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HomeMy WebLinkAboutSUB2012-00009 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: POPE RESOURCES C/O OLYMPIC RESOURCE MGMT 19245 10TH AVE NE POULSBO WA 98370-7456 DATE ISSUED: July 25, 2012 DATE EXPIRES: July 25, 2013 MLA NUMBER: MLA12-00134 PROJECT PLANNER: Colleen Zmolek PROJECT DESCRIPTION: LOT CERTIFICATION PROJECT LOCATION: Parcel number 601 143 001, Section 14, Township 26N, Range 1W, WM, located off Coyle Road, Quilcene 98376 CONDITIONS: 1.) To process this segregation, you will need to submit a wrttten request and a copy of the recorded legal descriptions to the Jefferson County Assessor's Office to have additional parcel numbers assigned. A copy of this permit will be forwarded to the Assessor's Office. Please contact the Jefferson County Assessor's Office (360-385-9105)with any questions regarding this process. 2.) Based on the findings, parcel number 601143001 can be considered three (2) separate parcel as described in the legal descriptions submitted with the application. 3.) The Lot Certification statement of intent legal descriptions shall be recorded with Jefferson County Auditor's office. 4.) As the Parcels are found exempt from RCW 58.17 and Jefferson County Code 18.35, a title report is not required. It is the property owners responsibility to identify and rectify any security interest conveyances, encumbrances, easements or restrictions affecting the subject properties involved in this county reviewed exemption. 5.) Contact the Jefferson county Environmental Health Department at(360) 379-9444 to determine potential limitations with regard to wells and on-site sewage requirements. 6.) This determination does not guarantee an ability to develop the parcels. All development shall comply with the on-site sewage code, the building codes and local development regulations. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The administrator determined on January 7, 2009 & September 14, 2010 that no survey is required when following existing section lines. 3.) The proposal is found to be an exemption under Jefferson County Code (JCC) Section 18.35.040(1): (1) Divisions of land into lots, tracts or parcels each one of which is one-sixteenth of a section of land or larger, or 40 acres or larger if the land is not capable of description as a fraction of a section of land; provided, that for purposes of computing the size of a lot that borders on a street or road, the lot size shall be expanded to include that area that would be bounded by the center line of the street or road and the side lot lines of the lot running perpendicular to such center line; and provided further, that within the commercial forest district (i.e., CF-80), each lot, tract or parcel shall be at least 80 acres in size. 4.) The parcel has been designated as CF Commercial Forest and RF 1:40 Rural Forest under the Jefferson County Comprehensive Land use Map effective August 28, 1998 5.) RCW 58.17 requires regulation of the division of land and was passed in 1969 6.) On July 11, 2012, Sherrie Shold's in the Assessor's Office commented as follows: I have no objection to this Lot Certification. This parcel was two separate parcels prior to 1981 when consolidated by our office and they are physically separated as well. 7.) On June 29, 2012, Pat Perryman in the Assessor's Office GIS department commented as follows: I have no comments pertaining to this proposed Action. 8.) The application was reviewed by the Jefferson County Department of Community Development staff on July 25, 2012 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review the following ESAs were confirmed to be present on the subject property: unstable shoreline slope stability, type F fish bearing stream &type N non fish bearing stream, fish and wildlife habitat conservation area, wetlands, slight& moderate landside hazardous area, susceptible aquifer recharge area, conservancy shoreline designation and coastal seawater intrusion protection zone. 9.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from"taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one(21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. c- I 1 2S • A inistrator MLA12-00134 \\tidemark\data\forms\F_MLT_lssuePermit_U.rpt 7/25/2012 Page 2 of 2 4 9g&R ` : ° !/Q v 4 , ;g 2 : : ! . 6/\ • ; ] \° 5 3!R\ - )/ \2\giQ-. ./\ : " , 5 • ; ; ntlg3 } %> \ / /;©» ! f.i w a;! ° : " ; l;r,! _ 9 &/8 ©„ \ § Vin;9 M. / } \ 03,0i ! ` /§ : � � ° , ; | : ;4! | ` 1 a _ e! 04E1/4 15 - 25N - 1W) cA—T.6 '"*2. ,,,,,.,,„, 2 • - °§ \�(( � � z \ Us. e NAVY Z \ n , ® $ 9 \ Z%5--- | / p\ , co I a. % z /! y �`� ; ¥ .., o , z �. 5 \ \ © 0 , ® : \ c _ \ \ ° GA' LOT 4 , \ - i \ ® ® ` ` ® ,P- 11 ; / / - ® � \ .0. g .64- I per %Apo; . . ;}; / \ \ ° } % \ k \k I ) \6 / / / , , . § , §5 568837 PGS • 2 CERT ' 07/26/2012 01:29 PM $63.00 JEFF CO DEPT OF COMMUNITY DEVELOPMEN Jefferson County WA Auditor's Office - Donna Eldridge, Auditor VIII ri 46,161 ''ELI 'L kik 11 111 AFTER RECORDING MAIL TO: Name: Jefferson County DCD,DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 All Situate in the County of Jefferson, State of Washington Lot Certification MLA Number: 12-00134 Parcel Number: 601143001 Section 14, Township 26 North, Range 1 West Grantor(s): 1. Pope Resources, a Delaware limited partnership Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): The West 'A of the Northwest 1/4 and Government Lot 1 in Section 14, Township 26 North, Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington. Tax Account No. 601143001 Lot certification described as follows (new legal description in metes and bounds): Parcel 1: The West V2 of the Northwest V4 in Section 14, Township 26 North,Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington. Parcel 2: Government Lot 1 in Section 14, Township 26 North, Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington This Mt certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) 568837 PGS : 2 CERT 07/26/2012 01:29 PM $63 00 JEFF CO DEPT OF COMMUNITY DEVELOPMEN Jefferson County WA auditor's Office - Donna Eldridge, Auditor 1111 IiG �U11��IL� Lh�LW'�.� IJ ,� +�WIN 5 III AFTER RECORDING MAIL TO: Name: Jefferson County DCD,DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 MLA Number: All Situate in the County of Jefferson, State of Washington 12-00134 Parcel Number: 601143001 Lot Certification Section 14, Township 26 North, Range 1 West Grantor(s): 1. Pope Resources, a Delaware limited partnership Legal Description: Parcel involved in the lot certification are currently legally described as follows(include Assessor's Property Tax Parcel Account Number): The West 1/2 of the Northwest ''A and Government Lot 1 in Section 14, Township 26 North, Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington. Tax Account No. 601143001 Lot certification described as follows (new legal description in metes and bounds): Parcel 1: The West 1/2 of the Northwest 'A in Section 14, Township 26 North,Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington. Parcel 2: Government Lot 1 in Section 14, Township 26 North,Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) • Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(1) or (4) for the purpose of assisting with the segregation of land into lots, tracts or parcels each one of which is one-sixteenth of a section of land or larger. (Proponents' signature) Pope Resources, a Delaware limited partnership By: Pope MGP Inc., a Delaware corporation, its managing general partner, By: David L. Nunes, President and Chief Executive Officer STATE OF WASHINGTON COUNTY OF KITSAP On July 16 , 2012,personally appeared David L. Nunes and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this 16th day of am uunngiy�� July , 2012. `�o�Q,p ..-S G No . Public in and for the State of Washington, '_ohs Y 1312t. Susan M. Graham-Schuy ler '%,d> MAY't�y.�`� Residing at Indianola i ���gyTE'OF1`05`���� My Commission expires: May 20, 2014 This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. 1 j4d-44 7/44/AX This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant-�°lanner Date AFTER RECORDING MAIL TO: Name: Jefferson County DCD, DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 All Situate in the County of Jefferson, State of Washington Lot Certification MLA Number: Parcel Number: 601143001 Grantor(s): 1. Pope Resources, a Delaware limited partnership Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): The West V2 of the Northwest 1/4 and Government Lot 1 in Section 14, Township 26 North, Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington. Tax Account No. 601143001 Lot certification described as follows (new legal description in metes and bounds): Parcel 1: The West V2 of the Northwest '/4 in Section 14, Township 26 North, Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington. Parcel 2: Government Lot 1 in Section 14, Township 26 North, Range 1 West, of the Willamette Meridian. Situate in the County of Jefferson, State of Washington This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(1) or (4) for the purpose of assisting with the segregation of land into lots, tracts or parcels each one of which is one-sixteenth of a section of land or larger. (Proponents' signature) Pope Resources, a Delaware limited partnership By: Pope MGP Inc., a Delaware corporation, its managing general partner, By: David L. Nunes, President and Chief Executive Officer STATE OF WASHINGTON COUNTY OF On , 2012,personally appeared and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this day of , 2012. Notary Public in and for the State of Washington, Susan M. Graham-Schuyler Residing at Indianola My Commission expires: May 20, 2014 This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant Planner Date Colleen Zmolek From: Sherrie Shold Sent: Wednesday, July 11, 2012 4:56 PM To: Colleen Zmolek Subject: Pope MLA12-00134 S14 T26N R1W #601143001 Colleen; I have no objection to this Lot Certification. This parcel was two separate parcels prior to 1981 when consolidated by our office and they are physically separated as well. Please let me know if you should have any questions. sherrie Sherrie shad Propertu operatiows jefFersow couwtJ Assessor's office 360-385:51O5 sshold @co,je f Fersow.wa.us 1 Colleen Zmolek From: Pat Perryman Sent: Friday, June 29, 2012 8:45 AM To: Colleen Zmolek Subject: M LA12-00134 Follow Up Flag: Follow up Flag Status: Flagged June 29,2012 RE: MLA12-oo134 Pope Resources Colleen, I have no comments pertaining to this proposed Action. If you have any questions or comments, please do not hesitate to contact me. Thanks, Pat Pat Perr ry man P.0.Box 1220 Port Townsend,WA 98368 (360)385-9365 or (36o)385-9222 e-mail pperryman @co.jefferson.wa.us 1 Colleen Zmolek From: Colleen Zmolek Sent: Friday, July 06, 2012 4:38 PM To: Sherrie Shold Subject: Lot certification Hi Sherrie, This is a follow up on two lot certification request by Brandon Bird, Pope Resources. Have you reviewed the lot certifications MLA12-134& 135? Do you have any comments? Pat had no concerns pertaining to the proposed actions. Thank you in advance. Colleen Zmoeek Associate Planner Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 360-379-4462 czmoleka,co.iefferson.wa.us h�1 E f F E P 5 0 F C 0 V N r U �...r l WATERSHED STEWARDSHIP RESOURCE CENTER 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 that DCD hours changed as of December i, 2008. Our office is open to the public 9:oo a.m.—4:3o p.m. Monday to Thursday, closed Fridays. 1 Parcel Tax History Page 1 of 1 ��,. ii15 Jefferson Co u n t Y . ....... . e. . . . - ..._ - Home County Info Departments Search Valuation Information for Parcel Number: 601221001 Assessed Fair Market Value Property Sales Information Improvements: $0 Affidavit Number: 52156 Improved Land: $0 Legal Document Description: QCD 12- 23-85 CORP. CHANGE Unimproved Land: $284010 Sales Amount: $0 Taxable Value: $9440 Sales Code: *** ASSESSMENT FEE MUST BE ADDED TO GET TOTAL DUE!!! ($5. Current and Prior Year Taxes (Add Assessment to Tax Amount if any listed below) Tax Year Tax Amount Taxes Paid 2012 1124.68 1124.68 2011 1051.76 1051.76 2010 1002.74 1002.74 2009 979.72 979.72 2008 973.2 973.2 2007 1045.94 1045.94 2006 934.22 934.22 2005 989.06 989.06 2004 963.1 963.1 2003 997.32 997.32 2002 916.74 916.74 2001 954.58 954.58 * ASSESSMENTS: Port Ludlow Drainage or Clean Water Year Tax Amount Taxes Paid Not applicable for this Parcel Property Transactions No records returned. NOTE: This is for informational use only. Do not pay taxes based off this information. Please refer to your current tax statement or contact the Treasurer's office at (360)385-9150 http://www.co.jefferson.wa.us/assessors/parcel/valuationdetail.asp?Parcel no=601221001 7/25/2012 July 13, 2012 POPE RESOURCES C/O OLYMPIC RESOURCE MGMT 19245 10TH AVE NE POULSBO WA 98370-7456 RE: SITE ADDRESS: CASE*: MLA12-00134 Dear POPE RESOURCES: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. The lot certification for MLA12-00135 and MLA12-00134 are ready to issue. Prior to issuing the permit the following items are required: The taxes will have to be paid prior to issuance of the application per RCW 58.08.040. I have checked with the treasurer's office and parcel 601221001 owes $562.34, MLA12-00135 and parcel 601143001 owes$724.29, MLA12-00.34. Please submit $126 for recording both documents when you submit the signed and notarized statement of intent. Recording fees are $62 dollars for the first page a $1 for each additional page. If the SOI are more than two pages please add $1 for each additional page. Please submit the above information to the Department of Community Development by October 11, 2012. Pursuant to Jefferson County Code(JCC) 18.40.110(3) and (6), if the applicant refuses to submit the additional information or does not request additional time to submit the required information within the ninety (90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, Department of Community Development Staff c: File \\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 7/13/2012 Colleen Zmolek From: Colleen Zmolek Sent: Friday, July 13, 2012 11:34 AM To: Colleen Zmolek Subject: FW: Lot certification Attachments: Recording and Statement of Intent(lot certification).pdf Colleen ZmoCek Associate Planner Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 360-379-4462 czmolekco.iefferson.wa.us r� E ! i E P $ 0 M C O U N T Y I_•,j F WATERSHED STE■ ARDSH RESOURCE CENTER All e-mail sent to this address will be received by the Jefferson County e-mail system and may he subject to Public Disclosure under Chapter 42.56 RCW. Please note that DCD hours changed as of December i, 2008. Our office is open to the public 9:Oo a.m.—4:3o p.m. Monday to Thursday, closed Fridays. From: Colleen Zmolek Sent: Friday, July 13, 2012 11:28 AM To: 'Brandon Bird' Subject: Lot certification Hi Brandon, The lot certification for MLA12-00135 and MLA12-00134 are ready to issue. Prior to issuing the permit the following items are required: The taxes will have to be paid prior to issuance of the application per RCW 58.08.040. I have checked with the treasurer's office and parcel 601221001 owes $562.34, MLA12-00135 and parcel 601143001 owes $724.29, MLA12- 00.34. Please submit$126 for recording both documents when you submit the signed and notarized statement of intent. Recording fees are $62 dollars for the first page a $1 for each additional page. If the SOI are more than two pages please add $1 for each additional page. On the statement of intent the auditor's office requires the section/township/range on the front page. Please add the MLA number to the statement of intent and S-T-R below the parcel number. I have attached a blank current statement of intent as an example. Colleen ZmoCek Associate Planner Jefferson County Department of Community Development 621 Sheridan Street 1 Port Townsend, WA 98368 360-379-4462 czmolekaco.iefferson.wa.us J E F f E R S 0 k C -"A";WATERSHED STEWARDSHIP RESOURCE CENTER 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 that DCD hours changed as of December t, 2008. Our office is open to the public 9:0o a.m.—4:30 p.m. Monday to Thursday, closed Fridays. 2 Parcel Tax History Page 1 of 1 • Jefferson County WASHINGTOtt Weather Station Database Tools Maps vim,Webcam Home :County Info :•Departments :• Search Valuation Information for Parcel Number: 601143001 Assessed Fair Market Value Property Sales Information Improvements: $0 Affidavit Number: 101845 Improved Land: $0 Legal Document Description: SPWD 10/29/04 Unimproved Land: $487330 Sales Amount: $12300000 Taxable Value: $13005 Sales Code: WOP *** ASSESSMENT FEE MUST BE ADDED TO GET TOTAL DUE!!! ($5. Current and Prior Year Taxes (Add Assessment to Tax Amount if any listed below) Tax Year Tax Amount Taxes Paid 2012 1448.58 724.29 2011 1355.1 1355.1 2010 1292.16 1292.16 2009 1262.44 1262.44 2008 1253.9 1253.9 2007 1346.12 1346.12 2006 1299.62 1299.62 2005 1375.72 1375.72 2004 1340.86 1340.86 2003 1388.02 1388.02 2002 1366.18 1366.18 2001 1423.16 1423.16 * ASSESSMENTS: Port Ludlow Drainage or Clean Water Year Tax Amount Taxes Paid Not applicable for this Parcel Property Transactions Affidavit Number: 101845 NOTE: This is for informational use only. Do not pay taxes based off this information. Please refer to your current tax statement or contact the Treasurer's office at (360)385-9150 http://www.co efferson.wa.us/assessors/parcel/valuationdetail.asp?Parcel_no=601143 001 7/13/2012 Colleen Zmolek From: Colleen Zmolek Sent: Monday, June 18, 2012 10:13 AM To: Pat Perryman; Sherrie Shold Subject: Lot certification MLA12-00134 Attachments: MLA12-00134 Legal Desc.pdf; MLA12-00134 MLA.pdf; MLA12-00134 site pl.pdf; MLA12-00134 title co rpt.pdf Brandon Bird as a representative for Pope Resources has applied for a lot certification on parcel 601143001, MLA12- 00134. Would you review the attached current and new legal descriptions and comment on any relevant history, or anything else that would need to be changed on the statement of intent. I have also attached the master permit application, site plan and research from Jefferson Title. I will include your research in a formal response to the applicant. Thank you in advance, Colleen ZmoCek Associate Planner Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 360-379-4462 czmolek(o�co.iefferson.wa.us 1�1 F F F F R i 0 N C 0 0 N T Y �j r WATERSHED STEWARDSHIP RESOURCE CENTER 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 that DCD hours changed as of December i, 2008. Our office is open to the public 9:oo a.m.—4:3o p.m. Monday to Thursday, closed Fridays. Lip 1 Olym Gr ro e LLt, A Pope Resources Cornpanl TRANSMITTAL TO: Jefferson County Department of Community Development SUBJECT: Lot Certifications for parcel numbers 601143001 &601221001 Date: June 7, 2012 COMMENTS Jefferson DCD, Here are two Lot Certification request for parcel numbers 601143001 & 601221001 with the appropriate MPA and Fees. I have also attached draft Lot Certification documents for your approval. Once you okay the documents I will have final versions signed and mailed to you with the appropriate recording fees. Let me know if you need anything else. Thanks, Brandon Bird i {{ Inl JUN 1 3 2012 � u I JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT From the desk of... Brandon Bird Project Manager Olympic Property Group LLC 19245 Tenth Avenue NE Poulsbo,WA 98370 bbird @orminc.com Direct(360)394-0573 Office(360)697-6626 Fax: (36o)697-1156 Parcel Print Page 1 of 1 Parcel Number: 601143001 06/24/2011 Owner Mailing Address: POPE RESOURCES C/O OLYMPIC RESOURCE MGMT ATTN: LAND RECORDS 19245 10TH AVE NE POULSBO WA 983707456 Site Address: Section: 14 School District: Quiloene(48) Qtr Section: SW1/4 Fire Dist: Quilcene(2) Township: 26N Tax Status: Taxable Range: 1W Tax Code: 323 Planning area: Sub Division: Land Use Code: 8300 - FOREST LAND (designated) Property Description: S14 T26 R1W I GOV LOT 1 I W1/2 NW S/EASE x No Photo Available http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=601143001... 6/15/2012 a -1 fi 0) CO -I -b x -I -1 CD D) -- -- 0) -o Cl) 0) x d C) r+ X 0) 0 z a co o — -o -5 7 O o) < O_ CD o) 0 CD 7- v c -• CD CC CD CD o CD r+ o CD - 7 7C -0 Z E Z -• co m o o tt CC O - 0) CD C7 N O N O 0- O O O -• 0) p O CO O - -o 0) Cl) O p m o co N C) O p C 0) O _• O r+ - 0) -6 a n v C) r+ C) f 0) CO G) o CO -I ., o o -0 C -0 o CD c N —I o v 3 0) CO rn � .< � o I- -II. z m CO N Cl) Ui •• o r CD -1 33 r -I c- D3 CO I- 73 m x m z o N Q rn in o r -< rn —I o g —I O) a X o a X CO m o N r ° - Z -0 C7 --♦ c -• 73 O) 2 O H C D 1! X/ - p OD M c) 70 o ' x c0 f -s X •- D 7! M) C) ° D m - o rn 77 m DO o) 00 CO - m IT CD m CO m r co m O CD o u) CO rn m O_ CO z MI o CO a CO -I C-13 m o c co 0) -< v Cn a] m N o co H o X O I 01 Z D O- - o c) r co o 3 0 co -I E CO a) c o m O) 3 O_ 2 -1 0 O C 0- Cl) CD CD CO CO O o -I -I n 3 -0 -0 I- CI ° 0 z m n n 0 o- a ti co o s c H CO CO H 0- r+ G7 O O 01 z c ° C7 o a u) r+ O- 2 X j H O O M N Q_ o 1 o C_ N - CD -b (...1) a •••-• c,a CI � C13 O H 0 • T Z CT N T D C) C O H CO O Colleen Zmolek From: Brandon Bird [bbird@orminc.com] Sent: Thursday, June 14, 2012 11:43 AM To: Colleen Zmolek Subject: Lot Certifications for Parcels 601143001 &601221001 Attachments: 22261w.pdf; 14261w.pdf Follow Up Flag: Follow up Flag Status: Flagged Colleen, Here is what Jefferson Title Company put together to help with the lot certifications. Let me know if you need anything else or if you have any questions. Thanks, Brandon Bird Project Manager Olympic Property Group 19245 10th Avenue NE Poulsbo,WA 98370 phone 360-394-0573 fax 360-697-1156 Like us on Facebooh dr follow us on Twitter! g 1 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll: OFF Parcel # 000601143001 Geo Cd 260114319320 S14 T26 R1W Nbhd Cd 2230 GOV LOT 1 W1/2 NW S/EASE Loc ID * Taxpayer Cd POPE 0200 POPE RESOURCES T/P Chg Dt 11/13/2008 * Title Owner T/P Chg U8r JA Tax Code 0323 Status TX TAXABLE Land Use 8300 DESIGNATED rf Affidavit 101845 Vol/Page / C/U Code Legal Doc SPWD 10/29/04 Amount 12300000 WOP User Cd Acres F/M Value C/U Value S/C Value Improved Land Appraisal Yr 2012 Unimprov Land 487330 145060 New Con Bld Timberland 11409 13005 New Con Lnd Improvements Mobile Home Totals 114 . 09 487, 330 158, 065 Chg Date 1/31/2012 Fire Patrol Y 12009 Regular Taxable Value 158, 065 Chg User SS F5=Appraisal F6=Windows F7=End of Job F9=Situs Address F13=History , wa � `q, 2 ° Mit ,/ | } riPii/iP \ | \■ \ ®e < #, : 12 1 / ■|h 5, : ! | 44; ) ; > R Q , § - , #_ E,|v ! m ; itAri \ . • ` 12/// , ' :\� P, /\ ` ll ~F �% A\ A 1 } \ « §#! : - |: |! � � gf § ! | i \■ 1 » . . 1 . . . . . , t 50/4 - a - « ; ; !7! ; ! f > � k \ » c 1/ ' &4 //\ II . 4. ` I- 9 , § }k\ | ® , § ,,;@ 7 | � \ ƒ # 0� , �, � � : . ` , 1. :C-3§ ! ® c --/ mv» LOT 4 7 §Z i i § | , Q % 9 tM. , " 6 \ � � 2 . � � k $ . — 9 WO; 2 . . ` ` 0 * / ° ! k k I 2a m 2 0 � ! ! , §) k od Government Lot 1 14-26- lW S 2,/ a / 3-293 PATENTA /Lot 1 of Sec. 14, T. 26 N. R. 1 W. 28.50 ac. Lt 5 & e < r e . Pam nz. I 36 -92 b\/\ 66-375 DEEDS 27748 Filed April 13th, 1909. Laura Estella Primrose (formerly Laura Estella Gray) , of Seattle, the-party of the first part , to Laura Ella Polhill and Robert C. Polhill, her husband, the parties of the second part. QUIT CLAIM DEED. Dated April 7th , 1909. Cons. $1.00. WITNESSETH, That the said part- of the first part, * * * do by these presents Remise, Release and forever Quti claim unto the said parties of the second part and to their heirs and assigns , the following described tracts, lots or parcels of land, situated, lying and being in the County of Jefferson, State of Washington, particularly bounded and described as follows , to-wit : Lot numbered 1 of Section 14 in Township 26 North of Range 1 West of Willamette Meridian, containing 38.50 acres. Also Lots numbered 2 and 3, the Northwest quarter of the South- ' west quarter (NWi of SW*) , and the Northwest quarter of the North- east quarter (NWI of NE'*) of Section 14 in Township 26 North of Range 1 West of Willamette Meridian , containing 167.75 acres. TO HAVE AND TO HOLD all and singular the said premises, together with the appurtenances, unto the said parties of the seco'hd part , and to their heirs and assigns forever. 97-116 DEEDS 83632 Filed April 13th , 1938. J. J . Bishop, as Treasurer of Jefferson County, State of Washington, party of the first part , to Maude E. Costello, party of the second part. TAX DEED. Dated April 12th, 1938. No. 647 . WITNESSETH, That, whereas, at a public sale of real property held on the 9th day of April , A. D. 1938, pursuant to a real property tax judgment entered in the Superior Court in the County of Jefferson on the 25th day of March, A. D. 1938, in proceedings to foreclose tax liens upon real property and an order of sale duly issued by said court, Maude E. Costello duly purchased in compliance with the laws of the State of Washington, the following described real property ,to-w4-4 / Government Lot No. 1 in Section 14, Township u�, north, Rare 1 V/ West, W. L. , containing 38.50 acres more or less, and that said Maude E. Costello has complied with the laws of the State of Washington necessary to entitle her to a deed for said real property. NOW, Therefore , know ye, that I, J. J. Bishop, County Treasurer of said County of Jefferson, State of Washington, in consideration of the premises and by virtue of the statutes of the State of Washington, in such cases provided, do hereby grant and convey unto Maude E. Costello , her heirs and assigns, forever , the said real property here- - ' inbefore described. Given under my hand and seal of office this 12th day of April , A. D. 1938. (Treasurer' s Seal) J. J. Bishop , County Treasurer. Acknowledged on April 13th, 1938, in the State of Washington, County of Jefferson, before Jas. G. McCurdy, Notary public in and for the State of Washington, residing at port Townsend , by J. J. Bishop , as the Treasurer of Jefferson County, Washington. (Seal) J,. 138_ 33% DEEDS MS/1 Filed September !S, 1954. The Grantor , Maude E. Payne , who acquired the within described property as Maude E. Costello, dealing with her separate property, to Robert E. Worthington and Janet M. Worthington, husband and wife, and Norman P. Worthington, a bachelor. STAT. WARRANTY DEED. Dated September 11 , 1954. Cons . $10.00. (Lk•S RA 4 O. . floe. T /6.so The Grantor, * * * conveys and warrants to Robert E. Worthington and Janet M. Worthington, husband and wife, and Norman P. Worthington, a hachelor , the following described real estate , situated in the County of Jefferson, State of Washington: Government Lot I in Section 14, Township 26 North , Range 1 West of the Willamette Meridian. (Ack. OK. Geneva B. Miller, NP. King Co. ) West 1/2 of Northwest 1 /4 14-26- lW 3-730 to 732 DEEDS Filed February 15 , 1872. John E. Wheelock , to _ Henry M. Porter. QUIT CLAIM DEED. Dated December 7, 1871. Cons. $100.00. ✓ SW of NE4 of Sec. 6, T. 27 N. , R. 1 West. Wi of NEB of Sec. 7, T. 27 N. , R. 1 West. ✓ SE]: of Sec. 6, T. 27 N. , R. 1 West; ✓ NWT of Sec. 20, T. 27 N. , R. 1 West; ✓ SWq of Sea. 11, T. 26 N. , R. 1 West. ✓ NW of Sec. 14, T. 26 N. , R. 1 West. ( and land in other counties) 86-250 DEEDS- Filed May 24th, 1918. Henry M. Porter , -to John H. porter. QCD. A 6-7-4-1- 'Yr" 2' ' di 1 • (II' ✓ The SW- of Sec. 11, T. 26 , R. 1 West, 160 acres . The Mill of Sec. 14, T. 26 , E. 1 West, 1Gn ac ee . Also land in Clallam County. 014— s\\-\/\\\*)\ 90-244 DEEDS Henry 2. Porter and Laura W. Porter, to John H. porter. QCD. July 18th, 1919 . Aug 15th, 1923. v SWW of Sec 11 in T 26 N. 1 . 1 West, 160 ac . ✓ NW* of Sec 14 in T 26 N. i2. 1 West, 160 ao. Given to correct description of lend in Clallam County b1^' V 530 DEED RECORD 110 i JEFFERSON COUNTY t 1 89552 _ fheo nin 261)) day of -ece.d.or in tho year of our Lord ono EI)011O:7.1 nino i ; uendrecl end t irty-nine 1•onson .10 ., .:Z 10..aJ. of the City end County of Lo -.or cold 0, g,. 1 ' Stt Lo of Colorado, or tho fi.-.. t ).art, end Llefer W. -Tolman end Leo A. Lteinhardt o• the 1 I ) isty era: County of Lenvrr mu: Stet). C.:* COloraloo of the second pt.rtt ri•t•p.:::;s, ?het the 0r. d rerty of the first yart, for and In considerl.tion 61 the 1 . gr of fr:1' -A':n.f.S and ot1or nee) mid valt):1.10 Cana imar:.tiona 1n..1-'.1.4, to the •e.! ',lefty of ni I i rirat pr t in hand pain by De tad inacs of the 0000n(' : et, tho receipt w'.-.roof is .. • ' 1 Lereby confer ae.f. Mr noirnarlortAd. •:e n .ranno.f, harnined, sold anl convo-red, end 1:7 t`no ail 0.00:, .rrnt, harnin, coll. acenvy :m1 confirm em..o no aril nertiaz o' thc accond • --trio not in 1enency 1.1 eommon but in point tenanoy, ie.e• survivor of thou, 1' eir anal ns ) .. I •„;1 if • 1.•,!...a. r nd affet.na or -fuch aurvivor _on-ywr, nil Limo foliar/in.: doeeriben late or 1 naracla of land, at to, lyin,; and 1•otrk. la thc County of Jof'ifercen e0.nd onto of if ::%••• ' In, ton. tO.Vdt I 1 A.11, 1/1i.1.'ildod one-fialt Intorcet in the Sevnwent ,'tiorter (owl of Section Eleven (11), 0 '-foons111-• 20, :on,_o 1, ' ,at, ) The .iorthoort iistorter (.7.7 ) o' o:tter . •rne ;Jo), Joni-whin 26, f•arire 1, Went, " 1 with all and sin_ular 1:he hor0•11tervents ne. a n)vrt fanner): ther unto bolon - or in enywise opportoininz, am. to reversion and reversionc, remainder, mad remainder 1 rents, ioauer and profits thereof; and all the estate, ri.ht, title, innre.-ft, elan •-aul ) 1,• ) sietfa,nd whet:aeon) of she acid party of the 111.01t en..t, elthor in Jew or equity, of, in i 1 I and to the above beirf.tined V1re'7':*.x,n, w)ti- t'e 1-enc;:l1r.hrto and onnurtenencon. 1 oll :V.V-1_ .1:I, 20 1.o1.1) tho said a...aliens chore boo' a'neel r..'.S elescvihed, with no ennur- I il tcm:neoc, onto tho zeid parties of C a accord port, the survivor of V Ann, Choir oral,no, 1 e..)1 no hoirs ann oneigne of such curviror :orcvor. And the said pnrty of tho firat nart ll ) • P!I, for 1.1-.0.c1.- his IfoIrs, oaccutorz, s.eL v.tcriniatrators, dm: covenant, ;;rant, bar;;ain end l f a"ae to and win this sold portico Ot the socond part, the curvivor of non, their easi..ns' • iano. 'the heirs anti asst.011 o' such survivor, that at the tif.)e of 'he onsealine; and delivery of thece prosente, he is wall ceiced of the promfees above conveyed, as of ;pod, sure, ) . »affect, abeoluto end iliderooaible ostote or Inhoritonoe, in len, in fee simple), anti hoe ao.1 1-1.-ht, full nce.en an..0 lawful int1ority to ,:ront, bary,ain, sell end convoy the orris I In mannor en., form aforesaid, :lad that the seam are tree ard claw) from all former and -• other :rants, ber,;ains, saes, lions, taf.eo, assessalenta end incumbrances of whatever • kind or neture aoever. std the abovo bor,olned premises in the 0u5et and peaceoble possossion of the said nor- tics of the second part, the survivor of then, their assigns and the heirs and assigns of such survivor, a•rinst all and evory n-rann or nersons lawfully elabairc: or to Clot tis whole or err ?art thoreof,the said narty of no first :wt. :Loll wed will ":/.1.----P ..PL h0:-.11'IL'h i.::-.7=1:P, 0 0 f I)f '7I1!CES.5 ilY ,101), the said peaty cm the firl.t part iris hereunto sot hand and j • seal, the day and year first above written. • ■ Si-ned, Sealed era Delivered in ( John Henry Porter (SEAL) 1 the Presence of ) i • I 1 1 )) I 4 1 . ,f/ i44A1 132- 3 ! i - 's d DEEDS t J 9 L 7-1'- Filed December 7 1951 . Leo A. Steinhardt and Vera Mahr Steinhardt , his wife, of the City and County of Denver and State of Colorado, of the first part , to - The International Trust Company, a Colorado corporation, of the City and County of Denver and State of Dolorado , of the second part. SPECIAL WARRANTY DEED. Dated December 26, 1939. Cons. $10.00 and other good and val. cons. (Actual consideration less than $100. 00) (No R. E. Sales tax required. ) WITNESSETH, That the said parties of the first part, * * * have granted, bargained, sold and conveyed, and by these presents do grant , bargain, sell , convey and confirm unto the said party of the second part, its successors and assigns forever, all the following described lots or parcels of land, situate, lying and being in the County of .?efferson and State of Washington, to-wit: An undivided one-half interest in the Southwest quarter (SW�- ) of Section 11 , Township 26 North , Range 1 West, and in The Northwest quarter (N'Wf) of Section 14, Township 26 North, V/ Range 1 West. (Warrants by, through or under the said parties of the first part) (Atka OK. December 26, 1939, before Nell A. Smith, NP. City and Co. of Denver, Colorado. ) • 132- .&21 - DEEDS / t G 3 6 Filed December 1 1951 . The Grantor, The International Trust Company, a corporation duly organized and existing under and by virtue of the laws of the State of Colorado , to a bachelor, Norman P. Worthington a one-half interest, and to Robert E. Worthington and wife , Janet Main Worthington, a one-half interest. STAT. =:QUIT CLAIM DEED. Dated November 27, 1951 . Cons. $1.00 and other val. cons . (Actual consideration less than $100.00) (Excise Tax "x.75 paid . ) The �rR r * * Remises , Releases and Quit Claims to Norman P. Worthing'ton /a 16th-half interest and to Robert E. Worthington and wife , Janet Main Worthington, a one-half interest, in and to the following described real estate situated in the County of Jefferson, State of Washington: W1 SW4 , Section 11 , T. 26 N. , R. 1 W. , W. M. W NW.'; , Section 14, T. 26 N. , R. 1 W. , W. M. In Witness Whereof, the Grantor has caused its corporate name to be hereunto subscribed by its vice president and its corporate seal to be hereunto affixed, attested by its assistant secretaty, this 27th day of November, 1951. THE INTERNATIONAL TRUST COMPANY By Richard P. Brown, Vice-President (CORPORATE SEAL6 Attest: J. J. Reeves , Assistant Secretary. Ack. OK. Mary R. Riger, NP. City and County of Denver, Colorado. ) �\V 132- DEEDS f z 6I7 Filed December '7 1951 . The Grantors , Elmer W. Johnson and Lillian N. Johnson, his wife, to Norman P. Worthington, a bachelor, a one-half interest, and to Robert E. Worthington and wife, Janet Main Worthington, a one-half interest. STAT. QUIT CLAIM DEED. Dated November 26, 1951 . Cons. $1.00 and other val . cons. (Actual consideration less than $100.00) (Excise Tax ;x.75 Paid. ) The Grantors , * * * Remise , Release and Quit Claim to Norman P. Worthington, a bachelor , a one-half interest and to Robert E. Worthing- ton and wife , Janet Main Worthington, a one-half interest, in and to the following described real estate , situated in the County of Jeffer- son, State of Washington: V W/ SA Section 11 , T. 26 N. , R. 1 W. , W. M. W NW Section 14, T. 26 N. , R. 1 W. , W. M. (Ack. OK. Mary R. Riger, NP. City and Co. of Denver, Colorado) V V 132- / 25--- (0 DEEDS I z4 Cpci% Filed December 7 1951 . John Henry Porter, Jr. , to Norman P. Worthington, a bachelor, a one-half interest , and Robert E. Worthington and wife, Janet Main Worthington, a one-half interest. GRANT DEED. Dated November 26 , 1951 . Cons. $75.00. (Excise Tax $.75 Paid. ) I , John Henry Porter, Jr. , do hereby Grant to Norman P. Worthington, a bachelor , a one-half interest , and Robert E. Worthington and wife, Janet Main Worthington, a one-half interest, the real property in the County of Jefferson, State of Washington, described as: Undivided i interest in: West ; of Southwest Quarter (SWti) of Section 11, Township 26 North, Range 1 West. West of Northwest w,uarter (NW..?:) of Section 14 , Township 26 North , 17 Range 1 West. (Ack . OK. Edith Moore Maroon, NP. Orange Co. , Calif. ) � 132- teg:7 DEEDS /3 O 2 0 q Filed January 15 , 1953, The Grantor, Louise C. Porter , unmarried , of the City and County of Denver , State of Colorado , to Norman P. Worthington, a bachelor, a one-half interest and to Robert E. Worthington and wife , Janet Main Worthington, a one-half interest. • STAT. QUIT CLAIM DEED. Dated November 26, 1951 . Cons . $1.00 etc. ( I. R. S. X6. 55 and State Doe. Stamp $.50, cancelled. ) (Excise Tax $1. 50 paid. ) The Grantor, * * * Remises , Releases and Quit Claims to Norman P. Worthington, a bachelor, a one-half interest and to Robert E. Worthing- ton and wife , Janet Main Worthington, a one-half interest, in and to the following described real estate, situated in the County of Jeffer- son, State of Washington: ✓ WI SW,'-, Section 11 , T. 26 N. , R. 1 W. , W. M. �/ Wr NWT Section 14, T. 26 N. , R. 1 W. , W. M. Dated this 26th day of November, 1951. (Ack. before Mary R. Riger, NP. City and County of Denver, Colorado. ) \\\ I i 1 i § i 7 § § § , ..-,.- .,.. cou) L'..) . fa (pc _ 1 - I § 1 i v 2c c W , m : 2 g § a I 2 ? ■§ - EI g S 8 nr-- r 1i ) i § N...., 11 g I i I ...-'1 11 §ti I a — c i :'''—. 1c"e111111 i riiik 7.: IC R , q s g i ril g _ §s cp -,...... z. I I I Fa' \\\.''---"■-,,, —7- ,, I i \''':--' ''1 , ■ •' i 1 ci ..1" ? , -- & , '') • , Fc• ,;•:,---) ---„-, lb JEFFERSON COUNTY �( NO. 134908 DATE TE p-43'12. RECEIVED FROM `� L QLJovra (c e) DESCRIPTION BARS AMOUNT CURRENCY 7:brianeiLil c-7:1(1 rnu iz_ I34 COIN CHECKS O cool t43c oI nt-tol,)cG v RECEIVED BY TOTAL 07)1(1)'-- BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FM: - ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: Sewer C Addition C Steel Proposed: Bank Community System L Alteration/Remodel C Concrete Total: Height: Individual System ❑ Repair U Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: E. Private well G Two Party Type of Heat: Proposed: C Public Total: Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured I 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2°Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check f c I u V� -1 Unheated Basement State Surch4 r ee: V Other Unheated Pot Water,Revi feed N 1 3 2012 Garage/Carport iSImitpTAL 4 Decks JEFFERSON CLIUNN 911/Rd Approac etjF COMMUNITY DEVELOPMENT Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: G:\PermitCcntcr\###F ORMS###\DRD FORMS\Master Permit Application 5-29-08.doc f'~°6 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 0 www.co.jefferson.wa.us/commdevelopment qs SZfING1" t Master Permit Application MLA: l 9- (5 Project Description(include separate sheets as necessary): Lot Certification Tax Parcel Number. 601143001 Property Size: 120 (acres/square feet) Site Address and/or Directions to Property: Section 14, Township 26N, Range 1W Property Owner(s)of Record: Pope Resources Telephone: 360-394-0573 Fax: 360-697-1156 email: bbird @orminc.com Mailing Address:19245 10th Avenue NE- Poulsbo, WA 98370 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies • Lot Certification ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑ Conditional Use C - • • " ❑ Manufactured Home ❑ Modular ❑ Discretionary"D • n rm s i ❑ Commercial' ❑Special Use(Es.el�=l lit E .#.-sl ❑ Change of Use ❑ Boundary Line '• i1 -nt ❑ Address ❑Road Approach ❑Short Plat'* ❑ Home Business ❑Cottage Industry ❑ Binding Site Pla ' JUN 1 3 2012 ❑ Propane ❑ Long Plat" ❑ Sign ❑Planned Rural --,d- ial Development(PRRD)/Arn ents" ❑Allowed"Yes" Use Consistency Analysis ❑ Plat Vacation/Al,-ratio " ❑Stormwater Management ❑Shoreline Maste Pro.ram Et . :MAR Revisions ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Maria..- o S;!..:. ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct 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 ap lication that he or she ww���nn is prior notice. Signature: 0154-1 `7 J ^1p Date: S (2-- 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 lake"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 ennpg to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 3 -/-eP(�—I l.J� Date: , c( 2 G:\PcrmitCentcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-O8.doc Map Output Page 1 of 1 ArcIMS HTML Viewer Map l Legend Selected Features rte JC_Roads 1._ Parcels-H Shoreline Slope Stability I` n staew nn,e•n etlue nUnstable ■ Unsiabie Recent Laneslwe Unstable Old Landslide ModAwd M�vo+eded ..ChIrterl CGRITi Casea&-vcsGS ®773ft 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. Wed Jul 25 10:30:41 2012 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/25/2012 Map Output Page 1 of 1 ArcIMS HTML Viewer Map i cili 1 i i \ 1 WE .. ,. • .-,11 _______ ::‘cr UM& ' :4 f- Legend i ■ Selected Features 1 Township Lines f _ ' `�' JC_Roads T'" Parcels-H f la Wetlands r f- 1 , .: if':..-'' Max;melded Or Jeleam Canty Cenral Services GIS I 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. Wed Jul 25 10:32:38 2012 http://gisserver/servlet/com.esri.esrimap.Esrimap?S erviceName=ovmap&ClientVersion=4.... 7/25/2012 Map Output Page 1 of 1 ArcIMS HTML Viewer Map h. k yl Q V i r I x V° i Legend Selected Features r J Township Lines JC Roads v, Parcels•H Critical Aquifer Recharge 1 Areas rir- � / SUSC.LAK n SARPA• SUSC SUSC i Li SARPA / 1 1 SARPA•UNR I .7 ilie 1 Max pro eded Cy JeMvsan CunRy Carty Sernoes CAS :-1 .'.:1d1' 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. Wed Jul 25 10:34:23 2012 http://gisserver/servlet/com.esri.esrimap.Esrimap?S erviceName=ovmap&ClientVersion=4.... 7/25/2012 Map Output Page 1 of 1 ArcIMS HTML Viewer Map Legend Selected Features -� 26/41W r r Township Lines JC_Roads Parcels-H ■ Erosion Hazard I E onwelsl by Jdbsan Carry CeMaSer..ors GIS 0®.04817 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. Wed Jul 25 10:34:51 2012 http://gi server/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/25/2012 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 1 ' iiiimik b 4 -. w.e.4` AL Y O i (I f I\ 1 _ Legend I k - ¢y Selected Features f ''ti_ ' Township Lines s - '- Parcels-H 2011 Aerial Photos r r MAY 1 J{ �Y , I M�Ro ded by Jets n Carty Coma/Sa»oes G4S 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. Wed Jul 25 10:37:24 2012 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/25/2012 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ."4....1 if I i AI . =.- °'w I e _^— Legend Selected Features ff /.4 JG Roads i. ( Parcels-H 96 1 r MIR FP Stream Classification 7! II �1/ F=Fah Namnm WI' f•f- N•Nomfahllanna 8 Np•Nondan Mann Parann of Y Ns•Non-San Ilaneal.SCasonal a '� N Nik. , S•nYMSOtla Sna mole Irn Maps weaned W Jellersan Canty Celina Sb.*om GtS 0 141 MI FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Wed Jul 25 11:13:05 2012 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/25/2012 DEVELOPMENT REVIEW TIME SHEET Date Time Comments (.12-(3- e �2 br- L('1 fatt lal4 Lk. - l i - I vZ . :30 'r -% ul al 0" Cj C.a.r. ` 0 )..) .J -D A1-- ( . - is w�%— C -, .► UDC CONSISTENCY REVIEW Project Planner: Master#MLA12-00134 Review Type Project Description SUB 12-00009 I LOT CERTIFICATION Primary: POPE RESOURCES Site Address: C/O OLYMPIC RESOURCE MGMT 19245 10TH AVE NE QUILCENE WA, 98376 POULSBO WA 98370-7456 Project Location: Parcel number 601 143 001, Section 14, Township 26N, Range 1W, WM, located off Coyle Road, Quilcene 98376 Parcel Number: 601143001 S-T-R: 14-26N-01W Total Acreagt 114 Legal Description S14 T26 R1 W GOV LOT t W1/2 NW S/EASE Land Use: 8300 Flood District: Fire District: 2 Planning Area: Flood Map(FIRM)Panel No: School 48 Zoning: COMP PLAN DESIGNATION: C F t 17%'F -IZa.Ao,,sue.4..a"-,of COMMUNITY PLAN: Al A- UGA: ,AJk UGA Trans ,4Jt MPR: ,/7°1 WATER SUPPLY UTILITY: Service Area N A PUD: [PI, Plot plan states"property line" _IQc.R. ?arsi;4 p trier n [f'4 ft Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [i`1]Pc Legal Access to Property YES NO [v1 Parcel Tags or Scanned Documents YES (No) F?Pt _9,X p or{a 3- 10 I [Nis ESA's: Special Reports Nearby YES K Designated Ag YES/ NO ] Shoreline Designation: YES [ % Shoreline Slope Stability:40 NO S SS - �,w.�t Q gm Stream T .• � NO Et N Suet...,,-, Fish&Wildlife:YES NO Flo+1 c Wetlands: ® NO UjojkourIcA Rare Plants:YES Seismic: .Mb NO Landslide: tal NO ,S314€61,...3- `f yno 4 i .t.}.,�, Flood: YES '�" Erosion: , NO Aquifer Recharge Area f ES NO b (3C.. SIPZ: none At Risk High Risk oastal CMZ: none High Risk Moderate Risk Disconnected CMZ Stolmwater site p .. submitted: Ye o [/J Forest Lands: lgiP NO F Adjoining Forest Lands: Comm erci ura Inholding [ 7] Mineral Lands: YES [7] Agricultural Lands: YES [ ] Archaeology: YES NO [Or 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: Aiiport YES l",lam ' YES ® Forest Lands YES NO [)\\1 Landscaping Required:Yes A Parking Spaces Required NO 2 Other Building Height: 35' UBC Standard [Pc Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only ['MN-Total Building(s)Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:sulject to septic&watercorstrairts/None specified [ Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: lAirc Road Classification: Road Approach:ExiSTING NOT READ RAP • A I ' SEPA Required:YES EXEMPT f( Flood Certificate: iyItc" Existing Case(s) &Condition(s): Violations: Yes No [NF Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance tLots/Require Declaration of Restrictive Covenant YES 0_)submitted: YES NO UGA No Protest Agreement YES NO, submitted: YES NO Site Visit conducted YES( O 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 601143001 1.) 6yr Mor.on Non- 03/2006-03/2012 3/22/06 Associated CASES status issued finaled description 601143001 MLA12-00134 SUB12-00009 P LOT CERTIFICATION (0%,_5'1')-7 -a5 - II -Toz,v,), ..., A 92„" jc. 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