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HomeMy WebLinkAbout060313_ra01Regular Agenda JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Carl Smith, Director, Department of Community Development Stacie Hoskins, Planning Manager, DCD ~' DATE: June 3, 2013 SUBJECT: Deliberation and Decision regarding Establishment of the Final docket for the 2013 Comprehensive Amendment Cycle STATEMENT OF ISSUE: Pursuant to Chapter 18.45.060(4)(b) of the Unified Development Code (UDC), Title 18 of the Jefferson County Code (JCC), a preliminary docket was not required this year as Jefferson County received only two site-specific Comprehensive Plan Amendments. A suggested amendment for increasing density allowances in Jefferson County's West End was initiated by the Planning Commission and subsequently unanimously decided to be put on hold to allow for an action plan in advance of consideration in 2014. The Planning Commission further approved a motion with a vote of 4-2-0 to, "Collect information from the residents of the West End sufficient for us to develop MLA13-00042, collected by the end of 2013 and discussed by the Planning Commission." No other suggested amendments were submitted to the Department of Community Development by the Mazch 1, 2013 deadline. Attachments: Administrator's Report Preliminary Docket with Full Applications ANALYSIS/STRATEGIC GOALS/PROS and CONS: Per JCC18.45.050 Formal site-specific applications for amendments that are properly and timely filed under JCC 18.45.040(2)(a) shall be placed on the final docket for consideration during the current annual amendment process. Per JCC 18.45.060(4)(c) The decision of the board of county commissioners to adopt the final docket does not constitute a decision or recommendation that the substance of any formal site-specific, suggested, or planning commission recommended amendment should be adopted. FISCAL IMPACT/COST-BENEFIT ANALYSIS: Cost of the decision to docket: None, all costs to process the applications are born by the applicants. Regular Agenda RECOMMENDATION: Staff recommends the Board adopt the Final Docket to include: 1. MLA12-00274, by Gary McLuen, a Site Specific Proposal to rezone land designated RR 1:10 and RR 1:20 to all RR 1:10. 2. MLA13-00045, by John Boulton, a Site Specific Proposal to rezone land designated RF 1:40 to Prime Agricultaral (AP1:20). REVIEWED BY: /~ ~ ilip Morl unty A ~ strator ~lZ~l~ Date 2 t; c SEiF~'ERSOIV C(7ttS3TY °~, DEPARTMENT OF CE}MMUNITY I?EVELC?PMElYT 621 Sheridan Street.) Port Townsend, WA 9636$ ~ Web w+ww.cro.ieffersorrwa.us/commurrltadevelooment .n or Tel: 360.379.4450 ~ Fax: 360.379 4451 ~ Email: ded ,jgfterson.wa.us G~ Permits 8 Inspecfions ~ ~veJoprr~nt Cnnsrstency Review ~ Long Range Ptaitning ~ Watershed Stewattship Resource Center Administrator's:Report on the Suggested Amendment ZQ13 Comprehensive Plan Amendment Cycle To: Jefferson County 13oard of Cammssioneis {I3oCC}, County Administrator, Planning Commission, and Interested Parties. Fr: Stacie Hoskins, Planning Manager ~{;{~ Date: March 12, 20I3 (,} Re: DCD review nf'Preliminary Docket for 2013 Comprehensive Plan Amendment Cycle and Administrator's Report for the 2013 Final Docket BackerouQd Pursuant to Chapter I8.45 of the Jefferson County :code, DCD is charged with the task of reviewing suggested amendments on the Preliminary Docket for'the Annual Comprehensive Plan Amendment Cycle and preparing a report connerning which suggested amendments strould be placed on the Final Docket. In so doing, staff is required to address the need, urgency, and appropriateness of each suggested amendment and to include the following considerations in their recommendation: a) The availability of suffecient DCD staffto substantively review the suggested amendments and:manage the public-review process. b) Anticipated DCD cost and budget for processing the suggested amendments. 'these recommendations consider the proposed amendments in the context of need, urgency, and appropriateness, and also based upon available resources. Sui?eested Amendments There is one {1) suggested omprehensivePlan amendment on the Preliminary Docket (see attached).. The suggested amendment. is proposed by the Jefferson County Planning Commission. Complete copies of each application have been provided to the Planning: Commission and the BoCC. There<is a webpage dedicated to the 2013 Cycle that can be accessed' from the County homepage: http://www.co.jefferson.wa.us/commdeve]opmentlCP I7DCamendments.htm Formal Site•Specific Amendments In addition to the suggested amendment,leffeeson County has receued twn (2) formal site-spee~c amendment applications for a total three (3) proposed amendments. Pursuant to JCC 1$.45.050(3), site-specific applications are automatically included onthe Final Docket. Discussion of DCD Staff Snfficieacy DCD's staff resources: have been significantly reduced, and he 2013 work plan reflects this reduction in force. Urgency of some projects and state requirements often direct the focus of the Long Range Planning (J ItP}work plan. Inclusion of suggested amendments nn the Final Docket shall consider LRP resources and. workload. Suggested amendments are financed b}'the gexieral fund and are not fee-supporked. Anticipated DCD Cost and Budget. Application fees have been collected for the two site-specific amendments. Some applications have the potential to require much more personnel time and expense due t4 the level of potential environmental impacts and the public interest in these applications. The scale, complexity, and potential contrgversy of the rezoning thousands of acres on the West End are a challenge to DCD staffing. Specifically, the cost of staffing to process this amendment, proposal exceeds the standard cost per applieatiatt of $3,4D8. Current DCD staff resources are insufficient to complete review of this proposal without additional resources. Plannin>= Commission Work Plan in addition to staff time, it should be noted that all Comprehensive Plan amendments require review by the. Planning Commission. The Planning Commission will need to consider other issues during this year, including, but not limited to; substantive review and public process related to: • 2013 Comprehensive Pfan Amendment Cycle: two site-specific rezone requests Pleasant Harbor Master Planned Resort development agreement, zoning code, zoning map with associated supplemental EIS; • UDC text amendment to update the Sign Gode; • UDC textamendment to address permitadministratfon issues; The Planning Commission regular meeting schedule includes one meeting per month.. A review of the 2013 Planning Commission schedule of tasks argues for a reduced work plan, as the number of suggested amendments included on the Final Docket ditectly affects the Planning Commission's ability to provide thorough and thoughtful amendment review. Following is a summary description of the suggested amendmentorr the Preliminary Docket and staff comments in relation to project demand with respect to need, urgency, and appropriateness, and in the context of available resources: I, MLA13-42 proposed by Jefferson County Planning Commission, requesting the Following: Rezone lands designated Rural Residential in Jefferson County's West, End (RR 1:10 and RR 1:20) to RR I:S. Approximately 1,907 acres of land are zoned ItR 1:10 and 23, 983 acres aze zoned ItR 1:20. Starecagnizes that this proposed amendment will command a substantial degree of County resources to implement. Conclusion Based on an assessment of need, urgency, and appropriateness, as well as considerations of DCD staffing levels;. anticipated cost and budget, and current countywide budget conditions, staff recommends that the suggested amendment; MLA13-42, nor be included as the suggested amendment an the 2013 Comprehensive Plan Final Docket. If the suggested amendment is not docketed by the BoCC, the Final Docket. will be composed ofa total of the two (2)site-specific applications that are automatically included. For the aforementioned reasons, DCD recommends that the Final Docket be limited to a sum total of two (2) amendment proposals. Should the Board decide to include the suggested amendment or the Planning Commission deems additional committeesnecessary, we recommend tihe Board grant DCD the authority and funding to obtain additional staffing. If the PIanning Commission chooses to pursue this suggested amendment, they will hold a public hearing an whether to recommend inclusion of the suggested amendments on the final docket at their regularly scheduled meetingonMay 1, 2004. Per JCC 18.45.060(4)(x), `"The Board of County Commissioners may adapt the Planning Commission's recommended Final Docket without a public hearing; however, in the event that a majority of the Board of County Commissioners decides to add or subtract suggested amendments, it shall first Bold a public tearing..." w4SON oG w4 a ~ ~ ySNINGSp~ JEFFERSON COUNTY Department ofi Community Development 622 Sheridan Street Port Townsend, WA 98368 2013 Annual Cycle Comprehensive Plan Amendment PRELIMINARY DOCKET 3/6/13 MLA# APPLICANT/AGENT PARCEL 12-274 Gary McLuen/Bill Marlow 901054003 Site Specific Proposal: Re-zone land designated RR 1:10 and RR 1:20 to all RR 1:10. 13-45 John Boulton/Doug Mason 802141005 Site Specific Proposal: Re-zone land designated RF 1:40 to Prime Agricultural (AP1:20). 13-42 Jefferson County Multiple/TBD Suggested Proposal: Re-zone West End land designated RR 1:10 and RR 1:20toRR1:5. 3-6-2013 .~~~~E~son(couNTY DEPARTMENT OF COMMUNITY_DEVELOPMENT 621. Sheridan Street • Port Townsend • Washington 98368 3601379-4450 • 3601379-4451 Fax wwW.co.jefferson.wa. usJcommdevelnpment CVlaster Permit Application P separate sheets as necessary): Size: Site Adttress anditir Directions to Property: Property Uuner{s} ~ Record: ,_ ~ ~/? ~~ 3`1`1° ~~`1~ fax: Mailing Address:' /'5.~, }_~ AppSicanflAgent {it' different from Mailing Address What kind off ermit~ {Ciectc each boz that applies ^9uitding ~ Demolition Permit ^ Single Family ^ Garage Attached !Detached Ma!iufacturedHCine . ^ fAcdutar O Commercial « L Change of Use ^ Address ^ Road Approach L71-come Business ^ Cottage Industry © Propane ~ Siyn C3 Allowed "Yes' Use Consistency Analysis ©Stormwater Management ~ Site PlanApprovatAdvance Determination {SPAAD) « ^ Temporary Use Vifireless Tetecommtinicaifon ` .] Fdrest f radices AcURelease of Six-Year Moratorium " May require a:Pre -Appllcatloa Conference ^ Lotor Road D CritiplArea M1~4: _ ~C~ °t'~ t `f email: email: ^ Conditional Use.(C(a), C{d), or G] `« l~ ^ Discretionary "D° or Unn~rped us~ C , ~ fica~' n ^ Special Use (essential RubTc Fatitih O Boundary Lire Adjustment ! Short Plat""_ ` ' ; ~ Binding Site Plan `« I'i'rr ~ , ~ t tvlY ^ Long Plat "* ^^ ~ , ~ I ~: ^~~ e-z<tt Ptamfetl Rural Resrdent~l Development (PRR©~>~-mi;ndmenis "« ~ Plat VacationlAlterafron " O Shoreline MasierProgram Exemp6onlPertnit Revisions "• ^ Shoreline Management Substantial Deuetapment «" ^ Shdreline Management Variance Comprehensive PIan1UDGlI.and Use Distdct Map Amendment C7 Jefferson County Shoreline Master Program Amendment ^ Tree Vegetation Request Please identify any otfier lacail, state or federal permits required forthis proposal, -rf known: I hereby designate ~r /~iq r»-~ S' ~~'~~' ~~L~1~ ~to act as my agent in matters relating to this application for permit{s). OWNER }~, Date: 12 !/7 (2 o i t. By signing this applica;ion form, the ownerlagent attests that the information provided herein, and in any attaahmenis,.is true and correct to the Lest of his, her or its knowledge. Any material falsehood or arty omission of a material fact made by the ownerlagent with respell to this appkiaation packet may result in this permit being null and void. Lfutther agree to save, indemnify and :hold. hanNess Jefferson County against ail liabilities, judgments, court costs,. reasonable aftorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the grentin9 of this pertnlt. I fudher agree toprovide access and right of entry to Jefferson County and Rs employees, representatives or agents for the sole purpose pf application rev;ew and any required later inspections. Staffs access and righk of entry will be assumed unless the applicant informs life Counfy in writing at the time of the applicaEio3rfhat he arshe wants prior notice. / Signature: ~L "~4~'T '%~~ 1 ~ ~-'" Daie:_ i ~L !l 7 /zcl -i.- i" The action or actions Applicant w+II undertake as a iesult of the issuance of this permit may negatively [mpact upon anti or mare threatened or endangered species and cou6lead toe potential "take' of an endangered species as those terms are defined in the federal loot known as [he "Endangored Species AG° or °ESA.' Jefferson County makes no assurances to the applicant that the actions thatwill be undertaken because this permit has been issued will not violake the ESA. Any individual, group or agency can file a lawsuit on behaK of an endangered species regarding your action(s) even if you are in complianaewith the Jefferson County development code. The Applicant acknowledges that fie, stie or iE holds individual and non-transferahloresponsrbih;y tar adhering to and complying with the ESA. The Applicant has read ibis disclaimer and/signs and dates it below. Signature: ~ '(' ' ~~- ~~ r ~` L Date: f 2 ~l J j ? e r ~-- i G:\PrmutCencer\N~~SFOP\iSk#Y+\13RD f~O&4($\Cuxxene DP.- Forzns\2<-f:~ssz Permit Application 5.29-08.doc B4ILDER STA7F1YtEN7 The sinner of this statement doashereby cartlfy that they are the Owners oftheparcel referenced herein, that they are not licensed contractors and that they will t;.a assuming the iesponsibiGtyof the General Contractorfor th=proposed project. Signature:. - Date: GENERAL CONTRACTGR OR MANUFACTURED HOMEINSTALLER: PN(?NE: FAX: ( ) ( ) KMtUNG.ADDRESS: ENe11t:[ CONTRACTORS LICENSE WAINS NuatBER: NtiS16ER ARCMYTECT/F_NGINEER: PHONE ( } F : ( } ivt4lt.ING AODRESSt - EMAIL - ProjecfType: Frame Type: Bathrooms: Shoreline: ypeofSewageDisposat: r_ New ^ Wood .Existing: =Sewer C Addition ^ Steel Proposed: Bank G Community System L AlteratioNRemodel p. Concrete Total;. ~,_, HeighY 4tndividuaiSystem C Repair G Masonry . ~ Other Bedrooms: SEPPemnit# WaterSuppty: L Demolition . Existtng~ etback; u priva#e well p Two Party Type of HeaC Proposed Total: p Publlc Marne of :System: If this is a Commercial Proieet you mustanswer the fogowinp: NltmberofParkingSpaces: Current: .proposed:. NumtierofADAP~ttingSpaces: Number of occupants (inGudes dwners, tenants, employees, etc) Current Proposed ~ Service? Yes / No iBC Occupancy; 16C Type of constmdian: Will you have Food if this is a Propane Tank andtor Appliance Installation permit mark all items below that appiv: ~ Underground Tank ~ Above ground Tartk Size of Propane Tank: t HeatSfove t Cadk-Stove i Woodstove 1 Fireplaceinsert i:HotWaterTank 'Pellet Stove i Other is this appliance beino fnstalled in aManufactured! Mobile Home? Yes i ND When applying for a permit to instal! a propane tank you rgrfst also submit a si#e plan showing af! of the buildings, al! property s nd s tic ste c k t ll t li b ildin t h " a sy m omponen o a proper y nes, u g ep s, e propane n stances from t lines, tank {ocatio» andsize, dr inclrrdfn thereservearea. S uare Foota a Current. Pro Fo Office Use`Oh7. Amount Reui$ion Wain Floor Heated EH Bld App Review: 2 Floor Heated ~ - Consistency Review: Other Heated ~ Base fee: Meuanine .' Additionet 5ecdian: J Heated Basement ;' ~ Plan CtoeGtfee: Unheated Basement j% Stafe Suroharge fee: Other Unheated / Pat Water Review fee: GaragelCarpod SUBTOTAL ii Decks ~ 91flRd Approach fee: Other ,' TOTAL: $ Receipt Number: r .' CashlCheck Number: ' .----- ~ E.S~IMATED COST (REOUfRED} ll labor and materials foundation to finish f Date: a •F,arr mallet va/ue o Initials: G:\PemmtCrnmriff#k~FO~a3S~#t#'\DRD FO~~fS\Guaent DR7 Porzns\hfas[er Permit dPpficntion 5~79~08-doe JEFFERSON CQUNTY DEPAF2TMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend ~ Washington 96358 360/379-+1450 • 360!379-4451 Fax www.co. jefferson.wa. u sdcom mdeveiopment pppiicatian far Far~rnai Site-Specific Comprehensive Plan I UDC Amendment' MtA 2t 7,~ £,~ ~~7 `'>~ PROJECTJAPPUCANT NAME: f'1 ~'~-~ti.-/"J ~' For Comprehensive Plan amendments, applications must be completed and submitted to the Qepastment of Community Development by March 1 of the current calendar year in order to be considered tlunng the annual amendment process. Completed applicaftons tHat are received after March 1 will be placed on the docket for the following calendar year. Applications for tJDC amendments may be considered on a rolling basis.. Applications that are incomplete (i.e., that do not include all ofthe information required below) wiY1 be returned to the applicant. Submittal Requirements t, A completed MasterLand Use Appligtion. Represenkative authorization is required if application is not signed by owner. p. A wmpleted and signed State Environmental Policy Act (SEPA) checklist. 3. Comprehensive Plan/UDC Amendment application fee (as applicable), as set forth in the Jefferson County Fee Ordinance, as amended. 4. Any additional information deemed necessary by the Administrator to evaluate the proposed amendment. 5. Please prepare and Iatiel a5"Exhibit A," a vicinity map showing the followln~ }~ ~ c., ~y \~ a. The logtion of the area proposed to be redesignated; ( i ~ `'° (~ b. The land use designation of all property within flue hundred (500) feerof the site; and i c. The uses of all properties located within flue hundred (600) feet of ft(ri site ~-,. -; @, Please prepare and label as "Exhibit B," a description of the proposed Ptarj/~C amendment and any as~, development proposal(s), if applicable. Applications for project related Ifarma?-site-spesiG a ~ ^+ include plans, and information or studies accurately depicting existing and ~roposhtl~t~ses ~tStl~'Ymprov Applications for suds redesignatiens that do not specify Rroposed uses and pofdritTal'.~,rtt3'tpa`dt~ are~asstsitfdtl~ maximum impact to the environment andpublic facilities and services. 7. Please prepare and label as "Exhibit "C," a map that depicts existing conditions on the site and within the general vicinity ii.e., within a three hundred (300)-foot radiusj. The exhibit must depict topography, wetlands and buffers, easements and their purpose, and means of access to the site: The intent of the exhibit is tp clearly illustrate the physical opportunities and constraints of the site. 8. Please provide an explanation of why the amendment is being proposed. (Attach additianal sheets, if necessary.) 1 (.~G~- ,r'c~-:c.e- /-~ C~~ - irr!/- G~ v ~ c.fi rc , ~ G ~ ZF, f~ ' Se= JCC Chapter 1&.45. SITE SPEGFI~APP GO:: REV. i!5~29Cf Pagel ~~%. "~Cr--L.Gt (.'~ ~iGl >?S~~i rt S fr - z /'~- ft /1.io S ~^~. ~~. ,~J. 1 2 G/ Ji>7rJ J- I~G I ~t%c? g. The current land use designationFzoning of the site is: ~~ G~~~;~G..fi~yf>- 10. The proposed land use designatign/zoning of the site is: ,/,~ ~-U r:~ ~ ~ LI~,~Y ~y~. 11. The current use of the site s: /-~G2 1 ~~Litlf~. , ~ 1.~~-r 12. Ths proposed use of tiie site is: f2.~L2c ~ !'2~-~-~=LFaf~ 13. If changes to Comprehensive Plan or UDC text are required, please prepare antl label as "ExhibiT D;' proposed amendatory language {i.e., to affected text of both the Comprehensive Plan antl UDC) shown in "bile format, with text tp be added intlicated with underlining {e.g., underlining), and text to be deleted indicated witty strikeouts (e g., sty-ikesuES}. ~t~ 1q, Please prepare and (abet as "Exhibit E," a thorousrh explanation of how the proposed redesignation/rezone and assogated development proposals, if any, meet, cohFlict with, or relate to the #ollowing inquiries: a. Have the circumstances related to the proposed amendment andlor the erne in whfrh it is located substantially changed since the adoption of the Jefferson County Comprehensive Plan b. Are the assumptions that form the. basis for the Jefferson County Comprehensive Plan no longer valid, or has new information become available that was not considered dudnq the process df adoption of the Jeffersan County Comprehensive Plan or any subsequent amend. c. How doss the proposed amendment reflect current widety held values of the residents of Jefferson County? d. Does the ptoposarmeet concurrency requirements for transportation? e. Does the proposal adversely affect adopted level of service standards for put>lie faplities and services other than transportation {e.g., sheriff, fre and emergency medical services, parks, fire flow, and general governmental services)? f. Is the proposal consistent with the goals, poligies and implementation strategies of the various elements of the Jefferson County Comprehensive Plan? g, Will the proposal: resuli in probable significant adverse impacts to the county's transportation netwodc, capita! tacilifies, utilities, parks, and environmental features that. cannot be mitigated? h. Will the proposal place uncompensated burdens upon existing or planned service capabilities? i. How is the sub)@ct parcel{s) physically suitab~ for the requestedlarr trt ed land use development including, but not limited to <.he fo{lowing ~ ~~ -W„ ~ Li' ` i1 -~ ~~ - - ~~ I i f ~ p} Access; ; (ii) Provision of utilities; and C (iii} Compatibilitywith existing and planned surroundng land uses? . ;..' ~r' j. Wrll the proposal, if adopted, create a pressure to change the land use ¢es~nation of other properflas? lf~the answer is yes, how would such change of land use designation on other properties~ein tfieTong-tarn E#est interests of the county as a whale? - - k. Does the proposed site-specific amendment materially affect the aantl use and population growth projec6ens that are the bases of the Comprehensive Plan? If the proposed redesignation7rezone is located within an unincorporated urban growth area (UGA), would the proposal materially affect the adequacy or availability of urban facilities and services to the immediate areas and the overall UGA? m. Is the propgsad amendment consistent with the Growth Management Act (Chapter 36.70A RC1R+), the Coun ids Planning Policy for Jefferson County, and other applicable inter-jurisdictions! policies or agreements, and any o#her local, state or federal laws? sres~ec!=ic tiReooc sec ~nuzeec Paget t5. The apptiuant hereby Certifies that the statements contained in this application are true and provide an accurate represenfation of the proposed amendment; and the. applicant(s) hereby acknowledges chat any approval issued on thlsappticationmay be revoked if any such statement is found to be false. ~~ } APPUCANT~~S~/S)~~TVRE } l `y+J' .-t,~ ev ~s l /1 L,~. PROPERTY OWNER,S~IGNATURE PROPERTY OWNER $ SIGNATURE PROPERTY OWNERS $ICaNATURE ~~//7 l2Ji't_.. DATE -~j DATE l T- DATE [N07Ei For all required signatures, representative authorization is required if application is not signed by the owner:] { -j~j~f '~ __ _, i ~~ I,:-: ~~_~; ,,.. - ___ SITE SPWIr IC APn OCC REV. i11320W Page 3 WAC I47-11-96t) Environmental checklist. EWIRONMt:2J7".4L CH£CKLl$T Purpose ofchecklist: The State Environmental Po}icy Act (SEPA), chapter 43:21C RC W, requires all gouemmemal agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for alI proposals with probable significant adverse impacts on the quality of die environment. Tlie purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid: impacts from the proposal, i£ it can be done} and to help the agency decide whether an EIS is required. Instructions for upplicetreis: This environmental checklist asks youto describe some baste information about your proposal. Govemmentai agencies use this checi:lis[ to detertrrine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS-. Answer the questions briefly, with the most precise information known, or give the best description you cart. You must answer each question accurately and carefully; to the best of your knowledge. In most cases, yvu should be able to answer [he questions from your own. abst:rvations or project plans without the need to hire experts. If you really do not know the answer, or if a question does noY apply i4. your proposal, write "do not. know" or "does not apply." Complete answers to the questions now may avoid unnecessary delays ]ater. Some questions ask about governmental regulagohs, uch as zoning, shoreline, and landmark designations. Answer these gtestions if you can. if youhave problems, the govemmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there maybe significant adverse impact. Use of checklist jot nonproject proposals: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." 1N ,wutl~oty, complete [he SUPPLEMEMAL SP tEET>:9x NONPROiECr AC710NS (part D). For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as "proposal;' "proposer,"' and "affected geographic area,." respectively. A. BACKGROUND 1- Nameofpmposedproject,fapplicable: 2. Name ofapplicani:~4f7ic'~~ °` ~`~`'t'`-~~ ~~~~~~~~~~~ 3. Address and phone number of applicanrand contact person: 4. Dare checklist prepaed: I~"~3- ~ 5. Agency requesting checklist; ~Ga!/n~o, ~ ,64~r.~ -=t=-•ry'~ C~.. 6. Proposed timing or schedule (including phasing; if applicable): ~'r r~ u t ~; 1 ,Ii Ir n i t i~. • ~ , 7. Do you have any puns for future additions, expansion, or further aotivity related zo or connected with this proposal? If yes, explain. _ L ~~~, . L~`tt 8. List env environym, ental information you know about that ties been prepared, or will be prepared, directly related to this proposal. /~~~. 9. Do you know whether applications are pending for governtnenta] approvals of other proposals directly atfiectitcg the property covered byyour proposal? lfyes, explain. ~,rc 10. List any government approvals or permits that wilt be needed For your proposal, ifknown. ~+ l / /~ 11. Give brief, wmplete description of your proposal, including the proposed uses and the size of the project and site. Thsre are several questions later in this eheckhst that ask you to describe certain aspects of your proposal. You do no[ need to repeal those answers on this page. (Lead agencies Inay modifythis form to include additional specific information on project description.) c .~ ~ ~r7 ~~ ~<< ; i ~z rr.~~ l i ~xC.~,~ ~ ~- ,: f C'' <'x,~ , ?~ ~-1 z j ~ ~~. ~~~~~~lf ~ _ L`e ~ F- , f ~~>71 /- ~ / /; j .frt. ~• ~r^ . 1 ~t?J-tc e.- ~.t~-,1..c t ! 2 ~'../.i ~Zc~y%7 f ' `'/~1 e ~'` ,~ .~.c ~ c ~, C-Gr~r iv.~ .y;,,; G G ~' ~ ~ ~ ~ tJ+ C..~;/ ~~.Lx a: c ~ ~ :' ~,;~ - ,i ~ /' '~~~ .f /~y- / Tfy/ ,,C; /£ //, {ter /n f_ YN L'T L't^l LL Lti ".mot F~'i.l V!r C.: ~"LG `J ~..-(IAC C.~~.Z V~-t:. fA.S l£.'c~F~LG.<t.i~ 12. Location of Ute proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known If a proposal would occur over a range of area, provide the range of boundaries of the like(s). Provide a legal description,. site plan, vicinity map, and topographic map, if reasonab}y available. While you should submit any plans required by the agency, you are not required to duphaate maps or detailed plans submitted with any permit applications related to this checklist. ~~,~ _~,~._ fy~~Lt... f-~z~~ ~'i'~ ~'y'~ ~,'~ ~'~-+ ~!o'~%~ Ulm plcr,;a~ ~ ~ ~,.~ z~y~ r`~'~ -ec=-1 F _„1,cc->% ~ ~i~ /~,~~~. l0 BE COh1YLHTED BY AFPLIG4NT $_ ENVll20NNtEN7AL ELLii4n:k3f5 EVALUATION POR AGENCY USE OM.Y 1. Earth a. General descrption of the sne (circle one) Flat, roflmg, hilly, steep slopes mountainous, ,.. ,;. . ~. other... . ~.~~,z +'6T ~ rr -.. ~, ~.~.~ ~x, ! ~... ~.~ `,., C-r-/ G""f-~'.~.. tG{,_ b. fVhat is the steepest slope on the site {approximate percent slope)? TO i3E COMPLE7'EP Ff Y APPt,ICANT c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? if you ]mow the classification of agricultural soils, specify them and note any prune '/ iy ~-. farmland. ,5 ~~'~ tYG.rC'G, ~ ~ EJi'l„ 3r"f ` ~„T IJ d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. ~~; e. Describe the purpose, type, and approximate quantities of any filling br grading proposed. Iudicatesoarceoffill. ~~.-}L~ f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. ~ ~. g. About what percent of the site will be covered with impervious surfaces after project cansVUCtion (for example, asphalt or building5)? ~ r ~;r~r,, h. Proposed measures to reduce or Control erosion, or other impaMS to the earth, if any: f ~ f~ a. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction acrd when the project is completed? if any, generally describe and give approximate qu~itities if known. lrr; r ~,~ b. Are there any off-site sources of emissions or odor that may affect your proposal? if so, generally describe. fc."~:'~ c. Proposed measures to reduce or control emissions or other impacYSto air, if any: ~,r~=(~ EVALUATION FOR AGENCY USE OMLY ~ rt„ ~~ t~ i .C '' ~~ ai 1: _.. ~..-1 TO HE COMPLETED H7 hPPLIC~ f 3. Water a. Surface: I) Is there any surface water body on or in the immediate vicinity of the site (including veer-round and seasonal streams; saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. ~,,~, 2) W ill Lhe project require arty work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. J'1-al 3) Estimate the atnotmt of fill anddredge material that would be placed in ar removed from surface water or wetlands and indicate Lhe area of the site that would be affected. Indicate the soutce offill material. Jt,i~ff 4) Will the proposal require surface water withdrawals or diversions? Give general description, propose, and approximate quantities if Imovrtt. /f.''G' 5) goes the propose) lie within a IOP-year floodplain? If so, note location on the site pkan. p,%C 6}Dons the proposal involve any discharges of waste materials to surface waters? Ifso, describe the type of waste and anticipated volume of discharge. t[,%~` b. Ground: 1 } Wiil ground wafer be withdrawn, or will water be discharged to ground wa[er2 Give general description, purpose, and approximate quantities if known. rZ,~-. Evg6UAl1pN }OR A©EliCY U3E ONLY 2) Describe waste material. that wilE be discharged into the ground fram septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals... ; agricuttural; etc J, Describe the general size ofthe system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans tfie system{s) are exported to serve. ~( ~'~ F L£ TO SE COMPLETEABY APl?i.tCAN~T c. Water runoff (including stormwafer): I) Describe the source of runoff(including storm water):and method of collection and disposal, if any {include quantities, if knovm). Where will this water flow? Will this water flow into other waters? If so, describe. '~ui C[c.~a y Gv ~Gf" ft r- ~'c~. 2) Could waste materials enter ground ar surface waters? If so, generally describe.ti ~; d. Proposed reasures to reduce or convol surface, ground, and runoffwater impacts, if any: n, cs~C 4. Plants a. Check oe circle types of vegetation found on the site: deciduous tree: ple,~aspen, evergreen tree: irt~ar>, pine,.~Q7 - r .-~ shrubs ~ '. grass -~=pasture crop or grain wet soil plarrts: cattail, lauttercup, bullrush, skunk cabbage; other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? ~~~ c. List threatened or endangered species known to be on or near the site. a EVALUATION FOR AGENCY USE ONLY d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vogetaJtion on the site, if arty: ~~f-s `~ ~ i~~ ~.~_~x`•st_ „ "~`,tigs;_ s~ ,.,_s- ~~+-~ ~. ~..r-~sL cf;..<- ~. ~.~r._ _ c ~ G~ /ti-c'-7 l ~ tit... ~~t C._ a_ ~ j f~..c-c. (L ,.c ~.. / . 5. Animals a. Circle any birds and animals which have been observed on or Dear the site or are known to be on or near the site: birds: ~+i+'ly; hermr, ~le', s_~gbint', other. mamma`Is: ee`bear elk, beaver ~ si i = ~r i 1 ~t i ~~ fish: bass, salmon, vout herring, shellfish, other: ~ " ~ ~ ~..,,\ ' -~ 'f ~I ;? b. List any threatened or endangered species known to be on or nearthe site ~'~ j.~~" ~, r T6131: COMF't-ET'ID 13Y 1VYLICANT c. Is fhe site; part ofamigration route? Ifsa, explain. ~G: EVALiJATK}N F(Nt AGENCY USE ONLY d. Proposed measures to preserve or enhance wildlife, if any: _ ~ L 'ErFc.P ... '~ is : L c c-~ G.^~ ~,~ ~f..ey? .. ~. n-( . ~ aa~ ~ _'~7 ~t.» ~,.x.e~3... '~~ak ., _z ~ v ~"~rr.~V c~-i~,~~c Lzi~--._~~t~~~. G=c<_.v. ~v~:, ~-e-~te~. 6. Energy and natural resources a. What kinds of energy (elecffiq natural gas, oil, wood stove, solaz) will be used to meet the completod pro}ect's energy newts? Describe whether it will be used for heating~,+ manufackuripg, ekc. ~~ dz,~-~ ~,~. ~,.~<-t_ i",~:.~< ~ G-t.J~ t.-~l.- b.. W ould your project affect the potential use of solar energy by adjacent properties? 3fsa,generally,deseribe. /~-~ c. Wltatkinds of energy conservation features areincluded in the plansof this proposal? List other proposed measures to reduceotcontrolenergyimpacts;fany: ~~~~ 3. Environmental health x ~j _ a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spi.19, or hazardous waste, that could occur as a result ofthis proposal? If sa; describe. p /,~ I) Describe spacial emergency services chat might be requireij. /L'c7..{ 2) Proposed measures to reduce or control environnrenta] health hazards, if any: A-°'~'z~ b. Noise t) What types of noise exist in [he azea which may affect your project (for example: traftio, equipment, operakion, other)? ~,~~y ,~ 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operatioq other)? Indi- cate what bouts noise word//d ~~eome froJJm the site ~~ ~~ i-,~ e~LGv , ,l 77%_~ ~ : , ~)'-Lt~.L<'__f ~4'i ,a•. (.e-[:. (~. z «EC'/ `.~ t=7 e"tG f,. C~ `I Ff.'~~i l:-.. ~ L f , TO BE COMPLECEDIIY APV41GANr fi VALUA716N FOR .hGE~i;CY USE ONLY 3) }'roposed measures to reduce or conaroi noise impacts, if any: f1i~,~q 8. Land and horelne use y a. What is the current use oftlie site and ad}scent properties? tit:-~~ /Z+ J t ~`~-~ ~''~ °f b. Has the site bean used for agricuhure? ifso,. describe. C; l~'..G-, :1{;>-r~'~c fiLz-t r'r~ G~-^i~c ~`'y~ ~' "~z-- c. Describe any structures on the site. ` /~~(,7it~ r „~~tiJ7f (7lnc.L y d. Will any structures be demolished? If so, what? ~-f. c. What is the current zoning classification of the site? f._ ~~ .~ ,! _ / f What is the current comprehensive plea designation of the site? ~ /t' f - 7L' - / - f ~; g. If applicable, what is the current shoreline master program designation of the site? ~1 f ~1 h. Nas any part of the site been classifie i.~~Fbx~inal'ety'ifickv en}~ ~p7e wo ,,.~ c t:. ~, ~_t: as an "environmentally sensitive" area? lf' t11~ l~Llr'C.EI ol- I112S~Y ~tl)r~ (rlu. ~z,~Luz, _. :cify. f'S , 'J31~~ Cr~sllde e. ~es#- Loc. ~t ~~~~ . ~t ~q~~CV i~~~~e j. flpproximateiy how many people would the comp9eted project displace? ~,~,t.,~ k. Vroposed measures to avoid or reduce displacement impacts, if any: ~;~<t 7 TO 6E COiNPLETHL3DY APPLICAM L Proposed measures to ensure dtepropusal is compatible with existingand projected land . -- r- , t .-- Z .; , . ,{ uses andpians,zfeny: t'~-. ~ J-.r-. t u >"t ~ j . _ f'A}~ ! , r~.. x°~f t ' i_.,. t r f• ~.- .i- /,,..! .. -_. , r`~ {,{ , .c 9. Housing a. Approximately how many units would be provided, if any? htdicaze whether high, mid- dle; or low-income housing. ~Jt7 r b. Approximately how many units, if any, would be eliminated`? Itzdicate whether high, middle, or ]ow-income housing. A;cwu_ a 1'7oposed measures to reduce or control housing impacts, if any: fL`Jt-i ]0. Aesthetics a. What is the tallest height of any proposed structure(s); not including antennas; what is the principal e3;feriorbuiJdingmaierial(s)praposed? ~'~1+~. b. What views in zhe immediate vicinity would be altered or obstructed? i.y: z, - c. Proposed measures to reduce or control aesthetic intpacu, if any: j~! f~ 11. Light and glom a. What type of light or glare will the proposa) produce? What time of day would it mainly occur? ~.~bt<~ EVP.LUATiON FOII AGENCY I7SH OraLti ~ ~.' 7.. _ {. ,, r'~l ,~ ~.. b. Cou d Jight or glare from the finished project be a safety hazard or interfere with views? r1J jJ{ c_ What existing off site sources of light or glare may affect your proposal? ~~ ~L< d. Proposed measures ie reduce or control hghz and glare impacts, if any: ji: ,~,~ 3 TO HE COtvtPl.t:TED BY APPL7CNJT l2. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? ;~ b. Would the proposed project displace any existing recreational uses? If so, describe. ~rC~ c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project ar applicant, if any: ~. „r-v 13. Historic and cultural preservation a. Are there any places orobjects listed on, or ptoposed for, national, state, or local preser- vation register5known to be on or riezt to the site? If so, generally describe. ,U`i% b. Generally describe any Iandmarks or evidence of historic, azchaeologicat, scientific, or cultural importance known to be on or next to the site. h'%(~ c. Proposed measures to reduce or control [mpacts, iT any: it;.._ . 14. Transportatian EVALUATIONfOR AGENCY USE ONLY a. Identify public streets and highways serving the site, and descrilaeproposed access to flee exis[tng street system. Show on site. plans, if any. ~~~ ~,j t.~i/t'itt~l'i}' .{}f ~,r -fJi-LF.~.I_.. /L;mgf_ r b. is site currently served by public transit? If not, what is the approxnnate distance to the nearesttratusitstop? ~uF T frJC.yti ~ ~.) >~i c. How many parkin; spaces would the completed project have? How many would the pro}eci eliminate? ~t.'~i7 d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generalty describe (indicate whether public or privatej. f:;Q: TO }SH C-O.YIPLETrD BY AF]'LiCANT EVAi.UAT[pN FOA AGENCY USE ONLY e. Will the project use (or occw in the immediate vicinity of) wafer, rail, or air vansporta- tion? if so, genctally describe. yi,'c- f. How many vehicular trips per day would be generated by the. completed project? If known, indicate when peak volumes would oecun ~+; t,ti t g. Proposed measures io reduce or control vansportation impacts, ifany: r~/.~; 15. Public setwices a Would the project result In an increased need for public services (for example: fire pro- tection, police protection, health care, schools, ether}? If so, generally describe. ~,~„ b. Proposed measures to reduce or control direct impacts on public services, ifany. ~'E,•~ €-- 15. Utilities a. Glrcle utilitiesa.taenttyavailable at the sate ,electrimty~! natural gas,~atrr?r~fuse sent' Ice felephoti'e, sanitary sewerz~se~tic s}stemy*ofher: b. Describe the utilities that are proposed for the projeci,ahe utilit}• providingthe service, and the general mnstmction activities on the site ae in the immediate vicinity which might be needed. i~~`~r~ C. SIGNA"rtiRF, The above answers are true and comple[e to the best of my knowledge. 1 understand that the lead agency is relying an them to make its decision. ,, ~ f . ,,, Signature:........_.,,:..c~:t:`.:~.......r.'~..._ .....:.........._... ..... , . ............. .............., DateSubmifted: _..........'.......~f...~.:~.!.7_.~..Z:f.'...}.-._'......._ ................_......-.........,........................ IO TO BE CON~LETED BY MPLICAM' EVALUATION FOR AGENCX USE. ONLY p. SUPP4EMENTAL SHEET FOR NONPRO7EGT ACTIONS (da not use this sheet for project actions) $ecause these questions are very general, it may be helpfutto read them in conjunction with the list ofthe elements ortho environment. When answering these questions, be aware of the exient the proposal, or the types of activities likelyto rosuit from the praposal, would. affectUte item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would theproposal be likely to increase dischargeto water; emissions to air; pro- duction, storage, or release oftoxic or hazazdous substances; or production of anise? -~~.:~ ir~.'-[/•-z-+~-~ ,_~-l/~Jc~t.~-kt(~~ ILt'.a~~~`F-.~~,~z-~:. Ga~-t<s ,)'t-~.~JCt~°,.~ f ~lf]NV~.C'L-. eCi ~~`C. C<(.'YPe."L ~C-LiE~C-t-1"}'ti~~• Proposed measures to avoid or reduce such .increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? j~t.~ -=l t '-ter` ~:~ ~' ~'"< `~`,J G.,~-~,-, ar~~: ~, j _~ 4t~ Proposed measures to protect or conserve planis, animals, 5sh, or marine life are: 3. llow would the proposal be likely to deplete energy or natural resources? ~-/a3 Proposed measures to protector conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmeatally sensitive areas or areas designated (or eligible or under study} for governmental protection; such as parks, wilderness, wild and scenic rivers, threazened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? f ~ La Proposed measures to protect such resources or [pavoid or reduce impacts are: TO BE COMPLEIF.6 BY APPLICRNT 5. }-fow would the proposal be likely to affect taudand shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans2 ~.G-i, {Z~G~=~ i. _{ j-c;Gfi or.-L`G; 2~ 1~ ~~: C{,L~--- Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely io increase demands on transportation orpubhc seevicesand-utiliiies7 ~,.~; ~~~~~~~.,~ ~e..c~z:r.-cf. Proposed reasures to reduce or respond so such demand(s) are: EVN.pA'TiON iOR AGENCY ^SE OM.Y identify, if passible, whether the proposal may conflict with local, state, or federal laws or retiuiremenis for the rotection of t}te environment. ,~ ~.~ c „z,r ~ ~ ~~~, ~~-W~ p c~ ~-~,.,,~ Cry t ~ ~ <'~~~ ~~ ~ "~ ~-: L ~ ~ r:,-~~~ r ~- ~~ ~ ~ ~~-~ a~, ., f /cs i~ ~~ r' w.. , i2 ,Jf.LtO'. J '~ .. 5<cLOnS 4 t I~ (Wes: '/2; -2 [-~ _ ,prv'° awe oroor.B:NOrtn N2J : - - •?.~ •T~ ~~ 1 i ~ ~ , 7cw-snip 29 xo .'L•~gr. 'West ~` ~.. {c ? •p y Jr.NC~so~Coo > tYasn~ng.m ~ aw ,` i ..i ~~ _.n. ._.. 1 n .i' •.. t. ~ i' $~ ."I . ~ 8 ... ~~~i~ ... ~ ' >J ..,~ ", 1111 i - s A ~ , it z. ~«r _. ~ /% a. ni- r ~-.~ si t. a . r / T L ".. i i P~~,r-,-- ~ a~waz g ~.. s d ~ F ~ •o,r CG ~C -~ ' ~ ~ ~:~. `' ~' . ,~ ~ v u.an: ~'- +-~ „' ~,. ~ 'l 'i vii--. ~4-c .`o .~=_'V~'_Is- '~ =~.~ = , r ~t ,A,.... ~ nnF ,: fI.Y. CIF ~ T~ R* sTYa. NNY,~ t' ~ of "~' O .n ~ii~ _ .~ 7 ~y niya.e r:_ '.. b/.^• ~ lY1- ~ Jam. er• ~ tsi + r r ; r~ / ~__ m R °' r: 9 ~y -~ s.§ ao ~# v ~- c~ 'p ~ tt 'X€`.y y.~'•e 6 c ~- 4a ~ hE a~ - . yCZ 3~t. a. o ;~ .S,Rp~ i g, Y or Es.~.~_Y;~ ~c ~¢g Zz ~~i; y{aq 3~ ~~ f T!. hyi ~$M~a `~k ~ ~ ~~ 4y ~~i !~xa: a tl R S i ~- h tt b < ~~ i5 ~Cp yYh~~y~t~ N ~a lP 2~i YYS~_I~iY 1 9 I ~ s 1 P c ~ k ~~ @ ' :9 $~ ~ - ~ E: 0 ~ O ~ ~~ , C a~ ~ ~I ~' `\A ~ a ~ f k ~`~ \~`` ~~~ ~~~ ,, -~~~ a N ~~ ` ~ :~ ~~-~,~ ~~ ~- ~, AS Map output ~ XL I b ~ C ~ °b~ ArcIMS HTML Vlewer Ma ve•os~oo: rr,n.~~ «•~,~,: ~,~•~ ~ + • ~0~~ ,_ is x 1 1 $IbCbE ~illYni i ~ w~~r,_.- ~c waa r.'~YIiYi, I vrgOf .Z"059G't I Pi,ciN~l N•,nna<.~~•u,+~.. x--•~«~ ~.rwii,ei Naiaro ^;•,+V.S use ~ ~.a... l i ~:mc• ~.. x•osour ' .'~i:CC J o~ ~n :':GI ~~ :: •x•wa . _~~ r.'_a.~. c~St9M • ~ ... ._ FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty ith respect to its correctness or validity. Data contained in this map is limited by the method and ccurac of its collection. Thu Dec 20 09:? 2:08 2012 httpa/gisserver%servlet/com.esri. esrimap.Esri map?ServiceName=ovmap&... 12/20/2012 Exh ~ b. ~- C ArcIMS HTML Viewer Ma ~..~:~. ~:.~:. f 4]" . ITJ' ..I. ' ' ` ~ / ~ r .. ,:• ~ ~~~ .~. K SIIICYIC FeIN7s ii ~Ni_i' JC HuOs I , r.•r.N~tw " ' ' ~q•._µyp u^os+:v IA::v w yYpYIiM B%OpY lYClity ~ ~ L1 IIYMI %:':4 ~j ' C YYwY1~Y1 I^ IIMY %"iil~" u;~Vl1'i ~ ^ Yw~1YY~~tailm~ ~ Y~Y~Y OY Ueww Q K'!1R0! . YMIYI • :?F U' ~ •I~:ce rt ~^ ~ _ I c~~nO Y ', 1 ":l L:M \ ? K•.~.rib \ _ ~ ! .V . ~ .. / \ f ) :' ~• ln . , _ . ~,r OR INFORMA?IONAL PURPOSES ONLY- efferso~ County does not attest to the accuracy of the data contained herein and makes no warranty ith r=spec' t~ "s r..a~reaness or va:iday. Data contained in this map is limited by the method and ccura ~v c' ~'.s gal =: <: ~ ~~~ Dec 20 09:1139 2012 http:i/gisserver/servleUcom.esri.esrimap.Esrimap?Servicetiame=ovmap&... 12/2U/2U 12 4 ' ' ~ I ~ t , -J ~. ~ . . ' ' •~.-' ~ ' J.. R ~ -~ ~ '~~' , J ~ ~ t ~ t .~a •t.~~ s~ ~' ~ * i ~ ~+ 1 TL• ~n ~~ •: .: .~ s ~ ~ ~ ~ ~~ t ~,ti~ j ~r ~ #w • • ,• . y ~ ~ J p • t` : : ~ ' '~ ~ '- : ' ~~ " 'fit E l i fti ~ ,. , ~ , . ,~ `t , ,, ~ r` y, ~, ,` .P r ~I Y C' . _ :r' `• _ -. ~.~~'- j '1.' ~* ~f ~1. ~ !; 1 ~' ~:. t ~, :. .1.37• ffi M.p sods r7,80D r prNbd on A.w le.s• x ~,~ .na.t. ~ ~• I ~ ~ -~ ~ ~ $ ~ Mftene ~ ~ a so ,~ z~ 300 FRM Soi M.p-,Ie@eraen Cawny Area, Waahinpton ~t" h i I. 1 1 ~ hlcCluen Sofa Map Map Unit Legend NMreon Coumy Arw YyastUnpto n (WA611) , . Map Unk Symbol Yap Unk Noma A cres in AOI PN gnt of AOI '~ CmD Cleasm grave9y savoy bam t 5 to 30 40.9 'I 14.5% _percentabpes -I __ _-_- _ _. Cp Coastd Deactlea 72.8 ~I ~ - 4.8% - TuC Tukay yravaly loam, O ro 75 psroant doDea 788.0 88.0% Subtotals for Shc Survey Area _ - _ ~ ~ - - - 239.8 ~ ~ ~ _ _ ~ a8,0% ~ Totab for Arsa of Inbrpt _ _ _ 212.0 100.0% NKunl Reaouras Web Soil Sway 12/tIf2012 Comarvatlon Ssrvks Natural Cooperative Soil Survey Pegs 3 of 3 ~x h ~ b-+ V ~C ~~~ ~ ~ ~ ~ ~ ~ ~~ 5 ~ _ ~ ~ ~ ~ ZZZ. ~g ~ ~~~ . a ~ ~ ~ B~S~ ~ ~~~ ~~ ~ ~ 8$~~ r~ m B es a y c a ~ r 3 w~ui ~ ~3~ r£ ~~ o F .~E ~ ~ ~ ~~ J g.. $., c o~ ^$ ~ 2 ~ 3 r 3 g~ sa ~~ ~~~~ ~ ~~ ~ ~~~ °~~ ~ ~ ~ N h sa a ~' T s 7 Exhibit E ~qu~sfi'v~t d~ tr~ ~1~l`~ ~~ A. No B. Yes, there is new'snformatian; the prpperty since the comp plan adoption has undergone a BLA that combirre two properties...One of theproperties was designated 1-10 and the other was designated 1- ZO...Thiscreated one single property withtwo density designakions,..lt would. be our inientto make them both 1-10 density... C: The wrraunding propertas on two sides.4f the subJect prpperty are 5 acres or 4ess...it is my understanding, based on Chapter 3 ofthe Comp.Planand on prevwus decisions by the B.O.C:C., we wouldqualify far a designation of 1-S,..HOwever, we are asking fortfse Lasser density of 1-SO designatiotrbecause it makes mpresense forthe property in question and this is consiskent wRh the surrounding area and coumy wide pfanrong. poficles... D. Yes E. No The above language taken from Chapter 3 of the tamp plan is a reference of our compliance with theCOmp. Plan,.. G. No H. No I. (iJThe access is curremiy ahd-wilt be in the future provided try State Hwy 20. (ii)The provisions for utilities are currently and will be in the future provided try PSE for power needs andtheJeffgrson County PUD for water.., (iii) Yes, this proposal is cansistentwkth existing and planned surrounding land uses...5ee attached Exh#bit "p"... 3. No, properties on three sides currently have the same designation 11-10) that we are asking for...,Or is of lesser density. All properties to the east within 500 ft. are either bong term commertiai forest land or in holding forest land and have no possibility for change... K. No t. N/A M. Yes, again the property would still meet the "rural character" element and meets rural requirements...(viewoicinity maps exhibit "A") Located in an area with similar deueltrpmeni patterns; Ad(acent to urban Growth Area, Resource Production land or StateJNational ForesLland; parcels in coastal areas of similar size; includes landaffected by cdficai areas; includes private Umberiands; includes agricultural lands. ~E~~E~~oN cauNT~r DEPAfiTI(~EhlT pP CQMMUNITY DEVELOPMENT 621 Sherjdan Street • Port Townsend • Vv'ashingtan 98368 36DI379-445D " 3601379-4461 Fax www.co.jefferson.wa.usfcommdevelopment Nlasf!ar Pet`mit Application [il11LA: t ~'^ ~` Project D~scription~(ndude separate sheets as necessary): €7f ~.._.-ate ..~ .[},c-.. .-Y rf't Fst-r' `~ (~ `! Tax Patcl:3 Nurntler. Xf d ~ tf}1 E76r J Property Siae: (p ". S Cj (+ f'~5 {aereslsquare feet) Site Address and/or Directions to Propedy: Property tawner(sj of Record; ~ D I Tefeotmne: Fax: email: i~($/ldi Mailing Address: ow ~~t~ email:Sdri~ 015 J~yyyt ,r3~~ What ktnd of Permit? (Ctledc each box That applies d78uilding Demolition Permit Single Famgy G Garage Attadted I Detached ^ Manufactured Heme . ^ 6Redular ^ Cornmeraaf' G~ Change of Use ^ Address ^ Road Approach p dome Business ^ Cothage Industry ^ Propane ^ :>iyi7 U Allowed"Yes" Use Consistency Matysis ^ Starmwater Management ^ Site Plan Approval Advance Determination (SPAAD) ' G Temtwr~y Use ^ Wireless Telecommunication" ^ Forest Practices AcUReteasa of Six-Year Moratorium ' Mayregrr(re a Pre-Apptlca5on Carrferenee ^ Lot ar Road Segregation ^ Critical.Araas S#ewardship Plan ^ Variance {Mirror, Major or Reasonable Economic Use) ^ Cortttitionat Use [C{a), C(d), or GI " ^ Discrettbnary "D" or Unnamed Use Classification ^ Special t3se {Essential Public Facildies) " ^ Boundary Line Adjustment O Sltort'Pltit'"' ^ Binding Site Plan "* ^ Long Plat *' ^ Planned liurai Residential Development (l?RRn)<Amenoments "* ^ Plat VacatianfAlteration" ^ Shoreline: Master Program ExemptionlPermit F;evisions ^ Sttoretine Management Substantial DeveiopmenY "' ^~ oreline Management Variance 'Comprehensive PianNDC/Land Use District Map Amendment Jefferson County Shoreline Master Program Amendment ^ Tree Vegetation Request FEease identify any other lo1cal, state or federal~ermits required for this proposal, if known: I hereby act as my agent in matters relating to this application for permit(s). Dy signing this application tomr, the awnerlagent attests that the irrfomtaUon provided herein, and in any atiachmems, is Vue and correct to the best of his, har or its knowtadge. Arty material falsehood ar any omission of a malarial fact made by the ovnerlagent with reseed to this application packet may resin! in this permit being null and void. 9 further agree to Sava, indemnity and hold harmless Jefferson County against all liabilities, judgments, court vests, reasonable attorney's fees antl ezpensas which may in any way adcnre agairrst Jefferson County as a resat[ of or in consaquence of the granting of this permit. I further ague to provide access anddght of entry to Jefferson Gounty and its employees, representatives or agents for the sore purpose of application review and any required rater inspections. Staffs access and right of entry wi0 bo assumed unless the applicant informs the County in writing at the time of the iaati th~ rshe t~ prior.. tire. /~~/-,- o iA ~ ~ J t •T a Signature r-~ C - ate !"ILLI'CI\ ! I d~r`r~ The action ~ actions Applicantwih untledake as a result of the issuance of this permit may negatively inpact upon one or more threatened or endangered species and mould lead to a potential Yake" of an endangered species as those terms are defined in the federa3 law known as the `Endangered Spades Ad" ar'ESA.° Jei€ersoh County makes no assurances to the applicant That the actions that will be undertaken because this permi# has been issued will not violate the ESA. Any individual, group or agency can fle a lawsuit on behatt of an endangarad species regarding your action(s) even if you ara in compliance with the Jefferson County deveWpment code. The Applicant acknowledges that he, she or it holds individual and non-transfsra~le es srbili#y r adh to antl tying with tie ESA. The Applicant has read this disclaimer and sgns and dates d below. S~gnakurp3('~- fi~"~2 r~-/~iJ°~ Date: ~Ji 1'L~, ~ I ~r.~ i;-~ JEFFERS(7!N COUNTY DEPpR'Clfll€PIT ©F COMMfJNITY DEVELOPAIlERST 62'1 Sheridan Street "Port Townsend " WYasltington 98368 3601J791i4bt) " 360!379-4451 Fax www.co:jeffetson:wa.usrcammdevelopment Application far Formal Site-Spe+~#c Cc-rnprehensirtre Plan / LtttiC Amendment' MIA# 1~5 "'~~'t==`~} PROJECTIAPPLICAN7 NAME: ~C43u rv ly3 t'or Comprahensfve Plan amandma»ts, applications. must be completed and submitted to the Depar#ment of Gommunify Development by Marcfi t of the current calendar year In order to be considered during the annual amendment process. Completed applica5ons #hat are received after March i witi ba placed on the docket for the following calendar year. Applicatidris far UDC amendments may ba considered on a ratting basis. Applications that are incomplete (i.e., that do not i»ctude alt of Ute info»natron required below) wi}! be n9turned to the applicant. Submittal Rsquiretnents t. A completed. Master Land Use Application. Ftepresentatine autltorizatipn is required it appiication is rmt signed by owner. g. A completed and signed State Environmental Poacy Act (SEPA} checklist. 3. Comprehensive PtanNQC Amendmem appliption fee (as applicable), as set forth in the Jefferson County Fee Ordinance, as amended. 4. Any additional information deemed necessary by the Administrator to evaluate the proposed amendment. b. Please prepare and label as "Exhitiit A," a vicinity map shdwing the following: a. The location o#theareaproposedta beretlesignated; b. The land use-designation of a!i property witiiih five hundred (500) feet of the site; and c. The uses of all properties bcated vridtin fiive hundred (500) feel of the site. 6. Pieria prepare and label as "Exhibit 8," a description of itte proposed PIan7UDC amendment and any associated development proposal(s), if appf~able. Applications for prc)ect-related format site-&peoific redesignafions must include plans, and information or studies accurately depicting existing and proposed uses and improvements. App6oaGons forsuch redesignatidns that do not specify proposed uses and potential impacts are assumed to have maximum impactto the environment and putriic facilities and seruices. 7. Please prepare and lat3el as "Exhibit "C," a map that depicts existing conditions on the site and within t#te general vicinity [.e., within a three hundred (300)-foot radius]. The extdb[ must depict Topography, wetlands and buffers, easements and their purpose, and means of access to the site. The intent of the exhibit is to cleady illustrate the physicalopportunities and rnnstraints of the sRe. 8. Please provide an explanation of why the amenrimant is being proposed. (Attach additional sheets, rf necessary.) ' See JCC Chapter t8 45. SITE SP£GFIC gPP.DOC REV. 21138006 Page t g. The current land use desigrrafionlzoning of the site is: {~r " ~ ~, ~ d= ry~ 1-a ~ t S"tY ~ r.~ to. The proposed landuse designatioNzoning of}jth((e site is L"1~~~ ~ rv; ~ .f-1 a t_ch,~ 11. The current use of the sKe is: ~ .rr.(1/L1,t-.y~ r ~ 12. The proposed use of the site is: 73. ff changes to Comprehensive Plan or UOC text are required, please prepare and label as "Exhibit D;` proposed amendahary language {'r.e., to affected text of tx~h the Comprehensive Plan and UDC) shown in "bit€" format, with text to be added indicated wfth undedining (e;g., underHnina), and text to be deleted indicated with strikeouts (e.g., akikeeats). 1d. Pkase prepare and label as "Exhibit E," a tharouah explanation of how the proposed redesignation/rezone and assodated deveopment proposals, ff any, moat, conflict with, or relate to the follovrirtg lnquines: a. Have the aroumstances related to the proposed .amendment andlor the area in which it is located substantially changed since the adopEion of the Jefferson County Comprehensive Plan? b. Are the assumptionsthat form the basis for the Jefferson Gounty Comprehensive Plan rio Idnger valid, or has new rrdomiation become available thaf was not carsidered during the process of adoption of the Jefferson County Comprehensive Plan or any subsequent amendment? c. Haw does the proposed amendment rettect current widely held values of the residerr(s of Jefferson County? d. Does the proposal meet concurrency requlremerrts for #ransportatian? e. Does the proposal adversely affect adopted level of service s#andards far public facUiiies and services other than transporatron {e.g., shenfF; fire and emergency medical services, parks, fire flow, and general governrrrental services}? f. Is the proposal consistent with the. goats, policies and imp~mentation strategies of the various elements of the Jefferson County Comprehensive. Plan? g. Will the proposal result in probable significant adverse impacts to the twurriy's transportation network, capital faalities, utilities, parks, and environmental features. that cannot be mitigated? h. Witi the proposal place uncompensated burdens open existing or planned service capabilities? is How is the subject .parcel(s) physpily suitable for the requested land use designation and the anticipated land use development irtcluding, tint: not limited to the fogowng: (i) Access; (ii) Provision of utilities; and {iii) Campatibility with existing and planned sunounding land uses? j. Witt the proposal, N adopted, create apressure to change the land use designation of other properties? If the answer is yes, how would such change of land use designation on other properties be in the long-term bast interests of the county as a whale? k. Does the proposed si#e-speeatic amendment materially affect the land use and population growth projections that are the bases of the Comprehensive Plan? If the proposed. redesignation/rezorre is located within an uninrxrrporated urban growth area (UGA), would the proposal materially affect the adequacy or availability of urban facilities and services fo the immediate areas arxi the overall UGA? m. Is the proposed amendment consistent with the Growth Management Act {Chapter 36.70A RCW}, the Countywide Plannino Policy for Jefferson County, and other applicable inter-jurisdictional policies or agreements, and any other local, state or federal laws? SITE SP£CtFIC APP UOC REV. ]l13/1IXK Page 2 15. The applicant hereby certfies chat tfie statements cca#ained in this application aretrtte and provide an accurate representation of 1!>e proposed amendment• and fhe applicant(s) hereby acknowledges that any approval issued on f~is applicator maybe revohe0 fiany such statement iS found to ba false: DAT GATE PROPERTY OWNER'S 5IGNATURE DATE PROPERTY OWNER'S SIGNATURE DATE [NOTE: For ail required signatures, representative abthorization is required if application is not signed by file owner.] St7E SPECffIC APP.000 REV. i11320~ Page 3 PROPERTY OWNER'S SIGNATURE G - Pgtt il4~>I Lans>n»Ci Zoning l JllmSngW>GeN i . N.2] LOti AptKYbry Alt G.G^O bpfty0Y 0 tlNl~! ~ . ~. .a~i M~N COmmuulArylcWra ~i 9oulm F>Im .~a [olmrF'>IWIF - r.F $~ Cpmmevn FiR>I :~ ard01W/Y Fare® Rosi> l J Ra.N auwl M>oenun Boulton Farm Zoning Proposed Change ~~~ + ~j ~~ ~ For mtormational purposes only. All data represented are from varying sources and approximate. Map created in February. 2073 N EXHIBIT "B" Description of the Proposed Amendment(s) The proposal is to relocate a portion of the zoning boundary between two resource land use designations and zoning districts that are presently applied to the iconic Boulton Farm. This 207-acre farm, which is boated on the west side of U.S. Highway 101 approximately 4.5 miles south of Discovery Bay and 7 miles north of Quilcene, is zoned entirely for resourced based uses - both agricutural (AP-20) and forestry (RF-40). The proposa! seeks merely to expand the area designated and zoned as Prime Agricultural lands {AP-20) by approximately 12.80 acres, and reduce the area presently designated as Rural Forest land (RF-40) by a corresponding amount. If approved, the total amount of designated resource land within Jefferson County would remain unchanged. The proposed change would require an amendment to the Land Use/Zoning Map of the Jefferson County Comprehensive Ptan to expand the AP-20 designation and zone to encompass approximately 11.80 acres of currently RF-40 land on APN 862141005. Please refer to the map(s) in Exhibit "A" for addkional detail. No new development is associated with, or would be enabled by, the proposed change in designation and zoning. Historic agricultural uses of the subject area would be continued. Following execution and recording of a permanent conservation easement which is currently in process, the subject area would be protected in perpetuity for agricultural use. Zoni -.q ~ 3n.u: • vTm I 11 K30 LOCYAQx'LIYro Cainy P~ipb '~ PP~20 GOmma16Y Apk11Wre Rotas - CF RO Cemmeaa FOml - Rf ~O AVrY FwvY ® aa.xo qor w:~aaaai Boulton Farm _ °~~ Current Zoning ~ X ' ~ I I ~ For mfortnaUOnai purposes only. All C~'jc ry~ 1 ~ data represented are from varying ~ sources and approximate. Map created in February, 2013 N L~'ht~~iT L }"t z ~=~ H ~ 31T C ~Nert 3~ 8. Please provide an explanation of why the amendment is being proposed. (Attach additional sheets, if necessary.) The land use designation and zoning map amendment is proposed in order to better alignthe land use and zoning boundary with the historic use potterrt of the Boolean Farm, and to ensure. its continued agriculture'! use by future owners subject to the terms and conditions of a conservatipn easement. The proposed expansion of the AP-70zane better reflects the attup! agricultural (rather Clean forestry) activities and uses that have occurred within the subject area since of leastthe mid-1940s. Additionally, the amendment is being sought to ensure consistency between the land use/toning boundary and the area proposed for inclusion within a conservation easement that is presently being negotiated betweeen John G. Boolean and Jefferson Land Trust (JLTJ. Mr. Boolean (land ownerjgrantor) is proposing to grant a permanent agricultural cansenratian easement to JLT (grantee asement holder). The conservation eosement, purchase of which is being funded by the Notional Resource Conservation Service (NRCS) of the tl5DA, is interrded to preserve the agricultural s~xils an-sire to the greatest extent feasible. Once executed, this conservation eosement would serve os an additional and perpetual protection of the agricultural character of the property, forever prohibiting fragmentation of the agricultural land and activities and uses inconsistent with the preservation of the agricultural soils. A di-gft of the easement is currently under review by the funding agency (NRCS), with approval and forma/ execution ontitipated sometime during the early summer pf 1013. The conservation easement will contain on absolute and strict limit on total impervious surfaces within the eosement area (not to exceed 2%), with impervious surfaces !orated within defrned building envelopes surrounding the existing residences and otherstrurtures on the faun. In sum, the proposed amendment to the land use designation/zoning boundary between the RF-40 and AP-20 zones will help to keep the 8oulton Farm intact and available for ogriculturot use into the future. EXNIBlT «p„ propcased Changes to Comprehensive R1an or UDC Text No Plan text amendments are necessary ar proposed. Qnly a map amendment is required. Accordingly, it is prapgsed Yhat the trapezoidal portion of APN 8021410D$ depicted in Exhibit "A", which consists of approx+matety 11:8D ae€es currently designated and zoned as Rura[ Forest Land {Rf-40}, be redesignated and rezoned as Prime Agricukural Land (AP-20j, consistent withhistoric agricultural use of the subject Land; and consistent also with the current designation and zoning applied to the APN $D2141DD6 and APN 8D2144D03 which lie immediately adjacent and to the east of the subject area. Boultan Farm Ccanservatan Easement Survey located in Sections 13, 74, 23 & 24, Township 28 North, Range Z West, W.M„ Jefferson County, Washinyfon KNik CYWiIIX GnMIA.EECAM ri LJMNS sYA 0 Ck ol/drhx NIdS rah 9-wur aw Jrw.y secs sr m mxcrEtE-_-yanecn 2^_r .s... / ~~ I~ PARCEL A f aptrm Auo~ ~~ PARCEL A ~~,~ .d~~.d~.e ~~y,~~.~ PARCEL C e., drrrdr k~ r3'diN e Jsaei PA(iCEL C nAaxc vnFVC+c J sr sev J ~ aa~ x. sxtl - ¢NId T SC]YN Js ' R - IfAaO lOLi6 IRR Mt I6 6 I, 1i M l ~ NSM IIPA~ M /J r- HedldylY iY! aaorrt r sY-am J o fro Acn G PAACFl 6 arcs A SCVF w fF2'f K ys• °t r 0 '~ rr y yr+mamu am wut avrde .vd ass Yr10 rM y. 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O M Q g ~ y{ K.j(p~ avlrtnGam4 <rnu ,~ S' 3 OfAYllfµ IpiNlp ih-Y{'!( e[9,p yq/ i n+ SnASm vmr u mar pte w. r 11 NA ~ b ~~ t Miv ur M PRgpI P d mnsx m. a xoelpv, rur rm e ~- mm~ iJi~x ..¢ a s ~. rn. r iY r qP SRKYd. M tre {mrm w -~li» .. >xi> aAv sedgx.aZ no;rs~ PARCEL 5lTg1bY 62Lr xua r°° 9w1 t M ~nrrvsrvv >.ur rr.~~,s ,Pdrn~x me€w2 L ~ ~urocping 14{1.;1{5.258. AU11i"J.0?3~ 1G11102:Sfnx rvww;,lmaron)YMmmq~nkum~ alm /YN NP MCOID T6~ ~~.~ d3 L! ArJ iI ~~ Y m BK1l M 9IR rCK AI PIC 1I M A2'IX2SI tl -0vM'RW uM swKmlc H(# -~ AIdSW GIIw}Y .4dl-i ~Yy 161Y f3L /;Ap WAC1S7-ti-9ti0 Environmentalsheclrlist. ENSTtRlJNb1(?PITALCHECKLI3T Purpose ofcheckltst: The State Environmental policy Act {SEpA), chapter 43.2IC RCW; requires all gavernntental agencies. to consider the environmental dmpacts of a proposal before making decisions. An emironntental impact statement {EIS) must be prepared for all proposals whit probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts Pram your proposal. {and to reduce or avoid impacts from the proposal, if it ran be done) and to help the agency decide whether an EIS is required. Insrractions for applicants: This environmental. checklist asks you to describe some basic. information about your proposal, t'ioveitunental agencies use this checklist to deternilne whether the environmental impacts of your proposal aze significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you.. can. You [Host answer cacti question accurately and carefully, to the best of your knowledge: In most cases, you should be able io answer the questions from your own observations or project plans without the need to :hire experts. If you really do not know the :answer, or if a question does not apply to your proposal, write "do rtot know" or "does not apply." Complete answers to the questions Wino may avoid unnegossary delayslatnr. Some questions ask about governmental regulations, such as zoning, shoreline, and iandmazk designations. Answer these questions if you cart. If you have problems; the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you. plan to do them over a period of time or on different parcels of land Attach any additional information That will help describe. your proposal or its em~irontuental effects. The agency to which you submit .this checklist may ask you to explain your answers or provide additional information reasonably related to deterntiuing if there may lte significant adverse impact. Use pfchecklis7 for rsonproject proposals. Complete this checklist for nonproject proposals, even Wough questions may be answered "does not apply." m ADDITION, complete the sUPt'LEht1;NTAl: Stit?E'f FGit tiONPROJEt"!' ACTIONS {par[ D}. Fox nonprojeci actions, die refrrentxs in the checklist to the words "project," "applicant," and "property or site" should be read as "proposal," "proposer," and "a8'ected g~graphic area," regtectively. A, BACKGROIJNll 1, Name of propot projcx;t, if applicabte: 2. Name of applicant: JOHN G. $aULTON (herein "Applicant"j 3. Address and phone number ar App)icant and comae[ person; 3550 East Quilcerte Road, Qnilcene WA 9&376 Telephone: (360) 301-3015 1. Date checklist prepared: 5. Agency requesting checklist: Jefferson County Department of Community Development 6. proposed. timing or schedule (including phasing, if applicable): There is no development or change in existing land uses associated with this non-project proposal. 7. Do you have any plans for furore additions, expansion, or furdter activity related to or connected with this proposal? If yes, explain. Other than normal agricultural activity in accordance with the terms and conditions of the Conservation Easement, Applicant has no plans for any site activity related to or connected with this non-project proposal ai this time. $. List any envronntenta! information you know about that has beery prepared; or will be prepared, directly related to this proposal. This is anon-project proposal, Na environmental information has been prepared, or will be prepared, directly related to this proposal to relocate a zoning boundary to conform existing and historic land uses to the underlying zoning. 9. Do you know whedrer applications are pending for governmental approvals of other proposals directly atfecting the property covorett by yourpmposal? If yes, explain. There. are nea applications pending for any governmental approvals of other propasais directly atTecting the proposal area. lt}_ List any grnernnrent approvals or permits that will be neoded for your proposal, if known. The only known governnental approval or permit needed is the approval of the proposed comprehensive plan amendment following: (a) Planning. Commission review aad consideration at a properly .noticed public ieearuug, followed by formulation of a recommendation for the Board of County Commissioners {the "BoCC"); and BaCC approval of the proposed Code and map amendments at a regularly scheduled gubGc meeting, all in a manner consistent with Chapter 18,45 of the Jefferson County Code (the "Code"}, l i. Give brief complete description of your proposal, including iluc proposed uses and the. size of the project and site. There are several questions Later in this checklist that ask you to describe certain aspects of year proposal. You do not ncxd to repeat those answers on this page. {Lead agencies may mariil'y this form to include additional ~cific information on project description J Proposed is a relocation of the zone boundary between the Rural Forest {RF 1:40) zone and the Prime Agricuhural Laud (AP 1:2D) zone within one existing tax parcel in order to advance the protection of all of Applicant's agricultural land under the terms and conditions ofi an agricultural conservation easement granted by Applcamt to Jefferson Land Trust, a Washington nonprofit nature conservancy organization {the "Conservation Easement"), The proposal is to remove approximately 11.,8 acres. of land historically used for agriculture from the Forest Resource zone and add all of that acreage to fhe prime Agricultural Land zone. This will conform the zoning to historic land uses dating back at least to the 1440s era. The approval. of this proposal will also conform the zoning to the boundaries of the agricultural Laud that is subject to the Conservation Easement. 12. Location of the proposal. Give suf#icient infomration for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submittcxi with any permit applications related to this checklist. The propose! area. is Located at 7$@ 8oulton Road, North of Quilcene and Westerly of Highway 101, within tax parcel $02-141-0@5, in the Southwest quarter of the Northeast quarter and in the East half of the Northwest quarter of the Southeast quarter of Section 14, Township 2$ North, Range 2 West, W.M. TO itt-' COY.tPL£TED nY APPFdCA1JT B. ENVIRONMENTAL ELEMENTS EGrV,1)Al'tON FOR AGENCY USE ONLY 1. Earth a. General description of the site (circle or highlighf one) lam, mEling, hilly, steep slopes, mountainous, other..-... b. Who[ is ttre steepest slope on the site (approximate percent slope)? The site that is the snbject of this proposal is approximately 11.8 acres in area and has no sleep slopes. c. What general types of soils are fonnd on the site (for e?:ample, clay, sand, gravel, peat, muck)? If you know the classification of agricuIturat soils, specify Urem and note any prime farmland. Within the 11.8 acre site, the snits are generally dassifted as Belfast silt loam; wet variant (Bk) and Belfast fine sandy loam (Bf), with indication of some Wapato sandy loam (4Ya) in the Prime Agricultural Land. zone and some Cathcart gravelly silt loam in the adjacent Rnral Forest zone. The agricultural soils would generally he classified as sandy day loam. d. Are there surface indications or history of uastable soils in the immediate vicinity? If so, describe. There are nditatiwts that the channel(s) of Andrews Creek at some time in the past had an associated allnvial fan. This is based on the depositions of gravel and sand found in the vicinity of the torrent deeply incised channel for the creek. No other known surface indacations of unstable soils in the imrtiediate vicinity. c. Describe the purpose, type, and appro~mate quantities of any filling or grading proposed. Indicate source of fill. There is no filling or grading associated with this non-project proposal, f- Could erosion occur as a result of clearing, consWCtion, or use? [f so, generally describe. There is no Blearing or construction associated with this non-project proposal. g. About what percent of the site rtiu11 be covered with impervious surfaces a8er project construction (for example, asphalt or buildings)? There is no construction associated with this non-project proposal. No impervious surfaces will be added as a result of the approval of the proposal The Conservation Easement permanently limits impervious surfaces to no more than two percent (2%) of total land area subject to the easement. h. proposed measums to reduce or control erosion, or other impacts to the earth, if any: There are no known highly erodible wits and there wip be no activities associated with this non-groject proposal that would result in any erosion or other impacts to the earth. a. Air a. What. N. pes of enssions to the air would rs~ttt tom the proposal (i.e., dust, automobile, odors, irtdusirial wood smoke) during cansirtlction and when [lie project is completed'? If any, generally describe and give approximate quantities if known. No emissions to tlce air wilt result from the approval of this non-project proposal. b. Are there any off-site sources of emissions orod4r that may affect your proposal? If so, generally describe. No. c. proposed measlrres to reduce or control enlissians or other impacts to air, if any: Does no# apply tolhis non-project proposal 3. Water a. Surface: 1) Is [here any surface water body on or in the immediate vicinity of the site (including year-round and seasonal sveams, saltwater, lakes, ponds, wetlan~)7 If yes, desctibe type and provide names. If appropriate, state what stream or river it flows into. Andrews Creels flows through the 11.$ acre site and there are two tributaries to Andrews Creek in the immediate vicinity of the site. Andrews Creek slows into Crocker Lake and, from there, into Discovery Bay. 2) Will the project require any work over, in, or adjacent to (within ZO(l feet) the described iw:wiPrc~ Ifnvc nlnacv rlrcrnM and attach at+~3lohla rdans . ~.. , Y..w...ww ...................... ...«......., p....:.,. No. 3) Estimate llie amount of Itlt and dredge ma[ertat that would be ptacea m or removed from surface water or vvedands and indicate the arm of the site That would be affected. Indicate the source of fill material. 'Does not apply; approval of this non-project proposal will not result in any filling or dredging. a) Witt die proposal require surface water withdrawals or diversrons7 Give general description, purpose, and approximate quantities if knowal. Does not apply; approval of this non-project proposal will not require any surface water withdrawals or diversions S) Does the proposa3 lie within a 1EH1-year tloodplain? If so, note Location on the site plan, The FEMA FIRMS mapping available from Jefferson County indicates a tloodplain associated with Andrews Creek. There u no iloodplain within the Il.$ acre site that is the subject of this non-project proposal. 6) Does the proposal involve any disclurgcs of waste materials to surface waters? if so, describe the t~~pe of +vaste and anticipated volume of discharge. No this non-project proposal does not inaoive any discharges of waste materials. b. Ground: 1) Will ground wafer be withdrawn, or wiF2 water be dischazgod to ground water? Give general description, purpose, and approximate quantities if known. lvo. 2) Describe waste maiorial that will be dischaged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, tantaining the folloi>.2ng chemicals... ;agricultural; etc.). Describe the general size of the system, Ute number of such systems, the ntatnirer of houses to be served (if applicable); or the number of animals or humans the system(s): are expected to servo. Does not apply; the approval otthis proposal will not result. in any change iu land uses rrr agrietdtural practices. c: Water runoff (including stomrwater): i) f)eseribe Ute source of runoff (including storm water} aiut method of collection and disposal, if arxy (include quantities, if known}. Where will this water flow? Will this water flow into outer waters? If so, describe, Within the 1i.8 acre site, stormwater runoff associated with the existing single family residence is Controlled in accordance with applicable Jefferson County ordinances and permitttrg for its recent Construction. No additional stnrrnwater or other runoff will result from the approval of this non-project proposal. 2) Could waste materials enter ground or stufaace waters? If so, general}y describe. Does noL apply; no waste tn~ateriais will result from the approval of this proposal. d. Proposed measures to reduce orrnnaul surface, ground, aad runoff water impacts, if any: Does not apply; no known impacts of this nature will result from approval. ofths proposal. 4. Plants a. Cheek or circle (or highlight) types of vegeG7lion fannd on the site: deciduous tree- ate[, awe, aspor{, other ecittouiaroraFi; p~pfttr; Yn evergreen tree t~, .~ ,pine, other: hettdoek Sltntbs: btackbem; salal; Oregon grape.; huckleberry grass pasture crop or b out anttl~i etat~ie r~rz4ps (potatoes, carr+ttt~ 3ettuec); had wet soil plants ' ,. 'l, P, bullCUSlt. skunk cal rage, other: wild carrot water plants orator hl}, eelgrass, milfail, ether .road catlary grass other t}pes of vegetation b. What kind and atnoun[ of vegetation wilt be removed or altered'? Does not apply; no vegetation will be disturbed as a result of the approval of this non-project proposal. c. List threatened or endangered species known to be on or near the site- There are rro threatened or endangered plant species known to be on or near the site. d. Froposed landscaping, use of native plants, or other measures to preserve yr enhance vegetation an the site, if any: floes not apply to this non-Project proposal, 3. Animals a. Circle (or highlight) any birds and animals ivhich have been observed on or near the site or are known to be on or near the site: birds: ~~' , ~- ~ others, ;`" ;t'+ntipaterst mamt: ' '~ ,bear, elk, tie~vei, other: fish: bass, , herring, shellfish, other: b. List any threatened or endangered species known to ba an or Haar the site. There are no known threatened or endangered. animal species known to be on or near the site. c. is the site part of a mgtaiion muta'f if so, explain. As is the case with nearly ail of Western Washington, the site lies within the Pacific Flyway, a documented migratian route, However, this non-project proposal, if approved, would not have any impact an migratory species. d. Proposed measures to preserve or enhance. wildlife, if a~•; This proposal to relocate a zoning boundary wil! not have any impact on wildlife. The Conservation Easement prohibits the disturbance of nesting or breeding activities of witdhfe and generally contains environmental protections to preserve and enhance. wildlife habitat within the Prime Agricultural Land zone. 6. Energy aad natural resources a. What kiiuls of energy (electric, natural gas, oil, wood stove, solar) will be used. to meet the completed project's energy needs? Describe whether i[ wtll be used for heating, manufacturing, etc. Does not apply; energy needs will not change as a result of the approval of this non-project proposal. b. W ould your project affect the potential ase of solar energy by adjacent properties? if so, genanlty describe. No. The Conservation Easement atlows solar and other alternative energy infrastructure within designated Building Envelopes, What kinds of energy conservationfeatures aze included in the plarvs ofihis proposal? List other proposed measures to recline or control energy impacts, if any: Does not apply; the approval of this proposal wilt neither increase nor reduce energy needs. 7. ]Environmental health a, Are there any envimnnrental healh harvrds, including exposure to tonic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal'? If so. descrite. No; this is anon-project proposal. 1) Describe special emergency services that might be required. No special emergetcy services will be required as a resub of the approval of this non- projeet proposal. The Conservation Easement precludes any further development of the agricultural land, as described. in the Conservation Easement, thereby lessening the likelihood_that such special services would be required in the future. 2} proposed measures to reduce or control environmental health hazards, if any: IErrvironntental health hazards will not be affected by the approval of This proposal. b. Noise I) What types of noise exist in the area which may affect your project (for esample: traffic, equipment, operation, other)? Does nat apply. 2) What types and levels of noise would be created by or associated with the project on a short-term or a longterm basis {for esample.; traffic, construction, operation, other)? lndi- ca[e what hours noise would come from the site. lYo additaonal noise of any type on a short or long-term basis will be created by or associated with the approval of#his proposal 3) Proposed. measures to reduce or control noise impacts, if any: Does not apply. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? The proposal area has historically snd is currently used for agriculture and forestry, in accordance with the existing zoning. Adjacent properties are currently used for commercial forestry with some low-density single-family residential uses. b. FIas the site been used for agriculture? If so, describe. Yes, the land has historically been used for agriculture dating back to at least the l94(ls. c. Describe any structures on the site. There is one single-family residence on the 11;$ acre site, currently located within the Forest Resource (RF 4tD) zone. The proposal would relocate the laud use zone boundary to include the single-family residence in the Prtne Agricultural Laud (AG 20} zone. d. Will any structures tie demolished? If so, what? No. e. What: is the current. zoning classification of the site? The 11.8 acre site. that is the subject of this proposal is currently within the Rural Forest (RF-40) zone. The proposal. is to relocate the zoning classification boundary so the site will become part of the Prime Agricultural Land (AP l:Zt)}zone. f. What is the current comprehensive plan designation of the site? The current. comprehensive plan designation of the 11.8 acre site is resource land./ Rural Forest (RF-40}. g. If applicable, what is the current shoreline master program designation of the site? Does not apply- h. Has any part of the site been classifted as an "environmentally sensitive" area? if so, specify. No, i. Approximately how many people would reside or ~vark in rite completed project? Does not apply to this non-project proposal. j. Approximately haw many people would the cotnpie[ed project displace'? No people will be displaced by this non-project proposah k. Proposed measures to avoid or redttee displacement impacts, if any: Does not apply. 1. Proposed measures to encore the proposal is compatible with existing and projected land uses and plans, if any The Conservation Easement assures that the agricultural soils will be permanently preserved and available for future agricultural uses, consistent with the resource land designation under the comprehensive plan. 9. Housing Approximately how many units ttrould be prorided, if any? Indicate whether high, mid- dle, or low-income housing. This is anon-project proposal; no additional Rousing units would be provided. .3ppraximatety haw many writs, if'any= would be elimiuated'? hrdigtc whether high, middle, ar low-income hpnsing. IVo housing units would be eliminated. c. Proposed measures to reduce or control housing impacts, if any: Boes not apply. 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior bnilding materiat(s} proposed? Does not apply; no structures are proposed. b. What views in the immediate vicinity would be altered or obstructed"? Does not apply; no views in the immediate vicinity would be altered or obstructed by this non-projee# proposal c. Proposed measures to reduce or control aesthetic impacts, if any: Does not apply; no impacts to aesthetic values from this non-project proposal. 11. t.ightantl glare a. What type of light or glare wilt tFre proposal produce? What time of day would it mainly occur? Does not apply to this non-project proposal. b. Eould (iglu or graze from the fmished project be a safety hazard or interfere with views? Does not apply to this non-project proposal. c. What exisrng oif-site sources of lil;ht or glare may aifect your proposal? Does not apply. d. Proposed measures to reduce or control ligln and glare impacts, if any: Does not apply to this non-project proposal. 12. Recreation a. Whaz designated aril informal recraanonal opportunrties are in the immediate vicinity? The nearest designated recreational sites are Lake Leland and Crocker Lake; neither of these sites is accessed either directly or indirectly via the site. b. Would. the proposed project displace an} existing recreational uses? if so, describe. No. Proposed measures to reduce or contml impacts on recreation, including recreation op- portunities to be provided by the. project or Applicant, if aay Dries not apply to this non-project proposal. 13. Historic and cultural pre~rvarion a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known lobe on or neat to the site? if so, generally describe. pFone known to Applicant. b. t ienerally descrt~lae any landmarks or evidence of>tislonc, asclraeolagical, scientific, or cultural importance knorvn to oe on or neat to the Site. None known to Applicant. c Proposed. measures to reduce or control impacts, if any: Does not apply. 14. Transportation a. identify public streets and highways serving the silo, and describe proposed access to the existing street system. Show on site pions, if any. The 11.8 acre. site is accessed via Boulton Road, a Jefferson County road, and by US Highway 101. Access will not be affected by approval. of this non-project proposal. o. is site currently served'uy puoiic transit ~ ]f not, what is lire apprucimaie rlistartce io the nearest transit stop? The site is not currently served by public transit c. How many parking spaces would dte completed project have? How many would the project eliminate? Does not apply to this non-project proposal. d. Will the proposal require any new roads or strcets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). Approval of this non-project proposal. will not require any new roads or streets. Will the project use (or occur in the immediate vicinity of) water, rail, or air transporta- tion? If so, generally describe. Does not apply to this non-project proposal. r. How many vehicular trips per day would be generated by the completed project? If known. indicate when peak vrolumes would occur. No additional veh[cular trips will result from the approval of this non-project proposal. g. Proposed measures to redtrce ar control trartspanation impacts, if any: Does not apply. 15. Fuhlic services Would the pmject resnit in an increased need for public services (for ezampte: fire pro- tecton, poliGa protection, health care, schiwls, other)? If so, generally describe. Na. The Conservation Easement extinguishes development rights,. so there should be no increased need for public services in the future. b. Pmpttsed measures to redurz or ~ntroi direct impacts on public services., if atty. Does not apply to this non-project proposal. 15. Utilities a. Circle for highlight) utilities cnrretttty available at the sitr. '. , natural gas, water, refuse serv- ice, r..a` ~ , sanitary sewer, fiept4C~~ ~~ ;~.". other. b. Describe the utilities that are. proposed for the project, the utility providing the sert~cc, and rite general construction activities on the site or in the immediate viciniiy xvhich might be needed.. Does no# apply to this non-project proposal. (SIGNATUt2E PAGE hOLt.OWS) 1] C. S1GN.4TURE The above answers are [rue and complete ro the best of my knotviedge. !understand that [he lead agency is relying an them to make its decivsio~n Signature ... i.~°.'~.i~„~"ffi^ ........_ .. ... ._ .................................................... Date S med...... ....... ~....... _....... ...._ ............................................ l2 TOBE COMPLETED BY APPWGANT EVALFJATION FOR AiUF;N~CY USF: ONLY D. SlFPPLEI+4EN1'AI. SHEET FOR NONPRO7ECT ALTiONS {do not use this sheet for pttlject actions) Because these questions are very general, it nta}• be 3teipful to mad them in conjunction with the list. of the eitnttents of the ettvitnnment. When artswering tizESe questions, be awaie of the ectent the proposal, or the types of activities lt7cely to result From the proposal; would affect-the item at a greater intensify or at a faster rate than if the proposal were not implemented. Respond briefly and in general I. How would the proposal be likely to incieasQ discharge to water; emissions to air; ,pro- duction, storage, or release of toxic or hazardous substances; oe productian of noiseY This proposal will not increase discharge to water, emissions to air, or the production of noise. The Gonservsitian Easements prohibits the production, storage, or release of toxic or hazardous substances. Proposed measures to avoid or reduce such increases are: Does aot apply, 2. How wotdd the proposal be likely to atect plan€s, animals, fish, or marine life? The. non-project proposal will not haue any adverse impacts on plants, animals, or wildlife. The Canservatitin Easement extinguishes development rights and enhances environmental protection for the agricultural land. proposed mcasuxcs to protect or comscrvc pleats, animals, fish, or marine li£e tare: Does not apply. 3. How wroald the proposal toe likely io dePlete energy or ttatural msources`t This is anon-project propose[ and its approval will not deplete energy or natural resources. proposed meastues to protect. or conserve energ}• and natural resources are: f. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness. wild and scenic rivers, thzeatened or endangered species habitat, historic or cultural sites, wetlands, floodpiaitts, or prime farmlands? This non-project proposal would not use and would not be likely to affect any environmentally sensitive areas designated, eligible, or under study for governmental protection proposed tneasuxes to protect such resources or to avoid or reduce impacts are: -oes not apply. I> 5. How would the proposal lie likely io affoct land and shoreline use, ivoluding whether it tivould allow or encourage land or shoreline uses incompatible with existing plans? This non-project proposal is unlikely to affect Farad uses (there is no shoreline). The Conservation Easement prohibits land uses incompatible with the preservation of agriculhtral soils. Proposed measures to avoid or reduce shoreline and land use impacts are: 'f'he approval of this non-project proposal wilt not result in any impact to historic land uses and the Conservation Easement wilt permanently protect the agricultural soils. G, Haw would the proposal be likely to increase demands an trartsponation or public sevices and utilities? This non-project proposal will have. no Impact on transportation, public services, or utilities. Proposed measures to reduce or respond to such demand(s) are: Does not apply to this non-project proposal. 7. Identify, if possible, whether the proposal map conflicfwith local, state, or federal laws or requirements for the protection of the environment. Approval of this non-project proposal will not resuh in any conflict. with local, state, or federal laws or requirements for the protection of the environment. 14 t ~_ ~~ ~~ f OprariwaiCm ® Mes aopcma i 6aNOn rrn+ C Cary Parcws RoaCt Farm Proposed Change Result for informational purposes only. All data represented are from varying sources and approximate. Map created in February. 2013 N rr MJ v ~~ r ~ ~; ~„ ~~*F..=.1 ~K' •' 1571 1~ ,~ `_ _ __ ~ _r-. n •. ~ 1,-. l ii. • i. r .: - -,~ ~~~~ ~~ J ' ~ `I ~• ~' , f r /~~~ ~ ~ r rl•Iti tit 1~ . •~ ~. 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A ~wP .(2 Y B ~} 1~ ~ ~~, ~ i3 m.....Y A'A 1 ^~ ~~'?.I PARCEL C ~. •6 w~ s nr qi 40C suRRry . A6 RY `AMT cyI nYMRR faMR #<rqx .. nrjv/,a lawn ,n-+oe,Kaw ,me rrs ew svrm as .s snrr sa ut , M K 9lKY; (E l It Y9} fµ,p 1) MN 10, +-ass~le- Nn I)PF YnM Gw-CI wt) nF swni. A:awnas<:asra. -x . nrmm ~ - axw :¢ a ar smaa. lG fl9 Y^ y 1¢.) nP {. SfiKYY. PARCEL E € tar lar . asmn- i . mra» ~-m.r wsr zmaxM titter. a:t,AV, .. Or 13 f1YM ~ @ 1-K`x ~ mmA.sn mxaa sa-rw~ r~ LbyL i9 Y swm awnw LTwtA a¢~bx a. ar m A r ~ R sl~IAfat ~ Rw Kt a M' 9tMf1S w ]I .9 1 ¢ u 3 f wII ]aGf IYp tlwS tiAw fbC[l( wail alAlawxn 4rwpiC s l u s-rxx e ma K g wiMaAwA Sl,YnaP Aa Ak lbf ,ur ns . q,y T.NL!A Mh s1++.a15 ro e1 reenrwv -~ -~"'v» ::s ~ sacs. szrsrwL rsasrl PARCEL F :3 .~ a AL a a r svw'wY w1,+/ , srY~a'a; iNf/ i¢ B ff RECEaN ~~~ ~r~- PARCEL G R~. cxv6t>NY+aw asrska',uumsw ewunrc aware ev+wav ncxlcvr seo-wms mRl PARCEL A ~xx,Y1r2 a~.)a as ~ r u~4 Wrm r .NY]A bll 1 SL)RVS. IR Sf,L7[dN3 13 14, X33 24,'[OIGNSFIIP 2& 30RTLI, R 1M P,? ll"eS7 \Y M.JkFFt~SI )N Ct3GNT, 1ti.15HtVG"[Y?n rAYr1 $4RK)4143 tFRI:FIG(}£ r'.r~ r+w wv mmft6r rSRt~'»6 swan A~ er,c ce rrmv ev mscmv b !b.•!a'iVCE XM VC AfGMRaOip PT fi69MFY N!llPomE K) AT iK .•W R26f K.lIIIAAYI IA•B lY6 N3W:VAY. "mii aam bn ICKN_ W n f /Kg „eygg/py 3Y5 JiStl 4K1)) 011 J OIIN3Tr>:V L d Sv.u~y.;,,~ SNI W. Eb~Re6 tiuma Pml A ~dG., IXd 98362 wn~vs.zsrou. ua.x;~ez» 3tna;znz~ar.. wwa.jWmnonlvxlmmav~~~pxn ~ ~nr~; ran ,w Am rr.s_ ~ a..a m~~,.. T ~uxAasr _asuKrs rrr,.(y_ ' .i TC ry{gnSl K 1YaKYW 1w1u IlRKfxC mnxzov mw +rnm.s ne r•<rwex ! IT l fA'a-L WAC 197-11-9&0 Environmeniaichecklist. ENVlROAiMEhTAL CHECKtiST Purpose ojchecklisr: 'T'he State Environmental pulley Act (SEPA), chapter 4321C RCW, requires a[lgovemmental agencies to consider the environmental impacts of a proposal before making decisions. An environmemal impact statement (E1S) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. Tate pnrlwse of this checklist is to provide information to help you and the agency idemify impacts. from your proposal (and to reduce ar avoid impacts from the proposal, if it rCdiii be done) and to help the agency decide whether an EIS is required. Instructions jor applicants This ernirortmsntal cheddist asks you to describe some basic information about your proposal Governmental agencies use ibis checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. At~wer the questions brie#ly, with the most precise information :known, or give the best description you can. You must answer each gnestion accurately and carefully, to the best o~your knowledge. In most cases, you should be able to answer the questions frmn your own observations or project plans without the need to hire experts. If you really do not know the :answer, or if a question does nat. apply to your proposal, write "do not know" ar "does not apply." Complete answers to the questions claw may avoid unnecessary delays later Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can, Tf you trove problems; the govemmetual agencies can assist you. The checklist questions apply to aU porn of your proposal, even if you plan to do them wer a period of time or on different parcels of land. Attach any addititrnai information that wiU help de.scribe your proposal ar its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant. adverse impact. U'se of chee7tlist jor nortprojeci proposals: Complete this checklist for nonp%pct proposals, even though questions may be answered "does not apply." ttv ,aDnrrtot~, complete the surBl;E.MEirrAt. stiR>-rr Eox xoxruorF,i~r acrlotvs (part p). For nonpmject actions, the references in the checklist. to the words "project," "applicant," and "'property or site" sbonld be read as "proposal>" "proposer," acct "ai'c~ted geographic oleo," respectively. A. BACRGRDIIIvIJ 1. Name of proposed project, if applicable: 2. Name of applicant JOHN G. BOULT'ON (herein "Applicant") 3. Address and phone number of Applicant and contact person; 3590 East Quilcene Road, Quilcene WA 98376Telephone: (360) 301-3015 4. Date checklist prepared: 5. Agency requesting checklist Jefferson County Department of Community Development 6. proposed timing or schedule (including phasing, if applicable): There is no development or thange in existing land uses associated with this non-project proposal. 7. Bo you have any plans for future additions, expansion, or further activity related to or connected with this proposal? if yes, explain. Other than normal agricultural activity in attordance with the terms and conditions of the Conservation Easement, Applicant has no plans far any site activity related to or connected with this non-project proposal at ibis time. $. List any envimnmentat information you knave about that has been prepared, or will be prepared, directly related to this proposal. This is anon-project proposal. No environmetrtal information has been prepared, or will be prepared, directly related to this proposal to relocate a zoning boundary to conform existing and historic fend uses to the underlying zoning. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? if yes, explain. There are no applications pending for any governmental approvals of other proposals directly electing the proposal area. 10. List any government approvals or permits [hat will be needed for your proposal, if known. The only known govertmental approval or permit needed is the approval of the proposed comprehensive plan amendment following: (a} Planning Commission review and consideration at a properly noticed public hearing, followed by formulation of a recommendation for the Board of County Commissioners (the. "BoCC"); and BaCC approval of the proposed Code and map amendments at a regularly scheduled public meeting, all in a manor consistent with Chapter 18.45 of the Jefferson County Code (the "Code"). 11. Give brief, complete description of your proposal, includirg the proposed uses and the size of the project. and site. There are ~veral questions later in this checklist that ask you ra describe certain aspects of your proposal. You do not need. to repeat those aziswers on this page. ¢ead agencies may modify this form to include additional specific. information on project description) Proposed is a relocation of the zone boundary between the Rural Forest (RF 1:40) zone and the Prime Agricultural Land (AP 1.20) zone within one existing tax parcel in order to advance the protection of all of Applicant's agricultural land under the terms and conditions of an agricultural conservation easement granted by Appficatrt to Jefferson Land Trust,a Washingtan nonprofit nature conservancy organization (the "Conservation Easemerrt"}. The proposal is to remove approximately 11.8 acres of land historically used for agriculture from the Forest flesource zone and add atl of that acreage to the Prime Agricultural Land zone. This will conform the zoning to historic land uses dating back at least to the 1940s era. The approval of this proposal will also conform the zoning to the boundaries of the agricultural land that is subject to the Conservation Easement. 12. Location of the proposal. Give su0"icient information for a person to understand the precise location of your proposed project, including a street address, if am, and section; township, and range, if known. if a proposal would occur over a range of area, provide the range or boundaries of the ste(s}. provide a legal description, site plan, vicinity map, and topographic reap, if reasonably available. While you should submit am' plans required by the agency, you are not required [o duplicate maps or detailed plans submitted with any permit applications related to this checklist. The proposal area is located at 780 Baulton Raad, North of Quilcene and Westerly of Highway 101, within tax parcel 502-141-005, in the Southwest quarter of the Northeast quarter and in the East half of the Northwest quarter of the Southeast quarter of Section 14, Township 25 North, Range 2 West, W.M. TO BF. G01tPL1•"1'ED nY AFPLiCANT B. EAViROA1ME1'T9L ELEMtiNrS EVeV..UATION FOR .4C,ENCY USE ONt,Y 1. Earth a. General description cf the siie {circle or highlight one)' ~, rolling, hilly, stcep slopes, mountainous, oChar.._.. b What is the steepest slope on the site {approximate percent slope}'? The site that is tote subject of this proposal is approaima[ely 11.8 acres in area and has no steep slopes. c. What geiioral types ofstiits are Found on ttie site (for example, clay, sand, gravel, peat, muck)? Lf you know the classification of agricultural soils, specify them and note any prime farmland. Within the 11.8 acre site, the soils are generally classified as Belfast silt loam, wet variarR (Bk) and Belfast fine sandy loam (Bfl, with indication of same Wapaka sandy loam {Wa} in the Prime Agricultural Land zone and some Cathcart. gravelly silt loam in the adjacent Rural Forest zone. The agricultural soils would generally be classified as sandy clay loam. d pre there surface indications or history of nnstable soils in the immediate vicinity'? If so, describe" There are indications that the channels} of Andrews Creek at same. time in the past had an associated alluvial fan. This is based on the depositions of gravel and sand found in the vicinity of the current. deeply incised channel far the creek. No other known surface indications of unstable sails in the immediate vicinity, e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. There is no filling or grading associated with this non-project proposal. f Gould erosion occur as a resultof clearing, construction, or use? if so, generally describe. There is no clearing or construction associated with this non-project proposal. g. About what percent of the site will be covered with. impervious surfaces after project conswction {fnr example, asphalt or buildings)? There is no construction associated with th'ss non-project proposal. No impervious surfaces will be added as a result of the approval of the proposal. The Conservation Easement permanently limits impervious surfaces to no more than two percenk {2%) of fatal land area snbject to the easement. h. Piaposed tncasures to reduce. or control erosion, or other impacts to the earth, if any: There are no known highly erodible soils and #here wilt be no activities associated with this non-project proposal that would result in any erasion or other impacts to the earth. a_ Air a What types of emissions to-the ai r would result from the proposal (i:e., dust„ automobile, actors, industrial wood smoke) during cansirttction and when the project is completed? If any, generally describe and give approximate quantities if known. No emissions to the air will result from the approval ofthis non-projeM proposal. b. Are there any off-site sources of emissions. or odor that may affect your proposal? if so, generally describe. No. c. proposed measures to re~ttce or control emissions or other impacts to air, if arty: Does not apply to this nQn-project proposal. 3. Water a. Surface: 1} is iltere atry surface water body on or in the imntediatev~Cinity of the site (including year-round and seasonal streams, sal#water, lakes, ponds; wetlands)? If yes, describe type and provide names. Ifappropnate; state what stream or river it flowsnto. Andrews Creek flows through the 11.$ acre site and there are two tributaries to Andrews Creek in the immediate vicinity of the site. Andrews Creek Vows into Crocker Lake and,. from there, into f)iscovery Bay. 2} Will the project require any work over, in, or adjacent to twiihin 20() feet} the described i~:wtwrt'1 iF~a Ylnaew ilr~„crnM anA vifayCh a:".'.it~ktn ^pt~,^3. Na. 3} Estimate the amount of fill and dredge material that would ~ plaeed in or removed from surface water or wetlands and indicate the azea of the site that would be affected, Indicate the source of fill material.. 'Does not apply; approval of this non-project proposal will not result in any filling ar dredging. 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, antl approximate quanhties if known. Does not apply; approval of this non-project proposal will not require any surface water withdrawals or diversions 5) Does rite proposal lie within a it10-year fioodplain 7 if so, note location an the site plan, The FEMA FIR1ifS mapping available fram Jefferson County indicates a floodplain associated with Andrews Creek. There is no floodplain within the I1.$ acre site that is the subjeM of this non-project proposal. 6) Dces the proposal involve any discharges of waste materials to surface waters? if so, describe!]te type of waste and anticipated volume of discharge. No; this non-project prup+asal does root involve any discharges of waste materials, b. Ground: 1) Will ground water be tvitlidrasvn, or will water be discharged to ground w ester? Give general description, purpose, and appmxirnate quantities if krmwn. No. 2) Describe waste material that willlre discharged into the ground from septic tanks or ocher sources, if any (for exatttple: Domestic sewage; industrial, containing the following clcemicals... ; agricultural; etc.). Describe the general site of the system, the. number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the systems} ace expected to serve. Does not. apply; the approval of this proposal wilf not result in any change in land uses or agricultural practirxs. c. til?ater runoff (including siormwater): 1) Describe the source of runoff (including storm water) and method of collection and disposal, sf any (include quamities, if known). Where twill this water flow? Will this water flow info other waters? If so, describe. Within the 11.8 acre site,. stormwater runoff associated with the ezisting single family residence is controlled in accordance with applicable Jefferson County ordinances and permitting for its recent construction. No additional stormwater oe other runoff will result from the approval ttfthisuon-project proposal. 2} Could waste materials enter ground or surface waters? if so, generally describe. Does not apply; no waste materials will result from the approval of this proposal. d. Proposed measures to reduce or aontrol surface; ground, and mtroff water impacts, if any: Does not apply; no known impacts of this nature will result from approval of this proposal. 1. Plants a. Check or circle (or highlight) types of vegetation found on the site: deciduous tree > die, aspen. artier etittorusxmd; paplat: bawtusris etergrccn tree ~, car, pine. other: Shrubs: blackberry; salal; Oregon grape; huckleberry grass pasture crop or gram. a 2teg „ le cCOpS toes. carrots letTtitx), hhay wet soil plants: ' '1, lnrtrettp, tiulftuslt, skunk cabbage, other: wild carrot water plants; tt'at4r lily. celgrass. milfoit, other teed canary grass other types of vegetation h. What kind and ;uuounl of vegetation will be removed ar altered? Does not apply; no vegetation will be disturbed as a result of the approval of this non-pro;eM proposal. c..List threatened or endangered species known to be on or near the site. There are no threatermd ar endangered plant species known to be on or near the site. d. 1'raposed landscaping; use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Does not apply to this non-project proposal, ~. Animals a. Circle {or highlight) any birds and animals which have been observed on ar near the site ar are known to be on or near the site: birds: 'r`ds_ other, ; . , n : > meter swan tnammals: ¢~r, bear, elk ,other: fish: bass, :~ _~ ~ ' ,herring, sheltfist,, other: b, Lis[ any Threatened or endangered species known to be on or near the site. There are no known threatened or endangered animal species known to he on or near the site. c. is the sate part at` a migration raute'% ii so, ezpiain. As is the case with nearly alt of Western. Washington, the site lies within the Pacific Flyway, a documented migration route. However; this non-project proposal, if approved, would not have any impact on migratory species. d. Praposed measures to preserve ar enhance wildlife, if any: This proposal to relocate a zoning boundary will not have any impact on wildlife. The Conservation Easement prohibits the disturbance of nesting or breeding activities of wildlife and generally contains environmental protections to preserve and enhance wildlife habitat within the Prime Agricultural Land zone. 6. l;nergy and natural resources a. What kinds of energy {electric. natural gas, oil, wand stove, solar) will be used to meet the completed project's energy needs? Ilcscriba whether it will be used for heating, manufacntring, etc. Dces not apply; energy nerds will not change as a result of the approval of this non-prajeet proposal. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No, The Conservation Easement allows solar and other alternative energy infrastructure within designated Building Envelopes, G What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Does not apply; the approval of this proposal wi}l neither increase nor reduce energy ncetls. 7. Environmental hearth a. Are there any env~iroruuental health hazards, including exposure to tovc chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? ]f so, describe. No, this is anon-project proposal. 1) Describe special emergency° senlces that might be required. 1Wo special emergency services will he required as a resuh of the approval of this non- project proposal. The Conservation Easement precludes arty further development of the agrieuttural land, as described in Lhe Conservation Easement, thereby lessening the likelihood that such special services would be required in the future. 2) proposed: measures. to reduce or comrol emrtmnmental health hazards, if anv: Environmental health. hazards will not be aRected by the approval of this proposal. b. Noise t) What types of noise exist in the area xvhich may affect your project (for esamplc; traffic, oquipmeni, operation, other)'? goes not apply. 2) What. types and levels of noise would. be created by or associated with the project on a short-term or a long=term basis (for example: tra8"ic. construction, operation; other)'? Indi- cate what hours noise would come from. the site. No additional. noise of any type on a short or long-term basis will be created by or associated with the approval at this proposal 3) proposed measures to reduce or control noise impacts, if any: Does not apply. 8. Land and shoreline use a. What is fhe current use of the site and adjacent properties? The proposal area has historically and is currently used for agriculture and forestry, in aceardance with the existing coning. Adjacent properties are currently used for commercial forestry with some low-density single-ffamily residential uses. b. Has dte site been used for agriculture'? tf so, describe. Yes, the Land has historically been used for agriculture dating back to at least the 194Us. c. Describe any structures oa the site. There is one single-family residence an the li.$ acre site, currently located withirt the Forest Resource (RF 40) zone, The proposal would relocate the Land use zone boundary to inclade the singtc-family residence. in the Prime Agricultural Land (AG 2Q} zone. d. Will any stmcinres be demolished? If so, what? No. e. What is the current zoning classification of the site'? The 11.$ acre site that is the subject of this proposal is currently within the Rural Forest (RF-40) zone. The proposal is to relocate the zoning classification boundary so the sits will become part of the Prime Agricultural Land (AP 1:20) zone. {. What is the current comprehensivo plan designation of the site? The current compr~elterisive plan designation of the 11.8 acre site is resource land /Rural Forest (RF-q0). g. If applicable, what Js the current shoreline master program designation of the site? Does not apply. h. Has any pad of the site been classified as an "environmentally sensitive" area? If so, specify. No. i. Approximately haw many people wonld reside or work in the completed project? Daes not apply to this non-project proposal. j, Approximately how many people tirould [he cotnpteted project displace? No people will be displaced by this non-project proposal. k. Proposed measures to avoid or reduce displacemem impacts, if any: Does not apply. 1. Proposed measures to ensure the proposal is compatible v.~tlr existing and projected land uses and plans, if any: The Conservation Easement assures that the agricultural soils will. be permanently preserved and available for future agriculture[ uses, consistent with the resource land designation under the comprehensive plan. y. Housing a. Approximately how many units i+°ould he provided, if any? Indicate ~r°taether irigfi, mi3- dic. or low-income housing. This is anon-project proposal; no additional housing units would be provided. Approximately how man} units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. No housing units would be eliminated. c. Proposed measures zo reduce or control housing impacts, if any: Does not apply. 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? Does not apply; no structttres are proposed. b. What views in the immediate vicinity would be altered or obstnicted? Does not apply; no views in the immediate vicinity wontd be ahered or obstructed by this non-project proposal. c. Proposed measures to reduce or control aesthetic impacts, if any: Dces nM apply; no impacts to aesthetic values from this non-projeM proposal. 11. Lig#tandgtare a. What type of light or glare will the prolmsal produce? What time of day would it mainly QCCllr? Does not apply to this non-project proposal. b. Gould ]iglu or glare from the finished project be a safety hazard or interfere with views'? Does not apply to this non-project proposal. c. What existing off-site sources of light or glare may affect your proposal? Does not apply. d. proposed measures to reduce or control light and glare impacts. if an}': Does not apply to this non-project proposal. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? The nearest designated recreational sites are Lake Leland and Crocker Lake; neither of these sites is accessed either directly or indirectly via the site. b. Would the proposed project displace aay existing recreational uses? If so, describe. No. proposed. measures to reduce or cantml itnpaas an recreation, including recreation op- portunities to be provided by the project or Appligrtt, S any: Does not apply to this non-project proposal. i3. Historic and cultural preservation a. Are there any places or objects listed on, or proposed for; national, state, orlocal prescr- x~ation registers known to be on or neat to the site? If so, generally describe. None known to Applicant. b. Generalty describe airy landmarks or evidence of historic, archaeological, scientific, or cultural importance known Eo be on or next [o the site. None: known to Applicant. c. proposed measures to reduce mr eontcol impacts, ifany: Does nut apply. Id. Transportation a. identify public sinus and highways sen ing the site, and describe proposed access is the oxisting stmt sysiem_ Show on site plans. if any. The 11.8 acre site is accessed via Boulton Road, a Jefferson County road, and by US Highway 101. Access will not be affected by approval of this non-project proposal, ., .. .. ., o. is site curremty served by puonc rratsit % tt not, what rs Tile approsnr~ie riisiance io the nearest Transit stop? The site is not currently served by public transit. Flow many parking spaces would the completed project have? How many would the project eliminate? Dces not apply to this non-project proposal. d. Wiil the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? Lf so, generally describe (indicate whether public or private). Approval of this mm~-project proposal wilt not require any new roads or streets. Will the project use (or occur in the immediate vicinity ot) water, rail, or air transporta- tion? If so, generally describe. Does not apply to this non-project proposal. f Llow many vehicular trips per day waukl be generated by the completed project? If known. indicate when peak volumes wau}d occur No additional vehicular Yrips will result from the approval of this non-protect proposal. g. Proposed measuresio reduce or cantrot transportation impacts, if any: Daes not'. apply. 15. Public services Would Ute project result in an increased need for public services (for example: fire pra- tectian, police protection, healta care, schools, other)? if so; generally tlescritie. No. "The Conservation Easement eatingnishes deveMpment rights, sa there should be na increased need for public services in the future. 8. Proposed measures to reduce or control direct rnpacis on public services, if any. Does not apply to this rtan-project proposal. ] 6. IItilities a. Carole {or highligh>lvtiliUgscurrently available at the sttc~ "`""' °'~ ` natural gas, water, refuse serv- icc, e, sanitary sewer, 5ep[iG s~ihem, other. b Describe the utilities [l~at are proposed for the project the utility providing the service. and rho general construe6onactivities an fire site ar in the innmediate vicinity which might be needed. Does not apply to this noo-project proposal: ISIGNA'I'Uf:E PAGE FOLLOWS] 11 C. sttin~nTU~ The above answers aze true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision ..................... 5ignaturei r"- ~~~ t^ ............ .............. ... Date S ttted..i".tiF~U~..~ t ~"~!`~ I2 TO BE COMPLE"CEt~ BY AFPL#CA1YT D. SL7FYLEMEN"rAL SNFF,'l'FOR NGNFROJk:CT ,1CTIOT:S {do riot use this sheet for pro}eci actions) Because these questions are very general, it may be helpful to mad them in conjunction with the Tist olthe ek:meMS of the environment. When answering these questions, be aware of the e.+ient the proposal, or the types of activtues likely to result fmm the proposal, would affecf the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general 1. Haw would [he proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release. of toxic or hazardous substances; or production of noise? EVAi:UAT#ON FOR. aGENCY USE ONLY This proposal will not increase discharge to water, emissions to air, or the production of rtoise. The Conservation Easemertt prohibits the production, storage, or release of toxic or hazardous substances. Proposod measures to avoid or r+ednce such increases are: Does not apply. 2. How would the proposal be likely to affect plants, animals, fish, or marine life? The non-project prirposal will not have any adverse impacts on plants, animals, or +wildlife. 7'he conservation Easement extinguishes development rights and enhances environmental protection for the agricultural land. Proposed mcasuros to protect ar conserve plants, animals, fish, or marine tt£c am;. Does not apply. 3. How would the proposal be Iikely to deplete energy or natural resources? This is anon-project proposal and its approval will not deplete energy or natural resources. Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be Iikely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental production; such as parks, wilderness, wild and scenic rivers, thrgtened ar endangered species habitat, historic or cultural sites, wetlands, floodplans, or prime farmlands? This non-project proposal would not use and would not be likely to affect any enviranmentally sensitive areas designated, eligible, or under study for governmental protection Proposed tneasutes to protect such resources or to avoid or reduce impacts are: Does not apply. 5. How would the proposal lie likely to affect land and shoreline use, including tivhether it would allow or encourage Land or stwraline uses incompatible with existing plans? This non-project proposal is unlikely tq affeet ]and uses (there is no shoreline). The Conservation Easement prohibits land uses incompatible with the preservation of agricultural soils. Proposed measures to avoid or reduce shoreline and ]and use impacts are: The approval of this non-projec# proposal wr71 not result in any impact to historic land uses and the Conservation Easement will permanently protect the agricultural soils. 6. How would the proposal be likely to increase demands on transportation or public services and utilities? This noo-pro;ject proposal will have tto impact on transportation, public services, or utilities. Proposed measures to reduce or respo~ to such demand(s) are: Does not apply to this non-project proposal. 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laivs or requirements for the protection of [he environment. Approval of this non-projeet proposal will nqt result in any conflict with dotal, state, or federal taws or requirements for the protection of the environment. 14 JEFFEF2SON COUNTY DEPARTMENT C3F COMMUNITY DEVfELOPMENT 621 Sheridan Sfreet • PortTownsend • Washington 98368 3601379-4450 • 360f379.4451 Fax www:co.jefferso n.wa. us/commdevelopme nt Master Permit Applica#ion MLA: MLA13-ClOb42 Projecd Description (include separate sheets as necessary): Jefferson County's West End zoning: Change lands designated Rural Residential (RR 1:10 end RR 1:30) to RR 1:5 Tax Parcel Number: Na Property Size: nla (acrestsquare feet) Site Address and/or Directions to Property: Na Property Uwner(s) of Record: Na Telephone: Fax: email: Mailing Address: ApplicantlAgent (if dtfferentftom owner): Jefferson County Planning Commission Telephone: 360-379-04x0 Fax: 360-379-4451 email: sfioskins@co.jefferson:wa.us Mailing Address: &21 Sheridan St, Port Tavmsend, WA 98368 What kind of Permit? (Check each tiox that applies ^ Lot or Road Segregation ^BuitrJing ^ Critical Areas Stewardship Plan Demolition Permit ^ Variance (Minor, Major ar Reasonable Economic Use) ^ Single Family ^ Garage Attached! Detached ^ Conditional Use (C(a), C(d), or C] ** ^ Manufactured Home ^ Modular ^ Discretionary "D" or Unnamed Use Classification ^ Commercial * ^ Special Use (Essential Public Facilities) ** ^ Change of Use ^ Boundary Line Adjustment ^ Address ^ Road Approach ^ Short Plat *` ^ Home Business ^ Cottage Industry ^ Binding Site Pian "* ^ Propane ^ Long Plat *' ^ Sign ^ Planned Rural Residential Development {PRRDXAmendinents ** ^ Aliowetl "Yes" Use Consistency Analysis ^ Plat. Vacation/Alteration *• ^ Stormwater Management ^ Shoreline Master Program ExempkoNPermit Revisions'" ^ Site Plan Approval Advance Detemiination (SPAAD) * ^ Shoreline Management Substantial Development"' ^ Temporary Use ^ Shoreline Management Variance ^ Wireless Telerrommunira6on * X Comprehensive PtaNUDC/Lantl Use District Map Amendment ^ Forest Practices AcURelease df Six-Year Moratorium ^ Jefferson County Shoreline Master Program Amendment "MayregairaaPre-Appfica6anConference ^TreeVegetationRequest "*R wires a Pre-A icadan Corrfarence Please identify any other local, state or federal permits regtaired for this proposal, if known: DESIGNATION OF AGENT 1 hereby designate Stacie ftcekins or DC Staff to act as my agent in matters relating to this application #or permit(s). a rl ~_ OWNER SIGNATURE '~ i-~-~-- i~atE: MarC111 243 8y signing this application form, the ownarlagent attests that the information provided herein, and in any attachments, is true and correct W the best of his, her or its knowledge. Any ma[ertat falsehood or any omission of a material fact made by the ownedagent 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 a#tomey's fees and expenses which may in any way accrue against JeHarson County as a result of or in consequence of the granting of this permit !further agree to provide access and right of entry io 3efferson County anal its employees, representatives or agents for the sole purpose of application review and any required later inspecj{or~ Staffs access arld right of entry will be assumed unless the applicant informs the County in writing at the time of tk+e appliaatio~that he aj s ~ pear notice. Signature ~"`~ ~~ I Date: March 1.2013 The action ar aciians 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 endangeredspecies as those terms are defined in the federal haw knrnxn as the "Endangered Species Rct" or "ESA." Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued vnll not violate the ESA. Any individual, groupor agency can file a lawsuit on behalf or an endangered species regarding your action(s) even if you fro in compliance with the Jefferson County development coda. The Applicant actcnowledges that he, she or it holds individual antl non-transferable `resFon(slbrhtt~l~fO(adhering to and complying with the ESA. The Applicant has read this disclaimer and signs antl dates k below. Signature. >~ x"`\ Date: March L 2013 C>:API A^IN ING~G~mpPlan .9anual i~mendmenr ~ Atil'I•:R I~p1.D1?IiVComp Plan AmenSmcnL;?R1JVCOodPmrLoning(:PA\20d 3t1~?&_Aic. tL:ndF~~T _ilfPAd~t &I1.ILDER $TATENIENT The signer of this. statement does hereby certify that they are the Owhers of the parcel referenced herein, that they ate not licensed co. dors and that they will be assuming the responsibility of the Generel Gon#ractor forthe proposed project. Signature: Date: GENERAL CONTRACTOR OR-f1MNUFAC7URE0 HOME INSTALLER: PHONE: F . ( ) ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCRITEC7/ENGINEER: FHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Typo: Bathrooms: Sher e: Type of Sewage f?isposal: New - Wood Existing -Sewer Addition '. Steel Pose B Community System AtteratioNRemodel Concrete ht: !Individual System °! Repair Masonry SEF Permit # r Demolition I Other: ed sti Setback: Water Supply: I I Private welt ~ Two Pady Type of Heat: s i I= Public : a Name of Systems If this is a Commercial Protect you must answer the fallowing: Number of Parking paces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants (includes owners, tenants, employees, etc) Cur. f' Fraposed IBC Occupancy: IBC Typeof construction: Will you Nava Food,Service? Yes J No If this is a Pro rte Tank andfor fiance Installation rrnit ail items below that a l I Underground Tank t Above ground Tank ~ bf Propane Tank: i Heat Stove t Cook Stove t Woodstove 1 Flrepiace In - + Hot Water Tank i Pellet Stove i Other is this a fiance bein install d in a Manufactured 1 Mo ' Fjome? Yes / No When applying far a permit to install a propane fank y tYrusf atso submif a site plan showing aN of the bufldtngs, all property lines,. tank lacaiion and size, distances from the pre `e tank to afi propertylines, bnildings and septic system components, , fncfudin the reserve area. / S ogre Fonta Current Proposed Office Use Onl Amount Revision Main Floor Heated / EH Bld App Review: 2" Floor Heated i Consistency Review: Other Heated r Base fee: , Mezzanine ~~ AdtlifionalSedion: Heated Basement Plan Check fee: Unheated Basement / State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 9f tlRd Approach fee: Other TOTAL: $ Receipt Number: CashlCheck Number: ESTIMATED COST (REQUIRED) Date: and marenals foundation ro Imrsh b !1 t f or a a •Fav market valor o lnhials: G.APJ.dIJN INC~CpmpPlvn Ann:ml Anti~ndment> A1rA5rf^:R FOLDER1Comp P1tm :Amcndrnerr; 2013\!x'e -[E nd'!_orilnv,CPA\~i}0? P3 lC c:F.ndCPA ?+SP:1.doe JEFFERSON GQUNTY DEPAR7NFEN7 OF CQMfNUMiTY DEVELOPMENT 621 Sheridan Street ~ Port Townsend • Washington 98368 3601379-4450 • 3641379-4451 Fax www.co.jefferson.wa. uslcommdevelopment ppplGa#ian for Suggested Comprehensive Plan (UDC Amendmen#' ~ALA# F11.LA13-~b042 PROJECT/APPLICAN7NAME: JEFFERSON COUNTY PLANNING COM9AISSION For Comprehensive Plan amendments, applications must be completed and submitted to the Department of Community Development by March ? of the currenf Calendar year to order to be considered during the annuat amendment process. Completed applications that are received after March 1 wrll be placed oh the preliminary docket for the following calendar year. Applications for suggested UDC amendments may be considered on a rolling basis. Applications Yhat are incomplete (i.e., that do not include all of the information required below) wit/ be returned to the applicant. Submittal Requirements t. A completed Master Permi# Application. Representative authorization is required if application is not signed by applicant. 2. A completed and signed Siaie Environmental Policy Ad (SEPA) checklist. 3. Any additional information reasonably deemed necessary by the Administrator to evaluate the proposed amendment. 4. Please prepare and label as `Exhibit A," a description of the proposed. PIan/UDC amendment and any associated development proposal(s) if applicable. Applications for projected-related amendments must inchrde plans and information or studies accurately depicting existing and proposed uses and improvements. Applications for such amendments that do not specify proposed uses and potential impacts are assumed to have maximum impact to the environmenfand public facilities and services. 5. 6. Please prepare and label as "Exhibit. C " a thorough explanation of how the proposed amendment, meets, confli~s with, or relates to the following inquiries (NOTE: Simple "yes" or °no" responses are unacceptable.) a. Have the circumstances related to the proposed amendment andfor the area in which it is located substantially changed since the adoption of the Jefferson County Comprehensive Pian? b- Are the assumptions that form the basis for the Jefferson County Comprehensive Plan no bnger valid, or has aew information become available that was net considered during the process of adoption of the Jefferson County Comprehensive Plan or any subsequent amendment? a. Does the proposed amendment reflect currenk widely held values of the residents of Jefferson County? 8. The applicant hereby certifies that the statements contained in this application are tnre and provide an accura#e representation of the proposed amendment and tite applicani(s} hereby acknowledges that any approval issued on this application may be revok it any such ~t to nt~s found ro be false. ~PLICANTS SIGNATURE DATE 'See JCC Chapter 18.45. 1~;'~ge Please prepare and labe3 as "Exhibit i3," proposed amendatory language (i.e., to affected text of both the Comprehensive Plan and i1DC) shown in "bill" format, with text to be added indicated with underlining (e.g., underlininp), and text to be deleted indicated with strikeouts (e.g., strikeot+ES). Exhibit A Please prepare and lobe! as "t=xhtbif A,° a description of the proposed PtanltlOC amendment and any associated deve7opmenf Ari?posal(s} if appucabfe. There are no associated development proposals with this Comprehensive Plan Amendment request. Rezoning Rural Residential land to a higher density would allow for future subdivision of residential land. Exhib'st B Please prepare and la6at as 'Pxhlbit B,' proposed amendatory language (i.e., to affected text or both ttie Comprehensive Plan and UpC} shown in "hilt" tomtai, with text to be added indicated with underlinirxj (e.g., underlininaJ, and text to tra deleted indicated with stakeouts (e:g., stakeouts}. Jefferson County Comprehensive Plan, Rural Land Use Element LNP 3.3 Rural residential densities shown on the Land Use Map shall be designated by three (3) residential land use densities: one dwelling unit per five (5) acres, one dwelling unit per ten (10} acres, and one dwelling unit per twenty (20) acres in size and subject to the following criteria: LNP 3.3.1 A residential land use designation of one dwelling unit per 5 acres (RR 1:5) shall be assigned to those areas throughout the County with: a. an established pattern cf the same or similar sized parcels (i.e., 5 acres) or smaller sized existing lots of record; b, parcels of similar size (i.e., 5 acres) or pre-exis#ing smaller parcels along the coastal areas; c. parcels immediately adjacent to the boundaries of the Rural Village Centers; and d. as an overlay to pre-existing developed "suburban" platted subdivisions. e. parcels designated as Forest Transition Uverlay. LNP 3:3.3 A rural residential land use designation of one dwelling unit per 10 acres (RR 1:10) shall be assigned to those areas throughout the County with: a. an estat}lished pattern of the same or similar sized parcels {i.e., 14 acres); b, parcels along the coastal area of similar size; c. areas serving as a "trans ion" adjacent to Urban Growth Areas; and, d. critical area land parcels. LNP 3.3.3 A rural residential land use designation of one dwelling unit per 20 acres (RR 1:20) shall be assigned to those areas throughout the County with: a. an es#ablished pattern of the. same or similar sized parcels (i.e., 2D acres} or larger; b. parcels along the coastal area of similar size; c. areas serving as a "transition" to Urban Growth Areas or the Port Ludlow Master Planned Resort; d. critical land area parcels; e. agriculture resource designated parcels; f, publicly owned forest lands; and g. lands adjacent to forest resource land. meet the needs of the local population who often work in Jefferson Couniv's West 1=nd. The map on the following page depicts the land uses on Jefferson County's west end. 2~> Exhibit C Please Droparo and label as "Exhibit C' a fhorouah explanation of how the proposed amendment, meets, conflicts with, or rotates to the fdlowing irpuiries (NOTE: SimpN yes" or "no" responses are unacceptable.) Have the cireumstancea related to the proposed amendment arxf/or the area in whkh it is located wtx;tantially changed since the adoptwn of the Jefferson County Comprehensive Plan? Are the assumptioru that form the basis for the Jefferson County Comprohensive Pkn no longer valid, or has new information become available that was not cgnsiderod during the process of adoptron of the Jefferson County Comprehensive Plan or any subsequent amendment? pose the proposed amendment reflect current widety held values of the residents of Jefferson County? Circumstances have changed since adoption of the Comprehensive Plan. Fuel prices have risen, the economy fell into a deep recession, jobs and businesses have disappeared, and unemployment has risen drastically. Jefferson County's West End has always been isolated, but economic hardships and business closures ~mpactthis area greatly. The Comprehensive Plan aimed to create additional allowances at the West End due to its geographic isolation, however continued economic hardship nationally has instigated a desire for more allowances than considered at time of Jefferson County Comprehensive Plan adoption and subsequent amendments. The proposed amendment reflects the values of West End residents as portrayed anecdotally at a Planning Commission meeting held at Clearwater during August 2012. The process of Board consideration and possible amendment review with the Planning Commission and BOCC would tease out whether the amendment reflects current widely held values of the residents of Jefferson County. Exhibit D Exhibd D is a map depicting the location of the Olympic Corrections Facility at 11235 Hoh Mainline, Forks, WA 98331 Exhibit E Exhibit E is a map depicting the pending permits on the West End with RR 1:10 and RR 1:20 zoning depicted. 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E x o v o m~ c v v o Y ~ v a C O m V a a x~ u 2 0 0 a _ o> s a c~ o O u ro a m 3. ° ~ o~° m w o o .r ° o ° 0 0 o N o O 0 ~ ~ -1 y O O N r' " '~ ~o v ~ r 4 a a LL LL LL LL ~ m m ~ p D N ti O N ~ ti ~ ~ ~ a n a n LL w u u o .a O o O a o p N O N o N O O N O ~ N C H ~ „i JEFFERSON COUNTY L)EI"'~A~2i"MEN7' C)F ~t)MMUNtTY ©EVELOPMENT 621 Sheridan Street ~ PortTownsend, WA 9836& ~ Nleb: wwtiuoo Ssfferson.wa uslcommunitvdeveloontant Tel: 3fiQ.379.4~50) Fax:: 3fi0.379.4451 ~ Emai3: dcdCo?rAjefferson.wa.us Permits tt rnspecnons Cansrstency Review G Long Range F?tanning ~ Watershed Stewardship Resource WAC 197-11-960 ENVIRONMENTAL CHECKLIST MLA13-QOdA2: Comprehensive Flan Amendmentto change lands designated Rural Residential {RR 1`.10 and RR '5:20) to RFt 1:5. Approximateky 1,907 acres of land are zoned RR 1:10 and 23, 983 acres are zoned RR 1:211. Pwrpase of Checklist: The State Environmental Policy Act (SEPA), chapter 43.210 RCW, requires all governmental agencies to oonsider the environmenta5 impacts: of a proposal before making decisions. An environmental impact statement (E1S} must be prepared for all proposals with probable sign5ficant adverse impacts on the quality of the environment. The purpose of this checkrist is to provide information to help identify impacts from a proposal (and to avoid impacts from the proposa5, if it can be done) and to help decide whether an EIS is required. Use of Checktist for non project proposals This. checklist is for nonprcject proposals, even thcugh questions may be answered "does not apply," For nonproject actions, the references in the checklist to the words. "project", "applicant," and "property or site" will read as "proposal," propose', and "Countyjurisdictiona5 area,° respectively. A. BACKGRQUND 1. Name of proposed project, if applicable: Comprehensive PSan Amendment to rezone rural residential parce5s jRR 1:10 and RR 1:20} on Jefferson County's West End to with a higher density of RR 1:5 Name of applicant: Jefferson County. Planning Commission 2. Address and phone number of applicant and contact person: Applicant & Contact: Jefferson County, WA Stacie Floskins, Planning Manager Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 Phone: (380}379-4450 3. Date checklist prepared: February 28, 2013 SEPA (WAC 197-11-960) Environtnen7nl Checklrs7 -:t<1LA11-250 5rna11-scale Recreation d Tourist Uses 4. Agency requesting checklist: Jefferson County 5. Proposed: timing or schedule (including phasing, if applicable): Suggested: amendments. on the 2013 Docket are scheduled for review during the 2013 Comprehensive. Plan amendment cycle and placed on the Final Docket at the Board of County Commissioners' (BOC:C or Board) discretion. The Board considers the preliminary 2013 Dacketnolater than fVlay 18, 2013. Thee Board may hold a possible BC)CC public hearing on suggested amendments np taterthan July 1, 2032, and the Board would take action on whether to place the suggested amendment on the Final Docket soon after. If this suggested amendment is placed on the Final Docket, the Board would take action on this amendment wi;M the rest of the items on the Final Docket no later than December 9, 2013. 6; Do you have.any plans for future additions, expansions, or further activity related to or connected with this proposal? If yes, explain. No development plans are associated with this amendment. This Comprehensive Plan amendmerrt could cause future development proposals on Jefferson County's West End. Future developments would be subject to plans and development regulations in place at the time of application. forsubdivision or development. permits. 7. List any environmental information you know about that has. been prepared, or will 6e prepared, directly related to this proposal. Environmental review was completed for adopticn of the Comprehensive Plan and Unified Development Code and amendments to said documents: graft and Fina! Environmental Impact Statements (DEISIFEIS) and addenda prepared in anticipation of adoption of the Comprehensive Plah in 1998. The DEIS and FEIS, dated February 24, 1997 and May 27, 199$, respec#ively, examined the potential cumulative environmental impacts of adopting alternative versions of the Comprehensive Plan; • The Integrated Staff Report and SEPA Addendum prepared for the 2002 Comprehensive Plan Amendment Docket by the Department of Community Development, issued on August 21, 2(102; The integrated Staff Repon and SEPA Addendum prepared far the 2003 Comprehensive Plan Amendment Daaket bythe Department of Community Development, issued on August 6, 2003; • The Integrated Staff Report and SEPA Addendum prepared for the 2004 Comprehensive Plan Amendment Docket by the Department of Community Development, issued on September 22, 2004; The Integrated Staff Report and. SEPA Addendum prepared for the 2005 Comprehensive Plan Amendment Docket by the Department of Community Development, issued on August 3, 2605; • The Integrated Staff Report and SEPA Addendum prepared for the 2006 Comprehensive Plan Amendment Docket by the Department of Community Development, issued on July 19, 2006; • The Integrated Staff Report and SEPA Addendum prepared for the 2007 Comprehensive Plan Amendment Docket by the 6epartment of Community Development, issued on September 5, 2007. The integrated Staff Report and SEPA Addendum prepared for the 200$ Comprehensive Plan Amendment Docket by the Department of Community Development, issued on September 3, 200$. • The Integrated Staff Repork and SEPA Addendum prepared for the 2009 Comprehensive Plan Amendment Docket by the Department of Community Development, issued on September 2, 2009. The Integrated Staff Report and SEPA Addendum prepared for the 2010 Comprehensive Plan Amendment Docket by the Department of Community Development, issued on September 1, 2010. $. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Si:PA (GYAC 197-11-96D) Environmental Checklist-t41LA11-230 Small-sna{E Recreation & Trremist Uses There are many pending permits for forestry and a few for other development. See attached Exhibit E for a map of pending cases. The breakdown is as follows: $0 -Forest Practices 4 -Water service review (USR case type} 3 -County code updates (SMP, Sign code & Water system plan review 2 - t3uilding cases (1- Stormwater management permit, 1-Shop remodel} 1- O7H ease from 1:994 -wafer review -likely needs case cleanup 1 -Septic case. 1 -Address 9. List any governmen# approvals or permits that wilt be needed for your proposal, if known. If placed on the 2013 Final Docket, the proposal will be reviewed by the Jefferson County Planning Commission and would need to be adopted by the Jefferson County Board of Commissioners to become effective. Any appeal of the adoption of this proposed amendment would be heard by the Growth Management Hearings Board. 10. Give brief,. complete description of your proposal, including the proposed uses and the size of the project and. site. Jefferson County's West End zoning: Change lands designated. Rural Residential (RR 1:10 and RR 1:20) to RR 1:5. Approximately 1,907 acres of land are zoned RR 1:10 and 23, 983 acres are zoned RR 1:20. B. ENVIRONMENTAL ELEMENTS Note: proposal is a Non - prajeat action and not site-specific; responses below are general for all of Jefferson County 1. Earth a. General description of the site (circle one): Fiat, rolling, hilly, steep slopes, mountainous, other... Jefferson County is located on a peninsula that has been shaped by the interplay of geologic, climatic and oceanographic processes tied to plate tectonics, producing an array of landscapes that are flat, roiling, hilly, steep andlor mountainous. As a result ofi these geological processes, the County has steep marine bluffs composed of glacially-deposited sediments and with varying levels of stability. Some of these bluffs are developed. with individual residences, although the bluffs remain largely intact. Other areas remain relatively untouched and are in excellent ecological condition, especiaNy as compared to more densely populated areas around Puget Sound. Watersheds in the west ate largely dominated by the Olympic Mountains, while in the east some are sourced 3n the upper snow zone and rain-on-snow zone, others In the rain zone of the foothills and a few in the low elevation coastal areas. b, What is the steepest slope on the site (approximate percent slope)? The landscape of Jefferson County is generally hilly in the west but rises dramatically to the east in the Olympic Mountains. Although the Olympic Mountains are not. particularly high (Mt. Olympus is the tallest peak at 7,959 feet above sea level), these mountains are rugged and composed of relatively recent metamorphic rock. The broad, hilly country between the Olympic Mountains and the Pacific Ocean has not been glaciated for at least the past 17,000 year. SEPA (l3'AC 197-II-960) Environmental Checklist - M1R71-250 Smolt-scale Recreation & Tourist Uses c. What general types of soils are found on the site.{for example, clay, sand, gravel, pea#, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. The Jefferson County Final Shoreline inventory & Characterization Report (November 20D8) states that there are several soil series of bedrock geology and unconsolidated deposits including basalt, sandstone, glacial Ull, gtaciofluvial grave[, sand and silt, non-glacial fluvial, peat and lacxrstrine sediments. d. Are there surface indications or history or unstable soils in the immediate vicinity? If so describe. Yes, many Jefferson County bluffs are quite susceptible to coastal landslides as a result of wave exposure. Undercutting of the toe of the bluff is usually the long-terra "driver" of bluff recession (Keuler, '1988). Lands along the 11oh River are susceptible to channel migration. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. The proposal would apply to development within the unincorporated areas of Jefferson County; Nan - project action. f. Gould erasion occur as a result of clear-sag, construction, or use? tf so, generally describe. Erosion control would be addressed on a project level basis per the County's adopted stormwater management standards and through the appfcaton of related environmental protection policies and regulations of the SMp. g. About what. percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? No impervious surfaces are proposed as a direct result of this proposal. The proposal involves a County- wide non-project legislative action. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: No erosion issues are proposed as a direct result of this proposal The proposal involves aCounty-wide non-project legislative action. 2. Air a. What types of emissions to the air would result from the proposal (i.e„dust, automobile, odors, industria6 wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. No emissions issues are proposed as a direct result of this proposal. The proposal involves aCounty-wide non-project legislative action. b. Are there any off-site sources of emissions or odor that may affect your proposal? If sa, generally describe. SEP,4 {i3'AC 197-i 1-960) Environmental Checklist -MLAll-2JO Small-scale Recreation & Tourist Uses No emissions issues are proposed as a direct result of this proposal. The proposal involves aCounty-wide non-project legislative action.. c. Proposed measures to reduce. or control emissions or other impacts to air, if any: In general, emissions are primarily regulated under stale and federal law. No emissions issues are proposed as a direct result of this proposal. The proposal involves aCounty-wide non-project legislative action. All future project actions that may result in emissions or other impacts to air would be reviewed under SEPA. 3. Water a. Surface: 1 } !s there any surface water body on or in the immediate vicinity of the site {including year-round and seasonal streams, saltwater, lakes, ponds, wetlands}? If yes, describe type and prouide names. If appropriate, state what stream or river it flows into. Wetlands, Type S, F, Np, Ns, and U streams, wetlands, tloodplains, channel migration zones and Shorelines of the State occur throughout Jefferson County. 2) Wilt the project require any work over, in, or adjacent to (wt#hin 200 feet} the described waters? If yes, please describe and attach available plans. No construction is proposed as a direct result of this proposal. The proposal involves aCounty-wide non- project legislative action. 3} Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. No till and dredge issues are proposed as a direct result of this proposal. The proposal involves a County- wide non-project legislative action. 4} Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known, No water source issues are proposed as a direci result of this proposal. The proposal involves a County- wide non-project. legislative action. 5} Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. No floodplain issues are proposed as a direct result of this proposal. The proposal involves aCounty-wide non-project Legislative action. B} Does the proposal involve any discharges of waste materials 4o surface waters? If so, describe the type of waste and anticipated volume of discharge. SEPA (WAC 197-17-960) Envirpnmental Checklist - MLAI ]-250 S7na11-scale Recreation & Tourist Uses No waste discharge issues are proposed as a direct result of this proposal. The proposal involves a County-wide non-project legislative action. b, Ground: 1) Will ground water be withdrawn, arwll water be discharged to ground water? Give general description, purpose, and appraxirnate quantities if known. None. The prcposal involves aCounty-wide non-project legislative action. 2) Describe waste material that will be discharged into'the ground from septic #anks or other sources, [f any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. NtA c. Water runoff (including storm water): t) Describe the source of runoff (including s#orm wafer) and method of collection and disposal, if any (Include quantities, if known). Where wilt this water flaw? Will this water flaw into other waters? If so, describe. No stormwater or waste water issues are proposed as a direct result of this proposal. The proposal involves aCounty-wide non-project Ieglslafive action. 2j Cauid waste materials enter ground or surface waters? If so, generally describe. N/A d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: N/A 4. Plants a. Check or circle types of vegetation #ound on the site: x deciduous tree: alder, maple, aspen, other x _ evergreen tree: fir, cedar, pine, other x _ shrubs x _ grass x - pasture x -crop or grain x ~ wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other x ~ water plants: water lily, eeigrass, milfoil, other x _ other types of vegetation SEPA {f~'9C 197-11-960) ~nyiranmentaf Checklist-1vILAl1-250 Smiafl-scple Recrearrc~n & Touris! Uses 6. What kind and amount of vegetation witi be remt~ved or altered? No vegetation removal issues are proposed as a direct result of this proposal The proposal involves a County-wide non-project legislative action. c. list threatened or endangered species known to be on or near the site No threatened or endangered plant species known to be present in Jefferson County d. Proposed landscaping, use of native ptants, or other measures to preserve orenhance vegetation on the site, if any: No landscaping-or vegetation enhancement issues are proposed as a direct result of this propcsal. The proposal involves a County-wide non-project legislative action. 5. Animats a. Circle any biirds and animals which trove been observed on or near the site or are known to be on ar near the liter Birds: hawk, heron, eagle, songbirds, other; Mammals: deer, bear, elk, beaver, other: Fish; bass, salmon, trout, herring, shellfish, other: b. List any threatened or endangered. species known to be on or near the site. Listed animal species are known to occur in Jefferson County as documented in the Jefferson County Finat Shoreline Inventory & Characterization Report "Table 1. Listed, Proposed, and Candidate Threatened and Endangered Species Occurring in Jefferson County Common Name Scientific Name Federal State Status ° $tatUS a t33rdS Bald eagle Natiaeetus ; Threatened. Threatened I (eueocapha7us Brawn pelican Palecanus Endangered Endangered occidentaHs Martiled munelet t3rachyramphus Threatened Threatened marmoratus Northern spotted owf Strix occidentaiis Threatened Endangered caurina Short-tailed albatross Phoebastria Endangered Candidate albatrus SEPA ryVAC 197-II-960) Environmental Ghecklis7-MLAII-2i05ma11-scale Recreatlon& Tourist Uses Common Name Scientific Name Federal State Status u $tatUS a Mammats West-Coast DPS fisher Martes pennan6 Candidate Endangered paaitica Southern resident killer Orcinus orca Endangered Endangered whale Humpback whale Megaptera Endangered Ehdangered novaeangiiae Steller sea lion Eumetopias Threatened Threatened jubatus Biue whale 8alasnoptera Endangeretl Endangered musculus Fin whale Balaenoptera Endangered Endangered , physelus Sei whale Balaenoptera Endangered Endangered borealis Sperm whale Physefar Endangered Endangered madrocephalus Sea otter Enhydra tutris None Endangered Fish Puget Sound ESU Oncorhynchus Threatened Candidate Chinook salmon tshawytscha Eas#ernStraitofJuan Oncorhynchus Threatened Candidate de FucatHood Canal keta ESU summer chum salmon Puget Sound DPS Orrcorhynchus ( Proposed None I steelhead mykiss threatened Coastal Puget Sound Saivelinus Threatened Candidate bull trout conf/uentus Olympic mudminnow Novambra hubbsi None Threatened Reptiles Leatherback sea turtle Dermochetys Endangered Endangered coriacea Green sea turtle Chelonia mydas Endangered Threatened Loggerhead sea turtle Caretta caretta Threatened Threatened I Olive ridley sea turtle Lepidochelys Endangered None i olivacea t7PS =distinct population segment ESlJ =evolutionarily significant unit a Federal status under the Endangered Species Act {ESA) of 1973 as amended. "State Species of Concern List, February 2007. While there have been occasional, unconfirmed sightings of fishers, there are no known populations in Washington. There is currently a proposal to reintroduce them to the ONP (ONP, 2006}. Sl;PA (WAC 197-1 /-960) tnvironmental Ehecklist-.tIL:111-250 Sma1/-scale 4ecreution d ToiErist Uses Listed marine mammals and. sea turtles occur primarily off the Pacific coast, although Southern Resident killer whales, humpback whales; and Stellar sea lions are known to occur in Puget Sound. NOAH Fisheries has proposed critical habitat for Southern Resident killer whales in marine waters of eastern Jefferson County, including areas deeper than 20 feet along Puget Sound {Area: 2) and the Strait of Juan de Fuca (Area 3}. Nood Canal was not proposed as part of kitlet whale critical habitat due to lack. of confirmed sightings there, and a large area of Admiralty Inlet north of the Quimper Peninsula (Area 3}was excluded for national security reasons (Federal Register, 2006}. Species. of special concern under the Washington Department of Fish and Wildlife (V1+DFW) endangered, threatened, sensitive, candidate, and monitor species programs potentially found irti Jefferson County ihclude great blue heron (Ardea herodias), piieated woodpecker (Dryocopus pleatus}, purple martin (Prague subis}, Vaux's swift {Chaetura vauxr), and western bluebird (Sialia mexicana). Candidate and threatened mammals may include western gray squirrel (Sciurus griseus} along with western pond turtle (Cterrrmys marmorata}. Many of these remaining species aan be found in close proximity to developed areas, although most need undis#urbed vegetated areas large enough to maintain viable habitat {Jefferson County, 2fl02}." c. Is the site part of a migration route? (lf so, explain.] Many animal species have migration routes in Jefferson County. d. Proposed measure to preserve or enhance wildlife, if any: No wildlife erihahcernent issues are proposed as a direct result of this proposal. The proposal involves a County-wide non-project legislative action. t?ther sections of the Unified. Development Code ensure adequate protection cf priority species, environmentally sensitive habitats, shoreline functions and processes, and other wildlife resources. 6. Energy and natural resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar} will be used to meet the completed project's energy needs? tescribe whether itvJifl be used for heating, manufacturing, etc. No energy usage issues are anticipated as a direct result of this proposal. The proposal invoves a County- wide non-project legislative action. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. N/A c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce ar control energy impacts, 7f any: No energy conservation issues are anticipated as a direct result of this proposal. The proposal involves a Gounty-wide non-project legislative action. 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? if so, describe. SEPA (WAC 197-! 1-960) Environmental ChecAlist - ML,411-250 Small-scale Recreation & Tourist Uses No environmental health issues are anticipated as a direct result of this proposal. The proposal involves a County-wide non-project legislative action. t} describe special emergency services thatmght be required. Not Applicable. No development is specifically prop©sed. The proposal involves aCounty-wide non- project legislative action. 2) Proposed measures to reduce or control environmental health hazards, if any: Not Applicable. No development is specifiically proposed. The proposal involves aCounty-wide non- project legislative action. b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, offer)? Not Applicable. No development is specifically proposed. The proposal involves aCounty-wide non- project legislative action. 2} What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis {for example: traffic, construction, operation, other}? Indicate what hours noise would come from the site. Not Applicable. No development is specifiicaily proposed. The proposal involves aCounty-wide non- project legislative action. 3} Proposed measures to reduce or control noise impacts, if any: Noise related to future development under these regulations would be subject to review under the State Environmental Policy Aci as applicable and state and local noise regulations. 8. Land and shoreline use a. Wha# is the current use of the site and adjacent properties? Jefferson County has various land uses on properties zoned rural residential. Typical uses on the West End residential lands are residential and forestry. b. Nos the site been used for agriculture? if so, describe. Certain lands in Jefferson County have been used for agricultural purposes. c. Llescribe any structures on the site. Nat Applicable. No specific development is associated with this proposal. The proposal involves a County-wide non-project legislative action. lfl SEPR (WAC 197-7)-950). Environraenta!Checklist -MLA 11-230 5rnall-scale Recreation & Toiudst User d. Will any structures be demolishes}? If so, what? None. The proposal involves aCounty-wide non-project legislative action e. What is the current zoning classification of the site? Rural Residential 1;10 and 1:20 f. What is the current comprehensive plan designation of the site? Rural Residential 1:10 and 1:20 g. If appCcable, what is the current shoreline master program designation of the site? The proposal involves aCounty-wide non-project legislative action. Shoreline environment designations would not be changed by this proposal. Shoreline Environment Designations are identified in JCC 1825 as Conservancy (JCC 18.25.130):. The geographic assignments of these designations are described in JCC 18:25.?00. h. Has any park of the site been classified as an "environmentally sensitive" area? If so, specify. The proposal involves aCounty-wide non-project legislative action. Environmentally sensitive areas exist throughout. Jefferson County including. wetlands, frequently Hooded areas, geological hazardous areas, critical aquifer recharge areas, and fish & wildlife habitat conservation areas. i. Approximately how many people would reside ar work in the completed project? NlA. No development iaspecifieally proposed. The proposal invoiues a County-wide non-project legislative action. j. Approximately how many people would the completed project displace? NlA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. k. Proposed measures to avoid or reduce displacement impacts, if any: N/A. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: N/A. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. 11 SEPA (WAC 197-II-9bp) Environmental Checklist-.MLR 11-250 Small-scale Recreation e*E Tourist Uses 1. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. NiA. No development is specifically proposed. The proposal involves a County-wide non-project legislative aetidn. b, Approximately how many units, if any, would be eliminated? Indicate whether high middle, or low- income housing. NIA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. c. Proposed measures to reduce or control housing impacts, if any: N/A. No development is specifically proposed. The proposal involves a County-wide non-project legislative action. 2. kesthetics a. What is the tallest height of any proposed structure(sj, not including antennas; what is the principal exterior material(s) proposed? NlA. No development is specifcally proposed. The proposal involves aCounty-wide non-project legislative action. b. What views in the immediate vicinity would be altered or obstructed? NlA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. c. Proposed measures io reduce or control aesthetic impacts, if any: NlA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. 3. light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? NIA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. b. Gould light or glare from the finished project tie a safety hazard or interfere with views? NlA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. c. What existing off-site sources of light or glare may affec# your proposal? I2 St}PA (WAC 197-11-960) EnvtYgnmenta/Checklist - NILd 11.30 Smelt-scale Recreat+on de Tpurist Uses N7A. No development is specifically proposed. The proposal involves a County-wide non-project Legislative action. d. Proposed measures to reduce or control light and glare impacts, if any: NIA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. 4. Recreation a, What designated and informal recreational opportunities are in the immediate vicinity? There. are numerous public parks, access facilities, and other private recreational opportunities throughout Jefferson County. b, Would'the proposed project displace any existing recreational uses? It so, describe. NlA. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative aciian. c. proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: N(A. No development is specifically proposed. The proposal involves a Counfy-wide non-project legislative adton. 5. Historic and cultural preservation a. Are there any places or objects listed an, or proposed for, national, state, or local preservation registers known to be on arnext to the site? If so, generally describe. The proposal involves a Gaunty-wide non-project legislative action. Many historical and cultural resources are known throughout the County, wifh additional such resources unknown. There is considerable evidence that indigenous Native Americans heavily and regularly utilized shorelines and shoreline resources for food., shelter, spiritual; recreation, commerce and other purposes. In addition, there are sites and structures that remain as evidence of US history including western pioneers, natural resource industry, and military operations. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site, There are sites listed with the Department of Archaeology and Historic Preservation as archaeological, scientific or cultural importance on the West End. No site is specifically proposed. The proposal involves a County-wide non-project legislative action. c. Proposed measures to reduce or control impacts, if any: NIA. No development is specifically proposed. The proposal involves a Coun#y-wide non-project legislative action. l3 SEPA (WAC 197-1 t-9S0) £nvirannvental Checklist -MLAll-250 Smaff-wale RecrealJon & Tourist Uses 6. Transportatian a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show vn site plans, if any. The proposal involves aCounty-wide non-project (egislative action. Public streets and highways within Jefferson County a:re known and adequately mapped. b. is site currently served tay public transst? fi not, what is the approximate distance to tfie nearest transit stop? No development is .specifically proposed. The proposal involves aCounty-wide non-project legislative action. Jefferson Transit serves most of the Jefferson County area. Washington State Ferries: makes trips back: and forth across the Puget Sound and from Whidbey lsiand there is a ferry that has a route directly to downtown Port Townsend, in Northeast Jefferson County. The Hood Canal Bridge connects Jefferson County to Kitsap County and Puget Sound metropoli#an areas. c. How many parking spaces would the completed project have? How many would the project eliminate) None. No development is specifically proposed.. The proposal involves aCounty-vide non-project legislative action that will not change the number of parking spaces that new or modrfied development is required to provide. d. W`sll the proposal require any new roads or streets, or improvements to exiting roads or streets, not including driveways? If sa, generally describe (indicate whether public or private. No. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. e. Wi11 the project use (or occur in the immediate vicinity ofj water, rail, or air transportation? if so, generally describe. NIA. No development is specifically proposed. The proposal involves aCounty-wide nan-project legislative action. f. How many vehicular trips per day would be generated by the completed project? if known, indicate when peak volumes would occur. NIA. No development is specifrcatly proposed. The opportunity for additional vehicular trips exists of time of . The proposal involves aCounty-wide non-project legislative action. g. Proposed measures to reduce or control transportation impacts, it any: NIA. No development is specifically proposed. The proposal involves a Cnunty-wide non-project legislative action. 7. Public services a. Would the project result in an increased need far public services (far example; fire protection, police protection, health care, schools, other)? If so, generally describe. la SPA ~6YBC i97-1 ]-960) Environmental Chec&dist - MLAi l -250 Small scale Recreation & Tm~rist Uses NlA. Na development is specifically proposed. The proposal involves a Gounfy-wide non-project iegislative action. b. Proposed measures to reduce or control direct impacts on public services, if any. N/A. No development isspecifically proposed. The proposal involves a County-wide non-project legislative action. 8. Utilities a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, sep#ic system, other. Utilities available in Jefferson Gou ry include electricity, water, propane, solid waste service, telephone, Internet, sanitary sewer, and septic systems. b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None. No development is specifically proposed. The proposal involves aCounty-wide non-project legislative action. C. SIGNATURE TMe above answers are true and complete to the best of my knowledge. I understand and that the lead agency is relying on them fo make its decision. ..,... ~ ":~.~ ............................,.. Date Submitted i; ~ ~ I~. Signature: ~ 15 SEPA (WAC 79~-i I-960,! Envrronmenia! Checklist -MLA! 1-250 Small-scale Rec+~eation & Tourist Uses C. SUPPLEMENTAL SiEET FOi2 NQNPROJECT AG7'IONS Because these puce#ions are very general, it may be helpful to read them in conjunction witfi the List of the elements of the environment: When answering these questions, be aware of tfie extent the proposal, or the types of activities likely to result from the proposal, would affec# the item at a greater intensity or at a faster rate (hart if the proposal were not implemented. f3esponri briefly and in general terms. 1. Haw would the proposal be likely to increase discharge to water; emissions to air; productions, storage, or release of toxic or hazardous substances; or production of noise? The proposal will riot increase these; new land use arnl development proposals will need to meet existing requirements to adequately manage such mpacts- Proposed measures to avoid or reduce increases are: Existing federal, state, and local requirements provide a variety of protections for surface water, air and other natural resources from such impacts. 2. How would the proposal be likely to affect plants, animals, fish, or marine life? The proposal w[I not directly affect these; new land use and development proposals will need to meet existing requirements to adequately manage such intpacts. Proposed measures to protect or conserve plants, animals, fish, or marine life are: Existing federal, state, and local requirements provide a variety of protections far wildlife, habitat and other natural resources from adverse impacts. 3. liowwauld the proposal be likely to deplete energy or natural resources? The proposal will not deplete energy or natural resources; new land use and development proposals will need to meet existing requirements to adequately manage such impacts. Proposed measures to protect or conserve energy and natural resources ors: Existing federal, state, and focal requirements provide a variety of protections for energy sources and natural resources from adverse impacts. 4. Now would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) far governmental protection; such as parks, wUderness, wild and scenic rivers, threatened ar endangered species habitat, historic or cultural sites, wetlands, flaodplains, or prime fatlands? The proposal will not directly affect crikical areas, partcs, wilderness, wild & scenic rivers, T&E species, habitat, wetlands, flaodplains or prime farmland; new land use and development proposals will need to meet existing requirements to adequately manage any impacts to such resources. Proposed measures to protect such resources ar to avoid or reduce impacts are: Existing federal, state, and local requirements provide a variety of protections for such resources from adverse impacts. 3. How would the proposal be likely to affect farad and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? l6 SEPA (WAC 197-II-960) Ettvlronmentat Checklist- A~ILAl7-2 i0 Small-scale Recreation & Toazrsi Uses Some of the parcels zoned rural residential in Jefferson County's West End occur along the shoreline. All development is subject to the Shoreline Master Program and Jefferson County's development regulations. The proposal wilt not directly affect shoreline functions & processes. Proposed measures to avoid or reduce shoreline and rand use impacts are: The County's Shoreline Master Program (SMP} addresses commercial, recrea#ional, and scient~ciedurational use and development with policies and. performance standards that require coordination with the. Washington State Department of Archaeology and Historic Preservation, minimal disturbance to natural features, and protection and restoration of histonc/cultural features. 6. How would the proposal be likely to increase demands an transportation ar public services and utilities? The proposal will not directly increase demands on transportation ar public sen+rcesJutiiities; new land use and development proposals will need to meet existing requirements to adequately manage such impacts. Proposed neeasures to reduce or respond to such demands} are: The proposal is not expected to result in a significant increase in the demand on transportation or utili#ies, therefore no specific mi#rgatiarrmeasures are proposed. Specific project proposals would be addressed under the regulations contained in the JCC and SEPA. 7. Identify, rf possrre, whether the proposal may conflict wi#h local, state, or federal laws or requirements for the protection of the environment. The proposal does not. conflict with Local, state, or federal laws orrequirements for the projec#ion of the environment. 17