HomeMy WebLinkAbout07_Supplemental Permit Application - Land Division_2023-1120DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 |Fax:360.379.4451
Web:www.co.jefferson.wa.us /communitydevelopment
plannine@co.jefferson.wa.us
SUPPLEMENTAL APPLICATION
LAND DIVISION
4ºON
E-mail
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PARCEL #502153020,5021530 PROJECT/APPLICANTNAME:The Hamlet at Pleasant Harbor/Staÿs
PURPOSE
The purpose of the land division permit process is to ensure consistency with the applicable sections of
the JCC Title 18.35 (see below).
Land Division ~Short Plat,Long Plat,Binding Site Plan
PROCESS
1.Schedule a Customer Assistance Meeting with a planner,a pre-application strongly encouraged.
2.Submit an application for land division showing how you meet the criteria below.
3.Determination of Completeness will be made by County staff within 28 days.
4.Application review and decision will be made by the County within 120 calendar days.
5.Upon approval,a "record of survey"document will be prepared and recorded with County Auditor.
SUBMITTAL REQUIREMENTS
Required Submittal Items
Y Permit Application
Y Supplemental Land Division Application
SEPA Checklist (if applicable)
Certificate of Water Supply Utility Service Form
Permit Fees,paid at application submittal
Five (5)paper copies of a preliminary plat -see #3 for details below
Special Reports (if applicable)-see #2 for details below.
Stormwater calculation packet
Preliminary plat must be prepared for short plats and long plats.
1.Five (5)paper copies of a preliminary plat meeting the requirements of Jefferson County Code (JCC)
18.35.110 and 18.35.120 for short plats,or JCC 18.35.290 and 18.35.300 for long plats/binding site
plans and identifying points of access,all easements,deeds,restrictions,or other encumbrances
restricting the use of the property,as applicable.Survey must be done by a licensed surveyor.
Recording of Documents with the County Auditor:Upon approval of your BLA,a "record of survey"
document must be prepared by a licensed land surveyor and recorded with the Jefferson County Auditor
(see RCW 58.09 and WAC 332-130)within 90 days.
2.Where site conditions require a special report to assess or address any probable significant adverse
environmental impacts,a study (or studies,as applicable)prepared by a competent professional may be
required if deemed necessary by the Administrator.
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Exhibit 07
3.The following supplemental information:
Subdivision Name:The Hamlet at Pleasant Harbor
Land Use check one):Y"Residential Ÿ Commercial Industrial
Total Acreage of Property:220.44 acres Total Lots Proposed:
Water Supply (check one):Individual Wells Community Water System
Sewage Disposal Method:Sewer treatment plant
Minimum Lot Size:4,219 SF Open Space:122.44 acresAverageLotSize:
I,do hereby swear and certify that in addition to the land
subject to this application (check the box below which applies):
|
have no interest in
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have an interest in
land within 300 feet of any portion of the subject property 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 preliminary plat provides an accurate representation of the
proposed land division;and the applicant hereby acknowledges that any approval issued on this
application may be revoked if any sugh statement is found to be false.
AYA Oct 23
Signature Date
OFFICE USE ONLY.
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Land Division Permit Fees t
Land Use Review -Long Plat $9,202 00,Short Plat $2,889 00,
Binding Site Plan $9,202,00 DCD116
y
Notice of Application DCD116 $149 00
Notice Board DCD116 $12 00
Environmental Health -BLA Base Fee (no lots included)EH031 $243 00
Environmental Health -Per Lot Fee ($108 00/lot)EH034
Public Works-Short Plat $400 00;Long Plat $1,004 00 (5-8 lots),
Long Plat $2,010 00 (8+lots),Binding Site Plan $803 00 Pwo100
Scan Fee DCD122 $2675
Subtotal
Technology Fee EH9999 -5%
Total Fees*
*Additional fees may apply
Receipt #:Date:Cash/Check/CC:
Scan the QR Code to access the digital form=
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Exhibit 07