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ZON2004-00017
I f UDC CONSISTENCY REVIEW Project Planner: M LINDBLAD Master#MLA04-00104 Review Type Project Description ZON04-00017 I SPAAD Primary: SCOTT USELDING Site Address: 3844 29TH AVE WEST 317 QUARRY RD SEATTLE WA 98199 PORT LUDLOW WA,98365 OWN MARK E SPARGO CHANDELLE C SPARGO 22 PARKSIDE WAY MILLSTONE TOWNSHI NJ 086913817 Project Location: Parcel Number 931 500 210&211 &212,Basalt Beach,Blk 2,Lots 12, 13, 14, in Section 4, Township 28,Range 01 East,WM,Located at 317 Quarry Rd,Port Ludlow,WA 98365 Parcel Number: 931500210 S-T-R:4-28N-01 E 0,k61/ Wq_ Total Acreage: 1 Legal Description BASALT BEACH BLK 2 LOT 12&PTN TL TX JJ Land Use: 9100 FRTG(1.51 CHS) Flood District: Fire District: 3 Planning Area: 7A Flood Map(FIRM)Panel No: 5300690460B ri District: 49 Zoning: RR1:5 Parcel Number: 931500211 S-T-R:4-28N-01 E 0 k"\Gq.:`td Total Acreage: 0 Legal Description BASALT BEACH BLK 2 LOT 13 &PTN TL TX JJ Land Use: 1100 FRTG(1.51 CH) Flood District: Fire District: 3 Planning Area: 7A Flood Map(FIRM)Panel No: 5300690460Bp tte' District: 49 Zoning: RR1:5 Parcel Number: 931500212 S-T-R:4-28N-01 E `,,,� p-1.-1 V Total Acreage: 1 Legal Description BASALT BEACH BLK 2 LOT 14&PTN TL TX JJ Land Use: 9100 FRTG(1.51CH) Flood District: Fire District: 3 Planning Area: 7A Flood Map(FIRM)Panel No: 5300690460 District: 49 Zoning: RR1:5 COMP PLAN DESIGNATION: '��1) COMMUNITY PLAN: UGA: MPR: WATER SUPPLY UTILITY: Service Area PUD: [J Plot plan states "property line" [j] Assesor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO ___,.-0 [ ] Parcel Tags or Scanned Documents S [ ] ESA's: Special Repo -arby YES ' Shoreline Designat . lr NO C(!VS"VCS Stream Type:YES 40. Fish&Wildlife: 'NO Wetlands: YES 0 ^ Rare Plants:YES � Seismic: YES T Landslide: Y • .O Flood: (`i, c tt0. 0A.t ad Erosion: YE'4,-p Aquifer Recharge Area:YE C ---- SIPZ:: none At Risk High Risk Coastal Stormwater site plan miffed: Yes No M '11[ ] Forest Lands: YE �O Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YE [ ] Agricultural Lands: YE [ ] Stormwater:New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's: Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineeri• [ ] Notice Provisions/Disclosure:, Ai ort YEs No MRL YEs ® Forest Lands YEse [ ] Landscaping Required: Yes No V [ ] Parking Spaces Re uired NO Other [ ] Building Height 3 ' UBC Standard [ ] Impervious Surfa e coverage percentage: Resource Lands&Public: 10% Rural Residential: 5°/ Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC:10,000 SF All others Subject to se ' water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: 0\ [ ] Road Classification: 5--0 'l 3 4\ C C.541861) Road Approach:EXIST OT REQ'D RAP [ ] SEPA Required:YES\ EXEMP [ ] Flood Certificate:t i \'< r / , [ ] Existing Case(s) &Condition(s): Violations: Yes No r.- [ ] Recorded Date of Subdivision: p ru 1 t a us AFN 1q635 J 3 1 ri'l Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance Lots/Require Declaratio Restrictiv Cove t CE NO, submitted: YES NO [ ] Site Visit conducted Y( NO ; I 3104 [ ] ADM1N: Setbacks entered in Permit Plan c N/A YES New Parcel Tags entered i 't Plan N/ YES Special Reports Scanned C/A YES No parcel tags found for parcel Associated CASES status issued finaled description 931500211 BLD99-00147 C 3/22/1999 residential alteration MLA04-00104 ZON04-00017 P SPAAD t , JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: SCOTT USELDING 3844 29TH AVE WEST SEATTLE WA 98199 DATE ISSUED: March 12,2004 DATE EXPIRES: March 12, 2008 MLA NUMBER: MLA04-00104 PROJECT PLANNER: M LINDBLAD PROJECT DESCRIPTION: Site Plan Approval Advance Determination (SPAAD) PROJECT LOCATION: Parcel Number 931 500 210 & 211 & 212, Basalt Beach, Blk 2, Lots 12, 13, 14, in Section 4, Township 28, Range 01 East, WM, Located at 317 Quarry Rd, Port Ludlow, WA 98365 FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on March 3, 2004 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Conservancy Shoreline Designation and Coastal Seawater Intrusion Protection Zones (SIPZ). 3.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drillec on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 4.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone)according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Polio (Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 5.) The Development Review Division finds that this proposal is consistent with Shoreline Master Program Section 3.402.5,which exempts the"construction by an owner, lessee, or contract purchaser of a single-family residence [in shoreline jurisdiction]for the owner's or owner's family's use..."from the substantial development permit(SDP)requirements under certain provisions. Exemptions from the substantial development permit requirements do not exempt a proposed development from compliance with the applicable policies and standards of the Shoreline Master Program or other applicable Federal, State, or local permit or license requirements. 6.) The revised site plan as submitted on March 12, 2004 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated March 12, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 1 r i 7.) This approval is for a Site Plan Approval Advance Determination (SPAAD)only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 8.) The proposal was reviewed against the site plan determination criteria of the Unified Development Code (Section 8.7). The criteria for approval is as follows: 1. The proposed site plan conforms to all applicable county, state, and federal land use, environmental and health regulations and plans, including but not limited to the following: The Jefferson County Comprehensive Plan and the provisions of the Unified Development Code. Staff comment: The application was reviewed for consistency under the provisions of the Unified Development Code, Comprehensive Plan, and Shoreline Master Program. The application was found in compliance with all ordinances pertaining to the proposed development. 2. Adequate provisions for utilities and other public services necessary to serve the needs of the proposed site plan have been demonstrated, including open spaces, drainage ways, roads, and other public ways, potable water, sewerage disposal, fire flow and other improvements. Staff comment: The parcel is approximately 1.66 acres in size, and the site plan as submitted complies with UDC Table 6-1: Density, Dimension and Open Space Standards. Jefferson County Department of Environmental Health commented on the application on March 12, 2004 and determined the areas identified for the septic drain field and reserve drain field area is suitable for a septic system. A proposed on-site well shall provide water to this parcel. The applicant shall provide proof of potable water at the time of building permit application. This application does not vest the parcel for potable water. The site is accessed via Quarry Rd (C554709), a local access road. The road approach is existing and an address of 317 Quarry Rd has been assigned to the parcels. The applicant shall adhere to the Department of Ecology Stormwater Management Manual adopted by Jefferson County for stormwater control at time of building application. The SPAAD was not reviewed for fire flow. However, the parcel is located within a state approved water system. Jefferson County has no specific adopted fire flow requirements for utilization in permitting. Application of Coordinated Water System Plan (CWSP)fire flow requirements for individual projects is inappropriate since the primary purpose is for water system design to assure adequate pipe size, source, and storage. 3. The probable significant adverse environmental impacts of the proposed site plan, together with any practical means of mitigating adverse impacts, have been considered such that the proposal will not have an unacceptable adverse effect upon the quality of the environment, in accordance with the State Environmental Policy Act(SEPA) implementing the provisions contained within Section 8 of this Code and Chapter 43.21C RCW. Staff comment: Single family residences are EXEMPT from the State Environmental Policy Act(SEPA). WAC 197-11-800(1)(b)(i) identifies the construction of any residential structure of four(4)dwelling units. 4. Approving the proposed site plan will serve the public use and interest and adequate provision has been made for the public health, safety and general welfare. Staff comment: The proposal will not affect the public health, safety, and general welfare. 9.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 10.) The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be thirty(30)feet or one (1)foot for each foot of bank height,whichever is greater. This setback shall be measured from the bank's edge when the bank's height exceeds 10 feet. When the bank's height is less than 10 feet, the setback shall be measured from the ordinary high water mark. The setback shal not exceed 100 feet. 11.) A site visit of the subject property was conducted by Development Review staff March 8, 2004. 12.) This parcel was created through the Basalt Beach subdivision under AFN 74685, filed of record August 6, 1935 in Plat Book 3, page 22 with Jefferson County Auditor's office. CONDITIONS: 1.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 2.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3)gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 5.) Setbacks for accessory developments shall be as specified under Shoreline Master Program Section 4.105 Urban, Section 5.50 Commercial Development, and Section 5.160 Residential Development. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code(UDC)Section 6. Outdoor storage of thirteen (13)or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 8.) Duration of Approval -Several of the included findings shall become conditions upon the submittal of a building and septic permit. The duration of approval of the Site Plan shall be effective for five Y 5)years from the date of ( original approval by the Administrator. If a building permit has not been issued within the five (5)year period, the Site Plan Approval Advance Determination (SPAAD)cannot be revived or extended except by new application that must meet all the existing criteria and conditions listed in this Section. Knowledge of the expiration date shall be the responsibility of the applicant. The county will not provide notification prior to expiration. Limitations of Approval -Approval of the site plan shall not guarantee the performance of specific site features or improvements (e.g. wells, septic systems, stormwater drainage facilities, etc.)and shall not be immune from changes in state or federal law which are enacted or have an effective date after the date of the Site Plan Approval Advance Determination (SPAAD)and which may affect the performance and implementation of the site plan and associated use or activity. Any subsequent land division or boundary line adjustment of a parcel or lot which has received site plan approval advance determination under this Section 8.7 shall void such site plan approval and require a new site plan approval advance determination application. Approval of a site plan under this section does not constitute authority to comence any development or building activity until such time as final authorizing permits are issued (e.g., septic,wells, stormwater management, or building permit, etc.). Modification to an approved site plan may be required by the applicant and approved by the Administrator subject to the provisions for Type I decisions. (Please request a copy of Section 8.7 of the UDC for criteria pertaining to modifications). 9.) The proposal is to develop across separate lots (block 2, lots 12-14). Setback requirements will not allow for the development to span over lot lines. A Declaration of Restrictive Covenant is required for the purpose of meeting bulk and dimensional requirements and minimum land area. 10.) A minimum of two (2)on-site parking spaces are required for the single family residence. 11.) minimum building height is 35 ft. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) Minimum setback from Quarry Rd right-of-way is 20 feet. Minimum setback adjacent to the shoreline is 30 feet. Minimum side and rear setbacks are 5 feet. 14.) At the time of building permit application, the proposal is subject to stormwater plan consistent with the Stormwater Managment Manual for Western Washington. 15.) Well to be abandoned as per WAC 173-160-381 by licensed well driller. Notice to be provided to the Health Department prior to abandonment. Verification of abandonment to be provided to Health Department. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations,or statutes applicable to the proposed development. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8,2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes"listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition,the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline,freshwater shoreline,or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline,freshwater shoreline,or floodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters (streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes,wetlands,and forested areas near surface waters - Remove minimal vegetation for site development,especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit fora listed species "taking," even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information,contact the National Marine Fisheries Service in Seattle at(206)526-6613,or the U.S. Fish and Wildlife Service at (503)231-6121. APPEALS: Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one(21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see UDC Section 8.5.2. 4.dr rnu \� hQUV UDC Administrator ZON04-00017 ZON04-00017 MARK E SPARGO SCOTT USELDING CHANDELLE C SPARGO 3844 29TH AVE WEST 22 PARKSIDE WAY SEATTLE,WA 98199 MILLSTONE TOWNSHI, NJ 086913817 ZON04-00017 BARBARA BLOWERS PO BOX 1668 PORT TOWNSEND,WA 98368 SIPI TI m�v' 7.•s�0o sa tea? -<cx-,Z 7C r 1 --,_; 1r i rs, b O -ml O°_ D - ITR , Ow 1 I V x o. \ = lJ Z _ -t o. -1 o li: I \ .. DD .-/ CAr , ,,,,„. \\„ . . \,....,„‘„,,,,,,\.‘ .9\\'''''\'0•\"\ ' \ : „,,,,,:\,,:,:‘,\,,,,� \I '-----, . <4._ -- \\� I m •� -N0i t 1 w I i s. 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SURVEYORS FAX NO: (425) 827-2423 - - — — °Cs r.- \ `� / \ w / \ U- / \ / \ / \ I \ I 1 _ 223' I _ t'a /i' PROPOSED L.,ort , II , .I WELL SITE -� 1 I 1 1 1 1 1 1 1 1 100.0' I �1 \ , 11 1 Id I o.\ /' w 1 1 1 \ \n \ -I 1 1 \ N 1 I / 1 1 \ I I 228,.1'..7 _.L I .iy `, I ' � i � Lo7 13 ii — - I I T 1 1 I &, i' ® 1 I , , 1 1 W J� rtrom , , / I 1 1 I Q ' ( / i 1 i 1 1 • I I 0 1 �/ /% '' �,j / I 11 ' ri'' 4 f® ®i a .,<, ` NELL 10 BE 1 ED I ■ I OOS1010100D GAL p Q/5//e,,;,'./1-,/ii®� '�a'%i��,;ii�° ■ ■ , to -r !cane TMX e• / tl•: _i 1 i _±__, _,_Ltd ,u—°°ussoea ae � .,_, I—� 253.3 MONO 1000 ow. ' nlovoam Q 1 mor wlhx ,!• I �M SA 11601.411ED PUMP CHAMBER • DOUBLE SEALED \ i UNDER ME `1 goo Ni \‘ � ` I \ - ---- - .- au BUFFER -° .. 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DRAWN LEC DATE 02-12-04 PROJ NO. 04-020 10604 NE 38th PLACE, SUITE 101 KIRKLAND, WA 98033 (425) 827-3063 1-800-962-1402 CHECKED DRJ SCALE AS SHOWN' SHEET 2 OF 2 ENGINEERS - PLANNERS a SURVEYORS FAX NO: (425) 827-2423 Mo-chi Zoe Lindblad From: waves @olympus.net Sent: Thursday, March 11, 2004 2:38 PM To: Mo-chi Zoe Lindblad Subject: RE: MLA04-00104, Quarry Rd, Spargo/Uselding SPAAD Paperwork from Dave Jensen was Fed-exed this morning from Kirkland for arrival tomorrow--hooray!!!! BB Original Message From:Mo-chi Zoe Lindblad[mailto:mlindblad @co.jefferson.wa.us] Sent:Thursday, March 11, 2004 10:00 AM To:waves @olympus.net Subject: RE: MLA04-00104,Quarry Rd,Spargo/Uselding SPAAD Hi Barbara, In case the packet arrived later in the day and we are not able to issue the permit on Friday, I have asked Michelle to take over this SPAAD. Both Michelle and Linda know that a sale transaction is contingent on this SPAAD approval, We will complete the review and issue this permit in a timely manner. Thanks. Mo-chi Original Message From:waves @olympus.net[mailto:waves @olympus.net] Sent:Thursday, March 11, 2004 9:52 AM To:Mo-chi Zoe Lindblad Subject:RE:MLA04-00104, Quarry Rd,Spargo/Uselding SPAAD Just found out it is sitting on desk in Bellevue;I have asked that it be fed-exed to you for receipt tomorrow. Hope that works!!!! BB Original Message From: Mo-chi Zoe Lindblad[mailto:mlindblad @co.jefferson.wa.us] Sent:Wednesday, March 10, 2004 2:52 PM To:waves @olympus.net Subject:FW:MLA04-00104,Quarry Rd, Spargo/Uselding SPAAD Hi Barbara, Just want to let you know where we are at on the SPAAD application. I am ready to issue the permit once the septic issues are resolved. I will be on vacation starting Monday 03/15/2004 until 04/05/2004. If the septic designer could submit a revised site plan by tomorrow per Linda's comment below,we may be able to issue the permit by Friday. Regards, Mo-chi Zoe Lindblad,Assistant Planner Jefferson County Department of Community Development 360-379-4462 www.co.jefferson.wa.us > Original Message >From: Linda Atkins >Sent: Wednesday, March 10, 2004 11:58 AM >To: Mo-chi Zoe Lindblad 1 >Subject: MLA04-00104,Quarry Rd, Spargo >Mo-chi, >I completed a site visit 3-9-04.The following items are required >prior to further review: >The glendon basins must show appropriate setbacks and area available. >The"proposed 1 bedroom guesthouse"must be changed to satelite bedroom or additional drainfield area must be identified to meet code requirements for a minimum of 240 gallons per day(2 bedrooms)for a house/single family residence. >I have contacted the designer to go over these 2 items. >A condition will need to be placed on the spaad regarding proper >abandoning of the well and notification to the Health Department prior >to abandonment. >Let me know if you have further questions. >linda a 2 Mo-chi Zoe Lindblad From: Mo-chi Zoe Lindblad Sent: Thursday, March 11, 2004 10:00 AM To: 'waves @olympus.net' Subject: RE: MLA04-00104, Quarry Rd, Spargo/Uselding SPAAD Hi Barbara, In case the packet arrived later in the day and we are not able to issue the permit on Friday, I have asked Michelle to take over this SPAAD. Both Michelle and Linda know that a sale transaction is contingent on this SPAAD approval, We will complete the review and issue this permit in a timely manner. Thanks. Mo-chi Original Message From:waves @olympus.net[mailto:waves @olympus.net] Sent:Thursday, March 11, 2004 9:52 AM To: Mo-chi Zoe Lindblad Subject:RE:MLA04-00104,Quarry Rd,Spargo/Uselding SPAAD Just found out it is sitting on desk in Bellevue; I have asked that it be fed-exed to you for receipt tomorrow. Hope that works!!!! BB Original Message From: Mo-chi Zoe Lindblad[mailto:mlindblad @co.jefferson.wa.us] Sent:Wednesday, March 10, 2004 2:52 PM To:waves @olympus.net Subject:FW:MLA04-00104, Quarry Rd, Spargo/Uselding SPAAD Hi Barbara, Just want to let you know where we are at on the SPAAD application. I am ready to issue the permit once the septic issues are resolved. I will be on vacation starting Monday 03/15/2004 until 04/05/2004. If the septic designer could submit a revised site plan by tomorrow per Linda's comment below,we may be able to issue the permit by Friday. Regards, Mo-chi Zoe Lindblad,Assistant Planner Jefferson County Department of Community Development 360-379-4462 www.co.jefferson.wa.us > Original Message >From: Linda Atkins >Sent: Wednesday, March 10, 2004 11:58 AM >To: Mo-chi Zoe Lindblad >Subject: MLA04-00104, Quarry Rd,Spargo >Mo-chi, >I completed a site visit 3-9-04.The following items are required >prior to further review: >The glendon basins must show appropriate setbacks and area available. >The"proposed 1 bedroom guesthouse"must be changed to satelite bedroom or additional drainfield area must be identified to meet code requirements for a minimum of 240 gallons per day(2 bedrooms)for a house/single family residence. 1 >I have contacted the designer to go over these 2 items. >A condition will need to be placed on the spaad regarding proper >abandoning of the well and notification to the Health Department prior >to abandonment. >Let me know if you have further questions. >linda a 2 Mo-chi Zoe Lindblad From: waves @olympus.net Sent: Thursday, March 11, 2004 9:52 AM To: Mo-chi Zoe Lindblad Subject: RE: MLA04-00104, Quarry Rd, Spargo/Uselding SPAAD Just found out it is sitting on desk in Bellevue; I have asked that it be fed-exed to you for receipt tomorrow. Hope that works!!!! BB Original Message From:Mo-chi Zoe Lindblad[mailto:mlindblad @co,jefferson.wa.us] Sent:Wednesday, March 10, 2004 2:52 PM To:waves @olympus.net Subject:FW:MLA04-00104, Quarry Rd,Spargo/Uselding SPAAD Hi Barbara, Just want to let you know where we are at on the SPAAD application. I am ready to issue the permit once the septic issues are resolved. I will be on vacation starting Monday 03/15/2004 until 04/05/2004. If the septic designer could submit a revised site plan by tomorrow per Linda's comment below,we may be able to issue the permit by Friday. Regards, Mo-chi Zoe Lindblad,Assistant Planner Jefferson County Department of Community Development 360-379-4462 www.co.jefferson.wa.us > Original Message >From: Linda Atkins >Sent: Wednesday, March 10, 2004 11:58 AM >To: Mo-chi Zoe Lindblad >Subject: MLA04-00104,Quarry Rd, Spargo >Mo-chi, >I completed a site visit 3-9-04.The following items are required >prior to further review: >The glendon basins must show appropriate setbacks and area available. >The"proposed 1 bedroom guesthouse" must be changed to satelite bedroom or additional drainfield area must be identified to meet code requirements for a minimum of 240 gallons per day(2 bedrooms)for a house/single family residence. >I have contacted the designer to go over these 2 items. >A condition will need to be placed on the spaad regarding proper >abandoning of the well and notification to the Health Department prior >to abandonment. >Let me know if you have further questions. >linda a 1 Mo-chi Zoe Lindblad From: waves @olympus.net Sent: Thursday, March 11, 2004 9:50 AM To: Mo-chi Zoe Lindblad Subject: RE: MLA04-00104, Quarry Rd, Spargo/Uselding SPAAD Could you please let me know if the stuff from Dave comes in the mail today;if not, I may have to drive to Bellevue tomorrow to get it and bring back to you. I cannot wait for it. BB Original Message From: Mo-chi Zoe Lindblad[mailto:mlindblad @co.jefferson.wa.us] Sent:Wednesday, March 10, 2004 2:52 PM To:waves @olympus.net Subject:FW:MLA04-00104, Quarry Rd, Spargo/Uselding SPAAD Hi Barbara, Just want to let you know where we are at on the SPAAD application, I am ready to issue the permit once the septic issues are resolved. I will be on vacation starting Monday 03/15/2004 until 04/05/2004. If the septic designer could submit a revised site plan by tomorrow per Linda's comment below,we may be able to issue the permit by Friday. Regards, Mo-chi Zoe Lindblad, Assistant Planner Jefferson County Department of Community Development 360-379-4462 www.co.jefferson.wa.us > Original Message >From: Linda Atkins >Sent: Wednesday, March 10, 2004 11:58 AM >To: Mo-chi Zoe Lindblad >Subject: MLA04-00104, Quarry Rd,Spargo >Mo-chi, >I completed a site visit 3-9-04.The following items are required >prior to further review: >The glendon basins must show appropriate setbacks and area available. >The"proposed 1 bedroom guesthouse"must be changed to satelite bedroom or additional drainfield area must be identified to meet code requirements for a minimum of 240 gallons per day(2 bedrooms)for a house/single family residence. >I have contacted the designer to go over these 2 items. >A condition will need to be placed on the spaad regarding proper >abandoning of the well and notification to the Health Department prior >to abandonment. >Let me know if you have further questions. >linda a 1 Mo-chi Zoe Lindblad From: Mo-chi Zoe Lindblad Sent: Wednesday, March 10, 2004 2:52 PM To: 'waves @olympus.net' Subject: FW: MLA04-00104, Quarry Rd, Spargo/Uselding SPAAD Hi Barbara, Just want to let you know where we are at on the SPAAD application. I am ready to issue the permit once the septic issues are resolved. I will be on vacation starting Monday 03/15/2004 until 04/05/2004. If the septic designer could submit a revised site plan by tomorrow per Linda's comment below, we may be able to issue the permit by Friday. Regards, Mo-chi Zoe Lindblad, Assistant Planner Jefferson County Department of Community Development 360-379-4462 www.co.jefferson.wa.us Original Message From: Linda Atkins Sent: Wednesday, March 10,2004 11:58 AM To: Mo-chi Zoe Lindblad Subject: MLA04-00104,Quarry Rd,Spargo Mo-chi, I completed a site visit 3-9-04. The following items are required prior to further review: The glendon basins must show appropriate setbacks and area available. The"proposed 1 bedroom guesthouse" must be changed to satelite bedroom or additional drainfield area must be identified to meet code requirements for a minimum of 240 gallons per day(2 bedrooms)for a house/single family residence. I have contacted the designer to go over these 2 items. A condition will need to be placed on the spaad regarding proper abandoning of the well and notification to the Health Department prior to abandonment. Let me know if you have further questions. linda a 1 Mo-chi Zoe Lindblad From: Linda Atkins Sent: Wednesday, March 10, 2004 11:58 AM To: Mo-chi Zoe Lindblad Subject: MLA04-00104, Quarry Rd, Spargo Mo-chi, I completed a site visit 3-9-04. The following items are required prior to further review: The glendon basins must show appropriate setbacks and area available. The"proposed 1 bedroom guesthouse" must be changed to satelite bedroom or additional drainfield area must be identified to meet code requirements for a minimum of 240 gallons per day(2 bedrooms)for a house/single family residence. I have contacted the designer to go over these 2 items. A condition will need to be placed on the spaad regarding proper abandoning of the well and notification to the Health Department prior to abandonment. Let me know if you have further questions. linda a 1 RECEOWEr-N)1 MAR 1 2 2 04 lic"" D s JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT D . R . STRONG CONSULTING ENGINEERS , INC . 10604 NE 38TH PLACE # 101 KIRKLAND , WA 98033 PHONE 425 - 827 - 3063 FAX 425 - 827 - 2423 LETTER OF TRANSMITTAL %= TO: JEFFERSON COUNTY FROM: DAVID JENSEN P.E. MO-CHI ADDRESS: 621 SHERIDAN STREET DATE: PORT TOWNSED WA 98368 March 10, 2004 RE: PERMIT MLA04104 PROJECT NUMBER: 04020 ['COPY OF LETTER ['PLANS ❑PRINTS ❑SPECIFICATIONS ❑FOR YOUR USE ❑ FOR REVIEW ❑FOR APPROVAL COPIES DATE DESCRIPTION 4 REVISED SPAD PLAN NOTES/COMMENTS: REVISIONS MADE AFTER DISCUSSION WITH LINDA ATKINS: SLOPE ABOVE DRAINFIELD INCREASED. SECOND HOUSE LABELED AS SATTELITE BEDROOM REMOVED STACKING OF GLENDONS. PLEASE CALL IF THERE ARE ANY QUESTIONS DAVE I ot pzi I ri m� Ii ! .rT1 c. 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I ..a- — ,Z --- v m- - _X - -xi GI. — o CA D rn zm • Z I .. 8„cl -- ---- _ - . ./___ ----------- .•f __� \ * m x • y__ _ / Iu oy,c44 • 0-`, I A. �v� 6 / -- - - r"-- . ./ „---- __________- L I / --- FEB 2 7 ,) 1N1 .... - - 2004,N , , __ - ... .... -- O — COPYRIGHT®2004, D.R. STRONG CONSULTING ENG., INC. 1 ON-SITE SEWAGE DISPOSAL DESIGN D • R. S T R 317 QUARRY ROAD LOTS 12-14 fURS! N G USELDING JEFFERSON CO. Consulting Engineers Inc. DRAWN LEC DATE 02-12-04 PROJ NO. 04-020 10604 NE 38th PLACE, SUITE 101 KIRKLAND, WA 98033 (425) 827-3063 1-600-962-1402 CHECKED DRJ SCALE AS SHOWN' SHEET 1 OF 2 ENGINEERS • PLANNERS • SURVEYORS FAX NO: (425) 827-2423 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 931500211 • Printed: March 1, 2004 Cases Name Review Type Status Planner ZON04-00017 MLA04-00104 USELDING I P M LINDBLAD Application Received: 3/1/2004 Permit Issued/Case closed: Case Finaled: SPAAD No findings,conditions,or permissions found. SEP91-00544 MINAKER F Application Received: 2/13/1991 Permit Issued/Case closed: 6/18/1991 Case Finaled: 10/10/1991 No findings,conditions,or permissions found. Page 1 of 1 CASES, FINDING, CONDITIONS, PERMISSIONS FOR • Parcel 931500211 Printed: March 1, 2004 Cases Name Review Type Status Planner BLD99-00147 MINAKER C Application Received: 3/18/1999 Permit Issued/Case closed: 3/22/1999 Case Finaled: residential alteration No findings,conditions,or permissions found. ZON04-00017 MLA04-00104 USELDING I P M LINDBLAD Application Received: 3/1/2004 Permit Issued/Case closed: Case Finaled: SPAAD No findings,conditions,or permissions found. it Page 1 of 1 Parcel Print Page 1 of 1 Parcel Number: 931500210 Owner Mailing Address: MARK E SPARGO CHANDELLE C SPARGO 22 PARKSIDE WAY MILLSTONE TOWNSHI NJ 086913817 Site Address: Section: 4 School District: Chimacum (49) Qtr Section: NW1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 231 Mapped 0.62 Planning area: Port Ludlow(7) Acreage: Sub Division: BASALT BEACH Land Use Code: 9100 - VACANT LAND Property Description: BASALT BEACH BLK 2 LOT 12 & PTN TL TX JJ FRTG(1.51CHS) [I] No Photo Available 13 No 2nd Photo Available http://www.co efferson.wa.us/as sessors/parcel/parcelprint.asp?PARC EL_NO=931500210 3/1/2004 Parcel Print Page 1 of 1 Parcel Number: 931500211 Owner Mailing Address: MARK E SPARGO CHANDELLE C SPARGO 22 PARKSIDE WAY MILLSTONE TOWNSHI NJ 086913817 Site Address: 317 QUARRY RD PORT LUDLOW 98365 Section: 4 School District: Chimacum (49) Qtr Section: NW1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 231 Mapped 0.49 Planning area: Port Ludlow(7) Acreage: Sub Division: BASALT BEACH Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: BASALT BEACH BLK 2 LOT 13 & PTN TL TX JJ FRTG(1.51CH) No 2nd Photo Available f� T^ .,, 1,20 http://www.co jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL_NO=931500211 3/1/2004 Parcel Print Page 1 of 1 Parcel Number: 931500212 Owner Mailing Address: MARK E SPARGO CHANDELLE C SPARGO 22 PARKSIDE WAY MILLSTONE TOWNSHI NJ 086913817 Site Address: Section: 4 School District: Chimacum (49) Qtr Section: NW1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: lE Tax Code: 231 Mapped 0.53 Planning area: Port Ludlow(7) Acreage: Sub Division: BASALT BEACH Land Use Code: 9100 - VACANT LAND Property Description: BASALT BEACH BLK 2 LOT 14 & PTN TL TX JJ FRTG(1.51CH) ;2.c.i No Photo Available No 2nd Photo Available http://www.cojefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL_NO=931500212 3/1/2004 • Map Output Page 1 of 2 Features not sury eyed Parcel #931500210&211212 Aid Legend ,! 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Nate Reeetvafol \� Reseaysim ■ Nd Zoned FOR INFORMATIONAL PURPOSES ONLY- http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 3/1/2004 fox oo JEFFERSON COUNTY 44w , ,VA DEPARTMENT OF COMMUNITY DEVELOPMENT � 621 Sheridan Street ` 3P3°9149p Port Townsend, WA 98368 - .01N01. Al Scalf, Director March 1,2004 SCOTT USELDING 3844 29TH AVE WEST SEATTLE WA 98199 RE: CASE#:MLA04-00104 LOCATION:Parcel Number 931 500 210&211 &212, Basalt Beach,BIk 2,Lots 12, 13, 14,in Section 4, Township 28,Range 01 East,WM,Located at 317 Quarry Rd,Port Ludlow,WA 98365 Dear SCOTT USELDING: Jefferson County Department of Community Development staff have received the application materials for the above project proposal and have assigned your case to: Mo-chi Lindblad (360) 379-4462 E-mail: mlindblad @co.jefferson.wa.us Fax: (360) 379-4473 Please direct all questions to Mo-chi Lindblad and refer to MLA04-00104. If you need-to speak with Mo-chi Lindblad in person, please call to schedule an appointment in order to ensure availability. Review times vary depending on the type of application and how complete the application is upon submittal. For more information, please visit the Jefferson County Department of Community Development web page at www.co.iefferson.wa.us/commdevelopment/. Thank you. Si ' 1�e a . �Lt'4111201 Dep ' ent of s munity Development Staff c: File MARK E SPARGO CHANDELLE C SPARGO 22 PARKSIDE WAY MILLSTONE TOWNSHI NJ 086913817 Building Permits/ Inspections Development Review Division Long Range Planning (360) 379-4450 BARB BLOWERS PO BOX 1668 PORT TOWNSEND WA 98368 FAX: (360) 379-4451 • /� }. • Cr O f--{ O = O C3 LL_ N "O .Q Z LL �• U O H O ® CO H '7 O ® O Ct U m — m ' d' Z U7 O -o — m �-- 4 O O c ' L J -0 X CC 'O V^a ) -M+ CO C U SE CI O I- w O Z +I -O J CO O 4 •- O L t L U 1` 4 C.3 U 4 Z 7 CD C1 [1 -s- ......, �. 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Ch O i RE 713.50 �° 27 q3, II CO3> o 6 28 030 a CC/ Ch) N 1r, Co,)6 <-' 2.52 a. 30 0.30 a C1$2 �� kK1 7/ .�kkl `O ) ) 8/: (SW 1/4 4-28N-1E) 6 ch) it 1 6/ ■ • JEFFERSON COUNTY ASSESSOR 4/ 10, 1 82104 Map Output Page 1 of 1 FEATURES NOT SURVEYED - 931 500 210, 211 & 212 / ZON04-00017 . c,!, i j 1 7 }} inifftt f 41111111e 9213330/28 1 li 92`'.:3,3: ()2 ri. Legend Road System 931500213 Pamela-Pi • 2000 Shore Photos-H • 1994-97 Shore Photos-H 931500212 Shoreines-An 1 iGCXOtg omby.Subudisfl 4 4/4/ c -rvantpN iturat i 931500211 9315000104 t_ 000000250 ,„„v wt.. .. 931590210 ewe ti . ' 1 'S " Cnneer+'+rwy I.5 .,`1 5 ! / NaturiMbarberi 031 0004209 ■ _____H.' ) 931500214 Shore ies Potygsi�s ■ Nilluat' . 1 A I 951500208 I 1 sirto MA=pvidadkry,JkR,...nC only Ce Se-muaGIS 18611 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Wed Mar 03 15:47:17 2004 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Form=True&Enc... 03/03/2004 Map Output Page 1 of 1 features not surve ed - 931 500 210, 211 & 2::,1,,,,27.,/Z0N04-00017 kilt. w '- ' rti—CAA'Vf:e 1 ) ‘.... ,-*., ,,,-,, ,,, ,,,. .. ilift- 'i ,I Legend fiy Road Syyiam t e Patce#s-ii t'. Nd 2000 f4t77ia1 Photos E" ` r� `- ''.„,, ,7- +I:Jr' r--z, ',,,,s'At:'1,*t•l'ok*S•tq'-- . c : ' , .a° aan qu+4 . -..1p 4-,` r 1 Maps ded by Jelismn Cara/Cerrhd Services GAS FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. 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' � t q v- -2- http://maps.co.jefferson.wa.us/website/shoreline/shorephotoZoom.asp?ID=8530 03/03/2004 g ON c JEFFERSON COUNTY rikt, DEPARTMENT OF COMMUNITY DEVELOPMENT ti _ c 621 Sheridan Street p Port Townsend, WA 98368 Al Scalf, Director March 4,2004 SCOTT USELDING 3844 29TH AVE WEST SEATTLE WA 98199 RE: SITE ADDRESS:317 QUARRY RD MLA#:MLA04-00104 Dear SCOTT USELDING: Jefferson County Department of Community Development staff have reviewed the application materials for the above project proposal and have determined that the application is substantially corn plete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, (; Department of Community Development Staff c: File MARK E SPARGO CHANDELLE C SPARGO 22 PARKSIDE WAY MILLSTONE TOWNSHI NJ 086913817 ViiteKA Building Permits/ In spec tio ns Development Review Division Long Range Planning (360) 379-4450 FAX: (360) 379-4451 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST., PORT TOWNSEND ,WA 98368, (360) 379-4450 SOIL EVALUATION PROPERTY OWNER SC,' rr .. (JSE[p/N 4 SYSTEM DESIGNER DA ST?Zo,s cc CoA/S(>LTl/t/5 J6• /N G• LEGAL DESCRIPTION: Section ct Township 28 Range 01 Parcel # ?3/5007.10) OZ-1 I j OL/ 2. Subdivision Name Division Block Lot(s) /Z./ 3, /y Date Logged: Fog Zcoi Logged By: 1>F2.3• Include soil textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG #1 SOIL LOG #2 e to pi in. Dk. &€0/,1,J 10,4k%1 6 to/b in. Pg. /3/2.014/N Loa,04 /c( to 30 in. TAN S4,vt to WI /6toZ7in. Ta tJ S4N6y Go•., to in to in. to in. to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments o . Health Dept. Comments N - r\ SOIL LOG #3 SOIL LOG #4 O tot in TOPSO/L— L O to3 in 1-01,601 L.. / to Z G in MA" SsvAy 1.0 A441 '-' 3 to 3 O in 3Ro km) S4NDy Lad,,,1 to in. to in to in. to in. Anticipated water table in. Anticipated water table in. Roots to. inches Roots to 3 0 inches Health Dept. Comments Health Dept. Comments 49R J ._. SOIL LOG #5 ..R �OF W �t SOIL LOG #6 to in .# .t ;': ;: _ to in to in. 11144, i to in. :r to in. � 51i5� to in. to in. iO to in. NAL Anticipated water table in. " Anticipated water table in. l IMPIREs"1— t'1 -•0 5 1 Roots to inches t Roots to inches Health Dept. Comments Health Dept. Comments H:\INFOHLTH\SOILFRM 1/00 • JEFFERSON COUNTY ) rvo. 1 i ..�.,,� } DATE 71 C1 RECEIVED FROM -'i , y. '... -- , 'i-1-1 ,. i w DESCRIPTION BARS# ._�--...,x� AMOUNT CURRENCY) )i 'i 4(/ J /2 , —1 t tf al lr _ COIN 4, /1S;'', D Z �� CI)# ,,J CHECKS r t-t 7 l Oil iipF To, a y ,? ' "' • • RECEIVED BY u� t� TOTAL ,. . ,:„...."4v.�.ti�.+;us;., „.„...„.�.�t- asa:.r•-�,„..„,:,.t+e..t..>.a:„..„• .,..i.u3svd..',..,.. •.,.d,..., ,.„.... .,.a<w ....�.., • • • ,. ________ .. . . • .. • • FEB 272004 Type 11 Permits Refer to: ❑ Discretionary"0"or Unnamed Use Classification UDC Sections 3.2.1,3.2.2 and Table 3-1 li O Cottage Industry UDC Section 7.3 and Table 3-1 ❑ Short Plat, Preliminary and Final* UDC Section 7.3 • Binding Site Plan* UDC Section 7.5 O Conditional(Administrative)"C(a)"Use UDC Table 3-1 and Section 8.8 ❑ Conditional(Discretionary)"C(d)"Use UDC Table 3-1 and Section 8.8(Discretionary Permit Review Process Determined by Administrator) ❑ Variance,Minor* UDC Section 8.9 ❑ Wireless Telecommunication Ordinance 06-0712-99(UDC Appendix C) ❑ Shoreline Substantial Development(Primary Use) UDC Section 5 O Forest Practices Act/Release of Six-Year Moratorium for Single- UDC Section 4.16.5(c) Family Residence O Appeal UDC Section 8.4.2 SEPA 8.10.12(b) Type III Permits O Conditional"C"Use UDC Section 8.8 O Long Plat,Preliminary* UDC Section 7.4 ❑ Planned Rural Residential Development Preliminary Approval UDC Section 3.6.13(must be in conjunction with an (PRRD)and Major Amendments* underlying land division application) O Plat Vacation/Alteration UDC Section 7.1.3(d) O Variance,Major* UDC Section 8.9 O Reasonable Economic Use Variance* UDC Section 3.6.4(h) O Wireless Telecommunication Ordinance 06-0712-99 UDC Appendix C ❑ Shoreline Management Substantial Development,Secondary Use* UDC Section 5 ❑ Shoreline Management Conditional Use* UDC Section 5 O Shoreline Management Variance* UDC Section 5 ❑ Appeal UDC Section 8.4.3 SEPA 8.10.12(c) Type IV Permits O Long Plat,Final UDC Section 7.4 ❑ PRRD,Final UDC Section 3.6.13 Tvpe V Permits FEB 2 7 2004 ❑ Special Use(Essential Public Facilities) UDC Section 3.3.5 ❑ Jefferson County Comprehensive Plan/UDC/Land Use District Map UDC Section 9 Amendment* ❑ Jefferson County Shoreline Master Program Amendment* UDC Section 5 ❑ Appeal of SEPA UDC Section 8.10.12(d) Other Local.State or Federal Permits ❑ Please identify any other local,state or federal permits required for this proposal,if known: ACKNOWLEDGEMENTS [PLEASE NOTE TNAT TWO SIGNATURES ARE REQUIRED] By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property.Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. This right of entry shall expire when the County (through the Administrator or the Administrator's representatives)concludes the application has complied with all applicable laws and regulations.A ss and • ht of entry to the appli nt'r.robe req . ~' and shall occur only during regular business hours. c Z 7 d 1x "1/4/UL° /a 7 ROPERTY OWNER (DATE) The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the"Endangered Species Act' or"ESA." Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code The Applicant a« nowledges that he, she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. T AAp li 1-it has read thy'..is.aimer and signs and dates it below. (� �f RP OPERTY OWNER (DATE) "' N ck4=4,� � JEFFERS ON COUNTY ,,'r DEPARTMENT OF COMMUNITY DEVELOPMENT ' " 621 Sheridan Street•Port Townsend•Washington 98368 �,eilt 360/379-4450.800/831-2678•360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Land Use Permit Application Form PROPERTY INFORMATION Tax Parcel Number. ❑ ❑ El ❑ ❑ ❑ El El ❑ Subdivision Name: Lot Number: Property Size: (acres/square feet) Existing Use of Property: Site Address and/or Directions to Property: APPLICANT&OWNER INFORMATION Applicant(if applicable): Telephone: Address: City: State: Zip Code: Email Address Applicant's Signature: Property Owner(s)of Record: Telephone: Address: • City: State: Zip Code: Email Address I acknowledge that the applicant above Is applying for a building permit on my property. Owner's Signature: I hereby designate to act as my agent in matters relating to this application for permit(s). Agent's Contact Telephone: Address: (PROPERTY OWNER SIGNATURE) (DATE) DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary) [THIS SECTION FOR OFFICE USE ONLY] Refer to the specific sections of the UDC referenced below for more information and further requirements.An asterisk(*)indicates that a supplemental application or questionnaire may be required. Type I Permits Refer to: ❑ Septic Permit/Evaluation of Existing System(EES) UDC Section 6.4.1 and Chapter 8.15 JCC ❑ Building/Demolition Permit UDC Section 3.2.1 and Table 3-1 ❑ Allowed"Yes"Use Consistency Analysis UDC Section 3.2.1 and Table 3-1 ❑ Home Business Table 3-1 and UDC Section 4.20 ❑ Stormwater Management* UDC Section 6.7 ❑ Road Access* UDC Section 6.8 ❑ Boundary Line Adjustment* UDC Section 7.2 ❑ Minor PRRD Amendments UDC Section 3.6.13.15 ❑ Sign Permit* UDC Section 6.15 ❑ Site Plan Approval Advance Determination(SPAAD) UDC Section 8.7 ❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5 ❑ Temporary Use(based on use may be Type II or Type Ill)* UDC Sections 4.38 and 4.39 (OVER) MASTER LAND USE PERMIT.DOC REV.11/18/2003 -ott Lis e1dirig 20B216U1E4 02/21iO' 10: 1:i3A P.002 (".i,,...$oN co .-O tO Q-_�- JEFFERSON COUNTY ;Y� 6 _. )-, g��. DEPARTMENT OF COMMUNITY DEVELOPMENT r-,, _ m ,ss. 621 She; dan Street• Port Townsend • 'Washington 98363_____ FEB 2 � (�0 360/37?-�450• 800/831-2618 • 3601.3,9- 51 Fax www.cc.;efferson.wa.us/cvrrandeveioprnent I t4SON COUNTY Master Land Use Permit Application Form t PME t\l' PROPERTY INrORMAT;ON ,,�,�� .,i Tax Parcel Number: t r I-1 L t --t i r C)a! Z Subdivision Name: 3 0..5 c0+ 8 e.,0,G i v C.. Lot Nambcr: J j.3_ Property Size: I . Q Qc, , (acres/square feet) EY.sting Use of Property: /."946L AIL t 1.• , Site Address and/or Directions to Property: _3'- 6)L,`,4- `! r K r f-t-- ("t o U S E) I 4PPUCANT& OWNER 1INR)RMAT1ow" Applicant(it applicable): ! ?" ` aSec'.--? /A) Telephone: , - . • Address. 3g(464 / C4. ,S ate , u :ado. _4 i� Addre-mss _ � _ i _ / i r s n/ / ,, i ) rl G Propety Cwr:r(s1 of Rec,ord: t f'! ' , t f c f - Tel ri fe: ` 7: tr , .'47.. J Adcresa - t Lr r ��a�,_ 't,= � _ _ C4: - f' - ik '-'1 Sate _...�1'L1 - Lip.'.o cie is. i ' .nTial`,.Vii.{iUre ss ._.�.__..w� i acknowiectge that the applicant above is si:piyir,u for a building permit on c:y p :pe(ty. l Owner's Signature i I ,(t,t,1(: t _"` "�fl._.. ..._._., ...a - ... -.F to,.;ti.7 MY -vlC! .;II!.. .-t,.,.,te..+.); T.t,'ii: i. a.,,-.. Jr'!Dermit(s). ,P7iPkRiy Ov NcR o "UitEj c -- —. ___— _u DESCRIPTION OF PROPOSED USE CR.AcT;vr"f(inch.„de separate rile is as necessary) A D -re) ex t Ho us :_ - A,0Ar 17 0,v.l- i✓ i r•SEZiacC-4. _- AP 0_.__. _► �1 14'1___-6.J . ---. . (Net ici )t [THIS SECTION FOR OFFICE USE ONLY] Refer to the specific sections of the UDC referenced below for n ::rs ;formation and further requirements.An asterisk (*) indicates that a supplemental application or questionnaire may be required_ Type I Permits Refer to Septic Perrni&Evaluator of Existing System (EES) UDC Section 6.4.1 and Chapter 8.15 JCC 8ui!ding/Demolition Permit UDC Section 3.2.1 and Table 3-1 7 Allowed"Yes” Use Consistency Analysis UDC Section 3.2.1 and Table 3.1 Home Business Table 3-1 and UDC Section 4.20 • Stormwater Management* UDC Section 6.7 ❑ Road Access* UDC Section 6.8 o Boundary Line Adjustment* UDC Section 7.2 ❑ Minor PRRD Amendments UDC Section 3.6,13.15 ❑ Sign Permit* UDC Section 6.15 o Site Plan Approval Advance Determination (SPAAD) UDC Section 8.7 ❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5 ❑ Tem•ora Use based on use may be Type I! or Type III)* UDC Sections 4.38 and 4.39 (OVER) I . i , _ MU; OH_ 10 Li ,.. FROM NATIUE MEDIA www. nativemedia. ccm 7709716947 '7). 19. 04 10: 04 P. 1 III"Pill"lilliMilliIlli"..MMIMIIIM"IIIIIIIIIIIIIIIIIIIIIIII"IlIlliIllIllIl *1SLW q) ' atfOL0 ' 1 6 , A 4 JEFFERSON COUNTY n, E DEPARTMENT OF COMMUNITY DEVELOPMENT F !, 4:, ,..‹."'A* .g . 621 Sheridan Street•Port Townsont.i.Washington 96366 1 Li ICI el 2 a 2004 ' ,1 t.../ ' 4142tasiCA4) 3sof379-4450,'8o0m3i'am 360/379-4451 Fax 1 I ' WWW.00jefferson.wa.usicormcievoopment _ l' JEFFERSON COUNTY Master Land Use Permit Application Form r------------eges&aire paRNArioN DEPT.OF COMMUNI_Ty_OEVELOPIEi 4 ',,‘ Tax,Parte'Number al I 0 tE Ea E. 0 ea 4 24, 9014ge 0 Z 1 2.. 1: 1 ) ir A' ibritiS 1:visionNarne 041 -9441...-1 ..* 4Q.11..,.._ L D tAt...1...L,_._ _ 1-WNWT1bV. ...a i ,,,t. ._..... Property Size' , 1trze ara , (ecresisqtwe fef,.) Cxistingt.1$6‘..,ir Property: Address andlor Diredons lc !I•,, 1 Applicant(It app4icab1e): *Orr laigla>/A4,„_ ., Tiitephor)o. „Zia4,,,:.?.11 //it..0_,I1 _...... . . ......,..., ......, c ity. .5441-0, - . State; 4,3----zo-r6di:' 7‘..tiyilzr-itrad Add.rc$S. ____ Appiloant,, ''. ., - ,..,0. ----- i • i it I li / i /1 ‘'.:3 ;41'' ei.-.3)of Reeprd;21.j.L.,:, 2-2:4.tal. .....44./1 4,77 ,r; mil rgi)TelepOne*_,. .:1...,. 7......,L2.__":`'._...„L.F.t--....:: —7— I k/ & ., State; t?--Lo ct-.,0* c2/;y.;.-7 -77_ 1 -modge that the applicant above le appfyinsi for a building pean:t ori my property. i 1 1 1 i i' C /-'''' -/ ,------7 e53 ,-'' , ' Owner's Signaturt5K, . ., - .....—..._,,.....7"..... ..,..-... ( ,/ , --- 1:, i , — hereby designate PLi- i - JP-4.1:a(J -.1 ,:_,..io ar-71x4-17ny i 1 oescRiProist OF l*ROPOSED U.3E Oft ACTiVirf OfIC.11.1dEt separate sheets as necessary) 1 . __. _,..., 11 r THIS SECTION FOR OFFICE USE ONLY1 'A Refer to the spec sections of the UDC referenced below kr re_!:,' -1,:,-i. on,:. .T'4'.-•,-, -,,,, ,,.. -,-,,,,, ,r. that a supplemental appilwtien or questionnaire may be required. ., ijadlestan_q Wes:to ' 0 Septic Perrnit/Evaluation of Existing System SES) VOC, Set!dn e 4. anO Chapter 43:15 JCC 1 t 0 Building/Demoiltion Permit UDC Section 32,1 and Table 3-1 i 0 Mowed"Yee Use Consistency Analysis UOC•Sechon 321 and Table 3-1 C 1 O Home 6usiness Table a...land UDC Section 420 0 Storrnwater Management' UDC Section 61 O Road Access* UDC Seotivi 6 0 Boundary One Adjustment* UDC Section 72 0 Minor PRRD Amendments UDC Section 3413.16 O Sign Permit* UDC Section 6.15 O site Plan Approval Advance Determination(SPAAD) UDC Section 8.7 in shoreline master Program Exemption/Permit Revimons UDC Section 5 TernporeNLtse Mased on Lik9 rflOv le,:Lx5,4 li pj.TV.pe WI* _ Ti If '■• DEVELOPMENT REVIEW TIME SHEET SCOTT USELDING MLA04-00104 Date Time Comments M LINDBLAD l ‘./ x _,,..._, ,4 ., '...' ,,, ..,_-%,-%;'.! ,7`1111111%."',_,_,.,.-�r y - a r f . ''. . . ' a a .drYT +. �-s z . a� to %' � 3.,:'"-_,, ....x tY._ . v '"�, j' 4 9 *� r I:\R_MLT_Case_CRMLA.rpt March 01,2004