HomeMy WebLinkAboutBLD2013-00110 •
BUILDING PERMIT APPLIC7�`ION
BLD13-00110 Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00110 Received Date: 4/8/2013
SITE ADDRESS: 4640 S DISCOVERY RD
PORT TOWNSEND, 98368
OWNER: W E SETON PHONE:
4890 S DISCOVERY RD
PORT TOWNSEND WA 983689022
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001324003 Section: 32 Township: 30 N Range: 01 W
CONTRACTOR: SETON CONSTRUCTION INC PHONE: 360-385-0213
4640 S DISCOVERY RD
PORT TOWNSEND WA 98368
Contractor's License SETONCI1650A Expires 10/30/2013
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP FUEL TANK CLOSURE - REMOVAL OF FOUR FUEL TANKS
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP MEC
MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $228.00 JLA 04/08/13 140209 APPROVED
Total: $228.00 APPROVED
JUN 17 2013
Jefferson County DOD
1Virlor.,chlrlofo\S..rmc1F 01 n Ark,, 041 rn/ AI0.#91N'3
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
UNIFIED DEVELOPMENT CODE
TYPE I LAND USE PERMIT
APPLICANT: SETON CONSTRUCTION INC
4640 S DISCOVERY RD
PORT TOWNSEND WA 98368
DATE ISSUED: 'i tl
DATE EXPIRES: b it'SI
MLA NUMBER: MLA13-00061
PROJECT PLANNER: Zoe Ann Lamp
PROJECT DESCRIPTION:
Underground Storage Tank Removal
The proposal is to remove four underground fuel tanks equaling 16,000 gallons(One tank each of the following: 7.000
gallons, 4,000 gallons, 3,000 gallons and 2,000 gallons). The applicant proposes to triple rinse the tanks with a
qualified professional certifying the tanks are clean. Soil samples and tests will be conducted during excavation
ensuring the site is not contaminated. The combined total of the tanks exceeds the 10,000 gallons exemption for the
State Environmental Policy Act(SEPA)and consequently the proposal requires a review under SEPA. No special
reports have been submitted with the application.
PROJECT LOCATION:
Parcel Number 001 324 002 & 003 in Section 32, Township 30, Range 01 West, WM, Located at 4640 Discovery Rd.
Port Townsend, WA 98368
CONDITIONS:
1.) 1. If contamination is suspected, discovered, or occurs during construction, testing of the potentially
contaminated media shall be conducted. If contamination of soil or groundwater is readily apparent, or is
revealed by testing, Ecology shall be notified. Contact the Environmental Report Tracking System Coordinator at
the Southwest Regional Office at(360) 407-6300. For assistance and information about subsequent cleanup
and to identify the type of testing that will be required, contact Joyce Mercuri with the Toxic Cleanup Program at
360-407-6260.
2.) 2. A notice of intent to close tanks shall be filed with Ecology at least 30 days prior to decommissioning.
The on-site supervisor,providing tank closing services, shall be licensed by passing an exam administered by
the International Code Council (ICC). Within 30 days after closing, a permanent closure checklist form shall be
provided to Ecology by the owner. The checklist shall be signed by the certified supervisor that was on-site
during the closure.
A site assessment to determine whether contamination has occurred shall be completed by a professionally
qualified person certified by the ICC. Ecology's minimum requirements for sampling for contamination in the
excavation area are outlined in a published guidance document. This document, forms,and regulations are
available from Ecology by calling 1-800-826-7716. Within 30 days after completion, the person that performed
the site assessment shall provide Ecology a site assessment checklist and results of the testing. If
contamination of soil or ground water is readily visible, or is revealed by sampling, Ecology shall be notified
within 24 hours by the owner and within 72 hours by the service providing supervisor. Contact the Environmental
Tracking System Coordinator at the Southwest Regional Office (SWRO) at (360)407-6300.
Ecology requires the results of the site assessment be maintained for five years after completion of permanent
closure or change-in-service. We recommend that the records be kept in the property file indefinitely for any
future property owners to fulfill liability requirements under the Washington Model Toxics Control Act(MTCA)
Under the Uniform Fire Code (UFC), other local permits may be required for the closure of underground storage
tanks. The local official charged with administration of the UFC shall be contacted regarding the permit
requirements.
3.) 3, Any discharge of sediment-laden runoff or other pollutants to waters of the state is in violation of Chapter
90.48 RCW,Water Pollution Control, and WAC 173-201A, Water Quality Standards for Surface Waters of the
-
State of Washington, and is subject to enforcement action.
Erosion control measures shall be in place prior to any clearing, grading, or construction. These control
measures must be effective to prevent stormwater runoff from carrying soil and other pollutants into surface
water or stormdrains that lead to waters of the state. Sand, silt, clay particles, and soil will damage aquatic
habitat and are considered to be pollutants.
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.
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,
The Threshold Determination for this Type I Permit may not be appealed to the Hearing Examiner. For more information related to
SEPA appeals see JCC 18.40.810.
t
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UIC Administrator
MIA13-00061
\\tidemarkld atatforms\F_M LT_I ssuePe rmlt_U.rpt 6/11/2013
Page 2 of 2
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JEFFERSON COUNTY
j4s. I^. DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street(Pori Townsend,WA 98368 Web.www.co.teferson tuslcommunitvdevelopnent
y_ Tei 360,379 4450 j Fax 360.379.4451 i Email.dcdO..co.iefferson.wa.us
binding Permits&inspecfions i Development Consistency Review I Long Range Rlanning I Watershed Stewardship Resource Center
FINAL MITIGATED DETERMINATION OF
NON-SIGNIFICANCE AND LEAD AGENCY STATUS
Date: June '12,2013
File Numbers: MLA13-00061,BLD13-00I10
Project Planner: Zoe Ann Lamp,AICP,Associate Planner
Property Owner: W. E. Seton
4890 S. Discovery Rd.
Port Townsend,WA 98368-9022
Proposal: Underground Storage Tank Removal: The proposal is to remove four underground fuel tanks equaling
16,000 gallons(One tank each of the following: 7,000 gallons,4,000 gallons,3,000 gallons and 2,000 gallons).
The applicant proposes to triple rinse the tanks with a qualified professional certifying the tanks are clean. Soil
samples and tests will be conducted during excavation ensuring the site is not contaminated. The combined total
of the tanks exceeds the 10,000 gallons exemption for the State Environmental Policy Act(SEPA) and
consequently the proposal required a review under SEPA. No special reports have been submitted with the
application.
Property Location: The property is located at 4640 South Discover Rd.,Port Townsend,WA 98368.
Legal Description: Parcel Number 001 324 002 &003 m Section 32,Township 30, Range 01 We WM, Located
at 4640 Discovery Rd,Port Townsend, WA 98 368
Mitigative Measures:
L If contamination is suspected, discovered,or occurs during construction;testing of the potentially
contaminated media shall be conducted. If contamination of soil or groundwater is readily
apparent,or is revealed by testing, Ecology shall be notified. Contact the Environmental Report
Tracking System Coordinator at the Southwest Regional Office at(360) 407-6300. For assistance
and information about subsequent cleanup and to identify the type of testing that will be required.
contact Joyce Mercuri with the Toxic Cleanup Program at 360-407-6260.
2. A notice of intent to close tanks shall be filed with Ecology at least 30 days prior to decommissioning.
The on-site supervisor,providing tank closing services, shall be licensed by passing an exam administered
by the International Code Council(ICC). Within 30 days after closing, a permanent closure checklist
form shall be provided to Ecology by the owner. The checklist shall be signed by the certified supervisor
that was on-site during the closure.
A site assessment to determine whether contamination has occurred shall be completed by a
professionally qualified person certified by the ICC. Ecology's minimum requirements for sampling for
contamination in the excavation area are outlined in a published guidance document.This document,
forms, and regulations are available from Ecology by calling 1-800-826-7716. Within 30 days after
completion,the person that performed the site assessment shall provide Ecology a-site assessment
checklist and results of the testing. If contamination of soil or ground water is readily visible, or is
revealed by sampling, Ecology shall be notified within 24 hours by the owner and within 72 hours by the
service providing supervisor,Contact the Environmental Tracking System Coordinator at the Southwest
Regional Office(SWRO)at(360)407-6300.
Ecology requires the results of the site assessment be maintained for five years after completion of
permanent closure or change-in-service. We recommend that the records be kept in the property file
indefinitely for any future property owners to fulfill liability requirements under the Washington Model
Taxies Control Act (MICA).
Under the Uniform Fire Code(UFC).other local permits may be required for the closure of underground
storage tanks.The local official charged with administration of the UFC shall be contacted regarding the
permit requirements.
3. Any discharge of sediment-laden runoff or other pollutants to waters of the state is in violation of Chapter
90.48 RCW, Water Pollution Control, and WAC 173-201A,Water Quality Standards for Surface Waters
of the State of Washington,and is subject to enforcement action.
Erosion control measures shall be in place prior to any clearing, grading,or construction. These control
measures must be effective to prevent stormwater runoff from carrying soil and other pollutants into
surface water or stormdrains that lead to waters of the state. Sand,silt, clay particles, and soil will damage
aquatic habitat and are considered to be pollutants.
Notice of Lead Agency: Jefferson County has determined that it is the lead agency for the above-described
proposal.
Notice Of Non-Significance: Jefferson County has detennined that the above described proposal,conducted in
conformance with the applicable Jefferson County Codes and Ordinances, would not have a probable significant
adverse impact on the environment, and an environmental impact statement is not required under RCW
43.21C.030(2Xc). This decision was made after review of a completed environmental checklist and other
information on file with the Jefferson County Development Review Division and an inspection of the site.
Comment Period: This DNS is issued after using the optional DNS process in WAC 197-11-355. Jefferson
County has considered comments on its preliminary determination of nonsignificance. There is no further
comment period on the DNS.
Appeal: There is no Administrative Appeal process under the Jefferson County Code (JCC)for Type I permit
decisions as specified by JCC 18.40.260 and JCC 18.40.810(1). Appeal of.a Type 1 permit requires a Judicial
Appeal as specified by Section 18.40.340 of the JCC..
Stacie Hoskins, SEPA Responsible Official Dat
MLA 1 3-00061 Seton—4640 S Discovery-Rd.-MDNS Page 2 of 2
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WAC 197-11-960 Environmental checklist.
ENVIRONMENTAL CHECKLIST
Purpose of checklist'
The State Environmental Policy Act (SEPA), chapter 412IC RCW, requires all governmental agencies to consider the
environmental impacts of a proposal before making decisions. An environmental impact statement(EIS) must be prepared for all
proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide
information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it
can be done)and to help the agency decide whether an EIS is required.
lnstruclonsfor applicants
This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use
this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS.
Answer the questions briefly,with the most precise information known,or give the best description you can.
You must answer each question accurately and carefully,to the best of your knowledge. In most cases, you should be able
to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the
answer, or if a question does not apply to your proposal, write "do not know" or "does not apply." Complete answers to the
questions now may avoid unnecessary delays later.
Some questions ask about governmental regulations,such as zoning, shoreline,and landmark designations. Answer these
questions if you can. If you have problems,the governmental agencies can assist you.
The checklist questions apply to all parts of your proposal,even if you plan to do them over a period of time or on different
parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to
which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to
determining if there may be significant adverse impact.
Use afchecklistfor nonproject proposals:
Complete this checklist for nonproject proposals,even though questions may be answered "does not apply." IN ADDITION.
complete the SUPPLEMENTAL SHtl't FOR NONPROJECT ACTIONS(part D).
For nonproject actions,the references in the checklist to the words"project:" "applicant," and"property or site" should be
read as"proposal." "proposer,"and"affected geographic area,"respectively.
A, BACKGROUND
1.. Name eotf�proposed*project,if jplicable:
^
2. Name of applicant:
3 Ajidress and phone number of applicant and contact person:
.s e473
4. Date checklist prepared: I PO C> 1/3
5. Agency requesting checklist: 'Tel,"<Y'J'g co,,,itt Oc.O
6. Proposed timing or schedule(including phasing,if applicable):
7, Do you have any plans for future additions.expansion. or further activity related to or connected with this proposal? If ves,
explain U
,
8. List any environmental information you know about that has been prepared,Or will be prepared,directly related to this proposal
'}, p�r-j;- n ecrloy, J bcc4 C. 1d ,r1c•i/; 0/4_, "tsdrrc
QL-ht rtJl'rYjr`tt* 4 '/ c .-r /i as $or / ..-pi •il
9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property
covered by your proposal? If yes.explain.
10 List any government approvals or permits that will be needed for your proposal,if known.
20 clog '164i'c&' 'TO GC-e+I C jJ d - ee.)-gip/col
11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are
several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not aced to repeat those
answers on this page. (Lead agencies may modify this form to include additional specific intomiation on project description.)
Pees"oAset cs '1`Z o rn yq/rd, /'6.'Set1 c' 3Co i. C,.(a
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12. Location of the proposal. Give sufficient information fora person to understand the precise location of your proposed project,
including a street address,if any,and section.township.and range.if known. If a proposal would occur over a range of area. provide
the range or boundaries of the site(s), Provide a legal description, site plan, vicinity map, and topographic map, if reasonably
available- While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans
submitted with any permit applications related to this cchecklist.0
o r4 TO,- e c-/ ' - 41 sic
TO BE COMPLETED BY APPLICANT ENALU.ATnON FOR
AGENCY USE ONLY
$_ ENvn oNMEiv'rAL ELEMENTS
1 Earth
a. General description of thesite(ctrcteonel Ila rolling.hilly.steep slopes.mountainous.
other. , .
b \kihat is thefsteepest slope on the site tapptoximate percent slope)"
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
c. What general types of soils are found on the site(for example,clay,sand,gravel,peat,
muck)? if you know the classification of agricultural soils,specify them and note any prime
farmland.SG t di
d. Are there surface indications or history of unstable soils in the immediate vicinity? if so,
describe.
e. Describe the purpose,type.and approximate quantities of any filling or grading proposed.
indicate source offill. qpp y^,yXr+144e/y /10 4) 1/ ,+t.o
.441e 1.-0/4-47
c .
f. Gould erosion occur as a result of clearing,construction,or use? If so,generally describe.
.,/b'-G)
will be covered with impervious surfaces alter project
g.About what percent of the site
construction(for example.asphalt or buildings)?!
h. Proposed measures to reduce or control erosion.or other impacts to the earth.if any:
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a.Air
a. What types of emissions to the air would result from the proposal(Le,dust,automobile,
odors.industrial wood smoke)during construction and when the project is completed? I f
any,generally describe and give approximate quantities if known.
CO I r c4%, t ef,/'i/ 1ee'et G +,s,j'ji>eJ f Glr-ict
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b, Are there any off-site sources of emissions or odor that may affect your proposal? use
generally describe. 440
C, Proposed measures to reduce or control emissions or other impacts to air.if el/0°7 e
•
O BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCYgSF, ONLY
3. Water
a. Surface:
I) Is there any surface water body on or in the immediate vicinity of the site t including j r .
year-round and seasonal streams,saltwater, lakes.ponds.wetlands)? If yes,describe type 11 sitreDi.vr.,�
and provide names. If appropriate.state what stream or river it flows into. Sd
�(
yfl r Pvii. A
2)Will the project require any work over,in.or adjacent to(within 200 Feet)the described
waters? Ilyes,please describe and attach available plans.
3)Lstimate the amount of fill and dredge material that would be placed in or removed
from surface water or wetlands and indicate the area of the site that would be affected,
Indicate the source of fill material.
41 Will the proposal require surface water withdrawals or diversions? Give general
description.purposes and approximate quantities if known,
v
5)Does die proposal lie within a 10U-year tloodplain? If so,note location on the site plan:
5)Does the proposal involve any discharges of waste materials to surface waters? If so.
describe the Type of waste and anticipated volume of discharge.
0
b. Ground:
1) Will ground■o-ater be withdrawn,or will water be discharged to ground water? Give
general description,purpose,and approximate quantities ifknown.
21 Describe waste material that will be discharged into the ground from septic tanks or
other sources.if arty(for example: Domestic Sewage:industrial,containing the
following chemicals. .. :agricultural:etc.). Describe the general size of-the system,the
number of such s stems.the number or hooks:o be served Or applicable),or the nuinber of animals or humans the
sstem(s)are expected to serve
/1.''012
TO BE COMPLETED BY APPLICANT EVALUATIQN FOR
AGENCY USE ONLY
C. Water runoff(including stormwater):
I) Describe the source of runoff(including storm water)and method of collection
and disposal;if any(include quantities,if known). Where wilt this water flow?
Will this water flow into other waters? If so,describe.
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2)Could waste materials enter ground or surface waters? If so,generally describe.
d. Proposed measures to reduce or control surface,ground,and runoff water impacts.if any:
Sl el"vg. c60 re
4, Plants
a. Check or circle types of vegetation found on the site:
deciduous tree: alder,maple,aspen,other 6 rei t--/
evergreen tree: fir.cedar,pine.other r/'J $,. r
shrubs
grass
pasture
- crop or grain
wet soil plants: cattail,buttercup,hullrush.skunk cabbage,other
water plants:water lily,eelgrass,milfoil,other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
c. List threatened or endangered species known to be on or near the site.
/2- 7 ee
d. Proposed landscaping,use of native plants,or other measures to preserve or enhance
vegetation on the site,if any: ".3,,,,U ,r
S: Animals
a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site:
birds: hawk.heron.eagle.songbirds.other:
mammals• deer bear.elk.beaver,other:
fish: bass.salmon,trout,herring,shellfish.other:
b. List any threatened or endangered species known to be on or near the site.
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1 Jf/J
.
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
c. Is the site part of a migration route? if so,explain.
d. Proposed measures to preserve or enhance wildlife, if any:
6. Energy and natural resources
a. What kinds of energy(electric natural gas,Oil,wood stove.solar)will be used to meet
the completed project's energy needs? Describe whether it will be used for heating,
manufacturing,etc_ fA
b. Would your project affect the potential use of solar energy by adjacent properties?
If so,generally describe.
c. What kinds of energy conservation features are included in the plans of this proposal?
List other proposed measures to reduce or control energy impacts.if any:
7. Environmental health
a. Are there any environmental health hazards,including exposure to toxic chemicals,risk
of fire and explosion,spill,or hazardous waste,that could occur as a result of this proposal?
f� If so,describe. 4// � -r-i 1,7��- 6e•e ` r' ('�c �^� �tCcc! •a-rf ce-r-.'�^/ /c_ c c-er.}
13 5 Mr,ri'n e L�"eL r..-.,a pc;-.. ,er.4 1-x-1 e.
S c�.X ? 4_,s , 7 4- ' f s t,7 P i j r`r c•.-,`.(e. 4 t7 e--t,',14, -' s G'P t'
L's o a / +' "kl
11 Describe special emergency services that might be required.
yP7�"
ai Proposed measures to reduce or control environmental health hazards.if any_
sic Abu„ e
b. Noise
I)What types of noise exist in the area which may affect your project(for example:
traffic.equipment,operation.other)? e
2) What types and levels of noise would he created by or associated with the project on a
short-term or a longterm basis i for example: traffic.construction:operation,othea)?Indi-
cate i.vhat hours noise'would come from me site.
Stl.Cr 'I".,.`"`'er'A •4 t,f-, 0"eA et e'er"ell
6
TO 9E COMPLETED B Y APPLICANT EVALUATION FOR
AGENCY USE ONLY
3)Proposed measures to reduce or control noise impacts,if any:
D4,5' +1",4.4e d P(1'44101,1
$. Land and shoreline use
a. What is the current use of the§ite and adjacent properties? " !_
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r"7r .J.eft. !.S' C a ^,ere-1 4 / m P r&c, c(e f fr. /
b. Has the site been used for agriculture'? If so,describe.
c. Describe any structures on the site.
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d. Will any structures be demolished? If so,what?
e.. What is the current zoning classification of the site? v( v-41/ford
,fa• vest , ,
i, What is the current comprehensive plan designation of the site?
g, If applicable,what is the current shoreline master program designation of the site?
h. Has any part of the site been classified as an'environmentally sensitive'area? If so,specify.
;. Approximately how many people would reside or 4vork in the completed project?
It'
I. Approximately how many people would the completed project displace?
e
k. Proposed measures to avoid or reduce displacement impacts.if any
7
;i 3
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
I. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans,if'any. n4 41i W-‹ t--< 4.4 c u1 n ( `
9. Housing
a Approximately how many units would be pan,' ed,if any Indicate whether high,mid-
dle.or low-income housing.
b. Approximately how many units.if any,would be eliminated?Indicate whether high,
middle,or low-income housing.
c. Proposed measures to reduce or control housing impacts,daily:
"VA
10. Aesthetics
a. What is the tallest height of any proposed structure{s}.not including antennas;what is
Me principal exterior building material(s)proposed?
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b. What views in the immediate vicinity would be altered or obstructed?
c. Proposed measures to reduce or control ac>thetic impacts.it arty
4/74
I I. Light and glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
b. Could light or glare from the finished project be a safety hazard or interfere with views?
c. What existing off-site sources or light or glare may affect your proposal?
d. Proposed measures to reduce or control light and glare impacts, f any -
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
12, Recreation
a. What designated and informal recreational opportunities arc in the immediate vicinity?
b. Would the proposed project displace any existing recreational uses? I f so,describe.
c. Proposed measures to reduce or control impacts on recreation,including recreation op-
portunities to be provided by the project or applicant,if any:
y^vtG
13, Historic and cultural preservation
a. Are there any places or objects listed on.or proposed for,national,state.or local preser-
vation registers known to be on or next to the site? If so,generally describe.
/L'"C3
h. Generally describe any landmarks or evidence of historic,archaeological,scientific.or
cultural importance known to be on or next to the site.
/l/0 I
c. Proposed measures to reduce or control impacts,if any:
14, Transportation
a. Identify public streets and highways serving the site.and describe proposed access to the
existing Street syStem. Show onsite plans,if any.
Cc: erj I,t �, CC.) .1 C.41 ` . C
h. Is site currently served by public transit? If not.what is the approximate distance to the
nearest transit stop?
C.. How many parking spaces would the c*mpleted project haver How many would the
project eliminate?
d. Will the proposal require any new roads or streets,or improvements to existing roads or
streets,not including driveways? If so.generally describe(indicate whether public or
private),. rLr^
9 4.^
•
10 BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY;JSE ONLY
e. Will the project use tor occur in the immediate vicinity of)water,rail,or air transporta-
tion? If so,generally describe.
I How many vehicular trips per day would be generated by the completed project?If known,indicate when peak volumes
would occur,
g. Proposed measures to reduce or control transportation impacts,if arty:
4 e
15. Public services
a. Would the project result in an increased need for public services(far example:fire pro-
tection,police protection,health care,schools.other)? Ifso,generally describe.
b. Proposed measures to reduce or control direct impacts.on public services,if any.
Ia. Utilities
a Circle ilities currently available at the site, electricity,natural gas.water.refuse serv-
ice, telcpho .sanitary sewer.septic system,other.
b. Describe the utilities that are pa oposed for the project.the utility providing the service,
and the general construction activities on the site or in the immediate vicinity which might
be needed. e
C. SttNA ruRE
The above answers are true and complete to the best of-my knowledge. I understand that the lead
agency is relying on them make its decision
Signature:p �� mil..... "
Date Submitted, P7/11(2
t
1
("RN
Th.TE. <A ,r+ r.,{ -
EP RMiTOf
June 5.2013
Zoe Anne Lamp, Project Planner r---, - Your address
Jefferson County is in the
Community Development Department
621 Sheridan Street — —) .
Port Townsend, WA 98368 ,. , watershed
Dear Ms. Lamp:
Thank you for the opportunity to comment on the optional determination of
nonsignifieance/notice of application for the Seton Fuel Tank Abandonment project(MLA13-
00061) located at 4640 South Discovery Road in Port Townsend as proposed by Seton
Construction Inc. The Department of Ecology(Ecology)reviewed the environmental checklist
and has the following comment(s):
TOXICS CLEANUP: Joyce Mercuri (360) 407-6260
If contamination is suspected, discovered, or occurs during construction,testing of the
potentially contaminated media must be conducted. If contamination of soil or groundwater
is readily apparent, or is revealed by testing, Ecology must be notified. Contact the
Environmental Report Tracking System Coordinator at the Southwest Regional Office at
(360)407-6300. For assistance and information about subsequent cleanup and to identify the
type of testing that will be required, contact Joyce Mercuri with the Toxic Cleanup Program
at the phone number given above.
UNDERGROUND STORAGE TANKS: Brett Manning(360)407-6268
A notice of intent to close tanks must be filed with Ecology at least 30 days prior to
decommissioning,
The on-site supervisor, providing tank closing services, must be licensed by passing an exam
administered by the International Code Council(ICC). Within 30 days after closing,a
permanent closure checklist form must be provided to Ecology by the owner. The checklist
must be signed by the certified supervisor that was on-site during the closure.
A site assessment to determine whether contamination has occurred must be completed by a
professionally qualified person certified by the ICC. Ecology's minimum requirements for
sampling for contamination in the excavation area are outlined in a published guidance
document. This document, forms, and regulations are available from Ecology by calling
1-800-826-7716. Within 30 days after completion,the person that performed the site
assessment must provide Ecology a site assessment checklist and results of the testing.
June 5, 2013
Page 2
If contamination of soil or ground water is readily visible, or is revealed by sampling,
Ecology must be notified within 24 hours by the owner and within 72 hours by the service
providing supervisor. Contact the Environmental Tracking System Coordinator at the
Southwest Regional Office (SWRO) at (360) 407-6300.
Ecology requires the results of the site assessment be maintained for five years after
completion of permanent closure or change-in-service. We recommend that the records be
kept in the property file indefinitely for any future property owners to fulfill liability
requirements under the Washington Model Toxics Control Act(MTCA).
Under the Uniform Fire Code (UFC),other local permits may be required for the closure of
underground storage tanks. The local official charged with administration of the UFC should
be contacted regarding the permit requirements.
SEPA REVIEWER: Sonia Mendoza
WATER QUALTIY CONTACT: Deborah Cornett(360)407-7269
Any discharge of sediment-laden runoff or other pollutants to waters of the state is in
violation of Chapter 90.48 RCW, Water Pollution Control. and WAC 1.73-201 A, Water
Quality Standards for Surface Waters of the State of Washington, and is subject to
enforcement action.
Erosion control measures must be in place prior to any clearing,grading,or construction.
These control measures must be effective to prevent stormwater runoff from carrying soil
and other pollutants into surface water or stormdrains that lead to waters of the state. Sand,
silt,clay particles,and soil will damage aquatic habitat and are considered to be pollutants.
Ecology's comments are based upon information provided by the Lead agency. As such,they
may not constitute an exhaustive list of the various authorizations that must be obtained or legal
requirements that must be fulfilled in order to carry out the proposed action.
If you have any questions or would like to respond to these comments,please contact the
appropriate reviewing staff listed above.
Department of Ecology
Southwest Regional Office
(SM:13-2453)
cc: Deborah Cornett. WQ
Brett Manning. UST
Joyce Mercuri,TCP
Seton Construction Inc. (Applicant)
Zoe Ann Lamp ,
From: Susan Porto
Sent: Tuesday, May 21, 2013 1:56 PM
To: Zoe Ann Lamp
Cc: Pinky Feria Mingo; Randy Marx
Subject: RE: MLA13-00061 Seton -SEPA Agency Packet.pdf
The site is connected to public water as far as I know. I didn't see any wells shown on the site plan.
The only other thing that seems appropriate is to copy the information from this application to place in the septic file for
a record.The site plan was pretty specific on the location of the tanks.
Pinky may have comments. S
From: Randy Marx
Sent:Tuesday, May 21, 2013 1:37 PM
To: Zoe Ann Lamp
Cc: Pinky Feria Mingo; Susan Porto
Subject: RE: MLA13-00061 Seton - SEPA Agency Packet.pdf
Speaking only for the OSS program, I don't see a reason for my department to review since the tanks are being removed
and not reused. I can't speak for solid waste and water departments.
Ai'.,,,ay5 working Foi a Safer& healthier Jefferson Loony,
360 385 9402 -><(((('-> ›-.10. ><( t'( `> i∎ r f U 1; ,((°> r((
' (((, .—», >ci_'> .oxa --< f( `..> xiif> i'-j >> K( (( '-> - ' -11((°,7'
''„> (( (('> >-<((((`> if> ><( ((
Online Septic Permits Web Link EnN ironmental Health Web Site Link
CONFIDENTIALITY NOTICE:
nuBLIC RECORDS ACT NOTICE:
From: Zoe Ann Lamp
Sent: Tuesday, May 21, 2013 9:04 AM
To: Randy Marx
Cc: Pinky Feria Mingo; Susan Porto
Subject: RE: MLA13-00061 Seton - SEPA Agency Packet,pdf
Do you need to do a formal review? It's removing tanks between buildings. It doesn't seem like something
you'd need to formally review but I can request fees if you feel you need to. Let me know.
Zoe Ann
From: Randy Marx
Sent: Tuesday, May 21, 2013 9:01 AM
To: Zoe Ann Lamp
Cc: Pinky Feria Mingo; Susan Porto
Subject: RE: MLA13-00061 Seton - SEPA Agency Packet.pdf
1
•
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Date Zq time received /rte O 3 •' / pm Mon. . .Wed: Thur. -Fri. •
• BUD: I " 1 1 0
Date: 36 - .
OWNER: IA t/ �9•-ItCD!`' Contact Name;
ADDRESS: Contact Number:360 Q 213 '
r Notes:
-I-A�1L 206 4-
_Foundation Plumbing • Framing Propane Tank Mechanical
Setbacks Under ground Framing Under ground _ Furnace _
Footing Rough In Air seal Above ground _ Gas _
Stemwall _ Hydronic Exterior shear _ Exterior lines oil _
Straps Interior Interior Ducts
Post Hole ` Ventilation —
Appliance _
Underfloor Gashvood stove
Man=Homes •
Setbacks Insulation. Final inspection
Foundation- ..;;
Block&Tie floor wall ceiling Address Posted
1
SOUND TESTING, INC
P.O. BOX 16204 SEATTLE, WA 98116 MARINE CHEMIST CERTIFICATE
(206) 932-0206 FAX (206) 937-3848 SERIAL ' 3 4 b 'j :i "j
� phi 't'Z,L1(k ft�ki ��fit l 11•NL ,201 Aot3
Survey Requested by Vessel Owner or Agent Date
T e-- i + -- r tr ,_f tit Vs., ;,
Vessel Type of Vessel Specific Location of Vessel
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'v501..10 if4f43. 0V LE. 3
Last Three(3)Loadings i Tests Performed Owe Survey Completed
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10DD i-51ALLOhi" C71 F1, . {14.1- • Sth,cc.. t-. T_Qi4..)SPPd.- fn tIL /3LI STF
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In the event of any physical or atmospheric changes adversely affecting the gas-free condition of the
above spaces,or if in any doubt,immediately stop all work and contact the undersigned Marine Chemist.
QUALIFICATIONS:Transfer of ballast or manipulation of valves or closure equipment tending to alter conditions in pipe lines,tanks or compartments
subject to gas accumulation,unless specifically approved in this Certificate,requires inspection and endorsement or reissue of Certificate for the spaces so
affected. All lines,vents,heating coils,valves,and similarly enclosed appurtenances shall be considered "not safe"unless otherwise specifically designated.
STANDARD SAFETY DESIGNATIONS
SAFE FOR WORKERS Means that in the compartment or space so designated(a)the oxygen content of the atmosphere is at least 19.5 percent by volume,and that,(b)toxic
materials in the atmosphere are within permissible concentrations,and that,(c)the residues are not capable of producing toxic materials under existing atmospheric conditions while
maintained as directed on the Marine Chemist's Certificate
NOT SAFE FOR WORKERS Means that in the compartment or space so designated,the requirements of Safe for Workers has not been met.
SAFE FOR HOT WORK: Means that in the compartment so designated:(a)oxygen content of the atmosphere is at least 19.5 percent by volume,with the exception of inerted
spaces or where external hot work is to be performed;and that,(b)the concentration of flammable materials in the atmosphere is below 10 percent of the lower flammable limit;and that,
(c)the residues are not capable of producing a higher concentration than permitted by(b)above under existing atmospheric conditions in the presence of fire,and while maintained as
directed on the Marine Chemist's Certificate;and further,that,(d)all adjacent spaces have been cleaned sufficiently to prevent the spread of fire,or are satisfactorily inerted,or,in the
case of fuel tanks,or lube oil tanks,or engine room or fire room bilges,have been treated in accordance with the Marine Chemist's requirements.
NOT SAFE FOR HOT WORK Means that in the compartment so designated,the requirements of Safe for Hot Work have not been met
CHEMIST'S ENDORSEMENT This is to certify that I have personally determined that all spaces in the foregoing list are in accordance with NFPA 306 Control of Gas Hazards on
Vessels and have found the condition of each to be in accordance with its assigned designation.
"The undersigned acknowledges receipt of this Certificate under Section 2-6 of NFPA 306 and This Certificate is based on conditions existing at the time the inspection herein set forth was completed
understands conditions.and limitations under which it was issued." ff and is' sued subject to compliance with all qualifications and instructions.
Signed Signed
Name Company Date arms Chemist Certificate o.
VESSEL POSTING V�/ 10 ( o iq gL1 1/6
•
Date -time received 76- am / pm Mon Tues. ,Weds Thur. --Fri.
BM: / 3 - i/0 Date: t� ^2 t .
OWNER: // /� f� . _ Contact Nemec rc �
ADDRESS: �7 r✓` _ b 11)/S L . Contact Number:360 3dt s i0 • . : .,-
r Notes: • T/t Ji_.. 206 .
poundatian Plumbing - Framing Propane Tank Mechanical
Setbacks _ Under-ground Framing Underground _ Furnace _
Footing Rough In Air seal Above ground — Gas
—
Stemwall Hydronic Exterior shear Exterior lines Oil
Straps Interior shear Interior lines • Ducts 7_
Post Hole _ Ventilation — Appliance _
Underfloor . stove
Man•Homes
Setbacks _ Insulation. Final inspection 1
Foundation = t,,. •V 7.
Block&Tie floor_ wall ceiling 9 Address Posted
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SUM .3 i1�
�,�rON Cr, JEFFERSt7 OUNTY
k� rA DEPARTMENT OF COMMUNITY DEVELOPMENT
Cr? - i'4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�• 'p� www.co.jefferson.wa.us/commdevelopment
Master Permit Application
MLA:
Project Description(include separate sheets as necessary):
Tue / -f - k c4 o&u re
Tax Parcel Number:
00/ 3 2)--/Qc Property Size: (acres/square feet)
Site Address and/or Directions to Property:
/( 4'e S 0,rcvver ea
Property Owner(s)of Record: j' J )'"7
3 )7SJ 0213 Fax: email:
Telephone: �U
Mailing Address: `/ VO S Ol.l Cofer )2c.1
Applicant/Agent(if different from owner): email:
Telephone:
Fax:
Mailing Address:
❑Lot c"a^�� Saareaation
What kind of Permit?(Check each box that applies ❑Lo ti
❑Building 14 .1 G/atr ❑Vari �e
❑ in le Family Permit /6/,q.ICJ.
❑ Single Family ❑Garage Attached/Detached ❑ Cor U
❑ Manufactured Home ❑ Modular - ❑Dis
❑Sp( /
❑ Commercial* ❑ Boi ( — S^�9G,
❑ Change of Use ❑Sh,
❑ Address _❑Road Approach
❑Cottage Industry ❑Bir
❑ Home Business ❑Lo
❑Propane ❑Lo gents**
❑ Sign ❑Pi
❑Allowed"Yes"Use Consistency Analysis ❑Pi
❑ Stormwater Management ❑ SI
CI Site Plan Approval Advance Determination(SPAAD)* ❑S!
❑Temporary Use ❑C iment
❑Wireless Telecommunication* t
1.1 Forest Practices Act/Release of Six-Year Moratorium ❑T
*May require a Pre-Application Conference
Please identify any other local, state or federal permits regi
-- DESIGNATION OF AGENT
I hereby designate P1�jl/tE S4TO� Q to act as my agent in matters relating to this application for permit(s).
Date: y/f/}�
OWNER SIGNATURE �_
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments, is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable 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. Staff's 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 prior notice. y, ZOI�
y� - Date:
Signature: /••��--
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 drin and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:
,-. 6- --- Date: � 6-',2//3
■
Contractors or Tradespeopl nter Friendly Page Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name SETON CONSTRUCTION INC UBI No. 600120687
Phone 3603850213 Status Active
Address 4640 S Discovery Rd License No. SETONCI1650A
Suite/Apt. License Type Construction Contractor
City Port Townsend Effective Date 9/1/1984
State WA Expiration Date 10/30/2013
Zip 98368 Suspend Date
County Jefferson Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
Specialty Specialty Effective Expiration Status
License Name Type 1 2 Date Date
WESETSC232CS W E SETON/SON Construction General Unused 2/10/1977 9/1/1984 Archived
CONST CO INC Contractor
Business Owner Information
Name Role Effective Date Expiration Date
SETON, BRUCE B President 09/01/1984
SETON,JEFFREY MOORE Secretary 10/21/2011
SETON,BRUCE B JR Vice President 10/21/2011
VANTROJEN,GARY Secretary 01/01/1980 10/21/2011
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
8 North American Spec 2139926 06/01/2011 Until Cancelled $12,000.0004/20/2011
Ins Co
7 TRAVELERS CAS& 103551817 10/30/2001 Until Cancelled 06/01/2011 $12,000.0010/05/2001
SURCOOFAM
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date
Liberty
25 Northwest Ins C09 16.16.02 10/30/2012 10/30/2013 $1,000,000.0011/01/2012
Corp
LIBERTY $1,000,000.00 10/17/2011
24 NORTHWEST C07161602 10/30/2010 10/30/2012
INS CORP
LIBERTY
23 NORTHWEST C06161602 10/30/2009 10/30/2011 $1,000,000.0010/21/2010
INS CORP
LIBERTY
22 NORTHWEST C05161602 10/30/2008 10/30/2009 $1,000,000.00 10/09/2008
INS CORP
21 NORTH PACIFIC CO3161602 10/30/2006 10/30/2008 $1,000,000.00 11/02/2007
INS CO
Summons/Complaint Information No unsatisfied complaints on file Within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx 4/8/2013
• •
FOR OFFICE USE ONLY
trr . UNDERGROUND STORAGE TANK (UST) Site ID#
34-DAY NOTICE FS ID#
DEPARTMENT OF (See back of form for instructions)
ECOLOGY
State of Washington •
Please ✓the appropriate box: ❑Intent tent
to Install to Close
HQ (360)407-7170/Central (509)575-2490/Eastern (509)329-3400/Northwest(425)649-7000/ Southwest(360)407-6300 ,
-niga'-```-.$'..5s `" � n i-3rni: cF.rgkk 't`_ mrx{..."-A ' 14 131014 roKa .r m. K �+ee
CY���t�.OftMA IOIAF"40"� � i M � n aUll t ks 4 SI,Fblailltlgf :'his ad EM5#; *-rs in liM
lac, &,31 !'k7t✓
Tag or UBI number UST er/Operator
Yalu C oS na-� (id s ietob
Site Na Maili dres'O Box /`,� e���'�"'
'fb4D S. DIse� 21 aer1„�.s W
City Zip Code
Site Phy�1 Addre n.►A� q rl2/ Q 360 s e s 014 3
r(ORr 1 Avv►SG,. IA/ Z i d
City Zip Code
Owner/Operator Phone Number
VGIO 85 0?�3 �a- a •e �. .
Site Phone Number wner/Operator Email Address
•
``«AN NFORT WI a ""li 3 MMI W, 'J�FtiM
e ? _ g lig
Substance
Date Project is
Tank ID Stored Capacity Expected to Begin Comments:
I gatuAA 3043 11-15-11-
2 off Rp 054 40.66 it-ii.11-
.3 04 0 DsG 13 64 It-15-11"
if au RP DV- 2ogz 11-IS-I2- •
"-+t > r,;Fa?-,n...- 2p^'�a U eL'' a-�.'�r,} '3 3'r-., 4" 1y,3vrrft - tR'�:LU�v ",'J�," �' -?ga^v'-Lo g _. v`�s'' .,
z.3b
l S - iayinrllital pi kt,ig, >.l g-A:� WR ti-f-A � ,a__ .._
PLEASE NOTE:INDIVll)UALS PERFORMING UST SERVICES MUST BE ICC CERTIFIED OR HAVE
PASSED ANOTHER QUALIFYING EXAM APPROVED BY THE DEPARTMENT OF ECOLOGY.
❑Installer 4 Decommissioner 0 Site.Assessor
D1.1T E?4 oNmem*L SUCT7/46' Contact Person
Service Provider Company Name .. 49040 3a,. 3113
Dog,i 1( Louise y-k JUl Contact Phone Number
Certified Service Provider Name
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ECY 020-95(Rev. Feb. 2012)
39875_
INVOICE NO. I INVOICE DATE I REFERENCE
GROSS I DISCOUNT I NET AMOUNT
TOTAL
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD13-00110 Received Date: 4/8/2013
SITE ADDRESS: 4640 S DISCOVERY RD Issue Date 6/17/2013
PORT TOWNSEND, 98368 Expiration Date 6/17/2014
OWNER: W E SETON PHONE:
4890 S DISCOVERY RD
PORT TOWNSEND WA 983689022
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001324003 Section: 32 Township: 30 N Range: 01 W
CONTRACTOR: SETON CONSTRUCTION INC PHONE: 360-385-0213
4640 S DISCOVERY RD
PORT TOWNSEND WA 98368
Contractor's License SETONCI1650A Expires 10/30/2013
PROJECT DESCRIPTION: Underground Storage Tank Removal
The proposal is to remove four underground fuel tanks equaling 16,000
gallons (One tank each of the following: 7,000 gallons, 4,000 gallons, 3,000
gallons and 2,000 gallons). The applicant proposes to triple rinse the tanks
with a qualified professional certifying the tanks are clean. Soil samples
and tests will be conducted during excavation ensuring the site is not
contaminated. The combined total of the tanks exceeds the 10,000 gallons
exemption for the State Environmental Policy Act(SEPA) and consequently
the proposal requires a review under SEPA. No special reports have been
submitted with the application.
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP MEC MAIN:
VALUATION ADD'L: HEAT TYPE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER:
GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $228.00 JLA 04/08/13 140209
Exist: Exist: Total: $228.00
Prop: Prop:
Total: Total:
Directions to Site:
HEALTH DEPARTMENT ANDIBLIC WORKS APPROVAL REQUIR•PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455.
Request must be received by 3pm the day before the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
Jefferson County Building Division Permit Number: BLD13-00110
Applicant: SETON
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next days inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor & Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Miscellaneous Report from MIL environmental
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
CONDITIONS for Building Permit# :BLD13-00110
1.) 1. If contamination is suspected, discovered, or occurs during construction, testing of the
potentially contaminated media shall be conducted. If contamination of soil or groundwater
is readily apparent, or is revealed by testing, Ecology shall be notified. Contact the
Environmental Report Tracking System Coordinator at the Southwest Regional Office at
(360)407-6300. For assistance and information about subsequent cleanup and to identify
the type of testing that will be required, contact Joyce Mercuri with the Toxic Cleanup
Program at 360-407-6260.
2.) 2. A notice of intent to close tanks shall be filed with Ecology at least 30 days prior to
decommissioning.
The on-site supervisor, providing tank closing services, shall be licensed by passing an
exam administered by the International Code Council (ICC). Within 30 days after closing,
a permanent closure checklist form shall be provided to Ecology by the owner. The
checklist shall be signed by the certified supervisor that was on-site during the closure.
A site assessment to determine whether contamination has occurred shall be completed
by a professionally qualified person certified by the ICC. Ecology's minimum requirements
for sampling for contamination in the excavation area are outlined in a published guidance
document. This document, forms, and regulations are available from Ecology by calling
1-800-826-7716. Within 30 days after completion, the person that performed the site
assessment shall provide Ecology a site assessment checklist and results of the testing. If
contamination of soil or ground water is readily visible, or is revealed by sampling, Ecology
shall be notified within 24 hours by the owner and within 72 hours by the service providing
supervisor. Contact the Environmental Tracking System Coordinator at the Southwest
Regional Office (SWRO) at(360)407-6300.
Ecology requires the results of the site assessment be maintained for five years after
completion of permanent closure or change-in-service. We recommend that the records
be kept in the property file indefinitely for any future property owners to fulfill liability
requirements under the Washington Model Toxics Control Act(MTCA).
Under the Uniform Fire Code (UFC), other local permits may be required for the closure of
underground storage tanks. The local official charged with administration of the UFC shall
be contacted regarding the permit requirements.
3.) 3. Any discharge of sediment-laden runoff or other pollutants to waters of the state is in
violation of Chapter 90.48 RCW, Water Pollution Control, and WAC 173-201A, Water
Quality Standards for Surface Waters of the State of Washington, and is subject to
enforcement action.
Erosion control measures shall be in place prior to any clearing, grading, or construction.
These control measures must be effective to prevent stormwater runoff from carrying soil
and other pollutants into surface water or stormdrains that lead to waters of the state.
Sand, silt, clay particles, and soil will damage aquatic habitat and are considered to be
pollutants.
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