Request for King County Project Information for ESA

Subjects › Environment › ESA Salmon › Request for King County Project Information for ESA

Project Name:
Department/Division:	DNR/WLRD	Agency Project No(s).		Agency Priority:		Hi Med Lo
Scheduled Construction Date:			Contact person:
Estimated Construction Cost:			Phone:		E-Mail

Please answer the following questions as completely as possible. If the question is not applicable, check "NA" in the space to the right. Detailed instructions are included in a separate file entitled "instructions." If you have any questions, please call Luanne Coachman at KC DNR (296-8381), Sue Kaufman at KC DNR (296-1989), Randy Sandin at KC DDES (296-6778), or Kitty Nelson at KC DOT (296-8737). Please send a hard copy or fax to Luanne Coachman (MS 22G; Fax 296-0192 - No Email please).
The deadline for return is May 7, 1998. Thank you.

1.	Describe the project and its purpose:
2.	Check the federal permits needed for your project. List the numbers of the nationwide permits if needed.		ACOE Nationwide ACOE Individual NPDES (Gen. or Ind.) Other			N/A		Pending		Approved
3.	If your project has federal funding, please check FEMA FAA FHWA HUD or list the source: Other										N/A
4.	List the names of your partners for the project. Identify the lead agency. FEMA with King County as local sponsor and lead.										N/A
5.	Check State and local permits needed for your project. Circle jurisdiction.	HPA Surface Mining Forest Practices Shoreline (City or County) Shoreline Exemption (City or County) Clearing and Grading (City or County) Building or Subdivision (City or County) Other			N/A		Pending		Approved
6.	Which federal, State, or tribal agencies have you contacted regarding your project and its impacts? Describe any modifications to the project as a result of these contacts:										N/A
7.	Check Water Resource Inventory Area (WRIA) and river basin or sub-basin (if known) where the project is located:			WRIA 7 Snohomish WRIA 8 Lk Washington WRIA 9 Duwamish/Green WRIA 10 Puyallup WRIA 15 Kitsap No WRIA # Puget Sound River Basin Subbasin Tributary No. or Name
8.	What is the specific location of your project? Provide the address, the jurisdiction, and the 1/4 section, section, township, and range.
9.	Is the project in or within 300 feet of a lake, river, stream or bay, etc.? Name the waterbody.										N/A
10.	What is the size of the project (list area or length of disturbance), the amount of new impervious surface, and the total impervious surface?										N/A
11.	Is the project a formal recommendation in a basin plan? Yes No										N/A

*In answering the remaining questions, please describe the impacts assuming no mitigation:* IMPACT ASSESSMENT
12.	Describe the beneficial and adverse impacts upon aquatic resources that will be caused by construction of the project:	N/A
13.	Describe the beneficial and adverse impacts upon aquatic resources resulting from the maintenance, use, or operation of the project (post-construction impacts):	N/A
MITIGATION
14.	Will the project alter the water quality of Puget Sound, bays, lakes, streams, wetlands, and rivers (including sedimentation, urban runoff, toxics, turbidity, etc.): Yes No (If yes, answer a and b.) What mitigation is proposed for construction impacts? What mitigation is proposed for long-term impacts?	N/A
15.	Will the project discharge water or generate runoff to Puget Sound, bays, lakes or a stream or river? Yes No (If yes, answer a and b.) What mitigation is proposed for construction impacts? What mitigation is proposed for long-term impacts?	N/A
16.	Are clearing and grading activities part of the project? What is the length or area of direct disturbance? Yes No (If yes, answer a and b.) What mitigation is proposed for construction impacts? What mitigation is proposed for long-term impacts?	N/A
17.	Will the project remove or modify riparian vegetation within 300 feet of the water body? Yes No (If yes, answer a and b.) What mitigation is proposed for construction impacts? What mitigation is proposed for long-term impacts?	N/A
18.	Will the project place a structure within-or cause any change to-the bed or banks of a body of water? Yes No (If yes, answer a and b.) What mitigation is proposed for construction impacts? What mitigation is proposed for long-term impacts?	N/A
19.	Will the project place fill or structures within any 100-year floodplain? Yes No (If yes, answer a and b.) What mitigation is proposed for construction impacts? What mitigation is proposed for long-term impacts?	N/A
20.	Will the project divert water to or from the stream, lake, river, or Puget Sound? Yes No (If yes, answer a and b.) What mitigation is proposed for construction impacts? What mitigation is proposed for long-term impacts?	N/A

Related MRSC Resources
MRSC Index – Endangered Species Act (ESA)