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801 228 (City of Sammamish)

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Department of Community Development
801 228
th
Avenue SE ■ Sammamish, WA 98075 ■ phone: 425-295-0500 ■ fax: 295-295-0600 ■ web: www.sammamish.us
1
Minor Shoreline Development Projects –
Floodplain Habitat Assessment Short Form
Project Information
Applicant name:
Project Location (Address / Parcel Number):
Short Project Description:
This habitat assessment short form is for minor shoreline projects within the Special Flood
Hazard Area (SFHA; also known as the 100-year floodplain) of Lake Sammamish. Minor
shoreline projects include the following types (check the box that applies to your project):
☐ Removal of an existing bulkhead as allowed and in accordance with the provisions of
Sammamish Municipal Code (SMC) 25.06.020 and 25.07.070.
(Note: Repair of an existing, functional bulkhead does not require a habitat assessment when
repair is in the same location and footprint with the same materials, and the face remains
landward of the OHWM; see the Exceptions list for details).
☐ Beach nourishment (adding gravel or other approved sediment along the shoreline for
restoration and/or erosion prevention purposes) in accordance with the provisions of SMC
25.06.020, 25.06.030, 25.06.040, and 25.07.070.
If your minor shoreline development project does not meet one of these types, then a more
detailed habitat assessment will be required.
Each section of this habitat assessment short form must be completed, including verification
and attachment of additional project information and plans. This habitat assessment short
form and other referenced project materials will be documented in the permit file for the
project.
Instructions
As the applicant, please check boxes in Sections 1-3 and provide short responses where
necessary to verify that your project is consistent with required habitat assessment
components, and includes the specified best management practices (BMPs) in Section 3 of
this form. City Planning/Permitting staff will verify that the components in Sections 1-3 have
been documented satisfactorily and will complete the final page of this form. If a component
or specific BMP does not apply to the project, a brief explanation must be provided.
Page 2 of 4
1. Project Submittal Verification – Additional Required Information
☐ Waterbody or waterbodies within and adjacent to where the project will occur are described
(water typing included)
☐ Methods of work are described (within permit applications, and/or supplemental materials
as necessary)
☐ Project area map is provided (may be the same as the project area map submitted with your
shoreline permit/building permit)
☐ Site and/or restoration plans are provided (may be the same as the plans provided with your
shoreline permit/building permit) that include:
• Clear depiction of existing bulkhead / hard shoreline stabilization, including extent that will
be removed and extent that will be maintained; and
• Area and quantities of gravel or other approved sediment included in a beach nourishment
proposal; and
• Areas of clearing, vegetation removal, and native species planting associated with the
proposed shoreline project.
2. Confirm that the Proposed ‘Minor’ Shoreline Development Activity does not include any
of the following activities:
☐ No new impervious surfaces will occur at the bulkhead, beach, or
elsewhere.
Staff Verified:
☐ No clearing of native shoreline vegetation will be required for the
project.
Staff Verified:
☐ No in-water work will be required for the project.
Staff Verified:
3. Confirm that Minimum Required BMPs Address Potential Direct and/or Indirect Habitat
Impacts below:
Potential Impact
Minimum Required BMPs
Staff Verified:
Water Quality
☐ Work to be performed during periods of low water levels;
☐ Work to be performed in dry weather and/or during dry
season (May 15 - September 30); and
☐ Low impact development techniques used;
☐ Exposed soil / excavated earth stabilization measures
included in proposal; and
☐ Any other appropriate construction BMPs (rain garden for
driveway or downspouts, native/drought tolerant plant
landscaping, pervious pavement, or other approved strategy).
Bank Stability
☐ Exposed soil / excavated earth stabilization measures
included in proposal; and
☐ Revegetate temporarily disturbed vegetation with native
plantings; and
☐ Consistent with SMP requirements, include new native
plantings in shoreline bank areas that are part of the project.
See Shoreline Plantings section of Green Shorelines guide
Additional project applicant comments/information (optional):
Signature – By signing below, City of Sammamish staff have determined an effects
determination of No Effect (NE) or May Affect, Not Likely to Adversely Affect (NLAA) for the
proposed project. As documented in this Floodplain Habitat Assessment – Short Form, the
effects determination has been made consistent with FEMA Region X guidance for Puget
Sound implementation of the NFIP consistent with the Endangered Species Act.
Applicant signature indicates that the project proponent will limit floodplain development
activities to those described in this Short Form, and commits to implementing all BMPs as
detailed above and as conditioned by the City on this form.
Applicant Signature
______________________________
Name: __________________ Date: _______
Phone # / email: _________________________
City of Sammamish Verification Signature
______________________________
Name: __________________ Date: _______
Title: _________________________
Page 4 of 4
This portion to be completed by City staff
Verification of Habitat Assessment Conditions
Check each box once verified
City staff review notes
☐ Project is limited to ‘minor’ shoreline development activity, and
does not include any of the elements listed in Section 2.
☐ All minimum required BMPs have been met.
☐ All potential direct and/or indirect habitat impacts have been
addressed.
☐ The project design inherently avoids adverse effects. Project
design elements that consider and improve floodplain functions
which support ESA-listed species should be directly incorporated
into the project.
☐ The project results in in no effect or not likely to adversely affect
ESA-listed species.
Additional Information / Supplemental Staff Conditions
Other project information necessary to support the effects determination:
☐ Yes (provide notes / references to other submittal materials below) ☐ Not applicable
Staff has determined that implementation of the following supplemental conditions necessary to
support the effects determination:
☐ Yes (detail supplemental conditions below) ☐ No supplemental conditions required
Supplemental Condition: _____________________________________________________________
__________________________________________________________________________________
Supplemental Condition: _____________________________________________________________
__________________________________________________________________________________
Supplemental Condition: _____________________________________________________________
__________________________________________________________________________________
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801 228 (City of Sammamish)

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Completed 26 February 2021

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