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BLD2010-00160
• • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD10-00160 SITE ADDRESS: 6503 CENTER RD Issue Date: 08/4/2010 CHIMACUM, 98325 Final Date: 10/21/2010 APPLICANT: KURT T WAGGONER PHONE: 360-340-5723 PO BOX 248 PORT GAMBLE WA 98364-0248 SUBDIVISION: Block: Lot TX 2+ PARCEL NUMBER: 801161003 Section: 16 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NEW M/H - (OAK GROVE 4563A) 031-17522) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/21/2010 I:\F_BLD_Occupancy.rpt 10/29/19 MANUFA•URED/MOBILE HOME INSTILLATION PER MIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD10-00160 Received Date: 5/17/2010 SITE ADDRESS: 6503 CENTER RD Issue Date: CHIMACUM, 98325 8/4/2010 APPLICANT: KURT T WAGGONER PO BOX 248 PORT GAMBLE WA 98364-0248 SUBDIVISION: Block: Lot: TX 2+ PARCEL#: 801161003 Section: 16 Township: 28 N Range: 01 W CONTRACTOR/ OWNER/BUILDER DEALER PHONE: PROJECT DESCRIPTION: NEW M/H - (OAK GROVE 4563A) 031-17522) MAKE: FLEETWOOD YEAR: 2001 SIZE: 54X24 Directions To Site: To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 1-) - tv /, Erosion Control MH Foundation c - Blocking&Tie Down 9—'-'p Skirting&Ventilation Gas Line: Exterior Propane Tank Pressure Test Drywell/Alt Drainage Drywell/Alt Drainage splashblocks see condition 2 Address Posted Vex t IYU l ti6,1 A1,1,F.L1 FINAL INSPECTION rO_Z1- 10 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY- SEE REVERSE ItUILDING PERMIT APPLICADN ML 188 Revv iew iew T Tyype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00160 Received Date: 5/17/2010 SITE ADDRESS: CHIMACUM, 98325 OWNER: KURT T WAGGONER PHONE: 360-340-5723 PO BOX 248 PORT GAMBLE WA 98364-0248 SUBDIVISION: Block: Lot: TX 2+ PARCEL NUMBER: 801161003 Section: 16 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: KATHERINE MORGAN PHONE: 360-930-0537 22461 MILLER LANE POULSBO WA 98370 PROJECT DESCRIPTIOt NEW M/H - (OAK GROVE 4563A) 031-17522) TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: 1,242 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: Routing Date: —10 Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $213.00 LYK 05/17/10 117704 APPROVED Potable Water Application $98.00 LYK 05/17/10 117704 Total: $311.00 AUG .4 2010 Jefferson County Planning & Building Department • SPECIAL CONDITIONS CASE # BLD10-00160 1.) THE PROJECT IS SUBJECT TO COMPLIANCE WITH THE DEPARTMENT OF ECOLOGY IN STREAM FLOW RULE OF WRIA 17. THE PARCEL IS LOCATED WITHIN THE CHIMACUM SUB-BASIN; AS SUCH, THE FOLLOWS IS REQUIRED: 1. WATER USE SHALL BE LIMITED TO DOMESTIC USE ONLY, AND SUCH USE SHALL NOT INCLUDE OUTDOOR IRRIGATION. "DOMESTIC USE" MEANS USE OF WATER ASSOCIATED WITH HUMAN HEALTH AND WELFARE REQUIREMENTS, INCLUDING WATER USED FOR DRINKING, BATHING, SANITARY REQUIREMENTS, COOKING, LAUNDERING AND OTHER INCIDENTAL HOUSEHOLD USES, INCLUDING POTABLE DOMESTIC WATER REQUIREMENTS ASSOCIATED WITH COMMERCIAL AND INDUSTRIAL PURPOSES. (WAC 173-517-150(8)) 2. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180) BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. REFER TO ENCLOSED DOCUMENTS FOR MORE INFORMATION OR CONTACT ECOLOGY AT 360-407-6300. 2.) DESIGN CRITERIA FOR SPLASH BLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on July 29, 2010 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review, the following ESAs were confirmed to be present on the subject property: Two Type N Streams, Wetlands. 4.) A letter dated May 1, 2009 and a critical area study dated November 13, 2008 prepared by Loggy Soil an Wetland Consulting were submitted to address the wetlands and the streams on the subject parcel. Originals of the letter and special report are filed in MLA08-00494. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 6.) Two Type N Streams (Fish Wildlife Habitat Conservation Area) haven identified on the subject property. The reams will require a buffer of 75-feet. The er shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 7.) Stream and wetland buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 8.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir(Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder(Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant(Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 9.) All construction activities shall not encroach upon the stream and wetland buffers. This includes the storage or preparation of materials. 10.) A setback of 60-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 11.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 12.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 13.) The identified Fish and Wildlife Habitat Areas (Two Type N Streams), shall maintain a vegetative buffer setback of 75-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed residential development including driveways. 14.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed residential development. 15.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 16.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 17.) The applicant is proposing to create or add 4,226 square feet of impervious surface and 8,836 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 18.) A Stormwater Plan has beelibmitted and approved by the Department�ommunity Development. Once the subject permit has been issued the applicant shalTfully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 19.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 20.) The site plan as submitted on May 17, 2010 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 29, 2010 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 21.) This approval is for a new manufactured home, deck and detached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 22.) The parcel has been designated as RR 1:20 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 23.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 24.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 25.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 26.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 27.) The building height is not to exceed 35 feet. 28.) The setback from the ingress/egress easement is no less than 20 ft., the setback from Center Rd.right-of-way is no less than 30 ft., the setback from SR 104 right-of-way is no less than 50 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 29.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 30.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 31.) Access is off an ingress/egress easement(AFN 547404) that connects to Center Road. An address of 6503 Center Rd, has been assigned to the parcel. 32.) NOTICE: This permit does 41kxcuse the proponent from complying wither local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 0 • ' I 1N316lddns 1Y11W11 NOUVTNISM 33S 11431131ddns 7v ffi?I NOUVTM1SNl 33S IM g mg rn rn. ui G m 1� �i to N r mm O N II In N r7 f8 ;:t.c, IA '� �\ • 3 \\\ iN3►131ddf1S 1V11N/I NOIIVTTVlSNI 33S q M co a rn p .r &• r N J ¶ ¶ bl � m'im< m< m< m e N n .r IQn 10 5 -4Zi4 N § 1 4 ,. 16 A 8 sm. A i -1-1y) pg, L"'S __.51 o . -111Z la11 - t 1.* ) 1.„g � ...-r----r I ii .... s E g g . N c3 OF1.1.1>ii Ii m L; I) a+1a °° O Zb1 � o o i -C II El , f. ,_.....,,,,.. o: I O 1N.6rii © ,..... N Widh f "'I irm / .r , o El Ill Q I I tp b ' O flI�; .1 1 1 .f N h ©7 I I� 1 am la au he . off g © o O C o g 1`i = rl o a O Jr '° in 1 u1 , Nxx xxx _Z~ I le TN I I = p2.0.734.1 O U, lVT)=F-r1 0 p3 ry .n ul0 68g�il 3C3" �� �� . h. o B (1B O m £ o a dill] »_ ±_ m = 0 O r W m I o errMtn- am,-K, t N O 4.1111 mm rSW O 401. Ii 41293gbi3 }a� 1 Ivx xx xx pit ... (7S. 0g. di „ oN..„e,m, JACK WESTERMAN 40 Jeifrrwrn C+,t'oorth.udr. ASSESSOR INS Boo 1220, Port Townsend, NA 98368 (3 0 393-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: KU( UCf,� �L> ADDRESS: PO -BINA Z, ov-t C ee.rri ble. A cl`536f PHONE NO. 3620 Aj-7 Z3 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 1)MOBILE HOME DATA: `-t5C�3Pt (A) MAKE_ I e_.ekwo a d (B)MODEL V ci-ki (Drove. <16(C)YEAR (D)LENGTH (E)WIDTH - (F)SERIAL# 031 - ( 1 4G)YOUR PURCHASE PRICE(Do not iwdode sales taxf tOt Cuba PURCHASE DATE 7(2 ' 20 PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 30 (A)FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes l"�J If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. K i{'S G.-e 3)WHERE MOBILE HOME IS TO BE LOCATED: (A)WILL THE MOBILE HOME HE IN MOBILE HOME PARK? Yes (H)IF LOCATED IN MOBILE HOME PARK: NAME O ADDRESS OF PARK Let/Space# (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: ‘h(p Q Ct-J SO�1�tr' LOCATION ADDRESS ��� u ' C F L� F-A C k l.!Y1Gcc_JW\ REAL PROPERTY PARCEL#/DESCRIPTION ft 1 I (a% o O'3 //all Signature of applicant THANK YOU FOR YOUR HELP! eJODI COSSELL. Property Technician MAY 1 7 2010 c10 �, JEFFERSO(�OUNTY • ( �' DEPARTMENT OF �-.r� COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 ,,......, joeth-gby 360/379-4450 . 360/379-4451 Fax -P'441-ztrt7c6c71- www.cojefferson.wa.us/commdevelopment us/commdevelopment Master Permit Application MLA: I O- I gR Project Description(include separate sheets as necessary): , A_f ) V(�-,Y.t. , VI U 1-Y) e Tax Parcel Number. 60 I ( (Q [ 00 3 Property party Size: I(1?:5 4 cC'L (acres/square feet) Site Address and/or Directions to Property: (OS X k k--e� R..�c Ca--kyet Ace north b 1 pk-t l n ,e.c__\. �C , OO �� Property Owner(s)of Record: VV rk Or, - p 3lUO . 3(-{c �Telephone: 5•7 Z.3 Fax: emaft: k_u r++.i ?az-+c+D) Mailing Address: Ft)TN?)X 2.-4$ -Pb rrk (.. a.,ry-1 b le. IAj f2t- CtE3s(oil Applicant/Agent(if different from owner): l4 t-h0x c,41-e IL.(a.C-y C:,r Telephone: 7p 0 . C(3 0 . 0 S 3'l Fax: email: MO r e a.n.( k 1{--6� efllkt.1, Mailing Address: 224 to t & t.(.e-r Ln tvt (�.-vu l'S V.xj t N ck ,�Z p cJ ei,,,, What kind of Permit?(Check each box that applies ( uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ❑Single Family {�rage Attached/Detached 0 Conditional Use[C(a),C(d),or C)** D'Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment Er Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan•'* ❑Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed`Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** E Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial-Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 Tree Vegetation Request *'*Requires a Pre-Application Conference Please Identify any other local,state or federal permits required for this proposal, if known: p, i DESIGNATION OF AGENT I hereby designate t\& c to act as my agent in matters relating to ap lication for permit(s). OWNER SIGNATURE ^� Date: l )2-l By signing this application form,the owner/a ttests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material false or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatipnpia or she wants prior n ice. Signature: ((//��,,f -''2---T�- �`r-. 4:5L Date: / • / / i C The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any Individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera sibility for adheri and mplying with the ESA. The Applicant has read this discla" r and signs and dates it below. Sig nature: <'^' Date: 1/it / i G A • BUILDER STATEMENT • The signer of this state nt oe' hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu in re risibility of the General Contractor for the proposed pro Signature: /A `l"i /, fp.4-^', Date: l I7- 1 GENERAL CONTRACTOR OR MA TtACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: )4' New ' -Wood Existing: _ [1 Sewer 0 Addition CI Steel Proposed: Z. Bank ❑ Community System 0 Alteration/Remodel ❑ Concrete Total: 2- Height: IZIAndividual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: icif Setback: 0 Private well ;Two Party Type of Heat Proposed: 0 Public 72 f ;L r Total: _ Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes I No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove I Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. itr c , 4,k t 4 4 ;-sc Square Footage Current Proposed �„ , I i• �',`-',, P :: .` ,J' n_. Main Floor Heated lxw EH Bld App Review: 2 it'1- 12`t 2- r= ' >�� 2M Floor Heated '' R,rxr Consistency Review: J�- Other Heated Base fee: . (9 1 5 o Mezzanine ; Additional Section: — I ? �� Heated Basement Plan Check fee: i-74,. .,,.1 Unheated Basement , r r° ', State Surcharge fee: -- Other Unheated r ' 4".••"c Pot Water Review fee: I Garage/Carport `r SUBTOTAL ;N § kS Decks ,74F i t-4 911 :. Approach fee: Y ° :�. Other .4ka,. TOTAL: $ C'5R 1. �. .,` rk Receipt Number: 1 11'1 ,-t " ' Cash/Check Number ESTIMATED COST(REQUIRED) Date: �,,—i .Fair market value of all labor and materials foundation to finish Initials: APPROVED STORMWATER PLAN ,¢SON c JUL 2 9 20a OG JEFFERSON COUNTY rzi DEPARTMENT OF COMMUNITY DEVELOPMENT JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT IOW 621 Sheridan Street • Port Townsend • Washington 98368 SIGNATURE: O 360/379-4450 • 360/379-4451 Fax �'SIINO� http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# r +�V PROJECT/APPLICANT NAME: 1!( ��t��er ('(cc,t, L 11`J Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate positipn and relative size of proposed improveJnents on the site map. �r1Z.i w,t I1� fib•- a_ j�►Y4Lt1 tl _j'v"ez.* 1-tom LJe.rt ck c e C'�IefCCG6)eL' C -e- 11 r 1 41'1 j i €Q (�(-_f(E),�(n e bit at:h �. �-J c�S t.D r 11 be tv .Stl'i ii.LI ct--i` J�!�( "tke h rr G 12. ✓e..i-u _ I es `/'/ H /C b e ,_ Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map." 3. Describe the existing vegetation. Indicate native vegetation areas on the site map.j t./6- Yb Le .-L7\ ✓ /4 ''l• , ! ' 4C`. ��t%L� �.�L DLJ ki ice ('LG( )t. r'' I.S 1►1 Li L 1 Alt Ci ✓2 c<-S CL re- n1i fi r vec- •t-1f Z)I 4. Describe the existing soils. Indicate soil type on the site map. l(' r' - r, h rt-(' cet' r.i:�i`'1 �� _,`.3'� e-/ ( tY?_ LF Y i L/ _ •-• j� ( J ►% I. �'�l�� �f ,; J� fit' 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. :;1 i f c-i)er Iy ,/dr( L�2 t / �'7 ;1-.L�c�� r / i/ , �t>'TL e LS h,i , �L✓1✓C� l GCt�/ (C r.:_i�R'd , e.J�"/( (U0� �G t c1 ! h 6. Describe any excess levels of noise generated by the proposed use or activity: stormwater site plan template.doc—rev.10/12/2003 • isIi... i.. r; ' #'i' 1 4 7 `i (r 3 OM AL 7. Describe significant geo aphic fejtures and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.) on the ite. Indi ;ate location on the site map. )c tyra i mwip�rt4+ =(l- , >L�ru-.t . ei. V �- ---4 1--'-Ha i ti5 TA i.S01 Vitt fI✓.)„la.rn!u; fii yu.i,i t d-pew, Uii / L 1j 13 _be 8. Describe the general vi Li site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes, steep slopes, etc.). t ecrrti'i 7r �! r oz�-i� fie. n -t►ems « 7i= 1 Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. 'r1� ecvi co rue- 4- �GZ Gott! IL, C is ck PeAr- -1— . / U y t t c 0cymia�ci` � yg4� i L%�1 flet4N.� ►j bl-rA rh.PelrVI v 0-s GP►%t t. — ,.Pee--1-• ki 4 c CL,tic. 1-'1 .` -'L• k i l a-('.-. a L` -k . ve 10. If the project requires the use of stormwater treatment fac7 ties, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large" projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. (Witt Z '.-. Lt-t�, ;fir .i'`C-� L,, lt)l.Yfl v V -l'., 1 i' )i---1 ,- ,{ ;r"S e-''� S, to v 1 12. Describe the flow control syst m. CI_ c(6 wit( ems. Ier:_s& ov . rlcz+t_LA c:.1 .rc t, -1--icfire-.0 t' Or 1w' .((7/_11 stormwater site plan template.doc—rev.10/12/2003 6 • • 13. Describe the water quality system. \\ D _ L/��,�;.�F� �j 8,. �•l 1 �V��7 �f l ��.-- �r�r-'1�rC - --c- •- _— . - c 14. Describe the conveyance system analysis and design. ►1/(t 04 0 .urn 7 b wcl i lok i p&vS-e4 v n& k 15. Describe the source of fill material, physical charractef istics of fill material, and deposition of excess material. no Ail wi l I be. i,-r,p�-1 cl 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. /U 18. Describe methods for restoration of the,site. - ( h.)( ire E=c il (L )c i nc_ < :,() 5-�r-��C f-1 e)-� L A 1( be. 'edJJ <tz.v14. l' '! 0 ! &d1�(k 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. nic` 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements, describe those conditions or restrictions here. ti/CL_ stormwater site plan template.doc—rev.10/12/2003 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BM Ps used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual (beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. . 2. Establish Construction Access. 3. Control FFlow� Rates. F�C-^rr)1�!^ I�rLrytai1 I�/ ' �:1- c— .—. •�T"'a�'/�� L./- r Cr C,heC� Vo(tz c ne 4. Install Sediment Controls. ,,r, 6 c--k-ck �- � sue(ps wit( x' (F f- a Cl 5 5. Stabilize Soils. r, L ( L ( cam it; c� L ,t-�l� 114.A.l�(c ) Cj'rc 6. Protect Slopes. 7. Protect Dr in Inlets. Y2�= (1 ilea/1 In (6' sto rmwa ter site plan template.doc-rev.10/12/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. n/t. fits 4hc4,0,n e,1> ttAii L t i zte> 9. Control Pollutants I fc1 Foil V L et f Q. nGa �L� - (1 �1 e-S ' ine, !W F t si -eetc.u_p . - recur ' needed 10. Control De-Waterint (the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain st Management P actices(BMPs). tt i 1 t( Practices CtA‹c (e_.pai r ac__s 12. Manage the Project. � -� CL&tk Wl.Q.vr C..:itil�-v- c,vLtk � � OY� —S1 CS C'CVt�(r(i) t� (,UOr'V 4;L1 G« ' n Svm no e%:Ar__ 2 Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). !! } (� 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. C; cat l c� .C% { -� :.moom przDie i- sl site„ stormwater site plan template.doc—rev.10/12/2003 9 i i b. Description, of special requirements for working in or near environmentally sensitive areas. 46,11. 1 1�v`� L2,v-C� GAY—x Ct LVL S l?rtCC S _ (. 'j (4,Y lic k 1 rbI 4 Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g., erodibility, settleability, permeability, depth, texture, soil structure). . C, t-t u-4 t� C.eX`e_ek_s �,i; • ' nect\'v e ve�(� `c�'T cry j S i- ��l e . �i G - SeC r1 c i ti .� `t.�IAA fTh 1 -E� 5. Construction Phasing. L � a. Construction sequence ex 5 hear 4- C o rIS.--kYVL* \b/ Lovn c Di - C.1 r�n�' b c us k �ar b r. ne1 stf�s ( C lnC� �>�ble�} It htt12, !. fir"IUD K b. Construction phasing (if proposed) .p&i5 6. Construction Schedule. Wet season is October 1 through April 30 (page 2-21 of the Manual). I. Provide a proposed construction schedule. 1V — Jun II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Lk 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc—rev.10/12/2003 I0 • • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan, and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation (e.g., tree lines, pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches, or ditches. b. Show all temporary and permanent drainage pipes, ditches, or cut-off trenches required for erosion &sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades, dimensions, and direction of flow in all ditches, swales, culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices (BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length, and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe, and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g., concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template.tloc—rev.10/12/2003 11 • • Stormwater Site Plan Changes If the dealer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts") when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Const uction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to t : best of y knowledge. I also certify that this application is being made with the full knowledge and consent of all owne s of t: affe ed roperty. .,/ (LAN!OWNE- ,' THORI EPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 12 stormwater site plan template.doc—rev.10/12/2003 • Loggy Soil and Wetland Consulting W. David Loggy,CPSS and Wetland Specialist P. 0. Box 2347, Port Angeles,WA 98362 P h on e:3 60-45 7-3920—Fax:360-457-0131 Email:wdploggy@olypen.coln 3Z,NtWeb Page: Olypen.com/wdploggy A{ICPACS Specializing in: �. Soil Mapping and Classification Soil Investigations— Soil Site Analysis r:P.ftifiP(1 Wetland Mapping,Delineation and Restoration Soil Redox Potential Monitoring for Hydric Soil Determination CRITICAL AREA STUDY CONDUCTED ON PROPERTY Located in a portion of Section 16 T.30N,R.01W,W.M., Jefferson County,Washington Parcel Numbers: 801161002 1 ( OY' '46 Title Owner: Pacific Funding Corp. Lk P.O Box 1449 Edmonds, WA 98020-1449 Study Requested By: Terry McHugh Proposed Land Action: Boundary Area Adjustment Study Name: Parcel Area 801161002 Regulatory Agency Jefferson County Department of Community Development Reference For Study: Jefferson County Code Title 18 Chapter 18.22 Article VI& VII Study Conducted By: Loggy Soil and Wetland Consulting W. David Loggy, CPSS P.O. Box 2347 Port Angeles, WA 98362-0303 (360) 457-3920 - it November 13,2008 II • r ,•) GOVERNMENT AGENCIES REGULATORY OVERSIGHT FOR WATERS OF THE U.S.INCLUDING WETLANDS. Waters of the US including wetlands are regulated under federal,state,county and city laws and regulations. The lead agency is usually the county or city planning departments within which you live in. Nearly all counties and cites have a minimal size wetland that they will not regulate.Even though certain wetlands may not be regulated under local county or city jurisdiction because of their size and may or may not require buffers,DOES NOT make those areas"non-wetland". Federal and state government agencies regulations require approval and permits before discharging fill into or draining waters of the United States including wetlands,even if the county or city is the lead agency for you project. In some cases you may be required to obtain local, state and federal permits before development related to waters of the U.S.and wetlands. There are certain cases where the Federal Court or the Supreme Court has determined that Federal agencies,such as the US Army Corp of Engineers, do not have jurisdiction over certain types of wetlands. For example,based on a U.S.2001 Supreme Court decision, federal agencies no longer have regulatory oversight for wetlands determined to be isolated that are not associated with interstate commerce use. The Court ruling did not change Washington state laws on wetlands and isolated wetlands are considered waters of the state. Even though a local government or federal agencies may not regulate certain waters of the US including wetlands,does not mean the Washington State government does not. Washington State through the Department of Ecology and Department of Fish and Wildlife regulates all wetlands and waters within the state except for those artificial wetlands intentionally created from nonwetland sites,including,but not limited to,irrigation and drainage ditches,grass-lined swales,canals detentions facilities,wastewater treatment facilities, farm ponds,and landscape amenities, or those wetland created after July 1 1990,that were unintentionally created as a result of the construction of a road,street, or highway. It is prudent to check with appropriate federal,state and local government agencies to secure approval and the proper permits before proceeding to discharge fill into,or drain waters of the United States including wetlands or their buffers. t ,a 1 3 • • INSERTED BLANK PAGE 3 • CRITICAL AREA REPORT CONSULTING COMPANY: Loggy Soil and Wetland Consulting TYPE OF CRITICAL AREA INVESTIGATION: Soils Wetlands Fish & Wildlife Habitat Conservation Areas LAND OWNER OR PURCHASER: Pacific Funding Corp. P.O. Box 1449 Edmonds, WA 98020-1449 APPLICANT: Pacific Funding Corp PROPOSED PROJECT: Boundary Line Adjustment TAX PARCEL NUMBER(S): 801161002 SITE LOCATION: LEGAL LOCATION: Section 16, Township 28 North, Range 1 West, W.M.,Jefferson County, Washington STREET ADDRESS: None ROAD ROUTE INSTRUCTIONS: From Port Townsend Take Highway 20 to Highway 20 and Highway 19 intersection and continue on the Highway 19 to the Chimacum Center Road. Take the Chimacum Center Road to its intersection with Highway 104. The property is on the east side of the Chimacum Center Road at the intersection. The southern end of the parcel is just east across the Chimacum Center Road from the Park and Ride parking area. LAND USE DISTRICTS: 9100—Vacant Land Pacific Funding Corp 801 1610021 I LSWC 11/13/08 • 0 A.EXISTING SITE CONDITIONS: I 1. LANDSCAPE POSITION: HILLSLOPES ® STREAM&RIVER ❑ FLOODPLAINS ❑ BASINS ❑LEVEL TERRACES ❑ DEPRESSIONS ❑ MARINE TERRACES ❑ COASTAL DUNES ❑ ALLUVIAL FAN ❑ MARINE BLUFF ❑ VALLEYS ❑ SWALES ❑LANDSLIDE ❑ LAKES&PONDS ❑OTHER(EXPLAIN) - 2. SLOPE GRADIENT: 10 -60% 3. GEOLOGIC MATERIALS ALLUVIAL ❑ ASH ❑ COLLUVIAL ❑ GLACIAL DRIFT ❑ GLACIAL OUTWASH ❑ COMPACT TILL El LACUSTRINE ❑ • ORGANICS Cl EOLIAN ❑ RESIDUUM ❑ 4. WATER TYPES PRESENT(Table 6, C.C.C.27.12.315): IRRIGATION DITCH ❑ STREAM,RIVER OR LAKE ) IRRIGATION DITCH ASSOCIATED WITH STREAM OR RIVER ❑ STREAM,RIVER POND OR LAKE NAME: Chimacum Creek N/A ❑ TYPE "S"-Shoreline Streams TYPE "F"-Fish Bearing Streams LI TYPE "Np"-Non-Fish Bearing Perennial Streams TYPE "Ns"-Non fish Bearing Seasonal stream?_20%grade. ❑ Type "Ns" "-Non fish Bearing Seasonal stream<20%grade ❑ N/A ❑ The two Np Type Streams are maintained by ground water discharged from the large wetland that is southwest of the eastern most branch of Chimacum Creek located on the parcel. 5. NON-WETLAND AREAS i. VEGETATION TYPE: Most of the upland area east of the most eastern branch of Chimacum Creek was been logged in 2005. The only forested areas remaining are the original stream buffer areas and what appears to be an older second growth red alder area along the east boundary of the parcel. The remaining forest areas are dominantly western red alder and bigleaf maple with some Douglas fir, and Western red cedar mixed in. I'acilic Funding Corp 801 1610022 2 LSWC 11/13/08 • • , EXISTING SITE CONDITIONS CONTINUED ) ii. SOILS NRCS Soil Map Unit and Series:1 Alderwood gravelly sand loam Oto 15%slopes and 15 to 35% Slopes and Sinclair gravelly sandy loam 0 to 15%slopes. Field Identified Map Unit& Series: Alderwood gravelly sand loam Oto 15%slopes and 15 to 35%slopes&Sinclair gravelly sandy loam 0 to 15% slopes. SOIL DEPTH: Shallow❑ Moderately deep ® Deep ® Very Deep ❑ SOIL DRAINAGE: Excessively Well❑ Somewhat Excessively Well ❑ Well ❑ Mod. Well ® Somewhat Poorly ❑ Poorly ❑ Very Poorly ❑ HYDRIC SOILS: YES ❑ NO iii. WATER SOURCE FOR HYDROLOGY: Precipitation ® Unconfined Aquifer,Tidally Influenced ❑ Unconfined Aquifer ❑ Marine,Tidally influenced ❑ Lake ❑ Stream Discharge ❑ iv. AQUIC CONDITIONS: 3 Endosaturation ❑ Episaturation ❑ Anthric Saturation ❑ N/AEl 6. WETLAND AREA i. VEGETATION TYPE: Native Herbaceous ® , Estuarine ❑ Scrub-Shrub El Non-Native herbaceous ❑ Forested ❑ The wetland area is southwest of the most easterly stream channel of Chimacum Creek. The map in Appendix C shows that this large wetland area was logged in approximately 2004...The area is dominantly wetland with some inclusions of uplands with the upland too small to map out. Most of the wetland is a slope wetland with slope gradients greater than 5 percent gradients. There are a least 4 small depressional wetlands areas within the boundaries of the wetland. The slope wetlands consist of a scrub- shrub vegetation cover with salmonberry, red alder saplings with soft rush trailing blackberry as an understory plants. Some Western red alder regeneration on the slope wetland ranges from 8 to 15 feet tall. The depressional areas that make up approximately 20 percent of the wetland area are dominated by soft rush, cattails, small-fruited bulrush and hard hack. 'Soil Survey of Jefferson County Area, Washington, 1975. Fred R. McCreary, United States Department of Agriculture, Soil conservation Service, in cooperation with the Washington Agricultural Experiment Station. Pacific Funding Corp 801 1610023 3 LSWC 1 1/13/08 EXISFING SITE CONDFFIONS CONTINUED A portion of the wetland was delineated on the northwest side of the parcel between the two streams. Once it was determined that the western side of the most easterly branch of the stream was going to stream buffer and wetland and associated buffers with no possible use of that portion of the parcel, the delineation was ordered stopped. The photo map in Appendix B shows the delineated boundary and the boundary of the projected wetland area. • ii. SOILS NRCS SOIL MAP UNIT AND SERIES: Alderwood gravelly sand loam Oto 15%slopes and 15 to 35%slopes&Sinclair gravelly sandy loam 0 to 15%slopes. FIELD IDENTIFIED MAP UNIT&SERIES: Mucky mineral soil and organic soils in the depressional areas and shallow Alderwood and Sinclair gravelly sandy barns on the slopes. SOIL DEPTH: Shallow® Moderately deep ® Deep ® Very Deep ❑ SOIL DRAINAGE: Excessively Well❑ Somewhat Excessively Well Mod. Well ❑ Somewhat Poorly ❑ Well El Poorly ❑ ® Poorly HYDRIC SOILS: YES ® NO ❑ If yes, identify hydric soil criteria: Al Histosol,Fl Loamy Mucky Mineral,All Depleted Below Dark Surface and F3 Depleted Matrix2 iii. WATER SOURCE FOR HYDROLOGY: Precipitation ® Unconfined Aquifer,Tidally Influenced Unconfined Aquifer ® Marine,Tidally influenced ❑ Lake ❑ Stream DischargeEl ❑ iv. AQUIC CONDITIONS: Endosaturation ® Episaturation ® Anthric Saturation ❑ 2 USDA,NRCS. United States Department o Agriculture,Natural Resources Conservation Service. 2006. Field Indicators of Hydric Soils in the United States, Version 6.0. G.W. Hurt, L.M. Vasilas(Eds.). USDA,MtCS in cooperation with the national Technical Committee for Hydric Soils. Pacific Funding Corp 801 1610024 4 I,SWC 11/13/08 • i B. CRITICAL AREA DETERMINATION & DELINEATION: CRITICAL AREA BUFFER REQUIREMENTS The Wetland Rating System for Western Washington,the Depressional HGM Class was used to rate the wetland to determine its wetland category designation because on the ground investigation and photo interpretation indicates that 20 percent of the wetland consist of Depressional HGM. The dominate HDM associated with the wetland is the Slope HGM. Because the depressional wetland was greater than 10 percent of the two different HGM classes (slope + depressional)the wetland was rated using the depressional HGM Class.3 Table Three below lists the wetland rating, functions and other characteristics of the wetland. The Wetland Rating Forms for Western Washington for rating the wetland is provided in Appendix A. TABLE ONE WETLAND FUNCTIONS AND OTHER CHARACTERISTICS CRITERIA FUNCTIONS Wetland Class3 III FUNCTION Potential to Improving Water Quality 6 Opportunity for Decreasing Water Quality No TOTAL for Improving Water Quality 6 Potential for Decreasing Flooding and Erosion 5 Opportunity for Decreasing Flooding and Erosion Yes(score x 2) TOTAL for Decreasing Flooding and Erosion 10 Potential for Habitat 9 Opportunity for Habitat 9 TOTAL for Habitat 18 TOTAL score for all functions 34 Wetland Size Total= 12.0 acres. Buffer Width In Feet 60** Upland Habitat Type Conifer and hardwood mixed forest. Significant Habitat Features None Species Use Deer and song birds Anadromous or resident fish use No Regulated Wetland Yes *See Wetland Rating Field Data Form in Appendix C **See Buffer Width Determination and Marking Section on page 6 for buffer width determination for wetlands in Jefferson County. 3 ftruby,T.2004. Washington State wetland rating system for western Washington—Revised. Washington State Department of Ecology Publication#04-06-025. Page 4 of rating form. Paci fie Funding Corp 801 1610025 5 LSWC 11/13/08 • %ETLAN'CRfr1C i.AREA DETERMINA'ClON& I)ELINEA'I'ION CONTINUED: TABLE TWO USFW WETLAND CLASSIFICATION Water Wetland Sub- Water Chem- Special Habitats System System __ Class Subclass Regimes istry Soil Modifier Vegetated* Palustrine Scrub- Broad— Seasonally Fresh mineral Logged in Shrub and leaved Saturated approximat small areas deciduous and ely 2003 or of and seasonally 04 emergent persistent flooded *Only the small area shown on Jefferson County Critical Maps was mapped by Fish and Wildlife's National Wetlands Inventory(NWI)during the inventory period in Jefferson County. For U.S. Fish and Wildlife classification user's we have classified the wetland as defined in footnoted reference.' BUFFER DETERMINATION AND MARKING TABLE THREE BUFFER WIDTH DETERMINATION5 Land use Impacts Wetland Category Wetland ry characteristics Buffer Width with an Identified Delineated Wetland Boundary Moderate III Habitat score is 18 60 feet. Proposed 1 car port Total score of all Is less than 20 Habitat addition to.a single- functions is 34 points . family residents per 1 acre or larger At the present time there is no buffer marked for the wetland. The portion of wetland boundary that is marked is marked with 3" x 5" orange plastic wire whips. The wetland whips are consecutively numbered. The whips have the station numbers for compass traverse,the date the boundary was established and the lettering LSWC indicating Loggy Soil and Wetland consulting as the delineator. Each wetland whip has an orange wetland boundary ribbon attached to it. 'Cowradin, Lewis M.,Carter, Virginia,Golet,Francis C,LaRoe,Edward T.,Classification of Wetlands and Deepwater Habitats of the United States, U.S.Department of the Interior,Fish and Wildlife Service,December 1997. 5 Jefferson County Code Title 18, Chapter 18.22,Critical Areas, Article VII Wetlands 18.22.330 Protection Standards, Table 18.22.330(1), Approved and signed on March 17, 2008. Pacific Funding Corp 801 1610026 6 1.SWC 1 I/13/08 • INSERTED BLANK PAGE • • APPENDIX A WASHINGTON STATE WETLAND RATING OF WETLAND AREA • • Wetland name or number 7,�If j�. .'J WETLAND RATING FORM—WESTERN WASHINGTON Version 2-Updated July 2006 to increase accuracy and reproducibility among users -1 l %' ,.j yr !,: j,_r'n i(ln1,-I' ::'i: Date of site visit: Name of wetland(if known)::/-;(';.:-. -. . -�' r�. .. Rated by ,(`i 1 t,� •/'"� - 'i I 1 Trained by Ecology? Yes;-‘,No Date of training ,,-' - SEC:5,0 TWNSHP:. `f.',.•`•' RNGE:j 5 Is S/f/R in Appendix D? Yes No X Map of wetland unit: Figure / Estimated size /2 SUMMARY OF RATING Category based on FUNCTIONS provided by wetland I II III /- Iv Score for Water Quality Functions i' Category I=Score>=70 Category II=Score 51-69 Score for Hydrologic Functions / , Category III=Score 30-50 Score for Habitat Functions /4P Category IV=Score<30 TOTAL score for Functions 3 4 Category based on SPECIAL CHARACTERISTICS of wetland i I Il Does not Apply (\ Final Category (choose the"highest"category from above) 0-- Summary of basic information about the wetland unit Wetland'.Unit has;Special Wetland FILM Class Characteristics : used for,'Rating ` . . Estuarine Depressional X Natural Heritage Wetland Riverine Bog Lake-fringe Mature Forest Slope X Old Growth Forest Flats Coastal Lagoon Freshwater Tidal Interdunal None of the above Check if unit has multiple 1111 HGM classes present Wetland Rating Fonn—western Washington 2 August 2004 version 2 • • n Wetland name or number -%V I? - Does the wetland unit being rated meet any of the criteria below? If you answer YES to any of the questions below you will need to protect the wetland according to the regulations regarding the special characteristics found in the wetland. Check List for Wetlands That May Need Additional Protection YES NO (in:addition to the protection recommended for its category) SP I.Has the wetland unit been documented us a habitat for any Federally listed Threatened or Endangered animal or plant species(7/E species)? For the purposes of this rating system,"documented"means the wetland is on the appropriate state or federal database. SP2.Has the wet/and unit been documented as habitat for any State listed Threatened or Endangered animal species? For the purposes of this rating system,"documented"means the wetland is on the appropriate state database. Note: Wetlands with State listed plant species are categorized as Category I Natural Heritage Wetlands(see p. 19 of data form). SP3. Does the wetland unit contain individuals of Priority species listed by the WDFW for the state? / t SP4. Does the wetland unit hm'e a local significance in addition to its functions? For example,the wetland has been identified in the Shoreline Master Program,the Critical Areas Ordinance,or in a local management plan as having special significance. To complete the next part of the data sheet you will need to determine the Hydrogeomorphic Class of the wetland being rated. r The hydrogeomorphie classification groups wetlands into those that function in similar ways. This simplifies the questions needed to answer how well the wetland functions. The Hydrogeomorphic Class of a wetland can be determined using the key below. See p.24 for more detailed instructions on classifying wetlands. • Wetland Rating Form—Western Washington 2 Version 2 August 2tH)i • • Wetland name or number 't((tS'i I�' Classification of Wetland Units in Western Washington if the hydrologic criteria listed in each question do,not apply to the entire unit being rated,you probably have a unit with multiple HCM,classes. in this case,identify Which hydrologic criteria in questions 1-7 apply;and go to Question 8: I.Ar e water levels in the entire unit usually controlled by tides(i.e.except during floods)? NO go to 2 YES—the wetland class is Tidal Fringe If yes,is the salinity of the water during periods of annual low flow below 0.5 ppt(parts per thousand)? YES—Freshwater Tidal Fringe NO—Saltwater Tidal Fringe(Estuarine) Ifyour wetland can he classified as a Freshwater Tidal Fringe use the forms for RiverIne wetlands. If it is Saltwater Tidal Fringe it is rated as an Estuarine wetland. Wetlands that were called estuarine in the first and second editions of the rating system are called Salt Water Tidal Fringe in the Hydrogeomorphic Classification. Estuarine wetlands were categorized separately in the earlier editions,and this separation is being kept in this revision. To maintain consistency between editions,the term"Estuarine"wetland is kept. Please note,however,that the characteristics that define Category I and II estuarine wetlands have changed(see p. ). , 2.The entire wetland unit is flat and precipitation is the only source(>90%)of water to it. Groundwater and surface water runoff arc NOT sources of water to the unit. (NO J go to 3 YES—The wetland class is Flats If your wetland can be classified as a"Flats"wetland,use the form for Depressional wetlands. 3. Does the entire wetland unit meet both of the following criteria? The vegetated part of the wetland is on the shores of a body of permanent open water (without any vegetation on the surface)at least 20 acres(8 ha)in size; At least 30%of the open water area is deeper than 6.6 ft(2 m)? go to 4 YES—The wetland class is Lake-fringe(Lacustrine Fringe) 4.Does thee fire wetland unit meet all of the following criteria? The wetland is on a slope(slope can be very gradual), • 1/"The water flows through the wetland in one-direction(unidirectional)and usually comes from seeps. It may flow subsurface,as sheetflow,or in a swale without /distinct banks. V_I'he water leaves the wetland without being impounded? NOTE: Surface water does not pond in these type pf wetlands except occasionally in very small and shallow depressions or behind hummocks(depressions are usually <3ft diameter and less than I foot deep). l NO go to 5 YES—The wetland class is Slope Wetland Rating Form—Western Washington 3 August 7004 Version 2 R • • Wetland name or number al f/6.•' {;2_ 5.Does the entire wetland unit meet all of the following criteria? The unit is in a valley,or stream channel,where it gets inundated by overbank flooding from that stream or river The overbank flooding occurs at least once every two years. NOTE The riverine unit can contain depressions that are filled with water when the river is onot flooding. NO-go to 6 YES—The wetland class is Riverine 6. Is the entire wetland unit in a topographic depression in which water ponds,or is saturated to the surface,at some time during the year. This means that any outlet,if present, is higher than the interior of the wetlan NO—go to 7 (YES The wetland class is Depressional 7.Is the entire wetland unit located in a very flat area with no obvious depression and no overbank flooding. The unit does not pond surface water more than a few inches.The unit seems to be maintained by high groundwater in the area. The wetland may be ditched,but has no obvious ngt I outlet. `(NO go to 8 YES—The wetland class is Depressional 8. Your wetland unit seems to be difficult to classify and probably contains several different HGM clases. For example,seeps at the base of a slope may grade into a riverine floodplain,or a small stream within a depressional wetland has a zone of flooding along its sides.GO BACK AND IDENTIFY WHICH OF THE HYDROLOGIC REGIMES DESCRIBED IN QUESTIONS 1-7 APPLY TO DIFFERENT AREAS IN THE UNIT(make a rough sketch to help you decide). Use the following table to identify the appropriate class to use for the rating system if you have several HGM classes present within your wetland. NOTE:Use this table only if the class that is recommended in the second column represents 10%or more of the total area of the wetland unit being rated. If the area of the class listed in column 2 is less than 10%of the unit;classify the wetland using the class that represents more than 90%of the total area. I: 11GMClasses li>i himthe wetldfd unit beingratedi :":11.Af'larslo Use in Rating': Slope+Riverine ` Riverine Slope+Depressional t/ • (Depressional) Slope+Lake-fringe Lake-Ilige Depressional+Riverine along stream within boundary Depressional Depressional+Lake-fringe . Depressional • Salt Water Tidal Fringe and any other class of'freshwater Treat as ESTUARINE under wetland wetlands with special characteristics If you are unable still to determine which of the above criteria apply to your wetland,or if you have more than 2 HOM classes within a wetland boundary,classify the wetland as Depressional for the rating. Wetland Rating Form—Western Washington 4 Version 2 August 2004 • • . ( Wetland name or number gO,/(/e/pt%. • D Deprand essional Flats Wetlands Points WATER QUALITY FUNCTIONS indicators that the wetland unit functions to (°nay 1 score per boa) improve water quality . D D 1. Does the wetland unit have the potential to improve water quality? (see p.38) D 1.1 Characteristics of surface water flows out of the wetland: Figure_ Unit is a depression with no surface water leaving it(nu outlet) points=3 D Unit has an intermittently flowing.OR highly constricted permanently flowing outlet points=2 Unit has an unconstricted,or slightly constricted,surface outlet(pernraaently flowing)points-1 Unit is a"flat"depression(Q.7 on key),or in the Flats class,with permanent surface outflow and nu obvious natural outlet and/or outlet is a man-made ditch points I (If ditch is not permanently flowing treat unit as"iniermittentlyflowing") . Provide photo or drawing / S 1.2 The soil 2 inches below the surface(or duff layer)is clay or organic (use ARCS definitions) D YES points=4 0 NO points=0 t D 1.3 Characteristics of persistent vegetation(emergent,shrub,and/or forest Cowardin class) Figure_ Wetland has persistent,ungrazed,vegetation>=95%of area points=5 G U D Wetland has persistent,ungrazed,vegetation>=1/2 of area points=3 P f,° ::: , Wetland has persistent,ungrazed vegetation>=1/10 of area points=1 Wetland has persistent,ungrazed vegetation<1/10 of area points=0 Map of Cowardin vegetation classes ✓ D1.4 Characteristics of seasonal ponding or inundation. Figure_ This is the area of the wetland rail that is ponded far at least 2 months,Intl dries out D sometime during the year. Do not count the area that is permanently ponded. Estimate f F ' t 1(<y,4,1, q(p area as the average condition 5 out of 10 yrs. ' 1 . / Area seasonally ponded is>%2 total area of wetland points=4 I t F' •1{ f',,'''• Area seasonally ponded is>''A total area of wetland points=2 �.;,.�F`.? Area seasonally ponded is<'/+ total area of wetland points=0 /;- Map of Hydroperiods t'.) D Total for D 1 Add the points in the boxes above I 4 D D 2.Does the wetland unit have the opportunity to improve water quality? (see p.44) Answer YES if you know or believe there are pollutants in groundwater or surface water coming into the wetland that would otherwise reduce water quality in streams,lakes or groundwater downgradient from the wetland.Note which of the following conditions provide the sources of pollutants. A unit may have pollutants coming from several sources,but any single source would qualify as opportunity. — Grazing in the wetland or within 150 ft — untreated stormwatcr discharges to wetland — Tilled fields or orchards within 150 ft of wetland — A stream or culvert discharges into wetland that drains developed areas,residential areas, farmed fields,roads,or clear-cut logging — Residential,urban areas,golf courses are within 150 ft of wetland multiplier — Wetland is fed by groundwater high in phosphorus or nitrogen — Other YES multiplier is 2 NO multiplier is 1 D TOTAL-Water Quality Functions Multiply the score from DI by D2 / Add score to table on p.1 f� • Wetland Rating Form—Western Washington 5 August 2004 Version 2 l� R 7( ScIb.t 1 tt. V J C. / ())t ill a. -1-1. P. f (%' C r , 11tlSt���r ft t/1i IC4i� /KC� ? "r'� '1 j • :/r't1•t << y t 1 �.I rj1 j 1t9 t.')" , t?fi ( F49`!'. 1.'' • 'fry: f I. 3 • r Wetland name or number v�9/ice,� D Depressional and Flats Wetlands HYDROLOGIC FUNCTIONS - Indicators that the wetland unit functions to Points r reduce tloodin. and stream degradation • per box) D 3. Does the wetland unit have the potential to reduce flooding and erosion? D D 3.1 Characteristics of surface water flows out of the wetland unit (see p.46) Unit is a depression with no surface water leaving it(no outlet) Unit has an intermittently flowing,OR highly constricted permanently flowing outlet points=points=4 2 Unit is a"flat"depression(Q.7 on key),or in the Flats class,with permanent surface outflow and no obvious natural outlet and/or outlet is a man-made ditch (If-ditch is not permanentivJlotving treat unit as"inrerntittenr/rfloiving") points=I Unit has an unconstricted,or sJightl•constricted.surface outlet ( erntwtent/y flowing) .oints=0 D D 3.2 Depth of storage during wet periods Estimate the height of ponding above the bottom of the outlet.Fir unite with no outlet measure from the surface ofpermanent water or deepest part(rf.dry). Marks of ponding are 3 ft or more above the surface or bottom of outlet The wetland is a"headwater"wetland" points=7 Marks of ponding between 2 fl to<3 ft from surface or bottom of outlet points=5 Marks are at least 0.5 ft to<2 Il from surtltce or bottom of outlet ppoints=5 llnil is llat(yes to Q.2 or Q.7 on key)but has small depressions on the surface thattts trap 3 water Marks of.ondin• less than 0.5 ft points=I D D 3.3 Contribution of wetland unit to storage in the watershed ••iris=0 D Estimate the ratio of the area ofupslream basin contributing surface water to the wetland to the area of the wetland unit itself The area of the basin is less than I0 times the area of unit The area of the basin is 10 to 100 times the area of the unit points=3 The area of the basin is more than 100 times the area of the unit points0 Entire unit is in the I-'LA.'S class Ponns==0 D Total for D 3 oints=5 Add the points in the bores above D D 4. Does the wetland unit have the 2pportunf[v to reduce flooding and erosion? (see p.49)1 Answer YES if the unit is in a location in the watershed where the flood storage,or reduction in water velocity,it provides helps protect downstream property and aquatic resources from flooding or excessive and/or erosive flows. Answer NO if the water coming unto the wetland is controlled by a structure such as flood gale,tide gate,flap valve,reservoir etc.OR you estimate that more than 90%ofthe water in the wetland is from groundwater in areas where damaging groundwater flooding does not occur. Note w ich of the following indicators of Opportunity apply. Wetland is in a headwater ofa river or stream that has flooding problems — Wetland drains to a river or stream that has flooding problems — Wetland has no outlet and impounds surface runoff water that might otherwise flow into a river or stream that has flooding problems multiplier — Other YES multi slier is2 NO muhislieris1 D TOTAL -Hydrologic Functions Multiply the score from D 3 by D 4 Add score to table on p. l w Wetland Rating Form-Western Washington Versions 2 6 2004 • ( Wetland name or numberv0(((.z(oO 2 These questions op.ply to wetlands of all HGM classes. Points(only,score- HAH1TAT FUNCTIONS Indicators that unit hinctions to prop ide inlportant habitat. Pa boo) H I. Does the wetland unit have the potential to provide habitat for many species? 11 1.1 VicecCttion structure(see p. 72) Figure_ Check the types of vegetation classes present(as defined by Cowardin)-Size threshold for each class is;acre or more than 10%of the area if unit is smaller than 2.5 acres. Aquatic bed ' Emergent plants Scrub/shrub(areas where shrubs have>30%cover) _Forested(areas where trees have>30%cover) 1 f the unit has ca forested class check if. The forested class has 3 out of 5 strata(canopy,sub-canopy,shrubs,herbaceous, moss/ground-cover)that each cover 20"/o within the forested polygon Add the number of vegetation structures that qualify. If you have: 4 structures or more points=4 3 structures points=2 Map of Cowardin vegetation classes 2 structures points=I 1 structure points=0 111.2.hvdroperiods(seep. 73) Figure,_ Check the types of wader regimes(hvdroperiods)present within the wetland. The wader regime has to cover more than 10%of the wetland or''A acre to count.(see text for , descriptions of hydroperiods) _Permanently flooded or inundated 4 or more types present points=3 V Seasonally flooded or inundated 3 types present points=2 _Occasionally flooded or inundated 2 types present point=1 V Saturated only I type present points=0 • Permanently flowing stream or river in,or adjacent to,the wetland _Seasonally flowing stream in,or adjacent to,the wetland _Lake fringe wetland=2 points f (•: _Freshwater tidal wetland=2 points Map of hydroperiods I-I 1.3.Richness of Plant Species(seep. 75) Count the number of plant species in the wetland that cover at least 10 ft2. (different patches of the same species can be combined to meet the size threshold) You do not have to name the species. Do not include Eurasian Milfoil,reed canarygrass,purple loosestrife, Canadian Thistle If you counted >19 species points=2 species points=1 List species below i/'you want to: 5-19 s p <5 species points=0 / Total for page Wetland Rating Form-Western Washington 13 August 2004 Version 2 ) • 0 Wetland name or number`%b ?;:-..:',: 2-- I-I 1.4.Interspersion of habitats(seep. 76) Figure—Decide from the diagrams below whether interspersion between Cowardin vegetation classes(described in H 1.1).or the classes and unvegelated areas(can include Open water or mudtlats)is high,medium,low,or none. ED 0 E*) .z5._____gimt„ None=0 points Low=l point Moderate=2 points N'.::„„IH.::;:..1C [riparian braided channels] High =3 points NOTE:I fyou have four or more classes or three vegetation classes and open water the rating is always"high". Use map of Cowardin vegetation classes H 1.5.Special Habitat Features:(seep. 77) Check the habitat features that are present in the wetland The number of checks is the / number ofpoints you put into the next column. Y Large,downed,woody debris within the wetland(>4in.diameter and 6 Il long). __Standing snags(diameter at the bottom>4 inches)in the wetland Undercut banks are present for at least 6.6 0(2m)and/or overhanging vegetation extends at least 3.3 ft(1 m)over a stream(or ditch)in,or contiguous with the unit,for at least 33 li (10m) _Stable steep banks of tine material that might he used by beaver or muskrat for denning (>30degree slope)OR signs of recent beaver activity are present(cut shrubs or trees that have not yet turned grewbrohvn) V At least'A acre of thin-stemmed persistent vegetation or woody branches are present in areas Vthat are permanently or seasonally inundated.(structures for egg-laying by amphibians) Invasive plants cover less than 25%of the wetland area in each stratum of plants NOTE:The 20%stated in early printings of the manual on page 78 is an error. H 1.TOTAL Score- potential for providing habitat 1 (4 ,1'1 Add the scores from Hl.1, H1.2, HJ.3, H1.41.5 Comments �____J Wetland Rating Form-Western Washington 14 Version 2 August 2004 • ' .la Wetland name or number?9G�1,lC. b.. .10 H 2.Does the wetland unit have the opportunity to provide habitat for many species? H 2.1 Buffers (seep.30) Figure_ Choose the description that best represents condition of buffer of wetland unit.The highest scoring criterion that applies to the wetland is to he used in the rating.See text for definition of "undist urbed" • — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water >95% of circumference. No structures are within the undisturbed part of buffer. (relatively undisturbed also means no-grazing,no landscaping,no daily human use) Points=5 — 100 in(330 II)of relatively undisturbed vegetated areas,rocky areas,or open water > 50% circumference. Points=4 — 50 m(170f1)of relatively undisturbed vegetated areas,rocky areas,or open water>95% circumference. Points=4 — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water>25% �circumference,. Points=3 50 m(I 7011)of relatively undisturbed vegetated areas,rocky areas,or open.water for> 50%circumference. Points=3 If butler does not meet any of the criteria above • — No paved areas(except paved trails)or buildings within 25 m(8011)of wetland>95% circumference. Light to moderate grazing,or lawns are OK. Points=2 — No paved areas or buildings within 50m of wetland for>50%circumference. Light to moderate grazing,or lawns are OK. Points=2 — Heavy grazing in buffer. Points=i — Vegetated buffers are<2m wide(6.611)for more than 95%of thc circumference(c.g.tilled• fields,paving,basalt bedrock extend to edge of wetland Points=0. — Buffer does not meet any of the criteria above. Points=1 3 Aerial photo showing buffers H 2.2 Corridors and Connections(see p.81) H 2.2.1 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 150 ft wide,has at least 30%cover of shrubs,forest or native undisturbed prairie,that connects to estuaries,other wetlands or undisturbed ( uplands that are at least 250 atres in size'? (dams in riparian corridors,heavily used gravel roads,paved roads,are considered breaks in the corridor YES=4 points (go to H 2.3) NO go to 14 2.2.2 H 2.2.2 is the wetland part of a relatively undisturbed and ken vegetated corridor (either riparian or upland)that is at least 50ft wide,has at least 30%cover of shrubs or forest,and connects to estuaries,other wetlands or undisturbed uplands that arc at least 25 acres in size? OR a Lake-fringe wetland,if it does not have an undisturbed corridor as in the question above? -, YES=2 points (go to H 2.3) !NO H 2.2.3 H 2.2.3 is the wetland: � v1;ithin 5 mi(8km)of a brackish or salt water estuary OR7 within 3 mi of a large field or pasture(>40 acres)OR within 1 mi of a lake greater than 20 acres? YES=1 point NO 0 points Total for page '71 Wetland Rating Form—Western Washington •IS August 2U04 Version 2 • • ( ' Wetland name or mmthcrG' '!c f t^pci • I H 2.3 Near or adjacent to other priority habitats listed by WDFW(see new and complete 1 descriptions of 1-I/DPW priority habitats,and the counties in which they can he found,in the PHS'report hno:•i Sr.dj::.by..; n:-'rUh:f'tr.iiiSLirtnr) j Which of the following priority habitats are within 330ft(100m)of the wetland unit?:VOTE:the connections do not have to he relatively arcisturhed Aspen Stands: Pure or mixed stands of aspen greater than 0.4 ha(I acre). _Biodivcrsity Areas and Corridors:Areas of habitat that are relatively important to various species of native fish and wildlife(Jill/descriptions in WDFt1'PHs report p. 152). jierbaceous Bolds:Variable size patches of grass and fortis on shallow soils over bedrock. tr Old-growth/Mature forests:(Old-growth west of Cascade crest)Stands of at least 2 tree species,forming a multi-layered canopy with occasional small openings;with at least 20 trees/ha(8 trees/acre)>81 cm(32 in)dbh or>200 years of age. (Mature forests) Stands with average diameters exceeding 53 cm(21 in)dbh;crown cover may be less that 100%; crown cover may he less that 100%;decay.decadence.numbers of snags.and quantity of large downed material is generally less than that found in old-growth:80-200 years old west of the Cascade crest. Oregon white Oak: Woodlands Stands of pure oak or oak/conifer associations where canopy coverage of the oak component is important(full descriptions in WDElli PH.S report p. /38').� I�Riparian: t'he area adjacent to aquatic systems with flowing water that contains elements of • both aquatic and terrestrial ecosystems which mutually influence each other. _Westside Prairies: Herbaceous,non-forested plant communities that can either take the form ofa dry prairie or a wet prairie(+oil descriptions in WDFW Pi-I,Srepnrt p. 161). lnstr,eam:The combination of physical.biological,and chemical processes and conditions ( T� that interact to provide functional life history requirements for instream fish and wildlife resources. _Nearshore:Relatively undisturbed nearshore habitats. These include Coastal Nearshore, Open Coast Nearshore.and Puget Sound Nearshore.(lid!descriptions of-habitats and the definition of relatively undisturbed um in WDFW report:pit. 167-169 and glossary in Appendix.4). Caves:A naturally occurring cavity,recess,void,or system of interconnected passages under the earth in soils,rock. ice,or other geological formations and is large enough to contain a human. Cliffs:Greater than 7.6 Ill(25 ft)high and occurring below 5000 ft. _Talus: Homogenous areas of rock rubble ranging in average size 0.15-2.0 m(0.5-6.5 ft), composed of'basalt,andesite,andorsedimentary rock,including riprap slides and mine tailings.May be associated with cliffs. Snags and Logs: Trees are considered snags if they are dead or dying and exhibit sufficient decay characteristics to enable cavity excavation/use by wildlife.Priority snags have a diameter at breast height of>51 cm(20 in)in western Washington and are>2 m(6.5 ft)in height. Priority logs are>30 cm(12 in)in diameter at the largest end,and>6 in(20 ft) long. If wetland has 3 or more priority habitats=4 points If wetland has 2 priority habitats=3 points If wetland has l priority habitat=1 point No habitats 0 poi Note:All vegetated wetlands are by definition a priority la uu ,at are not included in this list. Nearby wetlands are addressedill yuesvintr H 2.4) 2. Wetland Rating Form—western Washington 16 version 2 Updated with new WDFW definitions Oct.200S August 2004 • 0 ( Wetland name or number�/1 C:f b�2- 3 li 2.4 Wetland Landscape(choose the one description of the landscape around the wetland that best fhs)(see p.84) There are at least 3 other wetlands within'/r mile,and the connections between them are relatively undisturbed(light grazing between wetlands OK,as is lake shore with some hosting,but connections should NOT be bisected by paved roads,till,fields,or other development. points=5 • The wetland is Lake-fringe on a lake with little disturbance and there are 3 other lake-fringe wetlands within'A mile points=5 There are at least 3 other wetlands within'h mile,BUT the connections between them are disturbed points=3 The wetland is Lake-fringe on a lake with disturbance and there are 3 other lake-fringe wetland within'A mile points=3 There is at least 1 wetland within''A mile. points=2 There arc no wetlands within'A mile, points=0 j v H 2.TOTAL Score opportunity for providing habitat 11.-- a Add the scores from H2.1,H2.2,H2.3, 112.4 __l__ TOTAL for H 1 from page 14 9 Total Score for Habitat.Functions —add the points for I-I I,I-1 2 and record the result on p. 1 • Wetland Rating Form—Western Washington 17 August 2004 Version 2 • • .)I. Wetland name or number CSL%s/4./Gf,2-, CATEGORIZATION BASED ON SPECIAL CHARACTERISTICS Please determine if the wetland meets the attributes described below and circle the appropriate answers and Category. Wetland Type Check off any criteria that apply to the wetland. Circle the Category when the Category a ro Mate criteria are met. SC 1.0 Estuarine wetlands(see p. 86) Does the wetland unit meet the following criteria for Estuarine wetlands? — The dominant water regime is tidal, — Vegetated,and — With a salinity greater than 0.5 ppt. YES= Co to SC 1.1 NO (/ SC 1.1 Is the wetland unit within a National Wildlife Refuge,National Park, National Estuary Reserve,Natural Area Preserve,State Park or Educational, Cat.I Environmental,or Scientific Reserve designated under WAC 332-30-151? YES=Cate•ory I NO!o to SC 1.2 SC 1.2 Is the wetland unit at least 1 acre in size and meets at least two of the following three conditions? YES=Category I NO=Category 11 Cat.I —The wetland is relatively undisturbed(has no diking,ditching,filling, cultivation,grazing,and has less than 10%cover of non-native plant Cat. II species. If the non-native Spartina spp.are the only species that cover more than 10%of the wetland, then the wetland should be given a dual rating(MI). The area of Spartina would be rated a Category 11 while theDunl relatively undisturbed upper marsh with native speciesrating 1 Category 1. Do not,however,exclude the area o partina in be a 1/1i determining the size threshold of 1 acre. —At least%of the landward edge of the wetland has a 100 ft buffer of shrub,forest,or un-grazed or un-mowed grassland. —The wetland has at least 2 of the following features:tidal channels, depressions with open water,or contiguous freshwater wetlands. • Wetland Rating Form—Western Washington Version 2 l3 August 2004 • • . ( il Wetland numc or number 1.16 I/ /:2D.7.-/ SC 2.0 Natural Heritage Wetlands (seep.87) Natural Heritage wetlands have been identified by the Washington Natural Ileritage Cat.I Prugn+m/DNR as either high quality undisturbed wetlands or wetlands that support state Threatened,Endangered,or Sensitive plant species. SC 2.1 is the wetland unit being rated in a Sectitm/Township/Range that contains a Natural Heritage wetland? (this question is used to screen out most sites before you need to contact WiVHP/DIVR) StI/R intimnation from Appendix D_or accessed from WNHP/DNR web site _ / YES —contact WNHP/DNR(see p.79)and go to SC 2.2 NO i/ SC 2.21.1as DNR identified the wetland as a high quality undisturbed wetland or as or as a site with state threatened or endangered plant species? YES=Category I NO not a Heritage Wetland SC 3.0 Bogs (seep.87) Does the wetland unit(or any part of the unit)meet both the criteria for soils and vegetation in bogs?Use the key below to identin,ifthe wetland is a bog. If you answer yes you will still need to rate the wetland based on its functions. I. Does the unit have organic soil horizons(i.e.layers of organic soil),either pests or mucks,that compose 16 inches or more of the first 32 inches of the soil profile?(See Appendix B - a field key to identify organic soils)?Yes- go to Q.3 N -go to Q.2 2. Does the unit have organic soils,either peats or mucks that are less than 16 inches deep over bedrock,or an impermeable hardpan such as clay or volcanic ash,or that are floating on a La• or pond? Yes-go to Q.3 (Nt -Is not a bog for purpose of rating 3. Does the unit have more than 70%cover of mosses at ground level,AND other plants,if present,consist ofthe"bog"species listed in Table 3 as a significant component of the vegetation(more than 30%of the total shrub and herbaceous cover consists of species in Table 3)? Yes—Is a bog for purpose of rating No- go to Q.4 NOTE:If you are uncertain about the extent of mosses in the understory you may substitute that criterion by measuring the pH of the water that seeps into a hole dug at least 16"deep. If the pl-i is less than 5.0 and the "bog"plant species in Table 3 are present,the wetland is a bog. 3. Is the unit tbrested(>30%cover)with sitka spruce,sutsalpine fir,western red cedar,western hemlock,lodgepole pine,quaking aspen,Englemann's spruce,or western white pine,WITH any of the species(or combination of species)on the bog species plant list in'fable 3 as a significant component of the ground cover(>30%coverage of the total shrub/herbaceous cover)? 4. YES= Category i No Is not a bog for purpose of rating Cat.I Wetland Rating Form—Western Washington 19 August 2004 Version 2 4 • • Wetland name or number^6i i'[n'.Gn^•_) SC 4.0 Forested Wetlands(see p. 90) i."111.11.1. Does the wetland unit have at least I acre of forest that meet one of these criteria for the Department of Fish and Wildlite's forests as priority habitats? If you answer yes you will still need to rate the wetland based on its functions. — Old-growth forests:(west of Cascade crest)Stands of at least two tree species, forming a multi-layered canopy with occasional small openings;with at least 8 trees/acre(20 trees/hectare)that are at least.200 years of age OR have a diameter at breast height(dbh)of 32 inches(81 cm)or more. NOTE:The criterion for dbh is based on measurements for upland forests. Two-hundred year old trees in wetlands will often have a smaller dbh because their growth rates are often slower. The DFW criterion is and"OR" so old-growth forests do not necessarily have to have trees of this diameter. — Mature forests:(west of the Cascade Crest)Stands where the largest trees are 80—200 years old OR have average diameters(dbh)exceeding 21 inches (53cm);crown cover may be less that 100%;decay,decadence,numbers of snags,and quantity oflarge downed material is generally less than that found in old-growth. YES= Category I NO not a forested wetland•with special characteristics Cat.1 SC 5.0 Wetlands in Coastal Lagoons(seep. 91) Does the wetland meet all of the following criteria of a wetland in a coastal lagoon? — The wetland lies in a depression adjacent to marine waters that is wholly or partially separated from marine waters by sandbanks,gravel banks, shingle,or,less frequently,rocks —The lagoon in which the wetland is located contains surface water that is • saline or brackish(>0.5 ppt)during most of the year in at least a portion ) of the lagoon(needs to be measured near the bottom) YES=Co to SC 5.1 NO a wetland in a coastal lagoon SC 5.1 Does the wetland meets all ol'the following three conditions? —The wetland is relatively undisturbed(has no diking,ditching,filling, cultivation,grazing),and has less than 20%cover of invasive plant species(see list of invasive species on p.74). —At least%of the landward edge of the wetland has a 100 ft buffer of shrub,forest,or un-grazed or un-mowed grassland. —The wetland is larger than 1/10 acre(4350 square feet) YES=Category I NO=Category 11 Wetland Rating Form—Western Washington 20 Version 2 August 2004 • • Wetland name or number 8o//r/Cec:z SC 6.0 Interdunal Wetlands (see p. 93) Is the wetland unit west of the 1889 line(also called the Western Boundary of Upland Ownership or W13UO)? YI:S-go to SC 6.1 NO % not an interdunal wetland for rating If You answer yes you will still need to rate the wetland based on its functions. In practical terms that means the following geographic areas: • Long Beach Peninsula-lands west of SR 103 • Grayland-Westport-lands west of SR 105 • Ocean Shores-Copalis-lands west of SR 115 and SR 109 SC 6.1 Is the wetland one acre or larger,or is it in a mosaic of wetlands that is once acre or larger? YES=Category II NO—go to SC 6.2 Cat.11 SC 6.2 Is the unit between 0.1 and I acre,or is it in a mosaic of wetlands that is between 0.1 and I acre? YES=Category III Cat. 111 Category of wetland based on•Special Characteristics; Choose the."highest"rating if wetldnd falls into.several categories and record on p / If you answered NO for all types enter`,Not Applicable"on pi • Wetland Rating Form—Western Washington 21 August 2004 Version 2 • • • may. 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