a map. [help] From 1-5 Northbound, take Highway 20 exit to the west towards Anacortes. Continue on Highway 20 spur towards the Anacortes ferry landing. Continue past the ferry landing and onto Sunset way, turn left on Anaco Beach Rd, then right onto Sterling Drive, Left on Kingsway, Right on Windsor St and left on Doon Way. Project Site C will be on your right. 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 JARPA Attachment B Rev. 10/2016 Page 3 of 3 2/11/2021 48.465237,-122.341579 to 5301 Doon Way Directions-MapQuest YOUR TRIP TO: y Scan this QR code for le •� 5301 Doon Way I directions on your mobile •ti• device: • EIN . p. 39MIN I 25.6 MI la Est. fuel cost: $1.99 Trip time based on traffic conditions as of 11:38 AM on February Print a full health report of your car with HUM 11,2021.Current Traffic: Moderate vehicle diagnostics(800)go6-25oi 48.465237, -122.341579 Q1. Start out going north on I-5 N. Then 0.01 miles 0.01 total miles EXIT 2. Take the WA-20 exit, EXIT 230, toward Skagit Airport/Burlington/Anacortes. Then 0.41 miles 0.43 total miles 3. Turn left onto Cascade Loop/Chuckanut Drive/W Rio Vista Ave/WA-20. Continue to follow Cascade Loop/WA-20. Then 11.70 miles 12.13 total miles T 4. Enter next roundabout and take the 1st exit onto State Highway 20 Spur/WA-20 Spur. Pass through 1 roundabout. Then 3.85 miles 15.98 total miles 5. 5726 STATE HIGHWAY 20 SPUR is on the right. If you reach State Route 20 Spur you've gone about 0.4 miles too far. IQ 5726 State Highway 20 Spur This leg of your trip is: 19 minutes • 15.98 miles Start of next leg of route Q6. Start out going southeast on State Highway 20 Spur/WA-20 Spur toward State Route 20 Spur. Then 1.63 miles 17.61 total miles T7. Enter next roundabout and take the 3rd exit onto State Highway 20 Spur/WA- 20 Spur. Then 2.79 miles 20.40 total miles https://www.mapq uest.com/directions/list/1/near-48.465237,-122.341583/to/us/wa/anacortes/98221/5726-state-highway-20-spur-48.484172,-122.5967... 1/4 2/11/2021 48.465237,-122.341579 to 5301 Doon Way Directions-MapQuest r8. Enter next roundabout and take the 1st exit onto Commercial Ave/WA-20 Spur. Then 0.21 miles 20.61 total miles t 9. Turn left onto 32nd St. If you reach 31st St you've gone a little too far. Then 0.86 miles 21.47 total miles 10. 2188 32ND ST is on the right. Your destination is 0.1 miles past F Ave. If you are on D Ave and reach 31st St you've gone a little too far. (c) 2188 32nd St This leg of your trip is: 8 minutes • 5.49 miles Start of next leg of route ( 11. Start out going west on 32nd St. Y4. r12. Enter next roundabout and take the 1st exit onto D Ave. Then 1.12 miles 22.59 total miles 13. Turn left onto 12th St/WA-20 Spur. Continue to follow WA-20 Spur. Pass I through 1 roundabout. If you reach 11th St you've gone a little too far. Then 2.23 miles 24.82 total miles T 14. Stay straight to go onto Sunset Ave. Then 0.10 miles 24.93 total miles 15. Take the 1st left onto Anaco Beach Rd. I Anaco Beach Rd is just past Summit Rd. If you reach Grady Ln you've gone a little too far. Then 0.19 miles 25.11 total miles r> 16. Take the 2nd right onto Sterling Dr. Sterling Dr is just past Maritime Ct. If you reach Kingsway you've gone about 0.5 miles too far. Then 0.30 miles 25.41 total miles 17. Turn left onto Kingsway. I Then 0.11 miles 25.52 total miles https://www.mapq uest.com/directions/I ist/1/near-48.465237,-122.341583/to/us/wa/anacortes/98221/5726-state-h ig hway-20-spur-48.484172,-122.5967... 2/4 2/11/2021 48.465237,-122.341579 to 5301 Doon Way Directions-MapQuest 14 18. Take the 1st right onto Windsor St. Windsor St is just past Heather Dr. If you reach Macbeth Dr you've gone a little too far. Then 0.05 miles 25.57 total miles I 19. Turn left onto Doon Way. Then 0.03 miles 25.60 total miles 20. 5301 DOON WAY is on the right. If you reach Cove PI you've gone a little too far. IQ 5301 Doon Way This leg of your trip is: 9 minutes • 4.13 miles L Save to My Maps Use of directions and maps is subject to our Terms of Use.We don't guarantee accuracy,route conditions or usability.You assume all risk of use. https://www.mapq uest.com/directions/I ist/1/near-48.465237,-122.341583/to/us/wa/anacortes/98221/5726-state-h ig hway-20-spur-48.484172,-122.5967... 3/4 2/11/2021 48.465237,-122.341579 to 5301 Doon Way Directions-MapQuest l SINCLAIR Alger ISLAND Atlanta CYPRESS ISLAND , Edi9on Bow III GUEMES ISLAND r . i Q 11 An S ed ro.A 5301 Doon%18 32nd SQ Way Ray View . 5726 State Burl` ^ton . Highway 20 Spur_ Skagit Regional 48.465237, Alrpprt -122.341579 ID i plug' IAANL', o Gibraltar cianos44 aerepriora PASS Mount Vernon 5toae Pork- . a CrunberryLake a i Dereptiun Pass Big State Pork- Cranberry Lake La Conner Litt+elldountuin Pork )ro.'d.r— Whidbey Conway Island Naval FIR Air Station ISLAND IIM https://www.mapq uest.com/directions/I ist/1/near-48.465237,-122.341583/to/us/wa/anacortes/98221/5726-state-h ig hway-20-spur-48.484172,-122.5967... 4/4 suiO4 t. AGENCY USE ONLY i TA S 2 °y WAS H I N GTO N STATE of ginee srp$ Date received: Seattle DISInCt Joint Aquatic Resources Permit Application (JARPA) [help] Agency reference#: Tax Parcel#(s): Attachment C. Contact information for adjoining r- TO BE COMPLETED BYAPPLICANT [helot property owners. [help, Project Name: Location Name(if applicable): Use this attachment only if you have more than four adjoining property owners. Use black or blue ink to enter answers in white spaces below. 1. Contact information for all adjoining property owners. [help] Name Mailing Address Tax Parcel # (if known) Chris Dahl 5309 Doon Way P59633 Anacortes, WA 98221 Dennis Nachtweih 2010 Cove Place P60018 Anacortes, WA 98221 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-16-014 rev. 10/2016 JARPA Attachment C Rev. 10/2016 Page 1 of 1 PROJECT LOCATION > COLVILLE '. /,P ANACORTES i �EVERETT * �)41 CHELAN r r� ACSEATTLE f SPOKANE -1111°1111. WENATCHEE TACOMA i MOSES LAKE OLYMPIA ELLENSBURG ' YAKIMA ( 'N ) riN'' / CITY OF ANAC 1����y-'„ RICHLAND t. KENNEWICK N WALLA WALLA Planning,Community,& �r Economic Development Date Received: 111,„ 09/14/2021 WASHINGTON SLX-2021-0016 ADJACENT PROPERTY OWNERS: PROJECT LOCATION CITY OF ANACOR AIVAdOF2?D0 B-DAHL CHRIS,5309 DOON WY PLANNING AND BUILDING D 3 B-NACHTWEIH DENNIS,2010 COVE PL APPROVED PLANS SANo REVIEWED FOR CODE COMPLIANCE FZDALOO PERMIT#: BLD-2021-1003 Z,sfr,Al"D 4 ADDRESS: 5307 DOON N I M I II , APPROVED BY: B.Y SUBJECT TO FIELD INSPECTION.APPROVED PL S SHALL NO BE ALTERED WITHOUT AUTHORIZA ON. s LOCATION C: : THOMAS GARCIA, 5305 DOON WAY, P59635 � WILLIAM STINSON, 5307 DOON WAY, P59634 0 RONALD GIARD, 2008 COVE PLACE, P60017 SECTION 27, T 35 N, R 1 E, WM No Scale PERMIT APPLICATION VICINITY MAP REFERENCE: PROPOSED PROJECT: APPLICANT: TZ ENGINEERING, LLC REPLACE CREOSOTE PILING WITH 12" GALV STEEL PILING ADJACENT PROPERTY OWNERS: LOCATION C: 5305/5307 DOON WAY 2008 COVE PLACE IN: FLOUNDER BAY/BURROWS BAY C -SEE LIST NEAR/AT: ANACORTES LAT/LONG C:48°29'42"N/122°40'36"W COUNTY: SKAGIT PAGE 1 OF 7 DATE: 4/20/2021 STATE: WA \ 11111 111 iiiiW4Y :<:,2:;./2''''' 111111111 ! \ -. 41Ip x/ \i„\ (' ,_ / 5309 \�"� ,./c \ _ �, \ 5307\, c j \ 5305 \ i: F. , / r Zoos / ,—,\ 2010 Pt OV NOER 8,1 Y _)\( TiliT SECTION 27, T 35 N, R 1 E, WM Scale: 1"=300' PERMIT APPLICATION PROJECT SITE MAP REFERENCE: PROPOSED PROJECT: APPLICANT: TZ ENGINEERING, LLC I REPLACE CREOSOTE PILING WITH 12" GALV STEEL PILING ADJACENT PROPERTY OWNERS: LOCATION C: 5305/5307 DOON WAY 2008 COVE PLACE IN: FLOUNDER BAY/BURROWS BAY NEAR/AT: ANACORTES LAT/LONGc 48°29'42"N/122°40'36"W COUNTY: SKAGIT c -DAHL CHRIS,5309 DOON WY c -NACHTWEIH DENNIS,2010 COVE PL PAGE 2 OF 7 DATE: 4/20/2021 STATE: WA 5301 FLOUNDER BAY p/L 1111111111111111111 Fk Oq T -1446 2004 i, � REPLACE WOOD �2' /S� � �;` CREOSOTE PILINGS WITH \. 12" GALVANIZED STEEL PILINGS 0 -9>, I i/ 'o © 1(5 -7/ 2006 i -6 0 EX WOOD CREOSOTE i i i • PROPOSED 12" STEEL i 2008 i1�1 2010 `;UT Scale: 1"=20' PERMIT APPLICATION LOCATION C - PLAN REFERENCE: LOCATION C: 5305/5307 DOON WAY PROPOSED PROJECT: 2008 COVE PLACE REPLACE CREOSOTE PILING WITH 12" GALV STEEL PILING APPLICANT: TZ ENGINEERING, LLC PAGE 3 OF 7 DATE: 4/20/2021 5309 5307 • o EX WOOD CREOSOTE t$ • PROPOSED 12" STEEL FLOUNDER BAY <,+ © 5305 9, REPLACE WOOD CREOSOTE PILINGS WITH O\ /N .� GALVANIZED Q - - STEEL PILING O / �// �\� OPT 5303 6S REPLACE WOOD CREOSOTE PILINGS WITH GALVANIZED STEEL PILINGS EX pLO AT • • 32' 1 \,________________36, 5301 1 7i ►�) Scale: 1"=20' PERMIT APPLICATION LOCATION C - PLAN REFERENCE: LOCATION C: 5305/5307 DOON WAY PROPOSED PROJECT: REPLACE CREOSOTE PILING WITH 12" GALV STEEL PILING APPLICANT: TZ ENGINEERING, LLC PAGE 4/5 OF 7 DATE: 4/20/2021 CONICAL POLYETHYLENE PILE CAP EL=16'CUT OFF TYPICAL 012"PILE EL=+11.2'EHW EL=7.8'MHHW EL=0.0 MLLW EL=-4.15 ELW BOTTOM EL. APPROX.-12' ;III - _ - III—III= I_f11 = 1 - - _ _ —' 1=1 I =II IIII- 11 I I-1 11=1 11=111=1 11=1 i I 1=1 I-1 1= • -I I I_=i= i=i i I- " ll-III- -III-III- s -III- -111- Ell I�IIHII�I I CUTTING SHOE • I I-I INSIDE OPEN i I- I i_ 111-11■''■11 1=111- -111111111111 1111111111111' TYPICAL PILE COATING: HOT DIP GALVANIZE No Scale PERMIT APPLICATION DETAIL - TYPICAL PILE REFERENCE: APPLICANT: TZ ENGINEERING, LLC PAGE 6 OF 7 DATE: 4/20/2021 NOT USED No Scale PERMIT APPLICATION LOCATION & C - DETAIL REFERENCE: LOCATION C: 5305/5307 DOON WAY APPLICANT: TZ ENGINEERING, LLC PAGE 7 OF 7 DATE: 4/20/2021