Loading...
HomeMy WebLinkAboutSUB2013-00012 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: THOMAS TUCKER JANICE TUCKER PO BOX 328 PORT TOWNSEND WA 983680328 DATE ISSUED: December 11,2014 DATE EXPIRES: June 11,2015 MLA NUMBER: MLA13-00127 PROJECT PLANNER: Colleen Zmolek PROJECT DESCRIPTION: BOUNDARY LINE ADJUSTMENT and LOT CERTIFICATION PROJECT LOCATION: Parcel number 963 303 501, Irving Park Addition, blk 35, lots 1 thru 5, Section 17, Township 30N, Range 1W, WM, located at 12 Mediterranean Ave, Port Townsend CONDITIONS: 1.) Once finaled, this BLAwill cause 2 recorded doccuments to become void. AFN 391897 &517127. Both documents should be recinded upon recording of the final survey. Contact environmental health for assistance 2.) "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." 3.) Consistent with JCC Title 18.35.080 (3), the applicant/surveyor is responsible for recording the Statement of Intent with the Jefferson County Auditor and referencing said Statement on the face of the survey. (An Excise Tax Affidavit will need to be completed for the Statement of Intent, see attached form). The survey mylar and current recording fee of$138 (plus$1 for additional names a &$5 for additional pages) payable to the Jefferson County Auditor shall be submitted to the Department of Community Development for department signatures and recording of said mylar. 4.) The final record of survey document shall contain the following signature blocks: (1) "Jefferson County Assessor"to be signed by the Jefferson County Assessor or his/her designee; and (2) "Administrator, Jefferson County Department of Community Development"to be signed by the administrator. 5.) The county assigned case numbers, MLA13-00127/SUB13-00012 shall be referenced on the face of the final survey mylar. 6.) The following statement shall be placed on the face of the final survey mylar: For legal descriptions of Parcels A and B before and after Boundary Line Adjustment and the Statements of Intent see AFN Approval not guaranteed Approval of this Boundary Line Adjustment does not guarantee the approval of any future county permits and/or approvals. 7.) SUBMIT THE MYLAR AND TWO (2) COPIES OF THE SURVEY TO THE DEPARTMENT WITH THE RECORDING FEE (PAYABLE TO THE JEFFERSON COUNTY AUDITOR) FOR DEPARTMENT SIGNATURES AND RECORDING OF THE SURVEY. 8.) The following notice shall be placed on the final survey mylar: JEFFERSON COUNTY 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. Applications for septic and building permits will be reviewed at time of submittal of such application for consistency with current state and county codes and ordinances. 9.) The following notice shall be placed on the final survey mylar: JEFFERSON COUNTY NOTICE TO PUBLIC Septic systems are permitted and installed on each lot. Any new or replacement residences or other structures, may be connected to a pre-existing on-site sewage system only when the pre-existing system has hydraulic capacity, sufficient vertical and horizontal separation, an adequate reserve are and satisfies all other requirements to be in compliance with current code. 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(e) in that the proposal is to create a more suitable building 101 so each resulting parcel has its own septic and designated reserve drainfield area. 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.) 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). 11.) This approval is for a Lot Certification and Boundary Line Adjustment 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. 12.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 13.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 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. UDC -dio MLA13-10127 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 12/11/2014 Page 3 of 3 589061 PGS • 4 BLA 02/02/2015 12:01 PM $75.00 COLLEEN Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor ir ilP I� , J,Warf l�K O l0114. 11 111 AFTER RECORDING MAIL TO: Name: Thomas &Janice Tucker Address: P. O. Box 328 city/state:Port Townsend, WA 98368 Boundary Line Adjustment Grantor(s): 1. Thomas A. and Janice A. Tucker Grantee(s): 1. Thomas A. and Janice A. Tucker Legal Description: Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A: 963-303-502; within the East Half of Section 17,Township 30 North, Range 1 West,WM (See attached Exhibit `A') Parcel B: 963-303-501; within the East Half of Section 17,Township 30 North, Range 1 West,WM (See attached Exhibit `A') Boundary line subject to adjustment described as follows(new legal description): See attached Exhibit `B' The nature of the adjustment is described as follows: Adjust the parcels so each resulting parcel has its own septic and designated reserve drainfield areas. 680571 1 631 *2/2/2015 10.00* Exhibit A EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT: A.P.N.963-303-501: Lots 1 through 5,block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except therefrom that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Ref:A.F.N.554406 Exhibit B NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT: PARCEL A: Lots 1 and 2,together with the North 15 feet of Lot 3,all in Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Also together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Situate in the County of Jefferson,State of Washington. PARCEL B: Lots 3 through 5,Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No. 06-2-00118-3 in order filed May 5,2006; Except the North 15 feet of said-Lot 3; Also except that portion conveyed to Jefferson County for road purposes by deed recorded May 17,2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 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 JEFFERSON On I 12-411.1 C 7 , 2 0 I 5 , personally appeared 'Thom a S aeiGe 11t GKe r and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that she executed it. WITNESS my hand and official seal this 2btlay of jCv tIAA i , 200 l5 . . I A. .. 1. • ale CIA Notary Public in and or the State of Was i Oen, Residing at —T pUU' 1 W Notary Public state of Washington AMANDA K HOLLOWAY MY COMMISSION EXPIRES This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. . _ /4/1//q Associate Planner Date 589059 PGS : 1 REV 02/02/2015 12:01 PM $72.00 COLLEEN Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor Filed for the record at the request of: 111111KIVanleVINEWI In%UM N 11 111 Jefferson County Environmental Health 615 Sheridan Port Townsend WA 98368 RECISION OF SEPTIC EASEMENT NOTICE IS HEREBY GIVEN TO Tomas A. and Janice A.Tucker, his/her Heirs and assigns, and the general public. The Notice to Title filed under AFN 391897 on June 7, 1996 is hereby rescinded. Due to: Boundary Line Adjustment and each resulting parcel will have its own primary and reserve drainfield areas. DATED this I day of , 2014. Randy Marx, EHS II Jefferson County Environmental Health Acknowledgement: `,, SUBSCRIBED AND SWORN to before me this II day of &C -y) ,2014. lll/44 ••`.4,1101 Er;':r►•'%� Notary blic in and for the State of Washington, o NoT�urr Residing in f(y..) o„.1 Washington. ,�0s`,c My commission expires: (1� � Q; 106/ oo 589060 PGS : 1 REV 02/02/2015 12:01 PM $72.00 COLLEEN Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor Filed for the record at the request of: 1111 INrjI 1W61441:1,6 Hitt/M4'L I )Milli 11111 Jefferson County Environmental Health 615 Sheridan Port Townsend WA 98368 RECISION OF DECLARATION OF RESTRICTIVE COVENANT NOTICE IS HEREBY GIVEN TO Tomas A. and Janice A.Tucker, his/her Heirs and assigns, and the general public. The Notice to Title filed under AFN 517127 on October 31, 2006 is hereby rescinded. Due to: Boundary Line Adjustment and each resulting parcel meeting minimum land area requirements. DATED this N day of 0.0-021416-1-*._ , 2014. Randy Marx, EHS II Jefferson County Environmental Health Acknowledgement: SUBSCRIBED AND SWORN to before me this 1\ day of.CA e-✓ ,2014. W t .i`.=1Ni 4i Notary public in and for he State of Washington, • 6'4a fie*. Residing in Vim — 1 �cex∎s\ Washington. • ""hms. My commission expires: ✓1r LI 1 LP sJ►' *°04:••!I 4 .,•,46$ *0 7�wA � 1 001;111.040k 00 ola e solos/ ` - .' .... iota..f 4. . % \ . z41111$ 1!:;$",*� 1 *fpm % . �1,41704411 0 amsat� , d N i Jefferson County,WA • Jefferson County Auditor 1820 Jefferson St. Port Townsend, WA 98368 Receipt: 15-00495 Extended Product Name $72.00 REV Revocation 589059 Document# ' 1 # Pages true $40 surcharge $7u 00 REV Revocation 589060 Document# 1 # Pages true ,' $40 surcharge $75.00 tr BLA Boundary Line Adj. 589061 Document# # Pages 4 122634 Excise# $40 surcharge true $138.00 Survey A SUR J Document# 589062 Document Info: V: 36 4 P: # Pages 1 Additional Names 0 0 Additional Legal Descriptions $40 surcharge true �...�"________� $357 00 Total Tender (Check) 5357.00 Check#6083 THOMAS & JANICE PaidBY TUCKER Thank Youl 212115 12:01 PM lorraina Department of lire Revenue 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 owners,list percentage of ownership next to name. IIName Thomas A. &Janice A.Tucker © Name Thomas A. &Janice A. Tucker r4 w c4 0 W Mailing Address PO Box 328 a Mailing Address PO Box 328 y g City/State/Zip Port Townsend WA 98368 iro iR City/State/Zip Port Townsend WA 98368 c. Phone No.(including area code) Phone No.(including area code) III List all real and personal property tax parcel account Send all property tax correspondence to:❑Same as Buyer/Grantee List assessed value(s) numbers—check box if personal property Name 963-303-502 ❑ -n Mailing Address 963-303-501 n $169,944 City/State/Zip ❑ Phone No.(including area code) n © Street address of property: 12 Mediterranean Avenue,Port Townsend,WA 98368 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 Select Land Use Code(s): 11-Household,single family units I List all personal property(tangible and intangible)included in selling lil 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 ❑ p chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? IIIYES NO If claiming an exemption, list WAC number and reason for exemption: Is this property designated as forest land per chapter 84.33 RCW? ❑ 'A WAC No. (Section/Subsection) - - -- t2 q53 co/4-/arz) Is this property classified as current use(open space,farm and ❑ D agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption Is this property receiving special valuation as historical property El GI Boundary Line Adjustment per chapter 84.26 RCW? If any answers are yes,complete as instructed below. Type of Document Boundary Line Adjustment (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 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 for more information. 0.0050 Local $ 0.00 This land ❑does ❑does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) NEW OWNER(S):To continue special valuation as historic property, Subtotal $ ,_ 0.00 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$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS ® I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of ----- Signature of �-- Grantor or Grantor's Agent' ✓ Grantee or Grantee's Agent -r / Name(print) Thomas A. Tucker Name(print) -1-4-to MA S A. ©i c,K.C� Date&city of signing: / - a_: wJ I t'' &e Date&city of signing: i JZ/.//.3- U j J O tr,u aO1! 61,'ks- Perjury:Perjury 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 a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.020(I C)). REV 84 0001a(6/26/14) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER Colleen Zmolek From: Colleen Zmolek Sent: Monday, January 26, 2015 1:23 PM To: 'lyra©olympus.net Subject: FW: Lot certification & BLA Hi Mr.Tucker, RE: MLA13-00136 To proceed with the recording of your lot certification and final please submit the following: • The Statement of Intent, signed and notarized. • $10 check made out to Jefferson County Treasurer's office. I will file the tax affidavit at the treasurer's office the same day that I record the documents at the Jefferson County Auditor's office. • $357 check made out to the Jefferson County Auditor. Recording fees break down as follows o $138 Survey BLA o $75 Statement of Intent($72 first page and $1 each additional page) o $72 Recision of Septic Easement o $72 Recision of Declaration of Restrictive Covenant o $357 Total fees for recording documents. The Treasurer's office sent me a notice that the taxes have been paid in full for 2015. Please bring in the 2 checks and Statement of Intent and I will proceed with processing and recording the application. Thank you, CoCCeen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(alco.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 F2.50 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m. Monday to Thursday,closed Fridays. 1 a December 11, 2014 Hi Brian: Please make the minor additions to the final BLA mylar for Mr. Tucker. (See attached red line). Please submit the mylar and 2 copies. The county will fill in the blank for the additional AFN's for the rescission documents. The county anticipates on recording the BLA prior to the end of this year so the applicant will not have to pay the 2015 full property taxes. Thank you in advance for your cooperation. Sincerely, Colleen Zmolek Associate Planner, DCD Colleen Zmolek From: Lorraina Julian Sent: Monday, January 26, 2015 8:34 AM To: Colleen Zmolek - Subject: RE: fee request Good Morning Colleen, The BLA Survey will be $138.00 The other documents, I believe,will be $72.00 for the first page &$1.00 for each additional attached. Lorraina From:Colleen Zmolek, Sent: Monday,January 26, 2015 8:21 AM To: Lorraina Julian Subject:fee request Good Morning Lorraina, Please send me a quote on recording the 3 attached documents and a BLA survey. The documents for recording are: • 1 page BLA survey • Recision of Restrictive Covenant • Recision of Septic Easement • Statement of intent for legal descriptions for BLA. Thank you. CoCCeen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek anco.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 22.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. 1 �,SO�' co JEFFERSON COUNTY w ::Gt' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment `�9 o' Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdt co.iefferson.wa.us Htro SquareONE Resource Center I Building Permits & inspections I Development Review I Long Range Planning May 1, 2014 RE: Tucker BLA MLA13-00127 After reviewing the proposed Boundary Line Adjustment survey, I have the following comment(s): 1. A signature line is required for the owner,Jefferson County Code 18.18.35.o7o(7)(b). Please add the following to the survey. DECLARATION: Know all persons by these presents that the undersigned, title owner(s) of the land described herein, declare(s) this Boundary Line adjustment to be created by my/our own free will and consent(s) and approve(s) of its entry into the land records for Jefferson County through recordation of this survey with the Jefferson County Auditor. Thomas Tucker, Owner Janice Tucker, Owner 2. The final page of the record of survey document shall contain the following signature blocks JCC18.35.080(3): JEFFERSON COUNTY APPROVALS Jefferson County Department of Community Development Date UDC Administrator Jefferson County Assessor Date 3. The survey needs to identify the area of each parcel before and after the BLA. Before the BLA; parcel B lots consist of lots 5,4 and 3, parcel A consists of lots 1 and 2. Jefferson County Code 18.35.070(3)(i): The area and dimensions of each lot prior to and following the proposed adjustment. 4. Submit a Subdivision Certificate prepared by a title company. JCC 18.35.070(7): (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] 5. Environmental Health commented as follows: • Each septic system has a permitted reserve drainfield area. These reserve areas must be shown on the survey. • On lot 2 the label "Septic D Box" must be changed to Septic Manifold Box. • Completion of this BLA will cause a conflict with two recorded documents.You will need to cancel or rescind the Covenant recorded under AFN 517127 and the easement recorded under AFN 39i897. Page 2 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY " DEVELOPMENT 4.1 621 Sheridan Street,Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd a(�.co.iefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning May 5, 2014 THOMAS TUCKER JANICE TUCKER PO BOX 328 PORT TOWNSEND WA 983680328 RE: SITE ADDRESS: 65 CAPE GEORGE RD CASE#: MLA13-00127 Dear THOMAS TUCKER: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. All taxes must be paid for 2014 prior to recroding BLA Please submit the above information to the Department of Community Development by August 3, 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 ICI II \\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 5/5/2014 Colleen Zmolek From: Pat Perryman Sent: Thursday, October 17, 2013 2:59 PM To: Colleen Zmolek Subject: M LA13-00127 October 17,2013 RE: MLA13-oo127 Tucker Colleen, After reviewing the documents submitted to us on October 11, 2013,1 have no pertinent comments concerning this proposed action. If you have any questions about this proposed action from my prospective or comments,please do not hesitate to contact me. Thanks, Pat Pat Perrryman P.O.Box 1220 Port Townsend,WA 98368 (360)385-9365 or (36o)385-9222 e-mail pperryman@co.jefferson.wa.us 1 SON co JEFFERSON COUNTY W� : .< DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street Port Townsend,WA 98368 Web:www.co.Jefferson.wa.us/communitydevelopment Tel:360.379.4450 Fax:360.379.4451 (Email:dcd@co.jefferson.wa.us IN Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center October 10, 2013 Dear Reywer,17c RE: MLA13-00127 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: BOUNDARY LINE ADJUSTMENT and LOT CERTIFICATION Location: Comments must be received within fourteen (14) calendar days or by October 24,2013. 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. Sincerely, Colleen Zmolek W cc:, 0 - 10 - 13 -food d , soy- S`A- \\tidemark\data\forms\F_MLT_ReviewerLtr.rpt 10/10/2013 .SON co JEFFERSON COUNTY Wk�� .�� °A DEPARTMENT OF COMMUNITY NITY DEVELOPMENT 621 Sheridan Street Port Townsend,WA 98368(Web:www.co.Jefferson.wa.uslcommunitydevelopment t Tel:360.379.4450 I Fax:360.379.4451 I Email:dcda@co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center October 10, 2013 Dear Re/ewer, Shits-e• RE: MLA13-00127 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: BOUNDARY LINE ADJUSTMENT and LOT CERTIFICATION Location: Comments must be received within fourteen (14)calendar days or by October 24, 2013. If no written response has been received within fourteen (14)days, your agency will be presumed to have no comments. If necessary, the UDCadministrator 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. Sincerely, 1 ‘,!_ 11/1 r "...■-•11■- Colleen Zmolek cc:, I b` lb' I ' ho c( UVPA , Sod 1 50,,cv e \\tidemark\data\forms\F_M LT_ReviewerLtr.rpt 10/10/2013 Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, April 29, 2014 1:15 PM To: Sherrie Shold Subject: Lot Cert/BLA Tucker MLA13-00127/SUB13-00012 Hi Sherrie, Could I get a parcel number before we issue the Lot Certification/BLA. This is a chicken and a egg situation. Thomas Tucker has a Parcel 963303501, Irving Park addition BIk 35 lots 1-5. He has applied for a lot certification to establish 2 parcels. Once he has 2 parcel numbers he can do a BLA so the septic system will meet setbacks. He has been so patient and has been waiting for EH comments. When I was reviewing the file I noticed that I have not received comments from you. I found Pat's comments, she replied in October2013. I may have lost your comments...so sorry if this is the case. This is a case where we are processing the lot cert& BLA as one case because of the septic. I would rather process them as two cases lot cert then the BLA but if we did that it would have created a non-conforming septic system. Please let me know if I need to send you any additional information. 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. 1 Colleen Zmolek From: Sherrie Shold Sent: Friday, May 02, 2014 10:43 AM To: Colleen Zmolek Subject: Tucker Lot Certification Colleen, I have set up the additional parcel number for the Tucker's so your department can proceed with their BLA. Parcel A will be assigned the new parcel number#963303502 Parcel B will retain the existing parcel number because of the house location#963303501. Please let me know if you should need more information. b\cA ter. oet Cl‘ V)441. /b 170 GJ�° / Ci`/ Colleen Zmolek From: Randy Marx Sent: Thursday, May 01, 2014 11:34 AM To: Colleen Zmolek Subject: RE: SUB13-12, Tucker, SEP93-186 & SEP06-302 Attachments: Recision OF EASEMENT.doc; Recision OF REST COV.doc Thanks for reading what I wrote and taking the time to talk w/me! Much Appreciated. Attached are the two documents needed that will resolve the conflict mentioned below. Here is the Revised comments I just put into Tidemark; • Each septic system has a permitted reserve drainfield area. These reserve areas must be shown on the survey. I/ • On lot 2 the label "Septic D Box" must be changed to Septic Manifold Box. • Completion of this BLA will cause a conflict with two recorded documents.You will need to cancel or rescind the Covenant recorded under AFN 517127 and the easement recorded under AFN 391897. Always Working For a Safer& Healthier Jefferson County 360 385 9402 ><((((0> >< rr'e ><( ((0> ><((((5 ><((((°> >< (( ><{{{"> ><>><> ><((((0> Septic Permit Online (Link) Env ronmenttal Health WebTSite.funk) CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipients) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address hits been received by the Jefferson County email system and is theretore subject to the Public Records At t,a state law found at RC WI I2,d6. L nder the[uhiic Records law the County must release this ew nail and its ectiitents to ant itersoci ho asks to obtain a copy(or for inspection)of this 0-marl t,uiless it is exempt from disr!esure under state lair:,including ikC sV 42.66. From: Randy Marx Sent: Tuesday, April 29, 2014 2:56 PM To: Colleen Zmolek Subject: SUB13-12,Tucker, SEP93-186 &SEP06-302 Hi Colleen Here are my comments for the BLA. I have signed off the OSS review based on the following items being addressed at final mylar. Is this OK? Should I hold signing off,or were you going to add an activity causing a second health sign off needed prior to BLA final sign off? I added the 3 as a hard hold in the conditions, I can change that if you don't like that method. Preliminary approval granted based on the following corrections made on the final mylar and addressing existing recorded documents: *Each septic system has an approved reserve drainfield area. Each proposed lot must show the reserve drainfield area. *On lot 2 the label "Septic D Box"must be changed to Septic Manifold Box. 1 * Completion of this BLA will cause two recorded documents to become void. You will need to cancel or rescind the Covenant recorded under AFN 517127 and the easement recorded under AFN 391897 fc Always Working For a Safer& Healthier Jefferson County 360 385 9402 ><((((°> ><{{{'w ><( ((°> ><((((> ><{u" ><(((r> >< (( °> ><{{{°> ><»<> ><Wr> *Otte Permits Online (Link) Environmental Health Web Site (Link) CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipients;and may contain confidential arid privileged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipient,please contact the sender by reply e-mail and destroy all copies of the original message PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address has been received by the Jefferson County in mail system sod is therefore subject to the Public Records Act,a state law found at RCitiV 42.56. Under the Public Records Lew the County iitust release this e otail and its eontents to any p r son who asks to obtain a copy(or for inspection)of this e-mail unless it is exempt from disclosure under state law,including RC ti'42.C6. 2 Colleen Zmolek From: Randy Marx Sent: Tuesday, April 29, 2014 2:56 PM To: Colleen Zmolek Subject: SUB13-12, Tucker, SEP93-186 & SEP06-302 Hi Colleen Here are my comments for the BLA. I have signed off the OSS review based on the following items being addressed at final mylar. Is this OK? Should I hold signing off,or were you going to add an activity causing a second health sign off needed prior to BLA final sign off? I added the 3 as a hard hold in the conditions, I can change that if you don't like that method. Preliminary approval granted based on the following corrections made on the final mylar and addressing existing recorded documents: *Each septic system has an approved reserve drainfield area. Each proposed lot must show the reserve drainfield area. *On lot 2 the label "Septic D Box"must be changed to Septic Manifold Box. * Completion of this BLA will cause two recorded documents to become void. You will need to cancel or rescind the Covenant recorded underAFN 517127 and the easement recorded underAFN 391897 ltcx Always Working For a Safer& Healthier Jefferson County 360 385 9402 ><W> {a. ><( ((°> ><W> {{f >C((((o> >< (( °> ><{{{"> ><»<> ><((((> Sept*Permits Online (Link) Environmental Health-Web Site(Link) CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipient,please contact the sender by reply e-mail and destroy all copies of the original message PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address has been receives)by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RC I,1 42.56. Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(m for inspection)of this e-mail unless h is exempt from disclosure under stale law,including RClys 42.56. 1 October 10, 2013 "� Dear R,4ewer, ?\ -kxcfr An RE: MLA13-00127 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: BOUNDARY LINE ADJUSTMENT and LOT CERTIFICATION Location: Comments must be received within fourteen (14) calendar days or by October 24,2013. 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. Sincerely, jy\c3110_ttik.._ Colleen Zmolek cc:, \\tidemark\data\forms\F_MLT_ReviewerLtr.rpt 10/10/2013 I , , Form No. 14 Certificate No.:80216 Subdivision Certificate ......./a...... .___.._... ...- 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.: 80216 Thomas &Janice Tucker Charge: $300.00 PO Box 328 Tax: $27.00 Port Townsend, WA 98368 Total: $327.00 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: Lots 1 through 5, Block 35,Irving Park Addition, as recorded in Volume 1 of Plats,page 42, records of Jefferson County, Washington; Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No. 06-2- 00118-3 in order filed May 5, 2006; Excepting therefrom that portion conveyed to Jefferson County for road purposes by deed recorded May 17,2001 under Auditor's File No. 443785,records of Jefferson County, Washington. Situate in the County of Jefferson, State of Washington. Is Vested in: Thomas A. Tucker and Janice A. Tucker,husband and wife 11� _11 -- OCT "" 6 2014 1 \\.\ ii: ERSG d COUNTY t;FPT OF COMMUNITY DEV!EEOPMENT Subdivision Certificate Guarantee No.:80216 Page No.:2 Special Exceptions: 1. General Taxes. The first portion $ 869.42 becomes delinquent after April 30th. The second portion $ 869.33 becomes delinquent after October 31St Year: 2014 Amount Billed: $ 1,738.75 Amount Paid: $ 869.42 Amount Due: $ 869.33, plus interest and penalty, if delinquent Tax Account No.: 963 303 501 Property ID No.: 32296 Assessed value: $ 169,944.00 2. Terms, covenants,conditions and/or provisions contained in an easement serving said premises, as contained in instrument: Recorded: April 20,2006 Recording No.: 510402 3. Notice to Title and the Terms and Conditions thereof: Recorded: October 31,2005 Recording No.: 517127 Regarding: Notice is hereby given that the combination of the above referenced description of real property(lots,parcels, etc)is required to meet WAC 246-272 minimum Land Area for issuance of an onsite sewage system permit. Sale,transfer or other segregation of only part of the property described in this Notice and in the onsite sewage permit will result in a described in this Notice and in the onsite sewage permit will result in a violation of the terms and conditions of the onsite sewage permit. 4. A record of survey recorded under recording no. 517778, said survey discloses the following matters: Encroachment of wire fence into Lot 2 5. Monitoring Agreement for On-site Septic System and the terms and conditions thereof. Recorded: December 7,2007 Recording No.: 529761 6. Easement rights and maintenance agreements,if any, for ingress,egress and utilities which may have been granted in vacated streets and alleys prior to their vacation. Dated: July 7, 2014 at 8:00 am Your title officer for this transaction is Susan Brandt.If you have any questions concerning this title commitment, please do not hesitate to call me at(360)385-2000 or e-mail susan@jeffersontitlecompany.com By: Susan Brandt,Title Officer LPB 554406 PGS : 1 DEED 09/2112010 01.56 udior' E Jefferson WA Auditor LAND ra Eldritla�� Audit IIIII1P•16tt1I�411h#11:1441,1 WI IN let 4�h`ii N{l�t/IN{ When recorded return to: Mr.and Mrs.Thomas A.Tucker 12 Mediterranean Avenue Port Townsend,WA 98368 Jefferson County Excise Tax Aft# 1 1 4 9 0 7 Date q-.21•2o16 Tax$ Sales Anit$ 1,L0,)00°O Filed for Record at Request of By Deputy Treasurer Routh Crabtree Olsen,P.S. Escrow Number.7190-006418 JC-50652 BARGAIN AND SALE DEED THE GRANTOR Federal Home Loan Mortgage Corporation,or and in consideration of Ten Dollars or other good and valuable consideration,in hand paid,bargains,sells,and conveys to Thomas A.Tucker and Janice A.Tucker,husband and wife the following described estate,situated in the County of Jefferson,State of Washington: Abbreviated Legal: Lts 1-5,BNt 35 Irving Park Addn 1/42 Tax Parcel Number(s):963303501 Lots 1 through 5. Block 35, Irving Park Addition, as recorded in Volume 1 of Plats, Page 42, records cf Jefferson County, Washington, together with that portion of vacated 81". street adjacent vacated per Jefferson County Superior Court Cause No.062-00118-3 in order flied May 5,2008;except therefrom that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's Rle No. 443785. records of Jefferson County, Washington. Situate In the County of Jefferson,State of Washington. The Grantor for itself and for its successors in interest does by these presents expressly limit the covenants of the deed to those herein expressed,and exclude all covenants arising or to arise by statutory or other implication, and does hereby covenant that against all persons whomsoever lawfully claiming or to claim by,through,or under said Grantor and not otherwise,it will forever warrant and defend the said described real estate. Dated: c ;'1 , 1 to Federal Home Loan Mortgage Corporation By Routh Crabtree Olsen,P.S.,its Attorney in Fact FHIJAC by By: ^ 10 M Erin Sheckler,Attorney at Law on Behalf of RCO STATE OF Washington COUNTY OF King ss. I certify that I know or have satisfactory evidence that Erin Sheckler is the person who appeared before me, and said person acknowledged that she signed this instrument, on oath stated that she is authorized to execute the instrument and acknowledge it on behalf of Routh rabtree Olsen,P.S.as the Attorney in Fact of Federal Home Loan Mortgage Corporation to be the free and volu .• act of such parties for the uses and purposes mentioned in this instrument. • Dated: q �aa el 1p �Ih, z./crierem • 27'�U �OT4,#:+44, `''� Notary n. e printed or typed:lanes M.Robinson ' Notary Pu,lic in and for the State of Washington • _ ms Residing +King County.WA N 4 08t.‘, My appointment expires: 4.29.2011. V LPB 15-0$(i•1) rb41/ 19Aette Page I of 11101131111111101111510402 t of 4 04/20/2006 12:43P Jefforson County Aud RICHARD SHANEYFELT EASE 35.00 When recorded return to: Richard L.Shaneyfelt Attorney at Law NO REAL ESTATE EXCISE TAX REQUIRED 1101 Cherry Street JEFFERSON COUNTY TREASURER Port Townsend,WA 98368 94436i44.Z/14).3 EASEMENT AGREEMENT GRANTOR: RILEY B. PISKULA,an unmarried person GRANTEE: S.JHON PALMIERI,an unmarried person ABBREV. LEGAL: IRVING PARK ADDITION, BLK 28, LOTS 1 & 10(ALL)AND LOTS 2 & 9 (N29.89' EA) LESS TAX 83 ALL LYING NWLY OF CO RD (BND TGTH BY BLA V578); IRVING PARK ADDITION, BLK 28, LOTS 2&9(LS N29.89 EA), LT 3,6- 8(ALL LYING NW'LY/C0 RD, (BND TGTH BY BLA V578P54)LS RNV LESS CO RD RNV#92339 (Grantor) IRVING PARK ADDITION, BLK 35 LOTS 1 THRU 5, SUBJ TO EASE LOTS 3&4, LESS CO RD R/VV#92199(Grantee) TAX PARCEL NO(S): 963-302-801 &963-302-802(Grantor) 963-303-501 (Grantee) This agreement is made on the date last below written by and between Riley B. Piskula, an unmarried person, (hereinafter"Piskula")and S.Jhon Palmieri,an unmarried person, (hereinafter "Palmieri"), for no monetary consideration. These parties have filed a Complaint to Quiet Title against Jefferson County in Jefferson County Cause No. 06-2- 00118-3 with the intent of securing a judgment removing Jefferson County's interest in 6th Street which runs between these parties'properties. Piskula and Palmieri hereby agree that all of his right,title and interest in the half of 6th Street abutting the other's property, including any easement by implication, is hereby extinguished and terminated. EASEMENT AGREEMENT-Page 1 . . 1 11111 N 1Ill 1111ll1�1111111111 Joffsrson County Aud RICHARD SHANEYFELT EASE 36.00 Piskula does grant and convey unto Palmieri, his heirs and assigns, a perpetual easement twelve feet (12') in width over, under and across the North 25 feet of 6th Street abutting Piskula's property along an existing driveway from Cape George Road. Piskula and Palmieri, their heirs and assigns,further covenant and agree to at all times maintain and make necessary repairs and share equally in their expense for that portion of the driveway that they both use in gaining access to their respective properties. If Palmieri does not use said driveway to gain access to his property,then he shall not be required to share in the maintenance and repair of the driveway. Palmieri's property is described as: Lots 1 through 5, Block 35, Irving Park Addition, as recorded in Volume 1 of Plats, Page 42, records of Jefferson County,Washington. Piskula's property is legally described as set forth on Exhibit A attached hereto and incorporated by reference. IN IITNES S A COF, the undersigned have hereunto set their hand and seal this day of ,l I ,2006. /of. \041.Nt0/1^-- e4 ci,e;c4. e, . • PALMIERI RILEY B. PISKULA ACKNOWLEDGMENT STATE OF WASHINGTON ) ) ss. COUNTY OF JEFFERSON ) On this day personally appeared before me S,JHON PALMIERI,to me known to be the individual described in and who executed the within and foregoing instrument and acknowledged that he signed the same as his free and voluntary act and deed,for the uses and purposes therein mentioned. GIVEN under my hand and official seal this ifrOOday of April ,2006. RICHARD L SHANEYFELT NOTARY PUBLIC NOTARY PUBLIA n for the State qg Washington. STATE OF WASHINGTON Residing at: yin- I a r WA COMMISSION EXPIRES My commission expires: 15 0 S Y 15 2008 EASEMENT AGREEMENT-Page 2 Page: 3 of 4 iIIIIIIIIIIIIIIIiI IIIVIII1IIVIIIIIIIIII51040243P Jefferson County Aud RICHARD SHANEYFELT EASE 36.00 STATE OF WASHINGTON ) )ss. COUNTY OF JEFFERSON ) On this day personally appeared before me RILEY B.PISKULA,to me known to be the individual described in and who executed the within and foregoing instrument and acknowledged that he signed the same as his free and voluntary act and deed,for the uses and purposes therein mentioned. GIVEN under my hand and official seal this _�da of 1104 ,2006. RICHARD L.SHANEYFELT WY), L NOTARY PUBLIC OTARY PUBLIC_ nd •r the St-te of Washington. STATE OF WASHINGTON esidin at: f Sep'!v GPI COMMISSION EXPIRES g MAY 15 2006 y commission expires. ►'j/M EASEMENT AGREEMENT—Page 3 1 IINII IIIII III1III I 1111111111111111110402 Jefferson County SW RICHARD SHNNEYFELT Eg8E0/2008 12:43P 35.00 LEGAL DESCRIPTION PARCEL, A: Lots 1, 2, 9 and 10, in Block 28, Irving Park Addition to the City of Port Townsend per plat thereof recorded in Volume 1 of Plats, at page 42, records of Jefferson County, Washington, lying Westerly of the South Discovery County Road as depicted upon that certain record of Survey filed for record under Auditor's File No. 375180, in Volume 16 of Surveys, at page 59; EXCEPTING THEREFROM any portion thereof lying within that certain tract conveyed to Jefferson County by Statutory Warranty Deed filed for record under Auditor's File No. 378191, in Volume 520, page 32 and 33, records of Jefferson County, Washington. ALSO EXCEPTING THEREFROM any portion of Lot 2 and Lot 9, lying Southerly of the Southerly limits of the North 29.89 feet of said Lot 2 and Lot 9, in said Block 28, Irving Park Addition to the City of Port Townsend. EXCEPTING ALSO that portion of conveyed to Jefferson County by Deed recorded June 05, 2001 under Auditor's File No. 444367. Situate in the County of Jefferson, State of Washington. PARCEL B: Lots 2, 3, 6, 7, 8 and 9, in Block 28, Irving Park Addition to the City of Port Townsend per plat thereof recorded in Volume 1 of Plats, page 42, records of Jefferson County, Washington, lying Westerly of the South Discovery County Road as depicted upon that certain record of Survey filed for record under Auditor's File No. 375180, in Volume 16 of Surveys, at page 59; EXCEPTING THEREFROM any portion thereof lying within that certain tract conveyed to Jefferson County by Statutory Warranty Deed filed for record under Auditor's File No. 378191, in Volume 520, pages 32 and 33, records of Jefferson County, Washington. ALSO EXCEPTING THEREFROM any portion of Lot 2 and Lot 9, lying Northerly of the Southerly limits of the North 29.89 feet of said Lot 2 and Lot 9, in said Block 28, Irving Park Addition to the City of Port Townsend. EXCEPTING ALSO that portion of conveyed to Jefferson County by Deed recorded June 05, 2001 under Auditor's File No. 444366. Situate in the County of Jefferson, State of Washington. EXHIBIT A • • IIll IIM IlluI IM IIII111111111111111 I517127 u31/�0Da 04:14P rr..., . r,.t,, vi MINN Ps MnFer rn When reccojded return t C • Name: �/- J Tp' -4 ^ ��iF`z Address: A._�� i Li.' �=- '�U City: State,Zip DECLARATION OF RESTRICTIVE COVENANT Grantor(s): 5, J N P z_rn I I Grantee(s): Jefferson County PAP"NOTICE IS HEREBY GIVEN TO • - 01* QA`-''` N ► I ( ,his/her heirs and assigns, and the general public. This restrictive covenant shall bind and restrict the land,the Owner(s),their heirs,grantees,successors and assigns and shall"run"with the land Into perpetuity. DESCRIPTION OF REAL PROPERTY,s4FFECTED: Lot(s) plie- TW OOEa il) E8 ock(s) 3s Div. 114/t46 OKK of OW it OF '1-5 futenope., LDVAITy, w"IS w•,vfon) Section I+,Township 30 ',Ra�n+ge) 1.451-14/M'1 ASSESSOR'S TAX PARCEL NUMBER(S): 6 3'.303 - 5"0 NOTICE IS HEREBY GIVEN THAT the combination of the above referenced description of real property(lots, parcels,etc)is required to meet WAC 246-272 Minimum Land Area for issuance of an onsite sewage system permit. Sale, transfer or other segregation of only part of the property described in this Notice and in the onsite sewage permit will result in a violation of the terms and conditions of the �'te ewage permit. TYPE OF STRUCTURE: ADDRESS OF STRUCTURE: 1 Y• \Q "S"N6 THIS NOTICE may not be lifted or removed without the consent and written approval of the Jefferson County Health and Human Services Recording. Upon Its execution,this Declaration shall be recorded with the Jefferson County Auditor. All contracts and deeds or other instruments of convenyance relating to the property or any part thereof shall contain reference to this covenant. Compliance with code requirements. This Declaration does not amend or modify,nor is it Intended to amend or modify any requirements of the County's ordinances or any other law or regulation dealing with or affecting the use of land or construction of improvements upon lands. Warranty of Authority. The owner(s)signing below warrant that they are the sole Owners in fee of the real property described above and are authorized to make this Declaration and so bind the property. GRANTOR(S) S. , DI'J [ • Acknowledgment: S eJ PGL 1 tf ° SUBSCRIBED AND SWORN to before me this day of QC-IOW*/ ,2g�b No ary ubllc in nd f r the State of Washington, residing in 9:Yet1111..0ete Washington. My commission expires: Q °■10,....11....7716-% _4416 Wiealthserver\home\env beatth\randym\FORMS\RESTRICTIVE COVENANT LAND AREA 070901.doc 1111111'1101111',Ill 111'1111 -!-C7- o t. m � c ■ 1 I aO"mW,g n §Q 1 1 (ROW t2 o O I I Metz M0.7 I 7RACI/M:e I 1 ) T R<�1 O KA 297.99' I VOL.17 OE A/Rr[Y5.PACE 162 1 TRACT/1A e I �L C4�^ .� r.,— ��--T——— - I 5 0r�s•0r'W 1 I m g C y ti o Vj I 100.4e' A A I v 0 N ycZs ,,-,,1 a z -. .^',", I C ��� ".yi;� y I • s I. S �� I E� 3� e o. a-1 A l It E o sI '11� • n I • A�Xe z `0 F (NOW) I o t-,:: a „ % N .. g IN 2+ z 1 I bI yI IH R °>g �1 O I N `{ p NU I � s -, I g I AQ I= '' as P - �',�`' 1 L J > I = g - o g ti C 1 s.3 5l n M 174'4' N •� \J. +o, N a7.es ----tr-- '.577.......‘.2e zJZ 7r VACATED MTH Sirrtl •� f,`r v w- PER'"; -- sor J4'14'w t tl j� \ }y`.b v�P A x i 40 (PEN SWERION COURT CAVSE 40.00• F yo a 1 0A7E0 MAY 5.2006) v Air,. ,` , S Or74'24-W 1 n k t r225.96• �4 S N 4 0 i. cC�C p ii oWU �'I , R-io !!I - '1.r°-6 U re W a yA s mL Nn� 6 : 4;> \ ��'°o \\ mA Ry z I m O OgA E11 y sa l \ Rwm ®4 o $g s j m� yaky T 2 Arm 'CC) o za \ �Nvr m Z- I A D W �° \ -�94;3..- �i= \ ' \ ° \ W z QOM gc Q \ \ N R a z (ow y g n n o • 6 \ �)."- e^=J�J'I. ( I 6 Tl I6 LtL ~ °0, �,Jf�` ; Z E g ii °a m �s.2 \ / � I CD O \ ~ �� LA ` `WOO v N p O2> Z G 3 -.4 N D •�; • s" § _ L�RR .$1 ciN p� y s \y�, ; 3 ,,r 2u'��1 `z ce z '` I o l 1§",;AT > � 5rA 1,i'a � 4) ., � / \ etArg` , ? ,,,'a,. g"gRRRRRRp f g� �_ ._ "onJ'u'E 7e6sea \ Y3/ §4A ,4�° .X va000ap. A I N , ont �� a� � T8 ve N gLa >R =i &g Si s^a$§S, 8S x F v '''"'4 ygg i qua§o ii iii ��$(cl p 9 b• g g ° n'I ''R \ fir. f• rr g�N • ^7 .�.0m � -N 02}6'78•E _ _ 160.29 _ -_ __ CIIIIII1 1111111111111111529761. 1 of 3 2F 'When recorded return to: Jefferson County thud JHON PALMIERI AGR 42.00 Name: Jefferson County Public Health Address: 615 Sheridan St. City: Port Townsend State,Zip WA,98368 MONITORING AGREEMENT FOR ON-SITE SEPTIC SYSTEM (Restrictive Covenant) THIS AGREEMENT is made this 19th day of October ,2007 By and between S JOHN PALMIERI his/her heirs and assigns ("GRANTOR(S)") and Jefferson County Public Health ("GRANTEE") WHEREAS,S JOHN PALMIERI is/are the owner of a certain tract of land particularly described as follows: PARCEL No.:963303501 LEGAL DESCRIPTION(s): Lot/s_1 THRU 5_,Block_35 ,of IRVING PARK ADDITION Section 17 ,Township_30 N,Range 1W WM SUBJ TO EASE LOTS 3&4 &6TH ST ADJ QTA I LS CO RD RIW#92199 and, WHEREAS,a sewage collection,treatment and disposal system,as described in case#SEP06-00302 has been installed thereon,and WHEREAS,the residence or facility at the above described property utilizes an onsite sewage system which requires regular maintenance and monitoring for the life of the system. Monitoring is required to be performed by a person authorized by the Public Health Department. WHEREAS,the Owner is required by Jefferson County Public Health Department,as per WAC 246-272A through Jefferson County Code 8.15 to implement a program for periodic monitoring to assure the continuous and satisfactory operation and maintenance of the sewage system,and NOW THEREFORE,in consideration of the premises and the mutual promises and covenants hereafter set forth,the parties hereto agree as follows: Monitoring Agreement Page 1 of 3 1111 IIHii 1111111 I III II Il Ill Ill52976122P Jefferson County Aud JHON PALMIERI AGR 42.00 1. Construction:The Owner has constructed and installed a sewage collection, treatment and disposal system together with appurtenant facilities whose capacity and design are satisfactory to the Jefferson County Public Health Department. The plans and specifications for this construction have been approved by the Jefferson County Public Health Department prior to construction. 2. Owners responsibilities: a. Maintain all components as accessible and unobstructed to the surface. Non-accessible or obstructed components will not be serviced. b. Utilize the system consistent with producing residential waste strength effluent. c. Operate and maintain the system in accordance with conditions of the permit and Jefferson County Code 8.15. 3. Schedule:The Owner shall have their sewage system inspected by a person authorized by Jefferson County Public Health in accordance with the schedule set forth in Jefferson County Code as adopted and hereinafter amended.For some proprietary products registered with the State Department of Health,the inspector must also be authorized by the device manufacturer. 4. Reminder:The Jefferson County Public Health Department shall provide a reminder of required monitoring.The lack of receipt of said reminder does not relieve the property owner from compliance with the monitoring schedule pursuant to Jefferson County Code. 5. Records:A report of each inspection conducted shall be submitted to the Jefferson County Public Health Department within 30 days of completion of the inspection.Such records shall be open to the inspection of the Owner. 6. Liability:The Grantor agrees to relieve Grantee,its agencies,divisions, officers,agents,and employees of any liability,damages,judgments,claims or other expenses that might arise as a result of the inspections required by this agreement. 7. Fees:A fee as set forth in the Jefferson County Fee schedule and adopted by the Board of County Commissioners shall be paid upon submittal of each inspection report. 8. Terms:This agreement shall remain in full force and effect until the date of notification to the Owner by the Jefferson County Public Health Department that the Owner's Sewer System has been intercepted and connected to a general sewer system. 9. Amendments:This agreement shall not be modified except with the express written approval of the Environmental Health Department of Jefferson County. 10. Penalties; Non-compliance with monitoring and inspection requirements is a violation of Jefferson County Code and shall be subject to enforcement as described in said codes.The County shall have the right to enforce and compel compliance with this covenant,including all remedies available at law and equity. The County shall have the right in any such proceeding to recover its attorney fees and costs. Monitoring Agreement Page 2 of 3 _ ___ , 111111111111111111111 Eli 111 ,1111111 1111529761,22P Jeff*rson County Rud JHON PALMIERI AGR 42.00 11. Venues:Venue for any action hereunder shall be in Jefferson County, Washington. If any term or provision of this agreement is in whole or part held invalid or unenforceable by any court of competent jurisdiction,the remainder of this agreement shall continue in full force and effect. 12. Life of Covenants and Binding Effect:All of the promises,covenants, terms and conditions of this agreement shall bind the parties to this agreement and the successors and assigns of the respective parties hereto AND are deemed to run with the land.OP, - Alf C / 44 Owner ,Owner Acknolidgment: SUBSCRIBED D SWO to before me this day of 0?L ,20 i9)1-Notary public in and for the State of 'g`t'..`4to `,J9r� -:"./;.1A. O as-yN Washington, 'a- r 1 �� —.4 �'" (� L v r 1 ., 1.: __ residing in J-.*�-1'�t{5V^1 Ct;�nl ..12.1.:1,7,: --,4,...-. -, Washington. O� S.c;'� 9 1a11 J4 S {1�{1111{{Iti 1�,~,,,• My commission expires: THIS CONTRACT MUST BE SIGNED BY OWNER(S)OF RECORD. Approved: p rtri. Lo tCr.A.AttA t at'7/d'7 Jefferson County Public Health Representative Date Remainder of page intentionally blank. Monitoring Agreement Page 3 of 3 - +' [y w In. �•♦�`�,♦ / .z .J � s W �` .. -Y ►a " MM., ,�;♦ Mill r4 e i NM ; ci t, 414 ■ui•_� ? 8 ? L L, • q 9 J 6 ~ ����� . r, C'� to bo l• l• 6n• �, - _ EE ' . This sketch is provided,without a charge,for your Z ,J 4 s information. It is not intended to show all matters related to the property including, but not limited ATE ®� to, area, dimensions, easements, encroachments G or location of boundaries. It is not a part of, nor DAY OF 6� does it modify, the commitment or policy to which ?M. IN , E Z. is attached. The Company assumes NO LIABILITY 5, PAGE x-4.4 , for any matter related to this sketch. Reference /CE ? SANDRR ►° should be made to an accurate survey for further " ' information. N ./p 9 ,k '• it,.. , A- STREET ' ONE AYE Wifilialr 1, 44 ' L . L° Lo Ls p 1. l3 w a� N , z 'V 1 .k,Q pi I • ! � 6 Q , Q , y F PLT OF ); ° I - / 2 -.3 ,1 / T• •f J' 44 , .•/ f1 y .3 4 .. ► 3 6 iIiIi ".W • 4 '►-3 t kb:d p (' 7 G i o 0 t _ 0 o / y LO LQ .o G, Ge 6° 80 c, •,> a .a 6o • bo !n 6° CO Le 6s r. 4. o N /7 9.3 /4--T. J .d It w4).-1 55. - _•\ 5 Jl..✓..J.. c..oti.J. o.,,t,)... .ar.,.. ',-,A :.l..n.�+-. 1-4,-.-•-,:,...-,...‹...5‹..° �..n.l: do :, J-- ./•... ✓.r-..., v r , ., 0- n.o..d....) 0.......4 .... .t ‘X-'r.... w ' �� . �...J.q-w..� -S..�-.-,,J,-)`... J.)a-'-- - --'. ' -'r✓: .:ow•-ti....,.:.3 '...... ,....1-w•-•., .••,..o "........),g-/-C., '\•_o-..zw a.--, , A. -,- '.l.s ...A.........., 0-3-1.0-3-1.. •..,,I.+u lrZ.• •-^.x,o w.>lo l•rW� �. .�s -...k....c.:•l�a/f �..'1.�• ,/. a o v :d-t y o w.��..J a.w. ,:),...r, G!-✓J.�-^r... ....,;---.).4)......,;---.).4)...... a'J ...,-- -c- .d.-o .. �.o. d ...✓.ti. ,..•-. Jw C.. 4..C.:,-_✓-.. A.., A.,✓ 'i.'; ., - 1 L✓.R.,>•../._ ' 1✓0• vr...R,,•_d C . ../ ».Owt� �-. .� 'M.. .�v�.J�J, Ny., C...... .0 -.L - ' -.......,--e v./../-a.\r-^.. .�.�J� '.. w.... 1.:0 nit-w ....J..., o�. �'�y J o-`•-.• .a . -., .-caw..v...r",r-� .�� �voo ^w— �,7•�..0.�.. Y. a.w.�.�.v6.• , 0S....n. 'u..r./ im ti.1,.-o �o..vv.'- - c3,:14 '.M.iw��,t ).."-AJ-. Gw. • cu..�f�.r.�w.JV J'.M.-.J7' o...-w\ "-'-'. .n....- ---' �........'\ \o'\.. '0..n., • ...tia_✓o '�rw_,:f aw, 0.9.. m-.. d'.-o..o _ �32_r.X. - ', c..�./J-..o...✓�. ✓...... ./..o _ .G., �/a.�-.,o.�-tea. �,,- „,.k, ,---., J..J d...- w�,,....` a. . ,6 8 8 �.4. ./.-o....•,.. _ ..-LN t ,:�.� . -'tf+' ✓•v✓J✓.JJ' -\ Th W.^-) -'✓ U ...-Y.:�.,-J.. ,,,,J-.. .. .vW.. "V.VJ\ o....-.,.^ A......r” -...• --. --"'s ,..-w.cl.✓_'......-,...X `\�y.- J ..1/ )1...1.X..- . .,.........--X---, Qv,.-0 -S_,- -7 _J:.cA_...nn..... • RECORDED IN ""717,96 VOL. AGE ���" OF OFFICIAL RECORD REQUEST 6\vvututc A- 391a9'� J ld - PPS 3: 52 DONNA 11. ELDRIDGE ,,. JEFFERSON COUNTY AUDITOR EXAMPLE EASEMENT i _ DEPUTY DECLARATION OF EASEMENT FOR a valuable consideration, receipt of which is hereby acknowledged, the GRANTOR(S), fan L 4V _ g; owners of the following property: GRANTOR'S legal description of all effected property) from ark Acext e-Akciii 94. 3 3 03 5O Go9�s 3 � �' �l. �� �► Lo c-zd t irv, a4I rt s's c's / P- fleteaQ.c.' '•e va.v►ea.n Mkt' Toums . hereby grant, convey; establish and create an easement for the placement, maintenance, construction, reconstruction, repair and upkeep of a primary and reserve drainfield for septic tank and sewer line leading thereto, including the cutting and removal of brush, trees and other obstructions which interfere with the use of said easement, together with the rights of ingress, egress, and regress, over, under, along and across the following described portion of the above referenced property: (enter legal description of the area encumbered by the drainfield easement on the GRANTOR'S property) /41-ic 3 i y 3", 3c' ) t vcni -1)44-k =k- , West 43 0,e' teat 3i...4 ._ . Said easement is appurtenant to and)'for the benei%t of the GRANTEE(S), --Ca n_d. A LN y,_` ,. the present owners, their heirs, future owners, successors, and assigns of the following described property: (GRANTEE'S legal description indicating location of residence served by drainfield) Lois 3 .g./. s'� /rvilmi rPeLek., Shec: 't ov%. 4• 4..---__..zr SAID EASEMENT SHALL BE CANC = P' ONLY, . ' SUCH TIME AS THE JEFFERSON COUNTY ENVIRONMENTAL FiEM' DIVISION WILL APPROVE CANCELLATION OF SAME. IN WITNESS WHEREOF, the undersigned have hereunto set their hand and seal this di," ' day of in 1996. ts10 REAL ESTATE ED SALES TAX REQUIRED STATE OF WASHINGTON COUNTY REAS : County of BY w•.1►.,,,,� On this day personally appeared before me _. as • i :'t�.. h,, , ®,7 '�? to me known to be the individual(0j described in : • who executed the within and foregoing ntran 0/; i free and voluntary act and deed, ` tk~'' s d •••+t, 's acknowledged that signed the same as ,fig a� " z C +,•: purposes therein mentioned. Ate`' " `'Z 111. "C ikt'e' GIVEN UNDER MY HAND AND OFFICIAL SEAL this � day of 19 ��e �.,0� i►.14N,� ,0" I • • tOSe4 -.�+ ,, , ; I I N ary Public in an for the State of Washin�•n,:a idin'�"�` at oRri My appointment expires � 'SA JEFFEIVia 0,,QTY PEWIT CENTER NOTE: Signatures are to be notarized, aa recordedncopy to Environmental Health, Jefferson County County Auditor. After recording, Health and Human Services,615 Sheridan,Port Townsend WA 98368 6/95(easment) Sr ?A,jC 4t19 joy -c) cco . r COQ JEFFERSON COUNTY n �/ t.-, y ti ,� DEPARTMENT OF COMMUNITY DEVELOPMENT EC I ti V E 621 Sheridan Street • Port Townsend •Washington 98368 vro 360/379-4450 — 360/379-4451 Fax SEP 2 2u13 J JEFFERSON COUNTY Boundary Line Adjustment (BLA) Supplemental Application DEPT.of COMMUNITY DEVELOPMENT MLA# PROJECT/APPLICANT NAME: Submittal Requirements A, 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. 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. pc Three(3)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 onsite sewage system components and reserve areas and the proposed location for onsite sewage systems and soil test pits for all affected lots that are not currently served by an onsite 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 ESA's. 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; m. 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. G:\PermiCenter\###FORMS###\DRD FORMS BLA app form_07-2006.doc REV.9/18/2008 Page 1 , 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), 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. 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. 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. 1. Please provide a brief description of the purpose of the proposed boundary line adjustment. 2. Please provide Existing Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets, if necessary.) Parcel A: S 1 cy -S Ti Ha - I Parcel B: CZs 1- _S Al 0 • Parcel C: Parcel D: G:\PermitCenter\###FORMS###\DRDFORMS\BLA app form_07-2006.doc REV.9/18/2008 Page 2 3. Please provide Proposed Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets if necessary.) Parcel A: Parcel B: ) f- t J .5 I' e 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 application may be revoked if any such statement is found to be false. a. Date: b. Date: c. Date: d. Date: G:\PermitCenter\##tFORMS#i##\DRD FORMS\BLA app form_07-2006.doc REV.9/18/2008 Page 3 { PARCEL A: Lots 1 and 2, ,block 35, Irving park addition, as recorded in Volume 1 of Plats,Page 42, records of Jefferson County, Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No. 06-2-00118-3 in order filed May 5, 2006. Situate in the County of Jefferson,State of Washington Ref:A.F.N. 554406 PARCEL B: Lots 3 through 5, Block 35, Irving Park Addition, as recorded in Volume 1 of Plats, Page 42, Records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No. 06-2-00118-3 in order filed May 6, 2006. Also except that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's File No. 443785, records of Jefferson County, Washington. Situate in the County of Jefferson, State of Washington. PARCEL A: Lots 1 and 2, ,together with the North 15 feet of Lot 3, all in block 35, Irving park addition, as recorded in Volume 1 of Plats,Page 42,records of Jefferson County, Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No. 06-2-00118-3 in order filed May 5, 2006. Situate in the County of Jefferson,State of Washington Ref:A.F.N. 554406 PARCEL B: Lots 3 through 5, Block 35, Irving Park Addition, as recorded in Volume 1 of Plats, Page 42, Records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No. 06-2-00118-3 in order filed May 6, 2006. Except the North 15 feet of said Lot 3; Also except that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's File No. 443785, records of Jefferson County, Washington. Situate in the County of Jefferson, State of Washington. EOEIIVE { III SEP 1 2 2013 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 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: rrc Parcel B: 1-(1 tr Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): The nature of the adjustment is described as follows: oir EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT: A.P.N.963-303-501: Lots 1 through 5,block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except therefrom that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Ref:A.F.N.554406 NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT: PARCEL A: Lots 1 and 2,together with the North 15 feet of Lot 3,all in Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Also together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Situate in the County of Jefferson,State of Washington. PARCEL B: Lots 3 through 5,Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except the North 15 feet of said Lot 3; Also except that portion conveyed to Jefferson County for road purposes by deed recorded May 17,2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. SEP122C)i3 VERSON COUNTY DFP-t 0�F COMIC IN DEVELOPMENT • > • 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 j sanitation requirements for width and area for a building site. 1 (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 Exhibit A EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT: A.P.N.963-303-501: Lots 1 through 5,block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except therefrom that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Ref:A.F.N.554406 Exhibit B NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT: PARCEL A: Lots I and 2,together with the North 15 feet of Lot 3,all in Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Also together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Situate in the County of Jefferson,State of Washington. PARCEL B: Lots 3 through 5,Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except the North 15 feet of said Lot 3; Also except that portion conveyed to Jefferson County for road purposes by deed recorded May 17,2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson, State of Washington. 1 11 ,Th SEP122013 PROJECT DESCRIPTION: JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT To divide A.P.N. 963-303-501 consisting of Lots 1 through 5, Irving Park Addition, into two parcels, parcel A consisting of Lots 1 and 2,and parcel 13, consisting of Lots 3 through 5. Also to do a BLA between parcel A and parcel B (between Lots 2 and 3.) tru. :L Rlitst,.arQr 1, - 1`MILJ-\ I ,• UUI0.2- / V, � (-i( 513 - OOd 1 OCT 1 2ni.4 F 1 O�QORTTO� , CI of Port Townsend / "� � ) ' Public Works Department ' L�, r.---' ! ,, .,:r Waterman&Katz Building ___ 181 Quincy Street,Suite 301,Port Townsend,WA 98368 °PwA (360)385-7212 FAX(360)385-7675 WATER AVAILABILITY LETTER Name: -111\b" -rumoR Date: Delp W12- q ,151+ Site Address: tots Glag , c c• Phone: 3 -7 M-fp City/State/Zip rovt\----ybko (;\ (9b Parcel: (1(0' .50 .5-01 Legal Description:q AG ' PVC PAMTIA If 4 AS 1 14 Z The above-referenced property is currently within the City of Port Townsend's Water Service Area. This property will be served with water provided a water reservation is processed and all fees and charges are paid. I '_, itki 1 AA AN114,-1■ (C09\W 9 1 1 n7 'ty • Port TownsensIt • ',ate 1 r - AFTER RECORDING MAIL TO: Name: Jefferson County DCD, DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 All Situate in the County of Jefferson, State of Washington Lot Certification MLA Number: Parcel Number: Section Township Range Grantor(s): 1. Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): Parcel A: Parcel B: Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: Revised Parcel B: This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(1) or (4) for the purpose of assisting with the segregation of land into lots, tracts or parcels each one of which is one-sixteenth of a section of land or larger. (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 Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. Treasurer Office This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant Planner Date • EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT: A.P.N.963-303-501: Lots 1 through 5,block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except therefrom that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Ref:A.F.N.554406 NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT: PARCEL A: Lots 1 and 2,together with the North 15 feet of Lot 3,all in Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Also together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Situate in the County of Jefferson,State of Washington. PARCEL B: Lots 3 through 5,Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except the North 15 feet of said Lot 3; Also except that portion conveyed to Jefferson County for road purposes by deed recorded May 17,2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 4 w • V 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: Tl Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): The nature of the adjustment is described as follows: EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT: A.P.N.963-303-501: Lots 1 through 5,block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except therefrom that portion conveyed to Jefferson County for road purposes by deed recorded May 17, 2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Ref:A.F.N.554406 NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT: PARCEL A: Lots 1 and 2,together with the North 15 feet of Lot 3,all in Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Also together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Situate in the County of Jefferson,State of Washington. PARCEL B: Lots 3 through 5,Block 35,Irving Park Addition,as recorded in Volume 1 of Plats,Page 42,Records of Jefferson County,Washington. Together with that portion of vacated 6th Street adjacent vacated per Jefferson County Superior Court Cause No.06-2-00118-3 in order filed May 5,2006; Except the North 15 feet of said Lot 3; Also except that portion conveyed to Jefferson County for road purposes by deed recorded May 17,2001 under Auditor's File No.443785,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. EOVI SEP 1 2 2_0-13 JEFFERSON COUNTY T O F CONNIONI1N DEVELOPMENT t V 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 , 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 • 4y 4 v' JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT —4 621 Sheridan Street• Port Townsend •Washington 98368 � 360/379-4450 • 360/379-4451 Fax � www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1, — 7-‘q-- Project Description(include separate sheets as necessary): St Tr c-fre 5z� Tax Parcel Number. ' b 33 o 3S-m li Property Size: , a 7 3 f-ce J"- (acres/square feet) Site Address and/or Directions to Property: / Z eJ7 t T rV cs, , t;3� > l; c2 6G S T. — Property Owner(s)of Record: '7Hd flfl5 ,} ._ -j�� mN c0.,4' c. A e °ry G4(e Telephone: 3 L — 3 kJ'— —7 3 if(, Fax: email: L"/R * oe-y Al A✓S , Mailing Address: p. 0. S3 O,` 3')-i' f -Pa .� Id LiN4-5C-047) Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies '137 Lo% Cef'}-„ ❑Building ❑Critical Areas St, Maros or G �s n ❑ Demolition Permit ❑Variance(Minor, Major or R s � ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),.c� ) ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnam Classification ❑ Commercial* ❑Special Use(Essential Publ it ties) ID Change of Use Boundary Line Adjustment i SAP 1 2 2013 ❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** JEFFERSON COUNTY ❑Sign ❑Planned Rural Residential D v- •0411'1' • '44-4=► .1 DE OPMENT s • - s ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct ct 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 attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants pri notice. Signature:�/ Date: ' /Z J 1 S 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-transferable responsibility for adheri and com lying with the ESA. The Applicant has read this disclaimer and sins and dates it below. Signatur7�.--, Date: or 1,0111 • 951 a {'vR7 _ 9n5i-d'6 ZbnZhl �� APN: q(3 6 ( NAME: ThD fa6TUJ.C41Qf MLA# 3— (Z l Add.APN 1 Add.APN NOT Printed Printed SPAAD Category Intake Req's ❑ ❑ Zoning g ❑ Cases/Conditions by Parcel# ❑ Water Service Area ❑ ❑ Plat Maps ❑ ❑ Laserfiche Documents ❑ ❑ Road System *** "** Assessor Maps-H ❑ Lots ❑ Parcel Tags-H I� ❑ Permits-H ❑ l 2006-07 Shoreline Photos ❑ Left/Mid/Right Shoreline Arcs ❑ Shoreline Polygons ❑ DNR FP Stream Class ❑ DNR Stream k ❑ DNR Water Bodies ❑ LFA-Fish ❑ Soils-H ❑ Marbled Murrulets1 ❑ Heritage Points y.1 ❑ Type: Spotted Owls 4 ❑ Bald Eagle Nests &Buffers Di ❑ Priority Habitats and Species 8/06 4 ❑ Type Wetlands ❑ Rare Plants-Ecosystems 4 ❑ Type: Seismic Hazard ❑ Landslide Hazard ❑ FEMA FIRMS ❑ Map Panel#: Erosion Hazard ❑ Critical Aquifer Recharge areas ❑ Wells-Chloride ❑ Mineral Lands l�Q ❑ Shoreline Slope Stability ❑ Chanel Migration ❑ Airport Overlays ] ❑ No Shooting Zone jc ❑ SIPZ �.. -❑ 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 • vsz mz a°,mi 0 r�mio� g ;204 A �R1 ' 8 — DANA .9a� ss $ mo°ni1A _ A � s i °nsP Aoozoo t xzn"r= a D g K Z EC,' n vi_i la ' i^ w' — - pj>Z ? 2 p s A T'9 6 17 m D A Z g No zSoAo m2 — ADO N� D;ilk to fA A y r y t s< -1-11 D C Zi s- F.! g! A ■ OzZ FR 9'fi 21 o ut o !...1 2' N H f zP ii 2 .o S r0 .-cv s),I o O n m F. C=Q c r D n Z - 'n .g, 0 - D JD.1 og - — o t , mo f ' i' . ' ---§* o 7'144 (NW 1/4 17 - 30N - 1W) 390.72 390.72 520.95 le ♦ N �p 52496 620.96 7TH w ST. 'V.9 Nmx8 �s� ° o tix8 '>8 ptg w��° (P ti p S O a+ L 6TH ST. nl ° NE r r- — - . ! ' - �I;e '',.'5?- tixe 5THST. .I x, - ; 010 uI °m�8 ~F 0 0 9q 8 a ' ' A > o �, n ° T� }Si F.4TH ST. 5 x V .0 X v '® 520.96 520.96 ■ w " a v o 52 O 0 .- � •i I /�g 761.44 I W V7 W rn5M$ ° ° _ ° u ♦ w a ° ° ° W LA 'I ° III° C Z 3RD ST. I m GRACE 7 AVE. r ° 90.72° ,, ° I O 390.72 3 m ° ° ° G ° _ v F. CO i m I I "fo8 c !' w m m ♦ uu - x_ NIP P1��� 8 m A ° -' w _ e s u W 2ND ST. S s .I °�N." N ♦ EDGECOMB AVE g y m I ROBINSON SNORT PAT g> I ® d z C N , Na. P%` I °o 1ST _ ° O MORNINGSIDE AVE c Z A II m co jP 9 P.' <- p% C 701.44 V I°I �♦ wl4l I — f L -11 i'. �$°g. ash az m98>8 / $ / / �� .pZ8N� NV8 / 8S , o �j 7TH ST. o (f) Lai X11 ,. xlna m m 1:,,,, titi Z m I I I �D o �w ® k ° ° () 3 ST. PENNY LANE (..{ y �� I ARCADIA TERRACE 1�. 474s9 6TH ST. c 1 4 N N**51 g °�M 313�I Y� '�� I A 5TH Ili ST. ti j � .15 74 (NW 1/4 15 30N - 1W) 2640.77 rn RAI* jCVa !",....m- _40 7 I (f) Z$eR o m m O vn -0g 7 _,o gD 0 N ■N 0 m J �0 z z� � a o DA 1 ^ a c-1° r'''n V>0 o y o A� ■ g m 0 n L °i m a o o %'25.5g •_ ^'N-1,$;m m O m r zc 0 v $-. _ o r c _ A z .. >26 g l<> �> — m A y i 'z _ $ ci oz $g ar�qm _ D cc>m `,1g;in II n II — `., o°z �' 4� cTn>e° — ° WI F z x pFpvAi m D ut ; A r co 2Npgp iym O? x x D A o C - x II x — A A O O ro ti mo 'n Cl) Ogg _ O%) (SW 1/4 17- 30N - 1W) 2526.47 I 001175003 oonlsW7 320.15 F 4> to 2.73 a. 30 '1, I I 312 a. �� �n�-,/ 589.30 ' 312.91 < k �e8 fl g PO I ii... Z. r, :PI 111 Z I INN n ` 740,--_; ___/..) II ,9C� 321.02 N Cl: �2os .s-.,,F,., ii�I •�I VI u I u p.z.,S .. as ! ��� �� O��' `oR{go am- c S �. N ° z o =s a BI- I I I �$ o '9 eN8 1oz.n D N u O la I rffir,,o� a®a o . �(ie 243.09 10165 -v p 8 RY A., s'ws Z's VS /a� o"�� /20. �s � .. .]w *Ax, �B 1`I 789.16 6�� p m��� I� Pm 3RD �A;® ,a�.�RO1�r !!!I° 1�1�19431 qq � 001170019 - L 827.91 Z ? 2ND TAX 49 I v (ENLC TAX 90) �0 w 3.00 . . a NM _ _ ° — — —�� TAX 90 � I O 499.03 s s g ��©1 2 I 225.51 u u u - r ° ° f D . p._. ,ST ST. S/VAC 3-1-93 LA O° �� 606.00 °1i�91 ���©1 wz , TM0. , ©fit ©� a ° ©r0 AO D O siMEn (/d I!1 Elm ril T. N <-i° °x 7TH ST. _ _ Et- "P �� .as ~� 0 F. i>-: W 25 03 In 6TH o ST. r_ Q.T.A. O6 o I,a tl Pi� loll 09,0 0 . I^ `` nd V/ °A/0 rn $ • 8 e-a (n r 9.7.0.3/,./U] ' Yo � �^'8 \j V.C.2/34/88 / \ (-1) '8 INNIMMITMEISKalardMilifil ni DONATION LAND CLAIM 1312.99 -4 w �" ►►YYyy ® / I5' \ rib, ,m CLINGER i DONATION LAND (O CLAIM 's) m,' (SW 1/4 16- 30N - 1W) =bo Wa D ? 7D 00 V) o = G) m En a rn -0 0 v o = v N ti = m -.°o a n W m- . e C z J O Cm m C -13 i i - - - - N < O' 1 Map Output ut Page 1 of 1 ArcIMS HTML Viewer Ma• t, 0 r• 1111015 11x: TTL , s ',111.Ydl• t 7 . .. . Or,.■, 4 r 1,..`..„, .,. :X<`,Y ty Will`. ` 1 •:Y<IC..lK.�.Y .i. !.• Y<,K:•,G '1r4`{ 1 rYYC,%i 1} �Y..4i`ft r:., , .f 274e•1 0 AO 9633°12” :Y• C:1 IY7p1 963608001 1 96360010 [ ; :1,Y,K.•fVTM .1, IC':•1 •\ I = Z<1.14i....• /� ♦J 0 f . 963302505. f Legend _ _- —----°—' Cape GS ova Rd °^� 0 selsctnd Feahres ....''°`F*xanca st 8 303507.9830 ...,t_ ". ` _., v 1 JC Rands 9636tlOpD2 5, 94870000( �,�,t 1 , a ,t Qx :,i 1 r7i , I Parcels-H 963600806 .► s-4 ^ .1,51• '6.1 1111 Permits*, 96 +:4!7;";'"� _... .. <,,..'... 963302502 , i •:1,:,1.1 • . <, f, . <i..f1 e•.Y r„i, 963303509 t Yc in, ,v ;. Al 84011�Y x. 963600001 963'904005983303506983303501 _,_.. 96330410 yxa' I 621900000 �2 t 9F*'104102 963600401 863680901 963303401 963303402 963304103 ', 1,E ; 117401: .4 ;;;, 0011:1,1 i,1117401. 001163002 ,•,<w.-4,I ______ 956700001 J2•:K<i .,1 - ,•:t.<IC<'IS ..702,80. 0,117401•; 963303308 4 <ciK1,.g 966702802 M�pronKied hi,Aelelsa,Cant/CoMra{Se.x�q5 .'. ,a<it .•+ e LiL !.':.. 702601 FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Mon Sep 30 15:09:47 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 9/30/2013 Map Output Page 1 of 1 ArcIMS HTML Viewer Map lIllfp10/:'llm....iiw. 1111111111111. 1711 1 Lag.nd weetad Features �,t� / JC t30adi x < - -� Par___. �a,` 41-,,IS. 001171012 " . 001171009 s` 0011°`"700114; Cal f1A ` s t^ k: ,, }. ^a .- 4r.h . a +# i '', ' MFR-$FiraRs l.001171014 011171015 #� a , 001171092 ti^ . ,* " Ru►a1 RriYrNirl to b 963303905 96A♦a36t000ttTt00� 001162009 _ a ' �* •�`+ ��«°"�, 963302501,,.�a RurtiRridrMLI 1:16 r zt a 1i , 96330.9670 ` �, 965302705 96330270$ xis x �+ //// s..' '', J ��' + 98330360Qy r . ` rr °,,.„ Ruai.aaidarL11:20 t. s e 983303904 R;' -:•'dr 963302706 :�s "963302i,01� ® MFR-8fap6FaNy 963303 8 k `' _',• � 04,2(213:33!4)31 ° � tr '..°i 96330¢501 c. �� � G ■ MFItAtu119Fan0y 963800701 963600661 s 101;— 'S 1� ,5 96330Q50t -'1".4 3302207 C Rr+f Con+pM a 963303902 963303605 .-� m x 963302707 963362704 140'V Pads and Pw an 030 L.A. Rvaal Fotaa Cape George tZd �- _. *�"•'^^•^• ti401/,1!, CgnmaroLtFarm 969600202—983301002 983303507 963303509 983302801-' .. � ° ( ��s e� 963600202 . ,��963303507 � �� 968760007 958700001 F; Fart #� den 963309002 .,. 96330280196330p801 is .t.-. art erc °_ � cam- �.. ,awf a _' r4Pa' t-. � ,' r„`c' ' = "I:20 Wlca le 963600507 963600502 ,` n •. gg 11$3302802 :. ® RirRi t as 983600542#. 963304004 ," 963303501 r 4, k �S , MFR Crdr 963600201 X983303509 ■ z�x - '-'-'0:::' tfl6d' .L "� a• C` "'. .-��'.�C h�"� �. - A11:10 IF963600009. s 983300005�96'330036t "s f , ^ , "2'4' ■ D'"4. t' r�' w. `� �98330416"963.903402� �a '�"�`95$700001 ��.958700001 Rrana.ard Ind- ,... d. r i3° 821900000 ■g qqQ i M k '1 '- sxa- t.i�ttad�rtNrl ,'X 963600`401 , 9833001021.»- s'6r ,, . rya MFR ortle» s -- sax 963304103 ,>+�aa3?a_ g .�[ " �'., 'x, sa a ,4 5;3 .t g t , 9.63302803�+u: 44'.° � o- ' x �, , Llil ,i ,m 4,-..,,-,r c '.. 4 y V* .:-, r ....a;"a ■ L C 6011746 ,` 963302902 t 00113 V ., ■ C�'�_. ' � t.,..,. + ,..7., � }aft.; ■ 001774017 ' a- 986700001 '' i CmdroadaCC e l p ,` 061163602 Ow ajdr•NC t..c. �, ' ; . ,a' � ` 5 �# { ::, '� r, ,- 3' yY'' ' ` ...:a 00 .4 ■ M : L 98 986700001 111.1:20 -7. 7 at 963;104201 :1,'1, 1 '_983303303 V t`' ,7986t ' ,,,fin uC,n UrwnGatnrrrol 1 �-" 011174018 4 ;,. 5983303308 ,e,x�, " _ ` t. z..' ,e.d .. ... I a, 963303006 969303603 `' 966762882 y UGA J,ta�Liptd 9nduaattl Rapt R?^r�el xs��ca.rfc s +CdS ' 963303301 a E 9136.7029 uw Mdt k.,;4, uw.ttat UGA.P 6ao UGA4.0R U6A•WaMa Orindad Cannaaal MPR4RN.tirwn Ink Mika a ret 6w Feat. 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 Sep 30 15:12:19 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/30/2013 Parcel Details Page 1 of 2 Jefferson County_____ r , Home 4: County Info 4 Departments Search Parcel Number: 963303501 SEAR H J;I Parcel Number: 963303501 Printer Friendly Owner Mailing Address: THOMAS TUCKER JANICE TUCKER PO BOX 328 PORT TOWNSEND WA983680328 Site Address: 12 MEDITERRANEAN AVE PORT TOWNSEND 98368 Section: 17 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 111 Planning area: Quimper (2) Sub Division: IRVING PARK ADDITION Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: IRVING PARK ADDITION I BLK 35 LOTS 1 THRU 5 I SUBJ TO EASE LOTS 3&4 l & 6TH ST ADJ QTA I LS CO RD R/W#92199 Click on photo for larger image. x No x No 2nd Photo Photo Availabl Availabl e e Permit Data Assessor Bldg Data Map Parcel Plats&Surveu Septic Monitoring Info Tax,AN, Sales Info *:4 ''* HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later http://www.co jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=963303501 9/30/2013 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma t 11117101: : ':.L<.eyr1 .':Y<IS � 11 1 ,Iii' in+iksl,M6 Ass�JJ)... t M<w s.�' *...1,-,1,- ................. tr 7 y�,p'}I r e rc5'14 r .2 # j ,I-..,.l �, ,MICy G ..r...re+. Li—r alt�1 ` R ' -c ir1f� �C . ';4:44.W....3, x,14 r .,, Legend '`.'"' 111101111**" D Selected Features ■f+I.. -�< . 1 _17111 e ,: y ,>Ir�) �,,.�/' JC iEOa�da "Sw• t +'AS <\'t.I/ It.,I 1 <1C.. 'S /,.E1 R > , 11/.,I. Parcels...I ` `V"`,,,, 2011 Aerial Photos Mx It.., tx'+rr ,+ <t5.1 .. �} f( 1(:1 1 11 ` iy * ."TTy-T ^'H _ Y' ,(*"� 1yyyAe et.. .t<tS.l <IS..i'f -41" 9 T.<1 1V1 ' ..,":70+7111N4 I .:,;:1 ✓� wd4� 1 Iii 1 J V. + -t ..t<:1«.'.1,' ';"+vwvmv^ 1.«. bra Maps Ironclad Cry Missal Quey Cerra Sermon GIS FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Mon Sep 30 15:13:13 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 9/30/2013 337!04 Li?-Vol b pei 144 A•19L .i '. AMENDMENT TO IRVING 'A 11T1 ` PER COMM/9SlONER ACTION ON TH/5 THE' PLAT OF �-2r__DAV of � �� � ��� �� CHAIRMAN, BOARD of C0MMI5$lONERS �'_'^ 2 O#♦ * 'r s.. CLERK, �—' 1 BOARD or COMMISSIONERS '_ JEFF CO.VIASH.TER. e.p SCALE,200F'</WON. .'�sa. , c'a '�ai , s. s rc ,* ¢OUIQDIN• HRZ� AVENUE ®�,. jg' �¢ G'f 1®11d®N11 11..1111 ... ��.:•iii♦• ®��� 0 Mill. 9>a�4 � � � morn ,.... �... A��,� • IArr��rrA®� 4100 modooN .:::.:....::........:, � � ��� 11111 11111 ■r01 ►..:�.►,•.:.:..::... _. FIRST ` W STREET nii..n...��p���Q�:'��� 11A11:11A101�11A1i 11111 110 .. 11110 0 : 'Mill �mIUAO Juror dar10 mArDO 10� °•:��•medso� � e - � :'SECoND .4 11°11A11 11� 1111®1 11100 ,•ra ©� iu� a �J�\9�. �s Mall mrdr1. 11iD� h1M11 11111 i ilD lad"Ili THIRD ® ... •.J:���pl NE 1 53710= ` ■■. L. ���� O„RECORDING CERTIFICATE gm �m. k{ F/ D FOR RECORD TH/5 - DAY OF ® ■ r ( ,1990 AT.$M ro. IN ,ET �� 1 FOURTH VOLUME�.--OF PLATS.PAGE_L'43-- , ......8 AT THE REQUEST OF BRUCE r 5AN0RA 0ilz4 V .= 1�01 SET- E — 1d1�'�,-all, o '� E ? fury ,II�a,��,10#111000 ' owe NI ''1100 w d;,� v/b��0 �Od®0 Od y _ IIroo moe►v 11111 FOR WA /R/PT//ONAOF PCAT Of I, , ONE {/AWKEYE PARK NMI 11511 Will 1l 1 it :1011 a morlr gems' midi + �ll NIMMI a. INSION 11141 111111 IM r., /( JJ A.J,J..✓J:J- 3 '.J. ....� „'"'p .1,.4i.P� sr/ ~ ' J ww.� "`e.... ”. ` i .....mss ✓-",-. w-'--'=,'. ,..`w �..- =a .... Y .... .w{1..+ u .'_'7 !.. 1'- s�:,-,....:^-- J'.'. 9. •w S J.re... w..A..... J„4...+-. : � .J.. 33710 LP-Vol 4. 1 IP+ 1 A-1c 4 Ai in 9 NOMENT TO � G AIC i PER COMMISSION /_ ' _DAV OF LI PLAT OF 'C 0 tSJL C' Z-)J CHAIRMAN, BOARD of COMMIS --'`-` ^W,.....d �e® ` 1. \ ,� �_� w � 4 + ' CLERK, COMMIS BOARD of 3.p a JEFF. C 0. WASn.TER. �, �— SCALE,200F*=/INCH. AVENUE iE4tiI IIA®0 ...ItfluIkIIII1flI1IIII Ed' .. � W STREET •••••'IA FrRST ©Aa :a®Aao itiiiiI1iitiiiii 11/11'STREE -_ z; lb o 1:4 SECOND ;� iiiL . IL.. IIIEI!I!°'iiii N.7,.a Air I i l Ili 33704 . i p , O RECORDING CERTIFICATE ��,y i Fl EO FOR RECORD TN/5 r-DAY OF .� �' 1990 AT, �-�h► IN ]�!a_ E T VOLUME_tea-- OF PLAT5, PAGE�4--- rani AT THE REQUEST OF BRUCE ? SANDRA � � SETON :\-41 R ITOR .. J, t 'ONE - PUTV , r� Pd./ . lIRili inn IlliglitIsii'5EE IDOL. ' OF PLATS, PG./`�-� I fOR ONE DE:SCR/PT/ON OF PARK PLAT DF 1 Ir r1' an •1 ,i . ,1 . 911 So mom TAL,-7- , ,„,,,, /7,0Ft . , . ,. , ,A - ___,•,... ........,_. ,.... .........,.........____,...... • ''.)Jl./..J'✓.J::.,,..JV,^-,-,,-.' , �. °s..' y7,"�✓d��,..,.`. "�..„ 4 .r :o - J .a+.«+.'! ' R v:wJ, . e —w . . "1. , . '3"..rr) .,.,. )^' ..,.,� r c...++ .. — 1 " ,+.. WA'++J�.,_. w d - :.J. ' r : yJ ,:..Ji 1.L s....c .jw -.+n.o., e ,..., . rJw✓.. wi+v....:.. . - W n.A.w.� - \ � u'w • y"" _. „ .J... v S 4'-'" a o _ ti— C.:_ "' .r o- ^ "" S . A , .r a . -de A uW A Y ....J ',---:,-;-•,-. � � :. . ...,. - 1•µ ..A. J -1• � 4✓.?J"' ,f ∎.as. J. .w„_,L i� .-,--.,•--- . . J w...„,•'/:..• • . {O J _.v y.r_ l'� '� . wM^ , w,J�i'r '''.1''..,-,- -N. •� � '/�/y y`-.J�.. ''Mf. w..'....+ _ ` � ' ul 'I' ' ��' 3 y,, ~ '_ • J 7 "n!. n.^' )O• V A"n.� . \J.JJ/.Y >. _. .'.'"YW. M..).. -, v�-M)+.WJ, t..- , rI w) r .,.,_ w %W J.Ti - _ r '+rr. L. ,. A:. 1 u.'''-'-'-'1,„,,,'' +^ .. e a..J 'i"^.' '''''''''n . . _Y.:.� w1•w � , "ba .1:. �� ,...--w.A. .+,.-. < s. .......i.,... s`+ y . .sw) �''.�"' w,st `n r"`..ad k. :i.•w�i...A 1 - r ^.."w.'"'", ,..vJ; :omi ,r' . ,.,s ...,... y - a:. i I CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 963303501 Printed: September 20, 2013 Cases Name Review Type Status Planner BLD00-00563 PALMIERI F Application Received: 8/29/2000 Permit Issued/Case closed: 8/31/2000 Case Finaled: 9/14/2000 PROPANE TANK INS IALLAI ION No findings, conditions, or permissions found. BLD07-00133 MLA07-00156 TUCKER I R Application Received: 3/28/2007 Permit Issued/Case closed: 5/31/2007 Case Finaled: NEW ADU W/A/G 250 GAL PROP TANK(REPLACING EXISTING 120 GAL I K) 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 8, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs)under the provisions of the Unified Development Code(UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property:Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas(1)All Industrial Land Uses(2) All Commercial Uses(3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) The project shall comply with Construction Stormwater Pollution Prevention(SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) The applicant is proposing to create or add 4966 square feet of impervious surface and 8050 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) A Stormwater Site Plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 9.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 10.) The site plan as submitted with the building permit application on March 28, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped,approved site plan dated May 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for an accessory dwelling unit, a detached garage and a shop 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 9/20/2013 Page 1 of 6 Cases Name Review Type Status Planner 13.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk(or salvage)yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk(or salvage)yards. In no case, shall any such junk motor vehicles be stored in a critical area. 14.) Minimum setbacks from the edga of Cape George Rd right-of-way, Mediterranean St right-of-way and any ingress/egress easements shall be 20 ft. Minimum side and rear setbacks are 5 ft. 15.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 16.) Exterior lighting for residential uses shall not exceed twenty feet(20')in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) A minimum of four(4)parking spaces are required for the single family residence and accessory dwelling unit(ADU). 20.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 21.) A septic permit(SEP93-00186)was finaled on June 6, 1996 for a 3 bedroom system. A septic permit(SEP06-00302) was approved on Novemner 1, 2006 for a 2 bedroom system. 22.) Cape George Rd (C622808)is a minor collector. The road approach is existing and an address of 65 Cape George Rd has been assigned to the parcel. 23.) A building permit(BLD96-00205)was finaled on June 12, 1996 fora new family residence, 24.) This parcel was created through the Irvin Park Addition under AFN 337104,filed of recorded December 26, 1990 in Volume 6 of Plats at Page 144 with Jefferson County Auditor's office. 25.) The proposal is to develop across separate parcels. Setback requirements will not allow for the development to span over lot lines. For the purpose of meeting bulk and dimensional requirements and minimum land area, a Declaration of Restrictive Covenant has been recorded under AFN 517127. 26.) A MINIMUM OF 10'MUST BE MAINTAINED BETWEEN DRY WELL AND EDGE OF DISPOSAL COMPONENT. 27.) PRIOR TO OCCUPANCY OR BUILDIGN FINAL, FINAL APPROVAL OF SEPTIC SEP06-302 IS REQUIRED. 28.) 10'SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE,TANKS, TREATMENT AND DISPOSAL COMPONENTS. 29.) No plumbing has been reviewed or approved for the detached garge(BLD07-00134)or the shop(BLD07-00135)by Jefferson County Public Health.Additional requirements may apply if plumbing is proposed. 30.) MUST MAINTAIN BUILDING SETBACK TO RESERVE AREA. BLD07-00134 MLA07-00156 TUCKER 1 R Application Received: 3/28/2007 Permit Issued/Case closed: 5/31/2007 Case Finaled: NEW DETACHED GARAGE- UNHTD, NO PLMB(BLD07-00134) 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 8, 2007 for the potential presence of Environmentally Sensitive Areas(ESAs)under the provisions of the Unified Development Code(UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection,the following ESAs were confirmed to be present on the subject property: Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses(2) All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments(6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices(BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 9/20/2013 Page 2 of 6 Cases Name Review Type Status Planner 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) The applicant is proposing to create or add 4966 square feet of impervious surface and 8050 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) A Stormwater Site Plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 9.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 10.) The site plan as submitted with the building permit application on March 28, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for an accessory dwelling unit, a detached garage and a shop 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk(or salvage)yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk(or salvage)yards. In no case, shall any such junk motor vehicles be stored in a critical area. 14.) Minimum setbacks from the edga of Cape George Rd right-of-way, Mediterranean St right-of-way and any ingress/egress easements shall be 20 ft. Minimum side and rear setbacks are 5 ft. 15.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 16.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) A minimum of four(4)parking spaces are required for the single family residence and accessory dwelling unit(ADU). 20.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 21.) A septic permit(SEP93-00186)was finaled on June 6, 1996 for a 3 bedroom system. A septic permit(SEP06-00302) was approved on Novemner 1, 2006 for a 2 bedroom system. 22.) Cape George Rd (C622808)is a minor collector. The road approach is existing and an address of 65 Cape George Rd has been assigned to the parcel. 23.) A building permit(BLD96-00205)was finaled on June 12, 1996 for a new family residence, 24.) This parcel was created through the Irvin Park Addition under AFN 337104,filed of recorded December 26, 1990 in Volume 6 of Plats at Page 144 with Jefferson County Auditor's office. 25.) The proposal is to develop across separate parcels. Setback requirements will not allow for the development to span over lot lines. For the purpose of meeting bulk and dimensional requirements and minimum land area, a Declaration of Restrictive Covenant has been recorded under AFN 517127. 26.) MUST MAINTAIN BUILDING SETBACK TO RESERVE AREA. 27.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN DRY WELL AND EDGE OF DISPOSAL COMPONENT. 28.) PRIOR TO OCCUPANCY OR BUILDIGN FINAL, FINAL APPROVAL OF SEPTIC SEP06-302 IS REQUIRED. 29.) 10'SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE,TANKS,TREATMENT AND DISPOSAL COMPONENTS. 30.) No plumbing has been reviewed or approved for the detached garge(BLD07-00134)or the shop(BLD07-00135)by Jefferson County Public Health.Additional requirements may apply if plumbing is proposed. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 9/20/2013 Page 3 of 6 Cases Name Review Type Status Planner BLD07-00135 MLA07-00156 TUCKER I C Application Received: 3/28/2007 Permit Issued/Case closed: 5/31/2007 Case Finaled: NEW SHOP-UNHTD FL MIB(BLD07-00135) 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 8, 2007 for the potential presence of Environmentally Sensitive Areas(ESAs)under the provisions of the Unified Development Code(UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property:Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses(2) All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments(6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However,during construction the project shall follow the Best Management Practices(BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) The project shall comply with Construction Stormwater Pollution Prevention(SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) The applicant is proposing to create or add 4966 square feet of impervious surface and 8050 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) A Stormwater Site Plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 9.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 10.) The site plan as submitted with the building permit application on March 28, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for an accessory dwelling unit, a detached garage and a shop 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk(or salvage)yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk(or salvage)yards. In no case, shall any such junk motor vehicles be stored in a critical area. 14.) Minimum setbacks from the edga of Cape George Rd right-of-way, Mediterranean St right-of-way and any ingress/egress easements shall be 20 ft. Minimum side and rear setbacks are 5 ft. 15.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 9/20/2013 Page 4 of 6 Cases Name Review Type Status Planner 16.) Exterior lighting for residential uses shall not exceed twenty feet(20')in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) A minimum of four(4)parking spaces are required for the single family residence and accessory dwelling unit(ADU). 20.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 21.) A septic permit(SEP93-00186)was finaled on June 6, 1996 for a 3 bedroom system. A septic permit(SEP06-00302) was approved on Novemner 1, 2006 for a 2 bedroom system. 22.) Cape George Rd (C622808)is a minor collector. The road approach is existing and an address of 65 Cape George Rd has been assigned to the parcel. 23.) A building permit(BLD96-00205)was finaled on June 12, 1996 for a new family residence, 24.) This parcel was created through the Irvin Park Addition under AFN 337104,filed of recorded December 26, 1990 in Volume 6 of Plats at Page 144 with Jefferson County Auditor's office. 25.) The proposal is to develop across separate parcels. Setback requirements will not allow for the development to span over lot lines. For the purpose of meeting bulk and dimensional requirements and minimum land area, a Declaration of Restrictive Covenant has been recorded under AFN 517127. 26.) No plumbing has been reviewed or approved for the detached garge(BLD07-00134)or the shop(BLD07-00135)by Jefferson County Public Health.Additional requirements may apply if plumbing is proposed. 27.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN DRY WELL AND EDGE OF DISPOSAL COMPONENT. 28.) PRIOR TO OCCUPANCY OR BUILDIGN FINAL, FINAL APPROVAL OF SEPTIC SEP06-302 IS REQUIRED. 29.) 10'SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE,TANKS, TREATMENT AND DISPOSAL COMPONENTS. 30.) MUST MAINTAIN BUILDING SETBACK TO RESERVE AREA. PRJ07-00046 MLA07-00156 PALMIERI P Application Received: 3/28/2007 Permit Issued/Case closed: Case Finaled: NEW ADU W/A/G 250 GAL PROP TANK(REPLACING EXISTING 120 GAL TK) No findings, conditions, or permissions found. SUB13-00011 MLA13-00127 TUCKER P Application Received: 9/18/2013 Permit Issued/Case closed: Case Finaled: LOT CERTIFICATION linked with SUB13-12 and MLA13-128 No findings, conditions, or permissions found. SUB13-00012 MLA13-00128 TUCKER P Application Received: 9/18/2013 Permit Issued/Case closed: Case Finaled: BOUNDARY LINE ADJUS 1 MEN I -linked with SUB13-11 and MLA13-127 No findings, conditions, or permissions found. SEP06-00302 PALMIERI I Application Received: 9/14/2006 Permit Issued/Case closed: 11/1/2006 Case Finaled: SEP93-00186 is second system on this parcel w/access off Mediterranean Ave. THIS system is to serve a home w/access of Cape George Rd. 1.) Approval/issuance of a sewage disposal permit does not guarantee the approval of other development or a building permit on this site. Compliance with other Jefferson County and Washington State Codes is required. 2.) H- AS PER WAC 246-272 AND JEFFERSON COUNTY CODE 8.15 ALL SYSTEMS REQUIRE MONITORING. THIS MONITORING IS PROVIDED BY AGREEMENT BETWEEN THE JEFFERSON COUNTY ENVIRONMENTAL HEALTH DIVISION AND THE JEFFERSON COUNTY PUBLIC UTILITY DISTRICT#1. THIS SEWAGE DISPOSAL SYSTEM WILL REQUIRE AN ACTIVE MONITORING CONTRACT WITH THE PUD#1 PRIOR TO FINAL APPROVAL OF THE SEWAGE DISPOSAL SYSTEM. While the County strongly recommends that the property owner allow inspectors to enter their property to inspect the system in order to insure that the system is functioning correctly, the property owner always has the right under the Fourth Amendment and our State Constitution, to refuse the inspectors access to their property. The property owner never loses the right to refuse access and can do so despite never having refused access before. 3.) As per Jefferson County Code 8.15 all onsite sewage systems require monitoring. Monitoring shall be provided by an approved entity. THIS SYSTEM IS REQUIRED TO BE INSPECTED EVERY AT 6 MONTHS,AT ONE YEAR, ANNUALLY THEREAFTER AND AT THE TIME OF SALE SHOULD THIS SCHEDULE NOT BE CURRENT. 4.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 5.) Designer must be contacted prior to start of construction and for inspections during installation. 6.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 7.) Before final approval is given,the designer shall provide an operations and maintenance manual to the property owner.The manual must instruct the owner of the on site sewage system on the ways to properly operate and maintain all components of the system. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 9/20/2013 Page 5 of 6 Cases Name Review Tyne Status Planner 8.) Setbacks to all wells-100' required from drainfield and reserve areas.50'required from tanks and effluent transport lines. 9.) 10'separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks,treatment and disposal components. 10.) Setback to surface waters- 100'required from drainfield and reserve areas. 50'required from tanks. 11.) MAXIMUM TRENCH DEPTH 12 INCHES 12.) When/if designated reserve area is utilized an alternative system providing an additional level of treatment may be required. 13.) A 30'setback shall be maintained from the disposal component and reserve area to any downslope footing, curtain or interceptor drain or drainage ditch. 14.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 15.) Drainlines are to be installed along the natural contours. 16.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. 17.) Septic tank and pump chamber to be water tight. Extra protection(i.e. Bentonite)to be used around inlet, outlet, and risers due to high water table. 18.) Pump chamber shall be water tight and a minimum capacity of 1,000 gallons. It shall be equipped with a control panel outside within line of sight of the pump chamber.The panel shall have an audio and visual alarm, a cycle counter and a riser to grade. It shall be UL listed and meet L&l requirements. 19.) A screen shall be provided either at the outlet of the septic tank or around the pump or at both locations.A pump shroud is required if only an outlet baffle filter is used. 20.) Dose counters are required in the control panel for all drainfield components. 21.) Risers are required to grade with secured lids over both compartments and over the outlet of the septic tank for inspection and maintenance/monitoring. Minimum 20"riser over inlet. 22.) Distribution boxes shall be fitted with a riser to grade, constructed of durable materials and a secured lid, adequately sized to allow visible inspection of the liquid level in the box. 23.) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Unified Development Code for other/future development on the site. 24.) This system as designed and approved is sized for only one single family residence. It is not sized for an Accessory Dwelling Unit(ADU).The minimum daily design flow per residence is 240 GPD. 25.) The project shall adhere to the Best Management Practices(BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 26.) H-This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots one through five of block 35 to meet the minimum land area required under WAC 246-272 Onsite Sewage Code. COVENANT recorded 10/31/2006, #517127. BLD96-00205 AVERY F Application Received: 4/5/1996 Permit Issued/Case closed: 4/11/1996 Case Finaled: 6/12/1996 single family residence No findings, conditions, or permissions found. BLD97-00189 AVERY F Application Received: 4/4/1997 Permit Issued/Case closed: 10/30/1997 Case Finaled: 12/2/1997 PROPANE TANK INS IALLAI ION No findings, conditions, or permissions found. OTH96-00074 AVERY A Application Received: 4/5/1996 Permit Issued/Case closed: 4/11/1996 Case Finaled: No findings, conditions, or permissions found. SEP93-00186 AVERY F Application Received: 5/20/1993 Permit Issued/Case closed: 6/6/1996 Case Finaled: 6/6/1996 SEP06-302 is also permitted on this parcel. 1.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. Protective barriers are required around drainfield. 2.) Maintain 5 ft setback from property lines, and 10 ft from waterlines 3.) Drainlines are to be installed along the natural contours. 4.) Due to site limitations, extreme caution is to be taken not to disturb the primary and reserve drainfield areas and to maintain proper setbacks. 5.) Easement required prior to final SOM93-00186 PALMIERI F Application Received: 6/6/1996 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 9/20/2013 Page 6 of 6 } O r' O O Z LL O H O CU -3 O m — m o W o -o — Ln ,- J O O L CD -0 X Cr "O +P N Z C U Co = H W O C) co ++ "co H co co 1 L L L CA P.-- CC _0 U U U W Z O Cr O J CL CL X I- I•- o O e- CO CV CD a) m o -o 0 = 0 1 U co Cr "O Co W C = 3 CO 3 I— co -. o Co o oo 1- J U O o] -o Q Z Lo oS z C -z — O CO I--1 •- 1--1 = = Q 3 >,- c- I- Cr CA 3 r-k I- CV H 2 I— Q CO A \ -O Cr O O I- O I- W cn \V\ C W C) J Q J W W a N Q ,- CO CO CC Cr Cr O e---..„ O W Q Q 0 W W Z / •- CC ..- Y CA CO O X X \ 0 Y Y W ( ... • CO CL. O Cr I- Q Q O Q ¢ U U CO CO O Q O W 2 I- _ = CV Z ( O J CO CL J I- I- W I- H Cn 3 M. CC O U7 I- O J U LU -0 U Z CO 2 Cr H a) J Q U O H -3 I- W CO a E H CO I- O >. Y Co Co Y (A (0 z O Z Cr a) CC J = U 7 CL O = Q O O CD H CO U] etc = +1 U I— CL O■ 1 /� c0 v J I CO CD o O LO P- m d- . o , CO Y CO = N- I rn I— o o rn o 0 0 -0 t- ti U a) _ # C O Y a) •• C_ a L U Y C — a) O +1 a) _ a) a) = a) -- = 1— -C a) o (C1 a) "O 9 co U L L CL — O CO CL L U t0 X +� U -0 X 10 CO CL c0 -- -- CO a) 1— 1— X 4- I— co c0 cc- Map Output Page 1 of 1 ArcIMS HTML Viewer Map ' ! _.. 001 1 7101 2 s 001111009 001162009 •w.__ 031171012 _ 001162009 _. 041 171009 963303905 963383610_ 963162001._ � 001171015 �_,_..— 3 96130' 3610 r 963302705 963302708 , "; ' 061103904 4 .i4360Q i I 963302706 ',-. ' i 963302501 '' r —r •� 963342109',. 963302501 r 963303943 ' I 2 x.963303603 c 963302541 Yf 963600601 9636000101 i0''. , 11 ; f s ' 963303902 _a 963302707 963302704! 963302505 963343606 --- - --,.e.-.•Cape George Rd"m"°'».,°.,,,, /N.,_, ., Legend �.963600202 963304002 94633035w . v `'".95 . ._ Selected FeatUrom 9 Y7 -, 963302801 .; 958700001358700041 9633041508 96 801963302801 ,1 Jc Ode 9636Q1503< 963304402 .° __ 1 [--_963600202_, ; Parcels-H 963600506 '' 1 _ .--�_e 963303'501 963302802 -_ 4' 963600602 I 963304004 96330350 -`' 963600201 963303509 963302802 963600502 t a. "' ~ t Wean A v 963343101 963600001 __ 963304101 '' 1? 1__.963303506 ! 968700001 958140001 621900300 '963303402 -. 1 P 963304102 963640401 I 963600301 E 963303401'°902 I 96 1103 141 �'`. F =_w — 4e I 1 963362942 i E ,,;963303403 001174018 ' �'7 -1-----.. I E 963302902 001163002--_, A h Lo r .. -___ -_. 986700001001163002 001174017 x' I-- i ~"j J r ,� 963304201 96330330596303303 963303002 ' I 986700001 Maps tranded W,xwm>m Carty Central& toms 4 0 NIIIIMMOIMI 17511 966742801 i 1 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. Thu Oct 10 15:59:40 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=... 10/10/2013 Jefferson County D C D Invoice No. 13-174 621 Sheridan Street Port Townsend, WA 98368 ono:,- (360) 379-4450 fax(360)379-4451 INVOICE — Date 10/10/2013 Name Thomas Tucker _ MLA# AddreF.PO Box 328 - MLA# MLA03-00127 City Port Townsend WA 98368 Case# SUB13-00012 Phone Qty Description Unit Price TOTAL 2 EH review per lot- $78.00 $156.00 incorrect fees collected at intake Please Mail to: 621 Sheridan Street Port Townsend, WA 98368 Please Make Payable to: Jefferson County US DOLLARS SubTotal $156.00 Payment Details Q Cash Q Check QQ Outstanding TOTAL $156.00 I Name _ _ Check# Office Use Only Receipt# Department of Community Development rDEVELOPMENT REVIEW TIME SHEET THOMAS TUCKER MLA13-00127 Date Time Comments (1)41-\'77 1"AO leYWV1 T o p u n -cep r � 1°-10--1 L r � oc ,tDU- �e 5oc`S Fd, \\tidemark\data\forms\R_MLT_Case_CRMLA.rpt September 20,2013 • I UDC CONSISTENCY REVIEW Project Planner: Master#MLA13-00127 Review Type Protect Description $11134340,044— L• . - 6 ' . .y. 2 an. • • - SUB13-00012 BOUNDARY LINE ADJUSTM N -linked with SUB 13-11 and MLA13-127 Primary: THOMAS TUCKER Site Address: JANICE TUCKER 12 MEDITERRANEAN AVE PO BOX 328 PORT TOWNSEND WA, 98368 PORT TOWNSEND WA 983680328 1 03—5-0 '--- Pam Ar Project Location: % /, \�" Parcel Number: 963303501 S-T-R: 17-30N-01W Total Acreage 1 Legal Description IRVING PARK ADDITION BLK 35 LOTS 1 THRU 5 SUBJ Land Use: 1100 TO EASE LOTS 3&4&6TH ST ADJ QTA LS CO RD R/W#92199 Flood District: Fire District: 1 Planning Area: 2 Flood Map(FIRM)Panel No: .chool D 50 Zoning: AkVb COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ SS Plot plan states "property line" [ j Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [,vf]. Legal Access to Property t ■Ii { V Parcel Tags or Scanned Documents ` NO [ ESA's: Special Reports Nearby YES NO [ Designated Ag YES dr [ Shoreline Designation:YES N ] Shoreline Slope Sta ility: YES Stream Type:YES NO Fish&Wildlife:YES No Wetlands: YES NO Rare Plants:YES CS) Seismic: YES $Rs) Landslide: YES aril Flood: YES i 4. Erosion: YES WI Aquifer Rec _e Area:YES 0 ,. SIPZ: none At Risk High Risk Coastal CMZ: ": High Risk Moderate RiskDisconnected CMZ Stormwat- e plan submitted: YesNo f[ Forest Lands: YES 40 Adjoining Forest Lands: Commercial/ Rural/ Inholding [X Mineral Lands: YES , i [<] Agricultural Lands: Y l�O T;] Archaeology: YES er [ ] tormwater: 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 as-a—i5 7—SU■MDC2-0( ebD 0.44,t/ I; a (tacA p .i-t-CP ' a rn-a-A-*-6 kr [ Notice Pl*ovisiois/Disclosure: k 'vi ort YES` NO MRL YES O Forest■Lrinds YES MF Landscaping Required: Yes 0 Parking Spaces Re fired NO he Building Height: _ CtoverageCp Stand ard Ot peious Surf ce ercentage:r Resource Lands&Public: 10% Rural Residential: 25% ural Industrial: Per UDC Sec 6.7 Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only } Total Rural 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: [A Road Classification: _. A%• g. ■ _ �.,ra , , 1 . -�. j��e �+ Road Approach: EXISTING N•401. Q'D RAP SEPA Required: YES MPT ] T Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: {a a(.- 1,110 AFN 331 (O' t C Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restricti - Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES et submitted: YES NO [ ] Site Visit conducted YES 0 [ ] Require Final Zoning Approva YE' [ ] 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 Title Notes Updated Parcel tags found for parcel 963303501 1.) Custom Warning Flag October 14,2008 JC Assessor's research: "1) RCW 58.17 11/4/08 requires regulation of the division of land and was passed in 1969. 2) The Assessor's Office researched the history of this parcel and commented on July 25,2008 as follows: 'This parcel became Lots 1 thru 5 in 1990; 6th Street was added in 2006 through the Quiet Title Action (JC#06-2-00118-3). Prior to that it was the entire block-Lots 1 thru 10. There is not formal consolidation request on file. We have no objection to the segreation, just a reminder to address the attached street to the appropriate portion." Full document is in Laserfiche and in the 2008 DRD Subdivision Correspondence file. Parcel tags found for parcel 963303501 2.) WSRC Coaching- 2013-01-31 BIA,gave app 4/11/13 Other Parcel tags found for parcel 963303501 3.) WSRC Coaching- no date,CZ 9/3/13 Other Parcel tags found for parcel 963303501 4.) WSRC Coaching- 2013-05-07,CZ 9/5/13 Other Parcel tags found for parcel 963303501 5.) Custom Warning Flag October 14,2008 JC Assessor's research: "1) RCW 58.17 11/4/08 requires regulation of the division of land and was passed in 1969. 2) The Assessor's Office researched the history of this parcel and commented on July 25,2008 as follows: 'This parcel became Lots 1 thru 5 in 1990; 6th Street was added in 2006 through the Quiet Title Action (JC#06-2-00118-3). Prior to that it was the entire block-Lots 1 thru 10. There is not formal consolidation request on file. We have no objection to the segreation, just a reminder to address the attached street to the appropriate portion." Full document is in Laserfiche and in the 2008 DRD Subdivision Correspondence file. Parcel tags found for parcel 963303501 6.) WSRC Coaching- 2013-01-31 BIA,gave app 4/11/13 Other Parcel tags found for parcel 963303501 7.) WSRC Coaching- no date,CZ 9/3/13 Other Parcel tags found for parcel 963303501 8.) WSRC Coaching- 2013-05-07, CZ 9/5/13 Other Associated CASES status` issued finaled description 963303501 BLD00-00563 F 8/31/2000 9/14/2000 PROPANE TANK INSTALLATION MLA07-00156 PRJ07-00046 P NEW ADU W/A/G 250 GAL PROP TANK(REPLACING EXISTING 120 GAL TK) BLD07-00133 R 5/31/2007 NEW ADU W/A/G 250 GAL PROP TANK(REPLACING EXISTING 120 GAL TK) BLD07-00134 R 5/31/2007 NEW DETACHED GARAGE-UNHTD,NO PLMB (BLD07-00134) BL D07-00135 C 5/31/2007 NEW SHOP-UNHTD,NO PLMB(BLD07-00135) MLA13-00127 SUB13-00011 P LOT CERTIFICATION linked with SUB13-12 and MLA13-128 SUB13-00012 P BOUNDARY LINE ADJUSTMENT-linked with SUB13-11 and MLA13-127 SEP06-00302 I 11/1/2006 SEP93-00186 is second system on this parcel w/access off Mediterranean Ave. THIS system is to serve a home w/access of Cape George Rd. SOM93-00186 F 0TH96-00074 A 4/11/1996 BLD96-00205 F 4/11/1996 6/12/1996 single family residence SEP93-00186 F 6/6/1996 6/6/1996 SEP06-302 is also permitted on this parcel. BLD97-00189 F 10/30/1997 12/2/1997 PROPANE TANK INSTALLATION 1 L o — CE a� o�L L 2 V � c > a==7- N WO� WW J -4::i - 0 OU °'�" r'ao a CL N -_ .y L c y) -4 :s qTaQ� oroo M, 0 (VNO� WN as v= 0m -m PROCEDURES: THIS RECORD OF SURVEY IS BASED ON A GROUND SURVEY UTILIZING CONVENTIONAL TRAVERSE METHODS IMTH CLOSURES THAT MEET OR EXCEED THE STANDARDS CONTAINED IN WAC 332 - 130 -090. EQUIPMENT: SOKKIA SET -38, 3" TOTAL STATION SDR 33 DATA COLLECTOR TRIMBLE S6 3" ROBOTIC TOTAL STATION TRIMBLE TSC2 DATA COLLECTOR DATE OF FIELD SURVEY: SEPTEMBER, 2006 AND JULY, 2013 .— _ i___ _ _ N 88 22'07" W _ OF SURVEY JEFFERSON COUNTY NOTICE TO PUBLIC: BOUNDARY LINE ADJUSTMENT APPROVAL OF THIS BOUNDARY LINE ADJUSTMENT DOES NOT GUARANTEE A BUILDABLE SITE WITHIN SAID PARCEL(S). SUCH I DETERMINATION IS DEPENDENT ON APPROVALS OF WATER, SEPTIC, BULK AND DIMENSIONAL SETBACKS, AND ESA I REQUIREMENTS. APPLICATIONS FOR SEPTIC AND BUILDING PERMITS WILL BE REVIEWED AT TIME OF SUBMITTAL OF SUCH MLA 13-- 00127 / SUB 13-00012 APPLICATION FOR CONSISTENCY W17H CURRENT STATE AND COUNTY CODES AND ORDINANCES. i WITHIN BLOCK 35 IRVING PARK ADDITION SEPTIC SYSTEMS ARE PERMITTED AND INSTALLED ON EACH LOT. ANY NEW OR REPLACEMENT RESIDENCES OR OTHER �� I STRUCTURES, MAY BE CONNECTED TO A PRE - EXISTING ON -SITE SEWAGE SYSTEM ONLY WHEN THE PRE - EXISTING SYSTEM HAS '� I TO THE CITY OF PORT TOWNSEND HYDRAULIC TO BEIEN COMPLIANCE WITH CURRENT CODE. RATION, AN ADEQUATE RESERVE AREA AND SATISFIES ALL IN BASIS OF BEARINGS: �/ I THE EAST 112, SEC. 17, T. 30 N., R. 1 W., W.M. BEARINGS SHOWN HEREON ARE BASED ON THE WASHINGTON COORDINATE SYSTEM OF 1983, NORTH ZONE , / I JEFFERSON COUNTY, WASHINGTON NORTH AMERICAN DATUM (NAD 83186). AS SHOWN ON THE RECORD OF SURVEY RECORDED IN VOL. 23 OF PREPARED FOR SURVEYS, PAGES 64 -69, RECORDS OF JEFFERSON COUNTY, WA. 6 • IN DISTANCES SHOWN HEREON ARE GRID DISTANCES BASED ON A COMBINED FACTOR OF 0.999936 AS DETERMINED .'� I THOMAS TUCKER FROM JEFFERSON COUNTY CONTROL POINT NO. 9182 (DLC CORNER REFER TO MAP), REFER TO THAT SURVEY FOR ADDITIONAL INFORMATION REGARDING PLSS CONTROLLING CORNERS AND SUBDIVISION OF SECTION 17. i D� - _ N 8822'07" W b3 (CAPE GEORGE ROAD) 361.71r EDGE OF �� R' AWNS a I EDGE OF PAVEMENT I PAVEMENT o 3 Ito EDGE OF 1 GRAVEL �I 1 h ' 1+ C Iq� N � O �o = o I= I ° DLC CORNER MONUMENT I / 25 LONG X 12 WIDE `� FOUND A 1 -112" DIAM. BRASS I ro EASEMENT PER A.F.N. 510402 r - - - - - - / CAP MARKED "DLC" ON A 4 "X4" I o N 88 22'07" W 185.45' CONC. POST INSIDE STEEL CASE. z i - - - - - -` - - - -' -- - �_ N 8822'07" W � (VISITED 7106) � -- - � — 165.53 / — »-- - - - - -- _ I FND: 3/8" DIAM. REBAR WITH I N 8822'07" W - A i I I SURVEY CAP STAMPED "LS 12610" 1 \ I SOUTH LINE BRIGGS D.L.0 I - I S 644312 E, 0.22 FROM THE _ CALCULATED COR. POSITION 30.88' l 130' LOT 10 I (w I LOT 1 ' -�- - - -S 882732" E - -_- 17 16 EAST /WEST CENTERLINE SECTION 17 p I - - - - -/ R u I EAST V! CORNER SEC. 17 1 -112 DIAM. BRASS CAP Oil , N I MARKED "E 114 COR. SEC 17" �1 LOT 9 I / J I ON A 4" X 4" CONCRETE POST o v \ I Q0� I LOT 2 / / / 1 (VISITED 4105) IN 0NOTES: PARCEL A AND B / DI OVERY RD. R.O.W. PER ►o I 1) FOR ADJOINING SURVEYS OF I (B.L.A. V. 578, PG 54 -60) 1 / / / JEFFERSON CO. DISCOVERY r- RECORD SEE: (VOL. 28 OF SURVEYS, PAGE 77 / RD. R.O. W. MAP DATED ° I VOL. 2 OF SURVEYS, PAGE 24 Z� I ) I / 210212001, ON FILE AT Z I VOL. 16 OF SURVEYS, PAGE 59 U - - - - - I / / JEFFERSON CO. DEPARTMENT I VOL. 17 OF SURVEYS, PAGE 162 o`O _ _ _ _ _ OF PUBLIC WORKS. I VOL. 24 OF SURVEYS, PAGE 193 �I N I - - - - - - - ~/ • �g, VOL. 23 OF SURVEYS, PAGE 64 -69 (d 13 / �h I VOL. 28 OF SURVEYS, PAGE 77 Co I / �pb,�y1g I VOL. 31 OF SURVEYS, PAGE 91 I Q N I ALL RECORDS OF JEFFERSON COUNTY, �I O I ► / / l „[� p D� V J WASHINGTON. tj 4 18 LOT 8 / / / A , / � � ] 2) THIS SURVEY DOES NOT PURPORT TO SHOW THE EXISTENCE OF ALL w I / DLC CORNER MONUMENT EASEMENTS AND OR ENCUMBRANCES .a I // ool FOUND A 1 -112” SQUARE PIN I RECORDED OR UNRECORDED THAT I (VISITED 1105) -��� MAY AFFECT THESE PROPERTIES. r-- — — — — — — — — — � LEGEND: (EXCEPT AS OTHERWISE INDICATED) LEGAL DESCRIPTIONS: 1 / ...ADJUSTED PARCEL LINE 1 / 7P 3?0 f�L - - - - - _.PREVIOUS LOT LINE FOR LEGAL DESCRIPTION OF PARCELS BEFORE AND AFTER I LOT 7 � P��' ° / ____________ ...EASEMENT LINE BOUNDARY LINE ADJUSTMENT SEE STATEMENT OF INTENT ...PLATTED CENTERLINE 30' I / ��ti� �g / ...EDGE OF PAVEMENT FILED UNDER AFN. I / / o\Py����pv /i - - - - _ _.EDGE OF GRAVEL RECORDS OF JEFFERSON COUNTY, WA. �� 1 / ... BUILDING LINE _ � r n„ W , j `/ 5 G �( Ole / UGp -UNDERGROUND POWER LINE A=00 *'07'57" - R= 3324.78 ' L= 7.69' 5109'35" W 15.38' PINE STREET Ct N 8809'09" W �10 AUDITOR'S CERTIFICATE -�-- FILED FOR RECORD THIS 2!±_ DAY OF �� 6 �!"_ 2014, AT IN BOOK S I _ OF SURVEYS, PAGE lg_ RECORDS OF JEFFERSON COUNTY, WASHINGTON AT THE REQUEST OF VAN ALLER SURVEYING. 5 X * * FENCE LINE SEE AFN. U FOR RECISION OF �y9 / ...CULVERT (AS DESCRIBED) DECLARATION OF RESTRICTIVE COVENANT. ...FOUND /SETA 518" DIAM. REBAR WITH PLASTIC G / SURVEY CAP MARKED "VAN ALLER 35986" SEE AFN. � / FOR RECISION OF SET PER VOL. 31 OF SURVEYS, PAGE 91 SEPTIC EASEMENT. OR THIS BOUNDARY LINE ADJUSTMENT / 0 FOUND A 518" DIAM REBAR WITH PLASTIC SURVEY JEFFERSON COUNTY APPROVALS: Scene 1" = 30' -30' 0 30' 60' 90' DISTANCES SHOWN HEREON ARE GRID DISTANCES MULTIPLY BY 1.000064 TO OBTAIN GROUND DISTANCES DECLARA TION: CAP MARKED "A. WOOD PLS 23911" SET PER VOL. 17 OF SURVEYS, PAGE 172 (ALL MONUMENTS FOUND WITHIN 0.2' OF THE CALCULATED POSITION) 0 ... FOUND SURVEY MONUMENT AS NOTED m ... TELEPHONE RISER IN ... POWER TRANSFORMER KNOW ALL PERSONS BY THESE PRESENTS THAT WE THE UNDERSIGNED, TITLE OWNERS OF THE LAND DESCRIBED HEREIN, DECLARE THIS BOUNDARY LINE ADJUSTMENT TO BE CREATED BY OUR OWN FREE WILL AND CONSENT AND APPROVE OF ITS ENTRY INTO THE LAND RECORDS FOR JEFFERSON COUNTY THROUGH RECORDATION OF THIS SURVEY 1MTH THE JEFFERSON COUNTY AUDITOR. x 1kc TUCKER, OWNER S.R.A. FILING DATA T NONE NONE JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DATE DEVELOPMENT UDC ADMINISTRATOR SURVEYOR'S CERTIFICATE THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME OR UNDER MY DIRECTION IN CONFORMANCE WITH THE REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE REQUEST OF THOMAS TUCKER IN JULY, 2013 .7- Vic- a&1- /21 2 2 • /V BRIAN VAN ALLER LS 35986 DATE DEPUTY COUNTY A DITOR THOMAS TUCKER, OWNER x 1kc TUCKER, OWNER S.R.A. FILING DATA T NONE NONE JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DATE DEVELOPMENT UDC ADMINISTRATOR SURVEYOR'S CERTIFICATE THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME OR UNDER MY DIRECTION IN CONFORMANCE WITH THE REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE REQUEST OF THOMAS TUCKER IN JULY, 2013 .7- Vic- a&1- /21 2 2 • /V BRIAN VAN ALLER LS 35986 DATE