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BLD2014-00152
UILDING PERMIT APPLI CARON BLD14-00152 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00152 Received Date: 5/1/2014 SITE ADDRESS: 75 MC DONALD COVE RD OWNER: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 98504-7014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 511010100 Section: 1 Township: 25 N Range: 11 W CONTRACTOR: OWNER/BUILDER PHONE: (Ma-ea e of �11- REPRESENTATIVE: L ( cL - jy-',Q. PHONE: Fat ,w0- CI 6,5 A i S.V eft (Di all PROJECT DESCRIPTIOr INSTALL VAULT TOILET AT UPPER CLEARWATER CAMPGROUND TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 17,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $0.00 MEB 05/01/14 APPROVED Plan Check $0.00 MEB 05/01/14 State Building Code $0.00 MEB 05/01/14 JUN 12 2014 Total: $0.00 Jefferson County DCD 111Llcmndrldu1e1fnrmc1C RI fl Ann RIA mf A If/9lYiA ;; s°" `' DEPARTMENT OF COMMUNITY DEVELOPMENT - 621 Sheridan Street,Port Townsend,WA 98368 Tel: 360.379.4450 I Fax:360.379.4451 Web:www.co.iefferson.wa.us/communitydevelopment q . E-mail:dcdt7n,co.jefferson.wa.us Sff/NC,' CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00152 APPLICANT: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 98504-7014 SITE ADDRESS: 75 MC DONALD COVE RD Issue Date: 06/12/2014 Final Date: 7/1/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 511010100 Section: 1 Township: 25 N Range: 11 W PROJECT DESCRIPTION: INSTALL VAULT TOILET AT UPPER CLEARWATER CAMPGROUND THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes d THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/1/2015 11tidemark ldata\forms\F_BLD_Occupancy.rpt 7/15/2015 Sp Front Parcel Review Lb IL/- 00 / S7 . Parcel 511010100 Printed: May 5, 2014 STATE OF WASHINGTON-DNR Site Address(es): PO BOX 47014 , WA OLYMPIA, WA 985047014 Parcel Number: 511010100 S-T-R: 1-25N-11W Total Acreage Legal Description S1-3,5-10,15-21,32,33 T25N RI 1W CLEARWATER Land Use: 9700 CORRIDOR NRCA-PILT Flood District: Fire District: 0 Planning Area: 12 Flood Map(FIRM) Panel No: School District 20 Zoning: G' c--0 COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 114 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES VP ' ✓ .44 — • e -Y1 [ ] Shoreline Slo•- ability: YES I / Stream Typ _ NO F �, FWHCA: NO Wetlands: l`P NO 0,01-7, C wa7{-,-/ Now 1 icko`yy Rare Plants:YES Seismic: YES - / Landslide: 0 de: YES `t � d,�,l_As►X` Flood: YES l / Erosion: YES Nri _ _ Aquifer Recharge Area:YES >�7i I'it SIPZ: none At Risk High Risk Coastal ‘ , at iv CMZ: one High Risk Moderate RiskDisconnected CMZ �� 1/t v Stormw. e plan submitted: YesNo [ ] Forest Lands: YES NO Y Adjoining Forest Lands: Commerciall Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES NO [ ] Archaeology: YES NO [ ] No Shooting Zone: YES NO [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other 1 1 Building Height: 35' UBC Standard [ ] Impervious Surface coverageecentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industri er UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage: 60%in Rural Industri Lands only [ ] Total Building (s) Size: RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Clqssification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: . AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES Title Notes Updated Parcel tags found for parcel 511010100 1.) WSRC Coaching - 09/26/2013 CAO Parcel tags found for parcel 511010100 2.) WSRC Coaching - 09/26/2013 SMP Cases Associated with APN 511010100 Cases Name Review Type Status P lanner BLD14-00152 STATE OF WASHINGTON-DNR I P • Application Received: 4/30/2014 Permit Issued/Case closed: Case Finaled: INSTALL VAULT TOILE! AI UPPER CLEARWATER CAMPGROUND SEP14-00049 STATE OF WASHINGTON-DNR P Application Received: 4/30/2014 Permit Issued/Case closed: Case Finaled: Upper Clearwater Campground \\tidemark\data\forms\R_ParceLCRMLA.rpt 5/5/2014 Page 2 of 2 of4 i cn cnO m -0 — a ' co O -5 x 0 o �' rt ❑ 7 W rt ..ua C7 Q — -' O Lp ❑ 7 D 3 < a - . r CD ❑ —s 0 W� cs .. - • 0O y II -, ❑ K O ❑ 0 r« O -LO m a o jj fv I— ❑ o O p r x o z.J .. ", co ci: I. O CT _ AL • W Sts. J`r` ka'� , a " s } I i. ,n� NI r, ,,. t. At.,, L o- ^ { ffn- p R ti ., . • ' X1111 �1 ■ IgMII II II� � •��� ault Toilet at Upp rr-- S-T-R County WRIA 4P�R,�9 e r ll� f r,:1 C4 Ca ..i,. d 10-25N-11W 21 / w.s.i.., v,,.E44o....E.roF • Jefferson • h Queets- I .c Natural Resources z Site,Plan- 1 i0' ale IN L 1�.3. 4 511010100 �uinaTt S8,oN�<<k`r r UMMUNpy p fn'' fNT • • • IF`4/1/2014^ • • � co rn o x Q o a n — - N 0 — O ❑ p o -p = G,' O O • n (J1_T O- (D ip fl 7 -z gat IP D C N 0 rn `c . o — rn II p _.> K c). D O N o a 0 0 o NJ 0 — o o r _x 0 3 D a x ,— .. 3 (D Z O p :C1 n —1 0 =o' n v. 4 t t i �k e Ft .- L. ;♦ h • s ' Idc7e �� • S-T-R County WRIA , INI fP t�� w L ault Toilet at Upp % = : A`� ,�∎ Ca ,,�,,. d 10-25N-11W Jefferson 21 / ;`s �` • 11f Queets- / ►s Z Site Plan 1 0 le -- �uTnattF 0 ti ; 5i 1010100 ".: ` r co'MU r-•' - m N�ryDEVEIOPMENT 4/1/2 014 • • !UILDING PERMIT APPLICATION BLDI4-00752 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00152 Received Date: 5/1 14 SITE ADDRESS: 75 MC DONALD COVE RD '►eh`�°69 OWNER: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 98504-7014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 511010100 Section: 1 Township: 25 N Range: 11 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP INSTALL VAULT TOILET AT UPPER CLEARWATER CAMPGROUND TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 17,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $0.00 MEB 05/01/14 Plan Check $0.00 MEB 05/01/14 APPROVED State Building Code $0.00 MEB 05/01/14 Total: $0.00 JUN 1 220 4 Jefferson County DCD \firlomorNAo+e\fnrme\F RI 11 Ann Wei rn+ R/1/1/1lA sSON c. 1 lirr °cy JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT OPMENT .. `o= 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.Jefferson.wa.us/communitydevelopment E'1 N'- Tel:360.379 4450 I Fax:360.379.4451 I Email:dcd(aico.lefferson.wa.us Building Permits &Inspections I Development Consistency Review 1 Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Vault toilet replacement at Upper Clearwater Campground Tax Parcel Number 511010100 Property Size: 8.66 acres (acres/square feet) Site Address and/or Directions to Property: Hoh/CW Mainline to MP 16.5 then East on C-3000 (Bull Creek Road) for 4 miles to site on right. Property Owner(s)of Record: Washington Dept.of Natural Resources Telephone: ©-"37` .zirtFV Fax: email: ens c Q�tn�r^, .6 d L.I. Mailing Address: I.1 1 I I c ! rUr h Sy 14/9- 98 331 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]*" ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unna -. r-r. i• IR Commercial*f AJ . � ❑ Change of Use d ❑Special Use Line Adj f •ulp F�': :, V t. g ❑Boundary Line Adj . 1�V ❑ Address ❑Road Approach ❑Short Plat** I ❑Home Business ❑Cottage Industry ❑Binding Site Plan** i J t ❑Propane ❑Long Plat" 1 APR 3 U t-' ❑ Sign ❑ Planned Rural Resid- 'a I-velopment(PRRD)/Amen. •- is ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alterati ❑Stormwater Management El Shoreline Master Pro m = - • -7-7I-..-1 ,Intgaiom.4tr ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manageme t Substan'.r r : : ,, gEk tOPMt,r1 ❑Temporary Use ❑Shoreline Management Vari$ «-t t ❑Wireless Telecommunication* ❑Comprehensive Plan/UD /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 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 I ter insp do s. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio he or a is prior notice. �/ // Signature: Date: —/"� /y 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 re in ••mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe res. • '."y for adhering to and complying with the ESA. The Applicant has read this disci imerr landcsiigns and dates it below. Signature: Date: L /'� / 07/24/2013 Or I BUILDER STATEMENT The signer of this temen oe hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass ,mg the s sibility of the General Contractor for the proposed project. L, Signature: / Date: —/`Py'/ j GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: S New = Wood Existing: Z L- Sewer ❑ Addition = Steel Proposed: t Bank L Community System Alteration/Remodel g Concrete Total: I Height: ❑ Individual System ❑ Repair Masonry SEP Permit# )6 Demolition � Other: Bedrooms: Water Supply: Existing: m Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: //5 Public Total: (11 33e1 Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: 7 So.ieS Proposed: 65-,ks Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotStelleP 1 knaT retaW toH 1 Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. e ic, nk s Lam.k ia, A ih ,.€ ^ 2 g; Square Footage Current Proposed �"6 .r ,Et 0,prjr ; ' AmbiYif M-I 57�ffi �r w. '- Main Floor Heated R < f EH Bld App Review: 0°Floor Heated ,''',,,,... , 1 Consistency Review: C/ Other Heated ` Base fee: Q Ra /� t Mezzanine r Additional Section: CC 1 G1 .,yr}- 1 Heated Basement -�}yq /s v Plan Check fee: \�V�r ^/ Unheated Basement r � . State Surcharge fee: .,; s, Ca- Other Unheated *4 � .m Pot Water Review fee: Garage/Carport :;. • SUBTOTAL r,r-*,$.3 410 Decks tom 911/Rd Approach fee: Other ; TOTA . $ d ) ' '{ r,, Receipt Number: lj�� ' r . :¢ Cash/Check Number: ESTIMATED COST(REQUIRED) Date: 'Fair market value of all labor and materials foundation to finish it 1700-6 Initials: 07/24/2013 ON • • s ' co JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdOco.jefferson.wa.us Building Permits&inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Vault toilet replacement at Upper Clearwater Campground Tax Parcel Number: 511010100 Property Size: 8.66 acres (acres/square feet) Site Address and/or Directions to Property: Hoh/CW Mainline to MP 16.5 then East on C-3000 (Bull Creek Road) for 4 miles to site on right. Property Owner(s)of Record: Washington Dept.of Natural Resources Telephone: 34©`37'I Fax: email: 6YN�, et-I^r. ni(,v401 ✓, Mailing Address: ``h11 I It111cw. Levirie / fh5 WA- 18.331 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation IRBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unna -• =- B Commercial*CtrAtilre,Ael ❑Special Use(Esse ra •ubltoF 1 V i: % ❑ Change of Use ❑Boundary Line Adj . ❑ Address ❑ Road Approach ❑Short Plat** \ ❑Home Business ❑ Cottage Industry ❑Binding Site Plan** !SIC 0 2p14 ❑Propane ❑ Long Plat** r k\ 1 3 ❑Sign II Planned Rural Resid a}'revelopment(PRRD)/Amen• is ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alterati ❑Stormwater Management ❑Shoreline Master Pro m a - • •"t ppa i io-pg,R ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manageme t Substantkl.i\. 9BfE{fl ❑Temporary Use ❑Shoreline Manageme t Varig-.-11 ❑Wireless Telecommunication* ❑Comprehensive Plan/UD /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 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 requiter insp do s. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio he or a is prior notice. � / Signature: Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you re in •.mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer r��. • y for adhering to and complying with the ESA. The Applicant has read this disclaimed n signs and dates it below. Signature: Date: L J /U 07/24/2013 , i • BUILDER STATEMENT The signer of this temen oe hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass inng the s sibility of the General Contractor for the proposed project. �J Signature: '( Date: —/"1y' J GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: S New ❑ Wood Existing: 2• C Sewer ❑ Addition ❑ Steel Proposed: I Bank ❑ Community System ❑ Alteration/Remodel g Concrete Total: 1 Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# Demolition ❑ Other: Bedrooms: Water Supply: Existing: 0 Setback: ❑ Private well C Two Party Type of Heat: Proposed: = ? ❑ Public Total: (1 Name of System: Jf this Is a Commercial Project you must answer the following: Number of Parking Spaces: Current: 7 St les Proposed: 6s,-Ass Number of ADA Parking Spaces: Number of occupants(includes owners, tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit.mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP 1 knaT retaWtoH I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. iI r 1, rl „I'''i t U,.; F 1 1;1 ,, C1Ili 11� °I Ii 11, i( 11 1 �j 1 Square Footage Current Proposed Fail i 1s: 1 PJy tilde i G. " ;,,' I` I*�iil li ,.Rd,� iGfr ,�I;l I ! ,,t Main Floor Heated EH Bld A 1,"�„i Li. App Review: 6 if 2°a Floor Heated l ! �';'!ij! Consistency Review: Other Heated ��1Iif��I :�. ` Base fee: Mezzanine 1i'11..4�■I��„ !., Additional Section: Heated Basement 11 4r,.':,1:-/a Plan Check fee: t Id Unheated Basement ' : { i( State Surcharge fee: 1�� Other Unheated ^'1 G 01„)r -'° Pot Water Review fee: ,�t�, uglili I ,ii Garage/Carport l'il i ��v rif ,t^�'+ SUBTOTAL l l,p ,, ,, j,�,'1 l i Decks i A ` ” ' 911/Rd Approach 1(�iip i pp oath fee: 14 , µ4 Other Are n ', TOTAL: $ t j) iAA ": Receipt Number:�� 1l' li � ii IA Cash/Check Number: ESTIMATED COST(REQUIRED) Date: *Fair market value of all labor and materials foundation to finish 1 17auz5 Initials: 07/24/2013 • • • N '6 JEFFERSON COUNTY - II�I DEPARTMENT OF COMMUNITY DEVELOPMENT 1 1 IU�' � 440 "' 621 Sheridan Street • Port Townsend • Washington 9836 i i'i ti APR 3 0 2014 $u 360/379-4450 • 800/831-2678 • 360/3794451 Fax q_____ JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT STORMWATER CALCULATION SHEET Pursuant to Unified Development Code (UDC) section 6.7, all new development and redevelopment must conform to the standards and minimum requirements set by the Washington Department of Ecology Stormwater Management Manual for the Puget Sound Basin (SMM). For specific information regarding the stormwater minimum requirements refer to UDC section 6.7. Generally, the minimum requirements and thresholds for developing specific plans are as follows: • Small Parcel Erosion and Sediment Control Plan [see UDC section 6.7.3(b)] — Generally, this is required for all development that: (1) creates or adds less than 5,000 square feet of impervious area [individual detached single-family residences, accessory dwelling units, or duplexes creating or adding less than 3,000 sq/ft of impervious surface shall follow Best Management Practices (BMPs) but are not required to submit a plan]; (2) land-disturbing activities of 10,000 sq/ft or more but less than one acre. • Small Parcel Erosion and Sediment Control Plan and Permanent Stormwater Quality Control Plan [see UDC section 6.7.4(a)] Generally, this is required for all development that: (1) creates or adds less than 5,000 sq/ft of impervious surface that covers more than 50%of the site; and (2)the creation or addition of 5,000 or more sq/ft of impervious surface. • Large Parcel Erosion and Sediment Control Plan [see UDC section 6.7.4(b) — Generally, this is required for all development that includes: (1) land disturbing activities of one acre or more. If this is required you should contact a licensed engineer. Stormwater Disposal Policy Along Marine Shorelines Pursuant to UDC section 3.6.5(c)(3) all new development activity, including single-family residential construction, located on Marrowstone Island, Indian Island and within 500 feet of any marine shoreline is required to infiltrate stormwater runoff on-site, to the maximum extent practicable. This provision is intended to prevent seawater from intruding into underground aquifers, reduce non-point source pollution to marine waters, and reduce the potential for shoreline erosion due to tightline failure. This provision is interpreted as establishing a hierarchy in which the first and best alternative is on-site infiltration using drywells or other methods, the second best alternative is upland off-site disposal, and the least preferred alternative is direct discharge into marine waters through a stormwater tightline. In order to utilize the least preferred alternative (a stormwater tightline discharging directly into marine waters) applicants must demonstrate through a geotechnical or similar report prepared by a licensed professional that both on-site infiltration and upland off-site disposal are not practicable or feasible. The report must include cost figures for comparison. Please note that if a stormwater runoff tightline that terminates at or near the marine shoreline is allowed to be included in a development application, review under the Jefferson County Shoreline Master Program, the State Environmental Policy Act (SEPA) and other agency approvals (such as Hydraulic Project Approval from the Department of Fish and Wildlife) may be required. A Joint Aquatic Resources Permit Application (JARPA) form would need to accompany any permit application which includes a stormwater tightline at or below the ordinary high water mark. [over] • r • Stormwater Calculations IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 123 sq/ft Structures(all roof area) sq/ft Driveway sq/ft Driveway sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft Other sq/ft Other sq/ft Total New 123 sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 123 sq/ft *This amount will be used to check total lot coverage Please also indicate the amount of land disturbing activity, in addition to the creation of impervious surface, that will take place: LAND DISTURBING ACTIVITY Drainfield area cleared 0 sq/ft Well,Structures, Utilities,etc. 95 sq/ft Driveway 0 sq/ft Other 0 sq/ft Total Land Disturbance 95 sq/ft ■; ; ���� r,-"c`‘ 3 2014 1' Il 1 U RSON GOt1NSV 1 14_F`rE � DEVELOPMENT OE?T.OF GOMi�u�l� • 0 0 `' cbet JEFFERSON COUNTY eir DEPARTMENT OF COMMUNITY DEVELOPMENT -lit:• 621 Sheridan Street• Port Townsend •Washington 98368 \.. 360/379-4450 •360/379-4451 Fax f L \� http://www.co.jefferson.wa.us/commdevelopmentl -�E C E [I V � J• Stormwater Calculation Worksheet ! S k AFB 3 0 2'014 !'hl,� Jy MLA# PROJECT/APPLICANT NAME:�'ncJ t.4- -��I,L•� re I" '-- .! ��� ► JET + ER3 , P! DEPT.OF COMMON I UtvELDPMENT DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation oruslFee s ould be completed first to classify the proposal as"small,""medium,"or large," The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E..SITE] Size of parcel ILL_acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 37722_9 sq/ft Land-disturbing activity is any activity that results in movement of earth,or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY.CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be deared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures 6115. sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes 6 Well,utilities,etc. sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway,parking,roads,etc. sq/ft Circle: Yes No Lawn,landscaping,etc. sq/ft Other compacted surface,etc. � sq/ft Indicate Total Volumes of Proposed: } Total Land Disturbance - l 5 sqlft Cut w/\d Fill ccv,yei (cu/yd) [over] stormwater aft worksheet—REV.7/102008 1 • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios,driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS-IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) ! 23 sq/ft Structures(all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios s q/fl Solid Decks &t/fl Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc sq/ft Driveway,parking,roads,etc . I— Other / sq/ft Other -- n Total New /Z3 sq/ft Total Existing � sq/ft ,1 jar cLM TOTAL NEW+TOTAL EXISTING* / 2-3 eq/ft This amount will be u . t. leek total lot coverage. JF ttw The following questions will help determine whether the proposed project is considered developm nt or epftY pE_,iFIOPMENI DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: % Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention(SWPP) Best Management Practices(BMPs) Packet. Proponents of"medium°projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the StomrwaterManagement Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the be of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners e a / _• property. 7 6/-1111V ( NOOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) stormweter oak worksheet—REV.7120/2008 2 �waSO` c0 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ss/tt NO' Date: , Z9 Time Received: / 3 / arritrD Mon. Tue. Wed. Thur. Fri. Date: BLD: / S-- - /73 Contact Name: Owner: fi-ba Contact Number: 360 5Q 523 Address: f/ 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map :"1` k ''ms`s.t " r Sslsobd Features ilr :,,, 1 ' Iii\ , Legend , _ AI pi* �/ JC_Rasda 1 Assessor Maps+l 41+1 Parc/1'N Dfrdt FP Stream Classification r- - - !WNW F.Fah /*/ N•NOn• tY6tti a/ Pip-Nan-fish NaNtat-Parnrrr 1 14(.1 1 • n; Na•Non-fish IttOiat.Saaaontl g8, Non-fish $asalna , 114111;%11011"1""i Maps pvded vY Jelbam CnVy Calls&MOSS as r - 0 ., FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon May 12 09:45:37 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 5/12/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• 11111111k;;" Legend Selected Features f4f JC_Roads i J Assessor Maps* 1�.._ Pareels-H DOR FP Swam Classification .. . / F-fief Maetat r N Non{ih HAMS Np-Non-fish Naeius-Paramai �.- Ns-NaHiah Nabisa.4aYwW /1 S.bnentaiU n d Shafoa r 2011 Aerial Photos Maps Cactid.d by Jabs i Cony Caws S:nass GIS v:..,:.. FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon May 12 '9:47:58 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 5/12/2014 • Map Output Page 1 of 1 ArcIMS HTML Viewer Ma • .,t Lind 0 Selected Feacres JC Roads Li Assessor Maps+1 Parcels-M S Wetlands 2011 Aerial Photos Maps aardedM Jelessar Casey Carat Samos pS : -- _ FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon May 12 19:49:06 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Form=True... 5/12/2014 Map Output • Page 1 of 2 ArcIMS HTML Viewer Map OEM ZIP: /11116....+Wr+,- { u Fronded Jellers.1nCarey Canty SIVRs a$ http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 5/12/2014 Map Output • • Page 2 of 2 Legend CIS.I.ead f.at res J Towtnhlptines s/ JC_Roads f�. P a reels41 County Zoning MPR,211 Tracts Ructl Rridarial 1:0 Rural Rr.dntral 1:10 Rural Rridenaral 1:20 . MPRd1igY Family ■ MPR-MuaRarcty MPRdtrat Complex Pars and Recreation ■ UPROpen Ewe ■ Rural Forest Commercial Fonst Mir Wackily y Farsct • Haavy adarhYl ■ Airport EPP ■ MPR-gigs Caner ■ AP1:20 ■ Rural Wags Carer ■ Rroura Rand Ind. ■ tight Industrial MPRdMctealion II ware Mymt lF , 1JM ■ LNG ■ Crarroeda6C . Crmercado-CC ■ Croaroad_MC '... Al 1:20 laGA•Ubah Care1umV11 UGAdhtar andu trrl Light UGA.MOR r4 UGAd1oR IUGA.Pub is Uc141.D11 UGMV:Oar annual Camweial MPR.eRM Minna* arla M-00111Rrwra1ILO Farah II 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 May 12 09:51:00 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Form=True... 5/12/2014 a t 4 .ii lf , Single' r'nirlt, f11111: (1(x'E-'ssible. ite t i -..i p 'A. 1.-: at,i., '',,,.: 7...Ir.... L. . . iot . '... - . ...4*..1 : ■ . , LL - ■ ,. ■ .7., 4*.,..2,..i.„, . L.4fo-isellitittlitlisr4-0ft `4*-.. b 3 .y �'4 g N { 4 Y F sy ,` i ?r� tr u w ^ a :T. ? i., r *e Gunnison is a single n f a t a: g bild v E -_ --vautt toilet buildin r M A Y } .' 'y. of designed with CW n fo rm ng he �3 -,..-:..,T.,,=-5-...... .... radius within the toilet a , t'a �f a is a silt' taom The' Las eel with a brush i Kj.soapy water. e � E � Ykr+r �f � V. Q,, , ,�,,t ,,t. , d roof`structure are (...-J�_ 1 't. m yx +ice' n , > ith colored thru — r e`i+. '.. t,'` a y,.-.'''', 'P . y't£`.r 'n which are Spray.• w (— . e d i t ¢ , C f x i b y % ..:. y apt e 4 i R Gi 'y'y..�� t l! R 1 . 1§ ! 4 5d' ' an exterior `w i � x _ ' owed by an anti- : k 9 _ xa 4 1.' t :r a 'are approved ex "4 U i�c, "'. . ' ... . 'iaalons. Ali hrrya . 5t " rO -`r.. • i,1i 1 , ' . 1 in n#ormance',..:14' ,' .and regula = - it } 0.K . �4 t ,z by &t i €�4 ,b C y JEFFERSON f Y� ax ' BUILDING'P �• li ' t Y rs ay n .;AS z "t + a� t ya , c z ,rt -_ F4H :4W"re'f rh a f.`.- a VuY ' � v .1' '' '' Rt, ' ' ' y � x dn 4 q. 1}'�1 C. \ q1 0 w{ 'I a.. ' Y`d,a 5 ` 3 x 4.,tai` � ' x ti V t 1 � ._., - Wall Textures: 'i . fit.` A I M Y t S Tl� Standard: �e ��mm x , "=. . � ri Mkt levelshci , : rnada , :::''' .::.thi ivai(able Options: crate.The a � :' imension'of, ` ,;. a� � r eo It unit .- . 4 1. matches the :0.,-, ..'°� ` ' perimeter of the building, "r.„4,,,,...-4,-,-`t � ai. "` "' providing a stable footing The building is-desigted ' , Cfi � 4 structure which supports with the fill weight of the tech4 iit k ::<.--;`';; ' i t building.The vault can black• ., �, , ' `r ' ° ', f hold up to I vault eons looatecOOtt , , {„ ,x k of waste,or 15,000 uses, the builds ' i s and is slopedso that waste soufh. .++ 3 �> ; wilt drain to the clean the surf . outout end of the vault.The contin i ' , .fr',' x t we say, e s lined louvere a C,Yh N Roof Textures: ABS tiger the but 4,,t r ding you wilt 4; �� Standard' which '", The air .^ s anything into the "'. 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' W Cr CC I I Ii ' gi _ ■ _-::_::_JIIq °v v.4, Nw y pa \11■••••■• N v %J d E j V J N W �{ '1 N q d N N J0_F Q (tL.L#J-:1 j":„. d J Z 0 m Q :atii-x" �. . 8 , 0 0. Ls $ a„8.d,.. S sg ,,,, zo F 1,g-,.:,_"a s o ce Ca Z x s8 gym , O V' Iv' $$ d L lining! 4 u, z tE a € E19EEA AS E6 o K 0 a -J 0 s / / V) m Z . u J p D a z. o j- I/{ 1 //1 f a r❑ v Zo Y / 1 / �Ew n aaN • os., �nl-7 �`O- 7. \ \ \ % I( y%%X z a H% L �(—XX %X% HHHHx........ /' >4„HHH%N%xHHHHHH HHHHH HHH HHH S M \ \ • .. N • 3 W \ O W Z N Z ce i N 1 V .�. 1 F V I M a _ I N R I \: - JT7JY\ i \ 4 M I I I I Wo£ Y o V1 L.W W N P 4 Rte. W W 2 -a v, .Cr Z d W I- (.4 W a . 3 CLr \ --—-- 3A09V 31111 loos—--—-- R 1a o.z z o 0 a ii orti,,_, I �i+ s_ 'e�. !I;9 E.Egs.e ki� §Bli, O f oo 8 +0 E 0 ..,, CO M NN O M aR Z i O 2 5 g g VI ct , t.00bb..1 06 0 b,-w H K 0 Z h p Q V H M u 0 x M £,Y W y V N a "_� En cu ZJ O p N----I 1 V pa p ZS°W IiII! ,I I M z co N o o I HIIIIII cL � Z T,v !AI t ¢ o m —7 1.0 Z..J Fgr0 (n Liam m1-. ' y\9 Qp'D M w K v 4d L�co M r-w r- J x Q U a ■ x J 2 M J U d D! J v p M . w u zW 00- Z W Z> a W0- =v 0 p u Z Z a a N M Zu in I L________ _A /____.... U y N � Z IIri o Q V) C 1 Z W111.1 U • wz ov N I.7 xv xv I z°r�, w 1 `D Y ".J. �q, a - rWq- It ra�xa D mop wu Jwa pv d w aCE cx.)'='7,� jJw Li — ~ �N_,a rc �n in ce m prNa J -41 re I K Qu 0be 4Z p w 3 Q q q o W £0 ?,J w 2 a w u qg. ■, Z C N Z �lyprl p q a cez w_J w • U • • Zoe Ann Lamp From: Steffen, Eric(DNR)[Eric.Steffen @dnr.wa.gov] Sent: Monday, May 05, 2014 4:23 PM To: Zoe Ann Lamp Subject: RE: BLD14-00152-vault toilet at Upper Clearwater Campground Attachments: UpperCWPaint.jpg; UpperCWPaint2.jpg Zoe— I used the maps from the Jefferson County site and then just used paint to show the location of the campground. Certainly not engineer quality, but hopefully they help. Thanks again, Eric Eric Steffen NRS1 Recreation and Maintenance Steward, Olympic Region Washington State Department of Natural Resources (DNR) 360-374-2865 (office) 360-640-3266 (cell) eric.steffen(adnr.wa.gov www.dnr.wa.gov From: Zoe Ann Lamp [mailto:ZLamp @co.jefferson.wa.us] Sent: Monday, May 05, 2014 11:57 AM To: Steffen, Eric(DNR) Subject: BLD14-00152 - vault toilet at Upper Clearwater Campground Eric, I am reviewing your application for a vault toilet at Upper Clearwater Campground. Parcel 511010100 is a very large parcel. The site plan you submitted shows excellent detail; however, I don't know where it is within the parcel boundaries. Please email me an overview of the parcel indicating where this detailed section is located. If you have questions,please contact me at 360-385-9406 or by email at the above email address. Thank you! Sincerely, Zoe Ann Lamp, AICP Associate Planner, DRD Lead Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 Phone: 360-385-9406 i • F • ax: 360-37.9-4473, e-mail: zlamp(aico.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 Please note: The Department of Community Development is open to the public 9:00 a.m. -4:30 p.m. Monday- Thursday; Closed Noon - 1:00 p.m.; Closed Fridays. 2 • • Zoe Ann Lamp From: Steffen, Eric(DNR) [Eric.Steffen @dnr.wa.gov] Sent: Monday, May 05,2014 4:05 PM To: Zoe Ann Lamp Subject: RE: BLD14-00152-vault toilet at Upper Clearwater Campground Attachments: Upper CW for Jeffco.jpg; Upper CW for Jeffco2.jpg; Upper CW for Jeffco3.jpg Iii Zoe, Thanks for the call today and sorry this took so long to get back to you. I'm not great at creating maps, but here are a few that show the location of the campground (outlined in red). Unfortunately, I was unable to find a way to add the parcel number to the map so hopefully these will allow you to get the location pinpointed. If you need additional detail, just let me know and I'll have someone with more skill than me create a better product for you. The site is located along the Clearwater River on the C-3000 forest road in sections 10 and 15 of township 25N and range 11W. Thanks again and please let me know if you need any additional information. Thanks! Eric Steffen Eric Steffen N RS1 Recreation and Maintenance Steward, Olympic Region Washington State Department of Natural Resources (DNR) 360-374-2865 (office) 360-640-3266 (cell) eric.steffenCa�dnr.wa.gov www.dnr.wa.gov From: Zoe Ann Lamp [mailto:ZLamp @co.jefferson.wa.us] Sent: Monday, May 05, 2014 11:57 AM To: Steffen, Eric(DNR) Subject: BLD14-00152 -vault toilet at Upper Clearwater Campground Eric, I am reviewing your application for a vault toilet at Upper Clearwater Campground. Parcel 511010100 is a very large parcel. The site plan you submitted shows excellent detail; however, I don't know where it is within the parcel boundaries. Please email me an overview of the parcel indicating where this detailed section is located. If you have questions, please contact me at 360-385-9406 or by email at the above email address. Thank you! Sincerely, Zoe Ann Lamp, AICP Associate Planner, DRD Lead Jefferson County Department of Community Development 1 • 621 Sheridan Street Port Townsend, WA 98368 Phone: 360-385-9406 Fax: 360-379-4473 e-mail: zlamp(a�co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW Please note: The Department of Community Development is open to the public 9:00 a.m. -4:30 p.m. Monday- Thursday; Closed Noon- 1:00 p.m.; Closed Fridays. 2 0 XI A A e I N H I N I O PO DI NJ I A I CO I C CO __ _ _ — -_- ----- --__1_ ----- I I A I N i► , _ 'A I N cn NJ IV c C I - I I I N Cl� I j A O I N �I i El I 7J V I 1 I I I - - — O XI rn I N o N N C., I O I ;LI < I OG A A C o I � I — H T cn N No O 0 V CO O Z7 CD t N COO 0 0 CD U7 N U1 O V CO N) C O X G 0) W C A C N N) 70 X co• ,: au . w orii { Xk - 44 F i r f�'�.w Silt T 5t 4. '.f ‘,,. , T .i r. L t x , : *a 1 , , ,t), , :ir, :I At ..,,, I, ¢ � R, t .40 - 1' s' � 1 • ' ikli v a +k im f , � • ),t' ^'� it r„ipo.I A 4 ' 44/0 .A. , ., 4- : , a 4, .' (i ,,,,,,,4=1 $,.#„=„4,0,1,-,,,.: � •F i `� R I y ,{ f Y ' - i �Y ° K�). .0 _ .'+ am } *N *, f10 le +, %a', • • l J000 �qq • • • F 6 I • • CS 3 oyO 6 3 3 3 � - o 8 r. 4 8 � g 1 • Jefferson County Building Division Permit Number: BLD14-00152 Applicant: STATE OF WASHINGTON-DNR BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 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 Setbacks 5/12/2014 Framing 5/12/2014 lanning Approval A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD14-00152 1.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 2.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) The site plan as submitted on April 30, 2014 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 12, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This approval is to install vault toilet at Upper Clearwater Campground only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 5.) zal 1ltidemark1data1forms\F BLD_Permit_Bldg.rpt 6/12/2014 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00152 Received Date: 4/30/2014 SITE ADDRESS: 75 MC DONALD COVE RD Issue Date 6/12/2014 Expiration Date 6/12/2015 OWNER: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 98504-7014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 511010100 Section: 1 Township: 25 N Range: 11 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: INSTALL VAULT TOILET AT UPPER CLEARWATER CAMPGROUND TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 17,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: Type Amount Paid By: Date: Receipt: BATHROOMS: Permit $245.00 MEB 05/13/14 148669 Exist: Plan Check $159.25 MEB 05/13/14 148669 Prop: State Building Code $4.50 MEB 05/13/14 148669 Total: Total: $408.75 NUMBER OF EMPLOYEES: Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED 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