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HomeMy WebLinkAboutSUB2013-00009 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: RONALD G CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA 98383-8857 DATE ISSUED:June 02,2014 DATE EXPIRES:June 02,2015 MLA NUMBER: MLA13-00106 PROJECT PLANNER:Colleen Zmolek PROJECT DESCRIPTION: BLA- LOT CONSOLIDATION PROJECT LOCATION: Parcel Numbers 992 800 009 and 992 800 010, 601 and 620 Seal Rock Rd Brinnon WA CONDITIONS: 1.) CONSISTENT WITH RCW 84.56.345, CURRENT YEAR AND ALL DELINQUENT PROPERTY TAXES INCLUDING COMPENSATING TAX FROM OPEN SPACE PROGRAM SHALL BE PAID IN FULL PRIOR TO RECORDING THE STATEMENT OF INTENT. 2.) Consistent with JCC Title 18.35.080 (3), the Statement of Intent shall be recorded by the Jefferson County Auditor. The applicant is responsible for all recording fee. Current recording fee are$72 for first page and $1 for each additional page. Make check payable to the Auditor's office An Excise Tax Affidavit will need to be completed. The applicant is responsible for the Excise Tax Affidavit fee of $10. Make check payable to the Treasurer's office. The notarized statement of intent, the tax affidavit and a both checks shall be submitted to the Department of Community Development for department signatures and recording of Statement of Intent at the Auditor'soffice and filing the tax affidavit at the Treasure's office . 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 proposal complies with JCC Title 18.35.060.1(d) in that the proposal is to correct establised uses across onto the adjoining property. There will be no decrease or increase in parcel acreage. It is an even exchange. 3.) Consistent with JCC Title 18.35.060.2(a), the proposal will not create an additional lot, tract, or parcel. 4.) Consistent with JCC Title 18.35.060.2(b), the proposal is not within a binding site plan. 5.) Consistent with JCC Title 18.35.060.2(c), the proposal will not relocate an entire lot, tract, or parcel from one parent parcel into another parent parcel. 6.) Consistent with JCC Title 18.35.060.2(d), the proposal does not cross zoning district boundaries. Each parcel is zoned RR 1:5. 7.) Consistent with JCC Title 18.35.060.2 (e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. 8.) Consistent with JCC Title 18.35.060.2 (f), the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 9.) Consistent with JCC Title 18.35.060.6, the proposal does not involve more than two lots, tracts or parcels that have been subject to a boundary line adjustment process within five years 10.) The application was reviewed by the Jefferson County Department of Community Development staff on 7-24-2013 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review the following ESAs were confirmed to be present on the subject property: suburban shoreline designation, stable shoreline slope stability, spotted owls, fish and wildlife habitat conservation area and coastal SIPZ. 11.) 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. 12.) 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 Policy (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. 13.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(2)(j). 14.) This approval is for a BLA lot consoildation 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. 15.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effectivE August 28, 1998. 16.) Consistent with JCC18.35.060(3) A lot consolidation shall not require a survey or soil evaluation. 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. jkt/C ) (1212. C1 NEW A•ministrator MLA13-00106 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 6/2/2014 Page 2 of 2 Colleen Zmolek From: Colleen Zmolek Sent: Monday, June 02, 2014 2:39 PM To: 'RONALD G CARPENTER' Subject: RE: boundary line adjustment Attachments: SOI.PDF; REET.PDF; land use permit.pdf; receipt.pdf Hi Ron, Just got back from the Courthouse. Permit is issued and statement of intent is recorded. See attached. Have a great vacation. Colleen Zmoeek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(a�co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:30 p.m.Monday to Thursday,closed Fridays. From: RONALD G CARPENTER [mailto:ronaldgcaramsn.coml Sent: Monday, June 02, 2014 12:20 PM To: Colleen Zmolek Subject: boundary line adjustment Colleen, We would like an update on the process as we will be leaving on Saturday,June 6 and will be gone for a week. We want to make sure that there is not any other paperwork due as the 30 day window for the title certification will be close when we return. Thanks for your time, Ron and Judy 1 584108 PGS : 3 BLA 0610212014 02:08 PM $74.00 COLLEEN ZMOLEK Jefferson County WA Auditor's Office - Donna Eldridge, Auditor ■111 POII11.I+A1.10EI CN I:' Iairrlaihigh+5PI 1ki 111 111 AFTER RECORDING MAIL TO: Name: Ronald & Judity Carpenter Address: 10614 Sirocco Circle NW city stale: Silverdale, WA 98383 Boundary Line Adjustment Grantor(s): 1. Ronald & Judith Carpenter 2. Grantee(s): 1 Ronald & Judith Carpenter 2. Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A: Seal Rock Lot 9, See Exhibit A Parcel B: Seal Rock Lot 10 & TL FRTG, See Exhibit B Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): See Exhibit B The nature of the adjustment is described as follows: Combine Parcels 992800009 and 992800010 into one Parcel 660127 121285 *6/2/2014 10.00* STATEMENT OF INTENT: This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by the proponent. Nor does the boundary line adjustment result in any lots, tracts, parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and area for a building site. --- (Proponents' signature) STATE OF WASHINGTON COUNTY OF On t 1) -U P a.(•3 .LQ,1 , 244 ,personally appeared RWArt,D MID"fit rit CAcrE israz and proved to me on the basis of satisfactory evidence to the personcwhose namesis subscribed to this instrument, and acknowledged thatthetxecuted it. WITNESS my hand and official seal this al ST day of "1 tl It APvs , i eAmiitt;, y r,c%.k33R UAR 4 ZO o' / Notary Public in and for the State of Washington, J ;o • , ) \ C M• C• A-id C`1? stbuB,` � 2 ��!� 9 '��,19- ``ak Residing at `ltt,G-RICii / (A A 41tf'6j'OFttWASo` `1-> CO AFt l& 'CP': � -- 1c-3,cb is This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. Assistant Plann Date Exhibit A Parcel A: 992800009 LOT 9 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY,WASHINGTON,AND LOCATED IN SECTION 26, TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY, WASHINGTON Parcel B: 99200010 LOT 10 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY, WASHINGTON,AND LOCATED IN SECTION 26, TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY, WASHINGTON TOGETHER WITH all tidelands of the second class, as conveyed by the state of Washington, situate in front of, adjacent to and abutting upon the above described uplands Exhibit B New Parcel: 99200009 LOTS 9 AND 10 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY,WASHINGTON,AND LOCATED IN SECTION 26,TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY,WASHINGTON TOGETHER WITH all tidelands of the second class, as conveyed by the State of Washington, situate in front of, adjacent to and abutting upon said Lot 10 .� • Revenue of r Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW-CHAPTER 458-61A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑Check box if partial sale of property If multiple ownem,list percentage of ownership next to name. 0 Name Ronald&Judith Carpenter Name Ronald&Judith Carpenter x w m 0 Mailing Address 10614 Sirocco Cir NW Mailing Address 10614 Sirocco Cir NW City/State/Zip Silverdale,WA 98383 as b City/State/Zip Silverdale,WA 98383 Phone No.(iucludiny area code)(360)698-9636 Phone No.(including area code)(360)698-9636 ® Send all ro taz tort ondence to: List all real and personal property tax parcel account p perty esp ❑✓Same as Buyer/Grantee numbers-check box if personal property List assessed value(s) Name 992800009 n $71,383 Mailing Address 992800010 n $161,075 City/State/Zip n Phone No.(including area code) n IIIStreet address of property: 601&620 Seal Rock RD This property is located in Jefferson County ❑✓ Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) See Attached Exhibit A and B ®Select Land Use Code(s: ®List all personal property(tangible and intangible)included in selling Vacation and cabin Q price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ ❑Q chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? ® YES NO If claiming an exemption,list WAC number and reason for exemption: Is this property designated as forest landper chapter 8433RCW? ❑ 0 WAC No.(Section/Subsection) 458 61A 109(2) Is this property classified as current use(open space,fans and ❑ ❑ agricultural,or timber)land per chapter 84.34? Reason for exemption Is this property receiving special valuation as historical property El El Boundary Line Adjustment per chapter 84.26 RCW? If any answers are yes,complete as insuttctedbelow. Type of Document BLA Statement of Intent (I)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 2/21/14 classification as current use(open space,farm and agriculture,or timber)land Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax:State $ 0.00 your local county assessor fur more information. 0.0050 Local $ 0.00 This land :Woes 0 does not qualify for continuance. *Delinquent Interest:State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 0.00 NEW OWNER(S):To continue special valuation as historic property, sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF 510.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS ® I J� CI�tT' UN r E: ' 'I—ALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT , (( Y , / ,y Signature of Signature of Grantor or Grantor's Agent ` Grantee or Grantee's Agen Name(print) Ronald&Judith Carpenter Name(print) Ronald&Judith Carpenter Date&city of signing: 5/13/14 Silverdale,WA Date&city of signing: 5/13/14 Silverdale,WA Perinr,Perim„is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.020(IC)). t G}L�12 i 12125 :4:6/2/2014 10.0 THIS SPACE-TREASURER'S USE ONLY TAXPAYER Exhibit A Parcel A: 992800009 LOT 9 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY, WASHINGTON, AND LOCATED IN SECTION 26, TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY, WASHINGTON Parcel B: 99200010 LOT 10 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY,WASHINGTON,AND LOCATED IN SECTION 26, TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY,WASHINGTON TOGETHER WITH all tidelands of the second class, as conveyed by the state of Washington, situate in front of, adjacent to and abutting upon the above described uplands Exhibit B New Parcel: 99200009 LOTS 9 AND 10 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY, WASHINGTON,AND LOCATED IN SECTION 26,TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY,WASHINGTON TOGETHER WITH all tidelands of the second class, as conveyed by the State of Washington, situate in front of, adjacent to and abutting upon said Lot 10 JEFFERSON TITLE COMPANY Jefferson Title Company 2205 Washington Street PO Box 256 Port Townsend,WA 98368 Phone: (360)385-2000 Fax: (360)385-6967 SUPPLEMENTAL #1 TO THE SUBDIVISION CERTIFICATE Attention: This Supplemental contains changes which impact Title to Property set forth in the above referenced commitment. Prepared For: Ron Carpenter 10614 Sirocco Circle NW Silverdale, WA 98383 Commitment No.: 79566 Owner : Carpenter Schedule"A" ® The effective date is now April 30,2014 at 8:00 AM Schedule`B" Paragraph 1 of the preliminary commitment is amended as follows: 1. General Taxes. The first portion$305.25 becomes delinquent after April 30th. The second portion $305.15 becomes delinquent after October 31St Year: 2014 Amount Billed: $610.40 Amount Paid: $305.25 Amount Due: $305.15,plus interest and penalty,if delinquent Tax Account No.: 992 800 009 Property ID No.: 42006 Assessed value: $71,383.00 Affects: Parcel A General Taxes. The first portion$685.60 becomes delinquent after April 30th. The second portion $685.50 becomes delinquent after October 31St Year: 2014 Amount Billed: $ 1,371.10 Amount Paid: $685.60 Amount Due: $685.50,plus interest and penalty, if delinquent Tax Account No.: 992 800 010 Property ID No.: 42007 Assessed value: $ 161,075.00 Affects: Parcel B There has been no change in the title to the property covered by this order since February 6,2014, except the matters noted hereinabove. Dated as of May 14,2014 at 8:00 A.M. Jefferson Title Company By: Stacy Beckman,Title Officer / \ c_, \ ,. ,, /7 / _ \ i a I bQ � \ I I 11 ow D ,/,,,) f. 0,2 , r- 0 i .........6------ \ so. g ! i 7fS)t- i . I I\ \ I 11 Q OR I . \:c ii lil 11 / , /1 ( - !r qQ��o0p� F / I �.. __r + 'rr '� - - �.., O?! N002! 7t73S / � � Rd/ \ g ..- \ \T - A■15M -----t.....-....7.4 , R II ' � ,gti II 11 L 11 li 11111 / / re A f R i gi 1 " 1 / A,'' I ' , g Z N . /--....„____ _ \ ' \ 11 \ it --I1114111.Vlip. isio... ..."0„voiri . / 1 . ! l I,0:-D ii; ! 1 \ I is 1 ii ! 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' �w 1 37i F< 1 ill 1 al dia, li „T r 1 () 1 / gi Eis / . _____ — / . _-- ' ..._-- .....-40. -47- . 1 f ,,¢soN JEFFERSON COUNTY A coG Y DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelooment `7-'iSifING, Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdeco.iefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning May 8, 2014 Ron Carpenter 10614 Sirocco Circle Silverdale, WA 98383-8857 RE:, MLA13-00106 Boundary Line Adjustment(BLA) Lot Consolidation Dear Mr. Carpenter, In reviewing of the boundary line adjustment (BLA) to consolidate the two parcels into one parcel please address the following comments. 1. The Assessor's office commented on the statement of intent as follows: a. The after property description needs to be corrected. The tideland only front Lot 10 so therefore the verbiage needs to be changed from "abutting upon the above described uplands to abutting upon said Lot 10. 2. Taxes for 2014 must be paid at the Jefferson County Treasurer's Office. 3. After the required changes to the Statement of Intent have been made, submit 1 copy. Along with a current Title Company Certification to our office for review. Copies will be sent to the Assessor's office for final review. 4. Complete and sign an Excise Tax Affidavit. Forms can be found on the Jefferson County Treasures website at http://dorwa.gov/Docs/forms/RealEstExcsTx/RealEstExTxAffid blank.pdf . If you have questions on completing the form contact the Treasurer's Office at 360-385-9150. 5. After DCD and Assessor's have reviewed and approved the final Statement of Intent, you will be asked to submit: a. With so little to be revised on the statement of intent I anticipate recording the statement of intent submitted with step 3. The original statement of intent was submitted with a notarized signature page. You do not have to get another notarized signature page we will use the signature page submitted previously. b. The Excise Tax Affidavit mentioned in step 4. c. A check made out to the Jefferson County Auditor's Office for the recording fees i. Statement of Intent = $74.00 ($72.00 for first page and $1.00 for each additional page) d. A check made out to the Treasurer's Office$10.00 for filing the Excise Tax Affidavit. 6. The final steps are: a. DCD staff will issue the BLA/Lot Consolidation permit. b. DCD staff will sign the Statement of Intent. c. File the Excise Tax Affidavit at the Treasurer's Office. d. Obtain signatures on the Statement of Intent at the Treasurer's Office. e. Record the Statement of Intent and Survey at the Auditor's Office. f. Forward a copy to the Assessor's Office 7. The issued permit and the recorded Statement of Intent will be sent to you for your records. If you have any question about the process, please contact me at czmolek@co.jefferson.wa.us or by phone at 360-379- 4462. Sincerely, 6-Yv\-0-'2A-11L---- CgQ Q�t9X1 Colleen Zmolek Associate Planner JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd@co.jefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review(Long Range Planning May 8, 2014 RONALD G CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA 98383-8857 RE: SITE ADDRESS: 620 SEAL ROCK RD CASE#: MLA13-00106 Dear RONALD G CARPENTER: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. In reviewing of the boundary line adjustment (BLA) to consolidate the two parcels into one parcel please address the following comments. 1. The Assessor's office commented on the statement of intent as follows: a. The after property description needs to be corrected. The tideland only front Lot 10 so therefore the verbiage needs to be changed from "abutting upon the above described uplands to abutting upon said Lot 10. 2. Taxes for 2014 must be paid at the Jefferson County Treasurer's Office. 3. After the required changes to the Statement of Intent have been made, submit 1 copy. Along with a current Title Company Certification to our office for review. Copies will be sent to the Assessor's office for final review. 4. Complete and sign an Excise Tax Affidavit. Forms can be found on the Jefferson County Treasures website at http://dor.wa.gov/Docs/forms/RealEstExcsTx/RealEstExTxAffid_blank.pdf . If you have questions on completing the form contact the Treasurer's Office at 360-385-9150. 5. After DCD and Assessor's have reviewed and approved the final Statement of Intent, you will be asked to submit: a. With so little to be revised on the statement of intent I anticipate recording the statement of intent submitted with step 3. The original statement of intent was submitted with a notarized signature page. You do not have to get another notarized signature page we will use the signature page submitted previously. b. The Excise Tax Affidavit mentioned in step 4. c. A check made out to the Jefferson County Auditor's Office for the recording fees i. Statement of Intent= $74.00 ($72.00 for first page and $1.00 for each additional page) d. A check made out to the Treasurer's Office$10.00 for filing the Excise Tax Affidavit. 6. The final steps are: a. DCD staff will issue the BLA/Lot Consolidation permit. b. DCD staff will sign the Statement of Intent. c. File the Excise Tax Affidavit at the Treasurer's Office. d. Obtain signatures on the Statement of Intent at the Treasurer's Office. e. Record the Statement of Intent and Survey at the Auditor's Office. f. Forward a copy to the Assessor's Office 7. The issued permit and the recorded Statement of Intent will be sent to you for your records. Please submit the above information to the Department of Community Development by August 6, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3)and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety(90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, Colleen Zmolek Department of Community Development Staff c: File STEVE OTTMAR \\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 5/8/2014 Colleen Zmolek From: Colleen Zmolek Sent: Thursday, May 08, 2014 9:20 AM To: 'RONALD G CARPENTER' Subject: RE: boundary line Attachments: additional info request.pdf Hi Ron and Judy, I have attached an additional information request and final steps of the process for your review. Please call if you have any additional questions. CoCCeen Zmoeek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekc co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m. Monday to Thursday,closed Fridays. From: RONALD G CARPENTER [mailto:ronaldgcarmsn.com] Sent: Sunday, April 27, 2014 8:46 PM To: Colleen Zmolek Subject: boundary line Colleen, We were wondering what is happening with our request for a boundary line adjustment. We would appreciate any information you may have. Thank you for your time. Ron and Judy Carpenter 1 rfr�sON c© JEFFERSON COUNTY ° DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 I Web:www.co.Jefferson.wa.us/communitydevelopment �95��`h o7 Tel:360.379,44501 Fax:360.379.4451 I Email.dcdt�co.iefferson.wa.us SquareONE Resource Center I Building Permits 6 Inspections I Development Review 1 Long Range Planning May 8, 2014 Ron Carpenter 10614 Sirocco Circle Silverdale, WA 98383-8857 RE: MLA13-00106 Boundary Line Adjustment(BLA)Lot Consolidation Dear Mr. Carpenter, In reviewing of the boundary line adjustment (BLA) to consolidate the two parcels into one parcel please address the following comments. 1. The Assessor's office commented on the statement of intent as follows: a. The after property description needs to be corrected. The tideland only front Lot 10 so therefore the verbiage needs to be changed from "abutting upon the above described uplands to abutting upon said Lot 10. RE up i� s/l � 4/2. Taxes for 2014 must be paid at the Jefferson County Treasurer's Office A ttu/Lrd. 5/st l /L 4 Y3. After the required changes to the Statement of Intent have been made, submit 1 copy. Along with a current Title ' Company Certification to our office for review. Copies will be sent to the Assessor's office for final review. Le-4. Complete and sign an Excise Tax Affidavit. Forms can be found on the Jefferson County Treasures website at httpaidor.wa.cov/Docs/forms/RealEstExcsTx/RealEstExTxAffid blank.pdf . If you have questions on completing the form contact the Treasurer's Office at 360-385-9150, r5. After DCD and Assessor's have reviewed and approved the final Statement of Intent, you will be asked to submit: a. With so little to be revised on the statement of intent I anticipate recording the statement of intent submitted with step 3. The original statement of intent was submitted with a notarized signature page. You do not have to get another notarized signature page we will use the signature page submitted previously. b. The Excise Tax Affidavit mentioned in step 4. eAcAp --c. A check made out to the Jefferson County Auditor's Office for the recording fees i. Statement of Intent= $74,00 ($72.00 for first page and$1.00 for each additional page) e—iAc.lo5' d. A check made out to the Treasurer's Office$10.00 for filing the Excise Tax Affidavit. 6. The final steps are: a. DCD staff will issue the BLAILot Consolidation permit. b. DCD staff will sign the Statement of Intent. c. File the Excise Tax Affidavit at the Treasurer's Office. d. Obtain signatures on the Statement of Intent at the Treasurer's Office. e. Record the Statement of Intent and Survey at the Auditor's Office. f. Forward a copy to the Assessor's Office 7. The issued permit and the recorded Statement of Intent will be sent to you for your records. e k.eb,sec1 -- P tJ- a etAIL ..C.c.o-rNa,t (&.6 .�-i.p, If you have any question about the process, please contact me at czmolek( cojefferson.wa.us or by phone at 360-379- 4462. Sincerely, Colleen Zmolek Associate Planner -0v PROPERTY TAX STATEMENT Judith Morris JEFFERSON COUNTY TREASURER PO Box 571 1820 Jefferson St Am 120 , Port Townsend,WA 98368-0571 y �2 (360)385-9150 www.co.Jefferson.wa.us/treasurer 201 4 S'tf Nei' GEO Parcel ID l Property Type Property !D 992800009 Real ! 42006 Owner r Tax Distribution RONALD G&JUDITH K CARPENTER Tax Area Code: 0441 10614 SIROCCO CIRCLE NW SILVERDALE,WA 98383-8857 STATE LEVY(SCHOOL) 162.11 CONSERVATION FUTURES 3.49 CURRENT EXPENSE 117.24 — DEVELOPMENTAL DISABILITIES .68 _ Abbreviated Legal / Physical Address 1 MENTAL HEALTH .68 ..._.-r PUD#1 -TAX REVENUE FUND 8.86 620 SEAL ROCK RD BRINNON WA VETERANS RELIEF .69 SEAL ROCK LOT 9 �i COUNTY ROADS 76.09 COUNTY ROADS TO CUR EXP 16.07 PORT OF PT GENERAL 14.53 SCHOOL DIST#46 M&0 73.27 CEMETERY DIST#1 GENERAL 1.32 FIRE DIST#4 GENERAL 52.26 LIBRARY DIST#1 GENERAL 35.69 Value Information FIRE DIST#4 EMS 35.69 --.' HOSP DIST#2 BRD DESGNTD CASH M& 2.75 2014 HOSP DIST#2 LTGO BOND 04 NON VO 3.98 Land: 34,000 TAX 605.40 Improvement: 37,383 Total Value: 71,383 Total Levy Rate per$1000: 8.4810300000 (Exemptions): (0) Voted Levy Rate: 1.5264200000 Voted Levy Amount: 108.96 Total Taxable Value: 71,383 Assessments IMPORTANT INFOt ryl TlON CLEAN WATER DISTRICT _m� 5.00 If your mortg_a_c a company pads your taxes,this ASSESSMENTS 5.00 statement isfor information purposes only. Delinquent payments received without correct interest or penalty will be returned. € Postal service cancellation mark of the due date or prior is 610.40 the only proof of timely payment. Amount Due _ovate detailed information 24 hours per day at www.co lefferson.wa.us/treasurer BRING ALL PARTS WHEN PAYING'NI PERSON Prop ID:42006 Geo Parcel ID: 992800009 2014 11111 11 11111liiiIII11111111 Please check box to indicate mailing address changes and provide 2013-31882 information on the back side of this coupon. f you did not make a first half payment or pay the lelinquent taxes listed,if any,call(360)385-9150 for lelinquent tax,interest and penalty due.Delinquent Go pa pe rless next year! ,.. iayments received without interest and penalty will be eturned. Go to eNoticesOnline.com and register with this code:JEF-9IBNUA2H Pay or Postmark by October 31 13123'44"50""0.822"1!1"*"" AUTO"3-DIGIT 983 Make checks payable to: Jefferson County Treasurer RONALD G&JUDITH K CARPENTER PO Box 571 10614 SIROCCO CIR NW Port Townsend,WA 98368 SILVERDALE WA 98383-8857 11IJIII l 11111111111l lluuIarallhllrrllel'Il11Ialll'IulIIIIIII SECOND HALF PAYME Amount Due 305.15 00000420060000031 8820000030515000000000009 oipili)1/4kli Li i i it 1 yt,\ PROPERTY TAX STATEMENT i. Judith Morris JEFFERSON COUNTY TREASURER 201 4 FO Box 571 1820 Jefferson St Am 120 !1, Port Townsend,WA 98368-0571 S 0 (360)385-9150 w+.vw co.jefferson_wa.us/treasurer '57/f VCS GEQ Parcel ID Property Type e i Property ID 992800010 Real 42007 m_.�....w, _�. __..._�. � _. �..�... Owner Tax Distribution RONALD G CARPENTER TRSTE Tax Area Code: 0441 K CARPENTER TRSTE CARPENTER REV LIVING TRST STATE LEVY(SCHOOL) 365.81 10614 SIROCCO CIR NW CONSERVATION FUTURES 7.87 SILVERDALE,WA 98383-8857_ CURRENT EXPENSE 264.56 Abbreviated Legal/ Physical Address MENTAL HEALTHL DISABILITIES 1.53 _v.__.. y PUD#1 -TAX REVENUE FUND 19.99 601 SEAL ROCK RD BRINNON WA VETERANS RELIEF 1.55 SEAL ROCK LOT 10&TL FRTG COUNTY ROADS 171.70 COUNTY ROADS TO CUR EXP 36.26 PORT OF PT GENERAL 32.78 SCHOOL DIST#46 M&0 165.33 CEMETERY DIST#1 GENERAL 2.99 FIRE___. __; LIBRARY DIST 1 GENERALL 180.54 Value Information FIRE DIST#4 EMS 80.54 __- HOSP DIST#2 BRD DESGNTD CASH M& 6.21 2014 i HOSP DIST#2 LTGO BOND 04 NON VO 8.99 Land: 100,900 T' 1366.10 Improvement: 60,175 Total Value: 161,075 Total Levy Rate per$1000: 8.4810300000 (Exemptions): (0) , Voted Levy Rate: 1.5264200000 Voted Levy Amount: 245.87 Total Taxable Value: 161,075 �_._.. i Py _ . Assessments _—__ . _ IMPORTANT INFORMATION CLEAN WATER DISTRICT 5.00 0. 0 Ityourmortgage com p an Y pa Y s Y our taxes this ASSESSMENTS 5.00 statement is for infmrsnat(®n_purposes only. Delinquent payments received without correct interest or penalty will be returned. k Postal service cancellation mark of the due date or prior is the only proof of timely payment. m u u 1,371.10 . ._ .ovate detadea Information 24 hours per day at.www,Co.jefferson,wa.nsltreasurer Br?ING ALL PARTS WHEN PAVING IN PERSON Prop ID:42007 Geo Parcel ID: 992800010 2014 1111111!10111111111111111111 Please check box to indicate mailing address changes and provide 2013-31883 information on the back side of this coupon. you did not make a first half payment or pay the ielinquent taxes listed,if any,call(360)385-9150 for lelinquent tax,interest and penalty due.Delinquent Go paperless next year! ,:• tayments received without interest and penalty will be eturned. Go to eNoticesOnline.com and register with this code:JEF-WXYPBIJA pay or Postmark by October 31 13124`44*50""0.822"1/1 AUTO"3-DIGIT 983 Make checks payable to: Jefferson County Treasurer RONALD G CARPENTER TRSTE PO Box 571 JUDITH K CARPENTER TRSTE Port Townsend,WA 98368 CARPENTER REV LIVING TRST SI VERDALE WA CIR 98383-8857 SECOND HALF PAYM T _ LhlIII,III„IIIu.iIIPIIIIIlImIIIuuIIIIIllIliilI,IIIIIlIInlii Amount Due 685.50 s- 000004200700000318830000068550000000000069 Pk/0-J.9-4 -'\tiIIif JEFFERSON COUNTY 1)C° NO. 146685 DATE 1-D0-(4 RECEIVED FROM niA�I ( QPM( DESCRIPTION BARS# 1 AMOUNT 'J[n CURRENCY A/ Ict(_ '- COIN .41, 5 CHECK -Pic ?) t (0 o M n 0 i,eer RECEIVED BY CSC TOTAL t 1(Q, 63 I INVOICE Date: 5/13/2014 Invoice ID: DCDI4SUB13-00009 a JEFFERSON COUNTY °� DEPARTMENT OF COMMUNITY DEVELOPMENT w ;' a '4 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 I email: dcd©co.jefferson.wa.us www.co.jefferson.wa.us/commdevelopment &I N C, Date Due: REMIT TO: 6/12/2014 Jefferson County DCD 621 Sheridan St. Port Townsend, WA 98368 Consistency Review 196.33 BILLING ADDRESS: Total Amount Due: $196.33 RONALD G CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA 98383-8857 Please return the above portion with your payment Permit Number: SUB13-00009 Consistency Review 196.33 Total Amount Due: $196.33 \' ` OL A. €,9 Payment is accepted by cash, check, debit or credit card (Visa, Mastercard, Discover, American Express) To pay by credit card, go to www.co.jefferson.wa.us/commdevelopment, and click on the "Online Credit Card & echeck Payments" link on the left side of the page. (questions: call 360-379-4450) Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, May 13, 2014 11:16 AM To: 'RONALD G CARPENTER' Subject: MLA13-00106/SUB13-00009 Attachments: invoice.pdf Hi Ron, I have attached an invoice regarding additional fees required for land use review. Please make the Check out to Jefferson County DCD. Thank you CoCCeen Zmoeek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekccaco.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:Oo a.m.—4:3o p.m. Monday to Thursday,closed Fridays. 1 Case Review Time Tracking: DCD Review from 1/1/2013 to 5/30/2014 for SUB13-00009. (Hourly Rate= $76.00) SUB13-00009 CARPENTER 10/01/2013 90 Review 2013-10-01 Review application and send out additional information Colleen Zmolek request CJZ 10/01/2013 30 Review sent additional information request Colleen Zmolek 10/04/2013 20 Review Phone call from owner Judith Carpenter. Went over additional Colleen Zmolek information request. 10/04/2013 15 Review Checked with Linda on fees after talking to owner Colleen Zmolek 11/12/2013 60 Review 2013-11-11 email response to applicant. Revised additional info Colleen Zmolek request, no EH review required. 02/18/2014 30 Review 2014-02-17 email owner on add info requirements/review file CJZ Colleen Zmolek 02/26/2014 90 Review 2014-26-14 Add F & C/email applicant CJZ Colleen Zmolek 03/21/2014 15 Review 2014-03-21 email applicant routed CJZ Colleen Zmolek 05/05/2014 15 Review 2014-05-05 request sent to Sherrie for review. CJZ Colleen Zmolek 05/08/2014 60 Review 2014-05-07 Additional info request. CJZ Colleen Zmolek 05/08/2014 90 Review 2014-05-07-recording the SOI time and issuing permit CJZ Colleen Zmolek 05/13/2014 45 Review 2014-05-13 Printed Ab. legal descriptions, TC to applicant reviewed Colleen Zmolek additional info and next steps. CJZ 05/13/2014 90 Review 2014-05-27(next week) record SOI issue permit CJZ Colleen Zmolek 05/13/2014 30 Review 2014-05-28 final clean up of parcel information CJZ Colleen Zmolek 05/13/2014 15 Review 2014-05-23 Route to Assessor for final review of SOI, Check on Colleen Zmolek taxes paid for year CJZ 695 minutes (11.58 hours) $880.33 Total 695 minutes (11.58 hours) $880.33 330 . 3 fbccc5 (024 # 00 ?7('''? ( % . 33 w; 1 5/13/2014 \\tidemark\data\forms\r DCD .. ...,„,.....i ns 0 ,..,.. ,... ..., >.....,,. ..1;,,,,,..,, ......,.... 6.,. m 8 ,., iiir . fa w O L"' S .2f A V oe ( y 00 �o b W Q(O ::-.•:::: (1) f° t7,1 a m 0 n c:, c^ O C° o O "!O ., N Os_ w w 00 O\ 7 O a r 70 Lt‘') ., 0 2 `I r, c c) 1 d > vl w O Vi 0 ma y w m C O O O OC O ro :,,,-.._,xr o 2 a it it JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT �,. 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment "' Tel:360.379.4450 I Fax:360.379.4451 I Email:dcde,co.iefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review Long Range Planning May 28, 2014 RONALD G CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA 98383-8857 RE: SITE ADDRESS: 620 SEAL ROCK RD CASE#: MLA13-00106 Dear RONALD G CARPENTER: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. Revise SOI see email CJZ Please submit the above information to the Department of Community Development by August 26, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3)and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety(90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, ea/kW Zile/el Department of Community Development Staff c: File STEVE OTTMAR \\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 5/28/2014 Colleen Zmolek From: Colleen Zmolek Sent: Wednesday, May 28, 2014 1:43 PM To: 'RONALD G CARPENTER' Subject: FW: boundary line Attachments: additional info request.pdf; SOI & UPDATE PLAT CERT.PDF Hi Ron, The Assessor reviewed the Statement of Intent (SOI) and the legal descriptions were never revised. Please revised the legal description for Exhibit B. The Assessor commented as follows: 1. The Assessor's office commented on the statement of intent as follows: a. The after property description needs to be corrected. The tideland only front Lot 10 so therefore the verbiage needs to be changed from "abutting upon the above described uplands to abutting upon said Lot 10. Thank you, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekCcD_co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. From: Colleen Zmolek Sent: Thursday, May 08, 2014 9:20 AM To: 'RONALD G CARPENTER' Subject: RE: boundary line Hi Ron and Judy, I have attached an additional information request and final steps of the process for your review. Please call if you have any additional questions. Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekta' co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. 1 All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m. Monday to Thursday,closed Fridays. From: RONALD G CARPENTER [mailto:ronaldgcarCamsn.com] Sent: Sunday, April 27, 2014 8:46 PM To: Colleen Zmolek Subject: boundary line Colleen, We were wondering what is happening with our request for a boundary line adjustment. We would appreciate any information you may have. Thank you for your time. Ron and Judy Carpenter 2 Form No. 14 Subdivision Certificate Certificate No.:79566 R C ,�l DI FEB 2 4 201 AffEBSOJV COUNTY 00 JEFFERSON TITLE COMPANY PO Box 256.2205 Washington Street,Port Townsend,WA 98368 Phone: (360)385-2000 Fax: (360)385-6967 Subdivision Certificate Prepared For: Order No.: 79566 Ron Carpenter Charge: $400.00 10614 Sirrocco Circle NW Tax: $ 36.00 Silverdale,WA 98383 Total: $436.00 In the matter of the Subdivision to be submitted for approval, this Company has examined the records of Jefferson County. This certificate is made for the purpose herein specified, and is not to be used as a basis for closing any transaction. Liability is limited to the charge made for this certificate. From such examination, the Company hereby certifies the title to the following described land, in said Jefferson County,to wit: Parcel A: Lot 9 of Seal Rock Beach, as per plat recorded in Volume 4 of Plats,pages 17 and 18,records of Jefferson County, Washington. Situate in the County of Jefferson, State of Washington. Parcel B: Lot 10 of Seal Rock Beach, as per plat recorded in Volume 4 of Plats,pages 17 and 18,records of Jefferson County, Washington; TOGETHER WITH all tidelands of the second class, as conveyed by the State of Washington, situate in front of,adjacent to and abutting thereon. Situate in the County of Jefferson, State of Washington. Is Vested in: Ronald Gary Carpenter and Judith Kay Carpenter, husband and wife as to Parcel A and Ronald G. Carpenter and Judith K. Carpenter Trustees of the Carpenter Revocable Living Trust U/A/D November 30, 1999 as to Parcel B Subdivision Certificate Guarantee No.:79566 Page No.:2 Special Exceptions: 1. General Taxes. The first portion$ 305.25 becomes delinquent after April 30th. The second portion$305.15 becomes delinquent after October 31St Year: 2014 Amount Billed: $ 610.40 Amount Paid: $ 0.00 Amount Due: $610.40,plus interest and penalty, if delinquent Tax Account No.: 992 800 009 Property ID No.: 42006 Assessed value: $71,383.00 Affects: Parcel A General Taxes. The first portion$ 685.60 becomes delinquent after April 30th. The second portion$685.50 becomes delinquent after October 31St Year: 2014 Amount Billed: $ 1,371.10 Amount Paid: $ 0.00 Amount Due: $ 1,371.10,plus interest and penalty, if delinquent Tax Account No.: 992 800 010 Property ID No.: 42007 Assessed value: $ 161,075.00 Affects: Parcel B The following affects Parcel A: 1. Reservations contained in deed from the State of Washington recorded in Volume 98 of Deeds,on page 602, reserving all oil, gases, coal, ores,minerals,fossils,etc., and the right for opening, developing and working the same,together with any right to acquire easements or rights of way; Providing that all such rights shall not be exercised until provision has been made to compensate for damage sustained by reason of the exercise of such rights. 2. A perpetual easement and right to connect with the existing water line of the Grantors, said easement and water line to be not over four feet in width and traversing this and other property of Grantors,as granted by Edward C. Schwartz and Emma E. Schwartz,his wife,to David L. White and Vernie F. White,his wife,their heirs, successors and assigns,by deed dated December 16, 1954 and recorded in Volume 139 of Deeds,on page 188, reference to which record is made for further particulars. 3. Restrictions,conditions, dedications, notes, easements and provisions contained and/or delineated on the face of the plat recorded under Jefferson County Recording No. 161497. 4. Right of the public to make necessary slopes for cuts or fills upon said premises in the original reasonable grading of streets,avenues, alleys and roads, as dedicated in the plat. 5. Right to continue to drain said roads and ways over and across any lot or lots where water might take a natural course, in the original reasonable grading of the roads and ways,as shown on the face of said plat. 6. Release of damages which have accrued, or which may hereafter occur,to Lot 9 of Seal Rock Beach,by reason of the location, construction, change of grade lines, drainage, maintenance and operation of State Highway No. 9, as shown in instrument made by William K.Almasi and Vern Cox to State of Washington, recorded August 24, 1960 under Recording No. 166031. Reference to said document is made for further particulars. LPB Subdivision Certificate Guarantee No.:79566 Page No.:3 7. A record of Survey and matters relating thereto: Recorded: May 30, 2008 Recording No. 534437 Volume/Page 33/123-125 8. Declaration of Well Easement imposed by instrument recorded on June 27,2013,under Recording No. 577078. 9. Well Operation and Maintenance Agreement imposed by instrument recorded on June 27,2013,under Recording No. 577079. The following affects Parcel B: 10. Reservations contained in deed from the State of Washington recorded in Volume 98 of Deeds,on page 602, reserving all oil, gases,coal,ores,minerals,fossils,etc.,and the right for opening, developing and working the same,together with any right to acquire easements or rights of way;Providing that all such rights shall not be exercised until provision has been made to compensate for damage sustained by reason of the exercise of such rights. 11. A perpetual easement and right to connect with the existing water line of the Grantors, said easement and water line to be not over four feet in width and traversing this and other property of Grantors, as granted by Edward C. Schwartz and Emma E. Schwartz,his wife,to David L.White and Vernie F.White,his wife,their heirs, successors and assigns,by deed dated December 16, 1954 and recorded in Volume 139 of Deeds,on page 188, reference to which record is made for further particulars. 12. Restrictions,conditions,dedications,notes, easements and provisions contained and/or delineated on the face of the plat recorded under Jefferson County Recording No. 161497. 13. Right of the public to make necessary slopes for cuts or fills upon said premises in the original reasonable grading of streets,avenues, alleys and roads,as dedicated in the plat. 14. Right to continue to drain said roads and ways over and across any lot or lots where water might take a natural course, in the original reasonable grading of the roads and ways, as shown on the face of said plat. 15. Any question as to the true location of the lateral boundaries of the second class tidelands. 16. Rights of the general public to the unrestricted use of all the waters of a navigable body of water not only for the primary purpose of navigation,but also for corollary purposes; including(but not limited to)fishing,boating, bathing, swimming,water skiing and other related recreational purposes, as those waters may affect the tidelands, shorelands or adjoining uplands and whether the level of the water has been raised naturally or artificially to a maintained or fluctuating level, all as further defined by the decisional law of the state. (Affects all of the premises subject to such submergence) 17. Terms,provisions and reservations under the Submerged Land Act(43 U.S.C.A. Sections 1301 through 1311) and the rights of the United States of America to regulate commerce, navigation, flood control, fishing and production of power. 18. Easement as delineated and/or dedicated on the face of the plat: Purpose: Water pipe Affects: Westerly portion LPB Subdivision Certificate Guarantee No.:79566 Page No.:4 19. Agreement and the terms and conditions thereof: Between: Alan R. Paulsen and Mary M.Paulsen And: Denchai Sae-Eal and Archara Sae-Eal Recorded: September 3, 1993 Recording No.: 363797 Regarding: Residential Water Agreement 20. A record of Surveys and matters relating thereto: Recorded: May 30,2008 and March 22,2011 Recording Nos.: 534437 and 558849 Volume/Page: 33/123-125 and 35/338 Dated: February 6,2014 at 8:00 AM Your title officer for this transaction is Stacy Judd. If you have any questions concerning this title commitment,please do not hesitate to call me at(360)385-2000 or e-mail stacy @jeffersontitlecompany.com By: Stacy Judd,Title Officer LPB �� .,..�. 11 X Pte-fp3 fcamction tMOW"Miq zNNIMM L w„ s •7"r' ip .22,1514 ®M 5250 TaeniW-1ffF[O Via Taa+et ,.. .. .. .._.. .. ._.. -_. NUM 'ED giti‘ V:31( 5o --- - Co 27,15 OA 52)O Terminal-1ffROVia Tablet 'PARd i �` i Case Review Time Tracking: DCD Review from 1/1/2013 to 5/9/2014 for SUB13-00009. (Hourly Rate = $76.00) SUB13-00009 CARPENTER 10/01/2013 90 Review 2013-10-01 Review application and send out additional information Colleen Zmolek request CJZ 10/01/2013 30 Review sent additional information request Colleen Zmolek 10/04/2013 20 Review Phone call from owner Judith Carpenter. Went over additional Colleen Zmolek information request. 10/04/2013 15 Review Checked with Linda on fees after talking to owner Colleen Zmolek 11/12/2013 60 Review 2013-11-11 email response to applicant. Revised additional info Colleen Zmolek request, no EH review required. 02/18/2014 30 Review 2014-02-17 email owner on add info requirements/review file CJZ Colleen Zmolek 02/26/2014 90 Review 2014-26-14 Add F &C/email applicant CJZ Colleen Zmolek 03/21/2014 15 Review 2014-03-21 email applicant routed CJZ Colleen Zmolek 05/05/2014 15 Review 2014-05-05 request sent to Sherrie for review. CJZ Colleen Zmolek 05/08/2014 60 Review 2014-05-07 Additional info request. CJZ Colleen Zmolek 05/08/2014 90 Review 2014-05-07-recording the SOI time and issuing permit CJZ Colleen Zmolek 515 minutes (8.58 hours) $652.33 Total . 515 minutes (8.58 hours) $652.33 No /adds, lO,naQ F._ 15wh,4 1 5/8/2014 \\tidemark\data\forms\r_DCD. ��timed rJp� AFTER RECORDING MAIL TO: Ronald & Judith Carpenter Name: 10614 Sirocco Circle NW Address: Silverdale, WA 98383 City/State: Boundary Line Adjustment Grantor(s): 1. Ronald & Judith Carpenter 2. Grantee(s): 1. Ronald & Judith Carpenter 2. Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's _ Property Tax Parcel Account Numbers): Parcel A: See Exhibit A Parcel B: See Exhibit A Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): See Exhibit B The nature of the adjustment is described as follows: Combine Parcels 992800009 and 992800010 into one Parcel Exhibit A Parcel A: 992800009 LOT 9 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY, WASHINGTON,AND LOCATED IN SECTION 26, TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY, WASHINGTON Parcel B: 99200010 LOT 10 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY, WASHINGTON,AND LOCATED IN SECTION 26, TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY, WASHINGTON TOGETHER WITH all tidelands of the second class, as conveyed by the state of Washington, situate in front of, adjacent to and abutting upon the above described uplands Exhibit B New Parcel: 99200009 LOTS 9 AND 10 OF THE PLAT OF SEAL ROCK BEACH AS RECORDED IN VOLUME 4 OF LONG PLATS, PAGES 17 AND 18, RECORDS OF JEFFERSON COUNTY, WASHINGTON,AND LOCATED IN SECTION 26,TOWNSHIP 26 NORTH, RANGE 2 WEST, W.M.,JEFFERSON COUNTY,WASHINGTON TOGETHER WITH all tidelands of the second class, as conveyed by the State of Washington, situate in front of, adjacent to and abutting upon the above described uplands A Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, November 12, 2013 9:31 AM To: 'RONALD G CARPENTER' Subject: RE: application questions Hi Judith & Ronald, In answer to your question regarding the extension for a BLA application, MLA13-00106, it is acceptable to extend the timeline for application submittal requirements. Please send an email on how long an extension you are requesting. You are working on gathering the information and we understand it does take time. It is not uncommon to ask for another 90 days or 6 months in some circumstances. Please send additional information to Department of Community Development; attention Colleen. After further review of the BLA application it was determined that no Environmental Health (EH) review is required We do encourage you to contact EH and follow up on the correction notice. In Jefferson County Code 18.35.080(6)the proposed BLA EH review is waived: (6) If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or r Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist a disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet ern contain a dwelling. An applicant may choose to apply for a site plan approval advance determination (SPAAD)tc that the resultant lots can accommodate on-site sewage system from the Jefferson County department of envirot Notice to Public:Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s).Such d ESA requirements. This requirement shall be waived for resultant parcels that: (a)Are larger than 2.5 acres; (b) Have existing residential structures; or (c)Have limited the use of the resultant parcel to agriculture, forestry, or open space through conservation program shall not be used to fulfill this requirement; I have revised the additional information request to contain the following: On 11-12-13 during a review of the Boundary Line Adjustment application MLA13-00106/SUB13-00029 the following items were determined to be missing; Please submit the following: • Statement of Intent with the existing legal descriptions and new legal descriptions. The Statement of intent will need to be notarized. After departmental review the Statement of intent is required to be recorded. • A site plan identifying the location of structures and septic drainfields. A survey is not required. Here is a description of what is required on the site plan. Jefferson County Code 18.35.070(3): 1 (3)Three copies of a clean and legible drawing suitable for recording showing the following: (a)The proposed lines for all affected lots, tracts or parcels, indicated by bold solid lines; (b)The existing lot,tract or parcel lines proposed to be changed, indicated by light broken lines; (c)The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; (d) A north arrow indication and scale; (e) All assessor's tax parcel numbers for the affected lots, tracts or parcels; (f)The location of the property as to quarter/quarter section; (g)The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; (h)The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots, tracts or parcels; (i) The area and dimensions of each lot prior to and following the proposed adjustment; (j) The existing on-site sewage system components and reserve areas and the proposed location for on-site sewage systems and soil test pits for all affected lots that are not currently served by an on-site sewage system or other approved wastewater treatment system; (k)The location of all existing and proposed water and storm drainage facilities; and (I)The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas(ESA): Notice to Public: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream,wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. • In addition to the above Notice to Public required be placed on the drawing the following disclaimer will also be placed on the drawing,Jefferson County Code 18.35.080(4): (4)The original legal description of the entire property together with new separate legal descriptions for each lot,tract or parcel, labeling them each as existing parcel A, existing parcel B, revised parcel A, revised parcel B, etc.The drawing shall be attached to or include on the face a formal legal declaration of the boundary line adjustment,signed and notarized by all legal owners of the subject properties. In cases where the property has not been surveyed,the following disclaimer shall be recorded on the drawing: DISCLAIMER LANGUAGE FOR BLA STATEMENT OF INTENT:Your request for a Boundary Line Adjustment(BLA)has been approved.Since no survey was submitted as part of your BLA application, the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located 2 wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. • A title company certification as identified in Jefferson County Code 18.35.070(7): The application shall be accompanied by a current (i.e., within 30 days) title company certification of the following: a. The legal description of all parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and e. If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. Once additional information requests are received the review process can continue and I will forward to the Assessor's office for review. Call me at (360) 379-4462 or email me at czmolek @co.jefferson.wa.us with any additional questions. Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek @co.iefferson.wa.us J E P F E R $ O a C S �o u M�,7 Y Y WAE ID I�ROSN. RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. From: RONALD G CARPENTER [mailto:ronaldgcar @msn.com] Sent: Monday, November 04, 2013 9:07 PM To: Colleen Zmolek Subject: application questions Colleen Zmoleck Department of Community Development Jefferson County Port Townsend, Washington RE: Site Address: 620 Seal Rock Rd 3 Case#: MLA13-00106 Dear Ms. Zmoleck: We are presently working on the additional items required for our Boundary Line Adjustment application. Our intent is to complete these items prior to the deadline of December 30, 2013. However if by the end of November and if we believe we will not be able to make the deadline, I will send another email requesting an extension. Please let us know if this is acceptable. At this time we do have several questions: 1. After we have all the necessary items, do we send all the information to you? 2. On the one form, who is(are)the grantor(s) and grantee(s)? We appreciate your assistance in completing this process. Ronald G. Carpenter Judith K. Carpenter 4 4 f 4 "' oN JEFFERSON COUNTY w�4� c�°�� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368(Web:www.co.iefferson.wa.us/communitvdevelopment �'�s °"" �o. Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd a(�.co.jefferson.wa.us NI N0 Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center October 1, 2013 RONALD G CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA 98383-8857 RE: SITE ADDRESS: 620 SEAL ROCK RD# CASE* MLA13-00106 Dear RONALD G CARPENTER: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. In the initial review of the Boundary Line Adjustment application MLA13-00106 / SUB13-00029 the following items were determined to be missing; Please submit the following: • Statement of Intent with the existing legal descriptions and new legal descriptions. The Statement of intent will need to be notarized. After departmental review the Statement of intent is required to be recorded. • A site plan identifying the location of structures and septic drainfields. A survey is not required. Here is a description of what is required on the site plan. Jefferson County Code 18.35.070(3), see attached code requirements. • $312 in fees for Environmental Health (EH) review. I have included an invoice as fees for EH were not collected at intake. • A title company certification as identified in Jefferson County Code 18.35.070(7): The application shall be accompanied by a current (i.e., within 30 days) title company certification of the following: a. The legal description of all parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest(such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and o e. If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. Once additional information requests are received the review process can continue and I will forward to Environmental Health and the Assessor's office for review. , oN JEFFERSON COUNTY �s" DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street 1 Port Townsend,WA 983681 Web:www.co.iefferson.wa.us/communitydevelopment .ti,4 NG,0o. Tel:360.379.4450 Fax:360.379.4451 Email:dcd @cajefferson.wa.us Building Permits&Inspections I Development Consistency Review Long Range Planning Watershed Stewardship Resource Center Call me at(360)379-4462 or email me at czmolek @co.jefferson.wa.us with any questions. Please submit the above information to the Department of Community Development by December 30,2013. Pursuant to Jefferson County Code(JCC) 18.40.110(3)and(6), if the applicant refuses to submit the additional information or does not request additional time to submit the required information within the ninety (90)calendar day period,the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, 0-i&U Di lin • e Department of Co 4 ity I evelopment Staff c: File STEVE OTTMAR \\tidemark\data\forms\F MLT Addlnfo_Requst.rpt 10/1/2013 Jefferson County Code 18.35.070 Application submittal and contents. To be considered complete, applications for boundary line adjustments shall include the following: (1)Applications for boundary line adjustments shall be made on forms provided by the Jefferson County department of community development and shall be submitted to the department of community development, along with the appropriate fees established under the Jefferson County fee ordinance. (a)A single application may be submitted for multiple BLAs for adjacent parcels, lots, tracts or sites within a binding site plan. However, standard application fee(s)shall apply to each BLA after the first two per additional parcel, lot, tract or site. (b) In instances of lot consolidation, standard application fee(s) shall apply based on the number of resulting parcels or lots; (2)A completed land use permit application form, including all materials required pursuant to Chapter 18.40 JCC; (3)Three copies of a clean and legible drawing showing the following: (a)The proposed lines for all affected lots, tracts or parcels, indicated by bold solid lines; (b) The existing lot, tract or parcel lines proposed to be changed, indicated by light broken lines; (c)The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; (d)A north arrow indication and scale; (e)All assessor's tax parcel numbers for the affected lots, tracts or parcels; (f)The location of the property as to quarter/quarter section; (g)The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; (h)The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots, tracts or parcels; (i) The area and dimensions of each lot prior to and following the proposed adjustment; (j)The existing on-site sewage system components and reserve areas and the proposed location for on-site sewage systems and soil test pits for all affected lots that are not currently served by an on-site sewage system or other approved wastewater treatment system; (k) The location of all existing and proposed water and storm drainage facilities; and (I) The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas (ESA): Notice to Public: Current Jefferson County geographic information systems(GIS)maps identify the presence of an Environmentally Sensitive Area(ESA) such as stream,wetland,flood, landslide hazard,erosion,aquifer recharge area,fish and wildlife habitat,shoreline,etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity,applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. (4)The original legal description of the entire property together with new separate legal descriptions for each lot, tract or parcel, labeling them each as existing parcel A, existing parcel B, revised parcel A, revised parcel B, etc. The drawing shall be attached to or include on the face a formal legal declaration of the boundary line adjustment, signed and notarized by all legal owners of the subject properties. In cases where the property has not been surveyed, the following disclaimer shall be recorded on the drawing: DISCLAIMER LANGUAGE FOR BLA STATEMENT OF INTENT:Your request for a Boundary Line Adjustment(BLA)has been approved. Since no survey was submitted as part of your BLA application,the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. (5)A copy of any covenants, conditions and restrictions(CC&Rs), deed restrictions, or planned rural residential development(PRRD) agreements pertaining to or affecting the property; and (6) If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or municipal sewer system), the applicant shall provide written verification from the Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist after the boundary line adjustment, are adequate to accommodate an on-site sewage disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet environmental health requirements for each resultant lot, tract, or parcel that does not contain a dwelling. An applicant may choose to apply for a site plan approval advance determination (SPAAD)to fulfill this requirement. In cases where the requirement to provide written verification that the resultant lots can accommodate on- site sewage system from the Jefferson County department of environmental health has been waived, the following notice shall be recorded on the drawing: Notice to Public:Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic,bulk and dimensional setbacks,and ESA requirements. This requirement shall be waived for resultant parcels that: (a)Are larger than 2.5 acres; (b) Have existing residential structures; or (c) Have limited the use of the resultant parcel to agriculture, forestry, or open space through conservation easements, restrictive covenant, or similar legal arrangement. The open space tax program shall not be used to fulfill this requirement; (7)The application shall be accompanied by a current(i.e., within 30 days)title company certification of the following: (a)The legal description of the total parcels sought to be adjusted; (b)Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final'survey prior to final approval; (c)Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; (d)Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and (e) If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. [Ord. 8-06§ 1] J �► AFTER RECORDING MAIL TO: Name: Address: City/State: Boundary Line Adjustment Grantor(s): 1. 2. Grantee(s): 1. 2. Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A: Parcel B: Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): The nature of the adjustment is described as follows: � r STATEMENT OF INTENT: This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by , the proponent. Nor does the boundary line adjustment result in any lots, tracts, parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and area for a building site. I, (Proponents' signature) STATE OF WASHINGTON COUNTY OF On , 200 ,personally appeared and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this day of , 200 Notary Public in and for the State of Washington, Residing at This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. Associate Planner Date Colleen Zmolek From: RONALD G CARPENTER [ronaldgcar @msn.com] Sent: Monday, November 04, 2013 9:07 PM To: Colleen Zmolek Subject: application questions Colleen Zmoleck Department of Community Development Jefferson County Port Townsend, Washington RE: Site Address: 620 Seal Rock Rd Case#: MLA13-00106 Dear Ms. Zmoleck: We are presently working on the additional items required for our Boundary Line Adjustment application. Our intent is to complete these items prior to the deadline of December 30, 2013. However if by the end of November and if we believe we will not be able to make the deadline, I will send another email requesting an extension. Please let us know if this is acceptable. At this time we do have several questions: 1. After we have all the necessary items, do we send all the information to you? 2. On the one form, who is(are)the grantor(s) and grantee(s)? We appreciate your assistance in completing this process. Ronald G. Carpenter Judith K. Carpenter 1 Colleen Zmolek From: RONALD G CARPENTER [ronaldgcar @msn.com] Sent: Friday, February 14, 2014 12:20 PM To: Colleen Zmolek Subject: RE: application questions Follow Up Flag: Follow up Flag Status: Flagged Colleen, We have all the paperwork for the boundary adjustment. Do we need 3 copies of all papers to be sent or p p Y J p p p just 3 copies of the drawing? Our plan is to send you all the information next week. J p g p Y Thank you for you time, Ron and Judy Carpenter Subject: RE: application questions Date: Tue, 10 Dec 2013 08:30:49 -0800 From: CZmolek @co.jefferson.wa.us To: ronaldgcar @msn.com Ron &Judy, Thank you for keeping me informed on your project. You have been granted an additional 6 month extension until 6-30-2014. Please let me know if you need any additional time if you are not ready by June. Thank you for your patience in my response time to your questions. Wishing you a Happy Holiday. Sincerely, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek cr_co.jefferson.wa.us 4 r R a o M C O U N T Y WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. 1 Colleen Zmolek rALP a- vLD From: Colleen Zmolek Sent: Tuesday, December 10, 2013 8:31 AM To: 'RONALD G CARPENTER' Subject: RE: application questions Ron &Judy, Thank you for keeping me informed on your project. You have been granted an additional 6 month extension until 6-30-2014. Please let me know if you need any additional time if you are not ready by June. Thank you for your patience in my response time to your questions. Wishing you a Happy Holiday. Sincerely, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek( co.jefferson.wa.us E F T E R S 0 N C O U N T Y WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. From: RONALD G CARPENTER [mailto:ronaldgcar @msn.com] Sent: Monday, November 25, 2013 11:07 AM To: Colleen Zmolek Subject: RE: application questions Subject: extension for BLA application Date: Nov. 25,2013 From: ronaldgcar @msn.com To: CZmolek( co.iefferson.wa.us Colleen, We would like to request q a 6 month extension for a BLA application. Our intent is to complete this process as quickly as possible but have decided to pay off our loan on the 601 Seal Rock Road property so will need that paperwork completed prior to submitting our BLA application. Hopefully this will occur in a timely manner, and the process will not take the entire extension period. 1 Thank you for your time, Ron and Judy Carpenter Subject: RE: application questions Date: Tue, 12 Nov 2013 09:31:29-0800 From: CZmolek @co.jefferson.wa.us To: ronaldgcar @msn.com Hi Judith & Ronald, In answer to your question regarding the extension for a BLA application, MLA13-00106, it is acceptable to extend the timeline for application submittal requirements. Please send an email on how long an extension you are requesting. You are working on gathering the information and we understand it does take time. It is not uncommon to ask for another 90 days or 6 months in some circumstances. Please send additional information to Department of Community Development; attention Colleen. After further review of the BLA application it was determined that no Environmental Health (EH) review is required We do encourage you to contact EH and follow up on the correction notice. In Jefferson County Code 18.35.080(6)the proposed BLA EH review is waived: (6)If an individual septic system is proposed(Le., as opposed to connection to either a con/triunity drainfield or t Jefferson County department of environmental health that the lots,tracts, parcels or sites, as each would exist a disposal system_ The location of soil logs must be shown on the drawing to show land area sufficient to meet em contain a dwelling_An applicant may choose to apply for a site plan approval advance determination(SPAAD)tc that the resultant lots can accommodate on-site sewage system from the Jefferson County department of enviroi Notice to Public:Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s).Such d ESA requirements. This requirement shall be waived for resultant parcels that: (a)Are larger than 2.5 acres; (b)Have existing residential structures; or (c)Have Ignited the use of the resultant parcel to agriculture,forestry, or open space through conservation program shall not be used to fulfill this requirement; I have revised the additional information request to contain the following: On 11-12-13 during a review of the Boundary Line Adjustment application MLA13-00106/SUB13-00029 the following items were determined to be missing; Please submit the following: • Statement of Intent with the existing legal descriptions and new legal descriptions. The Statement of intent will need to be notarized. After departmental review the Statement of intent is required to be recorded. 2 • A site plan identifying the location of structures and septic drainfields. A survey is not required. Here is a description of what is required on the site plan. Jefferson County Code 18.35.070(3): (3) Three copies of a clean and legible drawing suitable for recording showing the following: (a)The proposed lines for all affected lots, tracts or parcels, indicated by bold solid lines; (b)The existing lot,tract or parcel lines proposed to be changed, indicated by light broken lines; (c)The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; (d) A north arrow indication and scale; (e) All assessor's tax parcel numbers for the affected lots, tracts or parcels; (f) The location of the property as to quarter/quarter section; (g)The location and dimensions of any easements within or adjacent to any affected lots,tracts or parcels; (h)The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots, tracts or parcels; (i)The area and dimensions of each lot prior to and following the proposed adjustment; (j)The existing on-site sewage system components and reserve areas and the proposed location for on-site sewage systems and soil test pits for all affected lots that are not currently served by an on-site sewage system or other approved wastewater treatment system; (k) The location of all existing and proposed water and storm drainage facilities; and (I)The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas (ESA): Notice to Public: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA)such as stream,wetland,flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs.Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s).Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. • In addition to the above Notice to Public required be placed on the drawing the following disclaimer will also be placed on the drawing,Jefferson County Code 18.35.080(4): (4)The original legal description of the entire property together with new separate legal descriptions for each lot,tract or parcel, labeling them each as existing parcel A, existing parcel B, revised parcel A, revised parcel B, etc.The drawing shall be attached to or include on the face a formal legal declaration of the boundary line adjustment, signed and notarized by all legal owners of the subject properties. In cases where the property has not been surveyed,the following disclaimer shall be recorded on the drawing: DISCLAIMER LANGUAGE FOR BLA STATEMENT OF INTENT:Your request for a Boundary Line Adjustment (BLA) has been approved. Since no survey was submitted as part of your BLA application,the County accepts no liability for what facts a survey might have revealed. A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. • A title company certification as identified in Jefferson County Code 18.35.070(7): 3 The application shall be accompanied by a current (i.e., within 30 days)title company certification of the following: a. The legal description of all parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and e. If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. Once additional information requests are received the review process can continue and I will forward to the Assessor's office for review. Call me at (360) 379-4462 or email me at czmolek @co.iefferson.wa.us with any additional questions. Colleen Zmo(ek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek 4co.jefferson.wa.us T. ) ( FIRM * C O U N T Y WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. From: RONALD G CARPENTER [mailto:ronaldgcar@ msn.comj Sent: Monday, November 04, 2013 9:07 PM To: Colleen Zmolek Subject: application questions Colleen Zmoleck Department of Community Development Jefferson County Port Townsend, Washington RE: Site Address: 620 Seal Rock Rd Case#: MLA13-00106 Dear Ms. Zmoleck: We are presently working on the additional items required for our Boundary Line Adjustment application. Our 4 intent is to complete these items prior to the deadline of December 30, 2013. However if by the end of November and if we believe we will not be able to make the deadline, I will send another email requesting an extension. Please let us know if this is acceptable. At this time we do have several questions: 1. After we have all the necessary items, do we send all the information to you? 2. On the one form, who is(are) the grantor(s) and grantee(s)? We appreciate your assistance in completing this process. Ronald G. Carpenter Judith K. Carpenter 5 Colleen Zmolek From: RONALD G CARPENTER [ronaldgcar @msn.com] Sent: Monday, November 25, 2013 11:07 AM To: Colleen Zmolek Subject: RE: application questions Subject: extension for BLA application Date: Nov. 25,2013 From: ronaldgcar @msn.com To: CZmolek@co.iefferson.wa.us Colleen, We would like to request a 6 month extension for a BLA application. Our intent is to complete this process as quickly as possible but have decided to pay off our loan on the 601 Seal Rock Road property so will need that paperwork completed prior to submitting our BLA application. Hopefully this will occur in a timely manner, and the process will not take the entire extension period. Thank you for your time, Ron and Judy Carpenter Subject: RE: application questions Date: Tue, 12 Nov 2013 09:31:29-0800 From: CZmolek @co.jefferson.wa.us To: ronaldgcar @msn.com Hi Judith & Ronald, In answer to your question regarding the extension for a BLA application, MLA13-00106, it is acceptable to extend the timeline for application submittal requirements. Please send an email on how long an extension you are requesting. You are working on gathering the information and we understand it does take time. It is not uncommon to ask for another 90 days or 6 months in some circumstances. Please send additional information to Department of Community Development; attention Colleen. After further review of the BLA application it was determined that no Environmental Health (EH) review is required We do encourage you to contact EH and follow up on the correction notice. In Jefferson County Code 18.35.080(6) the proposed BLA EH review is waived: 1 r (6)If an individual septic system is proposed(i.e., as opposed to connection to either a community drainleki or r Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist a disposal system_ The location of soil logs must be shown on the drawing to show land area sufficient to meet ern contain a dwelling.An applicant may choose to apply for a site plan approval advance determination(SPAAD)tc that the resultant lots can accommodate on-site sewage system from the Jefferson County department of envira Notice to Public Approval oft is Boundary Line Adjustment does not guarantee a buildable site within said parcel(s).Such d ESA requirements. This requirement shall be waived for resultant parcels that: (a)Are larger than 2.5 acres; (b)Have existing residential structures; or (c)Have limited the use of the resultant parcel to agriculture, forestry, or open space through conservation program shall not be used to fulfill this requirement; I have revised the additional information request to contain the following: On 11-12-13 during a review of the Boundary Line Adjustment application MLA13-00106/SUB13-00029 the following items were determined to be missing; Please submit the following: • Statement of Intent with the existing legal descriptions and new legal descriptions. The Statement of intent will need to be notarized. After departmental review the Statement of intent is required to be recorded. • A site plan identifying the location of structures and septic drainfields. A survey is not required. Here is a description of what is required on the site plan. Jefferson County Code 18.35.070(3): (3)Three copies of a clean and legible drawing suitable for recording showing the following: (a)The proposed lines for all affected lots,tracts or parcels, indicated by bold solid lines; (b)The existing lot, tract or parcel lines proposed to be changed, indicated by light broken lines; (c)The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; (d) A north arrow indication and scale; (e) All assessor's tax parcel numbers for the affected lots, tracts or parcels; (f)The location of the property as to quarter/quarter section; (g)The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; (h)The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots, tracts or parcels; (i)The area and dimensions of each lot prior to and following the proposed adjustment; (j)The existing on-site sewage system components and reserve areas and the proposed location for on-site sewage systems and soil test pits for all affected lots that are not currently served by an on-site sewage system or other approved wastewater treatment system; (k)The location of all existing and proposed water and storm drainage facilities; and 2 (I)The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas (ESA): Notice to Public: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA)such as stream,wetland,flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs.Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s).Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. • In addition to the above Notice to Public required be placed on the drawing the following disclaimer will also be placed on the drawing, Jefferson County Code 18.35.080(4): (4)The original legal description of the entire property together with new separate legal descriptions for each lot,tract or parcel, labeling them each as existing parcel A, existing parcel B, revised parcel A, revised parcel B, etc.The drawing shall be attached to or include on the face a formal legal declaration of the boundary line adjustment, signed and notarized by all legal owners of the subject properties. In cases where the property has not been surveyed,the following disclaimer shall be recorded on the drawing: DISCLAIMER LANGUAGE FOR BLA STATEMENT OF INTENT: Your request for a Boundary Line Adjustment (BLA) has been approved. Since no survey was submitted as part of your BLA application,the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. • A title company certification as identified in Jefferson County Code 18.35.070(7): The application shall be accompanied by a current (i.e., within 30 days)title company certification of the following: a. The legal description of all parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and e. If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. Once additional information requests are received the review process can continue and I will forward to the Assessor's office for review. Call me at (360) 379-4462 or email me at czmolek @co.jefferson.wa.us with any additional questions. CoCCeen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 3 czmolek(cD_co.lefferson.wa.us 7 I E F T I M M C O U N T Y WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:30 p.m.Monday to Thursday,closed Fridays. From: RONALD G CARPENTER [mailto:ronaldgcar @msn.com] Sent: Monday, November 04, 2013 9:07 PM To: Colleen Zmolek Subject: application questions Colleen Zmoleck Department of Community Development Jefferson County Port Townsend, Washington RE: Site Address: 620 Seal Rock Rd Case#: MLA13-00106 Dear Ms. Zmoleck: We are presently working on the additional items required for our Boundary Line Adjustment application. Our intent is to complete these items prior to the deadline of December 30, 2013. However if by the end of November and if we believe we will not be able to make the deadline, I will send another email requesting an extension. Please let us know if this is acceptable. At this time we do have several questions: 1. After we have all the necessary items, do we send all the information to you? 2. On the one form, who is(are)the grantor(s) and grantee(s)? We appreciate your assistance in completing this process. Ronald G. Carpenter Judith K. Carpenter 4 Colleen Zmolek From: Sherrie Shold Sent: Wednesday, May 28, 2014 2:24 PM To: Colleen Zmolek Subject: RE: Carpenter BLA SOI MLA13-106 Colleen, Looks fantastic,good to go. Sherrie Sherrie shold Propert. operattows Je f fersow Couwtd Assessors offize 360-385:5105 sskoLoi@cojeffersow.wcf.us From: Colleen Zmolek Sent: Wednesday, May 28, 2014 1:55 PM To: Sherrie Shold Subject: Carpenter BLA SOI MLA13-106 Hi Sherrie, One more time here is the one he revised. I mixed them up.... O CoCCeen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekaco.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:30 p.m.Monday to Thursday,closed Fridays. 1 Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, May 20, 2014 4:20 PM To: Sherrie Shold Subject: RE: MLA13-106 SOI for lot consolidation Attachments: SOI & UPDATE PLAT CERT.PDF Hi Sherrie, I have attached the revised SOI for MLA13-106. The SOI is for a BLA lot consolidation. No survey required only a SOI. Only signature page is included as part of the SOI. The SOI and a condition of the approved application will not allow for the parcels to be segregated in the future. OMG I am loving this beautiful weather. Have a nice evening. Thanks, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekaco.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. From: Sherrie Shold Sent: Tuesday, May 06, 2014 10:34 AM To: Colleen Zmolek Subject: RE: MLA13-106 SOI for lot consolidation Colleen, I have completed my review of the Carpenter BLA-consolidation and the following are my comments. 1- My first comment you and I discussed on the telephone this morning and that was binding lots spanning roadways. Resolved 2- The after property description needs to be corrected. The tideland only front Lot 10 so therefore the verbiage needs to be changed from "abutting upon the above described uplands to abutting upon said Lot 10. 3- Since this is a BLA, will there be a signature page to include our signature? I never remember on this type of BLA. Please let me know if you should have any questions on my comments. Thank you, sllrr e � sherrCe shola Propert. operatiows Jefffersow Couwtd Assessor's of Tice 36o-3859105 1 Jefferson County Assessor& Treasurer-Property Details - 42006 RONALD G& JUDIT... Page 1 of 1 Jefferson County Assessor & Treasurer Property Search Results >42006 RONALD G &JUDITH K CARPENTER for Year 2013 - 2014 Property Account Property ID: 42006 Legal Description: SEAL ROCK LOT 9 Parcel Number: 992800009 Agent Code: Type: Real Tax Area: 0441-1-46F4E4H2C1L1P2 Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 620 SEAL ROCK RD Mapsco: BRINNON,WA Neighborhood: 526&527 T26N R2W INC JUPITER CITY&SEAL ROCK BEACH PLATS Map ID: Neighborhood CD: 1350 Owner Name: RONALD G&JUDITH K CARPENTER Owner ID: 90068 Mailing Address: 10614 SIROCCO CIRCLE NW %Ownership: 100.0000000000% SILVERDALE,WA 98383-8857 Exemptions: Taxes and Assessment Details Property Tax Information as of 05/20/2014 Amount Due if Paid on a. NOTE:If you plan to subm it payment on a future date,make sure you enter the date and click RECALCULATE to obta in the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due Base Amt. Base Amt. ►Statement Details 2014 31882 $305.25 $305.15 $0.00 $0.00 $610.40 $0.00 Statement Details 2013 31962 $303.03 $302.93 $0.00 $0.00 $605.96 $0.00 http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&prop_id=42006 5/20/2014 Colleen Zmolek From: Pat Perryman Sent: Monday, March 03, 2014 3:05 PM To: Colleen Zmolek Subject: RE: MLA13-00106 Colleen, Oops, I guess I used the wrong words. I have no objections to them combining these two parcels/lots. I'll try harder(or at least a little bit)to get the correct wording(but if not hey look at it this way-it gives us a great opportunity to share emails). Thanks, Pat From: Colleen Zmolek Sent: Monday, March 03, 2014 2:16 PM To: Pat Perryman Cc: Sherrie Shold Subject: RE: MLA13-00106 Pat, MLA13-00106 is a BLA, lot consolidation. Does that make any difference in your comments? They are not segregation two lots they are combining two parcels. Thank you, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(a),co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. From: Pat Perryman Sent: Monday, March 03, 2014 7:33 AM To: Colleen Zmolek Cc: Sherrie Shold Subject: MLA13-00106 March 3,2014 RE: MLA13-00106 Carpenter Colleen, After reviewing the Lot Certification submitted to us on February 25,2014 I have no comments concerning this proposed action. If you have any questions or comments,please do not hesitate to contact me. Thanks, Pat 1 Pat Perryman P. 0. Box 1220 Port Townsend, WA 98368 (360)385-9365 or (360)385-9222 e-mail pperrvman@co.iefferson.wa.us 2 Colleen Zmolek From: Sherrie Shold Sent: Tuesday, May 06, 2014 10:34 AM To: Colleen Zmolek Subject: RE: MLA13-106 SOI for lot consolidation Colleen, I have completed my review of the Carpenter BLA-consolidation and the following are my comments. 1- My first comment you and I discussed on the telephone this morning and that was binding lots spanning roadways. Resolved 2- The after property description needs to be corrected. The tideland only front Lot 10 so therefore the verbiage needs to be changed from"abutting upon the above described uplands to abutting upon said Lot 10. 3- Since this is a BLA,will there be a signature page to include our signature? I never remember on this type of BLA. Please let me know if you should have any questions on my comments. Thank you, sherrie sherri.e Shotol Propertj operati.ous .Jef fersow Couwtu Assessor's Offtt 3 6 0-3 859 10 5 sshold@cojeffersomwa.us From: Colleen Zmolek Sent: Monday, May 05, 2014 12:35 PM To: Sherrie Shold Subject: FW: MLA13-106 SOI for lot consolidation Hi Sherrie, Happy Monday. Do you have any comments on the lot consolidation? Pat commented as follows: I have no objections to them combining these two parcels/lots. Thank You, CoCleen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek a( co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. 1 All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. From: Colleen Zmolek Sent: Tuesday, February 25, 2014 4:57 PM To: Pat Perryman; Sherrie Shold Subject: MLA13-106 SOI for lot consolidation Hi Sherrie& Pat, Ronald and Judith Carpenter has applied for a BLA/ Lot consolidation on parcel 992800009 &992800010, MLA13-00106. Please review and comment on the attached statement of intent and subdivision certificate. No survey was required because due to the consolidation per Jefferson County Code 18.35.060(3). Thank you in advance, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek0.co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:Oo a.m.-4:30 p.m.Monday to Thursday,closed Fridays. 2 Colleen Zmolek From: Pat Perryman Sent: Monday, March 03, 2014 7:33 AM To: Colleen Zmolek Cc: Sherrie Shold Subject: MLA13-00106 March 3,2014 RE: MLA13-00106 Carpenter Colleen, After reviewing the Lot Certification submitted to us on February 25, 2014 I have no comments concerning this proposed action. If you have any questions or comments,please do not hesitate to contact me. Thanks, Pat Pat Perryman P. 0. Box 1220 Port Townsend, WA 98368 (360)385-9365 or (360)385-9222 e-mail pperrvman@co.iefferson.wa.us 1 Colleen Zmolek From: Colleen Zmolek Sent: Monday, May 05, 2014 12:35 PM To: Sherrie Shold Subject: FW: MLA13-106 SOI for lot consolidation Attachments: SOl.pdf; Subdivision Certificate.pdf Hi Sherrie, Happy Monday. Do you have any comments on the lot consolidation? Pat commented as follows: I have no objections to them combining these two parcels/lots. Thank You, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek( co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. From: Colleen Zmolek Sent:Tuesday, February 25, 2014 4:57 PM To: Pat Perryman; Sherrie Shold Subject: MLA13-106 SOI for lot consolidation Hi Sherrie & Pat, Ronald and Judith Carpenter has applied for a BLA/ Lot consolidation on parcel 992800009 &992800010, MLA13-00106. Please review and comment on the attached statement of intent and subdivision certificate. No survey was required because due to the consolidation per Jefferson County Code 18.35.060(3). Thank you in advance, Colleen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(er�.co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. 1 All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public g:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. 2 Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, February 25, 2014 4:57 PM To: Pat Perryman; Sherrie Shold Subject: MLA13-106 SOI for lot consolidation Attachments: SOl.pdf; Subdivision Certificate.pdf Hi Sherrie & Pat, Ronald and Judith Carpenter has applied for a BLA/ Lot consolidation on parcel 992800009 &992800010, MLA13-00106. Please review and comment on the attached statement of intent and subdivision certificate. No survey was required because due to the consolidation per Jefferson County Code 18.35.060(3). Thank you in advance, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(c�co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:Oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. 1 APN: C1CID ROO CO q NAME:%c ,(A Q11(1` .1 MLA# 10tc, Add.APN Sckalf00 010 Add.APN NOT Printed Printed SPAAD Category Intake Req's ❑ ❑ County Zoning ❑ -. Cases/Conditions by Parcel# ❑ Water Service Area ❑ Li Plat Maps ❑ ❑ Laserfiche Documents ❑ ❑ Road System *** *** Assessor Maps-H ❑ ❑ Lots ❑ ❑ Parcel Tags-H ❑ ❑ Permits-H ❑ ❑ 2006-07 Shoreline Photos ❑ ❑ Left/Mid/Right Shoreline Arcs ❑ Shoreline Polygons X ❑ DNR FP Stream Class ❑ DNR Stream ❑ DNR Water Bodies 121. ❑ g ho(42X 4tie LFA-Fish ❑ ❑ Soils-H ] ❑% Marbled Murrulets ❑ ❑ Heritage Points ❑ -Q[ Type: L: ?j5 Spotted Owls ❑ �] /" Bald Eagle Nests&Buffers �. ❑ ' • 64e Priority Habitats and Species 8/06 -4 ❑ Type Wetlands ' ❑ Rare Plants-Ecosystems 1g Type: Seismic Hazard ‘4 ❑ Landslide Hazard 1 ❑ FEMA FIRMS 1. ❑ Map Panel#: S (Q1J' VQ Erosion Hazard '11 ' ❑ Critical Aquifer Recharge areas ❑ Wells-Chloride ❑ Mineral Lands ❑ Shoreline Slope Stability TS / 1.• Chanel Migration 15K ❑ Airport Overlays '., ❑ No Shooting Zone 1- ❑ SIPZ ❑ f County Zoning-UGA ❑ LIDAR Hillshade ❑ ❑ USGS Topos ❑ ❑ 2011 Aerial Photos ❑ ❑ Assessor's Info ❑ ❑ MLA Number Form ❑ ❑ Pre Application File ❑ ❑ Reviewer Letter Sent ❑ ❑ Eagle❑ Wetland ❑ Eagle Plan Required ❑ ❑ 1 page ❑ Habitat Man Plan ❑ ESA Map Checklist 10-13-2008 a. 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Mon Sep 30 09:05:27 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 9/30/2013 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma. � 964600002 -m, ''im d 964600002 .+r a i v '4 �w t, � :K ▪ i° 3 y s ¢� v �'la': FxR�4� tt �� �.r��...��/ i 'a t �. 7` ' w r �` 6,- a 64226401 602264414 ` 602064475 • — r "� *¢„die sa t � zk 'f ¢�� � ` J �� rAi x r ,. a FG.a x t I ': k t c� i 1: °" ES 64226400ti` �r: a .,,,,„3",,,',4, .a v 601164007 < y 3 ? Legend tt � - 4 s a f 3 w tl"i x 3 -�: q Farc+tls-ti °*z'�i 3 a i ; 10'`� ,s..-t i i -- Stioc&iP1�9 Slops Stability %642264421 , 'as,"�''v' 8 �, 5+��.. s a i,S,:, .. as 2 r swat i x� i 2 " ,,",i 992800411 '. Q Intrrmadiala ' x G'�"a.a r°R 'n a $ 80 '. 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El Parc*a l L. .. 992800009 992800010 Contours - it 602264021 ` 10 foot Costar �' 992800011f 90 Foot Gafar r x. 982800 01 992800012 602264028 :t. �/.4 1 1 1 — v 992804013 ,60220264024 992800015 •.. 992800014 �A,c.prcmded Ery Jelisrr,Cax1y Ce* Gs 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 Se. 30 09:08:53 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/30/2013 N cf� Z Li o 3 . a a , ANN N ail gas NaaSaan 0 `— U CL W N o� a n a n co (W W CD N o ca On - N93 -SZ VI.MS) J u u u €g Z 0 r I�N`'N1N l'`'1,-01-510 N a u Uu H 4Y Z n INI 1 �:.to b m ey u Vi _ Q oms u N V ^' 1 1 1 1 1 1 1 l a l=10 0 °�-°m ti "' m J m l I to Ix©¢o e> r < �∎ I I I 1 1 1 I 1 I °I¢'- I ,ro m`do Io1 n l x I 1 1 I 1 I I I I 7W Z I'' o f A 1 1 1 1 1 1 1 1 6 1 1 JI 1 1 1 � I 0 '• � iiiiir<:`LIG1� I ci ri .. I v¢i°o O 0Y06 N00e1 1V3S D d r rwr LLI 11561111311MIN 14... Lll S Li %� i °, :o ,o A° > s N S D _cr 0 : o•- 0 / ¢ o N ,OOL OIL ,BOS `v,66 0_ / D p N 4 o o Q ¢ o U Y `O�e$S .� � 'z ` 3x \ S /FL7 vp g,v Q / xx a W � �8� In / iP / 3 o H °o a O I N W g N J Z O \ N N O 'r p z a tiP o `, V' 1— o 0• N K v O N D J U' °nN \ vi h \ v N d 8 \ \ ,96£1 \ ,94£1 (15380_1 7VNO/1VN .71dkV.(70) S — M oW o co a o` i i 8 x k w P i >a o 0 w 3 _ w g 2 n i rcm 0 0 0 w o Jo $8o EN'!" ?a z © g i$ a Z O U ¢F> d s a o Z Z=Q <c. u E¢ H i a V o z W 9- O — o Z'°°a g o G Z ° il W u o g 1` - ow i < O NLS 6 0 p F .$ - OOu' z — p o3 ,3 OF * O v ° - <U W W Z igD4 0 X oAW,aa 0 Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, February 25, 2014 4:57 PM To: Pat Perryman; Sherrie Shold Subject: MLA13-106 SOI for lot consolidation Attachments: SOl.pdf; Subdivision Certificate.pdf Hi Sherrie& Pat, Ronald and Judith Carpenter has applied for a BLA/Lot consolidation on parcel 992800009 &992800010, MLA13-00106. Please review and comment on the attached statement of intent and subdivision certificate. No survey was required because due to the consolidation per Jefferson County Code 18.35.060(3). Thank you in advance, CoCCeen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(c�co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:0o a.m.—4:3o p.m.Monday to Thursday,closed Fridays. 1 February 25, 2014 Dear Reviewer, RE: MLA13-00106 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: BLA- LOT CONSOLIDATION Location: Parcel Numbers 992 800 009 and 992 800 010, 601 and 620 Seal Rock Rd Brinnon WA Comments must be received within fourteen (14) calendar days or by March 11, 2014. If no written response has been received within fourteen (14)days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. 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SHORE iI 3 L,A,F 5c I'3-ck `i . ,�i ° COb, JEFFERSON COUNTY 4 , `e DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend•Washington 98368 4.,1 �y 360/379-4450. 360/379-4451 Fax �p www.co.jefferson.wa.us/commdevelopment 6 Master Permit Application MLA: /3-- /° Project Description(induce separate sheets as necessary): /O 7 /O/7s,0 Za/ 't`D/7 Tax Parcel Number. 9928 00009 Qn4' 99Z8O001D Property Size: (acres/square feet) Site Address and/or Directions to Property: 6 0/ and 620 sea/ .�o c k Pa' fir//in,a G('d Property Owners)of Record: COr",oeh7469j+ ''e4< /i vie!, 7`i"/Jt Telephone:36 O 6 96 9656 Fax: email: CO/70/6'COPet71S/I,<afri Mailing Address: /4/36/1 S//'o cca C//eve A/PV ..S/verclo k (/I/r4 96363 Applicant/Agent(if different from owner): .-57z eye 0//PI/of- Telephone: 360 692 6400 Fax: 36x7 692 8927 email: Qe ' //21tSelfe,/)2' Mailing Address:PO BOX 930 .S,'/verda/e M/4 93383 What kind of Permit?(Check each box that applies ' ❑Building ❑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 Pm 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: 1 DESIGNATION OF AGENT I hereby designate `S7t ve OffrnQP to act ap my agent in atte s relatin to is applica on fo rrrtit( t°7'rust�°, l�• s` ivrdua i✓ OWNER SIGNATURE 4,----. ( Fr1FQ QG 0 Date: , . , i -- 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap - ion that he .r s u wa is prior noti. Signature: / j i ,� .... Date:—_,?/�z .. The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer respons lily r adhering o and mplying with the ESA. The Applicant has read this disdai r and s' ns and dates it below. Signature: Date: 7/�'Y °/ 3 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc if /`/�3 0 5 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height ❑ Individual System ❑ Repair ❑ Masonry 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 answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank I Above ground Tank Size of Propane Tank: Heat Stove i Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a pennit 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH BId App Review 2"0 Floor Heated Consistency Review. Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc '-- \ f Zr N / \ . -___________ ...... \ I \ — .......____ 2...\\ ............i 1 i i ,,,v 1 ti ,.1 \ 1 1 'IN \ D r) .1., ,,/ : I ..,,,, I Z 1 fill A t. \ / It, E 0 i Pi / 1 4 J 0 i fi 4 i 'CY \ I 013M0 DNlSX3 I i / r .10 y32Y g311/00I1N✓ r raw 1 / f I ■ � wo `--.. 1 —..._... 1 / 41 b5 all. inri tg U ____g a R gge \ Old ll ._\__\_ .#d � I I H o� OA R r ❑ o J . 4,N. I � gi I �$ , Iz �� ' �� '�� a q Ny Aug-g A V 4 n / f X k $V o%ph 6 YU T. 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I / } li 1;4 - J ii 6: E / . / cas-gs---7- .....---" / ii i • 7 it 1 _ 4,gON L, ,��w 64, JEFFERSON COUNTY ► = ,1 DEPARTMENT OF COMMUNITY DEVELOPMENT � ' 621 Sheridan Street• Port Townsend •Washington 98368 `i4 NcA.— 360/379-4450 . 800/831-2678 . 360/379-4451 Fax Boundary Line Adjustment(BLA) Supplemental Application MLA# PROJECT/APPLICANT NAME:�'Qcf-en fer CO/ ( ,'7.5-ohd 77'O / Submittal Requirements ❑ A completed Master Permit Application.Representative authorization is required if application is not signed by owner. ❑ Boundary Line Adjustment application fee,as set forth in the Jefferson County Fee Ordinance,as amended. ❑ Three copies of a dean and legible drawing suitable for recording showing the following: a. The proposed lines for all affected lots,tracts,or parcels,indicated by bold solid lines; b. The existing lot,tract or parcel lines proposed to be changed,indicated by light broken lines; c. The intended future use of the adjusted lots,tracts or parcels; d. The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines,and structures to remain on the site depicted with solid lines; e. The original legal description of the entire property together with new separate legal descriptions for each lot, tract or parcel, labeling them each as existing parcel A,existing parcel B,revised parcel A,revised parcel B,etc.; f. A north arrow indication and scale; g. All assessor's tax parcel numbers for the affected lots,tracts or parcels; h. The location of the property as to quarter/quarter section; i. The location and dimensions of any easements within or adjacent to any affected lots,tracts or parcels; j. The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads,whether public or private,and other public ways within or adjacent to the affected lots,tracts or parcels; k. The areas and dimensions of each lot,tract or parcel,following the proposed adjustment; I. The existing, and if applicable, proposed future method of sewage disposal for each affected lot, tract or parcel, including the location and dimensions of and proposed septic drainfield; m. The location of all existing and proposed water and storm drainage facilities;and n. The approximate location and extent of any environmentally sensitive areas(ESAs), including any flood hazard areas lying within the existing or revised parcel boundaries. (Maps are available for review from the Department of Community Development.) ❑ A copy of any Covenants, Conditions and Restrictions (CC&Rs), deed restrictions, or planned rural residential development (PRRD)agreements pertaining to or affecting the property. ❑ If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or municipal sewer system),written verification from the Jefferson County Department of Environmental Health that the lots,tracts, parcels or sites, as each would exist after the boundary line adjustment,are adequate to accommodate an on-site sewage disposal system. 1. Please provide a brief description of the purpose of the proposed boundary line adjustment. idl7.SOl o '& Lois 9 a./7e7 /D /'2 7`0 0i78 71oA- /a 7'. 44' az',k 7/ J i7ce /'eevir'e rn en is BLAAPP.DOC REV.7/3/2013 Page 1 2. Please provide Existing Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets,if necessary.) Parcel A: 992 860 609 Lot 9 -sea/ igoc • Beac4 as /'ei-,off f r6.'or eI/ UJwne 0 /21,es /7 Q�d /49 R eavds o I C,vn f , Parcel B: 992 860 DSO Zo,1/Oj .rea/ Rock Beac4 as goer ,0/41 recorded //7 Vo/L,iie I al .o/Qf� /Dd i7 a'&'/4 .eecopds or ,4e'jo n co un Wash, foil. Parcel C: Parcel D: 3. Please provide Proposed Legal Descriptions of all affected lots,tracts or parcels.(Attach additional sheets if necessary.) Parcel A: Zo/s 9 ar'd /D, .J 'a/ R cA Beac4 CIS /aer /4 f rrcotded �� Vo/v„e o-' P/e4 Payer /7 4/7d /A7ecrods d .-72)f-fey^sDh Co vn-/y, (off s fi v to Parcel B: Parcel C: Parcel D: 4. All owners of the subject properties must sign the application below to signify agreement to the proposed boundary line adjustment. The applicants hereby certify that all of the above statements are true and the plot plan provides an accurate representation of the proposed boundary line adjustment, and the applicants hereby acknowledge that any permit issued on this applicatio�n/may be revoked if any such statement is found to be false. a. ja— ✓,�t/- /3 vas vela” Date: 7/Z Y b- #GLJAA le. l �t 717'/4$l GP Date: �7 /2.&( 1 2-c9 13 C. Date: d. Date: BLA ARP.DOC REV.713/2013 Page 2 ,oN Jefferson County D C D Invoice No. 13-166 621 Sheridan Street Port Townsend, WA 98368 .rfitr oi (360)379-4450 fax(360)379-4451 INVOICE Date 10/1/2013 Name Ronald Carpenter/Carpenter Trust Case# Addres 10614 Sirocco Circle NW Case# MLA13-00106 City Silverldale WA 98383 Case# SUB13-00009 Phone Qty Description Unit Price 4 TOTAL 1 Environmental Fees BLA base fee $312.004 $312.00 ,$156 base fee+$156 lot fee(2 lots at$78 each) 'Please Mail to: X621 Sheridan Street ;Port Townsend, WA 98368 i I Please Make Payable to: Jefferson County SubTotal $312.00 Payment Details 0 Cash 0 Che ck 0 Outstanding TOTAL $312.00 • Outstandin \I Name Check# Office Use Only — –Receipt# Department of Community Development Q ( �,ccam� ``��/Y V ''9_ i3 y .- ` — • - • -C.01 • b I,��g- � �?�1cTCC. ( 8•a5. pCG, J•t o C a-4/mo L3 — JEFFERSON ouNrfr PUBLIC EL7H 615 Sheridan Street• Port Townsend•Washington •98368 r`r '° wiwijeffersoncountypu blichealth.arg 'Y W WI HER Ave ysi.III 2013 DIA . M TCHER n (� ge A 98320 cog qj RE: NOTICE AND ORDER TO CORRECT-Septic System Corrections Required SECOND NOT!?3E'` Septic System Monitoring Inspection SITE ADDRESS: 620 SEAL ROCK RD PARCEL NUMBER: 992800009 CASE#: SOM13-00026 Dear: GARY W WITCHER On February 25, 2013 a monitoring inspection was completed on the above referenced property. The following issues identified require correction: 1. The tank has dry material in the bottom and therefore the tank integrity is unknown. A water test will be required to determine the integrity of the tank. Items identified above may cause damage to, or premature failure of the onsite sewage system and constitute a violation of the following section of JCC 8.15: > JC Code 8.15.150(1)Operations, Maintenance and Monitoring Jefferson County Public Health hereby gives you notice to correct the violations identified above within thirty days of the date of this notice by doing the following: > Hire an Onsite Wastewater Treatment Designer, or a Professional Engineer to inspect the septic system components to verify their condition and; > Submit the inspection report to Jefferson County Public Health, Environmental Health Division for review to determine if additional actions are required OR submit a design for corrective actions that complies with state and local code to the Jefferson County Public Health, Environmental Health Division for review, and, if needed, > If required by code obtain a Sewage Disposal Permit from Jefferson County Public Health pursuant to JCC 8.15.080. > Contact this office at 360-385-9444 to inform me of the actions you are taking. Please be advised that you also need to comply with other sections of Jefferson County Code, and may need to apply for the following if applicable: > building permit This is obtained through the Jefferson County Department of Community Development.They can be contacted at(360) 379-4450. fey t'c ce cbw,c.e E 1k c'eNi-ve- o ' 3CC tg.35.0'0(,(Q) � t r + • This letter is intended to serve as formal notice that no further approvals shall be granted until corrections are made and approved by Health Department staff. Failure to comply with this notice and order to correct violation may result in the issuance of a civil infraction notice to you pursuant to section 180 of said regulations. The civil infraction may result in a fine of up to$513.00 per violation per day to be assessed to you. A permit is required for any repair or modification of an onsite sewage system, per Washington Administrative Code 246-272A and Jefferson County Code 8.15. A list of designers that have submitted work here is enclosed.The code sections referenced are attached for your information. The purpose of proper maintenance is so the County,for the benefit and protection of the public's health, is assured by this department that these systems are designed, installed and maintained in a proper manner. We appreciate your prompt attention to this matter and if you should have further questions please contact this office at 385-9444. Please note that pursuant to JC Code 8.15.170 of the above regulations that any person aggrieved by the contents of a Notice and Order to Correct Violation issued under this regulation, or by any inspection or enforcement action conducted by Jefferson County Public Health under this regulation may request, in writing, a hearing before the Health Officer or his/her designee. Such request shall be presented to the Health Officer within 10 business days of the action appealed. Such a hearing, if requested by you, will be your sole opportunity to present live testimony and witnesses in support of your position. Sincerely, Environmental Health Specialist Jefferson County Public Health 360-385-9444 c: File, O&M Specialist enc List of Designers CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 992800009 Printed: August 26, 2013 Cases Name Review Type Status Planner SUB13-00009 MLA13-00106 CARPENTER P Application Received: 7/24/2013 Permit Issued/Case closed: Case Finaled: BLA- LOT CONSOLIDAI ION No findings, conditions, or permissions found. PRJ13-00184 WITCHER N Application Received: 2/26/2013 Permit Issued/Case closed: Case Finaled: monitoring inspection only, no septic permit records on file No findings, conditions, or permissions found. SEP13-00026 WITCHER V Application Received: 2/26/2013 Permit Issued/Case closed: Case Finaled: monitoring inspection ontic permit records on file, sanitary survey under SOM11-01051 No findings, conditions, or permissions found. SOM13-00026 WITCHER VIO Application Received: 2/26/2013 Permit Issued/Case closed: 2/25/2013 Case Finaled: monitoring inspection on y—emit records on file. sanitary survey under SOM11-01051 No findings, conditions, or permissions found. SOM11-01051 WITCHER NFD Application Received: 9/13/2011 Permit Issued/Case closed: Case Finaled: sanitary survey only record, no septic record found No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 1 of 1 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 992800009 Printed: August 26, 2013 Cases Name Review Type Status Planner SUB13-00009 MLA13-00106 CARPENTER P Application Received: 7/24/2013 Permit Issued/Case closed: Case Finaled: BLA- LOT CONSOLIUAI ION No findings, conditions, or permissions found. CAR99-00504 SUNTI F Application Received: 12/16/1999 Permit Issued/Case closed: 12/17/1999 Case Finaled: 12/17/1999 new septic tank No findings, conditions, or permissions found. SEP99-00328 CARPENTER F Application Received: 12/8/1999 Permit Issued/Case closed: 1/20/2000 Case Finaled: 6/29/2000 New tank only. Drainfield repaired since 1970 without a permit.. Drainfield less than 30 feet from Hood Cannal.. ISSUE NO BUILDING PERMITS ON THIS SYSTEM 1 1 1 1 1 1.) Health Department is to be contacted for a final inspection of the septic tank prior to covering. 2.) 50 ft. setback of new septic tank to hood canal required. 3.) No future building permits can be issued on this parcel with the existing septic system. 4.) The existing septic tank must be pumped, crushed, and backfilled. A pump receipt is required. 5.) Outlet baffle screen required on septic tank 6.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 7.) Risers are required to grade with secured lids over the inlet and outlet of the septic tank. . SOM99-00328 CARPENTER TRSTE F Application Received: 6/29/2000 Permit Issued/Case closed: Case Finaled: SEP99-328 for tank on yam- No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 1 of 1 Parcel Print Page 1 of 1 Parcel Number:992800009 06/24/2011 Owner Mailing Address: RONALD G CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA 983838857 Site Address: 620 SEAL ROCK RD BRINNON 98320 Section: 26 School District: Brinnon(46) Qtr Section: SE1/4 Fire Dist: Brinnon(4) Township: 26N Tax Status: Taxable Range: 2W Tax Code: 441 Planning area: Brinnon(11) Sub Division: SEAL ROCK Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: SEAL ROCK I LOT 9 1 1 1 http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL N0=992800009... 9/30/2013 Assessor Detail Building#1 Page 1 of 1 k ff � Je rson County - �� y,„, My S, r _ Home County Info y Departments Search • Assessor Detail Building #1 Parcel Number: 992800009 Building Number Year Built Year Remodeled 1 0 1986 Building Exterior Building Area Building Interior Building Type: HOUSE 1st Floor Area: 962 Int. Walls (Cabin): Building Style: 1 STY 2nd Floor Area: 0 Heat: OTHER Foundation:POST&BLOCK/PIERS 3rd Floor Area: 0 Exterior: SIDING/STUCCO (LAP) Loft Area: 0 Floor Cover(1): Roof Cover:COMPOSITON Attic Area: 0 Floor Cover(2): Total Area: 962 Basement Area: 0 Building Rooms Mobile Home Garage Bedrooms: 2 Make: Type: Full Baths: 1 Model: Area: 0 Half Baths: 0 Length: Exterior: Width: Roof: Year Built: Carport Square Footage: 0 Skirting: Area: 0 1st Addition 2nd Addition Type: Garage Type: Area: 288 Area: 0 Year Built: 2010 Year Built: 0 Exterior: Ply/T1-11 Exterior: Roof: Metal Roof: To view another building associated with this parcel. Select building : 1 2 3 '-- ifsa .t Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/assessordetail.asp?Parcel_NO=992800009 9/30/2013 Assessor Detail Building#1 Page 1 of 1 Jefferson County e 1 Home - County Info 4 Departments . Search Assessor Detail Building #1 Parcel Number: 992800010 Building Number Year Built Year Remodeled 1 1960 2001 Building Exterior Building Area Building Interior Building Type: HOUSE 1st Floor Area: 600 Int. Walls (Cabin): Building Style: 1 STY 2nd Floor Area: 0 Heat: OTHER Foundation:CONCRETE PERIM. 3rd Floor Area: 0 Exterior: SIDING/STUCCO (LAP) Loft Area: 0 Floor Cover(1): Roof Cover:COMPOSITON Attic Area: 0 Floor Cover(2): Total Area: 600 Basement Area: 0 Building Rooms Mobile Home Garage Bedrooms: 2 Make: Type: Full Baths: 1 Model: Area: 0 Half Baths: 0 Length: Exterior: Width: Roof: Year Built: Carport Square Footage: 0 Skirting: Area: 0 1st Addition 2nd Addition Type: Type: Area: 0 Area: 0 Year Built: 0 Year Built: 0 Exterior: Exterior: Roof: Roof: To view another building associated with this parcel. Select building : 1 2 3 ° Jefferson Coulty HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/assessordetail.asp?Parcel_NO=992800010 9/30/2013 Parcel Print Page 1 of 1 • Parcel Number:992800010 06/24/2011 Owner Mailing Address: RONALD G CARPENTER TRSTE JUDITH K CARPENTER TRSTE CARPENTER REV LIVING TRST 10614 SIROCCO CIR NW SILVERDALE WA 983838857 Site Address: 601 SEAL ROCK RD BRINNON 98320 Section: 26 School District: Brinnon(46) Qtr Section: SE1/4 Fire Dist: Brinnon(4) Township: 26N Tax Status: Taxable Range: 2W Tax Code: 441 Planning area: Brinnon(11) Sub Division: SEAL ROCK Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: SEAL ROCK I LOT 10 &TL FRTG I I I •, f �'zt r http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=992800010... 9/30/2013 Map Output Page 1 of 2 ArcIMS HTML Viewer Map ° , " 'ff\il .a 1, / k'a _ : z e 60, Itt,7 ' . ..*. / 1 ,a,,,,,tr',.;',...T.1-L;,„,,, l'.' r / it Li- 1"'fie °s. ., ' ,', 949 0001@; 4 w " . e w . ; 9928EfQ011j? r � a - - 992800008 '� + . ' 1,..„:12.,. :1°. e ,121,,.A jir 4; ' ( F, a ` A ,„.,,,..,..,„,4 *,;,,41kt,,, - ''''''' °*".'o.T,v.:11:,*!;* '-; ;, G : 4: `IA asrcr+iti.mfsaahCaltfCetinlStr GIS a - http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 8/26/2013 Map Output Page 2 of 2 Legend CaSelected Features JC Roads 1 Parcels#1 Carty Zoc ng MPR4W Tsetse t, Rural Rrr drdivi 1:5 INRural Residential 1:10 Rural RaidaMia1 1:20 MPR.Sessle Family ■ MPR•MWtilassdy MPR-Resort Campine Parks and Recreation ■ MPR•Opsrs Spam Rural Form Commercial Forest Molding Forest Merry Industrial Armed IWF ■ MPR•WtaesCenter MI AP1:20 ■ Rural Wage Centre ■ Resource eased Yd. IIII Lipid Indu trie MPLRwation ■ Wads MprsPJF LtAA ® LIc ■ Cmaroadr eC CmesrnadeCC ■ CrosroadeMC ■ AL 1:20 tleAdirbars Cairneroidf UGA•Jrban Light i dustth1 as ? UGA41DR 4tf# UGA-11DR Yhl. URA-Pubic UGAd.DR UGA•Wetor Moaned Camarele MPR•11Rit sri non OFarr-Mi 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 Aug 26 09:32:23 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 8/26/2013 Parcel Details Page 1 of 2 . Jefferson County 4y,A\arty a Home ' County Info :.Departments : Search Parcel Number: 992800009 SEARCH Parcel Number: 992800009 Printer Friendly Owner Mailing Address: RONALD CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA983838857 Site Address: 620 SEAL ROCK RD BRINNON 98320 Section: 26 School District: Brinnon (46) Qtr Section: SE1/4 Fire Dist: Brinnon (4) Township: 26N Tax Status: Taxable Range: 2W Tax Code: 441 Planning area: Brinnon (11) Sub Division: SEAL ROCK Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: SEAL ROCK I LOT 9 I l Click on photo for larger image. . In Permit Data Assessor Bldg Data Mao Parcel Plats&Survev Tax,A/V, Sales Info Septic Monitoring Info \dritiMIIMMINIM HOME I COUNTY INFO I DEPARTMENTS I SEARCH di Best viewed with Microsoft Internet Explorer 6.0 or later 1111Windows - Mac http://www.co jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_N0=992800009 8/26/2013 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000992800010 Geo Cd 260226411441 SEAL ROCK Nbhd Cd 1350 LOT 10 & TL FRTG Loc ID * Taxpayer Cd CARP 3690 CARPENTER TRSTE, RONALD G T/P Chg Dt 1/15/2003 * Title Owner T/P Chg Usr JODI Tax Code 0441 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 88975 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer CARP3690 RONALD G CARPENTER TRSTE JUDITH K CARPENTER TRSTE CARPENTER REV LIVING TRST 10614 SIROCCO CIR NW SILVERDALE WA 98383-8857 Search Key CMD 6: End Window CMD 7: End of Job Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000992800009 Geo Cd 260226411441 SEAL ROCK Nbhd Cd 1350 LOT 9 Loc ID * Taxpayer Cd CARP 3691 CARPENTER, RONALD G T/P Chg Dt 7/09/2013 * Title Owner T/P Chg Usr JA Tax Code 0441 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 119499 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer CARP3691 RONALD G CARPENTER JUDITH K CARPENTER 10614 SIROCCO CR NW SILVERDALE WA 98383-8857 Search Key CMD 6: End Window CMD 7: End of Job Screen: 01 REAL PROPERTY MASTER Mode : INQUIRY Auto Roll : OFF Parcel # 000992800010 Geo Cd 260226411441 SEAL ROCK Nbhd Cd 1350 LOT 10 & TL FRTG Loc ID * Taxpayer Cd CARP 3690 CARPENTER TRSTE, RONALD G T/P Chg Dt 1/15/2003 * Title Owner T/P Chg Usr JODI Tax Code 0441 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 88975 Vol/Page / C/U Code Legal Doc SWD 2/18/00 Amount 110000 IMP User Cd Acres F/M Value C/U Value S/C Value Improved Land 7 100000 Appraisal Yr 2013 Unimprov Land 900 New Con Bld Timberland New Con Lnd Improvements 60175 Mobile Home Totals .07 161,075 Chg Date 7/23/2010 Fire Patrol N Regular Taxable Value 161,075 Chg User SS F5=Appraisal F6=Windows F7=End of Job F9=Situs Address F13=History iy\ \ 3 - IOU- Screen: 01 REAL PROPERTY MASTER Mode : INQUIRY Auto Roll : OFF Parcel # 000992800009 Geo Cd 260226411441 SEAL ROCK Nbhd Cd 1350 LOT 9 Loc ID * Taxpayer Cd CARP 3691 CARPENTER, RONALD G T/P Chg Dt 7/09/2013 * Title Owner T/P Chg Usr JA Tax Code 0441 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 119499 Vol/Page / C/U Code Legal Doc SWD 6/27/13 Amount 65000 LND User Cd Acres F M Value C/U Value S/C Value Improved Land 14 34000 Appraisal Yr 2013 Unimprov Land New Con Bld Timberland New Con Lnd Improvements 37385 Mobile Home Totals . 14 71,385 Chg Date 7/23/2010 Fire Patrol N Regular Taxable Value 71,385 Chg User SS FS=Appraisal F6=Windows F7=End of Job F9=Situs Address F13=History DEVELOPMENT REVIEW TIME SHEET RONALD G CARPENTER MLA13-00106 Date Time Comments 101 ' t9) ;1_, fit ' r(\ -A► a 030r)1/4)Q_ tcm \\tidemark\data\forms\R_MLT_Case_CRMLA.rpt August 26,2013 `-UDC CONSISTENCY REVI1W Project Planner: Master#MLA13-00106 Review Type Project Description SUB13-00009 BLA-LOT CONSOLIDATION Primary: RONALD G CARPENTER Site Address: JUDITH K CARPENTER 620 SEAL ROCK RD 10614 SIROCCO CR NW BRINNON WA, 98320 SILVERDALE WA 98383-8857 4 AGT STEVE OTTMAR PO BOX 930 SILVERDALE WA 98383 Project Location: Parcel Numbers 992 800 009 and 992 800 010, 601 and 620 Seal Rock Rd Brinnon WA Parcel Number: 992800009 S-T-R: 26-26N-02W Total Acreage 0 Legal Description SEAL ROCK LOT 9 Land Use: 1100 Flood District: Fire District: 4 Planning Area: 11 Flood Map(FIRM)Panel No: chool D 46 Zoning: Parcel Number: 992800010 S-T-R: 26-26N-02W Total Acreage 0 Legal Description SEAL ROCK LOT 10&TL FRTG Land Use: 1100 Flood District: Fire District: 4 Planning Area: 11 chool D 46 Zoning: Flood Map LAN(FIRM)Panel No: R , ; COMP P DESIGNATION: COMMUNITY PLAN: - UGA: UGA Trans [1, Plot plan states "property line" [1 Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on theAssessor's 1/4 map) Legal Access to Property YES NO ��� [ ' Parcel Tags or Scanned Documents YES NO 0,x6_, `�J t kVA)14 z [ ' ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES O [ ] Shoreline Designation: k S NO S wt‘oaiv-N [ ] Shoreline Slope Sta s ility: 4, NO Stream Type:YES a Fish& Wildlife S . NO vuo C P — Sitk.or,e,1yQ Wetlands: YES a Rare Plants:YES Seismic: YES ! Landslide: YES IN Flood: YES l Erosion: YES gie Aquifer Recharge Area:YES SIPZ: none At Risk High Risk Co stal CMZ: High Risk Moder to Risk Disconnected CMZ Stormwater site plan submitted: Ye& [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES �OM [ ] Agricultural Lands: [ ] Archaeology: YES NO [ 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 Engineering 0 served Octl k60) [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO 1irest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other f 1 Building Heil?ht: 35' UBC Standard [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% 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 septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)& Condition(s): 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 [ ] UGA No Protest Agreement 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 992800009 MLA13-00106 SUB13-00009 P BLA-LOT CONSOLIDATION PRJ 13-00184 N monitoring inspection only,no septic permit records on file SEP13-00026 V monitoring inspection only,no septic permit records on file, sanitary survey under SOM11-01051 SOM 13-00026 VIO 2/25/2013 monitoring inspection only,no permit records on file.sanitary survey under SOM11-01051 SOM 11-01051 NFD sanitary survey only record,no septic record found