HomeMy WebLinkAboutSupplemental No. 1 - Washington State - GmB 1117 Maintenance11/29/2022
Page 1 of 3
June 2, 2022
Kellie Schwacha
Pacific Ridge-DRH, LLC
17921 Bothell Everett Hwy., Suite 100
Bothell, WA 98012
Subject: SR 9 MP 18.63 to MP 18.63
Installation of Stormwater Discharge Outfall
Utility Permit SP-NW-2021-008
Dear Kellie Schwacha,
Please respond with a confirmation email that you have received this email/letter and the attached utility
permit or franchise.
Enclosed is your approved Utility Permit for open trench to install 48ft of 12” stormwater pipe and a
12’Lx7’Wx2’D rockpad outfall. Construction of your utility must begin within one calendar year and be
completed within three years of the date of approval shown on the application. Please note that the
Traffic Control Plan for work within WSDOT right-of-way, Exhibit 'D', was approved as noted on
March 3, 2022 and is valid for six months from that date. The Traffic Control Plan requires 5-day notice
be provided to Krissy Kaufman at WSDOT’s Construction Traffic Coordination Office:
Krissy Kaufman
Construction Traffic Coordination Office
15700 Dayton Ave. N., NB82-120
P.O. Box 330310
Seattle, WA 98133-9710
206-440-4454
KaufmK@wsdot.wa.gov
Prior to any construction equipment or personnel entering WSDOT right-of-way, a pre-construction
conference is required with WSDOT’s inspector, Michael Gallop. The utility shall notify Michael
Gallop a minimum of 5 working days in advance:
Michael Gallop
NW Local Agency & Development Services Office
15700 Dayton Ave. N., MS 82-240
Seattle, WA 98133-9710
206-440-4913/206-940-2736
GALLOPM@wsdot.wa.gov
Pacific Ridge-DRH, LLC 6/2/2022
SP-NW-2021-008
Page 2 of 3
Contact WSDOT NW Region Radio at (206) 440-4490 five minutes prior to start of all traffic closures
and again upon reopening to traffic. A copy of the approved Utility Franchise must be on-site.
Please note, WSDOT invoice account number JZ1190 GRP02 will continue to be charged for personnel
time for inspection activities and attendance to the pre-construction conference.
For your convenience, here is the link to the WSDOT’s Standard Specifications of Road, Bridge, and
Municipal Construction: http://www.wsdot.wa.gov/Publications/Manuals/M41-10.htm
If you have any questions regarding your application, please contact me at 206-440-4130 or
PHAMK@wsdot.wa.gov.
Sincerely,
Khoi Pham
Utilities Accommodations/Project Delivery Engineer
KP:kp
Enclosures
cc: Michael Gallop, NW Local Agency & Development Services Office
File
DOT Form 224-695
Revised 10/2019
Utility Company:
Permit/Franchise Number Expiration Charge Code*Group
Date Received Reviewed By Region Address
Application Type Category, Impact to R/W Fees*Access Control
In accepting this Franchise Amendment No. to , Utility agrees that the General Provisions to
the original Franchise shall be replaced in their entirety with the General Provisions as included with this Amendment. All
* The fees required under WAC 468-34 and RCW 47.44 are paid by the Utility to cover the basic administrative expenses
incidental to the processing of this application. The applicant promises to pay any additional costs for all work associated
with the review, processing and inspection for the proposed installation. Checks or money orders are to be made payable to
“Washington State Department of Transportation”.
Exhibits
The above-noted Permit, Franchise or Franchise Amendment is subject to the terms and conditions stated in the General Provisions,
as well as all the Exhibits.
Exhibit A: Special Provisions for Permits and Franchises Page(s)
Exhibit B: Utility Facility Description (UFD)Page(s)
Exhibit C: Plan Sheets/Maps Page(s)
Exhibit D: Page(s)
Exhibit E: Page(s)
Exhibit F: Page(s)
Exhibit G: Page(s)
Exhibit H: Page(s)
Vicinity Maps State Route: Begin Milepost: End Milepost:
Departmental Approval
WSDOT Authorized Signatory Printed Name and Job Title Date Issued
Utility Accommodation
BEGIN/ END WORK IN WSDOT ROW: MP 18.63
PROJECT LOCATION
Page 3 of 3
(Stormwater Discharge Permit)
Pacific Ridge -DRH,LLC.
SP-NW-2021-008 6/2/2032 JZ1190 GRP02
07/09/2021 K. Pham Northwest: 15700 Dayton Ave. N, Shoreline, WA 98133
Stormwater Discharge Permit Category 1 - High Impact $500 Partial - LP
1-5 of 5
1 of 1
1-9 of 9
Traffic Control Plan 1-2 of 2
Pre-Construction Notification 1 of 1
Maintenance Notification 1 of 1
9 ML 18.63 18.63Link Link
Maria Mayrhofer - NW Region Utilities Manager 6/2/2022
(12'Lx7'Wx2'D) via open trench.
Stormwater Permit Special Provisions
Permit No.
Applicable provisions are denoted by (X)
1. No Work (for the intent of this Permit, operation or maintenance) provided for herein shall be performed until the Utility is
authorized by the following Washington State Department of Transportation (Department) Representative(s):
Name:
Title:
Street:
City:
State: Zip:
Phone: Cell:
Fax:
Name:
Title:
Street:
City:
State: Zip:
Phone: Cell:
Fax:
on the Utility’s system.
4. The utility agrees to assume all liability and responsibility associated with the design, construction, maintenance, and
operation of its Stormwater management and drainage system(s).
5. Construction of all Stormwater management facilities shall be part of the initial construction of the system under
this Permit.
state-owned highway right of way.
timeframes within the state-owned highway right of way. No Work shall be allowed on Saturday, Sunday, or holidays,
unless authorized by the Department. If a holiday falls on a Saturday, the preceding Friday is counted as the holiday, and
of way at noon on the preceding Friday. Nothing in this section shall limit the authority of the Department to further restrict
work within state-owned highway right of way at the Department’s discretion. The hours of closure are subject to change if,
DOT Form 224-157
Revised 10/2018
Email
SP-NW-2021-008
Michael Gallop
WSDOT Inspector
15700 Dayton Ave N, MS 82-240
Seattle
WA 98133-9710
206-440-4913 206-940-2736
GallopM@wsdot.wa.gov
measured from the edge of the traveled way (the portion of the roadway intended for the movement of vehicles, exclusive
of shoulders and lanes for parking, turning, and storage for turning) and will be determined as follows:
Posted Speed
35 mph or less
40 mph
45 to 55 mph
60 mph or greater
Distance From Traveled Way (ft)
10
15
20
30
Minimum Work Zone Clear Zone Distance
9. The Utility agrees that, in the event any construction and/or maintenance of the highway facility becomes necessary within
Department or its contractor can be fully apprised of their precise locations.
to structure and /or components and repair of any damage to the state-owned right of way caused by the maintenance and
repair to the Drainage System and shall restore Department’s right of way to current Department maintenance standards,
at the sole cost and expense to the Utility. The Department reserves the right to review damages occurring to the state-
owned right of way, as a result of failure of the Drainage System, and oversee the restoration.
work is done.
12. The Department shall not be responsible for damages to the Drainage System caused by Utility employees or the Utility’s
contractors working within state-owned right of way. Should the Utility or its contractors damage the Drainage System, it
agrees to notify the Department as soon as practical. The Utility and Department will work together in good faith to agree
, only.
DOT Form 224-157
Revised 10/2018
Special Provisions for
Permits and Franchises
SP-NW-2021-008
Page 5
14. This permit is only for an installation of the new storm sewer facilities that discharge runoff on to
WSDOT owned ditch on SR 9, as shown in the utility facility description.
15. This permit is assigned to the identified parcel(s) served by the stormwater facility and shall
remain appurtenant to the identified parcel(s). Should the identified parcel(s) be inherited, sold,
assigned, or transferred in any way, this permit shall run with the land to the extent that the
identified parcel(s) remain in compliance with the terms of this permit, unless the permit is
revoked, modified, or closed by WSDOT as provided by law or the current Permit Holder requests
the cancellation of the permit.
Identified parcel is 00590700007702, 5xxx 89th Ave NE, Marysville, WA 98270.
16. Traffic control plans for this permit have been reviewed by the WSDOT Construction Traffic
Coordination Office (CTCO) and have been Approved/Approved As Noted, when applicable. The
Grantee/Utility shall be required to follow the lane closure hours provided by WSDOT-Reviewed
Traffic Control Plan. See Exhibit 'D' for approved Traffic Control Plans. The applicant, or the
applicant’s contractor, shall contact the following CTCO Engineer five (5) working days prior to
traffic control set up for coordination:
Krissy Kaufman
Construction Traffic Coordination Office
15700 Dayton Ave. N., NB82-120
P.O. Box 330310
Seattle, WA 98133-9710
206-440-4454
KaufmK@wsdot.wa.gov
The approved traffic control plan expires on September 3, 2022 and is intended to be renewable
through the construction phase of this Utility Permit/Utility Franchise. For traffic control plan
renewal or modification, send request to: Michael Gallop 206-440-4913/206-940-2736
GALLOPM@wsdot.wa.gov
17. The Utility shall notify the WSDOT representative(s), listed in Exhibit 'F', twenty (20) working days
(Monday through Friday excluding any holidays) prior to any scheduled maintenance work to be
performed in the state-owned highway right of way.
18. No closures will be allowed from noon the day prior to a holiday or holiday weekend through noon
the day following a holiday or holiday weekend. It is a holiday weekend when the holiday falls on a
Friday, Saturday, Sunday, or Monday.
19. The sump on the upstream end of the discharge pipe, located on the parcel associated with this
Stormwater discharge permit shall be visually inspected and cleaned out annually. Should the
sump on the upstream end of the discharge pipe fail, the permit holder, shall be responsible for
the all damages, clean-up, and restoration to state right of way resulting from sump failure. The
permit holder has assigned easement for maintenance responsibilities for storm water facilities
within the identified parcel to the City of Marysville.
Special Provisions for
Permits and Franchises
SP-NW-2021-008
Page 5
20. Installation of the Stormwater Discharge Pipe and Splash Pad shall conform with the Washington
State Department of Transportation 2018 Standard Specifications. Specifically, the following
sections:
For Discharge Pipe installation see Chapter 7 Section 7-08 (3) General Pipe Installations.
Discharge Pipe shall meet the requirements of Chapter 9 Section 9-05 Drainage Structures
and Culverts.
Backfill over Discharge Pipe shall be in accordance with Chapter 7 Section 7-08.3(3) and
Chapter 2 Section 2-03(140)C.
The rock placed for the splash pad shall meet the requirements of Chapter 9 Section 9-13.4
Rock for Erosion and Scour protection.
21. Excavation shoring shall comply with WAC 296-155, Part N.
22. Stormwater runoff shall be properly detained and treated per the NPDES Permit requirement
before Discharge into the Department-owned drainage system.
23. The Utility shall be responsible for maintenance and repair of the side-drain connection,
including the pipes and yard basins.
24. No access for construction, or maintenance of discharge pipe, and splash pad shall take place
from the lanes or shoulders of SR 9 without an approved traffic control plan. Please provide a
traffic control plan for review 14 working days prior to any maintenance activity.
25. The outlet end of the discharge pipe, and splash pad shall be visually inspected, at a minimum
annually or as needed to ensure its intended function. Should the outlet end of the pipe produce a
build-up of material at the end of the pipe or fill the ditch, the City of Marysville as the designated
party responsible for maintenance via Maintenance Agreement GMB 1117 Amendment 01 shall be
responsible to remove all excess material from state right of way and restore the Utility’s and the
Department’s stormwater system to its original condition. Should the splash pad become clogged
with debris resulting in the ditch filling, the permit holder, the City of Marysville as designated party
responsible for maintenance shall be responsible for removing the accumulated debris from state
right of way.
26. The designated limited access break at SR 9 MP 18.63 is related to maintenance of the
Stormwater discharge facilities at SR 9 MP 18.63. The City of Marysville, as the party designated
as responsible for maintenance shall have sole use of the limited access break for the purposes
of maintenance of the stormwater discharge facilities located at SR 9 MP 18.63. No other entities
related to parcel 00590700007702 such as a Homeowners Association shall have access rights
to or from SR 9.
27. The City of Marysville via General Maintenance Agreement GMB 1117 Amendment 01, has agreed
to take on maintenance responsibilities associated with the parcel number 00590700007702 SR 9
stormwater discharge outfall at MP 18.63 and is the party designated as responsible for all
maintenance activities related to this permit.
Special Provisions for
Permits and Franchises
SP-NW-2021-008
Page 5
28. In the event that during the course of this project an inadvertent discovery of historical/
archeological objects, human remains, or a bone/ bone of uncertain origin is made, the Utility shall
immediately cease operations and contact WSDOT Representative Exhibit ‘E’ and WSDOT
Archaeologist:
Name: Jason Cooper
Phone: 206-440-4525
Email: CoopJas@wsdot.wa.gov
Determination of necessary follow-up actions or the ability to continue work shall be at the
discretion of the WSDOT.
29. The Utility shall use gravel, select borrow or native material if it is not wet or unsuitable for open
trench backfill. The Utility shall not leave excavated material on site.
30. The Utility shall restore the disturbed area(s) as follows:
Return grades to even with the surrounding areas, ensuring no rutting over 3” deep or low
areas that could trap water.
Apply 3” of soil amendment to all disturbed areas. Soil amendment is defined as 3 inches
of fine compost tilled to a 12-inch depth.
Apply 3” of bark or woodchip mulch on top of amended soil.
Plant 13- 1 gallon container snowberry (Symphoricarpos albus) and 13- 1 gallon container
salmonberry (Rubus spectabilis), and 13- 1 gallon Nootka rose (Rosa nutkana), 3-4 feet
apart. Evenly spaced in the disturbed area.
Plants shall be installed on the backside of the ditch. Opposite the roadway.
Planting must occur between October 1st and March 1st.
No plant establishment is required.
Utility Facility Description
SnagMP (Link)LP B
18.63
Facility Description Remarks and Installation
Comments
18.63 18.63 Left 75' 65' * Install 12" storm drain pipe
and culvert outfall, via open
trench
75' Buried
B LP
Enters WSDOT RW.
18.63 18.63 Left 22' 12' 2' Open trench and install a
12'Lx7'Wx2'D rockpad
outfall
75' Surface
B LP
Inside ROW.
*Pipe daylights to ex. Ditch.
SP-NW-2021-008
Access Control:State Route Number:
End Mile Post:18.63
SR 9 Scenic Class:
T30N-R5E-S36
Aerial,
Buried,
Bridge
or
Surface
Right
All Greyed Out Areas are For Department Use Only
T, R, Sec:Begin Mile Post:
Accommodation Number:
Additional Notes:
1) Indicate where item enters/leaves
R/W. 2) Include pertinent topography
info (turnouts, Rd. approaches,
intersections, culvert, guardrail, xing
method, split grade/under/overpass,
etc.)
Facility Description - Provide a summary of the proposed work: (press ALT+Enter to insert line break)
Work inside WSDOT RW, Install 48 LF of 12" strom drainage pipe and culvert outfall, open trench and install a 12'Lx7'Wx2'D rockpad outfall.
Begin
Mile
Post
End
Mile
Post
Left,
Right
or
Xing
Offset Distances (feet)Right of Way
From
Center
Line
From
Edge of
Traveled
Way
(Fogline)
Depth
or
Height
Facility to be Installed/
Deactivated/ Upgraded
(indicate size and/or diameter,
and material)
Left
DOT Form 224-697
Rev. 08/2019 Page 1
City of Marysville
BEGIN/END
PROJECT MP 18.63
Begin/End MP 18.63:
Open trench and install 48' of 12"
SD pipel enters WSDOT LA ROW.
Open trench and install a
12'Lx7'Wx2'D rockpad outfall
work ends inside LA ROW.
Break in Access Loc.:
Sta. 419+98.00
Begin/End MP 18.63:
Open trench and install 48' of 12"
SD pipel enters WSDOT ROW.
Open trench and install a
12'Lx7'Wx2'D rockpad outfall
work ends inside ROW.
Begin/End MP 18.63:
Open trench and install 48' of 12"
SD pipel enters WSDOT ROW.
Open trench and install a
12'Lx7'Wx2'D rockpad outfall
work ends inside ROW.
SP-NW-2021-008 Pacific Ridge SR 9, MP 18.63
Open Trench, install 48LF of 12" SD Pipe and a 12'Lx7'Wx2'D Rockpad Outfall
Install a 12'Lx7'Wx2'D Rock
Pad Outfall inside LA ROW.
(approx. work location)
Open trench and install 48LF
of 12" SD pipe enters LA
ROW (approx. work location)
WSDOT LA
ROW (Approx.)
SR 9
SOUTHBOUND SR 9
NORTHBOUND
MP 18.63
(Approx.)
For Traffic Control Plan renewal or modification,
send request to: Michael Gallop 206-440-4913/206-940-2736
GALLOPM@wsdot.wa.gov
For Traffic Control Plan renewal or modification,
send request to: Michael Gallop 206-440-4913/206-940-2736
GALLOPM@wsdot.wa.gov