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10b. Indicate the permits you are applying for. (Check all that apply.) hem <br />LOCAL GOVERNMENT <br />Local Government Shoreline permits: <br />X Substantial Development ❑ Conditional Use ❑ Variance <br />❑ Shoreline Exemption Type (explain): <br />Other City/County permits: <br />❑ Floodplain Development Permit ❑ Critical Areas Ordinance <br />STATE GOVERNMENT <br />Washington Department of Fish and Wildlife: <br />❑ Hydraulic Project Approval (HPA) ❑ Fish Habitat Enhancement Exemption — Attach Exemption Form <br />You must submit a check for $150 to Washington Department of Fish and Wildlife, unless your project qualifies <br />for an exemption or alternative payment method below. Do not send cash. <br />Check the appropriate boxes: <br />❑ $150 check enclosed. Check # <br />Attach check made payable to Washington Department of Fish and Wildlife. <br />❑ My project is exempt from the application fee. (Check appropriate exemption) <br />❑ HPA processing is conducted by applicant -funded WDFW staff. <br />Agreement # <br />❑ Mineral prospecting and mining. <br />❑ Project occurs on farm and agricultural land. <br />(Attach a copy of current land use classification recorded with the county auditor, or other proof of current land use.) <br />❑ Project is a modification of an existing HPA originally applied for, prior to July 10, 2012. <br />HPA # <br />Washington Department of Natural Resources: <br />❑ Aquatic Use Authorization <br />Complete JARPA Attachment E and submit a check for $25 payable to the Washington Department of Natural Resources. <br />Do not send cash. <br />Washington Department of Ecology: <br />❑ Section 401 Water Quality Certification <br />FEDERAL GOVERNMENT <br />United States Department of the Army permits (U.S. Army Corps of Engineers): <br />❑ Section 404 (discharges into waters of the U.S.) ❑ Section 10 (work in navigable waters) <br />United States Coast Guard permits: <br />❑ Private Aids to Navigation (for non -bridge projects) <br />JARPA Revision 2015.1 Page 15 of 16 <br />