HomeMy WebLinkAbout03 Case DocumentsDonna Frostholm
From: Emily Calkins
Sent: Wednesday, June 26, 2024 11:41 AM
To: rrathvon@gmail.com; Donna Frostholm
Cc: 'Richard Rathvon'; 'Joey Pasquinelli'
Subject: RE: SDP2023-00020 Invoice
Attachments: SDP2023-00020 Receipt.pdf
Good morning,
I have put all of the associated documents into the Shoreline Case, and have attached a copy of the receipt showing
proof of full payment for the Shoreline Application.
Ass of today, the associated case documents include the following:
• Shoreline Development Application
■ Shoreline Conditional Use Application
• Survey of Stream
• Stormwater Worksheet
• Site Plan
• OHWM Report
• Stream Report
• Copy of emails associated with SDR and Shoreline App, copies of the SDR and Shoreline Apps, copy of Pre App
notes
• Copy of the Geo Hazard Notice to Title
■ Copy of Septic Permit
If Donna needs more information she will reach out and let you know.
Thank you for your diligence in working with our department through this process. Let me know if there is anything you
need.
Reagrds,
Emily
EmiCy CaCkins
Planning Technician
Dept. of Community Development
Eca(kinsC)co.ieffers& .wmus
360-379-4460
Monday -Thursday 9:00-12:00 1:00-4:30
All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act, a state law
found at RCW 42.56. Under the Public Records law, the County must release this e-mail and its contents to any person who asks to obtain a copy (or for
inspection) of this e-mail unless it is also exempt from production to the requester according to state law, including RCW 42.56 and other state laws.
From: rrathvon@gmail.com <rrathvon@gmail.com>
Sent: Tuesday, June 25, 2024 6:47 PM
To: Donna Frostholm <DFrostholm@co.jefferson.wa.us>; Emily Calkins <ECalkins@co.jefferson.wa.us>
Cc: 'Richard Rathvon' <rich@rathvonconsulting.com>;'Joey Pasquinelli' <joey@mctarch.com>
Subject: RE: SDP2023-00020 Invoice
ALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are
not expecting them.
Donna,
In connection with the previously filed Shoreline Application, Shoreline Development (Conditional Use, Type
II), attached are the following:
1. Site plans; and
2. Stormwater calculations and plan.
I have asked Emily to forward me any permit fee requirements, which I will then promptly take care of.
Please let me know if you have any questions or require additional information.
Thank you.
Best regards,
Rich
From: Donna Frostholm <DFrostholm co.iefferson.wa.us>
Sent: Tuesday, June 18, 2024 7:33 PM
To: rrathvon@gmail.com; Emily Calkins <ECalkins@co.iefferson.wa.us>
Cc: Richard Rathvon <rich@rathvonconsulting.com>
Subject: RE: SDP2023-00020 Invoice
Richard,
Thank you for sending the email below with attachments. See below in blue for responses to your questions.
Emily and I will get the documents you sent loaded into the permitting system. Once we get the fee payment, the
stormwater forms, and the site plan, I can begin reviewing your shoreline application. You are almost there.
Regards,
Donna Frostholm
Jefferson County DCD
From: rrathvon@gmail.com <rrathvon@gmail.com>
Sent: Monday, June 17, 2024 3:53 AM
To: Donna Frostholm <DFrostholm co.'efferson.wa.us>; Emily Calkins <ECalkins co.Jefferson.wa.us>
Cc: Richard Rathvon <rich@rathvonconsulting.com>
Subject: RE: SDP2023-00020 Invoice
ALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are
not expecting them.
Donna,
I am concerned about some of the comments that you made in your email of June 10 relating to my application SDP
2023000020, and your view that "this application is nowhere complete". As support, you referenced meeting notes of
our pre -application meeting held October 25, 2022 ("10/22 Meeting Notes"), specifically pointing to the items listed on
page 3 of these notes under "Application and Fees".
Accordingly, I am writing to clarify: (i) the status of activities relating to the applications required to build a house on my
property on Dabob Bay; and (ii) next steps required to complete and submit the outstanding applications.
To date, the following activities have been submitted and/or approved subsequent to the 10/22 Meeting:
1. Attachment 1: Email transmittal of:
a. "Permit Application" and "Supplemental Application, Site Development Review— Buildability Analysis,
dated December 2, 2022, along with copy of check; and
b. Permit Application" and "Supplemental Application, Site Development Review— Legal Lot of Record
Determination, dated December 2, 2022, along with copy of check.
2. Attachment 2: Email transmittal of Shoreline Application, Shoreline Development (Conditional Use, Type 11)
dated May 18, 2023, along with copy of check for $1,737.50.
3. Attachment 3: Copy of the recorded Notice to Title for Geotechnical Report dated June 1, 2023.
4. Attachment 4: Copy of the approved Septic Permit issued on November 20, 2023.
5. Attachment 5: Copy of the determination of OHWM dated November 11, 2022.
6. Email transmittal: Copy of biologist report and survey showing relevant setbacks relating to a Type Ns seasonal
stream emailed on January 20, 2023. This was submitted as a supplement to the applications referenced in this
Attachment labove.
With respect to the items that you referenced on page 3 of the 10/22 Meeting Notes, I wanted to clarify those materials
that have been submitted and those that will be submitted with the Building Permit. In addition, I have a couple of
questions noted in RED as well. These clarifications and questions are presented in the order in which the items are
listed in the 10/22 Meeting Notes.
o Site Development Review Permit Application - provided previously and included in Attachment 1 above.
o Permit Application — provided previously and included in Attachment 1 above.
o Shoreline Supplemental Application Form (for Shoreline CUP Type II Permit — provided previously and included
in Attachment 2 above
o Stormwater Forms —these will be provided with the Building Permit. [Do these need to be submitted separately
as part of the Shoreline application process?] All applicable Stormwater forms need to be included in the
shoreline submittal. Please send those forms to us.
Site Plans — to be provided with the Building Permit. [Do these need to be submitted separately as part of the
Shoreline application process?] The site plan needs to be submitted with the shoreline application. Please
forward this on to us.
o Habitat Reconnaissance Letter (if required). [Does this apply?] It looks like you have a 2022 report from
Peninsula Environmental that addresses this so no further action is needed to address this at this time. Emily and
I will ensure it get uploaded into the permitting system.
o Notice to Title — Geological Hazard Assessment — provided previously and included in Attachment 3 above.
o Any additional information which will demonstrate compliance with the code such as narratives or photos.
• See issued Septic Permit (Attachment 4).
■ See determination of Ordinary High -Water Mark (Attachment 5).
• See biologist report relating to a seasonal stream (Type Ns), including a survey showing the stream and
setback, and the proximity to the proposed building site (see #6 above, "Email transmittal').
I hope this information is helpful.
Over the next couple of weeks, I intend to continue to work diligently with DCD staff to provide the necessary
information required to complete the permitting process. In this regard, I would like to set up a call to ensure that I am
clear as to next steps and outstanding information required.
Finally, under a separate email exchange last week with Emily, I was presented with an invoice for $1,995.37, which
included $1,712 for the Type II Shoreline Conditional Use permit. In response, I sent a check by mail last week in the
amount of $1,995.37. However, during my review of the permit files this weekend, I realized that I had already paid the
fee for the Type II Shoreline Conditional Use via a check in the amount of $1,737.50 that was hand -delivered to your
office on or about May 31, 2023. 1 emailed Emily with a copy to yesterday (6/15) concerning this matter.
Please let me know if you have any questions or whether there is other information that I should provide at this time.
I appreciate your consideration, and I look forward to working with your office to complete the application process.
Thank you.
Regards,
Rich
From: Donna Frostholm <DFrostholm@co.iefferson.wa.us>
Sent: Monday, June 10, 2024 5:50 PM
To: Emily Calkins <ECalkins@co.iefferson.wa.us>; rrathvon@gmail.com
Subject: RE: SDP2023-00020 Invoice
Hi Ron,
I am attaching the pre -application notes for your reference. At the bottom of page 3, you will see what is needed for the
shoreline application.
You may be planning on bringing in all the documents required for shoreline permitting when you come in for your
building application. Please advise as to the status of the documents needed for shoreline permitting.
Thanks much,
Donna FrosthoCm, PIWS
Associate PCanner - Lead/WetCandSpecia(tst
Jefferson County Department of Community DeveCopment
621 Sheridan Street, Port Townsend, 'Washington 98368
36o-379-4466 c[)rUs1lo(m4co.�e�ersn�r.ivn.rrs
DCD IS OPEN MONDAY-THURSDAY FROM 9:00 -12:00 and 1:00 - 4:30; CLOSED FRIDAY.
All emails sent to and from this address will automatically be archived by Jefferson County and emails may be subject to Public Disclosure under Chapter 42.56 RCW.
From: Donna Frostholm
Sent: Monday, June 10, 2024 2:29 PM
To: Emily Calkins <ECalkins co.'efferson.wa.us>; rrathvon@gmaii.com
Subject: RE: SDP2023-00020 Invoice
Hi Emily,
Thanks for checking as this application is nowhere near complete. Once I looked at the submittal in EG/EPL, it jogged my
memory a bit. As this email chain suggests, I met with the applicant a number of months back at DCD and you gave him
a copy of the pre -application notes so he would know what he needed to submit to have a complete shoreline
application. Because it does not appear that he has followed up on that meeting, I think we should cancel the shoreline
application (you may want to check with Greg as that is just my opinion). And the applicant should know that if he
submits a building application soon, the permit will not be issued until he has completed the shoreline permitting
process.
Let me know if you have any questions.
Donna
From: Emily Calkins <ECalkins co Jefferson.wa.us>
Sent: Monday, June 10, 2024 1:31 PM
To: rrathvon mail.com; Donna Frostholm <DFrostholm co.iefferson.wa.us>
Subject: RE: SDP2023-00020 Invoice
Hi Donna,
I just talked to Rich over the phone about SDP2023-00020 and he is happy to put a check in the mail immediately, but I
wanted to check in with you to make sure that we are ready for payment before he sent the check. It seems there was
some miscommunication about whether or not he was supposed to wait to pay and go through the shoreline permitting
process until he had a building permit on file.
Would you please confirm the below:
- That his application is complete and we do not need extra documents from him at this time
- That he does not need to have an active building permit on file (he is getting ready to apply for a building permit
in the next few weeks).
- That he can go through the Shoreline permitting process concurrently with the building permit process(given
that he is applying in a few weeks).
Thank you Donna,
Emily
Emily Calkins
Planning Technician
Dept. of community DeveCopment
Eca&ins@co. of ferson.wa.us
360-379-4460
Monday -Thursday 9:00-12:00 1:00-4:30
All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act, a state law
found at RCW 42.56. Under the Public Records law, the County must release this e-mail and its contents to any person who asks to obtain a copy (or for
inspection) of this e-mail unless it is also exempt from production to the requester according to state law, including RCW 42.56 and other state laws.
From: Emily Calkins
Sent: Monday, June 10, 2024 11:58 AM
To: rrathvon@gmail.com; Donna Frostholm <DFrostholm@co.iefferson.wa.us>
Subject: RE: SDP2023-00020 Invoice
Good morning,
I am reaching out about the Shoreline Conditional Use Permit you applied for in November. As of yet we have not
received payment for the application, which is required before we can begin our review.
If you would like to continue the application we will need payment to be made, and if you would like to cancel the
application please let me know and I will cancel it in our system. If we don't receive payment within 14 days we will
assume you do not want to continue with the application and will cancel it.
I have attached a copy of the invoice to this email. You are welcome to pay by credit card or check. Checks should be
made out to "JC DCD", and they can be mailed or dropped off at 621 Sheridan St in Port Townsend (98368); credit card
payments can be made on our online portal at https:llwww.co.iefferson.wa.us/617/2715/Fees-Payments. Please note
that a convenience fee is charged for all online payments.
If you have any questions please feel free to contact me by email or phone. My direct number is (360)379-4460.
Regards,
Emily Calkins
Emily Calkins
Planning Technician
Dept. of Community Development
Ec a llz ins Coco. re ffers on.w a. us
360-379-4460
Monday -Thursday 9:00-12:00 1:00-4:30
All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act, a state law
found at RCW 42.56. Under the Public Records law, the County must release this e-mail and its contents to any person who asks to obtain a copy (or for
inspection) of this e-mail unless it is also exempt from production to the requester according to state law, including RCW 42.56 and other state laws.
From: rrathvon@gmail.com <rrathvon@gmail.com>
Sent: Wednesday, November 22, 2023 2:13 PM
To: Donna Frostholm <DFrostholmC@co.iefferson.wa.us>
Cc: Emily Calkins <ECalkins@co.jefferson_.wa.us>
Subject: RE: SDP2023-00020 Invoice
ALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are
not expecting them.
Donna,
I understand from Emily that you may be in the office on Monday, November 27.
I will plan to visit your office before noon. Is there a specific time that we could schedule that works for you?
Best regards,
Rich
From: rrathvon@gmail.com <rrathvon@gmaii_com>
Sent: Thursday, November 16, 2023 7:00 PM
To: 'dfrostholm@co.jefferson.wa.us'<dfrosthaim@co.iefferson.wa.us>
Cc: 'Emily Calkins' <ECalkins@co.iefferson.wa.us>
Subject: RE: SDP2023-00020 Invoice
Donna,
At the suggestion of Emily, I wanted to send you some of the materials relating to our application process. I
would like to discuss the process, especially if we delayed the building permit to end of summer. I would like
to meet with you on Tuesday, Nov 18 at 1:00 pm if that works for you.
Also, I received an invoice from Emily regarding an outstanding amount owed. I will review our records and
pay any outstanding balance on Tuesday as well.
Please let me know if you can accommodate a meeting on Tuesday.
Thank you.
Best regards,
Rich
From: Emily Calkins <ECalkins@co.lefferson.wa.us>
Sent: Tuesday, November 7, 2023 2:18 PM
To: rrathvon@gmail.com
Subject: SDP2023-00020 Invoice
Good morning,
Thank you for submitting your application to our office. In order for us to process your application you will
need to submit payment. We can accept payment by credit card or check. Checks should be mailed or
dropped off at 621 Sheridan St in Port Townsend (98368); credit card payments can be made on our online
portal at htt s: www.co.lefferson.wa.us 617 Credit-Card-E-Check-Pa ments-for-Permits. Please note that a
convenience fee is charged for all online payments.
Best regards,
Jefferson County
Dept. of Community Development
Planning@co.iefferson.wa.us
360-379-4450
DCD IS OPEN TO THE PUBLIC. M-Th 9:00-12:00 1:00-4:30
DCD is accepting building applications by appointment, schedule an appointment here:
httys:I[www.co.ie ferson.wa.us/1552/12889/Building-Permit-intake-Appointments
Please visit our website https://www.co.iefferson.wa.us/dcd to see how we can best serve you.
■ Email: dcd Co."efFerson.wa.us
• Phone:360-379-4450
• Mail: 621 Sheridan St.; Port Townsend, WA 98368
All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act, a state
law found at RCW 42.56. Under the Public Records law, the County must release this a -mail and its contents to any person.
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Shcttidan Strcct, Purr Town.,end, V ,\ 98368
Tcl: 360.379.4-150 1 Fax: 360.379.4451
Web: ]LmU.cu.ictfcN in.-kyuj s/cv nnmi:ni i vJi:K l;+ t 11CIit
IL mail: klc<10, co. wfferm n.W1A1S
PERMIT APPLICATION
Steps in the Permit Process:
-Review application checklist to ensure all information is completed prior to submitting application.
-Make sure septic has been applied for and water availability has been proven.
-Make an appointment to meet with the Permit Technician by calling 360-379-4450.
-This is not a standalone application; it must be accompanied by a project specific supplemental application.
-Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued.
eFo Department Use Only Building Permit #
Related Application #s: MLA #
Site Information
Assessor Tax Parcel Number: 701164005
Site Address and/or Directions to Property: 660 Twana Way, Quilcene, WA 98376
Access (name of street(s)) from which access will be gained:
Coyle Road to Toandoes Road to Twana Way
Present use of property: Vacant Land
Description of Work (include proposed uses): Construction of single family residence
r --
Wastewater - Sewage Disposal
[This property is served by Port Townsend or Port Ludlow sewer system?
if not served by sewer identified above, identify type of septic system below:
Type of Sewage System Serving Property:
Septic Septic Permit #: SEP2022-00114
Community Septic Name of System
Are other residences connected to the septic system?
Conventional trench
YES NO ` C
Case #:
NO
Additions or repairs to sewage system: Not yet installed
Is it a complete or partial system installation: Complete Partial
Has a reserve drainfield been designated? Yes No
Date of Last Operations & Maintenance check: Attach last report to application
Describe or attach any drainfield easements, covenants or notices on title, which may impact the property:
The authorized agent/representative is the primary contact for all project -related questions and correspondence. The County will mail
/ e-mail requests and Information about the application to the authorized agent/representative and will copy (ccj the owner noted
below. The authorized agent/representative is responsible for communicating the information to all parties Involved with the
application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email (i.e.,
Coon email is not blocked or sent to Munk mail").
Applicant/Property Owner Information
Property Owner:
Name: Richard Rathvon
Address: 20 Liberty Knoll, Colts Neck, NJ 07722
Phone #: 914-610-5097 E-mail Address: rrathvon@gmail.com
Please contact Authorized Agent/Representative with project info. (select only one).
Property Owner Signature: Date:
Note: For projects with multi fe owners, attach a separate sheet with each cwnerls) information and signatures.
Applicant: Authorized Agent/Representative (If other than owner)
Name:
Address:
Phone #:
Professional:
Engineer
Is this an Authorized Ai
Architect
Name:
Everett Sorenson
Address:
715 Grant Street
Phone #:
360-821-9960
Professional:
Engineer
Name:
Address:
Phone #:
Surveyor
E-mail Address:
ive for this project? NO J YES _
Contractor Consultant
License #
E-mail Address: ev
ntative for this project? NO
Architect_ Surveyor Contractor
Joey Pasquinelli License #
_3309 Walingford, Seattle, WA 98103
206-728-0480 E-mail Address: jOey@mctarch.com
Is this an Authorized
Professional: Is this an Authorized
Engineer
Name:
Address:
Phone #:
Architect
lent/Representative for this project? NO
Surveyor Contractor T
License #
E-mail Address:
/V _YES
Consultant
YES
Consultant
By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and
correct to the best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with
respect to this application packet may result in making any issued permit null and void.
I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with
all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and lts
employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may
request notice %the Co u nty's in ten t to er�ter upon the property for visits related to this application and subsequent permit issuance.
Signature: & Print Name: l c ttri&n V?-+r lVdlil_ Date: J� Z
Aulhenisign ID: 33E95932-96F5-ED11-907A-5045BD047FEA
A
MLA #
DEPARTMENT OF COMMUNTI-17 DEVELOPMENT 0 AN55
621 Sheridan Street, Port'To-,vnsend, WA 9S368 Tel: 360.379.4450 1 Pay: 360.379.4451
Web; u�nv.�u.ieffcriun.ua.z5 ccnnnnrnitrdevcir menr
E-mail:n%(
_ '-'-CANcAE
SUPPLEMENTAL APPLICATION
SHORELINE DEVELOPMENT
ed application form is a requirement of submittal. Include "N/A" in spates that do not apply.
Case #
Application Type (select one): _
Statement of Exemption:
Variance* !�I Substantial Development*
�I
_ ...... _ .: side
of application Conditional Use (administrative) ❑ Conditional Use (discretionary)
Does your proposal require in water work and/or works below ordinary high-water mark? Yes =i No X
Does your proposal require 000 sq/ft or more of impervious surface and/or non -single-family structures of 5,000 sq/ft or
more? Yes [= No Q_XJ
1)
2)
* If either of the boxes for 1 or 2 above are checked yes or if the permit type above has an asterisk then a gEg0 I'lication
conference is required prior to submitting for a shoreline permit.
Site Information
Assessor Tax Parcel # '
Property Owner Namels):
L --
- -
Project Description
701164005
Name of Body of Water:
Richard & Renee Rathvon
Describe the existing property use ana conamon:
Vacant land / recreational use
Proposed distance from ordinary high water mark to use/development: 160
Describe the proposed property use:
Single Family Residence with onsite septic and drilled well
feet
By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, Is true ana correct to the
best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application
packet may result in ma f} Yty�issuedjjpermit null and void.
Owner Signature; kiC�Plf RAa� VOh Date: 05118/23
Print Name: Richard Rathvon
Authentisign 10: 33E95932-96F5-ED11-907A-60456DD47FEA
These activities require a formal statement of Exemption issued by Jefferson County.
Check 'Statement of Exemption' box on the front of this form and submit with Permit Application
to apply for your Exemption Approval.
18.25.570 Statement of Exemptions
(1) The administrator is hereby authorized to grant or deny requests for statements of exemption from the shoreline
substantial development permit requirement for uses and developments within shorelines that are specifically listed
above. Such statements shall be applied for on forms provided by the administrator. The statement shall be in writing
and shall indicate the specific exemption of this program that is being applied to the development, and shall provide a
summary of the administrator's analysis of the consistency of the project with this program and the Act. As appropriate,
such statements of exemptions shall contain conditions and/or mitigating measures of approval to achieve consistency
and compliance with the provisions of this program and Act. A denial of an exemption shall be in writing and shall
identify the reason(s) for the denial. The administrator's actions on the issuance of a statement of exemption or a denial
are subject to appeal pursuant to the appeal provisions in Article X of this chapter.
18.25.560 Exemptions listed —This is a summary from JCC18.25.560, please review the code section for
detailed information regarding these exemptions.
(1)
Fair Market Value.
(2)
Maintenance and Repair.
(3)
Residential Bulkhead.
(4)
Emergency Construction.
(5)
Agriculture.
(6)
Drainage.
(7)
Navigation Aids.
(8)
Single -Family Residences.
(9)
Residential Docks.
(10) Irrigation.
*Additional fees may apply.
(11) State Property.
(12) Energy Facilities.
(13) Site Exploration.
(14) Noxious Weeds.
(15) Watershed Restoration.
(16) Watershed restoration project"
(17) Watershed restoration plan'
(18) A public or private protect, the primary purpose of
which is to improve fish or wildlife habitat or fish
passage.
Authenlisign ID: 33E95932-96F5-ED11-907A-60456DD47FEA
SON
DEPARTMENT OF COMMUNITY DEVELOPMENT
W 621 Sheridan Street, Pore. ToN%msend, WA 98368
Tel: 360.379.4450 1 Fax:360.379.4451
Web: m-ww
E-mail: &Qa- �.ief(er.on. va.uc
Jh
MLA #
SUPPLEMENTAL APPLICATION
CONDITIONAL USE
PROJECT/APPLICANT NAME: Richard Rathvon
The purpose of the conditional use permit process is to provide flexibility in the application of the use regulations contained in the
Jefferson County Code (JCC). No conditional use permit can be granted untess consistency with the performance standards of JCC
18.20. she development standards of JCC 18.30, the procedural requirements of JCC 18.40.280, and the approval criteria of JCC
18.40,530, and other applicable requirements of the UDC have been satisfied. Approval of the conditional use is effective for three (3)
years from the date of original approval. if a building permit has not been issued within the three (3) year period, the conditional use
approval will expire.
The following questions will assist in the evaluation of the conditional use request:
1.I Describe the re uested conditional use.
Construefion of residential dwelling
2. Explain how the conditional use is harmonious and appropriate in design, character and appearance with the existing or
intended character and quality of development in the vicinit and with the physical characteristics of the subject propeqy.
Proposed SFR has been designed to be constructed 160' from the OHWM as such, the home will sit within the
Existing mature forest creating an in -forest design resulting in a barely visible footprint.
3. Describe the infrastructure including but not limited to roads, fire protection, water, wastewater disposal, and stormwater control
which will serve the requested conditional use.
The existing road / driveway was constructed 40— years ago with consistent use and maintenance since construction
Stormwater will be naturally dispersed into the native forest as it always has with no change or increased impact.
Fire protection shall be provided by the local fire district in accordance with rural guidlines. Potable water will be
supplied by a private well. Wastewater shall be treated with proposed OSS. Stormwater resulting from impervious
crn Intl irac "rill rlienmrca nat, Imthe
4. Describe the location, size, and het ht of buildings. structures, si na e, walls and fences, and screenin ve etatian for the use.
SFR & garage will be placed 160' + from the OHWM and shall not be higher than 30' from the highest grade at the
house footprint. Proposed SFR will be approximately 3,500 sqft.
SFR / garage will be screened naturally by the existing forest.
5. Describe any noise, smoke, dust, fumes, vibrations, odors, outdoor lights or other impacts will be generated by the conditional
use.
Any impacts such as noise, dust, fumes etc. should be considered 'as typical' for constuction and end use of a SFR.
Describe the pedestrian and vehicular traffic and parkin2 area associated with the conditional use.
:xisting road / driveway is a dead end private gravel road with only one user beyond the proposed SFR.
'here is no pedestrian use.
Page 3
Authentisign ID: 33E95932-96F5-ED11-907A-60458DD47FEA
7.
Will the proposed conditional use result in the siling of an incompatible use adjacent of an airpri or airfield?
N/A
8.
Are there any significant adverse impacts on the human and natural environments caused directly by the conditional use? If yes,
can these impacts be mki aced?
N/A
9.
Describe how granting the conditional use will not be materially detrimental to uses or property in the vicinity of the subject
parcel.
adjacent parcels are currently used in the same manner as our proposal outlines
10.
Describe how granOng the conditional use will not be substantially detrimental to the public interest.
he public will have no relationship to this proposal due to the fact that there is no public access to or near this parcel
and the visibility of the proposed SFR from the waters of Dabob Bay will be very minimal.
11.
1 Does the conditional use have merit and value for the community as a whole?
NIA
12.
Describe how the conditional use complies with all other applicable criteria and standards of the Jefferson County Code (JCC)
and any other applicable local, state or federal law; and more specifically, conforms to the standards contained in JCC 1820
and JCC 18.30.
The septic permit has been submitted to Jeffco EH, and the well permit will be submitted to Jeffco EH at a later date.
13.
Describe how the conditional use is consistent with all relevant goals and policies of the Jefferson County Comprehensive Plan.
Our proposal is consistent with zoning and the existing use of properties in the vicinty
ACKNOWLEDGEMENT
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of
his/her knowledge- Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this
application packet may result in this permit being null and void.
RI'A F'd kAtAvch
(APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE)
[NOTE: Representative authorization is required if application is not signed by the Owner.]
(DATE)
05/16/23
Page 4
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DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Strcct. Porr Townsend, WA 98368
'1'el: 360.379.4450 1 1 gas: 360.379.4451
lC'cb: �ru�<<.u�,scfiera„:1.0 a.tis,'rr,msn>rnitrdt clomi roc lu
e„
I�: mail: dcJ, rit jc•r3crxou.w�.us �, .
STORMWATER CALCULATION WORKSHEET
Scan the QR
code to access
the digital form
PARCEL# 701164005 PROIEcr/APPLICANT NAME: Rafton New Single Family Residence
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to
classify the proposal as "small," "medium," or 'large." The size determines whether a Stormwater Site Plan is required in
conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval
application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if
PARCEL SIZE II.E., SITE]
Size of parcel 5.47 acres An acre contains 43,560 square feet Multiply the acreage by this figure.
Size of parcel in square feet
238,000 sq/ft
Land -disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and
non -vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation, and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised of plant species, other than noxious weeds, that are indigenous to the coastal region of
the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such
as Douglas fir, western hemlock, western red cedar, alder, big -leaf maple, and vine maple; shrubs such as willow, elderberry,
salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed.
LAND DISTURBING ACTIVITY CONVERSION OF NATIVE VEGETATION AND V LUME OF CUT1FILL
Calculate the total area to be cleared, graded, filled,
excavated, and/or compacted for proposed development
project. Include in this calculation the area to be cleared for:
Construction site for structures 4,000 sq/ft
Drainfield, septic tank, etc. 4,000
Well, utilities, etc. 0
Driveway, parking, roads, etc. 0
Lawn, landscaping, etc.
Other compacted surface, etc.
sq/ft
sq/ft
sq/ft
sq/ft
sq/ft
Temporary construction area 1,000 sq/ft
Total Land Disturbance 10,000
Answer the following two questions related to
conversion of native vegetation:
Does the project convert % acres or more of
native vegetation to lawn or landscaped areas?
Circle: Yes 8
Does the project convert 2 Y2 acres or more of
native vegetation to pasture?
Circle: Yes No
Indicate Total Volumes of Proposed:
(Includes BMP T5.13 Fill Volume)
sq/ft cut <400 Fill <400 (cu/yd)
Impervious surface is a hard surface that either prevenvi or retards the entry of water into the soil mantle as under natural
conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an
increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include,
but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads,
packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
storrm"ater cale worksheet OR code - REV. 211/2019 page 1 or 2
STORMWATER CALCULATIONS — IMPERVIOUS SURFACE
NEW
Structures (all roof area) 2,700 sq!ft
Sidewalks 200 sgtft
Patios
100 sgift
Solid Decks 1,000 Sgift
(without infiltration below)
Driveway, parking, roads, etc 1,300 sglft
Other 0 sglft
Total New 5,300 spirt
TOTAL NEW + TOTAL EXISTING' _ 9,300 sqtft
EXISTING
Structures (all roof area) 0 sglft
Sidewalks 0 sq/ft
Patios
Solid Decks
(without infiltration below)
0 sglft
0 sniff
Driveway, parking, roads, etc 4,000 sq/ft
Other 0 gqM
Total Existing 4,000 aqMt
'This amount will be used to check total lot coverage.
DEVELOPMENT V. REDEVELOPMENT
Divide the total existinDoes the site have > 35% or more y
impervious surface above by the existing impervious surface?
size of the parcel and convert to
a percentage. 4 %
The proposal is considered new development.
Ar`* yBs Answer questions in Figure 2.4.1
The proposal is considered redevelopment and
Answer questions in Figure 2.4.2. [Refer to the applicable Flow Chart to determine the
Minimum Requirements.
— Proponents of "small" projects must comply only with Minimum Requirement 42—Construction Stormwater Pollution Prevention.
Please submit the Small Project Certification. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPPP) Best Management Practices (BMPs) Fact Sheet.
Proponents of "medium" projects —those that must meet only Minimum Requirements #1 through #5 must submit Worksheet Al
and Bl, a stormwater site plan and a construction stormwater pollution prevention site plan (See Worksheet A2 and B2 for
guidance).
— "Large" projects —those that must meet all 9 Minimum Requirements— must submit Worksheet Al and B1, a stormwater site plan
and a construction stormwater pollution prevention site plan (See Worksheet A2 and 132 for guidance). Large projects also may
require engineering. See Worksheet L to determine additional large project requirements.
APPLICANT SIGNATURE
By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to
the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected
property.
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
FOR OFFICE USE ONLY
SMALL meotum- LARG£ Ri0E1►tctAPfNEIVT
slOnTmater calc Worksheet OR code — REV. 21112019 page 2 of 2
Start Here
Does the site have
35° o or more of
existing impervious
coverage`.'
Na
Does the project
result in 5.000
square feet. or No
greater. of new plus
replaced hard
surface area'?
All Minimum
Requirements apply
to the new and
replaced hard surfaces
and converted
vegetation areas.
Yes
Does the project convect
', acres or more of
vegetation to lawn or
landscaped areas. or
eonvett ".5 acres or more
of native vegetation to
pasture"
Yes
No
Yes
nlinilutun Requirements
=1 though -4.i5 apply to
the new and replaced
hard surfaces and the Yes
land disturbed.
See Redevelopment
h lrnlmltm
Requirements and
Flow Chart
(Figtre 2.4.2)
Does the project
result in 2.000 square
feet. or greater. of
new plus replaced
hard surface area'?
No
■
Does the project have
land distuubing
activities of 7.000
square feet or greater"
No
FaRequ
pplies.
Figure I-3.1: Flow Chart for Determining Requirements for New Development
Taken from: 2019 Stormwater Management Manual for Western Washington,
Washington State Department of Ecology. VdIume ! — VViia Requirements Au�.Q
Mx Site? - Chapter 3 - Page 89 (of 1,108)
Rathvon Property
660 Twana Way
Quilcene, WA 98376
County Parcel 701164005
5.47 Acres (238,000 SF)
S EP2022-00114
Stormwater Management Plan
Design Criteria and Minimum Stormwater Requirements
Rich & Renee Rathvon's Property
660 Twana Way; Quilcene, WA 98376
County Parcel 701164005
5.47 Acres (238,000 ft2)
SEP2022-00114
Prepared by: Everett A. Sorensen, PE
Evergreen Engineering Services
715 Grant St; Port Townsend, WA 98368-2405
ev sorensen hotmail.corn 360-821-9960
June 24, 2024
Design Criteria
Proposed large residential construction project.
Sloped 10 to 15 percent in area of proposed house.
The predicted 100-year storm event for the Toandos Peninsula is approximately 6 to
7 inches in 24 hours.
Existing conditions: Forested parcel with thick undergrowth. A community driveway
crosses the parcel's eastern & central portions.
a Proposed Impervious Coverage:
o Existing (530-ft driveway): -4,000 ft2 (-1.7% of parcel)
o Proposed new: 5,300 ft2 additional impervious area
o Total proposed impervious coverage: 9,300 ft2 (-4% of total parcel)
Proposed Stormwater Management in Accordance with the Washington Department of
Ecology's 2019 Stormwater Management Manual for Western Washington:
BMP T5.1013: Downspout Dispersion Systems for roof downspout flow,
e BMP T5.12: Sheet Flow Dispersion for driveway and parking area run-off, and
® BMP T5.13: Post -Construction Soil Quality and Depth to restore disturbed areas
for replanting after construction is completed.
Renee & Rich Rathvon's Stormwater Planning
660 Twana Way; Quilcene, WA 98376
Supporting Material
June 24, 2024
Minimum Stormwater Recluirements 1 — 9 as Outlined in the Department of
Ecology's Stormwater Management Manual for Western Washington
Minimum Requirement (MR) #1: Preparation of Stormwater Site Plans (contained herein).
MR #2: Construction Stormwater Pollution Prevention and Temporary Erosion &
Sediment Controls:
Element 1 (E1): Preserve Vegetation/Mark Clearing Limits prior to clearing topsoil and
vegetation — About 10,000 ft2 of additional clearing of trees, shrubs and ground -
covering plants, and a minimal thickness of topsoil will be needed in the area of the
proposed house & parking area.
E2: Establish Construction Access — The existing driveway will serve as primary
vehicle access for all stages of construction. Construction vehicles shall be free of
excess mud upon leaving the site.
E3: Control Flow Rates — Stormwater run-off shall remain dispersed throughout the
site.
E4: Install Sediment Controls —When surfaces are disturbed during construction, install
a surface sod berm silt barrier or silt fence downhill of the area wherever ample
vegetated downhill surfaces cannot be preserved or do not exist.
E5: Stabilize Soils — Stabilize temporarily exposed soils by hand -watering and
establishing living cover with grass and ground -covering vegetation as quickly as
possible. Hand -water soil piles as needed during dry season. Divert stormwater
discharges away from soil piles during wet season.
E6: Protect Slopes —Avoid concentrated direct discharges.
E7: Protect Drain Inlets — Not Applicable to this site.
E8: Stabilize Channels and Outlets — Not Applicable to this site.
E9: Control Pollutants — Prevent discharge or release of all pollutants, including motor
oil and construction debris. Instruct all personnel as to this policy.
E10: Control De -Wafering— If dewatering is needed, discharge flow to SW quadrant of
site into thickly vegetated area. Course native soils should allow ample infiltration
without transporting sediment toward shoreline.
E11: Maintain BMPs — All Temporary Erosion & Sedimentation Control Features must
be inspected regularly and maintained & repaired as needed.
Page 2 of 3
Renee & Rich Rathvon's Stormwater Planning
660 Twana Way; Quilcene, WA 98376
Supporting Material
June 24, 2024
E12: Manage the Project — Assess conditions regularly and adjust construction
stormwater management features as needed.
E13: Protect Low Impact Development BMPs — Avoid unnecessary ground
disturbances.
MR #3: Source Control of Pollution — Prevent discharge or release of all pollutants,
including motor oil and construction debris. Instruct all personnel as to this policy. After
construction is completed, all unsurfaced ground shall be landscaped with vegetation
and/or rockery. Parking areas shall be maintained by immediately cleaning any
releases of oil, other hydrocarbons, or chemicals and by collecting debris regularly.
MR #4: Preservation of Natural Drainage Systems and Outfalls — DNot applicable to this
site which lacks surface drainages and outfalls.
MR #5: On -site Stormwater Management— Disperse stormwater on -site to the maximum
practical extent.
MR #6: Runoff Treatment — Runoff from all impervious surfaces will be naturally treated
as it flows through existing vegetated surfaces.
MR #7: Flow Control — Control of stormwater flow shall be achieved by routing run-off
through existing vegetated surfaces which will dampen sheet flow.
MR #8: Wetlands Protection — Not applicable for this site (no wetlands identified apart
from shoreline).
MR #9: Operations and Maintenance — Maintain native vegetation to provide stormwater
flow attenuation and natural treatment.
Page 3 of 3
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IAND SURVEYING
MAPPING
DEVELOPMENT CONSULTING
CONSTRUCTION MANAGEMENT
November 11, 2022
Rebecca Rothwell, Shoreline Planner
C/O Terry McHugh
John L. Scott
Port Townsend, Washington 98368
CI.ARK
935jV0r1bF0bAWnn8 • P.O. Bax2199
-ftuhf, Wacb/nglon983V
qfflce (360) 6B1-2161 • Fas (360) 683-5310
FFICETORD e1-888-681-2161 • &- 9-infoftlarkhmdom
Subject: Determination of the location of line of Ordinary High Tide, Rathvon property,
APN 701164005, located in the Southeast Quarter of Section 16,
Township 27 North, Range 1 West, W.M., Jefferson County, Washington.
Dear Ms. Rothwell:
This letter is in response to an email I received from Mr. McHugh on Oct 8, 2022 regarding the
location of the Line of Ordinary High Tide (OHWM). This line was determined by field
measurements made March 21, 2022 by my field crew working under my direct supervision and
was based upon observed evidence of the line of vegetation (where upland vegetation begins and
aquatic vegetation cease to exist) or in the case where there is no vegetation present the face of
vertical bluffs or slides have been used favoring the upland to he conservative. Elevations were
also collected during the course of the survey and compared to the calculated tidal datum plane
and were found to be higher than the calculated Mean Higher High Water.
Please feel free to call with any questions.
Sincerely,
Scot B. Clark, PLS
N N
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Peninsula Environmental Group, Inc.
824 E. 81h St. Suite D I Port Angeles, WA 98362
360.504.382E I www.peninsulaeg.com_
WA Contractor ID: PENINEG813MC
December 19th, 2022
Client
Richard Rathvon
20 Liberty Noll I Colts Neck, NJ 07722-1361
Project Address
660 Twana WY I Quilcene, WA 98376
Jefferson County Parcel No. 701164005
Consultants
John Bornsworth, Senior Ecologist
Liz Donadio, Senior Biologist
Kia Sutter, GIS Analyst & Biologist
Report Compliance
Stream Assessment
PENINSULA
ENVIRONMENTAL
Consultant & General Contractor
IExecutive Summary .......................................•....................................................................................3
2 Background and Site Properties............................................................................................................
4
2.1 Purpose of Project ......... ................................................. :.............................................................
4
2.2 Professional Assumptions & Limitations.......................................................................................4
2.3 Methodology.................................................................................................................................4
2.4 Site Properties...............................................................................................................................
6
2.5 Site Location..................................................................................................................................
7
2.6 Action Area Description................................................................................................................
9
3 Stream Assessment.............................................................................................................................10
3.1 Desktop Review...........................................................................................................................10
3.2 Stream Summary .........................................................................................................................13
3.3 Stream Delineation and Typing............................................................................--....................14
3.3.1 Delineation..........................................................................................................................14
3.3.2 Stream Typing..........................................................................................---.....................15
3.3.3 Stream A Photos..................................................................................................................18
3.4 Stream Regulation.......................................................................................................................
19
4 Conclusions...................................................................
5 Closing Remarks................ ............................................................................... ....19
5.1 Consultant Qualifications.................................................................................. ................
20
6 General Assumptions and Limitations................................................................................................
21
7 References and Resources..................................................................................................................22
AppendixA. Stream Site Map.....................................................................................................................
23
Table1. Summary of Stream A.................................................................................................................... 3
Table 2. Jefferson County Site Properties. ............................................................................................ ........ 6
Table3. Stream A Properties .--• ............. ................................................................................................. 13
Table 4. Stream Channel Measurements....................................................................................................15
Photo 1. The Action Area is located outside of Stream A's 50-ft standard buffer ....................................... 9
Photo2. Stream A with OHWM.................................................................................................................. 13
Photo3. Stream A substrate....................................................................................................................... 13
Photo 4. Culvert under Twana Way.. ....................................................................................................... _ 18
Photo 5. CC13 measured 24 inches bankfull width and 16 inches wetted width......................................18
Photo 6. Depth of water averages 1 to 4 inches during the site visit..... . ................................................... 18
Photo 7. The stream buffer is dominated by facultative upland vegetation..............................................18
Figure 1. Jefferson County parcel map with Site outlined in blue................................................................ 7
Figure 2. Jefferson County vicinity map with Site outlined in blue.............................................................. 8
Figure 3. WDNR mapped non -fish bearing streams offsite. Stream A is not mapped...............................10
Figure 4. Jefferson County mapped streams with Site outlined in blue.....................................................11
Figure5. NRCS Soil Survey . ..................................................... ........... _...................................................... 12
Figure 6. Channel Characteristic survey point locations-............................................................................ 16
Figure 7. Contributing Basin of Stream A..... ................................... : ............................................................ 17
12-19-2022
660 Twana WY I Quilcene, WA 98376
Stream Assessment
Rich Rathvon ("the Client") requested Peninsula Environmental Group, Inc. ("the Consultant') to conduct
a stream assessment at 660 Twana WY, Quilcene, WA 98376; Jefferson County parcel ID 701164005; S16
T27 R1W TAX 2 ("the Site", Figure 1, Figure 2).
Jefferson County requested a stream assessment prior to development. This assessment and report
(Report) comply with Jefferson County Code (JCC) Title 18 and has been prepared using best available
science to ensure that future development does not result in unintentional impacts to critical areas and
that all known impacts are assessed.
Table 1. Summary of Stream A
Critical Area U.— q_1dbb111LdL1&F1/ JeYMrh1r1 .i
cOl
r . ..
Stream A I Type Ns - Non -fish bearing seasonal 1
(FWHCA) stream less than 20% grade SO-ft 0-sf
'Stream buffer based on JCC Table 18.22.630(1). 2Estimated size of development within critical area in square feet (sf).
During the Site visit on December 131h, 2022, the Consultant delineated the ordinary high water mark
(OHWM) of Stream A using onsite evaluations, and typed the stream in accordance with WAC 222-16-030
and -031. The stream is not mapped by the Washington Department of Natural Resources (WDNR) nor
Jefferson County (Figure 3, Figure 4).
Stream A is located mostly offsite to the south, with approximately 80-linear feet (LF) in the southeast
corner of the Site. The stream runs from east to west, terminating at Dabob Bay.
Jefferson County regulates streams under JCC Chapter 18.22. Article VI Fish and Wildlife Habitat
Conservation Areas (FWHCA). The Consultant surveyed a 660-LF segment of Stream A, from Twana Way
to the top of the bluff above Dabob Bay. The following characteristics for Stream A were determined:
• 18% average grade within a 28-acre contributing basin;
■ Average bankfull width of 23 inches from twelve randomly located measurements (range 16 to
30 inches);
• Average wetted width of 18 inches from twelve randomly located measurements (range from 14
to 28 inches); and
• No ponds and/or impoundments occur within the surveyed segment.
Stream A then runs down the bluff, terminating in Dabob Bay. The cascade starts at 55-ft elevation and
runs to 12-ft elevation over 68-LF. This cascade is considered a natural barrier to fish passage.
The Consultant determined that Stream A is a Type Ns stream subject to a 50-ft buffer (Table
19.300.315).
Future development of the site is not expected to alter or degrade the habitat quality or function of the
protected riparian area, as long as, all development is located outside of Stream A and its associated
50 ft buffer, and stormwater is managed in accordance with JCC.
P a g e 13 of 24 Peninsula Environmental Group, Inc. I www.peninsuiaeg.com 1 (360) 504-3825
12-19-2022
660 Twana WY I Quilcene, WA 98376
Stream Assessment
2.1 Purpose of Project
1. Conduct a desktop and Site evaluation to assess hydrological and botanical conditions.
2. Delineate OHWM of onsite/offsite stream.
3. Create site plan using collected GPS data showing critical area locations.
4. Outline findings in delineation report.
2.2 Professional Assumptions & Limitations
This Report summarizes the data collected during the Consultant's site assessment, conversations
regarding the project, and the Consultant's professional opinions and recommendations. The results and
recommendations contained in this report represent the Consultants' professional opinions derived from
biological forensics, information provided to the Consultants, referenced material, and the Consultants'
experience. The Consultants' recommendations are compiled using industry standards, best available -
science, and currently accepted best management practices.
The Consultant visited the Site on December 13th, 2022. This Report summarizes site
characteristics as they were observed on this day only.
This Report is intended for the exclusive use of the Client and their agents, and only for specific
application to the referenced property. This Report should not be applied to any other property
for any purpose.
Further limitations may be found in General Assumptions and Limitations.
2.3 Methodology
OHWM Delineation
"Ordinary high water mark" on all lakes, streams, and tidal water is that mark that will be found by
examining the bed and banks and ascertaining where the presence and action of waters are so common
and usual, and so long continued in all ordinary years, as to mark upon the soil a character distinct from
that of the abutting upland, in respect to vegetation as that condition exists on June 1, 1971, as it may
naturally change thereafter, or as it may change thereafter in accordance with permits issued by a local
government or the department: PROVIDED, that in any area where the ordinary high water mark cannot
be found, the ordinary high water mark adjoining salt water shall be the line of mean higher high tide and
the ordinary high water mark adjoining fresh water shall be the line of mean high water.
Buffer distances shall be measured horizontally from the OHWM of the stream. The buffer width shall be
increased to include streamside wetlands which provide overflow storage for stormwaters, feed water
back to the stream during low flows or provide shelter and food for fish. In braided channels, the OHWM
or top of bank shall be defined so as to include the entire stream feature.
• The OHWM is identified through a two-step process. The Consultant first reviewed existing
documents, including soil surveys, inventories, and aerial photographs. After this review, the
Consultant completed a thorough field investigation of the study area.
• Global Positioning System (GPS) points were taken along the OHWM of Stream A.
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Stream Assessment
Stream Typine
The stream was typed in accordance with JCC Table 18.22.630(1) and WAC 222-16-030 and -031. The
WDNR Non -Forest Land Water Type Modification Form was used as the field data collection protocol.
Since Stream A does not meet the definition of Type S, or F Waters, stream typing was determined
through field investigations and desktop review. In the field, at least ten measurements of channel
width and wetted width were taken over a representative section of at least 500-ft. Natural and
manmade fish barriers were located and assessed. The channel characteristic points were then
used to determine the gradient of the segment by plotting the stream profile using topographic
data.
• The contributing basin of the stream was delineated using WDNR 2019 lidar data, the contributing
basin delineation protocol outlined by the Natural Resources Conservation Service (NRCS), and
ArcGIS Hydrology toolset.
Desktop Review
The Consultant reviewed the following sources for the assessment and Report:
• Parcel, contour, and critical area layers were sourced from Jefferson County Code and GIS layers;
• Soils map and hydric soil list from the United States Department of Agriculture Natural Resources
Conservation Service (USDA-NRCS);
■ Climate data from the NRCS National Water Climate Center;
■ Washington State Department of Natural Resources (WDNR) GIS Lidar Portal;
• WDNR GIS Open Data; and
• WDNR Forest Mapping Tool;
• See References and Resources for further citing.
Consultant Maps
Field GPS points were gathered using the Juniper Geode GNS2, which achieves submeter accuracy
depending on canopy cover, cloud cover, and satellite availability. Geospatial analyses were made using
ESRI ArcGIS using projected coordinate system NAD83 2011 US Feet for Washington State (North). Critical
area site maps were produced using data gathered during the site visits, data acquired from local and
state jurisdictions, and information furnished from the Client. These maps are intended to show the
relevant critical areas in relation to approximate proposed development. They should not be assumed to
be survey accurate.
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Stream Assessment
2.4 Site Properties
Table 2. Jefferson County Site Properties
Taxpayers
RICHARD D & RENEE F RATHVON
Property ID
17311
Parcel ID
701164005
Site Address
660 TWANA WY
QUILCENE, WA 98376
S16 T27 R1W TAX 2
Property Description
Land Use Code
91
Zoning/Jurisdiction
RR-5 - Rural Residential
Existing Structures
None
Total Site Acreage
5.47
Elevation
—12-ft to 200-ft
47.830,-122.802
Latitude/Longitude (-Site center)
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Stream Assessment
2.5 Site location
Figure 1. Jefferson County parcel map with Site outlined in blue.
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Stream Assessment
Figure 2. Jefferson County vicinity map with Site outlined in blue.
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Stream Assessment
2.6 Action Area Description
The Action Area is used to determine how project related activities may affect federally listed species that
utilize terrestrial and aquatic habitats and must consider all areas that could be impacted by the proposal,
especially including indirect effects and effects of interrelated and interdependent actions, in the vicinity
of and downstream from the proposal.
1. To avoid disturbance to the FWHCA, the development is proposed outside of Stream A and its
associated 50-ft buffer.
2. To seethe Action Area in reference to Stream A see Appendix A. Stream Site Map.
Photo 1. The Action Area is located outside of Stream A's 50-ft standard buffer.
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3 Stream Assessment
Forest Practices .�
` Application Mapping = p `° ' •
Tool (FPAMT)
> _ - , ram' _ • �. 4 'iN � • �4�.4J ,. J ' ^�
Y• _ram .2tr•
119
1A
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660 Twana WY I Quilcene, WA 98376
Stream OccPccmPnt
Figure 4. Jefferson County mapped streams with Site outlined in blue.
Public L
r 660 TWANA WY
Shaw search results fa. 660 T"""
ti
1
y
r"
Ona'Ok
x 1 Legend
Critical Areas
DNR Streams & Water Bodies Forest Practices
DNR Streams Forest Practices
Fish Habaat
Non -fish Habitat
l"entoried Shoreline
a
F DNR Streams & Water Bodies Type 1-9
A DNR Streams Type 1-9
TYpa 1
— Type
r — Type 3
— Type 4
Type
Type 9
LFA Fish
— Documented Fish Presence
• Several non -fish bearing streams are mapped offsite, sourced from WDNR.
■ Stream A is not mapped by Jefferson County.
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Stream Assessment
omk
A generalized view of the soils present on the Site was found through the NRCS Web Soil Survey.
Eve -Everett very gravelly sandy loam 30 to 50% slopes -80% of Site
Landform: Kames, eskers, moraines. Depth to restrictive feature: More than 80 inches. Drainage class:
Somewhat excessively drained. Depth to water table: More than 80 inches and not frequently ponded or
flooded. Available water capacity: Low. Hydric soil rating: No. Typical profile: 0 to 1 inches: slightly
decomposed plant material; 1 to 35 inches: very gravelly sandy loam; 35 to 60 inches: extremely cobbly
coarse sand. Minor components (20%): Alderwood (10%). Landform: Ridges, hills. Hydric soil rating: No.
Indianola (10%). Landform: Eskers, kames, terraces. Hydricsoil rating: No.
RO-Everett very gravelly sandy loam 30 to 50% slopes -20% of Site
Depth to restrictive feature: More than 80 inches. Drainage class: Excessively drained. Depth to water
table: More than 80 inches and not frequently ponded or flooded. Available water capacity: Very Low.
Hydricsoil rating: No. Typical profile: 0 to 7 inches: gravelly sandy loam; 7 to 60 inches: stratified extremely
gravelly sandy loam.
Figure S. NRCS Soil Survey.
ti 3Y
4 -
Awe
1
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Stream Assessment
3.2 Stream Summary
Table 3. Stream A Properties
Stream Type Ns - Non -fish, seasonal photo 2. Stream A with OHWM
Regulated by JCC 18.22 Article VI
Buffer size 50-ft (standard)
Offsite to the south,
General Location enters southeastern
corner of parcel.
Average Bankfull Defined bed and bank
Width with an average width of
23-inches.
Average Wetted 18-inches
Width
Depth 1 to 4 inches
Stream Gradient 18%
Photo 3. Stream A substrate.
Contributing
28-acres
basin
i
—Length Onsite' Fnearfeet80-U
'"Length
Surveyed'
660-Linearfeet
Sandy unconsolidated
r r z
� Substrate
bottom with pebble and
cobble.
• ,
—18-inch culvert offsite
Culvert
under Twana Way.
'Approximate length in linear feet. These numbers are based on the Consultants GPS points taken with sub -meter accuracy,
not survey accurate
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Stream Assessment
3.3 Stream Delineation and Typing
3.3.1 Delineation
The Site was visited on December 13th, 2022. Field indicators used to determine the OHWM included:
change in vegetation tolerant of inundation or high flows, clean cobbles/boulders, defined bed and bank,
bank erosion/scour, change from channel deposits to older alluvium, and presence or absence of soil
horizons.
• GPS points were taken along the surveyed OHWM with 1 to 2-ft accuracy (Appendix A).
Table S. Observed Plants Onsite
Common Name
Beaked Hazelnut
Scientific Name
Upper Strata: Trees and
Corylus cornuta
Relative
Abundance
Small Trees
Moderate i
Nativity/
I Weed Class'
vm""M�
Native
Indicator
I StatUS2
FACU
Bigleaf maple
Acer macrophyllum
Moderate
Native
FACU
Douglas -fir
Pseudotsuga menziesii
Low
Native
FACU
Grand fir
Abies grandis
Moderate
Native
FACU
Red alder
Alnus rubra
Low
Native
FAC
Western hemlock
Tsuga heterophylla
High
Native
FACU
Western redcedar
Common snowberry
Thuja plicata
Middle
Symphoricarpos albus
Moderate
Low
Native
Native
FAC
FACU
English holly
Ilex aquifolium
Low
Monitor List
FACU
Evergreen huckleberry
Vaccinium ovatum
Low
Native
FACU
Salal
Gaultheria shallon
Low
Native
FACU
Salmonberry
Rubus spectabilis
Low
Native
FAC
Dull Oregon grape
Mahonia nervosa
Moderate
Native
FACU
Giant horsetail
Equisetum telmateia
Low
Native
FACW
Western ladyfern
Athyrium cyclosorum
Low
Native
FAC
Western swordfern
Polystichum munitum
Very High
Native
FACU
Youth -on -age Tolmiea menziesii Low Native FAC
' Weed class sourced from Washington State Noxious Weed Control Board. Class C noxious weed control is enforced if it is beneficial to that
county. I Wetland Indicator Status- Obligate wetland (OBL) Occurs almost always under natural wetland conditions, rarely in uplands
Facultative Wetland (FACW) Usually occurs in wetlands, but occasionally found in uplands Facultative (FAC) Equally likely to occur in wetlands
or uplands Facultative Upland (FACU) Usually occurs in uplands, but occasionally found on wetlands. Upland (UPL) Rarely found in wetlands,
almost always in uplands. No indicator (NI) Insufficient information available to determine indicator status.
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Stream Assessment
3.3.2 Stream Typing
ea k
The surveyed stream is currently untyped. The Consultant typed the stream in accordance with JCC Table
18.22.630(1) and WAC 222-16-030 and -031. The WDNR Non -Forest Land Water Type Modification Form
was used as the field data collection protocol.
• Stream A does not meet the definition of Type S Waters as described in WAC 222-16-031.
• Stream A has a defined channel that is less than 2-ft average within the bankfull width, a gradient
more than 16%, but less than 20%, and has a contributing basin less than 50-ac. These
characteristics exclude it from falling within the definition of Type F Waters.
• Stream A is seasonal which excludes it from falling within the definition of Type Np Waters.
• Stream A was typed as Type Ns, non -fish bearing seasonal stream with a gradient less than 20%.
The stream typing protocol and results used to type Stream A are in the subsequent sections.
..................
3.3.2.1 Channel Characteristic Measurements
Twelve randomly generated point location were examined for stream channel characteristics, which
included bankfull width and wetted stream width (Figure 5, Table 4).
• A single braided channel was included below the OHWM near CC5.
• The average bankfull width was 23 inches and ranged from 16 to 30 inches.
• The average wetted width was 18 inches and ranged from 14 to 28 inches.
• No ponds and/or impoundments were observed within the surveyed segment.
• A steep cascade (66% gradient, from 12-ft to 55-ft above sea level) is located at the western extent
of the stream segment down to the shore of Dabob Bay. This cascade acts as a natural barrier to
fish passage.
Table 4. Stream Channel Measurements
Channel Characteristic (CC)
Bankfull Width (inches) Wetted Width (inches)
Survey Point
CCl_ 30 17
CC2 27 27
CC3 18 18
- -
— CC4
22
22
CC5
21
15
CC6
28
14
CC7
22
17
CC8
27
28
CC9
23
13
CC10
18
16
CC11
27
20
CC12
16
bankfullAVERAGE 23.2 inch
16
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Stream Assessment
Figure 6. Channel Characteristic survey point locations.
� r
w T • M
I
1%,4, `-
� - r
$ [S 7
r =i n i 1
- r #+R`
f6
Ilk
0 30 60 126 Feet
— —i 4 ,
o Channel Characteristic Survey Points (CC)
Ordinary High Water Mark (OHWM) Stream Awith the Channel
Cascade Characteristic Survey Points.
Jefferson County parcels
0 Client parcel
Stream A
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Stream Assessment
3.3.2.2 Stream Gradient and Contributing Basin
The average stream gradient was found by extracting the elevation value of the Channel Characteristic
GPS points that were taken in the field from 2019 lidar data, and then averaging the values over the
total length of the stream segment.
• The average gradient of Stream A is 18%.
The contributing basin was delineated using 2019 lidar data and the ArcGIS hydrology toolset.
• The contributing basin of Stream A is 28-acres.
Figure 7. Contributing Basin of Stream A.
''`•,�i.al.,* Rite •..�'.
1 M •�
.rr•�i.-sr.-
w14 •� �� r. •���,s �- 1•
`rl •A. r .'�.
•..Ir .r,r• 'z¢
�1>
%131:11
Ordinary High Water Mark (OHWM)
Contributing basin
Elevation
6-ft 550-ft
Stream A and its contributing
basin overlain on 2019 lidar
elevation data.
Stream A
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Stream Assessment
3.3.3 Stream A Photos
FR,
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Stream Assessment
3.4 Stream Regulation
Stream A is a regulated stream because it meets the criteria set forth in Washington State Administrative
Code, the USACE Clean Water Act, Washington State Department of Fish and Wildlife (WDFW),
Washington State Department of Natural Resources (DNR), and the Environmental Protection Agency
(EPA). This designation provides certain protection to fish and wildlife habitat and their buffers from
impacts caused by nearby activities. Any impacts or proposed impacts must be mitigated to ensure that
there is no net loss of habitat functions. Buffers shall remain undisturbed natural vegetation areas except
where the buffer can be enhanced to improve its functional attributes.
1) The WDNR mapped streams in the vicinity of the Site that show similar physical characteristics
are all typed as non -fish seasonal, type Ns (5) streams (Figure 3).
2) Stream A does not meet the criteria for a fish bearing stream per WAC 222-16-031, "Stream
segments having a defined channel of 2 feet or greater within the bankfull width in Western
Washington; or 3 feet or greater within the bankfull width in Eastern Washington, and having a
gradient greater than 16 percent and less than or equal to 20 percent, and having greater than 50
acres in contributing basin size in Western Washington"
3) The Consultant typed Stream A as a Type Ns, non -fish bearing seasonal stream with less than
20% gradient, and as such, is subject to a 50-ft buffer (JCC Table 18.22.630(1).
Conclusions
The Action Area as proposed is located outside of Stream A and the 50-ft buffer. The Consultant
determined that future development of the site is not expected to alter or degrade the habitat quality or
function of the protected FWHCA, as long as:
all development is located outside of Stream A and its associated 50-ft buffer;
and stormwater is managed in accordance with JCC.
• '
Work for this project was performed, and this Report was prepared in accordance with, generally
accepted professional practices for the nature and conditions of work completed in the same or similar
localities at the time the work was performed. No warranty, expressed or implied, is made. Neither the
consulting staff, nor Peninsula Environmental Group, Inc., has any current or prospective interest in the
plants or properties discussed. Acceptance of this Report acknowledges receipt and agreement with
Peninsula Environmental Group, Inc. attached Assumptions & Limiting Conditions.
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Stream Assessment
5.1 Consultant Qualifications
John Bornsworth I Senior Ecologist I iohn@peninsulaee.com
Om
John Bornsworth is the senior ecologist, project manager and general contractor with
Peninsula Environmental. John is a Board -Certified Master Arborist & Registered Consulting
Arborist with over 17 years of resource management experience specifically managing
trees, vegetation and water in Washington shorelines and other critical areas. John is
trained on shoreline restoration and construction, USACOE 1987 Wetland Delineation
Manual, Western WA 2014 Wetland Rating System, and WA Ecology's coastal permitting. John provides
project management, general contractor services and technical assistance to shoreline, steep slope,
wetland and riparian construction and restoration, and stormwater management and commonly provides
expert testimony on related matters. John sits on the Washington State Department of Natural Resource's
Washington Community Forestry Council as an executive advisor of commercial arboriculture.
Liz Donadio I Wetland (WPIT) & Wildlife Biologist I liz@peninsulaeg.com
Liz Donadio is a wetland and wildlife biologist with Peninsula Environmental. She has e0O'"
consulted on aquatic resources throughout western Washington since 2015. Liz has
graduate level education in wetland and soil sciences and is trained through the
Washington Department of Ecology to assess hydrogeomorphic classifications, provide
wetland ratings and ordinary high water mark delineations. Liz is trained on the USACOE 1987 Delineation
Manual and is certified as a Wetland Professional in Training by the Society of Wetland Scientists. She is
Certified Erosion and Sediment Control Lead (CESCL). In 2005, Liz obtained a Bachelor of Science in Wildlife
Management and Conservation from Humboldt State University. For 20years Liz has worked on numerous
resource projects throughout the United States, including wetland delineating and rating, mitigation
planning and monitoring, critical area assessments, bird, mammal, fish, amphibian and reptile surveying
and monitoring, marine and riverine restoration.
Kia Sutter I GIS Analyst & Biologist (WPIT) I I[ia@peninsualeg.com
Kia Sutter is a biologist and GIS analyst with Peninsula Environmental. Kia obtained her Bachelor of Science
from the University of Washington in Biology and Conservation, as well as a certificate in GIS from the
UW. Kia is trained to conduct wetland ratings and ordinary high water mark delineations through the
Washington Department of Ecology, has training on the USACOE 1987 Wetland Delineation manual and
is certified as a Wetland Professional in Training by the Society of Wetland Scientists. She is certified in
Electrofishing through Smith -Root. Her experience includes wetland delineations and ratings, critical areas
assessments, timber management plans and geospatial analysis and mapping.
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Stream Assessment
1. Any legal description provided to Consultant is assumed to be correct. Any titles and ownerships to any property are
assumed to be good and marketable. Consultant assumes no responsibly for verification of ownership or locations of
property lines, or for results of any actions or recommendations based on inaccurate information. It is assumed that any
property is not in violation of any applicable codes, ordinances, statutes, or other governmental regulations, unless explicitly
stated otherwise.
2. Consultant assumes no responsibilities for legal matters in character. Consultant assumes all property appraised or evaluated
is free and clear and is under responsible ownership and competent management.
3. Any evaluation or assessment carried out was restricted to the property and the plants or landscapes within the Scope of
Assignment. No assessment of any other plants or landscapes has been undertaken by Consultant. The conclusions of this
report do not apply to any zones, landscapes, trees, plants, or any other property not explicitly covered in the Scope of
Assignment.
4. The total monetary amount of all claims or causes of action the Client may have as against Consultant, including but not
limited to claims for negligence, negligent misrepresentation, and breach of contract, shall be strictly limited to solely the
total amount of fees paid by the Client to Consultant pursuant to the Agreement for Services as dated for which this
Assignment was carried out. Further, under no circumstance may any claims be initiated or commenced by the Client against
Consultant. or any of its directors, officers, employees, contractors, agents, or Assessors, in contract or in tort, more than 12
months after the date of this Assignment.
5. Although Consultant has taken care to obtain all information from reliable sources and to verify the data insofar as possible,
Consultant does not guarantee and is not responsible for the accuracy of information provided by others.
6. Consultant shall not be required to testify or attend court due to any report unless mutually satisfactory contractual
arrangements are made, including payment of an additional fee for such Services as described in a Consulting Arborist
Agreement.
7. Unless otherwise required by law, possession of this report or a copy thereof does not imply right of publication or use for
any purpose by any other than the parties to whom it is addressed, without the prior expressed written or verbal consent
of the Consultant.
8. Neither all or any part of the contents of this report, nor copy thereof, shall be conveyed to anyone, including the client, to
the public through advertising, public relations, news, sales, or other media, without prior expressed written consent of
Consultant. Particularly as to value conclusions, identify of Consultant., or any reference to any professional society or to
any initialed designation conferred upon Consultant as stated in its qualifications.
9. This report and any values expressed herein represent the opinion of the Consultant, and the Consultant's fee is in no way
contingent upon the reporting of a specific value, a stipulated result, the occurrence of a subsequent event or upon any
finding to be reported.
10. All photographs included in this report were taken by Consultant during the documented site visit, unless otherwise noted.
11. Sketches, drawings, and photographs in this report, being intended as visual aids, are not necessarily to scale and should not
be construed as engineering or architectural reports or surveys. The reproduction of any information generated by
architects, engineers or other Consultants and any sketches, drawings or photographs is for the express purpose of
coordination and ease of reference only. Inclusion of such information on any drawings or other documents does not
constitute a representation by Consultant as to the sufficiency or accuracy of the information.
12. Unless otherwise agreed, (1) information contained in this report covers only the items examined and reflects the condition
of those items at the time of inspection; and (2) the inspection is limited to visual examination of accessible items without
dissection, excavation, probing, climbing, or coring. Consultant makes no warranty or guarantee, express or implied, that
the problems or deficiencies of the plans or property in question may not arise in the future.
13. This report is based on the condition of the trees, landscape, or plants at the time of inspection.
14. Loss or alteration of any part of this report invalidates the entire report. This report is only valid if reproduced from a digital
file.
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Stream Assessment
7 References and Resources
STREAM ASSESSMENT
Department of Ecology
(DOE)
Department of Ecology. Determining the Ordinary High Water Mark for Shoreline
Management Act Compliance in Washington State. (Accessed 2022)
hitos: /aoos.ecotc .wa. ov ublications documents l6O6C29. df
Department of Ecology
Washington State Water Quality Atlas. DOE Washington. (Accessed 2022).
(DOE)
https:llapps,ecoIoev.wa.gov/waterauaIityatlas/wgalmap
Department of Natural
Forest Practices Application Mapping Tool (FPAMT). (Accessed 2022).
Resources (WDNR)
htt s: f amt.dnr.wa. ov/2d-viewgactivit ?-13672323-13667737 6077840 6079942
Non -Forest Land Water Type Modification Form.
ht-.-cs://www.dnr.wa.,goy/oublications/fpd nNa20wtmf 20201001. df
Washington Lidar Portal. WDNR Olympics_south_opsw_2019.
httcs://lidargor, a1.dn r. wa.gov/
Natural Resources
How to Read a Topographic Map and Delineate a Watershed.
Conservation Service
n;;ns- w�,v'ri.50iia;,GWaLer.n e u loads 7 7 6 5 7765285 watershed delineation. d
f
(NRCS)
Plant List
US Army Corps of Engineers 2018 NWPL v3.4 — Species Detail Tool. https://wetiand-
Plants.sec.usace.army.mil/nwPI static v34 s ecies s ecies.html
Noxious Weeds
Washington State Noxious Weed Control Board. httas://www.nwcb.wa.sovlidentify-a-
noxious-weed
Washington State
Washington Administrative Code. Water typing system.
Legislature
httDs.//app.lejg.wa.gov/WAC/defau [t.asx?cite=222-16.030
Washington Administrative Code. Interim water typing system.
htt s: a a.le .wa. ov WAC default.as x?cite=22?-i6-i)31
JURISDICTION INFORMATION
Jefferson County
Jefferson County Code. (2022).
:,ttr)s: www.cade ublishiri.con, WA JeffersonCount #I JeffersonCountvl8 Jeffers
onCount 1822_html418.22.630
Jefferson County Map Gallery. (2022).
httos://'[effcowa.iyiaDs.arcgis.com/hoi-ne/ind x,htmi
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Stream Assessment
I -- Appendix A. Stream Site Map
Page left blank intentionally.
Map on following page.
OMMML
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rrathvon@2maii.com
To: jadams@co jefferson.wa.us; planning@co.jefferson.wa.us
Cc: tmch@olypen.com
Subject: Re: Tax Parcel 701164005; SPE2022-00114; PRE2022-00031
Attachments: Permit_Supplemental Permit Application_Buildability Analysis 22_1202.pdf,
Supplemental Permit Application —Legal Lot Determination_22_1202.pdf; Title rpt for
Permit application_22_1202.pdf
Jodi and/or planning staff:
Attached for your review are the following Department of Community Development permit applications:
1. "Permit Application", and "Supplemental Application, Site Development Review — Buildability Analysis"
(hereinafter "Permit Application #1"); and
2. "Permit Application", and "Supplemental Application, Site Development Review —Legal Lot of Record
Determination" (hereinafter "Permit Application #2").
I have also attached the Title Report that accompanies Permit Application #2.
In addition, for your information relating to Permit Application #1 and Permit Application #2, we will be
submitting under separate cover a critical area report relating to a possible stream on or near the above
reference property.
Finally, I have put in the mail two checks in the amount of $348.09 and $133.88 for the filing fees relating to
Permit Application #1 and Permit Application #2, respectively.
Please let me know if you have any questions and/or require additional information.
Thank you.
Sincerely,
Richard Rathvon
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 9836R
Tel: 360.379.44S0I Fax: 360,379.4451
Web:i LYLz�eiFerson.�va.usj.�onimusYkonliFriS
E-mail ktd�ili u.ieftW10n.wa.us
�[dLAA%" (!�/ 6"C;' ,
SLPPLE M ENTAL APPLICATI0N Ir1 C-k 0"\'
SITE DEVELOPMENT REVIEW — Buildability Analyysis wo` . v5
PARCEL# 01 r �yOOS PRaEcrlAPPucArrr NAME c 213! ► �rl� q
PURPOSE
The purpose of the site development review (SDR) buildability analysis process is to provide owners or
developers of land a means to obtain an assessment of site requirements for development of a parcel before
applying for a development permit. The SDR process implement Chapter 18.40 Jefferson County Code
(JCC) and Chapter 18.12 JCC. The resuit of the SDR process is identification of environmentally critical areas
that may constrain development and instructions tar next steps in the permitting process for development of
the site.
PROCESS
1. Submit the standard Permit Application along with this Supplemental Application for site development review.
2. DCD will identify any critical areas affecting the propertyand illustrate resultant development envelopes.
3. Environmental Public Health (EPH) will review the site for septic disposal and water availability
requirements.
4. When necessary, Department of Public Woks will review for access and drainage requirements.
SUBMITTAL REQUIREMENTS
nayuIrnu auomrtiar rremS'
Permit Application
Supplemental Site Development Review Application
Lots under two (2) acres In size
Water Availability Notification form completed by your water purveyor (only required if on public water)
Soil log registration to be submitted to EPH after development envelope determined by DCD through SDR praress
submittal documents — if you have these document's submit with app Iicatic nz
Critical Area Reports
Site Plan
I. Additional docurrienintion maybe mqulred during the site developrrrent review process, incl«ding but rrvt frmited to critical
areas reports, State Eirurmnmentei Pnilcy Act (Si:PA) checklist, -Septic system documentation.
2. DCD may require addrttnnal information about the proposed use of the sire and documentation of critical areas or
❑thersite conditions per JCC 18.40..1CC 1&12.060(s).
Page 1
PERMITTING DEVELOPMENT OF SUBSTANDARD LOTS
As a part of site development review, DCD may determine that a iot does not conform to size requirements as
described by zoning standards. Development of substandard lots must meet the exceptions of JCC 18.12.070(4) or
go through the residential development exception process of JCC 18.12.080.
Be advised that additional permitting may be required accordingly: lots requiring aggregation under JCC 18.12.050
or JCC 18.12.070 must go through lot consolidation permit processes; lots requiring the residential development
exception process must complete a supplemental application for residential development exception per JCC 18A2.080.
Provide the following supplemental information if the lot(s) Ware in an existing subdivision:
Subdivision Name and Volune and Paige or Auditor's File Number If applicable):
Existin or Proposed Land Use (check one}: ResidanEial_ Commercial Indu_s_tdal
Total Acreage of Property: "J�+ `� Total # of Lots Proposed for Consolidation:
Water Supply (check one); Individual or2-Pa Wells: Public Water System
Platted on or after August 11,1969. Platted before August 11, 1969: Platted before June 7, 1937:
Signature: L ,{ 44 Print Name: alz 0012f) j►J IA' Date:
OFFICE USE ONLY
Site Develo ment Review Permit Fees
Site Development Review Base iy-rwur camistencv revice:vi tjcLi%8 $306.00
Scan Fee DCD022 $25 50
Site Visit Fee — only if site visit is required!,, t.. nc_)c i s
Subtotal
Technology Fee DCDoe —5%
TotalFees*
Environmental Health and Public Works fees may be required as part of the $DR process.
'Additional fees may apply.
Receipt # _ Date: Cash/Check/CC:
Page 2
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sboid,m `;rcd. I,(,,t *I',)%\ 1. \C.1'18.;Gti
I'l I Mu.379.443n I as: ibtl.379.d I- l
I'. -mail kir<<' i"•x, ••, .
PERMIT APPLICATION
Steps in the Permit Process:
-Review application checklist to ensure all information Is completed prior to submitting application.
-Make sure septic has been applied for and water availability has been proven.
-Make an appointment to meet with the Permit Technician by calling 360-374-4450.
-This is not a standalone application; it must be accompanied by a project specific supplemental application.
-Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued.
For Department Use Only
Related Application Ifs:
Site Information
Assessor Tax Parcel Number: G / ee;g—
Site Address and/or Directions to Property: V
Access (name of street(s)j from which access will be gained:
f&) •rural A0, LJeL4
Present use of property:
Description of Work (include proposed uses):
C- Uk i #I y ' _Ie
Wastewater -
Building Permit #
MLA #
r On 0
This property is served by Port Townsend or Port Ludlow sewer system?
If not served by sewer Identified above, identify type of septic system below:
Type of Sewage System Serving Property:
YES
0 ",
c:
NO ><-_
�� Septic Septic Permit #: 5 E P ,2 U - /y q .1,00 e � (ay
Community Septic Name of System: IellA Ve rf 'p41'0r4eRG - _ Case #:
Are other residences connected to the septic system? No
Additions or repairs to sewage system: NV
Is it a complete or partial system installation: Complete �_ Partial
Has a reserve drainfield been designated? Yes No
I Date of Last Operations & Maintenance check: i'V/ Fj Attach last report to application
Describe tt L.
or a ac any drainfield easements, covenants or notices on title, which may impact the property:
N �
The authorized agent/representative is the primary contact for all project -related questions and correspondence. The County will mail
/ e-mail requests and information about the application to the authorized agent/representative and will copy (cc) the owner noted
below. The authorized agent/representative is responsible for communicating the Information to all parties involved with the
application. It is the respunslbillty of the authorized agent/representative and owner to ensure heir mailbox accepts County email (I.e.,
County email is not blocked or seat to "hunk mail'l-
Applicant/Property Owner Information
Property Owner:
Name: Rr s: ra
Address: ,-
Phone#: q/ _ E-mail Address:
y„
Please contact Authorized Agen /Representative with project info. (select on y one).
Property Owner Signature. 1X .JL-'r / LC1
Date: 1, Z 22
Mate: For projects with multiple owners, attach a separate sheet with each owner(s) information and signatures.
Applicant: Authorized Agent/Representative (II otherthanowner)
Name:
Address:
Phone #: E-mail Address:
Professional: Is this an Authorized Agent/Re resentative for this project?
NO
YES
Engineer Architect Surveyor Contractor
Consultant X
Name: irl iri�w Lk License #
Address: L e , i et r v J c:ot.. �o� 1 •c�'rt
e
- et
Phone #: `�kp— ot- r ��3 ' E-mail Address' f��
n r
c� J - e 6,,,k7
Professional: Is this an Authorized Agent/Representative for this project?
NO
YES
Engineer Architect Surveyor Contractor
Consultant
Name: License #
Address: T
Phone #: E-mail Address:
Professional: Is this an Authorized Agent/Representative for this project?
NO
YES
Engineer Architect Surveyor Contractor _
Name: License #
_
Consultant
Address:
Phone M E-mail Address:
--t
By signing this application form, the owner/agent attests that the Information provided herein, and in any attachments, is true and
correct to the best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with
respect to this application packet may result In making any Issued permit null and void.
I further agree to that all activitles I intend to undertake or complete associated with this permit will be performed in com plIance with
all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its
employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may
request notice of
the Countyin]ten t]to a er upon the property for visits related to this application and subsequent permit issuance,
Signature, ! F LJ/�,r f _�— Print Name: 12 i itu3r d j 'c� 2 2
dt .-.--_. Date 'l
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 9836e
Tel: 360,379.44501 Fax: 360.379.4451
Web s N'W.cv_1eFFe'•: �uzLY> all s�tiLrivaftiZYd 4�e11�ut
SUP PL.E,MENTAL PPLICATION
SITE DEVELOPMENT REVIEW — Legal Lot of Record Determination
PARCEL# +01161l0e S PROJECT/AppuCANT NAME: fir//��
Li —Jzg � �— ll�Ta1�
PURPOSE
The purpose of the site development review {SDR) legal lot of record determination process Is to provide
owners or developers of land a means to verify legal status of lot(s) and whether the lot is eligible to
receive development Permit applications. The SDR process implements Chapter 18.40 Jefferson County
Cade (JCC) and Chapter 18,12 JCC.
PROCESS
1. Submit the standard Permit Application along with this Supplemental Application (and the SDR euildabillty
Analysis supplemental application, if applicable),
2. Department of Community Development (DCD) will review property history Information to determine whether the
lot was lawfully created.
SUBMITTAL REQUIREMENTS
2.
r .—I m „PPpication
K1 Supplemental Site ❑evelapment Review Application
Submit one of the Report or Titfollowing
{ Title Reple Commitment
`TRecorded Plat: Volume & Page or associated Auditor File Number (AFN):
Addib'onal documentation may required during the We development review process. including but not hinted to crrii al areas
reports, Stale Env++nnrmantal Policy Act (SEPA) checklist, of septic sy. urnentallon.
, m doc
As a part of inrflal submission of the 5pR application,UCp may require additional documentation
demonstrating than a lot was lawfully created. Submit al least orae of the lisle
❑( the loI and be advised that further documentation may be required. d documents venTying legal creation
Do you own any adjacent lots?
a �-la � �. do hereby swear and certify that in
addition to the la this application (circle the phrase below that applies):
have no interest In I have an Interest In
land adjacent to any portion of the subject lots by reason of ownership, contract for
Purchase by agreement or option by any person, family member, firm, or corporation in any
manner connected with me or the development.
Page 1
The applicant hereby C"fies that the alto development review and any associated applications are
an accurate representation of the property information and proposed development. The applicant
hereby acknowledges that any approval issued on this application may be revoked if any such
statement is found to be false, and tr+at site development review shall not Constitute vesting or
authority to commence development per limltatlons at JCC 18-40.490:
Signature: &jj�j&j14---l1rint Name: Crw� &Rate: I 2 _
OFFICE USE ONLY
Site Development Review Permit fees
Legal Lot of Record Determination �y'_u hr udy rate applies, if required) Dcf3028 $ 14 .R0
Scan Fee L':f :,1r_
$25.50
Site Visit Fee — only rf 5ite visit is required t5zn,al t?CDo;a
subtotal
Technology Fee - .- — 5%
Total Fees*
Environmental Health and Public Works fees may be required as Part of the SDR process.
`Additional fees may apply.
Receipt M Date: Cash/CheclrlCC:
Page 2
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, L"nrt Townsend, WA 99368
1'ei; 360-379.4451) J IF= 760.379,4451
Web: GSLicf eraS77L5Y�.c{is��f ^"'^ Sy�Y"�4it i
F-mail lusntn CO. CT�SSOI7.WM1 U5
SUPPLEMENTAL APPLICATION
SITE DEVELOPMENT REVIEW
PARCEL # 7 D 1 16 y 61 O� PROJECT/APPLICANT 11" t o rFe �? 0 i V a
PURPOSE
The purpose of the site development review {SDR) process is to provide owners or developers of land a means to
obtain an assessment of site requirements for development of a parcel before applying for a development permit.
The SDR process implements Chapter 18.40 Jefferson County Coda (JCC) and Chapter 18.12 JCC. SDR
includes identification of environmentally critical areas that may constrain development of the site. The iagaI
status of lots) Is also part of this review process. The result of the SDR process is a'buildability' analysis of the
site, determination whether the lot is eligible to receive development permit applications, and instructions for next
steps in the permitting process for development of the site.
PROCESS
1. Submit the standard Permit Application along with this Supplemental Application for site development review.
2. Department of Community Development (DCD) will determine whether the lot was lawfully created.
3. DCD will identify any critical areas affecting the property and illustrate resultant development envelopes.
4. Environmental Public Health (EPFI) will review the site for septic disposal and water availability requirements.
5. When necessary, Department of Public Works will review for access and drainage requirements.
SUBMITTAL REQUIREMENTS
Required Submittal items'
Permit Application
)(-L Supplemental Site Development Review Application
Lots under two (2) acres in size:
Water Availability Notification form completed by your water purveyor (only required if on public water)
Soil log registration to be submitted to EPH after deveiapment envelope determined by DCD through SDR process
If Your tot was (or lots were) platted {prior to Aug 11,1969, submit at least one of the following:
necoraed Plat or Associated Auditors File Number (AFN):
Approved Unrecorded Subdivision
Deed Prior to August 11,1969 Title Report
Title Report
Deed History
Tax History
For guidance, please visit the DCD webpage.
www.cof efferson. wa. u5/26011Community-Deve/oilmen t
tional submittal documents — If you have these documents, submit with
X [Site
l Area Reports �� �y �,�•� 7U6:
an
I. Additional documentation may be required during the site devalopmerit review process, Induding but not kmited to crifrcal areas reports, State
Environmental Policy Act ISEPA) checklist, or septic system documentation.
2. As a part of initial submission of the SDR application, DCD may require additional documentation demonstrating that a
lot was lawfully created. Submit at least one of the listed documents verlfying legal creation of the lot and be advised that
further documentation may be required.
Page 1
PERMITTING DEVELOPMENT OF SUBSTANDARD LOTS
As a part of site development review, DCD may determine that a lot does not conform to size requirements as described by
residential development exception process zoning standards. Development of substandard lots must meet the exceptions of JCC 18.12.070(4) or go through the
aof JGC 18.12.080. Be advised that additional permitting may be required
accordingly: lots requiring aggregation under JCC 18.12.050 or JCC 18-12.070 must go through lot consolidation permit
processes; lots requiring the residential exception process must complete a supplemental application for residential
development exception per JCC 18.12.080.
Provide the following supplemental information If the lots) is/am in an existing subdivielon:
Subdivision Nam* and Auditor's File Number (if appiic2bk):
Existing or Propased Lend Use {check one) Residential
Commercial industrial
Total Acreage of Property: 15- I Total #of Lots Proposed for Consolidation:
Water Supply (check one): Indlvldual or 2-Party Wells d bPublic Water System
Platted an or after August 11, 1969: Platteefore August 11, 1969: Platted before June 7, 192
Do you own any adjacent loft?
i.0 -do hereby swear and certify, that in
addition to the land subject to this application (circle the phrase below that applies):
I have no interest in I have an Interest in
land adjacent to any portion of the subject lots by reason of ownership, contract for
purchase by agreement or option by any person, family member, firm, or corporation in any
manner connected with me or the development.
The applicant hereby certifies that the site development review and any associated applications are an
accurate representation of the property information and proposed development_ The applicant hereby
acknowledges that any approval issued on this application may be revoked If any such statement is found
to be false, and that site development review shall not constitute vesting or authority to commence
development per limitations at JCC 18,40.490-
Signature: e �L_.d w
-Z"Rrint Name:& t��
OFFICE USE ONLY
Site Development Review Permit Fees
Site 7Developrnentiew Base (3-hour consistency review) DM018
$306.00
Legatermination ($102 hourly rate applles, If required} DCDM8
Scan$25.50
Site site visit !s required (Sw4) DCD018
Subt
Total Fees" technology Fee DCDO03-5%
Emdronmental Wealth and Public Works fees may be required as part of the SDR process.
*Additional fees may apply.
Receipt #: Date:
Cash/Check/CC:
rrathvon@gmail.com
From: Remax First 360-301-1763 <tmch@olypen.com>
Sent: Thursday, June 1, 2023 4:16 PM
To: rrathvon@gmail.com
Subject: RE: Notice to Title for Geotechnical Report
Jenny,
I dropped off the shoreline conditional use permit with a check payable to Jefferson County DCD in the amount of
$1,737.50 yesterday at the Front desk with instructions to hand deliver to you.
Could you please acknowledge receipt of that and email Rich a receipt for the check.
Thank You,
Terry McHugh
From: rrathvon@gmail.com <rrathvon@gmail.com>
Sent: Thursday, June 1, 2023 12:41 PM
To:'Jenny Murphy' <JMurphy@co.jefferson.wa.us>
Cc: tmch@olypen.com
Subject: RE: Notice to Title for Geotechnical Report
Jenny,
Thank you.
R
From: Jenny Murphy <JMur h coJefferson.wa.us>
Sent: Thursday, June 1, 2023 2:07 PM
To: Richard Rathvon <rrathvon rnail.com>
Subject: Notice to Title for Geotechnical Report
Good morning Rich,
I have attached the filed Notice to Title for the Geotechnical Report. I will get it in the mail this week.
Thank you,
.ray Mu: plv
Assistant Planner
Jefferson County Community Development
621 Sheridan St.
Port Townsend Wa 98368
360-379-4463
AuUmf ftsign ID: 93E45932-96F5-ED11-907.4.&U5BDD47FEA
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel-- 360.379,4 30 1 Fax: 360.379.-"51
Web: MMW.coirt%isonwa.pslcot;uu>u�indreelonmerrc
E-mail: �]aaniu> !a�co.icLssoraus 0
SUPPLEMENT
AI,_ _„ PJJCA 1QN
SHORELINE DEVELOPMENT
A completed application form is a requirement of submittal. Include "N/A" in soaces that do not apply
MLA # Case #
Application Type (select one): --
Statement of Exemption:
i3 - side
� u�y
wv � of application
Variance*
❑
Substantial Development*
❑
Conditional Use (administrative)*
I �{
n Conditional Use (discretionary)*
1) Does your proposal require in water work and/or works below ordinary high-water mark? Yes = No L,LO
2) Does your pro Dial require 10 000 sq/ft or more of impervious surface and/or non -single-family structures of 5,000 sq/ft or
more? Yes No
* If either of the boxes for 1 or 2 above are checked yes or if the permit type above has an asterisk then a. pre -application
conference is reaulred prior to submitting for a shoreline permit.
Site Information
Assessor Tax Parcel #: 1701164005 Name of Body of Water: Da bob Bay
Property OwnerName(s): ]Richard & Renee Rathvon
Project Description
Describe the existing property use and condition:
Vacant land / recreational use
Proposed distance from ordinary high water mark to use/development:
160 feet
Describe the proposed property use:
Sin le Family Residence with onsite septic and drilled well
By signing this application Form, the owner/agerft attests that the information provided herein, and in any attachments, is true and correct to the
best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application
packet may result in ma ynfssued permit null and void.
D
Owner Signature: k"Aarj IC Ayoh Date: 05/18/23
Print Name: Richard Rathvon
AuMe±;hmn ID 133E95932-96F5-ED11-907A-6D459DD47FEA
These activities recluire a formal statement of Exemption issued by Jefferson County.
Check 'Statement of Exemption' box on the front of this form and submit with Permit Application
to apply for your Exemption Approval.
18.25.570 Statement of Exemptions
(1) The administrator is hereby authorized to grant or deny requests for statements of exemption from the shoreline
substantial development permit requirement for uses and developments within shorelines that are specifically listed
above. Such statements shall be applied for on forms provided by the administrator. The statement shall be in writing
and shall indicate the speck exemption of this program that is being applied to the development, and shall provide a
summary of the administrator's analysis of the consistency of the project with this program and the Act. As appropriate,
such statements of exemptions shall contain conditions and/or mitigating measures of approval to achieve consistency
and compliance with the provisions of this program and Act. A denial of an exemption shall be in writing and shall
identify the reason(s) for the denial. The administrator's actions on the issuance of a statement of exemption or a denial
are subject to appeal pursuant to the appeal provisions in Article X of this chapter.
18.25.560 Exemptions listed - This is a summary from JCC18.25.560, please review the code section for
detailed information regarding these exemptions.
(1)
Fair Market Value.
(2)
Maintenance and Repair.
(3)
Residential Bulkhead.
(4)
Emergency Construction.
(5)
Agriculture.
(6)
Drainage.
(7)
Navigation Aids.
(9)
Residential Docks.
(10)
Irrigation.
Huumonai Tees may apply
(11) State Property.
(12) Energy Facilities.
(13) Site Exploration.
(14) Noxious Weeds.
(15) Watershed Restoration.
(16) Watershed restoration project"
(17) Watershed restoration plan"
(18) A public or private project, the primary purpose of
which is to improve fish or wildlife habitat or fish
passage.
AutherMsign ID:33E95932-%F5.ED11-907.4-o04FBDD47FEA
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Slieridan Street, Port Townsend, W A 98368
Tel: 360.379.4450 1 F,= 360.379.4431
Web: cs�►g.ca,iet3e�on.R'7.li�Ii 81Iin113F11ililrcelo�i73P11t
E-mail: dcdtFi rn,itfrerson.wims
CONDITIONAL USE PERMIT
Purpose
The purpose of the conditional use permit process is to provide flexibility In the application of the use regulations contained in the
Jefferson County Code (JCC) in order to accommodate uses that may be appropriate In an established district under certain
circumstances, but inappropriate In the same district under other circumstances.
The conditional use permit information sheet is designed to help you provide all the Information necessary to facilitate a timely and well-
informed decision on your application. You will use the Master Land Use Permit Application Form for all Conditional Use applications.
Conditional use approval may Involve either a Type II or Type III review process under the JCC. depending on the specific type of use.
No conditional use permit can be granted unless consistency with the performance standards of JCC 18.20, the development standards
of JCC 18.30 , the procedural requirements of Article VIII, Chapter 18.40 JCC, and other applicable requirements of the JCC have
been satisfied.
Types of Conditional Uses
Conditional uses are typed and identified In Table 3-1 of the JCC, or may be classified as such by the Administrator pursuant to Article
il, Chapter 18.15 JCC. There are three broad types of conditional uses Identified in the JCC.
Conditional ["C"] Use: Proposed uses that require a discretionary approval process and a public hearing before the Hearing
Examiner. Applications for uses listed as a "C" in Table 3-1 of the JCC are processed according to the procedures for Type III land use
decision established in Article VIII, Chapter 18.40 JCC.
Conditional Administrative ["C(a)"] Use: Proposed uses that require approval by the Administrator but do not require a public
hearing. Applications for uses listed as an administrative conditional use permit (i.e., "C(a)") in Table 3-1 of the JCC are processed
according to the procedures for Type II land use decisions established In Article VIII of Chapter 18.40 JCC.
Conditional Discretionary ["C(d)] Use: Proposed uses that, at a minimum, require approval by the Administrator but that, at the
discretion of the Administrator, may be referred to the Hearing Examiner for a public hearing and final decision. Applications for uses
listed as discretionary conditional use permits (i.e., "C(d)") in Table 3-1 of the JCC are, at a minimum, processed according to the
procedures for Type II land use decisions established In Article VIII of Chapter 18.40 JCC. Hovrever, pursuant to JCC 18.40.520, the
Administrator may on a case -by -case basis refer a discretionary conditional use permit application to the Hearing Examiner to be
processed according to the procedures for Type III land use decisions.
In order to refer a "C(d)" application to the Hearing Examiner, the Administrator must make one of the following findings:
• In the exclusive, discretionary judgment of the Administrator, the application involves potentially significant issues relating
to location, design, configuration, and potential Impacts to surrounding properties and the community that can be more
appropriately considered and addressed through a public hearing before the Jefferson County Hearing Examiner; or
• In the exclusive, discretionary judgment of the Administrator, the application seeks approval of a use involving complex
legal issues necessitating special expertise in the decision -maker.
Process
Step 1 — Pre -Application Conference: A pre -application conference is required for all conditional use permits. Conceptual plans,
county requirements, future permit requirements, etc., and answers to related questions are discussed at the conference. Information
provided by Department of Community Development staff helps the applicant to prepare a better application and potentially decreases
code -related questions and time required for formal review.
Step 2 — Determination of Completeness: Following submittal of your application, county staff ~+rill make a determination within
28 days as to whether your application is substantially complete.
Step 3 — Formal Application Review and Decision: Following the determination of completeness, a final decision must be made by
the county within 120 calendar days. The final decision may be made by either the Administrator (for all "C(a)" and certain "C(d)"
uses) or the Hearing Examiner (for all "C" and certain "C(d7" uses) depending on the type of conditional use. Public hearings before
Page 1
0.uthentiJgnID: 33E95932.9dFA�EC11-907A-6MBDD47FEA
the Nearing Examiner are required for all "C" uses and may be required for certain "C(d)" uses. In all conditional use permit cases the
decision may be appealed.
Approval Criteria
Your conditional use application will be evaluated on the basis of the criteria listed In the relevant section of the Jefferson County Code
(see JCC 18.40.530), and In some instances, inspection of the property.
The county may approve or approve with modifications an application for a conditional use permit (i.e.. uses listed in Table 3-1 as
"C(a)," "C(d)" or "C") only if all of the fol:c,::in,, crlteda are satisfied:
• The conditional use is harmonious and appropriate in design, character and appearance with the existing or Intended
character and quality of development In the vicinity of the subject property and vAth the physical characteristics of the
subject property;
• The conditional use will be served by adequate infrastructure Including roads, fire protection, water, wastewater
disposal, and storm water control;
• The conditional use will not be materially detrimental to uses or property In the vicinity of the subject parcel;
• The conditional use will not introduce noise, smoke, dust, fumes, vibrations, odors, or other conditions or which
unreasonably impact existing uses In the vicinity of the subject parcel;
• The location, size, and height of buildings, structures, walls and fences, and screening vegetation for the conditional
use will not unreasonably interfere with allowable development or use of neighboring properties;
• The pedestrian and vehicular traffic associated with the conditional use will not be hazardous to existing and
anticipated traffic in the vicinity of the subject parcel;
• The conditional use complies with all other applicable criteria and standards of this Code and any other applicable
Iota:. state or federal law; and more speclficallf conforms to the standards contained In 18.20 and 18.30 of this
Code:
• The proposed conditional use will not result In the siting of an incompatible use adjacent to an airport or airfield;
• The conditional use will not cause significant adverse impacts on the human or natural environments that cannot be
mitigated through conditions of approval;
• The conditional use has merit and value for the community as a whole;
• The conditional use is consistent with all relevant goals and policies of the Jefferson County Comprehensive Plan;
and
• The public Interest suffers no substantial detrimental effect. Consideration shall be given to the cumulative effect of
similar actions In the area.
In instances where all of the above findings cannot be made, the application shall be denied.
The County, In accordance with JCC 18.40.540. may Impose additional conditions on a particular use if it is deemed necessary for the
protection of the surrounding properties, the neighborhood, or the general welfare of the public. The county may add conditions which:
• Increase requirements in the standards, criteria or policies established by the JCC;
• Stipulate an exact location for the conditional use on the subject property as a means of minimizing hazards to life,
limb, property damage, erosion, landslides or traffic;
• Require structural features or equipment as a means of minimizing hazards to life, limb, property damage, erosion,
landslides or traffic: or
• Contain restrictions or provisions deemed necessary to establish parity with uses permitted in the same zone with
respect to avolding nuisance generating features In matters of noise, odors, air pollution, wastes, vibration, traffic and
physical hazards.
Approval of the conditional use is effective for three (3) years from the date of original approval. If a building permit has not been issued
within the three (3) year period, the conditional use approval will expire. Minor modifications to a pre•: ,cusly approved conditional use
may be approved subject to the provisions of JCC 18.40.570.
Page 2
AWXh fi •sgn 0: AE65932-96H-ED71-507A�045BDD47FEA
MLA #
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel.• 360.379.4450 1 Fax: 360.379.4451
Web-., .•e w mnneuu ve o nr
E-mail: dL&. rr� �eftems n.waais
SUPPLEMENTAL APPLICATION
CONDITIONAL USE
PROJECT/APPLICANT NAME: Richard Rathvofl
The purpose of the conditional use permit process Is to provide flexibility In the application of the use regulations contained in the
Jefferson County Code (JCC). No conditional use permit can be granted unless consistenc i with the performance standards of JCC
18.20, the development standards of JCC 18.30. the procedural requirements of JCC 18.40.280. and the approval criteria of JCC
18.40-530, and other applicable requirements of the UDC have been satisfied. Approval of the conditional use is effective for three (3)
years from the date of original approval. If a building permit has not been issued within the three (3) year period, the conditional use
approval will expire.
The following questions will assist In the evaluation of the conditional use request:
1.
Describe the requested conditional use.
Construction of residential dwelling
2.
Explain how the conditional use Is harmonious and appropriate In design, character and appearance with the existing or
Intended character and uall of development In the vicinity and with the physical characteristics of the subject erope.
(Proposed SFR has been designed to be constructed 160' from the OHWM as such, the home will sit within the
existing mature forest creating an in -forest design resulting in a barely visible footprint.
3.
Describe the infrastructure Including but not limited to roads, fire protection, water, wastewater disposal, and stormwater control
which will serve the re uested conditional use.
The existing road / driveway was constructed 40— years ago with consistent use and maintenance since construction
Stormwater will be naturally dispersed into the native forest as it always has with no change or increased impact.
Fire protection shall be provided by the local fire district in accordance with rural guidlines. Potable water will be
.supplied by a private well- Wastewater shall be treated with proposed OSS. Stormwater resulting from impervious
ctn irftICQ urill r{icnarcc nahirally
4.
Describe the location, size, and height of buildings, structures, sianaae, walls and fences. and screening vegetation for the use-
SFR & garage will be placed 160' + from the OHWM and shall not be higher than 30' from the highest grade at the
house footprint. Proposed SFR will be approximately 3,500 sgft.
.SFR / garage will be screened naturally by the existing forest.
5.
Describe any noise. smoke, dust, fumes, vibrations, odors, outdoor lights or other Impacts will be generated by the conditional
use.
Any impacts such as noise, dust, fumes etc. should be considered 'as typical' for constuction and end use of a SFR.
6.
Describe the pedestrian and vehicular traffic and parking area associated with the conditional use.
Existing road / driveway is a dead end private gravel road with only one user beyond the proposed SFR.
There is no pedestrian use
Page 3
A Wn ID: 38E95932-9BF5-ED11-907A-6MBDD47FEA
7.
Will the proposed conditional use result In the siting of an Incompatible use adjacent of an airport or airfield?
NIA
13-
Are there any significant adverse Impacts on the human and natural environments caused directly by the conditional use? If yes,
can these impacts be mitigated?
N/A
9.
Describe how granting the conditional use will not be materially detrimental to uses or property In the vicinity of the subject
parcel.
adjacent parcels are currently used in the same manner as our proposal outlines
10.
Describe how granting the conditional use will not be substantiaify detrimental to the public interest.
he public will have no relationship to this proposal due to the fact that there is no public access to or near this parcel
and the visibility of the proposed SFR from the waters of Dabob Bay will be very minimal.
11.
Does the conditional use have merit and value for the commun4 as a :hole?
N/A
12.
Describe how the conditional use compiles with all other applicable criteria and standards of the Jefferson County Code (JCC)
and any other applicable local, state or federal law, and more specifically, conforms to the standards contained In JCC 18.20
and JCC 18,30.
The septic permit has been submitted to Jeffco EH, and the well permit will be submitted to Jeffco EH at a later date.
13.
Describe how the conditional use is consistent with all relevant goals and policies of the Jefferson County Comprehensive Plan.
Our proposal is consistent with zoning and the existing use of properties in the vicinity
ACKNOWLEDGEMENT
By signing the application form. the applicantlovmer attests that the information provided herein is true and correct to the best of
hisdher knowledge. Any material falsehood or any omission of a material fact made by the applicantlowner with respect to this
application packet may result in this permit being null and void.
Fk"'C"Led k"t�." 05/18/23
(APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE)
MOTE Representative authorization is required If application Is not signed by the Owner.]
(DATE)
Page 4
PRE2022-00031
Pre -Application Conference
Richard Rathvon
Residential Development in Natural Shoreline
Agenda:
1. Meet In -Office @ 3:00 PM
2. Environmental Health Review
3. WA Department of Ecology
4. Land Use Review
5. Questions Debrief
6. End conference by 4:00 PM
County Attendees: Amanda Hunt - Department of Community Development,
Carter Erickson & Emma Erickson- Department of Environmental Public Health
State Attendees: Rebecca Rothwell - Department of Ecology
Time and Date: Tuesday, October 25th, 2022 3:00 PM - 4:00 PM
Applicant/Attendees: Richard Rathvon - applicant/property owner, Terry McHugh -
project representative, Everett Sorensen - project engineer, & Regan McClellan - project
architect
Location: Parcel # 701164005, 660 Twana WY, Quilcene, WA 98376
Description of Proposal: The Rathvon's are proposing a new on -site septic system ("OSS")
(SEP2022-00114) to serve a future additional dwelling unit and three -bedroom single family residence.
The OSS is designed to serve up to 600 gallons of sewage per day with a gravity discharge into gravel
trenches. The proposed new residence and septic system (including drainfield reserve area) are located
within the Natural Shoreline Environmental Designation of Dabob Bay. The septic system starts at
approximately 150 feet from the Ordinary High -Water Mario ("OHWM") and the residence starts at
approximately 160 feet from OHWM. The location of the additional dwelling unit has not been identified
at this time.
Pursuant to JCC 18.25.220, single-family (and normal appurtenances) development located landward
of the OHWM in the Natural Shoreline Environmental Designation requires a Type II Shoreline
Conditional Use (Administrative) Permit from the Jefferson County Department of Community
Development. The applicant's goal of this Pre -Application Conference is to discuss the permitting path
for new residential development within the Shoreline Jurisdiction and Critical Area Buffers.
The Jefferson County Code is available on-line at hit :Ilwww.code ublishin .comlWAIJeffersonCount I
DEVELOPMENTAL REVIEW DIVISION - Amanda Hunt (360-379-4458):
Land Use:
• Zoning: RR-5 - Rural Residential
• State Environmental Policy Act (SEPA):
o The proposal is exempt from SEPA review (WAC 197-11-800(1)(b)(i). No SEPA
Environmental Checklist is required.
• A stormwater review (Small, Medium, or Large Stormwater Packet) is required for the
proposed new single-family residence. The stormwater packet is not required for a
stand- alone septic system permit application.
o Stormwater Management is based off of the current Ecology Stormwater
1
Management Manual (]CC 18.30.060 and ]CC 18.30.070, Current Ecology
Stormwater Management Manual for Western Washington).
o The applicant shall follow the stormwater management recommendations
provided in the 2022 Geologic Hazard Assessment prepared by Stratum Group.
Stormwater best management practices shall be shown and labeled on the
submitted site plan.
Site Development Review
o Submit Site Development Review Permit Application ("SDR") to determine legal
lot of record status before shoreline permit review.
Shoreline:
• Please note that Jefferson County is in the process of revising the Shoreline Master
Program (Chapter 18.25 KC) and the following is based on current regulations.
• The applicant is proposing a new Residential- "Single-family (and normal
appurtenances)" Use landward of the OHWM (starting approximately 150'-0") in the
Natural Environmental Shoreline Designation. This type of project requires a Shoreline
Conditional Use (Administrative) Permit. The current process for a Shoreline Conditional
(Administrative) Use is a Type II Permit Process. Notice of Application criteria, including
a public notice and written public comment (30 days) is required, and an administrative
approval procedure, but not a public hearing; see Article VIII of Chapter 18.40 ]CC.
Applications for uses listed as an administrative conditional use permit (i.e., "C(a)") in
JCC 18.25.220 are processed according to the procedures for Type II land use decisions
established in KC 18.25.590.
• The proposed project must meet the "Conditional use permit criteria" under ]CC
18.25.590 and the "Use -Specific Residential Policies and Regulations" under ]CC
18.25.500.
• The proposed project must also meet WAC 173-27-130(3)(a), WAC 173-27-180, & WAC
173-27-160.
PLEASE NOTE:
• To meet the conditional use permit criteria under ]CC 18.25.590, it is highly encouraged
to remove as little vegetation in the Natural Shoreline Environmental Designation as
possible.
• The site plan shall show the limits of clearing around the proposed development areas
(this includes staging, construction, and storage areas, etc.).
• A Habitat Management Plan shall not be required if all proposed land disturbing activities
associated with the septic system are located at least 150 feet from the OHWM and 160
feet from the OHWM for the proposed new single-family residence.
• Pursuant to ]CC 18.25.500(3)(c), residential development consisting of one single-
family residence per existing legal lot of record may be allowed as a conditional use.
Accessory dwelling units shall be Drohibited. If the applicant would like to build an
additional dwelling unit, it must be located outside of the 200-foot shoreline jurisdiction.
The additional dwelling unit will therefore not be reviewed in conjunction the Type II
Shoreline Conditional Use (Administrative) Permit application.
Archeology
• There is a potential archeological resource located within 500 ft of the project area.
No archaeological or cultural survey is required at the time of application; however, if
the Washington Department of Archaeology and Historic Preservation or the Tribes
indicate the potential for resources to be present during the Notice of Application
comment period, a survey will be required.
Critical Areas:
• Critical Areas located on the property include Streams, Wetlands (in shoreline),
Frequently Flooded Area (AE & VE Flood Zones), Geological Hazardous Areas,
2
Susceptible Critical Aquifer Recharge Area (SUSC), and Coastal Saltwater Intrusion
Protection Zone (SIPZ).
o Streams: There are no mapped streams on the property. However, according
to the 2022 Geologic Hazard Assessment, "The valley in the south is on and/or
just south of the property line. There is indication of periodic water flow in this
valley, but no water was present at the time of our site visit on February 1,
2022". Un-mapped streams may therefore be present near the project site. If
streams are present within 50- 150 ft of the project site, consultation with a
biologist shall be required.
o Wetlands: Wetlands are mapped along the shoreline. 2016 Department of
Ecology Shoreline Photos do not indicate the presence of wetland vegetation.
Wetlands to the north are located at least 300 feet away from the proposal. No
further action is required.
o SUSC: No special report is required.
o Coastal SIPZ: Well monitoring measures shall be included in the permit
conditions. No special report is required.
o Frequently Flooded Areas: The proposed residential development is not located
in the "AE" or "VE" Flood Zone. No further action is required.
o Geological Hazard Area: There are mapped geologically hazardous areas
(Tsunami Inundation Area, Erosion Hazard Area, Seismic Hazard Area,
Shoreline Slope Stability- Unstable -Recent Slide and Unstable Slope, High and
Moderate Landslide Hazard Area) located on the subject property. A Geologic
Hazard Assessment prepared by Stratum Group on February 15, 2022 has been
submitted in conjunction with Pre -Application Conference. The applicant shall
follow the recommendations of the assessment (e.g. setbacks, stormwater,
yard waste and debris). Recommended top of slope setbacks shall be shown on
the submitted site plan. A Notice to Title will be prepared during application
review.
Environmental Public Health - Carter Erickson(cericksor_a_@eoJefferson.wa.us) & Emma
Erickson (EErickson@co.jefferson.wa.us)
• The Jefferson County Department of Environmental Public Health (EPH) will provide the
review of water and septic requirements for the proposed new septic system and single-
family residence. EPH fees will be in addition to land use review fees listed down below.
Application and Fees:
• The complete application includes the following:
o
Site Development Review Permit Application
o
Permit Application
o
Shoreline Supplemental Application Form (for Shoreline CUP Type II Permit)
o
Stormwater Forms,
- All applicable forms, including the Stormwater Calculation Worksheet
o
Site Plan(s)
o
Design Drawings
o
Habitat Reconnaissance Letter and/or Habitat Management Plan (if required)
o
Notice to Title - Geologic Hazard Assessment
o
Any additional information which will demonstrate compliance with the code such
as narratives or photos.
o
Site Development Review Permit Fees are as follows: SDR Base Fee $306.00,
Legal of Lot Record Determination (per hour) $102.00, Scan Fee $25.50, Site
Visit (if required) $204.00, Technology Fee $31.87; Total Application Fee
$669.37
o
Shoreline Conditional "C(a)" Use Permit Fees are as follows: Base Fee
$1,632.00; Notice of Application $149.00; Notice Board $12.00; Scan Fee
3
$25.50; Technology Fee $90.93; Total Application Fee $1,909.43.
o Environmental Health Fees: determined by the Department of Environmental
Health
o Additional review time over the base amount is charged at $102.00 per hour.
o In this preliminary review of the proposed project, no review fees for any other
departmental reviews have been identified.
OTHER REGULATORY/LAND USE CONSIDERATIONS:
The proposal will be sent out for review and comment by other affected agencies and Tribes.
]CC 18.40.090(5) Assurances Unavailable. It is impossible for the conference to be an
exhaustive review of all potential issues. The discussions at the conference or the information
provided by the administrator shall not bind or prohibit the county's future application or
enforcement of all applicable laws and regulations. No statements or assurances made by
county representatives shall in any way relieve the applicant of his or her duty to submit an
application consistent with all relevant requirements of county, state and federal codes, laws,
regulations and land use.
0
PRE2O22-00031
Pre -Application Conference
Use -Specific Recreation Policies and Regulations
under JCC 18.25.500
(1) Policies.
(a) Residential use is not water -dependent but is a preferred use of the shorelines
when such development is planned and carried out in a manner that protects shoreline
functions and processes to be consistent with the no net loss provisions of this
program.
(b) All residential use and development should be planned, designed, located, and
operated to avoid adverse impacts on shoreline processes, aquatic habitat, biological
functions, water quality and quantity, aesthetics, navigation, and neighboring uses.
(c) All residential use and development should be properly managed to avoid damage
to the shoreline environment and prevent cumulative impacts associated with shoreline
armoring, overwater structures, stormwater runoff, septic systems, introduction of
pollutants, and vegetation clearing.
(d) New residential development should be limited to densities that are consistent with
the Jefferson County Comprehensive Plan goals and policies, zoning restrictions, and
this program. The density per acre of development should be appropriate to local
natural and cultural features.
(e) Low impact development practices and clustering of dwelling units and accessory
structures should be implemented as appropriate to preserve natural features,
minimize physical impacts and reduce utility and road construction and maintenance
costs.
(f) New residential development should be planned and built in a manner that avoids
the need for structural shore armoring and flood hazard reduction in accordance with
]CC 18.25.380 (Flood control structures) and 18.25.410 (shoreline stabilization) of this
program and other applicable plans and laws.
(g) Residential development should be designed to:
(i) Maintain or improve ecological functions and processes; and
(ii) Preserve and enhance native shoreline vegetation; and
(iii) Control erosion; and
(iv) Protect water quality; and
(v) Preserve shoreline aesthetic characteristics; and
(vi) Minimize structural obstructions to public views and normal public use of the
shoreline and the water.
5
(h) Creation of new residential lots through land division should be designed,
configured and developed to ensure that no net loss of ecological functions and
processes occurs from the plat or subdivision, even when all lots are fully built -out.
(i) Residential developments are encouraged, but not required, to provide public access
to the shoreline. New multi -unit residential development, including subdivision of land
into more than four parcels, is strongly encouraged to provide public access/open
space area equal to at least 30 percent of the total development/subdivision area for
use by development residents and the public.
(j) Whenever possible, nonregulatory methods to protect, enhance, and restore
shoreline ecological functions should be encouraged for residential development.
(2) Uses and Activities Prohibited Outright.
(a) In -water, overwater or floating residences or accessory dwelling units, including
structures located in or on marshes, bogs, swamps, lagoons, tidelands, ecologically
sensitive areas or open water areas, are prohibited.
(b) Residential development that can be reasonably expected to require structural
shore armoring during the useful life of the structure or within 100 years, whichever is
greater, is prohibited.
(c) Residential development within a channel migration zone or floodway that can be
reasonably expected to require structural flood protection during the useful life of the
structure or within 100 years, whichever is greater, is prohibited.
(d) Land division and boundary line adjustments in shoreline jurisdiction are prohibited
when such actions will result in lot configurations that are likely to require:
(i) Significant vegetation removal;
(ii) Structural shore armoring;
(iii) Shoreline modification for erosion control;
(iv) Flood hazard protection; or
(v) Result in a net loss of shoreline ecological functions and processes at the
time of development of the subdivision and/or during the useful life of the
development or within 100 years, whichever is greater.
(3) Shoreline Environment Regulations.
(a) Priority Aquatic. Residential development is prohibited.
(b) Aquatic. Residential development is prohibited.
(c) Natural. Residential development consisting of one single-family residence per
existing legal lot of record may be allowed as a conditional use. Accessory dwelling
units shall be prohibited.
(d) Conservancy. Single-family and duplex development may be allowed subject to
policies and regulations of this program. All other residential development may be
T
allowed as a conditional use.
(e) Shoreline Residential. Residential development is allowed subject to the policies and
regulations of this master program.
(f) High Intensity. Residential development is allowed subject to the policies and
regulations of this master program.
(4) Regulations - Primary Residences and Property Subdivision.
(a) Residential use and development shall be planned, designed, located, and operated
to avoid adverse impacts on shoreline processes, aquatic habitat, biological functions,
water quality, aesthetics, navigation, and neighboring uses.
(b) The buffer requirements in Article VI of this program apply to residences, normal
appurtenances, and accessory dwelling units, except that docks, floats, and beach
access structures and other water -dependent and water -related structures accessory to
residential use may be permitted to encroach into the buffer in accordance with the
applicable provisions of this program. Accessory structures must be sited and designed
to not require shoreline armoring within 100 years.
(c) Cluster development and appropriate low impact development practices shall be
required for development sites constrained by critical areas and/or shoreline buffers.
(d) When zoning regulations allow, proposals for multi -story residential development
greater than 35 feet above average grade must include an analysis of how the
structure would impact the views of surrounding residents. If the proposed residence
would block or significantly compromise the view of a substantial number of residences
on adjoining areas, the county shall limit the height to 35 feet, or require design
revisions or relocation to prevent the loss of views to neighboring properties.
(e) New multi -unit residential development, including subdivision of land into more
than four parcels, shall provide public access/open space for use by development
residents and the public. The county may alter the recommended area threshold per
constitutional limits or waive this requirement if public access is infeasible due to
incompatible uses, safety, impacts to shoreline ecology or legal limitations. The county
may require alternatives to on -site physical access if on -site physical access is
infeasible for the reasons noted.
(f) As per Article VI of this chapter, new or expanded subdivisions and planned unit
developments comprised of four or more lots or units shall provide public access to
publicly owned shorelines or public water bodies unless:
(i) The site is designated in a shoreline public access plan for a greater
component of public access; or
(ii) The public access is demonstrated to be infeasible or inappropriate.
(g) New or amended subdivisions, except those for lot line adjustment and lot
consolidation purposes, shall provide public access as required in Article VI of this
chapter.
(h) When required for multi-lot/multi-unit residential development, the amount of
public access/open space area shall be determined by site analysis per constitutional
FA
limits. The county may waive this requirement if public access is infeasible due to
incompatible uses, risks to health or safety, impacts to shoreline ecology or legal
limitations. In such cases, the county may require alternatives to on -site physical
access if on -site physical access is infeasible for the reasons noted.
(1) The type and configuration of public access required for multi-unit/multi-lot
residential development shall depend on the proposed use(s) and the following criteria:
(i) Subdivisions within shoreline jurisdiction that have views of water areas shall
at a minimum provide an area from which the public can view the shoreline.
(ii) Subdivisions adjacent to public waterways or tidelands shall provide physical
access to public waters/tidelands that are accessible at low tide or low water.
(5) Regulations - Accessory Structures/Uses.
(a) Accessory dwelling units may be permitted when the primary residential use is
allowed pursuant to, and only when, other provisions of this program are met.
(b) Accessory structures and uses such as boating facilities, pedestrian beach access
structures, shore armoring and shore stabilization shall be subject to the applicable
provisions of Article VII of this chapter.
(c) A single water -dependent boathouse, as defined in Article II of this chapter,
accessory to single-family residential development may be allowed with a conditional
use permit and in accordance with ]CC 18.25.270(5)(d)(iii) and other provisions of this
program.
(d) A shoreline substantial development permit or conditional use permit shall be
required for all accessory development that is not considered a normal appurtenance.
[Ord. 7-13 Exh. A (Art. VIII § 8)]
E
PRE2022-00031
Pre -Application Conference
Conditional use permit criteria under 7CC
18.25.590
(1) The purpose of a conditional use permit is to allow greater flexibility in administering the
use regulations of this program in a manner consistent with the policies of RCW 90.58.020. In
authorizing a conditional use, special conditions may be attached to the permit by the county
or the Department of Ecology to control any undesirable effects of the proposed use. Final
authority for conditional use permit decisions rests with the Department of Ecology.
(2) Uses specifically classified or set forth in this program as conditional uses and unlisted
uses may be authorized, provided the applicant/proponent can demonstrate all of the
following:
(a) That the proposed use will be consistent with the policies of RCW 90.58.020 and
this program.
(b) That the proposed use will not interfere with normal public use of public shorelines.
(c) That the proposed use of the site and design of the project will be compatible with
other permitted uses within the area.
(d) That the proposed use will not cause adverse effects to the shoreline environment
in which it is to be located.
(e) That the public interest suffers no substantial detrimental effect.
(3) In the granting of all conditional use permits, consideration shall be given to the
cumulative environmental impact of additional requests for like actions in the area. For
example, if conditional use permits were granted for other developments in the area where
similar circumstances exist, the sum of the conditional uses and their impacts should also
remain consistent with the policies of RCW 90.58.020 and should not produce a significant
adverse effect to the shoreline ecological functions and processes or other users.
(4) Permits and/or variances applied for or approved under county zoning or subdivision code
requirements shall not be construed as shoreline variances under this program. [Ord. 7-13
Exh. A (Art. IX § 6)]
2
660505 PGS:4 NTIT
92MJeff612023 10:14 Aft $206 60 RENEE RATWON
rson County IdA Auditor's Office - Brenda Huntingford, Auditor
AFTER RECORDING, RETURN TO:
Department of Community Development
62I Sheridan Street
Port Townsend, WA 98368
NOTICE TO TITLE
FOR GEOLOGICALLY HAZARDOUS AREA DEVELOPMENT REQUIRING A
GEOTECHNICAL REPORT
FILED FOR THE RECORD AT THE REQUEST OF JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Per Jefferson County Code 18.22.550
Grantor: RICHARD D. AND RENEE F. RATHVON
Grantee: Jefferson County Department of Community Development, a
political subdivision and governmental entity within Washington
State
THIS AGREEMENT is entered into on this 8th day of May 2023, by Grantor(s)
RICHARD D. AND RENEE F. RATHVON whose mailing address is 20
LIBERTY KNOLL COLTS NECK NEW JERSEY 07722-1361
("Grantor(s)").
Legal description: Grantor(s) hold legal title to the following described real
property located at:
S16 T27 RI W TAX 2
Assessor's Property Taxparcel no. 701164005
Grantor(s) applied for and, upon execution of this Notice to Title
("Agreement"), shall receive future development permits ("Permit"), per the
Jefferson County Code including, but not limited to, JCC Title 18, to allow for a
new sinele-family residence ("Proposal") on the property described above
("Property") that contains a Critical Area, specifically a mapped Geologically
Hazardous Area, as defined by Chapter 18.22 Jefferson County Code.
Pagel of 4
THIS DOCUMENT IS NOT A PERMIT OF ANY TYPE
In accordance with and in consideration of allowing the construction
of the Proposal described above within a Geologically Hazardous Area,
Grantor(s) acknowledge and agree as follows:
1. Grantor(s) desire to obtain the Permit for the Proposal on the Property.
The Property is situated in a Geologically Hazardous Area. Grantor(s)
agree that they are fully aware of the risks inherent in development
within a Geologically Hazardous Area.
2. Grantor(s) have obtained a geotechnical report for the Proposal and
Property. The geotechnical report for the Proposal analyzes the risk of
the proposed development on the Property. The geotechnical report
has identified the following specific types of risk for the proposed
development on or near the Property:
Location of Single -Family residence should be located at least 30-feet
from the top edge of the shoreline bluff.
Stormwater should be dispersed consistent with the Stormwater
Management Manual for Western Washington, and discharge should not
be onto or within the 30 feet of the shoreline bluff slope.
a Ground cover vegetation within 20 feet of the top edge of slope and bluff
should not be disturbed.
No yard waste or debris should be placed on or near the steep coastal
bluff or other steep slopes on the property.
3. Grantor(s) agree to comply with the geotechnical report, including all
recommendations and assumptions.
4. Grantor(s), as their own free and voluntary act, accept and assume all
risks of loss or damage arising out of the conditions described herein.
Grantor(s) agree that approval of the Proposal and issuance of permits
does not create any liability on the Grantee, its agencies, divisions,
officers, agents, and employees as a result of or allegedly as the result
of this approval of the development and the engineering design of the Grantor(sy
proposed development.
Grantor(s) agree that their representation herein and agreements shall
Page 2 of 4
be binding upon the Grantor(s) as well as their heirs, and successors
and assigns. The Grantor(s) further agree that this Agreement may be
enforced by Grantee in law or equity against the Grantor(s), or their
heirs, successors and assigns.
7. Grantee shall record upon the land records maintained and generated
by the Auditor of Jefferson County, Washington this Notice to Titl4
8. This Agreement shall not be revoked or amended without the consent
and written approval of the Grantee, Jefferson County Department of
Community Development.
9. For the purposes of this Agreement, any phrase or sentence that is
conjugated in the singular shall also include the plural and any phrase
or sentence that is conjugated in the plural shall also include the
singular.
Page 3 of 4
Jefferson County, WA
.Jefferson County Auditor
1620 Jefferson St.
Port Townsend, WA 98368
Receipt: 23-02422
Product Name Extended
ITI- Notice To Title
$206 50
Document #
660605
# Pages
4
540 surcharge
true
Total
5206 50
Tender (Check) $206 50
Check## 7205
PaidBy RENEE RATNVON
Thank You!
611123 10:14 AM Lisa
JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH
615 Sheridan St.
Port Townsend, WA 98368
www.jeffersoncountypublichealth.org
Ptihii Hecsliri Phone 360-385-94" Fax 360-3794487
ON -SITE SEWAGE DISPOSAL PERMIT
PERMIT #: SEP2022-00114 Date Received: 07/19/2022
SITE ADDRESS: 660 TWANA WAY Date Issued: 11/20/2023
QUILCENE WA 98376 Date Expires: 11/20/2026
APPLICANT: RICHARD RATHVON Phone:
20 LIBERTY KNOLL
COLTS NECK, NJ 07722-1361 914-610-5097
LEGAL DESCRIPTION: S16 T27 R1W TAX 2
PARCEL #: 701164005
DESIGNER: EVERETT SORENSEN
715 GRANT ST
PORT TOWNSEND, WA 98368
SYSTEM DESCRIPTION: CONVENTIONAL TRENCH
No. of Gallons per Day: 600.00 Type of work: New
------Drainfield----- -----Trench------ ---Septic Tank-- ---Pump Tank --
Length: 333 ft Width: 3.0 ft Depth: 19 inches 1,500 gallons
DISCLAIMER- This approval is for an on -site sewage system that meets the state and county standards In effect on the
date of application. This approval for an on -site sewage system DOES NOT assure you of any other County approvals. For
example, it DOES NOT GUARANTEE that you will later obtain permission to build a permanent residence or other structure
on this parcel. Any future application will be separately judged by the rules and laws In effect at that time. All construction
and development activities must comply with all permit conditions, state and local codes, and Recommended Standards and
Guidance documents in effect when the permit is issued.
The property owner is responsible for the accurate location of all property lines. Any removal of or major disturbance of soil in the
primary or reserve drainfield area may create site conditions that are unacceptable for the installation of a sewage disposal system.
Any change in drainfield or tank location may invalidate this permit unless prior approval is obtained from the Jefferson County
Environmental Health Division. If during excavation or development of the site an area of potential archeological significance is
uncovered, all activity in the immediate area shall be halted, and the UDC Administrator shall be notified at once.
Permit issued to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM IN JEFFERSON COUNTY, WASHINGTON
This permit is issued for a period of three years (unless otherwise stated above) in accordance with
Jefferson County Rules and Regulations for On -Site Sewage Systems, codified in JCC 8.15 as amended.
This permit may not be renewed.
Je erson Cou7nq
vironmental Health Specialist
This permit with conditions must be onsite d all phases of construction
HEALTH DEPARTMENT MUST BE CONTACTED FOR FINAL INSPECTION.
SPECIAL CONDITIONS APPLY - SEE REVERSE $ ADDITIONAL PAGES
Sheet 1 of 4. Residential Septic System Description and Construction Notes
Property Owners: Richard D. & Renee F. Rathvon
660 Twana Way; Quilcene, WA 98376 RECEIVED
Jefferson County Parcel Number 701164005 Parcel Area: 5.47 acres (23#,0 0
Conventional Gravity -Discharge to Gravel Trenches I JUL 19 2022
Drinking Water Source: Proposed Water Well; Location TBD
Proposed Septic System Capacity: 5-BR, 600 gallday peak flow (average _ _50„ �NEI-i4L PUBLIC HEALTH HWIVcoUNTr
�''' Soil Types 3 8 4; Application Rate: D.' gallftx Iday —CC -- -
Minimum Infiltrative Surface Area: 600 gpd10. gpolft2 -to pftz
No indicators of seasonally -shallow ground water down to z63" below ground surface
Construction Notes
Septic System Layout: The septic system designer must supervise layout of the system prior to excavating. Laser leveling
or similarly precise systems must be used for leveling, to ensure precisely horizontal infiltrative surfaces.
Septic Tank Placement: The tank excavation must have a horizontal bottom prior to adding bedding material. Six inches
(6") of pea gravel bedding must be provided to properly support tank in order For tank warranty to remain effective. if shallow
groundwater is encountered during tank installation, a newly- installed tank should be filled with water to prevent floating, in
case groundwater rises around it. Tank must be covered with a 1-ft minimum thtckness compacted soil, or structural fill, to a
maximum cover of 3-ft, unless a heavy load -rated tank is used.
Risers: Access risers should be installed above septic tank openings. Risers and lids should extend 2 to 3 inches above
grade to help prevent debris from falling into risers upon opening_ Tank access risers shall be bonded to integral rings built
into tank openings, using 3MI Marine 5200 Adhesive Sealant, or equal, or better.
Monitoring Ports: Future septic system inspections will be simplified with properly -installed monitoring ports at key points
in the drainfield, at least two per lateral. Monitoring ports should extend down to the bottom of the drain rock layer, no
deeper than 27 inches below the pre -disturbance ground surface. Monitoring ports must be installed during drainfield
construction and prior to covering. They must be anchored by any of several means, in order to maintain their stability for
several decades. Using wood or other biodegradable materials is not recommended for anchoringlstabliizing systems.
Septic System Components
Septic Tank: ?1,500 gal two -compartment State -approved septic tank; with two 24"-diameter access risers
above inlet and outlet, extending up to -grade, equipped with lids, bonded to rings integral to tank. Tank to be
equipped with influent baffle/drop tube and outlet drop tube and rigid effluent filter with 1116" orifice size.
Suggested effluent filter: Clarus Environmental WW1 (Zoeller Pumps) Effluent Filter Part No. 170-0078.
Gravity -Flow Transport Pipelines: 4-inch PVC ASTM D-3034 sloped 2% (% inch per ft) from proposed
source(s) to septic tank. 4-inch PVC ASTM a-3034 from septic tank to distribution box, sloped as needed. Pipe
runs equipped with long -sweep clean -outs, positioned as needed. securest at surface for expected >30-year
lifetime.
Distribution Box: Plastic or Concrete D-Box with at least seven effluent connections at the same elevation.
Unit bedded with pea gravel. Effluent connections equipped with speed -levelers. D-Box equipped with riser,
equipped with secured lid. .0�
Gravity Drainfield: Seven 3-ft wide x tt long gravel trenches, installed horizontally, with infiltrative surface
approximately 19 to 27-inches below ground surface. One 4"-diameter perforated PVC distribution lateral per
trench, felted with long -sweep sanitary tee at the distal end, with slip cap, not glued, to serve both as lateral end
dean -out and infiltrative surface inspection port. 4-inch PVC upswept lateral ends shall be end -sawed to loosen
connection with end caps, to prevent caps from sticking. Distal ends installed within a" -diameter cylindrical
utility vaults (or equivalent) extending 1-2" above grade, capped, secured and marked. .tea. -
Designed By:
Everett A Sorensen, P.E.
Evergreen Engineering Services
715 Grant Street
Port Townsend, WA 98368-2405
ev_s ores sen @hotma it .corn
360-821-9960
July 18, 2022
Sheet Index:
1. Description and Construction Notes
2. Site Plan
3. Septic Tank Details
4. Drainfield Distribution Trench Details
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