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---~ <br />I Agency Project Title Date <br />Kittitas County Public Works Kachess Lake Road Culvert Replacement 8/7/18 <br />~ -· <br />Type of Proposed Work -- <br />Project Type (Check all that Apply) Roadway Width Number of Lanes <br />D New Construction 0 Path / Trail 03-R 26 2 <br />[l] Reconstruction D Pedestrian/ Facilities 02-R <br />D Railroad D Parking liJ Other <br />D Bridge <br />Geometric Design Data <br />Description Through Route Crossroad <br />D Principal Arterial 0 Principal Arterial <br />Federal D Urban <br />D Minor Arterial D Urban <br />D Minor Arterial <br />D Collector D Collector Functional [l] Rural 0Rural D Major Collector D Major Collector Classification •NHS •NHS IZJ Minor Collector D Minor Collector <br />D Local Access D Local Access <br />Terrain -D Flat D Roll IZJ Mountain D Flat D Roll D Mountain <br />Posted Speed 35 - <br />Design Speed 35 ·- <br />Existing ADT <400 - <br />Design Year ADT 400 -Design Year 2019 <br />Design Hourly Volume (DHV) NA <br />Performance of Work <br />Preliminary Engineering Will Be Performed By Others Agency <br />Kittitas County Public Works I Consultant 10 % 90 % <br />Construction Will Be Performed By Contract Agency <br />Contractor 100 % 0 % <br />Environmental Classification -D Class I -Environmental Impact Statement (EIS) l.iJ Class II -Categorically Excluded (CE) <br />D Project Involves NEPA/SEPA Section 404 [{] Projects Requiring Documentation <br />lnteragency Agreement (Documented CE) <br />D Class Ill -Environmental Assessment (EA) <br />D Project Involves NEPA/SE PA Section 404 <br />l nterag ency Agreements - <br />Environmental Considerations <br />Environmental permitting needs will be identified and permits will be acquired during the PE phase. It is anticipated that the <br />project will be required to submit a Joint Aquatic Resources Permit Application (JARPA) to the U.S. Army Corps of Engineers <br />(USACE), Washington Department of Fish and Wildlife (WDFW), and Washington Depat1ment of Ecology (Ecology.). <br />Consultations may be required for Endangered Species Act (ESA) Section 7 and National Historic Preservation Act (NHPA) <br />Section 106. <br />. --~ ---.-DO r Form 140-10 1 <br />Revised 04/2015 Previous Editions Obsolete <br />Page 2