EXH0685025103

PCHBPollution Control Hearings Board of the State of Washington

[] I am applying for a Fish Habitat Enhancement Project per requirements of RCW 75.20.350. You must submit a copy of this completed JARPA application form, and the (Fish Habitat Enhancement JARPA Addition) to your local Government Planning Department and Washington Department of Fish & Wildlife Area Habitat Biologist on the same day. NOTE: LOCAL GOVERNMENTS - You must submit any comments on these projects to WDFW within 15 working days Based on the instructions provided, I am sending copies of this application to the following: (check all that apply) [] Local Government for shoreline: [] Substantial Development [] Conditional Use [] Variance [] Exemption [] Revision [] Floodplain Management [] Critical Areas Ordinance [] Washington Department of Fish and Wildlife for HPA (Submit 3 copies to WDFW Region) [] Washington Department of Ecology for 401 Water Quality Certification Nationwide Permits (to Regional office-Federal Permit Unit) [] Washington Department of Natural Resources for Aquatic Resources Use Authorization Notification [] Corpsof Engineersfor: [] Section404 [] Section10permit [] Coast Guard for Section 9 Bridge Permit [] US Fish & Wildlife Service or National Marine Fisheries Service for Endangered Species Act (ESA) Consultation SECTION A - Use for all permits covered by this application. Be sure to ALSO complete Section C (Signature Block) for all permit applioaCione. 1. APPLICANT Port of Seattle (Port); Contact Elizabeth Leavitt MAILING ADDRESS PO Box69727, Seattle, WA 98168-0727 WORK PHONE E-MAIL ADDRESS HOHE PHO."_- PAGER FAX # 206-433-7203 leavitt.e @portseattle.org 206-995-9362 206-988-5636 If an agent is acting for…
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