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HomeMy WebLinkAboutBLD2008-00287 • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: CINGULAR WIRELESS LLC PACIFIC BELL WIRELESS NORTHWES 7277 154TH AVENUE NE REDMOND WA 98052 DATE ISSUED: et, -61(98 DATE EXPIRES: so 3(0q MLA NUMBER:MLA08-003`19 PROJECT PLANNER:Zoe Ann Lamp PROJECT DESCRIPTION: ADDING 3 ANTENNAS AND 2 EQUIPMENT CABINETS TO EXISTING TOWER WITHIN AN EXISTING LEASED AREA PROJECT LOCATION: Parcel Number 901 231 004 in section 23, Township 29, Range 01 West, WM, located at 1219 Center Rd, Chimacum, WA 98325 CONDITIONS: 1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) Construction of the wireless telecommunication facilities is subject to the requirements of the County Building Code, Chapter 15.05 JCC, and all Building Code (UBC), the Electrical Code (NEC), the requirements of the National Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)222 Revision F Standard entitled "Structural Standards for Steel Antenna Supporting Structures" and any additional applicable standards published by the Electronics Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas Ordinance. 3.) If the FAA requires that lighting be placed at the top of the new communication facility tower, the applicant shall provide documentation from the FAA verifying that the tower will be required to be lit. 4.) Noise generated by the wireless telecommunication facility shall not exceed the maximum environmental noise levels established in Chapter 173-60, Washington Administrative Code, as it is now in effect or in effect or hereafter amended. In the event the applicant adds an emergency generator in the future, the applicant shall notify Jefferson County and provide noise generation data for the installed generator. All noise emitting equipment that cannot in any way operate below the maximum permitted noise level shall be housed in a sound-attenuating structure, unless otherwise stipulated in the project approval. The applicant may be required to submit sound attenuation plans for review and approval by the department. 5.) Security lighting for the equipment enclosure shall be minimized. Any newly installed security lighting shall be oriented downward and shielded so that light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 6.) Signs, symbols, flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. 7.) The applicant shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The applicant shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. 8.) If the applicant transfers, assigns, or subleases a wireless communication facility, a copy of the land use agreement and FCC license shall be submitted in writing to the Director, as well as the name and telephone number of a person responsible for the facility, who is capable of responding immediately. 9.) The applicant shall be responsible for all direct and indirect expenses incurred related to review and compliance with conditions of approval. All fees shall be as authorized by County Ordinance. 10.) Prior to operation of the telecommunication facilities, the applicant shall document that the system has been integrated into the County's Emergency Response System as required by Section 18.42.050 Jefferson County Code. The applicant shall off icia certify that they have the capacity to meetSC mandate that all the industry must be able to locate a wireless telephone when it dials 911. 11.) In the event the wireless telecommunication facility is unused for a period of 180 consecutive days will be declared abandoned by the County. The property owner shall remove abandoned facilities within 180 days from the date of abandonment. Failure to remove an abandoned facility shall be considered a public nuisance subject to penalties. 12.) Upon written application, prior to the expiration of the 180-day period, the Director shall in writing grant a 180-day extension for reuse of the facility. Additional extensions beyond the first 180 day extension may be granted by the Director, subject to any conditions required to bring the project or facility into compliance with current law(s) and make it compatible with surrounding development. 13.) If an abandoned facility is not removed within 180 days or a longer period of time determined in writing by the Director, the County shall have the authority to enter the property and remove the facilities. All reasonable and documented costs of such removal shall be charged to the provider and/or landowner of record. 14.) Wireless communications facilities including attached or colocated antennas, towers, and equipment enclosures shall be painted a non-reflective color that blends with the surroundings. Appropriate colors may include earth tones and muted grays, blues, and greens in broken patterns. 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 July 14, 2008 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: Type N Stream, Landslide Hazard Area-Slight and Moderate, Susceptible Aquifer Recharge Area (SUSC). The proposal is for a colocation of 3 additional antennas and 2 equipment cabinets to an existing cell tower within an existing leased area. No impact to the above critical areas is expected. 3.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(25(ii). 4.) The site plan as submitted with the building permit application on June 27, 2008 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 15, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for adding 3 antennas and 2 equipment cabinets to an existing cell tower within an existing leased area only. Any future permits on this site are subject to review for consistency with applicable codes anc ordinances and does not preclude review and conditions which may be placed on future permits. 6.) The parcel has been designated as Commercial Forest(CF-80) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 7.) A land use permit application (ZON99-00057)for a 150-foot lattice wireless telecommunication tower was issued 10/6/00 and finalled 7/26/01. A building permit application (BLD00-00359)for a 150-foot lattice tower was issued November 17, 2000 and finalled February 20, 2001. 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 induded as"critical habitat"fora 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 ssible from surface waters(streams, rivers,lakesikine 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 for a listed species"taking,"even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information,contact the National Marine Fisheries Service in Seattle 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 JCC 18.40.340. —'411 4/1111k UDC Administrator • MLA08-00319 3 of 3 f r I APN: ' O( 2:31 oo NAME: c19 ( UV4 MLA# _ qj � f3 County Zoning ❑ rd ...................:.. Plat Maps ...........Ga._...... .........❑.......... .............. ........................................ ript #lei Assessor Maps-H ❑ A-. 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BLD01-00400 MLA01-00379 A N E FOREST OF PUGET SOU! I F J SMITH Application Received: 7/10/2001 Permit Issued/Case closed: 8/1/2001 Case Finaled: 12/12/2001 CO LOCATION OF COMMUNICATIONS FACILITY ON EXISTING TOWER 1.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the lease property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 2.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) Reviewed under the State Environmental Policy Act(SEPA) by Jefferson County acting as lead agency. Determination of Non-Significance(DNS) issued on August 4, 2000. The DNS evaluated a new 150-foot lattice tower to support a three(3)sector antenna array. The prior SEPA threshold determination included all further antenna arrays.Enviornmental review has been conducted for this colocation application. 4.) The site plan as submitted with the building permit for colocation of antennas on an existing communication tower application on July 10, 2001 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 26, 2001 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for colocation of an new antenna on an existing Voice Stream CommunicationTower 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. 6.) Construction of the wireless telecommunication facilities is subject to the requirements of the County Building Code, Chapter 15.05 JCC, and all Building Code(UBC), the Electrical Code(NEC), the requirements of the National Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)222 Revision F Standard entitled "Structural Standards for Steel Antenna Supporting Structures"and any additional applicable standards published by the Electronics Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas Ordinance. 7.) Prior to issuance of a building permit, the applicant shall provide information related to the color(s), the paint reflective qualities, and the proposed paint patterns for the attached antennas and equipment enclosure for review and approval by staff. 8.) Noise generated by the wireless telecommunication facility shall not exceed the maximum environmental noise levels established in Chapter 173-60, Washington Administrative Code, as it is now in effect or in effect or hereafter amended. In the event the applicant adds an emergency generator in the future, the applicant shall notify Jefferson County and provide noise generation data for the installed generator.All noise emitting equipment that cannot in any way operate below the maximum permitted noise level shall be housed in a sound-attenuating structure, unless otherwise stipulated in the project approval. The applicant may be required to submit sound attenuation plans for review and approval by the department. 9.) Security lighting for the equipment enclosure shall be minimized. Any newly installed security lighting shall be oriented downward and shielded so that light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 10.) Signs, symbols, flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. 11.) The applicant shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The applicant shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. 12.) The type"1" land use permit for this facility shall automatically expire and become void if the applicant fails to obtain a building permit within one year of the effective date of the land use permit. The Director may extend the permit for a period of one year, provided that the applicant files a written request for extension not less than 60 days prior to the expiration that specifies good cause for the extension. Page 1 of 8 Cases' . • Name Review Type Status Planner 13.) The applicant shall be responlik for all direct and indirect expenses incurr related to review and compliance with conditions of approval.All fees shall be as authorized by County Ordinance. 14.) Prior to operation of the telecommunication facilities, the applicant shall document that the system has been integrated into the County's Emergency Response System as required by Section 18.42.050. The applicant shall officially certify that they have the capacity to meet FCC mandate that all the industry must be able to locate a wireless telephone when it dials 911. 15.) In the event the wireless telecommunication facility is unused for a period of 180 consecutive days will be declared abandoned by the County. The property owner shall remove abandoned facilities within 180 days from the date of abandonment. Failure to remove an abandoned facility shall be considered a public nuisance subject to penalties. 16.) Upon written application, prior to the expiration of the 180-day period, the Director shall in writing grant a 180-day extension for reuse of the facility. Additional extensions beyond the first 180 day extension may be granted by the Director, subject to any conditions required to bring the project or facility into compliance with current law(s)and make it compatible with surrounding development. 17.) A building permit application (BLD00-00359)for a 150-foot lattice tower was applied for and issued November 17, 2000. It was finaled February 20, 2001. 18.) A land use permit application (ZON99-00057)for a 150-foot lattice wireless telecommunication tower. It was issued 10/6/00 and finaled 7/36/01. 19.) A building permit application (BLD01-0070)for a propane tank was applied for and issued February 1, 2001. It was finaled February 20, 2001. 20.) The parcel is a legal conforming lot that is designated as Commercial Forest(CF-80) under the Jefferson County Comprehensive Plan Land Use Map, effective August 28, 1998. BLD02-00259 MLA02-00253 CINGULAR WIRELESS II F J SMITH Application Received: 5/2/2002 Permit Issued/Case closed: 11/15/2002 Case Finaled: 5/2/2003 CO LOCATION WITH 15' EXTENSION 1.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 2.) Reviewed under the State Environmental Policy Act(SEPA) by Jefferson County acting as lead agency. A Determination of Non-Significance(DNS) issued on August 4, 2000 for construction of a new 150-foot lattice tower for wireless communication facility. Reference case number is ZON99-0057. Applicant was Voice Stream. The new information is extension of the existing 150-foot tower to accommodate the installation of six(6) panel antennas on an existing Voice Stream lattice tower with associated ground equipment cabinets. This action includes an Addendum to the prior SEPA Threshold Determination. See Exhibit A. 3.) The parcel is a legal conforming lot that is designated as Commercial Forest(CF-80) under the Jefferson County Comprehensive Plan Land Use Map effective 8/28/98. 4.) This approval is for a 15-foot extension to an existing Voice Stream lattice tower AND an Antenna Upgrade/Replacement on an Existing Wireless Facility located at 1219 Center Road, Chimacum Washington (parcel #901-231-004)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. 5.) The site plan as submitted with the building permit application on May 2, 2002 has been reviewed for consistency under the UDC. It has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 26, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) Construction of the wireless telecommunication facilities is subject to the requirements of the County Building Code, Chapter 15.05 JCC, and all Building Code(UBC), the Electrical Code(NEC), the requirements of the National Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)222 Revision F Standard entitled "Structural Standards for Steel Antenna Supporting Structures"and any additional applicable standards published by the Electronics Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas Ordinance. 7.) Prior to issuance of a building permit, the applicant shall provide information related to the color(s), the paint reflective qualities, and the proposed paint patterns for the attached antennas and equipment enclosure for review and approval by staff. 8.) If the FAA requires that lighting be placed at the top of the new communication facility tower, the applicant shall provide documentation from the FAA verifying that the tower will be required to be lit. DOCUMENTATION MUST BE PROVIDED PRIOR TO ISSUANCE OF THE BUILDING PERMIT. 9.) Noise generated by the wireless telecommunication facility shall not exceed the maximum environmental noise levels established in Chapter 173-60, Washington Administrative Code, as it is now in effect or in effect or hereafter amended. In the event the applicant adds an emergency generator in the future, the applicant shall notify Jefferson County and provide noise generation data for the installed generator. All noise emitting equipment that cannot in any way operate below the maximum permitted noise level shall be housed in a sound-attenuating structure, unless otherwise stipulated in the project approval. The applicant may be required to submit sound attenuation plans for review and approval by the department. Page 2 of 8 Cases' • Name Review T pee Status Planner 10.) Security lighting for the equipnill enclosure shall be minimized.Any newly i tailed security lighting shall be oriented downward and shielded so that light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 11.) Signs, symbols, flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. 12.) The applicant shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The applicant shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. 13.) The type"A"land use permit for this facility shall automatically expire and become void if the applicant fails to obtain a building permit within one year of the effective date of the land use permit. The Director may extend the permit for a period of one year, provided that the applicant files a written request for extension not less than 60 days prior to the expiration that specifies good cause for the extension. 14.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. ZONO2-00073 MLA02-00253 A N E FORESTS PUGET SOUN II F J SMITH Application Received: 6/14/2002 Permit Issued/Case closed: 8/13/2003 Case Finaled: 8/13/2003 EXTEND EXISTING 145-1-001 I OWER BY ADDING A 15' EX TENSION. THE NEW TOWER HEIGHT WILL BE 160-FEET. A NEW ANTENNA ARRAY WILL BE COLOCATED ON THE TOWER. LIGHTING OF THE TOWER MAY BE REQUIRED BY THE F.A.A. 1.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 2.) Reviewed under the State Environmental Policy Act(SEPA) by Jefferson County acting as lead agency. A Determination of Non-Significance(DNS) issued on August 4, 2000 for construction of a new 150-foot lattice tower for wireless communication facility. Reference case number is ZON99-00057. Applicant was Voice Stream. The new information is extension of the existing 150-foot tower to accommodate the installation of six(6) panel antennas on an existing Voice Stream lattice tower with associated ground equipment cabinets. This action includes an Addendum to the prior SEPA Threshold Determination. See exhibit A. 3.) The parcel is a legal conforming lot that is designated as Commercial Forest(CF-80) under the Jefferson CountyComprehensive Plan Land Use Map effective 8/28/1998. 4.) This approval is for a 15-foot extension to an existing Voice Stream lattice tower AND an Antenna Upgrade/Replacement on an Existing Wireless Facility located at 1219 Center Road, Chimacum Washington (parcel #901-231-004)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. 5.) The site plan as submitted with the bulding permit application on May 2, 2002 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 26, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) Construction of the wireless telecommunication facilities is subject to the requirements of the County Building Code, Chapter 15.05 JCC, and all Building Code(UBC), the Electrical Code(NEC), the requirements of the National Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)222 Revision F Standard entitled "Structural Standards for Steel Antenna Supporting Structures"and any additional applicable standards published by the Electronics Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas Ordinance. 7.) Prior to issuance of a building permit, the applicant shall provide information related to the color(s), the paint reflective qualities, and the proposed paint patterns for the attached antennas and equipment enclosure for review and approval by staff. 8.) If the FAA requires that lighting be placed at the top of the new communication facility tower, the applicant shall provide documentation from the FAA verifying that the tower will be required to be Iit.DOCUMENTATION MUST BE PROVIDED PRIOR TO ISSUANCE OF THE BUILDING PERMIT. 9.) Noise generated by the wireless telecommunication facility shall not exceed the maximum environmental noise levels established in Chapter 173-60, Washington Administrative Code, as it is now in effect or in effect or hereafter amended. In the event the applicant adds an emergency generator in the future, the applicant shall notify Jefferson County and provide noise generation data for the installed generator.All noise emitting equipment that cannot in any way operate below the maximum permitted noise level shall be housed in a sound-attenuating structure, unless otherwise stipulated in the project approval. The applicant may be required to submit sound attenuation plans for review and approval by the department. Page 3 of 8 Cases' . Name Review Type Status Planner 10.) Security lighting for the equipre enclosure shall be minimized. Any newly tailed security lighting shall be oriented downward and shielded so that light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 11.) Signs, symbols, flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. 12.) The applicant shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The applicant shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. 13.) The type"A" land use permit for this facility shall automatically expire and become void if the applicant fails to obtain a building permit within one year of the effective date of the land use permit. The Director may extend the permit for a period of one year, provided that the applicant files a written request for extension not less than 60 days prior to the expiration that specifies good cause for the extension. 14.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. BLD05-00682 MLA05-00635 CINGULAR WIRELESS I F D JOHNSON Application Received: 10/28/2005 Permit Issued/Case closed: 1/18/2006 Case Finaled: 8/8/2006 REPLACE 6 EXISTING ANTENNAS&ADD 2 NEW RADIO EQUIPMENT CABINETS 1.) The applicant and/or representative shall contact the Development Review Division of the Permit Center (360-379-4450) regarding a final inspection for compliance of zoning permit conditions prior to scheduling a final building inspection. 2.) The parcel is a legal conforming lot that is designated as Commercial Forest(CF-80) under the Jefferson County Comprehensive Plan Land Use Map effective 8/28/98. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on (date)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: Erosion Hazard, Susceptible Aquifer Recharge Area. 4.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) The applicant is proposing to create or add zero square feet of impervious surface and zero square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a small project stormwater plan. 8.) The project shall adhere to Minimum Requirement#2(Construction Stormwater Pollution Prevention)of the Department of Ecology Stormwater Management Manual for Western Washington. Minimum Requirement#2 includes elements 1 through 12 of the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9.) The site plan as submitted with the building permit application on October 28, 2005 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 November 15, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for replacement of six antenna, two new equipment cabinets, one gps antenna, and associated coax equipment 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. 11.) Reviewed under the State Environmental Policy Act(SEPA) by Jefferson County acting as lead agency. A Determination of Non-Significance(DNS) issued on August 4, 2000 for construction of a new 150-foot lattice tower for wireless communication facility. Reference case number is ZON99-00057. 12.) Other cases associated with the site are PRE99-00050, ZON99-00057& BLD00-00359: Pre-application conference, Conditional Use permit, and building permit for construction of a 150 foot lattice cell tower. BLD01-00070: propane tank installation. BLD01-00400: co-location of communication facilities on existing tower. ZONO2-00073& BLD02-00259: co-location and 15 foot tower extension. Page 4 of 8 Cases' • Name Review Type Status Planner 13.) Construction of the wireless telt mmunication facilities is subject to the req rements of the County Building Code, Chapter 15.05 JCC, and all Building Code(UBC), the Electrical Code(NEC), the requirements of the National Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)222 Revision F Standard entitled "Structural Standards for Steel Antenna Supporting Structures"and any additional applicable standards published by the Electronics Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas Ordinance. 14.) Prior to issuance of a building permit, the applicant shall provide information related to the color(s), the paint reflective qualities, and the proposed paint patterns for the attached antennas and equipment enclosure for review and approval by staff. 15.) If the FAA requires that lighting be placed at the top of the new communication facility tower, the applicant shall provide documentation from the FAA verifying that the tower will be required to be lit. 16.) Noise generated by the wireless telecommunication facility shall not exceed the maximum environmental noise levels established in Chapter 173-60, Washington Administrative Code, as it is now in effect or in effect or hereafter amended. In the event the applicant adds an emergency generator in the future, the applicant shall notify Jefferson County and provide noise generation data for the installed generator. All noise emitting equipment that cannot in any way operate below the maximum permitted noise level shall be housed in a sound-attenuating structure, unless otherwise stipulated in the project approval. The applicant may be required to submit sound attenuation plans for review and approval by the department. 17.) Security lighting for the equipment enclosure shall be minimized.Any newly installed security lighting shall be oriented downward and shielded so that light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 18.) Signs, symbols,flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. 19.) The applicant shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The applicant shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. 20.) Access to the project site is from a private gravel drive off of Center Road. BLD08-00287 MLA08-00319 RAYONIER FOREST RESOURC I P Application Received: 6/27/2008 Permit Issued/Case closed: Case Finaled: ADDING 3 ANTENNAS AND 2 EQUIPMENT CABINETS TO EXISTING TOWER No findings,conditions,or permissions found. BLD00-00359 VOICE STREAM WIRELESS F Application Received: 6/2/2000 Permit Issued/Case closed: 11/17/2000 Case Finaled: 2/20/2001 VOICE STREAM WIRELESS TOWER 1.) Prior to issuance of a building permit, the applicant shall provide information related to the color(s), the paint reflective qualities, and the proposed paint patterns for the attached antennas and equipment enclosure for review and approval by staff.Antennas and equipment enclosures shall be painted a non-reflective color that blends with the surroundings. Appropriate colors may include earth tones and muted grays, blues, and greens in broken patterns. 2.) Based on Design Standard a-8, prior to issuance of a final Certificate of Compliance, the project planner shall verify that existing vegetation is adequate to screen the facility. For all screening, the use of trees wiht significant height and fullness upon maturity shall be required. The applicant may be required to submit a landscaping plan prepared by a landscape professional, which provides for planting of fast growing vegetation with a minimum planted height of six feet outside of the proposed security fence. Such plans shall provide for landscaping around the equipment enclosure. The plan shall be reviewed and approved by the department. In lieu of compliance with this requirement, the applicant may apply for a variance pursuant to Section 18.42.120 Variances. 3.) Security lighting for the equipment enclosure shall be minimized.Any newly installed security lighting shall be oriented downward and shielded so that light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 4.) If the FAA requires that lighting be placed at the top of the new 150-foot lattice tower, the applicant shall provide documentation from FAA verfying that the tower will be required to be lit. 5.) The applicant shall provide a security fence that is at least six-feet in height surrounding the proposed tower and accessory equipment for public safety. The fence shall be constructed prior to final Certificate of Occupancy from the Building Office. In lieu of installation of a security fence, the applicant shall apply for and obtain a variance from the Hearing Examiner. 6.) Construction of the Voice Stream Wireless telecommunication facility is subject to the requirements of the County Building Code, Chapter 15.05 JCC, and all Building Code(UBC), the Electrical Code(NEC), the requirements of the National Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)222 Revision F Standard entitled "Structural Standards for Steel Antenna Towers and Antenna Supporting Structures"and any additional applicable standards published by the Electronics Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas Ordinance. Page 5 of 8 Cases' . • Name Review T e Status Planner 7.) Prior to the issuance of a build permit, a survey of the leased wireless tel mmunication facility site shall be recorded with the Jefferson County Auditor's Office. A copy of the recorded survey shall be submitted to the Jefferson County Department of Community Development. 8.) (WRITTEN COMMITMENT) Prior to operation of the telecommunication facility, the applicant shall document that the system has been integrated into the County's Emergency Response System as required by Section 18.42.050. The applicant shall officially certify tha they have the capacity to meet FCC mandate that the industry must be able to locate a wireless telephone when it dials 911. 9.) (WRITTEN COMMITTMENT) In the event the applicant will be placingn additional power service lines within the County right-of-way, the applicant will be required to compy with the applicable sections of the Jefferson County Code. 10.) (WRITTEN ACKNOWLEDGEMENT) If the applicant transfers, assigns, or subleases a wireless communication facility, a copy of the land use agreement and FCC license shall be submitted in writing to the Director, as well as the name and telephone number of a person responsible for the facility, who is capable of responding immediately. 11.) The applicant shall be responsible for all direct and indirect expenses incurred related to review and compliance with conditions of approval. All fees shall be as authorized by County Ordinance. 12.) (WRITTEN COMMITTMENT) In the event the wireless telecommunication facility is unused for a period of 180 consecutive days will be declared abandoned by the County. The property owner shall remove abandoned facilities within 180 days from the date of abandonment. Failure to remove an abandoned facility shall be considered a public nuisance subject to penalties. 13.) Upon written application, prior to the expiration of the 180-day period, the Director shall in writing grant a 180-day extension for reuse of the facility. Additional extensions beyond the first 180 day extension may be granted by the Director, subject to any conditions required to bring the project or facility into compliance with current law(s)and make it compatible with surrounding development. 14.) (WRITTEN ACKNOWLEDGEMENT) If an abandoned facility is not removed within 180 days or a longer period of time determined in writing by the Director, the County shall have the authority to enter the property and remove the facilities.All reasonable and documented costs of such removal shall be charged to the provider and/or landowner of record. 15.) Noise generated by the wireless telecommunication facility shall not exceed the maximum environmental noise levels established in Chapter 173-60.Washington Administrative Code, as it is now or in effect or hereafter amended. 16.) The applicant shall implement a Small Parcel Erosion and Sediment Control Plan that implements the Small Parcel Minimum Requirements from the Washington Department of Ecology Stormwater Management Manual for the Puget Sound Basin.A Small Parcel Erosion and Sediment Control Plan that meets this requirement shall be submitted to the Jefferson County Department of Public Works for review and approval prior to commencing land-disturbing activities. 17.) (WRITTEN COMMITTMENT)Signs, symbols, flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. 18.) (WRITTEN COMMITTMENT)The applicant shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The applicant shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. 19.) The type"A" land use permit for this facility shall automatically expire and become void if the applicant fails to obtain a building permit within one year of the effective date of the land use permit. The Director may extend the permit for a period of one year, provided that the applicant files a written request for extension not less than 60 days prior to the expiration that specifies good cause for the extension. PRE99-00050 VOICE STREAM WIRELESS F M GREWELL Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Voice Stream Wireless promo construct a 150' lattice tower to support a three-sector antenna array with (3) antennas per sector(9 antennas total). Voice Stream may elect to mount two microwave dishe antennas (1 @ 4' diameter& 1 @ 8'diameter)onto the tower in the future. No findings,conditions,or permissions found. ZON99-00057 VOICE STREAM WIRELESS F J SMITH Application Received: 12/20/1999 Permit Issued/Case closed: 10/6/2000 Case Finaled: 7/26/2001 Voice Stream Wireless proposes to construct a 150' lattice tower to support a three-sector antenna array with (3) antennas per sector(9 antennas total). Voice Stream may elect to mount two microwave dishe antennas (1 @ 4' diameter& 1 @ 8'diameter)onto the tower in the future. The tower will be located within a 40-ft. by 40-ft.lease area along with a small radio equipment cabinet to be placed on a concrete pad. Emergency power to this equipment will be provided via a Backup Battery System. A second concrete pad will also be constructed for placement of a portable generator in the event the BBS capacity is reached. This lower power minor communications facility will transmit and receive signals for digital wireless (PCS)communications. Page 6 of 8 'Cases* . Name eview Type Status Planner 1.) Construction of the Voice Streireless telecommunication facilities is s ct to the requirements of the County Building Code, Chapter 15.05 JCC, and all Building Code(UBC), the Electrical Code(NEC), the requirements of the National Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)222 Revision F Standard entitled "Structural Standards for Steel Antenna Towers and Antenna Supporting Structures"and any additional applicable standards published by the Electronics Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas Ordinance. 2.) Prior to the issuance of a building permit, a survey of the leased wireless telecommunication facility site shall be recorded with the Jefferson County Auditor's Office.A copy of the recorded survey shall be submitted to the Jefferson County Department of Community Development. 3.) (WRITTEN COMMITTMENT) Prior to the operation of the telecommunication facility, the applicant shall document that the system has been integrated into the County's Emergency Response System as required by Section 18.42.050. The applicant shall officially certify that they have the capacity to meet FCC mandate that the industry must be able to locate a wireless telephone when it dials 911. 4.) (WRITTEN COMMITTMENT) In the event the applicant will be placing additional power service lines within the County right-of-way, the applicant will be required to comply with the applicable sections of the Jefferson County Code. 5.) Prior to issuance of a building permit, the applicant shall provide information related to the color(s), the paint reflective qualities, and the proposed paint patterns for the attached antennas and equipment enclosure for review and approval by staff.Antennas and equipment enclosures shall be painted a non-reflective color that blends with the surroundings. Appropriate colors may include earth tones and muted grays, blues, and greens in broken patterns. 6.) Based on Design Review Standard a-8, prior to issuance of a final Certificate of Compliance, the project planner shall verify that existing vegetation is adequate to screen the facility. If existing vegetation is not adequate to screen the facility, additional vegetation shall be planted in order to adequately screen the facility. For all screening, the use of trees with significant height and fullness upon maturity shall be required. The applicant may be required to submit a landscaping plan prepared by a landscape professional, which provides for planting of fast growing vegetation with a minimum planted height of six feet outside of the proposed security fence. Such plan shall provide for landscaping around the equipment enclosure. The plan shall be reviewed and approved by the department. In lieu of compliance with this requirement, the applicant may apply for a variance pursuant to Section 18.42.120 Variances. 7.) Security lighting for the equipment enclosure shall be minimized. Any newly installed security lighting shall be oriented downward and shielded so that light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 8.) If the FAA requires that lighting be placed at the top of the new 150-foot lattice tower, the applicant shall provide documentation from FAA verifying that the tower will be required to be lit. 9.) The applicant shall provide a security fence that is at least six feet in height surrounding the proposed tower and accessory equipment for public safety. The fence shall be constructed prior to final Certificate of Occupancy from the Building Office. In lieu of installation of a security fence, the applicant shall apply for and obtain a variance from the Hearing Examiner. 10.) Noise generated by the wireless telecommunication facility shall not exceed the maximum environmental noise levels established in Chapter 173-60, Washington Administrative Code, as it is now or in effect or hereafter amended. 11.) (WRITTEN COMMITTMENT)Signs, symbols,flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. 12.) (WRITTEN COMMITTMENT)The applicant shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The applicant shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. 13.) The type"A" land use permit for this facility shall automatically expire and become void if the applicant fails to obtain a building permit within one year of the effective date of the land use permit. The Director may extend the permit for a period of one year, provided that the applicant files a written request for extension not less than 60 days prior to the expiration that specifies good cause for the extension. 14.) (ACKNOWLEDGEMENT) If the applicant transfers, assigns, or subleases a wireless communication facility, a copy of the land use agreement and FCC license shall be submitted in writing to the Director, as well as the name and telephone number of a person responsible for the facility,who is capable of responding immediately. 15.) The applicant shall be responsible for all direct and indirect expenses incurred related to review and compliance with conditions of approval.All fees shall be as authorized by County Ordinance. 16.) (ACKNOWLEDGEMENT) In the event the wireless telecommunication facility is unused for a period of 180 consecutive days will be declared abandoned by the County. The property owner shall remove abandoned facilities within 180 days from the date of abandonment. Failure to remove an abandoned facility shall be considered a public nuisance subject to penalties. 17.) Upon written application, prior to the expiration of the 180-day period, the Director shall in writing grant a 180-day extension for reuse of the facility.Additional extensions beyond the first 180 day extension may be granted by the Director, subject to any conditions required to bring the project or facility into compliance with current law(s)and make it compatible with surrounding development. Page7of8 Cases' . Name eview T e Status Planner 18.) (ACKNOWLEDGEMENT) If annndoned facility is not removed within 18 s or a longer period of time determined in writing by the Director, the County shall have the authority to enter the property and remove the facilities. All reasonable and documented costs of such removal shall be charged to the provider and/or landowner of record. 19.) The applicant shall implement a Small Parcel Erosion and Sediment Control Plan that implements the Small Parcel Minimum Requirements from the Washington Department of Ecology Stormwater Management Manual for the Puget Sound Basin. A Small Parcel Erosion and Sediment Control Plan that meets this requirement shall be submitted to the Jefferson County Department of Public Works for review and approval prior to commencing land-disturbing activities. Page 8 of 8 • C: LO H 0 0 0' LL N C Z LL \ o H O 0) O a) — Cu O O �L.` O '0 — •- LLJ O 0 L H z C: "O A-, rn CE C U O = Z LU 0 O CD +' -0 H O CO 1-1 ^ .. 7 L t L CO J1 1` cc _o o U U W Z O O O J C. O_ • \ U 3 F- F- Co z o C. m N Co 1 ® N D. 3 C_ N -0 J J = O CV U CA CC \ ,--, CO -0 W O uJ CV W C O 3 U 3 co • X C= J U 0 O Ti- -O CV F- O Z O I C M O \ O H CJ] O .- .- CO CO 3 W LO 3 >- CV 3 J LL I C: LO F- CO v Cr CO CO -p CC O CO O LLJ UD I•-- CT) C LJJ r- J •- I-- J W CA F- LU Cl. 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'�, I I camscri Co rgy ) 1 ( '--'' . . - ', '`-'%.-. . ) e .,... ,;.---;,,,.--,\ - 1 _...„..,Cox* '1. I,----,L) i -\\ \ \ / ‘c. ,,,,,..r_,,c J} f ..,.. c co.0 _—;:),-..: it r a -- 1ian :1",:f.'4,1 ,r.:u.irr Cncs,ti c-�s f 1' 1,,, �, FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respec correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jul 2008 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/14/2008 Map Output • • Page 1 of 1 ,MLA08-00319 - Features Not Surveyed ......f ,'-, I. ., 7E---cr. t„f----. r 1 '1 7 oc €O 11111.1 , 4 re0, c � f ,/,---,,:;''...J__.:;„ e�i; 5 `" �„ � i E -' I, i r ,',. i i�„ Legend �' f ` ,.. i * �P , 5elecied Features \,.... ...\...\\ JC Roads II 1 ( ',, I is - . i . 1,, Y i�N �, Township Lines 1 , 51 ti T Al P tk 1 ",s 1 : �I Pai 33S H a . I ' .a r'. 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Legend �[ � 4 ' f I k�'%-:,,, . selected Features ;+5;, r � �S ��}� i `'�, al b�y �+, f' JC Roads 'S •,- "S - X , .X Township Lines .. . i l lit q `h, I r P Is-t ▪ ! w ;' I5 ',.-..."'1...., 2005 Aerial Photos • , S r t, Boundaries•* Tyi yi*P. 4 r`b y1 ti Y ti dw�'.', '� x ":`C '�? Cornea I � s � x1}�k� � �l r ti :;,-).-1*-_.' ji 1 I ;���• +� ,i f s,� 4 4x _ 1 , tt ': .. i s+ f• kF v'- IIAF, 111 71f ?a � `{ yy 14• Y4: f ` r 'c J Cury ls Ca to Sa'na GYu 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. Mon Jul 14 14:58:43 2008 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/14/2008 • JEFFERSON ColtINTY A�¢sox coy DEPARTMENT OF COMMUNITY DEVELOPMENT ti - �c 621 Sheridan Street•p� Port Townsend, WA 98368 Ai Scaif, Director July 14, 2008 SAI COMMUNICATIONS ERIC FREDERICK 130 ANDOVER PARK E. STE 300 SEATTLE WA 98188 RE: SITE ADDRESS: 1219 CENTER RD MLA#: MLA08-00319 Dear SAI COMMUNICATIONS: 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 complete. 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, " r- • rtment of Communi Development Staff c: File RAYONIER FOREST RESOURCES LP 3033 INGRAM ST HOQUIAM WA 985504410 Building Permits/ Inspections Development Review Division Long Range Planning (360) 379-4450 FAX: (360) 379-4451 • • (, • • AMENDMENT No.1 TO TOWER LEASE AGREEMENT MATERIAL MODIFICATION TO LESSEE'S LOADING ON TOWER J AMENDMENT No.1 TO THE TOWER LEASE AGREEMENT("Amendment")is dated this.—day of A 200_,and is intended to modify that certain Site Lease Agreement dated the 2 day of April,2003, together with the subsequent amendments ("Sublease") by and between T-Mobile West Corporation, a Delaware corporation,successor in Intrest to VoiceStream PV/SS PCS,L.P, its member("Lessor')and New Cingular Wireless PCS,LLC a Delaware limited liability company("Lessee"). For good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the Lessor and Lessee agree as follows: 1. Lessee's loading specified under Attachment 2 of the Sublease shall be deleted in its entirety and Is hereby replaced with the loading and conditions specifically listed on Attachment A to this Amendment. 2. Upon the first day of the month following Licensoe's Issuance of the Modification Notice to Proceed, Licensee's Rent shall be increased by Three Hundred Seventy no/100 Dollars($370.00)per month from the then-current Rent. 3. Lessee shall be solely responsible for obtaining all applicable approvals for Lessee's modification,including all applicable governmental permits. 4. In the event Lessee intends to complete any additional or future modifications to the tower loading,Lessee shall obtain Lessor's written consent prior to proceeding with such work. 5. Lessor and Lessee agree and acknowledge that Lessee's Notice Address shall be as follows: Notice and billing address: New Cingular Wireless PCS,LLC Attn:Network Real Estate Administration Re:Cell Site:PA0605(WA706)/Achusnet 8100 Atlantic-Boulevard Norcross,GA 30071 With a copy to: New Cingular Wireless PCS,LLC (Legal notices only) Attn:Legal Department Re:Cell Site:PA0805(WA706)/Achusnet 15 East Midland Avenue Paramus,NJ 07652 6. Unless otherwise provided herein,all defined terms shall have the same meaning as ascribed to such terms In the Sublease. 7. In the event of any conflict or Inconsistency between the terms of this Amendment end the Sublease,the terms of this Amendment shall govern and controL 8. Except as otherwise provided for in this.Amendment,the Sublease shall remain in full force and effect in accordance with the original terms of the Sublease. I R.EcElvED 7-Mobile Site Reference: SE06101A/PT Chlme}xrm/ANE 1/5/2006;page 1 JUN r Ai c� � Amendment No,1 Cingular Site Reference:pA0805 IWA786)/Achusnet JUNG 200 ( JEFFERSON 1j111411 Orll . - 0 S ., , IN WITNESS WHEREOF,this Amendment Is entered Into and effective as of the date last executed below. LESSOR: LESSEE: T-Moblie West Corporation, New Cingular Wireless PCS,LLC, a Delaware corporation a Delaware limited liability company C.. 4 ---- I PRINT NAME;Alan Tann° E.Don MacLeod TITLE: National Systems Development Maroar PRINT NAME: s:r TITLE: Executive Director of Network Services I DATE: APR 2 6 2006 DATE', I-1 - 1 --t -of. 1 I I I 1 ; ! I I . 1 , 1 i I I I I . I . I 1 , 1 , I • I . 1 I • . • , . I . - I . . . . I . I • 1-- 1 I T-Moblie Site Reference: SE06101A/PT Chimacum/AN 1, 1/5/2008;page 2 I angular Site Reference:PA0805(WA7061/Achusnet Amendment No.1 i • , T L.,4 . I • i I � h I I1 i I • • { STATE OF WASHINGTON )ss COUNTY OF KING I CERTIFY that on APR 2 6 20062005, Allan Tantillo personally came before me and this person acknowledged under oath to my satisfaction,that (a) this person signed, sealed and delivered the attached document as the National Systems Development Manager of T-Mobile West Corporation,the Delaware corporation named in this document; (b) this document was signed and delivered by the limited liability company as its voluntary act and deed`````"u1tltllli -S'0•14'1„1/-0114/ "S-.,�. "t o Notary ry Pu►blic .�. Rochelle Owen G=`'" to '�. e Print Name O t e ao �' y,y i My commission expires o%201—/0 OLsu -. % 4,, z ,,0 -2a=` c. '1f iiOF w� ,f (Use this space for notary stamp/seal) I • STATE OF VVgsy/A/C,I0A/ ) )ss' COUNTY OF ,e./A./ I CERTIFY that on 0/-7 , 209K 'vim i. personally came before me and this person acknowledged under oath to my satisfaction,that (a) this person signed, sealed and delivered the attached document as FQ € rJt D[ of New Cingular Wireless PCS,LLC the limited liability company of the State of Delaware named in this document; (b) this document was signed and deiive9d-by the corporation as its voluntary act and deed, as the member of the limited liability company,o.-behalf of said limited liability Company. • Cry Publ c/(74V commission expires c r nt Name Notary Public ".^./5(, State of Washington HEATHER MARES WRIGHT vty Appolr}tment Expires Mar 14.200" (Use this space for notary stamp/seal) • i d T-Mobile Site Reference: SE06101A/PT Chimecum.A•ANE . 1/5/2006;page 3 { Cingular Site Reference:pA0805(WA7061/Achusnet Amendment No.1 � E • • ATTACHMENT A LESSEE'S MODIFIED LOADING ON TOWER MATERIAL MODIFICATION to the Amendment No. 1 to the SITE LEASE AGREEMENT dated the_day of APR 2 6 20,06 200_, by and between T Mobile West Corporation, a Delaware corporation, as Lessor, and New Cingular Wireless PCS,LLC a Delaware limited liability company,as Lessee. Proposed Equipment is defined below and Plans and specifications are attached hereto. Number of Antennas: Six(6) Antenna Manufacturer and Type-Number: Kathreln 742-265 Weight and Dimension of Antenna(s)(L x W x D): 50.7Ibs.,75.4"x 10.3"x 5.48" MW Dish diameter and approved RAD Center: (1)4'MW(di 113'RC&(1)2'MW na.150'RC Number of Transmission Lines: Twelve(12) Transmission Line Mfr.and Type No.: Andrew LDF7 Diameter and Length of Transmission Line: Diameter:1-5/8",Length:170' Location of Antenna(s)on Tower(Approved RAD Center): 150'RC. Direction of Radiation(Azimuth): 160/266.1/350 Dimensions of LESSEE Ground Space: 10'x 15' Frequencies/Max.Power Output Tx: 1930-1940: 1965-1975:869-880:890-891.5 Rx: 1850-1860: 1885-1895:824-835:845-846.5 Additional Equipment to be placed on Tower: Six(6)TMAs:13.2 lbs..12"x 5.9"x 3.5" Six(6)Diplexers:4.3 lbs..9.63"x 7.32"x 1.97". • • T Moblle Site Reference: SE06101A/PT Chlmacum/AWE 1/5/2006;page 4 Cingular Site Reference:PA0805(WA7081/Achusnet Amendment No.1 f1 } . • • ti, SS3l�d�M - --- s a11f71.1 ^� ' ;� --- goo r� E.a..t e fl 6 u !.✓ E ' ' ,. ...@Mil ir wit .r.i g g: P � P SI zdbl - l bB s Fzw o I : II° g I. 6° i ill I- giso s1 'II a o : 55g O c _ or '16�LLx ig o IhJIiI r si m a ' F j i ill Illbli ! II E,� s #� °� Z.hi f 1111! 111 iii s h , 1! 11 5 Riz 2 z El ill Swim CO a Li amir L1.1 0 co CC C°1 " lori op§ 11 iiii 11011 .11! \ 11 1 oN0 go 0 0 1 -flii _;111 No 11,1,1 110E1 iv 1E1 !--.1111 .. 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I I' [iii i Oi. iii 1iiIJI i 1411 1. iliffi ,th.1 JIII Ji !1i 111,11 i"Fil in ft rill ill Ili I 'Pi iii'llii I iti 1 Ili fij 'IP • • t i I i AMENDMENT No.1 TO TOWER LEASE AGREEMENT MATERIAL MODIFICATION TO LESSEE'S LOADING ON TOWER AAMENDMENT No.1 TO THE TOWER LEASE AGREEMENT("Amendment")is dated this_day of ,200_,and Is intended to modify that certain Site Lease Agreement dated the 2 day of April,2003, together with the subsequent amendments ("Sublease") by and between T-Mobile West Corporation, a Delaware corporation,successor in intrest to VoiceStream PV/SS PCS,LP,its member("Lessor")and New Cingular Wireless PCS,LLC a Delaware limited liability company("Lessee"). For good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the Lessor and Lessee agree as follows: 1. Lessee's loading specified under Attachment 2 of the Sublease shall be deleted in its entirety and Is hereby replaced with the loading and conditions specifically listed on Attachment A to this Amendment. 2. Upon the first day of the month following Licensor's Issuance of the Modification Notice to Proceed, Licensee's Rent shall be increased by Three Hundred Seventy no/100 Dollars($370.00)per month from the then-current Rent. 3. Lessee shall be solely responsible for obtaining all applicable approvals for Lessee's modification,including all applicable governmental permits. 4. In the event Lessee Intends to complete any additional or future modifications to the tower loading,Lessee shall obtain Lessor's written consent prior to proceeding with such work. 5. Lessor and Lessee agree and acknowledge that Lessee's Notice Address shall be as follows: Notice and billing address: New Cingular Wireless PCS,LLC Attn:Network Real Estate Administration Re:Cell Site:PA0605(WA706)/Achusnet 6100 Atlantic Boulevard Norcross,GA 30071 With a copy to: New Cingular Wireless PCS,LLC (Legal notices only) Attu:Legal Department Re:Cell Site:PA0805(WA706)/Achusnet 15 East Midland Avenue Paramus,NJ 07652 6. Unless otherwise provided herein,all defined terms shall have the same meaning as ascribed to such terms in the Sublease. 7. In the event of any conflict or InconsIstency between the terms of this Amendment and the Sublease,the terms of this Amendment shall govern and control. 8. Except as otherwise provided for in this Amendment,the Sublease shall remain in full force and effect,in accordance with the original terms of the Sublease. T-Mobile Site Reference: SE06101A/PT Chlmacum/ANE 1/5/2006;page 1 Cingular Site Reference:PA0805(WA708)/Achusnet Amendment No.1 ii • • ! i IN WITNESS WHEREOF.this Amendment Is entered into and effective as of the date last executed below. { LESSOR: ,LESSEE:, T-Mobile West Corporation, New Cingular Wireless PCS,LLC, a Delaware corporation a Delaware limited liability company PRINT NAME,.Alan Tantillo PRINT NAME E.Don MacLeod TITLE: National Systems Develooment Manager : Executive Director i et orktSenAces DATE: APR 2 6 2006 DATE: — { { • 116\ ECEIV T Mobile Site Reference: SE06101A/PT Chimecum/ANE 1/5/2006;page 2 Cingular Site Reference:PA0805 l WA706)/Achusnet Amendment No.1 2 7 2008 { JEFffRSR JUN R DIY pc . . • 0 , (f , STATE OF WASHINGTON ) )ss COUNTY OF KING ) I CERTIFY that on APR 2 6 208,62005, Allan Tantillo personally came before me and this person acknowledged under oath to my satisfaction,that (a) this person signed, sealed and delivered the attached document as the National Systems Development Manager of T-Mobile West Corporation,the Delaware corporation named in this document; (b) this document was signed and delivered by the limited liability company as Its voluntary act and deea` 0\‘%%1111 l /�L 44% .4.00N !aye // Notary Public Rochelle Owen 0- to ��'y, 1; Print Name 5 OI g a0 -A `a$ : My commission expires „I.24',' G . (Use this space for notary stamp/seal) . . • I . STATE OF 14/4141,4/67 1:)V ) )ss COUNTY OF kiNe) ) I CERTIFY that on, 4///'7 ,20V, /.vN , personally came before me and this person acknowledged under oath to my satisfaction,that (a) this person signed, sealed and delivered the attached document as .ems x714.0/.�nrr of New Cingular Wireless PCS,LLC the limited liability company of the State of Delaware named in this document; (b) this document was signed and delivered-by the corporation as its voluntary act and deed, as the member of the limited liability company,o trehalf of said limited liability company. .,.ry mubl o »/.. ,7/. �- ". nt Name � � Notary Public commission expires 0S-4(69 State of Washington HEATHER MAREE WRIGHT y Appointment Expires Mar 14.200, halliallaellallell (Use this space for notary stamp/seal) T-Mobile Site Reference: SE06101A/PT Chimacum/ANE 1/5/2006;page 3 Cingular Site Reference:PA0805(WA7061/Achusnet Amendment No.1 aJ!f 3•; ;' t r I • • • I 1 ATTACHMENT A LESSEE'S MODIFIED LOADING ON TOWER MATERIAL MODIFICATION to the Amendment No. 1 to the SITE LEASE AGREEMENT dated the _day of APR 2 6 20,06 200_, by and between T-Mobile West Corporation, a Delaware corporation, as Lessor, and New Cingular Wireless PCS,LLC a Delaware limited liability company,as Lessee. Proposed Equipment is defined below and Plans and specifications are attached hereto. Number of Antennas: Six(6) Antenna Manufacturer and Type-Number: Kathrein 742-265 Weight and Dimension of Antenna(s)(L x W x D): 50.7Ibs.,75.4"x 10.3"x 5.48" MW Dish diameter and approved RAD Center. (114'MW 0..113'RC&(1)2'MW(ca 150'RC Number of Transmission Lines: Twelve(12) Transmission Line Mfr.and Type No.: Andrew LDF7 • Diameter and Length of Transmission Line: Diameter:1-5/8".Length: 170' Location of Antenna(s)on Tower(Approved RAD Center): 150'RC Direction of Radiation(Azimuth): 160/266.1/350 Dimensions of LESSEE Ground Space: 10'x 15' Frequencies/Max.Power Output Tx: 1930-1940: 1965-1975:869-880:890-891.5 Rx: 1850-1860:1885-1895:824-835:845-846.5 Additional Equipment to be placed on Tower: Six(6)TMAs:13.2 lbs., 12"x 5.9"x 3.5" Six(6)Diolexers:4.3 lbs.,9.63"x 7.32"x 1.97" T Mobile Site Reference: SE06101A/PT Chimacum/AN 1/5/2006;page 4 Cingular Site Reference:PA0805(WA706)/Achusnet Amendment No.1 . • . • • ssaladtnn • . __ °' Jein6uo .6.11i i 441.::1 I 41 : I:g"g 6.1 ' _ t W > y b. vil az 4111 i 0;1 c, A as1@ o g � a 1 vIll 1/11 E.L. 1-efvf - 1 leu 1 €fit JA . . C o c $!!!ji !I1 z 0 tt,,L, w g lt,51 1 & 141 i . ,71- 4zIiiiirt.:2; iwIll!!ilifill !! . 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F n � _ fib i a I pal 1 dpi 'Peg I faoisij ji 1 I I IL (fri ! i t IIP ..1111111 iii,iii iod 1III : lii t3 1ldilh i1i P # 11hi k a & r SI Wit n communications 6/25/08 Jefferson County Department of Community Development 621 Sheridan St. Port Townsend,WA 98368 360-379-4450 Attn:Stacy—Planning Manager Re: Building Permit Submittals Stacy; Thank you for your time last week. You mentioned that you would try to accommodate AT&T on their timelines. We are planning to start installation on 8/5/08. If it's possible we would like to have the Building Permits in hand a few days prior so we can schedule crews and equipment delivery. I have included the following documents for each site: (3)sets of plans(hand revised) (3)copies of the Structural Analysis Building Permit Application Copy of the Lease Check in the amount of$691.56 (amount per Ashley, based upon$20,000.00 valuation) $157.00 Land Use $321.25 BP $208.81 Plan Check Fee $ 4.50 State Fee $691.56 Please let me know if you have any • stions. Thank yo Eric Frederick RE CRI SAI Communications ��� 130 Andover Park East,Suite 300 Seattle,WA 98188 JUN 2 7 2008 206-551-5099 JEFFEIISDN COUNTY��, D 1 lrillMllIllIlIllIlIllillillilliilli -ocor %, . JEFFERSON COUNTY # kiiiv't3/4 DEPARTMENT OF COMMUNITY DEVELOPMENT M 621 Sheridan Street• Port Townsend •Washington 98368 & P ........„/V 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 03 _2J 19 Project Description(include separate sheets as necessary): l P<WIKIx (3') PoAv �S `l-o Ak.).S 1, tcx�, b (2-) e-Qcs1P e v/1 crti3rtie(s Tax Parcel Number: Cr) ,- 1 C3 0 Property Size: N/ft (acres/square feet) Site Address and/or Directions to Property: I � � � /v`Ee2 � C�}1/VA 14 CvWI / wcR. 7R' 36j Property Owner(s)of Record. 0 O2es c �v., S •\ 1 Telephone:543-6$q-Liao S Fax: As A- email: N/k Mailing Address: 55 St-x..) Meekto 2D! 6'to 2S2.L�-82 Owe4( O2 97OOS Applicant/Agent(if different from owner): Sly ll�vhaiv/ulcLtiwtrS ..-'.�CCZ\C- ��tck Telephone:, C.56-55/"5-076/ Fax: k)/i4 email: &J// Mailing Address: 130 Pt/v)Ovez- Po '11/ ,"46'' 3Cri/. SciPt"tfte 1 c vi4 48181S?...- What kind of Permit?(Check each box that applies Auilding ❑Critical Areas Stewardship Plan Demolition Permit ❑Variance(Minor,Major or 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 Plan** ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate NT ON- to act as myyagent in matters relating to this application for permit(s). OWNER SIGNATURE N/A ik 6CM 1.-°46e— N (A By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to provide a• 'Ss and right• _ •Jefferson County and its employees,representatives or agents for the sole purpose of application review and any require. .'"inspe •- access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica• he o r�' otice.ijr Signature: !// , Date: 6/ 5 ° The action or actions Applicant will undertake as a resu of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to = >•tentia -,'—of an e • • • s cies as those terms are defined in the federal law known as the "Endangered Species Act"or"E effe = • my makes n•I'Mt Lit= s p r actions that will be undertaken because this permit has been issued will olat- : - A. Any individual, • o•• • -_ fil a oo behalf of an endangered species regarding your action(s)even if you a m• - •. the Jefferson County development code.The Applicaa acknowledges that he,she or it holds individual and non-transferab-••_.a.'' - .'/ /✓ ::haring to and complying with the ESA. The Applicant has read this disclaiime and sips and dates it below. Signature: ///fir_ ► i r: Date: /i7?5/a� . .. G:\PeanitCenter\###FORMS###\DRD FORMS\Master Permit App li cr COUNN DCD • BUILDER STATEMENT The signer of this stateme ' oes hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assurnin e onsibil• of aeral Contractor for the proposed project. T—// Signature '? Date: 6�� �� GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER:A / PHONE: FAX: A) ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New 0 Wood Existing:. ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ .Repair ❑ Mason ry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must ans r the following: Number of Parking Spaces: Current Proposed: umber of ADA Parking Spa' s: Number of occupants i des owners,to nts,employees,etc) -urrent Proposed • IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes No If this is a Propan ank and/or Appliance Installation rmit•mark all items below that apply: �/ I Underground Tank 1 Above ground Tank Size of Propane Tank: I Heat Stove ► Cook Stove I Woodstove I Fireplace Insert I Hot Water k I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. a s• d eyt re e g nioo t l f ,s a . �- ' t� , : 7 a T , ° ; s,) , A JN i ;K ,S•uare Foots•e Current Pro*osed a © mount Main Floor Heated e 1 "' EH Bid App Review: 2 ' oor Heated ipo 1: Consistency Review: �1 OO 4,05,a,41,. .,-,1 , Other H,-ted °r S r . Base fee: o r� Mezzanine — 1 41'iTS Additional Section: "/#0 VAI;I: ,'Mgr Heated Basement r" . . t Plan Check fee: f�p�q� <6 } Unheated Basement `r t State Surcharge fee: Other Unheated 011-Nimso, Pot Water Review fee: Garage/Carport K . SUBTOTAL .Co� I J C s : Decks e1i ' 911/Rd Approach fee: arc �� �Fw-af�ra� Other K Rf a, r r TOTAL:� * $ G . 5G ,�'e9 s �1 Receipt Number. I()��S C y x f ,; Cash/Check Number: t �d�cx� ES • T T Market valueOofTafWabo!and moferials foundation to finish$ Bate v! v �/�, �►,��, 'J 1 ,�1 !a�j6 lil./ pco =d fnitfal �i G:\PeamtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc ' y,;} lr' 'r 6 J DEVE•PMENT REVIEW TIME ST RAYONIER FOREST RESOURCES LP MLA08-00319 Date Time Comments I��� � 4 'Da/ay, I:\R_MLT_Case_CRMLA.rpt July 02,2008 UDC CONSISTENCY REVIEW Project Planner: Master#MLA08-00319 Review Type Project Description BLD08-00287 I ADDING 3 ANTENNAS AND 2 EQUIPMENT CABINETS TO , ''S EXISTING TOWER Primary: RAYONIER FOREST RESOURCES LP Site Address: 3033 INGRAM ST 1219 CENTER RD HOQUIAM WA 985504410 CHIMACUM WA,98325 APL SAI COMMUNICATIONS ERIC FREDERICK 130 ANDOVER PARK E. STE 300 SEATTLE WA 98188 REP SAI COMMUNICATIONS ERIC FREDERICK 130 ANDOVER PARK E. STE 300 SEATTLE WA 98188 Project Location: Parcel Number 901 231 004 in section 23,Township 29,Range 01 West,WM, located at 1219 Center Rd,Chimacum,WA 98325 Parcel Number: 901231004 S-T-R:23-29N-01W Total Acreage: 240 Legal Description S23 T29 R1W SW NE, SE1/4(LS W1/2 W1/2 W1/2 NW Land Use: 8300 SE)TX 4,TAX 10(LS TX12) Flood District: Fire District: 1 Planning Area: Flood Map(FIRM)Panel No: District: 49 Zoning: CF COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: MPR: WATER SUPPLY UTILITY: Service Area PUD: [ ] Plot plan states "property line" [ ] Assessor'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 [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YESNO [ ] Designated Ag [ ] Shoreline Designation: YES ED [ ] Shoreline Slope Stability: YES I to Stream Typ- NO N, Fish&Wildlife:YES ) Wetlands: YES � Rare Plants:YES Seismic: YESj Landslide: IlerP 0 .V.i,$ 4-(Aoo(Qlra . Flood: YES 1&d Erosion: ONO Aquifer Rechar e Area:02 NO S USL_ SIPZ: At Risk High Risk Coastal CMZ: t bile) High Risk Moderate Risk Disconnected CMZ Stormwater site plan submitted: Yes No [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ ..-Zto [ ] Mineral Lands: YES NO [ ] Stormwater:New Impervious Surface �\\ _ Stormwater Req's: Min Req#2 Min Req#1 ?� 1 J •' [ ] Notice Provisions/Disclosure: Airport YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other — [ ] Building Height: 35' UBC Standard '� [ ] Impervious Surface coverage percentage: `, G / 1 _ Resource Lands&Public: 10% Rural Residential: 25% Cy-'- J Rural Commercial: 60% Area of Building Col [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC:10,000 SF [ ] Setbacks: Front: Left Side: _ Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach:EXISTING NOT REQ'D RAP [ ] SEPA Required:YES EXEMPT [ ] Flood Certificate: L LA1JLaaas�CLJV`JJ LX. �.vaauuavaa�J�. Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Associated CASES status issued finaled description 901231004 BLD01-00070 F 2/1/2001 2/20/2001 Propane Tank MLA01-00379 BLD01-00400 F 8/1/2001 12/12/2001 CO LOCATION OF COMMUNICATIONS FACILITY ON EXISTING TOWER MLA02-00253 BLD02-00259 F 11/15/2002 5/2/2003 CO LOCATION WITH 15'EXTENSION ZONO2-00073 F 8/13/2003 8/13/2003 EXTEND EXISTING 145-FOOT TOWER BY ADDING A 15' EXTENSION.THE NEW TOWER HEIGHT WILL BE 160-FEET.A NEW ANTENNA ARRAY WILL BE COLOCATED ON THE TOWER.LIGHTING OF THE TOWER MAY BE REQUIRED BY THE F.A.A. MLA05-00635 BLD05-00682 F 1/18/2006 8/8/2006 REPLACE 6 EXISTING ANTENNAS&ADD 2 NEW RADIO EQUIPMENT CABINETS MLA08-00319 BLD08-00287 P ADDING 3 ANTENNAS AND 2 EQUIPMENT CABINETS TO EXISTING TOWER PRE99-00050 F 10/5/1999 Voice Stream Wireless proposes to construct a 150'lattice tower to support a three-sector antenna array with(3)antennas per sector(9 antennas total). Voice Stream may elect to mount two microwave dishe antennas(1 @ 4'diameter& 1 @ 8'diameter) onto the tower in the future. ZON99-00057 F 10/6/2000 7/26/2001 Voice Stream Wireless proposes to construct a 150'lattice tower to support a three-sector antenna array with(3)antennas per sector(9 antennas total). Voice Stream may elect to mount two microwave dishe antennas(1 @ 4'diameter& 1 @ 8'diameter) onto the tower in the future.The tower will be located within a 40-ft.by 40-ft.lease area along with a small radio equipment cabinet to be placed on a concrete pad.Emergency power to this equipment will be provided via a Backup Battery System.A second concrete pad will also be constructed for placement of a portable generator in the event the BBS capacity is reached. This lower power minor communications facility will transmit and receive signals for digital wireless(PCS)communications. BLD00-00359 F 11/17/2000 2/20/2001 VOICE STREAM WIRELESS TOWER !UILDING PERMIT APPLICA•N MLA08-00319 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD08-00287 Received Date: 6/27/2008 SITE ADDRESS: 1219 CENTER RD CHIMACUM, 98325 OWNER: RAYONIER FOREST RESOURCES LP PHONE: 3033 INGRAM ST HOQUIAM WA 985504410 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901231004 Section: 23 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: SAI COMMUNICATIONS PHONE: 206-551-5099 ERIC FREDERICK 130 ANDOVER PARK E. STE 300 5ectafte,L,-)f\ 'lb 18 PROJECT DESCRIPTIOr ADDING 3 ANTENNAS AND 2 EQUIPMENT CABINETS TO EXISTING TOWER TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 20,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: OIL ( (3O (48 Type Amount Paid By: Date: Receipt: Approved/Date Permit $321.25 AMS 06/27/08 100445 Plan Check $208.81 AMS 06/27/08 100445 State Building Code $4.50 AMS 06/27/08 100445 Total: $534.56 z r9 O 8• z Z FIN:-i p'�j—g ::..::x•'•;ad....;t a�,.•:t,".`+'•�" '` ,�'.. 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