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Home My WebLink AboutApplication MaterialsMaster Land Use Permit Application Page 1 of 4 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 299-1984 Master Land Use Permit Application TYPE OF APPLICATION (check all that apply): Administrative Interpretation Annexation Request Binding Site Plan (Preliminary) Boundary Line Adjustment (BLA) Comprehensive Plan/ Map Amendment Request Conditional Use Permit (CUP) per AMC 19.36 Conditional/Special Use Permit (CUP) per AMC 17.70 Cottage Housing Development Development Agreement Essential Public Facility Floodplain Development Permit Home Occupation Permit Long Subdivision (Preliminary) Lot Certification Minor Permit Revision Plat Amendment /Modification SEPA Environmental Review Shoreline Conditional Use Permit Shoreline Exemption Shoreline Substantial Development Permit Shoreline Variance Short Subdivision (Preliminary) Site Plan Review – Type 1 Site Plan Review – Type 2 Stormwater Management Manual Adjustments & Exceptions Variance (Level 1) Variance (Level 2) Wireless Conditional Use Permit (WCUP) Wireless Service Facility (WSF) Permit Zoning Code/ Map Amendment Request (Rezone) PROJECT & SITE INFORMATION: SITE ADDRESS: PROJECT NAME: PARCEL NUMBER(S): SECTION, TOWNSHIP, & RANGE LOT SQUARE FOOTAGE & ACREAGE: PROJECT VALUATION: LEGAL DESCRIPTION: PRESENT ZONING: PRESENT USE OF PROPERTY: CUT & FILL (CY) PROPOSED: PRE-APPLICATION CONFERENCE HELD?: Yes, the City file # is________________ No WATER SOURCE: City of Anacortes Private Well Community Well SEWAGE DISPOSAL: City of Anacortes Septic ROAD ACCESS: City Road State Highway Private Road Master Land Use Permit Application Page 2 of 4 CRITICAL AREAS OR BUFFERS ON SITE OR WITHIN 300 FEET: Yes / Type ____________________________ No WATER BODIES WITHIN 200 FEET: Yes / Name:_____________________________ No FLOODPLAIN: Flood Zone: FIRM Panel # Date of Panel: LOT COVERAGE AREA CALCULATIONS: Existing Square Footage: Proposed Square Footage: IMPERVIOUS SURFACE AREA CALCULATIONS: Existing Impervious Square Footage: New Impervious Surface: DESCRIPTION OF SUBJECT PROPOSAL: Additional pages attached PROPOSED WORK: __ _________ _________ _________ _________ _____________________________________________________________________________________________________ _________________________________________________________________________________________________ PROPERTY OWNER INFORMATION: Multiple owners attached NAME: MAILING ADDRESS: CITY, STATE, ZIP: PHONE #: FAX #: EMAIL ADDRESS: APPLICANT INFORMATION: Same as property owner NAME: MAILING ADDRESS: CITY, STATE, ZIP: PHONE #: FAX #: EMAIL ADDRESS: CONTACT PERSON: Same as property owner Same as applicant NAME: MAILING ADDRESS: CITY, STATE, ZIP: PHONE #: FAX #: EMAIL ADDRESS: Master Land Use Permit Application Page 3 of 4 ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: I understand that land use and/or planning permits do not authorize earth disturbing activities, the removal of vegetation, or the construction of buildings. I understand that additional permits will be required after my land use and/or planning permitting process is completed. I understand that no earth disturbing activities (including the removal of vegetation) may take place until after my land use and/or planning process is complete, and only after I have received additional permits such as Fill & Grade, Building Permit, or Right-of-Way permit(s). I understand that if critical areas (wetlands, streams, steep slopes, etc.) are found on or near my property I am not authorized to impact these areas in any way and will be required to leave an undisturbed buffer area around the critical area, as determined according the City’s critical areas regulations. I understand that depending on the size and scope of my project, I may be required to provide maintenance and/or performance bonds for items such as landscaping, critical areas, public roads and/or public utilities that I construct or install. I understand that I am solely responsible for providing complete and accurate information to the City. I understand that if my application is missing information or if inaccurate materials are submitted, my permits will be delayed. I understand that depending on how inaccurate and how incomplete my application is or becomes, the Department may require an entirely new application be submitted. I understand that when and if conditions change from that which my application originally represented, I am responsible for letting the City staff person assigned to my project know. I understand that I am applying for permits from the City of Anacortes only; and that additional permits from other Federal, State, and Local agencies could be required. I understand that the City of Anacortes cannot advise me of permits that are required from other agencies, and that I must contact these agencies to make sure I comply with their requirements. These agencies include (but are not limited to): Corps of Engineers, Department of Natural Resources, Department of Fish & Wildlife, Department of Ecology, and Northwest Clean Air Agency. I understand that I will be responsible for paying consultants that the City may deem necessary to review certain aspects of my application. I understand that these consultant reviews could include special inspections, traffic concurrency, critical areas, landscaping, stormwater, etc. Signature required on next page. Master Land Use Permit Application Page 4 of 4 By affixing my signature hereto, I certify that I am the owner, or am acting as the Owner’s authorized agent, and that the application and documents contained with this submittal are complete and accurate to the best of my knowledge and abilities. If your title report lists a company, partnership or other owners, you must submit evidence that you are authorized to sign on behalf of the entity or others that are listed. If you are an authorized representative you must submit an Agent Authorization Form. Please attach additional signature sheets if there is more than one owner. Under penalty of perjury, I certify that the information, statements, answers above regarding the subject application(s) are true and correct to the best of my knowledge and belief. Signature: Date: __________________ Printed Name: ____________________________________ STATE OF WASHINGTON ) ) ss. COUNTY OF SKAGIT I certify that I know or have satisfactory evidence that _______________________________ is the person who appeared before me, and said person acknowledged that he/she signed this instrument, and acknowledged it as the free and voluntary act for the uses and purposes mentioned in this instrument. Given under my hand and official seal this _________ day of ________________, 20______ ____________________________ Notary Public (SEAL) Residing at __________________ My appointment expires _______________ 05/07/2021 SLX-2021-0007 STATE OF WASHINGTON ) ) ss. COUNTY OF SKAGIT ,/..\ I certify that I know or have satisfactory evidence that L 0 V"e v 0-001 e n is the person who appeared before me, and said person acknowle)dged that he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument, and acknowledged it as the 'AQ----Y,- ' I,J41,0-1- i . .----ii-i41.4 to be the free and voluntary act G- - .''' t 42_, ,,,) .e. s- A-A and deed of said (-4-A- S ‘t ' k., T' t , e' A for the uses and purposes therein mentioned. Given under my hand and official seal this si 1 day of .e 2 Go r(-) ,20 ,Z i NOTARY PUBLIC 1/1\i/ttl , t ,,,r, STATE OF WASHINGTON - JU&JA G. KUNGMAN . Not ry Public L. No. 88791 My Appokitment Expires fls,(cling at ,I'V(6) JANUARY 19,2023 My appointment expires I e 1--? STATE OF WASHINGTON ) ) ss. COUNTY OF SKAGIT I certify that I know or have satisfactory evidence that 0) ic h 6\e I 1: Jaye tit is the person who appeared before me, and said person acknowledged that he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument, and (,_ , acknowledged it as the I\ -.0-it NA k i)1/'‘tixi.. GT-, to be the free and voluntary act and deed of said rl-k-ff‘i,/ ,() \Net:--i- 1- -\ for the uses and purposes therein mentioned. Given under my hand and official seal this I IQ day of_id)f tAe.„1 4--L) , 20 2-1 NOTARY PUBLIC i 7- NIA t*: STATE OF WASHINGTON cw, JUUA G. KUNGMAN 'II tary Public i Lk. No.66791 My App ntointme Expires Residing at Am JANUARY 19, 2023 I My appointment expires I \CI ORIA-16-011 Page 1 of 16 WASHINGTON STATE Joint Aquatic Resources Permit Application (JARPA) Form1,2 [help] USE BLACK OR BLUE INK TO ENTER ANSWERS IN THE WHITE SPACES BELOW. Part 1–Project Identification 1. ProProject Name (A name for your project that you create––Examples: Smith’s Dock or Seabrook Lane Development) [help] Bayside West Homeowners Association Seawall Repair Part 2–Applicant The person and/or organization responsible for the project. [help] 2a. Name (Last, First, Middle) Javelet, Michael (Board of Directors President) 2b. Organization (If applicable) Bayside West Homeowners Association (BSW HOA) 2c. Mailing Address (Street or PO Box) 2401 Skyline Way 2d. City, State, Zip Anacortes, WA 98221 2e. Phone (1) 2f. Phone (2) 2g. Fax 2h. E-mail mjavelet@yahoo.com 1 Additional forms may be required for the following permits: ● If your project may qualify for Department of the Army authorization through a Regional General Permit (RGP), contact the U.S. Army Corps 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/jarpa_jarpa_form/9984/jarpa_form.aspx. For other help, contact the Governor’s Office for Regulatory Innovation and Assistance at (800) 917-0043 or help@oria.wa.gov. 2 AGENCY USE ONLY Date received: Agency reference #: Tax Parcel #(s): ORIA-16-011 Page 2 of 16 Part 3–Authorized Agent or Contact Person authorized to represent the applicant about the project. (Note: Authorized agent(s) must sign 11b of this application.) [help] 3a. Name (Last, First, Middle) Amos, Meg 3b. Organization (If applicable) Marine Surveys & Assessments 3c. Mailing Address (Street or PO Box) 380 Jefferson Street 3d. City, State, Zip Port Townsend, WA 98368 3e. Phone (1) 3f. Phone (2) 3g. Fax 3h. E-mail 360.385.4073 meg@marinesurveysandassessments.c om 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] x Same as applicant. (Skip to Part 5.) Repair or maintenance activities on existing rights-of-way or easements. (Skip to Part 5.) ☐ There are multiple upland property owners. Complete the section below and fill out JARPA Attachment A for each additional property owner. Your project is on Department of Natural Resources (DNR)-managed aquatic lands. If you don’t know, contact the DNR at (360) 902-1100 to determine aquatic land ownership. If yes, complete JARPA Attachment E to apply for the Aquatic Use Authorization. 4a. Name (Last, First, Middle) 4b. Organization (If applicable) 4c. Mailing Address (Street or PO Box) 4d. City, State, Zip 4e. Phone (1) 4f. Phone (2) 4g. Fax 4h. E-mail ORIA-16-011 Page 3 of 16 Part 5–Project Location(s) Identifying information about the property or properties where the project will occur. [help] There are multiple project locations (e.g. linear projects). Complete the section below and use JARPA Attachment B for each additional project location. 5a. Indicate the type of ownership of the property. (Check all that apply.) [help] ☒ Private Federal Publicly owned (state, county, city, special districts like schools, ports, etc.) Tribal Department of Natural Resources (DNR) – managed aquatic lands (Complete JARPA Attachment E) 5b. Street Address (Cannot be a PO Box. If there is no address, provide other location information in 5p.) [help] 2399 and 2401 Skyline Way 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 County 5e. Provide the section, township, and range for the project location. [help] ¼ Section Section Township Range 27 35N 01 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) 48.490375 N Lat./ -122.679731 W Long 5g. List the tax parcel number(s) for the project location. [help] The local county assessor’s office can provide this information. P95673 and P103485 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) Steve and Alena Supkoff 2411 Skyline Way P83108 Anacortes, WA 98221 Jerry and Sally Swalling 2329 Skyline Way P103504 Anacortes, WA 98221 ORIA-16-011 Page 4 of 16 5i. List all wetlands on or adjacent to the project location. [help] The US Fish & Wildlife National Wetlands Inventory shows estuarine and marine wetlands. 5j. List all waterbodies (other than wetlands) on or adjacent to the project location. [help] Burrows Bay 5k. Is any part of the project area within a 100-year floodplain? [help] ☒ Yes No Don’t know 5l. Briefly describe the vegetation and habitat conditions on the property. [help] The property above the OHWM/HTL consists of single-family residences/condos with a concrete seawall. The beach immediately adjacent to the bulkhead (below the OHWM/HTL) consists of sand, cobble and larger rock. No wetland plants were observed. 5m. Describe how the property is currently used. [help] Single-family residences/condos with tideland ownership. 5n. Describe how the adjacent properties are currently used. [help] Single-family residences with tideland ownership. 5o. Describe the structures (above and below ground) on the property, including their purpose(s) and current condition. [help] 2399 Skyline Way - Condo built in 1991 (Sewer, Power and water) 2401 Skyline Way - Condo built in 1991 (Sewer, power and water) 5p. Provide driving directions from the closest highway to the project location, and attach a map. [help] ORIA-16-011 Page 5 of 16 Follow WA-20 west to Campbell Lake Road (1.8 miles); follow Campbell lake road and Rosario Road to Marine Drive (2.4 miles); Slight right onto Marine Drive (1.1 miles); Continue on Marine Drive. Take Kingsway to Skyline Way. Part 6–Project Description 6a. Briefly summarize the overall project. You can provide more detail in 6b. [help] The proposed work is making repairs along the face and lip of the 525-foot long seawall that protects the two condominium units. 6b. Describe the purpose of the project and why you want or need to perform it. [help] The seawall is constructed of reinforced concrete and is approximately 30 years old. It is exhibiting some degradation in the form of cracks, spalls, and concrete lip fractures. The objective of this project is to repair the areas of degradation and return the seawall to its original configuration. 6c. Indicate the project category. (Check all that apply) [help] Commercial ☒ Residential Institutional Transportation Recreational ☒ Maintenance Environmental Enhancement 6d. Indicate the major elements of your project. (Check all that apply) [help] Aquaculture ☒ Bank Stabilization Boat House Boat Launch Boat Lift Bridge ☒ Bulkhead Buoy Channel Modification Culvert Dam / Weir Dike / Levee / Jetty Ditch Dock / Pier Dredging Fence Ferry Terminal Fishway Float Floating Home Geotechnical Survey Land Clearing Marina / Moorage Mining Outfall Structure Piling/Dolphin Raft Retaining Wall (upland) Road Scientific Measurement Device Stairs Stormwater facility Swimming Pool Utility Line ORIA-16-011 Page 6 of 16 Other: 6e. Describe how you plan to construct each project element checked in 6d. Include specific construction methods and equipment to be used. [help] ● Identify where each element will occur in relation to the nearest waterbody. ● Indicate which activities are within the 100-year floodplain. The seawall consists of a vertical wall face that is 15 inches thick, a toe support section beneath the vertical wall, a cap at the top of the wall that is 3 feet 9 inches wide and six inches thick, and a lip on the seaward edge of the cap that is 9 1⁄2 inches thick. Much of the work will be above the OHWM and HTL, but ladders and scaffolding will be placed on the beach in order to reach the repair areas. Tasks: 1. Perform preparation grinding of 23 expansion joints in the vertical wall along the length of the seawall and fill with caulk. 2. Repair the eight-foot section of lip that has fractured and fallen off in front of the 2399 building. Cut the remaining lip section, grind as required in preparation for new concrete and drill holes in cap to receive new support rebar. Pour new concrete and form with the same shape and dimensions as the existing seawall lip. Insure that there is at least two inches of concrete cover over the new rebar with three inches desired. 3. Repair cracks in the vertical wall at the western end of the seawall by cleaning, grinding as required, and caulking (approximately six feet of seawall length). 4. Repair lip at one-foot step-up section of the seawall between the 2399 and 2401 buildings. Grind and fill cracks with caulk, cut face of lip and resurface with concrete (approximately four feet of seawall). 5. Clean underside of cap and lip by surface power brushing or washing. Patch/caulk cracks and exposed rebar (approximately 20% of seawall length). Coat (brush or spray) entire surface with epoxy (100% of seawall length). Repair Materials and Tools: Materials: 1. Marine caulking/patching materials: SilPro VO Patching mortar, Simpson Strong Tie structural epoxy, Propoxy epoxy or similar materials. 2. Concrete: 5.5-6 gallons water per sack of concrete mix ratio. 3. Epoxy coating: BlueSeal epoxy or similar. 4. Rebar: #5 uncoated rebar (0.625” diameter) and #6 uncoated rebar (0.750”). Tools: 1. Power concrete grinder 2. Power wire brush 3. Concrete cutter ORIA-16-011 Page 7 of 16 4. Power sprayer 5. Pressure washer 6. Industrial vacuums 7. Assorted hand tools 8. Ladders 9. Scaffolding 10. Tarps and plastic sheeting Work Practices: All equipment and materials will be used on the beach by workers standing on the beach gravel/rocks, on ladders or on scaffolding. No more than one 12-foot section of scaffolding will be used on the beach at one time. All work will be done when the tide is out and there is no water close to the seawall. Minimal disturbance of beach material is desired and achievable. Tarps and plastic sheeting will be placed under all work areas to collect dust, concrete fragments, washing water and falling materials. All debris will be properly disposed of during and after work hours each day. Work Site Access: The work site is accessed either by the paved public easement at the west end of the BSW building at 2399 Skyline Way or by the private BSW stairway at the east end of the BSW building at 2401 Skyline Way. 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: Summer 2021 End Date: Summer 2021 See JARPA Attachment D 6g. Fair market value of the project, including materials, labor, machine rentals, etc. [help] The anticipated fair market value for labor and materials is $40,000.00 6h. Will any portion of the project receive federal funding? [help] ● If yes, list each agency providing funds. Yes ☒ No Don’t know Part 7–Wetlands: Impacts and Mitigation Check here if there are wetlands or wetland buffers on or adjacent to the project area. (If there are none, skip to Part 8.) [help] 7a. Describe how the project has been designed to avoid and minimize adverse impacts to wetlands. [help] ☒ Not applicable ORIA-16-011 Page 8 of 16 No wetland vegetation was observed during the site visit. Only large rock, cobble and sand. 7b. Will the project impact wetlands? [help] Yes No Don’t know 7c. Will the project impact wetland buffers? [help] Yes No Don’t know 7d. Has a wetland delineation report been prepared? [help] ● If Yes, submit the report, including data sheets, with the JARPA package. Yes No 7e. Have the wetlands been rated using the Western Washington or Eastern Washington Wetland Rating System? [help] ● If Yes, submit the wetland rating forms and figures with the JARPA package. Yes No Don’t know 7f. Have you prepared a mitigation plan to compensate for any adverse impacts to wetlands? [help] ● If Yes, submit the plan with the JARPA package and answer 7g. ● If No, or Not applicable, explain below why a mitigation plan should not be required. Yes No Don’t know 7g. Summarize what the mitigation plan is meant to accomplish, and describe how a watershed approach was used to design the plan. [help] 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] ORIA-16-011 Page 9 of 16 Activity (fill, drain, excavate, flood, etc.) Wetland Name1 Wetland type and rating category2 Impact area (sq. ft. or Acres) Duration of impact3 Proposed mitigation type4 Wetland mitigation area (sq. ft. or acres) 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: 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] ☒ 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 ORIA-16-011 Page 10 of 16 This project is strictly the repair (minor repairs) of a legally existing structure with no change in size or footprint. A good deal of the proposed work is above the HTL and OHWM. All work will be done by hand from ladders and/or scaffolding. No more than one 12-foot section of scaffolding will be used on the beach at one time. All work will be done when the tide is out and there is no water close to the seawall. Minimal disturbance of beach material is desired and achievable. Tarps and plastic sheeting will be placed under all work areas to collect dust, concrete fragments, washing water and falling materials. All debris will be properly disposed of during and after work hours each day. 8b. Will your project impact a waterbody or the area around a waterbody? [help] ☒ Yes No Only minimal temporary impacts 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 Because of the scope of the work a mitigation plan has not been prepared. If the agencies feel that mitigation is warranted once the project details have been reviewed, then mitigation measures will be discussed. 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] Does not apply at this time. 8e. Summarize impact(s) to each waterbody in the table below. [help] Activity (clear, dredge, fill, pile drive, etc.) Waterbody name1 Impact location2 Duration of impact3 Amount of material (cubic yards) to be placed in or removed from waterbody Area (sq. ft. or linear ft.) of waterbody directly affected Only repairs to cracks and broken concrete - no impactful work directly on beach, only on seawall face, much of it above the HTL & OHWM. Burrows Bay Some of the work will be below the OHWM and HTL. 2 months for the entire project - small sections at a time. Does not apply 525 linear feet ORIA-16-011 Page 11 of 16 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] Does not apply to this project. 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] Does not apply to this project. 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 Tess Cooper 360.588.8234 Submitted Pre-App materials on 3/8/21 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.gov/Water- ORIA-16-011 Page 12 of 16 Shorelines/Water-quality/Water-improvement/Assessment-of-state-waters-303d. Yes ☒ No 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. 1711002 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 #3 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. 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 ☒ 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. ☒ Shoreline Fish Non-Fish Perennial Non-Fish Seasonal 9h. Will this project be designed to meet the Washington Department of Ecology’s most current stormwater manual? [help] ● If No, provide the name of the manual your project is designed to meet. ☒ Yes No Name of manual: 9i. Does the project site have known contaminated sediment? [help] ● If Yes, please describe below. Yes ☒ No ORIA-16-011 Page 13 of 16 9j. If you know what the property was used for in the past, describe below. [help] Residential properties. 9k. Has a cultural resource (archaeological) survey been performed on the project area? [help] ● If Yes, attach it to your JARPA package. Yes ☒ No 9l. Name each species listed under the federal Endangered Species Act that occurs in the vicinity of the project area or might be affected by the proposed work. [help] These species occur in the vicinity of the project: Bull Trout critical habitat, Chum Salmon, Final Deep-water Rockfish critical habitat, Green Sturgeon critical habitat, Leatherback Sea Turtle critical habitat, Marbled Murrelet, marine critical habitat for Puget Sound Chinook Salmon, marine critical habitat for Hood Canal summer-run Chum Salmon, Puget Sound Steelhead critical habitat, Sockeye Salmon critical habitat, Southern Eulachon and Southern Killer Whale critical habitat. 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] These species occur in the vicinity of the project: Bull Trout final critical habitat, Chum Salmon, final deep-water Rockfish critical habitat, final near shore Rockfish critical habitat, Green Sturgeon critical habitat, Leatherback Sea Turtle critical habitat, Marbled Murrelet and marine critical habitat for Puget Sound Chinook Salmon. Part 10–SEPA Compliance and Permits ORIA-16-011 Page 14 of 16 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 (lead agency). The expected decision date is . I am applying for a Fish Habitat Enhancement Exemption. (Check the box below in 10b.) [help] X This project is exempt (choose type of exemption below). X Categorical Exemption. Under what section of the SEPA administrative code (WAC) is it exempt? WAC 197-11-800(3) Other: 3) Repair, remodeling and maintenance activities. The following activities shall be categorically exempt: The repair, remodeling, maintenance, or minor alteration of existing private or public structures, facilities or equipment, including utilities, recreation, and transportation facilities involving no material expansions or changes in use beyond that previously existing; except that, where undertaken wholly or in part on lands covered by water, only minor repair or replacement of structures may be exempt (examples include repair or replacement of piling, ramps, floats, or mooring buoys, or minor repair, alteration, or maintenance of docks). This repair is minor SEPA is pre-empted by federal law. 10b. Indicate the permits you are applying for. (Check all that apply.) [help] LOCAL GOVERNMENT Local Government Shoreline permits: ☐ Substantial Development ☐ Conditional Use Variance X Shoreline Exemption Type (explain): Other City/County permits: Floodplain Development Permit Critical Areas Ordinance STATE GOVERNMENT Washington Department of Fish and Wildlife: ☒ Hydraulic Project Approval (HPA) Fish Habitat Enhancement Exemption – Attach Exemption Form Washington Department of Natural Resources: Aquatic Use Authorization Complete JARPA Attachment E and submit a check for $25 payable to the Washington Department of Natural Resources. Do not send cash. Washington Department of Ecology: ☐ Section 401 Water Quality Certification FEDERAL AND TRIBAL GOVERNMENT Not exempt per WAC 197-11-800(3)(b) as work is for the "reconstuction or maintenance of groins and similar shoreline protection structures. ORIA-16-011 Page 15 of 16 United States Department of the Army (U.S. Army Corps of Engineers): If a Corps permit is required for this minor repair it would likely be a section 10 under NWP3 ☐ Section 404 (discharges into waters of the U.S.) ☒ Section 10 (work in navigable waters) United States Coast Guard: General Bridge Act Permit Private Aids to Navigation (for non-bridge projects) United States Environmental Protection Agency: Section 401 Water Quality Certification (discharges into waters of the U.S.) on tribal lands where tribes do not have treatment as a state (TAS) Tribal Permits: (Check with the tribe to see if there are other tribal permits, e.g., Tribal Environmental Protection Act, Shoreline Permits, Hydraulic Project Permits, or other in addition to CWA Section 401 WQC) Section 401 Water Quality Certification (discharges into waters of the U.S.) where the tribe has treatment as a state (TAS). Part 11—Authorizing Signatures Signatures are required before submitting the JARPA package. The JARPA package includes the JARPA form, project plans, photos, etc. [help] 11 a. Applicant Signature (required) [help] I certify that to the best of my knowledge and belief, the information provided in this application is true, complete, and accurate. I also certify that I have the authority to carry out the proposed activities, and I agree to start work only after I have received all necessary permits. I hereby authori$ e a nt named in Part 3 of this application to act on my behalf in matters related to this application. I i (initial) By initialing h e, state thot°I ave e authority to grant access to the property. I also give my consent to the permitting agencies enteri g property where the project is located to inspect the project site or any work related to the project. (initial) OA;L..\\A- ..\ N-. --t.._ coi-k\--(:\ lik it:11---, i ,,_.. k- . --, ___ , , _;,,, Applicant Printed Name - lApptfcarit Signatre`' _ 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. Marine Surveys &Assessments .a 4 Authorized Agent Printed Name Authorized ent 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-16-011 Page 16 of 16 SEPA ENVIRONMENTAL CHECKLIST Purpose of checklist: Governmental agencies use this checklist to help determine whether the environmental impacts of your proposal are significant. This information is also helpful to determine if available avoidance, minimization or compensatory mitigation measures will address the probable significant impacts or if an environmental impact statement will be prepared to further analyze the proposal. Instructions for applicants: [help] This environmental checklist asks you to describe some basic information about your proposal. Please answer each question accurately and carefully, to the best of your knowledge. You may need to consult with an agency specialist or private consultant for some questions. You may use “not applicable” or "does not apply" only when you can explain why it does not apply and not when the answer is unknown. You may also attach or incorporate by reference additional studies reports. Complete and accurate answers to these questions often avoid delays with the SEPA process as well as later in the decision- making process. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklist for nonproject proposals: [help] For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please completely answer all questions that apply and note that the words "project," "applicant," and "property or site" should be read as "proposal," "proponent," and "affected geographic area," respectively. The lead agency may exclude (for non-projects) questions in Part B - Environmental Elements –that do not contribute meaningfully to the analysis of the proposal. SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 1 of 11 5/10/2021 SLX-2021-0007 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY A. BACKGROUND [help] 1. Name of proposed project, if applicable: [help] 2. Name of applicant: [help] 3. Address and phone number of applicant and contact person: [help] 4. Date checklist prepared: [help] 5. Agency requesting checklist: [help] 6. Proposed timing or schedule (including phasing, if applicable): [help] 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. [help] 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. [help] 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. [help] 10. List any government approvals or permits that will be needed for your proposal, if known. [help] 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) [help] 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 2 of 11 Schutzler, Dowell & Foster Bulkhead Repair Schutzler, Jerome & Janice; Dowell, Bob and Elaine; Foster, Tom and Sally 4905, 4907 and 4911 Croatian Way, Anacortes, WA 98221/360.293.9216; Agent Contact Marine Surveys & Assessments (Meg Amos)/ 360.385.4073 July 29, 2019 City of Anacortes Work to begin immediately after permits are obtained. Expected duration is two months. No Biological Evaluation with No Net Loss , Alternatives Analysis, Mitigation Plan No Shoreline Conditional Use and building permit (City of Anacortes), HPA (WDFW), 401 Water Quality (Ecology), Section 10 (Corps) The proposed work is the construction of a concrete bulkhead placed in the same footprint as the concrete toe protection, which will be removed. The extent of the repair will span three properties, approximately 360 linear feet. Horesh Bulkhead Repair Allen Horesh Allen Horesh - 4909 Croatian Way, Anacortes, WA 98221 May 1, 2021 Shoreline Substantial Development permit (City of Anacortes), HPA - WDFW Building permit (City of Anacortes) span 118 linear feet. Bayside West Homeowners Association Seawall Repair Michael Javelet (Board of Directors President) Bayside West HOA - 2401 Skyline Way, Anacortes, WA 98221 May 10, 2021 Work to begin immediately after permits are obtained. A forage fish survey will be conducted prior to work as scafolding will be on beach for repair work. The report will be sent to all agencies. Shoreline Exemption (City of Anacortes), HPA - WDFW Section 10 (Corps) description.) [help] The proposed work is making repairs along the face and lip of the 525-foot long seawall that protects the two condominium units.The seawall consists of a vertical wall face that is 15 inches thick, a toe support section beneath the vertical wall, a cap at the top of the wall that is 3 feet 9 inches wide and six inches thick, and a lip on the seaward edge of the cap that is 9 1⁄2 inches thick. Much of the work will be above the OHWM and HTL, but ladders and scaffolding will be placed on the beach in order to reach the repair areas. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. [help] B. ENVIRONMENTAL ELEMENTS [help] 1. Earth a. General description of the site [help] (circle one): Flat, rolling, hilly, steep slopes, mountainous, other _____________ b. What is the steepest slope on the site (approximate percent slope)? [help] c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any agricultural land of long-term commercial significance and whether the proposal results in removing any of these soils. [help] d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. [help] e. Describe the purpose, type, total area, and approximate quantities and total affected area of any filling, excavation, and grading proposed. Indicate source of fill. [help] f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. [help] g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? [help] h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: [help] SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 3 of 11 4905, 4907 and 4911 Croatian Way, Anacortes, WA 98221/SW 1/4 Section 27, T35N, R01W 0 to 5% Sand, cobble and large rock. No Approximately 177 cy of concrete will be poured into forms to create a wall 8" thick by 12' high. This icludes all three properties. No Concrete wall will be located on beach below the OHWL. Does not apply. 4909 Croatian Way, Anacortes, WA 98221, SW 1/4 Section 27, T35N, R01W Approximately 30 cubic yards of concrete will be poured for the entire extent of the wall, above and below the OHWM. 2399 & 2401 Skyline Way, Anacortes, WA 98221; Sec 27, T35N, R01W Does not apply. There will be no new impervious surface, only reapair work on existing seawall. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY 2. Air a. What types of emissions to the air would result from the proposal during construction, operation, and maintenance when the project is completed? If any, generally describe and give approximate quantities if known. [help] b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. [help] c. Proposed measures to reduce or control emissions or other impacts to air, if any: [help] 3. Water a. Surface Water: [help] 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. [help] 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. [help] 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. [help] 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. [help] 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. [help] 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. [help] SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 4 of 11 Fuel emissions from excavator during construction. No None Yes, Burrows Bay in the Salish Sea Yes, work will occur below the OHWM. Approximately 59 cubic yards of concrete per property (177 cubic yards total) No No Yes, according to the FEMA Flood Map this area is classified as AE. Additionally, the area is regularly flooded – tides alternately flood and expose the substrate at least once daily. Approximately 30 cubic yards of concrete, including above and below the OHWM. No emissions are anticitpated. Does not apply. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY b. Ground Water: 1) Will groundwater be withdrawn from a well for drinking water or other purposes? If so, give a general description of the well, proposed uses and approximate quantities withdrawn from the well. Will water be discharged to groundwater? Give general description, purpose, and approximate quantities if known. [help] 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. [help] c. Water runoff (including stormwater): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. [help] 2) Could waste materials enter ground or surface waters? If so, generally describe. [help] 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: 4. Plants [help] a. Check the types of vegetation found on the site: [help] ____deciduous tree: alder, maple, aspen, other ____evergreen tree: fir, cedar, pine, other ____shrubs ____grass ____pasture ____crop or grain ____ Orchards, vineyards or other permanent crops. ____ wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 5 of 11 Does not apply Does not apply Does not apply No Does not apply No, outfall pipes are located in bulkhead/wall.No TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY ____water plants: water lily, eelgrass, milfoil, other ____other types of vegetation b. What kind and amount of vegetation will be removed or altered? [help] c. List threatened and endangered species known to be on or near the site. [help] d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: [help] e. List all noxious weeds and invasive species known to be on or near the site. 5. Animals a. List any birds and other animals which have been observed on or near the site or are known to be on or near the site. Examples include: [help] birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other ________ b. List any threatened and endangered species known to be on or near the site. [help] c. Is the site part of a migration route? If so, explain. [help] d. Proposed measures to preserve or enhance wildlife, if any: [help] e. List any invasive animal species known to be on or near the site. 6. Energy and natural resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. [help] b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. [help] SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 6 of 11 No plants located in project footprint vicinity (see habitat survey) None There is eel grass located waterward of proposed construction location, well outside of work area. None No invasive plant species were observed on site. Salmon and forage fish species (See Biological Evaluation for species information) Yes, salmon migrate through the area (See BE) Salmon and forage fish work windows No known invasive animal species exist on site. Does not apply No No plants located in project footprint vicinity.No plants located in project footprint vicinity where scafolding/ladders will be placed. Eel grass exists in the area, but not near enough to work site to be impacted. Salmon and forage fish species. Work will be done in the dry and a forage fish survey will be done first to avoid harm to potential spawn. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: [help] 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. [help] 1) Describe any known or possible contamination at the site from present or past uses. 2) Describe existing hazardous chemicals/conditions that might affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located within the project area and in the vicinity. 3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during the project's development or construction, or at any time during the operating life of the project. 4) Describe special emergency services that might be required. 5) Proposed measures to reduce or control environmental health hazards, if any: b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? [help] 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. [help] 3) Proposed measures to reduce or control noise impacts, if any: [help] 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Will the proposal affect current land uses on nearby or adjacent properties? If so, describe. [help] b. Has the project site been used as working farmlands or working forest lands? If so, describe. How much agricultural or forest land of long-term commercial significance will be converted SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 7 of 11 Does not apply Potential fuel spill from construction equipment. None None None None Equipment will be maintained regulary. Does not apply Short term construction noise. None Single family residences. Adjacent properties also have bulkheads.Single family residences. Adjacent properties also have bulkheads and are undergoing the same repairs. No Single family residences. Adjacent properties also have bulkheads and have done the same repairs. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY to other uses as a result of the proposal, if any? If resource lands have not been designated, how many acres in farmland or forest land tax status will be converted to nonfarm or nonforest use? [help] 1) Will the proposal affect or be affected by surrounding working farm or forest land normal business operations, such as oversize equipment access, the application of pesticides, tilling, and harvesting? If so, how: c. Describe any structures on the site. [help] d. Will any structures be demolished? If so, what? [help] e. What is the current zoning classification of the site? [help] f. What is the current comprehensive plan designation of the site? [help] g. If applicable, what is the current shoreline master program designation of the site? [help] h. Has any part of the site been classified as a critical area by the city or county? If so, specify. [help] i. Approximately how many people would reside or work in the completed project? [help] j. Approximately how many people would the completed project displace? [help] k. Proposed measures to avoid or reduce displacement impacts, if any: [help] L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: [help] m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest lands of long-term commercial significance, if any: 9. Housing SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 8 of 11 Does not apply. No All three properties are developed with single family residences and a concrete and rock bulkhead. Yes, old bulkhead toe protection will be removed and taken away to an approved upland dump site. Shoreline residential. Unknown Aquatic environment Does not apply Does not apply Does not apply Yes, the adjacent water body (Salish Sea) and associated shoreline has been designated a "critical area". Compliance with local, state and federal regulations. WDFW"Best Management Practices Compliance". There is a 2,948 sq ft single family residence on site that was built in 1990 and concrete capped rip rap sea wall. No, only repair work to existing structure. The property above the OHWM/HTL consists of single-family residences/condos with a concrete seawall. The beach immediately adjacent to the bulkhead (below the OHWM/HTL) consists of sand, cobble and larger rock. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. [help] b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. [help] c. Proposed measures to reduce or control housing impacts, if any: [help] 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? [help] b. What views in the immediate vicinity would be altered or obstructed? [help] c. Proposed measures to reduce or control aesthetic impacts, if any: [help] 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? [help] b. Could light or glare from the finished project be a safety hazard or interfere with views? [help] c. What existing off-site sources of light or glare may affect your proposal? [help] d. Proposed measures to reduce or control light and glare impacts, if any: [help] 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? [help] b. Would the proposed project displace any existing recreational uses? If so, describe. [help] c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: [help] SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 9 of 11 Does not apply Does not apply Does not apply A concrete wall 10' above grade at the toe of exising 10 foot wall. The new structure will not be taller than the existing structure. No views will be altered or obstructed. None None No None None Boating, swimming, fishing, beach combing. No, the repair will take place at the toe of the existing wall on private tidelands. None A concrete wall 9'-10' above grade at the toe of exising 10 foot wall. The new structure will not No new structure will be added. Cracks will be filled with marine caulking. No, the repairs will take place on an existing seawall. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY 13. Historic and cultural preservation a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years old listed in or eligible for listing in national, state, or local preservation registers located on or near the site? If so, specifically describe. [help] b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation? This may include human burials or old cemeteries. Are there any material evidence, artifacts, or areas of cultural importance on or near the site? Please list any professional studies conducted at the site to identify such resources. [help] c. Describe the methods used to assess the potential impacts to cultural and historic resources on or near the project site. Examples include consultation with tribes and the department of archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc. [help] d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance to resources. Please include plans for the above and any permits that may be required. 14. Transportation a. Identify public streets and highways serving the site or affected geographic area and describe proposed access to the existing street system. Show on site plans, if any. [help] b. Is the site or affected geographic area currently served by public transit? If so, generally describe. If not, what is the approximate distance to the nearest transit stop? [help] c. How many additional parking spaces would the completed project or non-project proposal have? How many would the project or proposal eliminate? [help] d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle or state transportation facilities, not including driveways? If so, generally describe (indicate whether public or private). [help] e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. [help] SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 10 of 11 Unknown Unknown Tribes will be notified through the permit review process with the City and Corps of Enginners. Mitigation is proposed on site. In addition to reducing the footprint impacting the beach, concrete debris will be removed and gravel will be brought in for beach nourishment. Does not apply Does not apply. Does not apply. No No Mitigation is proposed on site. In addition to reducing the footprint impacting the beach, concrete debris will be removed and gravel will be brought in for beach nourishment. Additional mitigation will be added as needed once the agencies review. There is no mitigation proposed for this repair work as it is minimal and will create no new footprint. Transportation14. Tribes will be notified through the permit review process with the City and Corps of Engineers. d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY f. How many vehicular trips per day would be generated by the completed project or proposal? If known, indicate when peak volumes would occur and what percentage of the volume would be trucks (such as commercial and nonpassenger vehicles). What data or transportation models were used to make these estimates? [help] g. Will the proposal interfere with, affect or be affected by the movement of agricultural and forest products on roads or streets in the area? If so, generally describe. h. Proposed measures to reduce or control transportation impacts, if any: [help] 15. Public services a. Would the project result in an increased need for public services (for example: fire protection, police protection, public transit, health care, schools, other)? If so, generally describe. [help] b. Proposed measures to reduce or control direct impacts on public services, if any. [help] 16. Utilities a. Circle utilities currently available at the site: [help] electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other ___________ b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. [help] C. SIGNATURE [HELP] I certify (or declare) under penalty of perjury under laws of the State of Washington that the above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make a decision. Signature: ___________________________________________________ Name of signee __________________________________________________ Position and Agency/Organization ____________________________________ Date Submitted: _____________ SEPA Environmental checklist (WAC 197-11-960) City of Anacortes Updated May 2014 Page 11 of 11 Does not apply Does not apply Does not apply No None Does not apply Meg Amos Permit Coordinator - Marine Surveys & Assessments 5/4/20215/10/2021 Bayside West Seawall Repair photos 3/25/21 05/07/2021 SLX-2021-0007 1 SEAWALL REPAIR PROJECT PLAN January 22, 2021 Project location: 2399 and 2401 Skyline Way Anacortes, WA 98221 Property owner: Bayside West Home Owners Association (BSW HOA) 2401 Skyline Way Anacortes, WA 98221 Project Scope: Perform minor repairs on the 525 foot long seawall located in front of the two buildings that are owned by the BSW HOA. This seawall runs approximately in an east-west direction and is located at the northern shoreline of Burrows Bay in the Skyline community of the City of Anacortes. This seawall is constructed of reinforced concrete and is approximately 30 years old. It is exhibiting some degradation in the form of cracks, spalls, and concrete lip fractures. The objective of this project is to repair the areas of degradation and return the seawall to its original configuration. The seawall consists of a vertical wall face that is 15 inches thick, a toe support section beneath the vertical wall, a cap at the top of the wall that is 3 feet 9 inches wide and six inches thick, and a lip on the seaward edge of the cap that is 9 ½ inches thick. BSW Seawall - looking west BSW Seawall - looking east Prepared By: C. M. Golden 05/07/2021 SLX-2021-0007 2 The seawall cross-sectional dimensions and details are shown in the drawings below. Seawall Cross-Section 3 Repair Tasks: 1. Perform preparation grinding of 23 expansion joints in the vertical wall along the length of the seawall and fill with caulk. 2. Repair the eight foot section of lip that has fractured and fallen off in front of the 2399 building. Cut the remaining lip section, grind as required to accept new concrete and drill holes in cap to receive new support rebar. Pour new concrete and form with the same shape and dimensions as the existing seawall lip. Insure that there is at least two inches of concrete cover over the new rebar with three inches desired. Seawall Cap and Lip Cross-Section Lip Cap Repair area: expansion joints along length of wall 4 3. Repair cracks in the vertical wall at the western end of the seawall by cleaning, grinding as required, and caulking (approximately six feet of seawall length). 4. Repair lip at one-foot step-up section of the seawall between the 2399 and 2401 buildings. Grind and fill cracks with caulk, cut face of lip and resurface with concrete (approximately four feet of seawall). 5. Clean underside of cap and lip by surface power brushing or washing. Patch/caulk cracks and exposed rebar (approximately 20% of seawall length). Coat (brush or spray) entire surface with epoxy (100% of seawall length). Repair area: wall step-up between buildings Repair area: cracks in vertical wall at western end of seawall Repair area: fractured lip section in front of 2399 building 5 Repair Materials and Tools: Materials: 1. Marine caulking/patching materials: SilPro VO Patching mortar, Simpson Strong Tie structural epoxy, Propoxy epoxy or similar materials. 2. Concrete: 5.5-6 gallons water per sack of concrete mix ratio . 3. Epoxy coating: BlueSeal epoxy or similar. 4. Rebar: #5 uncoated rebar (0.625” diameter) and #6 uncoated rebar (0.750”). Tools: 1. Power concrete grinder 2. Power wire brush 3. Concrete cutter 4. Power sprayer 5. Pressure washer 6. Industrial vacuums 7. Assorted hand tools 8. Ladders 9. Scaffolding 10. Tarps and plastic sheeting Work Practices: All equipment and materials will be used on the beach by workers standing on the beach gravel/rocks, on ladders or on scaffolding. No more than one 12 foot section of scaffolding will be used on the beach at one time. All work will be done when the tide is out and there is no water close to the seawall. Minimal disturbance of beach material is desired and achievable. Repair area: underside of seawall cap and lip 6 Tarps and plastic sheeting will be placed under all work areas to collect dust, concrete fragments, washing water and falling materials. All debris will be properly disposed of during and after work hours each day. Work Site Access: The work site is accessed either by the paved public easement at the west end of the BSW building at 2399 Skyline Way or by the private BSW stairway at the east end of the BSW building at 2401 Skyline Way. Project Schedule: Project work is planned to start in June of 2021 to take advantage of summer tides and longer daylight hours. It is projected that all work will be completed in two months. The plat drawing for the two Bayside West buildings and seawall is shown below. Representative work set-up. Work being performed in 2020 at HOA seawall next to Bayside West. 7 Bayside West Plat Drawing CORPS REFERENCE: PARCEL ID/OWNER: PROPOSED PROJECT: APPLICANT: Bayside West Homeowners P95673-74, P95676-80, P103485-90 Seawall Repair Association (HOA) Bayside West HOA SITE ADDRESS: 2399 & 2401 Skyline Way ADJACENT PARCELS / OWNERS & ADDRESS: Sheet 1 of 6 Anacortes, WA 98221 P83108-P83123/Bayside East Condominium Assoc. DATE: 3/1/2021 2411 Skyline Way, Anacortes, WA 98221 Rev. 3/25/2021 IN: Burrows Bay P103495-P103504 Fidalgo Shores II Condominiums COUNTY: Skagit STATE: WA 2329 Skyline Way, Anacortes, WA 98221 05/07/2021 SLX-2021-0007 CORPS REFERENCE: PARCEL ID/OWNER: PROPOSED PROJECT: APPLICANT: Bayside West Homeowners P95673-74, P95676-80, P103485-90 Seawall Repair Association (HOA) Bayside West HOA SITE ADDRESS: 2399 & 2401 Skyline Way ADJACENT PARCELS / OWNERS & ADDRESS: Sheet 2 of 6 Anacortes, WA 98221 P83108-P83123/Bayside East Condominium Assoc. DATE: 3/1/2021 2411 Skyline Way, Anacortes, WA 98221 Rev. 3/25/2021 IN: Burrows Bay P103495-P103504 Fidalgo Shores II Condominiums COUNTY: Skagit STATE: WA 2329 Skyline Way, Anacortes, WA 98221 CORPS REFERENCE: PARCEL ID/OWNER: PROPOSED PROJECT: APPLICANT: Bayside West Homeowners P95673-74, P95676-80, P103485-90 Seawall Repair Association (HOA) Bayside West HOA SITE ADDRESS: 2399 & 2401 Skyline Way ADJACENT PARCELS / OWNERS & ADDRESS: Sheet 3 of 6 Anacortes, WA 98221 P83108-P83123/Bayside East Condominium Assoc. DATE: 3/1/2021 2411 Skyline Way, Anacortes, WA 98221 Rev. 3/25/2021 IN: Burrows Bay P103495-P103504 Fidalgo Shores II Condominiums COUNTY: Skagit STATE: WA 2329 Skyline Way, Anacortes, WA 98221 CORPS REFERENCE: PARCEL ID/OWNER: PROPOSED PROJECT: APPLICANT: Bayside West Homeowners P95673-74, P95676-80, P103485-90 Seawall Repair Association (HOA) Bayside West HOA SITE ADDRESS: 2399 & 2401 Skyline Way ADJACENT PARCELS / OWNERS & ADDRESS: Sheet 4 of 6 Anacortes, WA 98221 P83108-P83123/Bayside East Condominium Assoc. DATE: 3/1/2021 2411 Skyline Way, Anacortes, WA 98221 Rev. 3/25/2021 IN: Burrows Bay P103495-P103504 Fidalgo Shores II Condominiums COUNTY: Skagit STATE: WA 2329 Skyline Way, Anacortes, WA 98221 Bulkhead Profile (not drawn to scale) CORPS REFERENCE: PARCEL ID/OWNER: PROPOSED PROJECT: APPLICANT: Bayside West Homeowners P95673-74, P95676-80, P103485-90 Seawall Repair Association (HOA) Bayside West HOA SITE ADDRESS: 2399 & 2401 Skyline Way ADJACENT PARCELS / OWNERS & ADDRESS: Sheet 5 of 6 Anacortes, WA 98221 P83108-P83123/Bayside East Condominium Assoc. DATE: 3/1/2021 2411 Skyline Way, Anacortes, WA 98221 Rev. 3/25/2021 IN: Burrows Bay P103495-P103504 Fidalgo Shores II Condominiums COUNTY: Skagit STATE: WA 2329 Skyline Way, Anacortes, WA 98221 Existing Upper Bulkhead-Cap and Lip Profile (this plan is from past work and any work mentioned does not reflect the current proposal; it has been included only to show the existing bulkhead’s detail) CORPS REFERENCE: PARCEL ID/OWNER: PROPOSED PROJECT: APPLICANT: Bayside West Homeowners P95673-74, P95676-80, P103485-90 Seawall Repair Association (HOA) Bayside West HOA SITE ADDRESS: 2399 & 2401 Skyline Way ADJACENT PARCELS / OWNERS & ADDRESS: Sheet 6 of 6 Anacortes, WA 98221 P83108-P83123/Bayside East Condominium Assoc. DATE: 3/1/2021 2411 Skyline Way, Anacortes, WA 98221 Rev. 3/25/2021 IN: Burrows Bay P103495-P103504 Fidalgo Shores II Condominiums COUNTY: Skagit STATE: WA 2329 Skyline Way, Anacortes, WA 98221 Upper Bulkhead-Cap and Lip Profile Lip Cap