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HomeMy WebLinkAboutSUB2014-00002 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: KENNETH L MC MILLEN AIMEE LORRAINE MC MILLEN 2007 OAK BAY RD PORT HADLOCK WA 983398736 DATE ISSUED: March 05, 2015 DATE EXPIRES: March 05, 2016 MLA NUMBER: MLA14-00010 PROJECT PLANNER: Colleen Zmolek PROJECT DESCRIPTION: Boundary Line Adjustment between 921182011 and 921182006 PROJECT LOCATION: Parcel Number: 921 182 011, 921 182 006, Site Address: 2007 Oak Bay Road, Port Hadlock WA, S-T-R: 18-29N-1E CONDITIONS: 1.) "CONSISTENT WITH RCW 84.56.345, CURRENT YEAR AND ALL DELINQUENT PROPERTY TAXES INCLUDING COMPENSATING TAX FROM OPEN SPACE PROGRAM SHALL BE PAID IN FULL PRIOR TO RECORDING THE STATEMENT OF INTENT." 2.) This parcel is within a no shooting area per JCC 8.50. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The proposal complies with JCC Title 18.35.060.1(e) in that the proposal is to create a more suitable building with beach access. There will be no decrease or increase in parcel acreage. It is an even exchange. 3.) Consistent with JCC Title 18.35.060.2(a), the proposal will not create an additional lot, tract, or parcel. 4.) Consistent with JCC Title 18.35.060.2(b), the proposal is not within a binding site plan. 5.) Consistent with JCC Title 18.35.060.2(c), the proposal will not relocate an entire lot, tract, or parcel from one parent parcel into another parent parcel. 6.) Consistent with JCC title 18.35.060(2)(d) the adjustment will not cross zoning districts both parcel is zoned RR 1:5. 7.) Consistent with JCC Title 18.35.060.2 (e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. 8.) Consistent with JCC Title 18.35.060.2 (f), the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 9.) Consistent with JCC Title 18.35.060.6, the proposal does not involve more than two lots, tracts or parcels that have been subject to a boundary line adjustment process within five years. 10.) The application was reviewed by the Jefferson County Department of Community Development staff on 9-15-2014 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: shoreline environmental designation; shoreline residential & aquatic, fish and wildlife habitat conservation area, wetlands, high landslide hazardous area, coastal salt water intrusion area. 11.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(2)(j). 12.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 13.) This approval is for a boundary line adjustment only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 14.) 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. - - -- - -. • N.-. - • -I I iaLitat"-for alfsted 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 developinc 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. deer 3 76.72 c/J---- UDC Administrator MLA14-00010 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 3/5/2015 Page 2 of 2 590027 PGS : 5 BLA 03/18,2015 09.55 AM $76 00 JEFF CO DEPT OF COMMUNITY DEVELOPMEN Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor VIII KIVIIII7ICK 10i lu When recorded return to: Northwestern Territories, Inc. 717 South Peabody Port Angeles, Washington 98362 BOUNDARY LINE ADJUSTMENT Grantor(s) Parcel B: Kenneth Lawrence McMillen and Aimee Lorraine McMillen Grantor(s) Parcel A: Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust Grantee(s) Parcel B: Kenneth Lawrence McMillen and Aimee Lorraine McMillen Grantee (s) Parcel A: Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT PARCEL A Assessor's Parcel Number: 921 182 C06 PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B Assessor's Parcel Number: 921 182 011 PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH AND SUBJECT TC: EASEMENTS OF RECORD Page t of 5 McMillen BLA - ;1:_ 2 10,iii BOUNDARY LINE ADJUSTMENT STATEMENT OF INTENT THIS RECORDING IS FOR THE PURPOSE OF ASSISTING WITH A BOUNDARY LINE ADJUSTMENT PURSUANT TO RCW 58. 17.040 (6) . IT DOES NOT CREATE ANY ADDITIONAL LOTS, TRACTS, PARCELS, OR A DIVISION AS THE LAND DESCRIBED HEREON SHALL MERGE OR BE INTEGRATED INTO ABUTTING PROPERTY PRESENTLY OWNED BY THE PROPONENTS. NOR DOES THE BOUNDARY LINE ADJUSTMENT RESULT IN ANY LOTS, TRACTS, PARCELS OR DIVISION WHICH CONTAIN INSUFFICIENT AREA AND DIMENSION TO MEET MINIMUM COUNTY AND SANITATION REQUIREMENTS FOR WIDTH AND AREA FOR A BUILDING SITE. Boundary lines subject to adjustment are identified as follows: The Following legal descriptions are for adjustment of Parcels A AND B resulting in an equal exchange of land area and providing shoreline access to Parcel B together with tidelands. NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT PARCEL A PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: AN EASEMENT FOR SEPTIC DRAINFIELD OVER, UNDER AND ACROSS THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: THE EAST 6.31 FEET OF PARCEL B EXCEPT THE NORTH 10.00 FEET THEREOF OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. SUBJECT TO: AN EXCLUSIVE EASEMENT FOR PLANTING AND HARVEST OF AN ORCHARD, INGRESS, AND EGRESS THROUGH, OVER AND ACROSS THE SOUTHERLY PORTION OF PARCEL A AS DEPICTED ON BOUNDARY LINE ADJUSTMENT RECORD OF SURVEY, RECORDED IN VOLUME 4. , PAGE Qty, RECORDS OF JEFFERSON COUNTY, WA. TOGETHER WITH AND SUBJECT TO ANY OTHER EASEMENTS OF RECORD. PARCEL B PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE EAST 6.31 FEET EXCEPT THE NORTH 10 FEET THEREOF. TOGETHER WITH: THE NORTH 10. 00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. Page 2 of 5 McMillen BLA II SUBJECT TO AN EASEMENT FOR SEPTIC DRAINFIED OVER, UNDER AND ACROSS THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: AN EXCLUSIVE EASEMENT FOR PLANTING AND HARVEST OF AN ORCHARD, INGRESS, AND EGRESS THROUGH, OVER AND ACROSS THE SOUTHERLY PORTION OF SAID PARCEL A AS DEPICTED ON BOUNDARY LINE ADJUSTMENT RECORD OF SURVEY, RECORDED IN VOLUME , PAGE , RECORDS OF JEFFERSON COUNTY, WA. TOCETHFR WITH AND SUBJECT TO ANY OTHER EASEMENTS OF RECORD. SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed this instrument as of date written herein below. ill/ ' / �� Cl7 lzo�t k KENNETH LLAWRENCE MCMILLEN ATE AMA/ 'e l . . _ f�I _ . 16 A-ME= LORAIN MCMI EN D` ACKNOWLEDGMENT M�j�� J� STATE OF W I:LJ-(/-441 I f426-10'-\I� ) : s s COUNTY OF j ON TH DAY personally appeared before me KENNETH LAWRENCE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. GIVEN under my hand and official seal this�� day of 0C-+C-\Pe,� , 2010 . u,,u '7 -1' T dog N RY PJLIC Notary Public in nd for the State of 11- State Of Washington JENNIFER T. BLAIS Residing at CVtI\ V [JtL l) L 4 MY COMMISSION EXPIRES Y January 28.2018 My Commission expires ?�5 LULL Page 3 of 5 McMillen BLA ACKNOWLEDGMENT STATE OF ULkl ) A ) : ss COUNTY OF ) ON T S DAY personally appeared before me AIMEE LORAINE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. `� //�J GIVEN u der my hand and official seal this ;Aoday of OC. , 2C1g. ,t 7 1 lc.LL Y P IC /y N R 'n .. d f .. e State of ■G . Notary Public .LL _ r►1 State of Washington (Pie.. e pri F Name of Notary on line above) JENNIFER T. BLAIS Residing at C ltlt1.U.1'. ,cn 4 MY COMMISSION EXPIRES \1 January 28.2018 My Commission expires ` 2-O li' SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed thi instrume as of the date ritten herein below. 1, �� v\` /d�a-o/Za/51 ' <' •— FFll NNETH ALLEN MCMILLEN TRUSTEE DAT MCCa LLEN FAMILY REVOCABLE LIVING TRUST Lm.... - ' ll�1- G` C tLa / ,/2 e/-2G `ANNE MARI MCMILLEN TR STEE 'DATE MCMILLEN FAMILY REVOCABLE LIVING TRUST ACKNOWLEDGMENT STATE OF 1 VCOA ) COUNTY OF e ' ) : Ss ON T DAY personally appeared before me KENNETH ALLEN MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. 7� 1 GIVEN under my hand and offici 1 seal thiq.(,tiay of OdajC-/ , 2CIY`. Il ��ARY BLIC 1\i/)hl(l I'tJl`IIC :nd for State of State of 1•l';D�hlnrton q , ,V;ER T. BLAIS Residing a ,� 1.1 Cu}� .' ;- MY C, Al kuSSION EXPIRES •. Ja' i.v 28. 2018 My Commission elLires ;If'• V Page 4 of 5 McMillen BLA ACKNOWLEDGMENT STATE OF wad/1,11 v ` ) COUNTY OF f 0 ) : ss ON T IS DAY personally appeared before me JEANNE MARIE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. GIVEN under my hand and official seal thi O day of NOT-“ PUB;c Notar) Public in'n. for he State c` I i State of Washington 1 .L' :w, Gill _ ER T JENNIP BLAIS (Plea print lame of Notary on line above) MY CLAMMI S510N EXPIF8 Residing at A N / _ 1� January 28.2018 THIS BOUNDARY LINE ADJUSTMENT HAS BEEN REVIEWED AND APPROVED BY THE JEFFERSON COUNTY WA. DEPARTMENT OF COMMUNITY DEVELOPMENT. cep 1 sPv- % fl�c'G C¢� {�lanc 3-IS- 15 BY' Date Page 5 of 5 McMillen BLA Department of Revenue e • • Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW-CHAPTER 458-MA WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALI.PACES ARE FULLY COMPLETED (See back of last page for instructions) C �.l.p -c , ❑Check box if partial sale ofDroDOrtY If multiple owners,list percentage of ownership next to name \ (� IN Name Kenneth Lawrence McMillen and Aimee Lorraine McMillen Name McMillen Family Re Living Trust(Parcel A) o (Parcel B) Kenneth Allen McMille nd Jeanne Marie McMillen Trustees z Mailing Address 2007 Oak Bay Road }Z Mailing Address 2007 Oak Bay Road w CityState/Zip Port Hadlock,WA 98339 0 g Ciry'State/Zip Port Hadbek,WA 98339 0 Phone No.(including area code) (360)385-0959 Phone No.(including area code)(360)385-0959 ® Send all property tax correspondence to:❑O Same as Buyer/Grantee List all real and personal progeny ax parcel account - List assessed value(s) numbers-check box it personal property Name -- 921182006(Parcel A) n $256,734.00 Mailing Address 921182011(Parcel B) n $420,542.00 City/State/Zip _— n Phone No.(including area code) Street address of property: 2007 Oak Bay Road.Port Hadlock,WA 98339 This property is located in Jefferson County El Check box if any of the listed parcels arc being segregated from another parcel,arc part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) SEE ATTACHED Select Land Use Code(s): List all personal property(tangible and intangible)included in selling 't1-Household.smote tersely units I price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption ordefetat under ❑ ❑Q chaplets 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? YES NO If claiming an exemption,list WAC number and reason for exemption: Is this laopcttydesigated as forest land per chapter 84_33 RCW? ❑ Q WAC No.(Section/Subsection) 458-61a-109 Is this property classified as current use(open space,fart and ❑ ❑ agricultural,or timber)land per chapter 84.34? Reason for exemption BLA Is this property receiving special valuation as historical property ❑ ❑� per chapter 8426 RCW? If any answers are yes,complete as instmcted below. Type of Document SEA (I)NOTICE OFCONIINU.ANCE(FOREST LAND OR CURRENT USE) I /1 . J' NEW OWNER(S):To continue the current designation as forest land or Date of Document V / classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine tithe land transferred continues to qualify and will indicate by signing below.lithe *Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax:State $ 000 your local county assessor for more information. 0 0050 Local 0.00 3 This land Does ❑does not qualify for continuance. *Delinquent Interest:State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 0.00 NEW OWNER(S):To continue special valuation as historic property, sign(3)below.lithe new owner(s)does not wish to continue,all 'State Technology Fee S 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.10 IS DUE IN FEE(S)AND/OR TAX 'SEE INSTRUCTIONS 11 1 CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Sifgtaature of Signature of / CV/1, I '+l IT-611•A^ ` V /Grantor or Grantor's Agent Grantee or Groatee's Agen I' • , �- � Name(print) f"1.1 z".�01-{ Name(print) 1(-trt� J 4 cr..) \. Date&city of signing: \d''2 ( Date&city of signing: ICI' '2 0 �ZC I (4 Perjury:Perjury is a class C felony which is punishable by imprisonment in the sate correctional institution fora maximum tern of not more than five years,or by a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.020(IC)). REV 84 000la(6/26414) THIS SPACE-TREASURER'S USE ONLY DEPT.OF REVENUE 684391 12834 *3,118/2015 10.00* JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 I Web: www.co.jefferson.waus/communitydevelopment ySSHr .ce Tel: 360.379.4450 I Fax: 360.379.4451 I Email:dcd{c�co.jefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning February 14, 2015 Kenneth McMillen Aimee McMillen 2007 Oak Bay Road Port Hadlock, WA 98339 RE: Additional information request/McMillen/McMillen BLA MLA 14-00010 Dear Kenneth &Aimee, I have completed the review of your boundary line adjustment application. The permit can be issued and survey recorded after the following items have been completed. • Page 2 of the Statement of Intent requires the blanks to be filled in. I have contacted the surveyor to send me an updated page 2 • 2015 taxes must be paid, JCC 18.25.070(6): Pursuant to RCW 86.56.345, current year and any delinquent taxes shall be paid before approval of any boundary line adjustment. o Taxes for both parcels must be paid in full for the current year. o Parcel 921182011 owes $4636.70 per the printout attached. o Parce1921182006 owes $27723.35 per the printout attached. o All taxes must be paid at the Jefferson County Treasurers office. Submit the following checks to Department of Community Development for recording documents and filing the Real Estate Tax Affidavit. • $10 fee for filing the tax affidavit. The $10 check is made out to the Jefferson County Treasurer. • $223.00 for recording the survey and SOI. Make check out to the Jefferson County Auditor. ($147.00 recording of the survey + $76.00 for recording the SOI) • $836.00 DCD additional review fee. Make check out to Jefferson County Community Development. I have enclosed the Quit Claim Deed. I do not record the deed as part of the BLA. This is something you will need to record at the Auditor's office after I have recorded the statement of intent, survey and filed the tax affidavit. Please call if you have questions. Sincerely, C.. Colleen Zmolek Associate Planner cc: Kenneth & Jeanne McMillen Trustee, 11609 33rd Ct NE, Lake Stevens, WA 98258 1 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment 1` "" Tel: 360.379.4450 I Fax: 360.379.4451 I Email: dcd @co.lefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review] Long Range Planning September 17, 2014 KENNETH L MC MILLEN AIMEE LORRAINE MC MILLEN 2007 OAK BAY RD PORT HADLOCK WA 983398736 RE: SITE ADDRESS: 271 OLD OAK BAY RD CASE#: MLA14-00010 Dear KENNETH L MC MILLEN: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. see attached letter for requirements prior to issuance. CJZ Please submit the above information to the Department of Community Development within 90 days of the date of this letter which would be 12/16/2014. As required by Jefferson County Code, JCC 18.40.110(3) and (6), if the information is not submitted or additional time to submit the required information within the ninety (90) calendar day period is not requested, the application would be considered abandoned and therefore withdrawn and application fees will be forfeited. Jefferson County Code provides that the Department of Community Development shall not be responsible for notifying the applicant of an impending expiration, thus any further notification would not be forthcoming. Sincerely, e e ,51/014 Department of Community Development Staff c: File KENT ROBINSON qOot o - cam, 1a0t2s, \\tidemark\data\form s1F_MLT_Add I nfo_Req ust.rpt 9/17/2014 `,,.s ON c- JEFFERSON COUNTY :� 2 1 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street. Port Townsend, WA 98368 Web:www.co.jefferson.wa.us/communitydevelopment &1,,, N�,o. Tel: 360.379.4450 I Fax:360.379.4451 I Email:dcd @co.jefferson.wa.us -HI SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning September 16, 2014 Kenneth McMillen Aimee McMillen 2007 Oak Bay Road Port Hadlock, WA 98339 RE: Additional information request/McMillen/McMillen BLA MLA 14-00010 Dear Kenneth & Aimee, After reviewing the proposed Boundary Line Adjustment survey, the following comments have been received: Assessor's office commented as follows: Sherrie Shold commented: I have completed my review of the McMillen BLA and the following are my comments. 1). I believe it would be beneficial to everyone if the Mylar identified with either a contiguous indicator or brief statement indicating the Tidelands are to be attached with Parcel B. 2). My second comments pertains to the Sal; the wording needs to be changed to read Grantors only on one line and Grantees only on the second line. And, each will need to identify which parcel they have ownership in. Grantor(s): Kenneth Allen McMillen and Aimee Lorraine McMillen — Parcel B Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust-Parcel A---- Repeated for Grantee area. As it is typed now, it appears as though Kenneth A./Aimee L. McMillen is the grantors and Kenneth A./Jeannie McMillen is the grantees. Department of Community Development commented as follows: Place the following information on the survey as identified in JCC18.35.070: 1. On Sheet 1 of the Survey • Revise the APPROX. MHT to APPROX. OHWM 2. Submit an updated plat certification current within 30 days for both parcels. Once the above issues have been addressed you have two options: 1 • Submit 2 more paper copies of survey and SOI for review prior to creating the mylar. To make sure the above comments have been addressed and the permit can be issued and documents recorded. OR • Submit the mylar and 3 paper copies of survey for recording and 1 copy of SOI. o All above comments must be addressed. If all comments have not been addressed a new mylar with 3 paper copies and SOI will be required. Prior to issuing the permit: • Submit the mylar and 3 paper copies. Property owners and lien holder must sign all 4 surveys. Signatures must be notarized. • Submit an updated Statement of Intent with owners signatures notarized. • Submit an updated Real Estate Excise Tax Affidavit. o Box number 1 "seller Grantor" and box 2 "Buyer Grantee" must be filled in the same as on the Statement of Intent. o Box number 7 must be filled in. I have attached an example for your convenience. o Box number 8 must be filled in by Grantor and Grantee must sign. • 2014 taxes must be paid, JCC 18.25.070(6): Pursuant to RCW 86.56.345, current year and any delinquent taxes shall be paid before approval of any boundary line adjustment. o Taxes for both parcels must be paid in full for the current year. • $10 fee for filing the tax affidavit. The $10 check is made out to the Jefferson County Treasurer. • $214.00 for recording the survey and SOI. Make check out to the Jefferson County Auditor. ($138.00 recording of the survey + $76.00 for recording the SOI) • $760.00 DCD additional review fee. Make check out to Jefferson County Community Development. Please call if you have questions. Sincerely, ` Colleen Zmolek Associate Planner cc: Kenneth & Jeanne McMillen Trustee, 11609 331d Ct NE, Lake Stevens, WA 98258 Kent Robinson, NTI, 717 South Peabody Street, Port Angeles, WA 98362 2 IR- J(4- (q -1-- .(150 �, .._._. _ Revenue ' ` °` t"5' Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW-CHAPTER 458-6IA WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED ee back.t' . .age for instructions) U 1- . ..,x if artial sale of.._ 'VP, -"' - . . If multi.le o t • list.ercenta:e of ownershi.next to name. I Name McMillen Famil Revocable Livin. Trust - Name enneth Allen McMillen and Aimee Lorraine McMillen a : Kenneth Allen McMillen and Jeanne Marie McMillen Trustees _ to a Mailing Address 2007 Oak :ay •oa. }Z Mailing Address 2007 Oak Bay Road m Port Hadlock,WA 98339 n City/State/Zip Port Hadlock,WA 98339 m V City/State/Zip Phone No.(including area code)(360)385-0959 Phone No.(including area code)(360)385-0959 II Send all property tax correspondence to: 17 Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers-check box if personal property Name 921182006(Parcel A) j, $256,734.00 Mailing Address 921182011 (Parcel B) n $420,542.00 City/State/Zip n Phone No.(including area code) n 0 Street address of property: 2007 Oak Bay Road,Port Hadlock,WA 98339 This property is located in Jefferson County 17 Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) SEE ATTACHED Select Land Use Code(s): 11-Household,single family units j II all personal property(tangible and intangible)included in selling price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ 17 chapters 84.36,84.37,or 84.38 RC'W(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? ill If claiming an exemption, list WAC number and reason for exemption: YES NO // f t Is this property designated as forest land per chapter 84.33RC'W'? ❑ 17 WAC No.(Section/Subsection) ' t?!4 — LOC\ Is this property classified as current use(open space,farm and ❑ 0 Reason for exemption B L Pi agricultural,or timber)land per chapter 84.34 RCW? Is this property receiving special valuation as historical property ❑ Ci per chapter 84.26 RCW? (� If any answers are Yes,complete as instructed below. Type of Document -76 L Pt \ (I)NOTICE OF CONTINUANCE(FORFSF LAND OR CURRENT USE) f, L 01 NEW OWNER(S):To continue the current designation as forest land or Date of Document t'♦ �� O J classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax : State $ 0.00 your local county assessor for more information. ( 0.0050 I Local S 0.00 This land ❑does ['does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 0.00 NEW OWNER(S):To continue special valuation as historic property, sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX PRINT NAME *SEE INSTRUCTIONS ® I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent Gr tee or Grantee's Agent Name(print) a e(print) Date&city of signing: Date&city of signing: Perjury:Perjury is a class C felony which is punishable by impri nt in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than ftv and dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.020(IC)). REV 84 0001a(6/26//14) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER V 5 u,tes 1 Form No. 14 Certificate No.:48413 Subdivision Certificate r-- FIRST r'R - 9 2015 AMERICAN TITLE COMPANY offe rson county COUNTY P�EEiiPMENT PO Box 598.2424 South Park Avenue,Port Townsend,WA 98368 Phone: (360)385-1322 Fax:(360)385-1877 Fourth Subdivision Certificate Prepared For: Order No.: 48413 Kenneth McMillen 11609 33rd Ct NE Lake Stevens,WA 98258-8741 In the matter of the Subdivision to be submitted for approval, this Company has examined the records of Jefferson County. This certificate is made for the purpose herein specified, and is not to be used as a basis for closing any transaction. Liability is limited to the charge made for this certificate. From such examination, the Company hereby certifies the title to the following described land,in said Jefferson County,to wit: Revised Parcel A: That portion of the following described property: That portion of the North 12%acres of even width of Government Lot 1,Section 18,Township 29 North, Range 1 East, W.M.,described as follows: Beginning at the meander corner between Sections 7 and 18 of Township 29 North,Range 1 East,W.M.; Thence west on the common Section line, 554 feet to the Northwest corner of Government Lot 1 of said Section 18; Thence South 168 feet; Thence easterly to the meander line at a point 225 feet,more or less, south of the point of beginning,and the northerly limits of that property described in Jefferson County Recording No. 114458; Thence north along the meander line to the point of beginning; TOGETHER WITH the South 100 feet of Government Lot 4, Section 7,Township 29 North,Range 1 East,W.M.,lying east of county road. Lying Northerly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North, Range 1 East,W.M.,from which the meander corner on the northerly limits of said Section 18,Township 29 North,Range 1 East,W.M.bears South 88°35' 50"East, and lies 1,874.40 feet distance; Thence South 88°35' 50"East,a distance of 1,320 feet,to the Northwest corner of Government Lot 1,of said Section 18; Thence South 01°22' 29"West,along the Westerly limits of said Government Lot 1,a distance of 170.99 feet to a point on said Westerly limits of said Government Lot 1,which bears North 86°37' 56"West from the Westerly corner of an existing East-West fence line that lies Easterly of the Oak Bay County Road,and true point of beginning of said described line; Thence South 86°37' 56"East,along said East-West extension,a distance of 27.36 feet to the easterly margin of the Oak Bay County Road; Subdivision Certificate Guarantee No.:48413 Page No.:2 Thence continuing South 86°37' 56"East,along said East-West fence line and the extension thereof,a distance of 603.04 feet to a point on the meander line and easterly seaward boundary of said property or as same may be alternately determined,and terminus of this described line; And lvina easterly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North, Range I East,W.M.,from which the meander corner on the northerly limits of said Section 18,Township 29 North,Range 1 East,W.M.,bears South 88°35' 50"East, and lies 1,874.40 feet distance; Thence South 88°35' 50"East,a distance of 1,320.00 feet to the Northwest corner of Government Lot 1,of said Section 18; Thence South 01°22'29"West,along the westerly limits of said Government Lot I,a distance of 170.99 feet to a point on said westerly limits of said Government Lot 1,which bears North 86°37' 56"West from the westerly corner of an existing East-West fence line that lies easterly of the Oak Bay County Road; Thence South 86°37' 56"East,along said East-West extension of said fence line, a distance of 27.36 feet to the easterly margin of the Oak Bay County Road; Thence continuing South 86°37' 56"East,along said East-West fence line,and the extension thereof,a distance of 344.05 feet to the true point of beginning of said described line; Thence North 04° 15' 03"West,a distance of 285.12 feet to a point on the northerly limits of said South 100 feet of said Government Lot 4 of said Section 7, from which the Northeast corner of said South 100 feet at the intersection with the meander line of said Section,bears South 88°35' 50"East,and terminus of this described line. TOGETHER WITH tidelands of the second class adjoining the South 100 feet of said Government Lot 4, in said Section 7,Township 29 North,Range 1 East,W.M.,Jefferson County,Washington. Revised Parcel 13: That portion of the North 12' acres of even width of Government Lot 1,Section 18,Township 29 North,Range 1 East, W.M.described as follows: Beginning at the Meander Corner between Sections 7 and 18 of Township 29 North,Range 1 East,W.M.; thence West on the common Section line, 554 feet to the Northwest corner of Government Lot I of said Section 18; t6hence South 168 feet; Thence Easterly to the Meander Line at a point 225 feet,more or less, South of the Point of Beginning,and the Northerly limits of that property described in Jefferson County Auditor's File No. 114458; thence North along the Meander line to the Point of Beginning; TOGETHER WITH the South 100 feet of Government Lot 4, Section 7,Township 29 North,Range 1 East,Willamette Meridian; Lying Northerly and Westerly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North,Range 1 Easy, Willamette Meridian,from which the Meander Corner on the Northerly limits of said Section 18,Township 29 North,Range I East,Willamette Meridian, bears South 88°35' 50"East,and lies 1,874.40 feet distant; thence South 88°35' 50"East a distance of 1320.00 feet,to the Northwest corner of Government Lot 1,of said Section 18; LPB Subdivision Certificate Guarantee No.:48413 Page No.:3 thence South 01°22' 29"West,along the Westerly limits of said Government Lot 1,a distance 170.99 feet to a point on said Westerly limits of said Government Lot 1,which bears North 86°37' 56"West from the Westerly corner of an existing East-West fence line that lies Easterly of the Oak Bay County Road and True Point of Beginning; thence South 86°37' 56"East,along the East-West extension of said fence line,a distance of 27.36 feet to the Easterly margin of the Oak Bay County Road; thence continuing South 86°37' 56"East,along said East-West fence line,a distance of 344.05 feet; thence North 04° 15' 03"West,a distance of 285.12 feet to a point on the Northerly limits of said South 100 feet said Government Lot 4 of said Section 7,from which the Northeast corner of said South 100 feet at the intersection with the Meander Line of said Section,bears South 88° 35' 50"East,and terminus of the described line. EXCEPTING THEREFROM that portion lying Westerly of the Easterly margin of the Oak Bay County Road and Old Oak Bay County Road. All Situate in the County of Jefferson,State of Washington. Is Vested in: The McMillen Family Revocable Trust, dated April 5, 2004, Kenneth Allen McMillen and Jeanne Marie McMillen, Trustees,as to Parcel A; and Kenneth Lawrence McMillen and Aimee Lorraine McMillen,husband and wife, as to Parcel B LPB Subdivision Certificate Guarantee No.:48413 Page No.:4 Special Exceptions: 1. Delinquent General Year: 2014 Amount Billed: $2,676.91 Amount Paid: $-0- Amount Due: $2,676.91,plus interest and penalty, if delinquent Tax Account No.: 921 182 006 Parcel ID No.: 23269 Assessed value: $ 256,734 Affects: Parcel A General Taxes.The first portion becomes delinquent after April 301 The second portion becomes delinquent after October 31a Year: 2014 Amount Billed: $4,370.29 Amount Paid: $2,185.44 Amount Due: $2,184.85,plus interest and penalty, if delinquent Tax Account No.: 921 182 011 Parcel ID No.: 23273 Assessed value: $420,542 Affects: Parcel B 2. Reservations contained in deed from the State of Washington recorded under Recording No. 31760 and 35579, reserving all oil,gases,coal,ores,minerals,fossils,etc.,and the right for opening,developing and working the same,together with any right to acquire easements or rights of way;Providing that all such rights shall not be exercised until provision has been made to compensate for damage sustained by reason of the exercise of such rights. 3. Reservations contained in deed from Jefferson County dated June 16, 1906,and recorded in Volume 59 of Deeds, page 109, for all public highways that may be constructed by the authority of the Board of Commissioners of Jefferson County,Washington 4. Easement, including terms and provisions contained therein: Recorded: September 27, 1946 Recording No.: 108273 In favor of: Puget Sound Power and Light Company, a Washington corporation For: Electric transmission and/or distribution system 5. Easement,including terms and provisions contained therein: Recorded: October 23, 1950 Recording No.: 124496 In favor of: Puget Sound Power and Light Company,a Washington corporation For: Electric transmission and/or distribution system 6. Notice of Discontinuance of Permission and the Terms and Conditions thereof: Recorded: May 04, 1999 Recording No.: 422576 LPH • Commitment No. 48413 Page 5 of 5 7. Easement,including terms and provisions contained therein: Recorded: October 03,2002 and November 7,2002 Recording No.: 460702 and 461977 In favor of: Public Utility District#1 of Jefferson County For: A non-exclusive perpetual easement over,under,along across and through the easement area to construct,operate,maintain,repair,replace,improve,remove and enlarge one or more utility systems for purposes of transmission distribution and sale of water 8. PUD verification of guarantee and the terms and conditions thereof: Recorded: October 20,2006 Recording No.: 516748 9. Reservation of Easement, including terms and provisions contained therein: Recorded: March 28,2008 Recording No.: 532511 For: The placement,maintenance,construction,reconstruction,repair and upkeep of a reserve drainfield for septic tank and sewer line leading thereto 10. Conditions,notes,easements,provisions contained and/or delineated on the face of the survey recorded under Jefferson County Recording No. 535395 11. Hold Harmless Indemnification Covenant recorded on July 31,2008,under Recording No.536102 12. Easement,including terms and provisions contained therein: Recorded: July 10,2008 Recording No.: 544756,being a re-recording of Recording No. 538361 For: An exclusive access to the beachfront Affects: 60 foot along the southern 259 feet of said premises Note: Said easement contains the following: This easement will cease to exist upon any sale of the Quit Claimed property 13. Restrictive Covenant regarding monitoring of on-site septic system and the terms and provisions contained therein recorded on September 29,2 009,under Recording No. 546840 14. Deed of Trust and the terms and conditions thereof: Grantor: Kenneth Lawrence McMillen and Aimee Lorraine McMillen,husband and wife Trustee: First American Title Company of Jefferson County Beneficiary: Mortgage Electronic Registration Systems,Inc., ("MERS"),solely as nominee for Lender and Lender's successors and assigns;Lender is Alaska USA Mortgage Company, LLC Amount: $399,000.00 Dated: December 20,2010 Recorded: December 28,2010 Recording No.: 556828 Affects: Parcel B Dated:September 02,2014 at 8:00 a.m. Your title officer for this transaction is Rochelle Lewis.If you have any questions concerning this title commitment,please do not hesitate to call me at(360)385-1322 or e-mail rlewis @fatcojc.com By:Rochelle Lewis,Title Officer 5 Form No. 14 Certificate No.:48413 Subdivision Certificate FIRST AMERICAN TITLE COMPANY 0/Jefferson County PO Box 598 2424 South Park Avenue,Port Townsend, WA 98368 Phone:(360)385-1322 Fax: (360)385-1877 Third Subdivision Certificate Prepared For: Order No.: 48413 Kenneth McMillen 11609 33rd Ct NE Lake Stevens,WA 98258-8741 In the matter of the Subdivision to be submitted for approval, this Company has examined the records of Jefferson County. This certificate is made for the purpose herein specified, and is not to be used as a basis for closing any transaction. Liability is limited to the charge made for this certificate. From such examination, the Company hereby certifies the title to the following described land, in said Jefferson County,to wit: Revised Parcel A: That portion of the following described property: That portion of the North 12 'A acres of even width of Government Lot 1, Section 18, Township 29 North, Range I East, W.M.,described as follows: Beginning at the meander corner between Sections 7 and 18 of Township 29 North,Range I East, W.M.; Thence west on the common Section line, 554 feet to the Northwest corner of Government Lot 1 of said Section 18; Thence South 168 feet; Thence easterly to the meander line at a point 225 feet, more or less,south of the point of beginning,and the northerly limits of that property described in Jefferson County Recording No. 114458; Thence north along the meander line to the point of beginning; TOGETHER WITH the South 100 feet of Government Lot 4, Section 7,Township 29 North, Range 1 East,W.M., lying east of county road. Lying Northerly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North, Range i East, W.M., from which the meander corner on the northerly limits of said Section 18,Township 29 North, Range 1 East, W.M. bears South 88°35' 50" East, and lies 1,874.40 feet distance; Thence South 88° 35' 50"East,a distance of 1,320 feet,to the Northwest corner of Government Lot 1,of said Section 18; Thence South 01° 22' 29" West,along the Westerly limits of said Government Lot 1,a distance of 170.99 feet to a point on said Westerly limits of said Government Lot I,which bears North 86° 37' 56" West from the Westerly corner of an existing East-West fence line that lies Easterly of the Oak Bay County Road,and true point of beginning of said described line; Thence South 86° 37' 56" East,along said East-West extension, a distance of 27.36 feet to the easterly margin of the Oak Bay County Road; Subdivision certificate Guarantee No.:48413 Page No.:2 Thence continuing South 86° 37' 56"East,along said East-West fence line and the extension thereof,a distance of 603.04 feet to a point on the meander line and easterly seaward boundary of said property or as same may be alternately determined,and terminus of this described line; And lying easterly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North,Range 1 East, W.M., from which the meander corner on the northerly limits of said Section 18,Township 29 North, Range 1 East,W.M., bears South 88°35' 50" East, and lies 1,874.40 feet distance; Thence South 88°35' 50"East,a distance of 1,320.00 feet to the Northwest corner of Government Lot 1,of said Section 18: Thence South 01°22' 29"West,along the westerly limits of said Government Lot 1,a distance of 170.99 feet to a point on said westerly limits of said Government Lot 1,which bears North 86°37' 56"West from the westerly corner of an existing East-West fence line that lies easterly of the Oak Bay County Road; Thence South 86° 37' 56"East,along said East-West extension of said fence line,a distance of 27.36 feet to the easterly margin of the Oak Bay County Road; Thence continuing South 86°37' 56" East,along said East-West fence line,and the extension thereof,a distance of 344.05 feet to the true point of beginning of said described line; Thence North 04° 15' 03"West,a distance of 285.12 feet to a point on the northerly limits of said South 100 feet of said Government Lot 4 of said Section 7, from which the Northeast corner of said South 100 feet at the intersection with the meander line of said Section, bears South 88° 35' 50" East,and terminus of this described line. TOGETHER WITH tidelands of the second class adjoining the South 100 feet of said Government Lot 4,in said Section 7,Township 29 North,Range 1 East,W.M.,Jefferson County,Washington. Revised Parcel B: That portion of the North 12%acres of even width of Government Lot 1, Section 18,Township 29 North, Range 1 East, W.M.described as follows: Beginning at the Meander Corner between Sections 7 and 18 of Township 29 North, Range 1 East,W.M.; thence West on the common Section line,554 feet to the Northwest corner of Government Lot 1 of said Section 18; t6hence South 168 feet; Thence Easterly to the Meander Line at a point 225 feet, more or less, South of the Point of Beginning,and the Northerly limits of that property described in Jefferson County Auditor's File No. 114458; thence North along the Meander line to the Point of Beginning; TOGETHER WITH the South 100 feet of Government Lot 4,Section 7,Township 29 North, Range 1 East, Willamette Meridian; Lying Northerly and Westerly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North, Range 1 Easy,Willamette Meridian,from which the Meander Corner on the Northerly limits of said Section 18,Township 29 North, Range 1 East, Willamette Meridian, bears South 88°35' 50"East,and lies 1,874.40 feet distant; thence South 88°35' 50"East a distance of 1320.00 feet,to the Northwest corner of Government I.,ot 1,of said Section 18; LPB • Subdivision Certificate Guarantee No.:48413 Page No.:3 thence South O1°22' 29"West,along the Westerly limits of said Government Lot 1,a distance 170.99 feet to a point on said Westerly limits of said Government Lot 1,which bears North 86°37' 56"West from the Westerly corner of an existing East-West fence line that lies Easterly of the Oak Bay County Road and True Point of Beginning; thence South 86°37' 56"East,along the East-West extension of said fence line,a distance of 27.36 feet to the Easterly margin of the Oak Bay County Road; thence continuing South 86°37' 56" East,along said East-West fence line,a distance of 344.05 feet; thence North 04° 15' 03"West,a distance of 285.12 feet to a point on the Northerly limits of said South 100 feet said Government Lot 4 of said Section 7,from which the Northeast corner of said South 100 feet at the intersection with the Meander Line of said Section,bears South 88° 35' 50"East,and terminus of the described line. EXCEPTING THEREFROM that portion lying Westerly of the Easterly margin of the Oak Bay County Road and Old Oak Bay County Road. All Situate in the County of Jefferson,State of Washington. Is Vested in: The McMillen Family Revocable Trust, dated April 5, 2004, Kenneth Allen McMillen and Jeanne Marie McMillen, Trustees,as to Parcel A; and Kenneth Lawrence McMillen and Aimee Lorraine McMillen, husband and wife,as to Parcel B LPB Subdivision Certificate Guarantee No.-48413 Page No.:4 Special Exceptions: I. Delinquent General Year: 2014 Amount Billed: $2,676.91 Amount Paid: $-0 - Amount Due: $2,676.91,plus interest and penalty, if delinquent Tax Account No.: 921 182 006 Parcel ID No.: 23269 Assessed value: $256,734 Affects: Parcel A General Taxes.The first portion becomes delinquent after April 30`'The second portion becomes delinquent after October 31' Year: 2014 Amount Billed: $4,370.29 Amount Paid: $2,185.44 Amount Due: $2,184.85,plus interest and penalty, if delinquent Tax Account No.: 921 182 011 Parcel ID No.: 23273 Assessed value: $420,542 Affects: Parcel B 2. Reservations contained in deed from the State of Washington recorded under Recording No. 31760 and 35579, reserving all oil, gases,coal,ores, minerals,fossils,etc.,and the right for opening,developing and working the same,together with any right to acquire easements or rights of way; Providing that all such rights shall not be exercised until provision has been made to compensate for damage sustained by reason of the exercise of such rights. 3. Reservations contained in deed from Jefferson County dated June 16, 1906, and recorded in Volume 59 of Deeds, page 109,for all public highways that may be constructed by the authority of the Board of Commissioners of Jefferson County,Washington 4. Easement, including terms and provisions contained therein: Recorded: September 27, 1946 Recording No.: 108273 In favor of: Puget Sound Power and Light Company,a Washington corporation For: Electric transmission and/or distribution system 5. Easement, including terms and provisions contained therein: Recorded: October 23, 1950 Recording No.: 124496 In favor of: Puget Sound Power and Light Company, a Washington corporation For: Electric transmission and/or distribution system 6. Notice of Discontinuance of Permission and the Terms and Conditions thereof: Recorded: May 04, 1999 Recording No.: 422576 LPB • Commitment No. 48413 Page 5 of 5 7. Easement,including terms and provisions contained therein: Recorded: October 03,2002 and November 7,2002 Recording No.: 460702 and 461977 In favor of: Public Utility District#1 of Jefferson County For: A non-exclusive perpetual easement over, under,along across and through the easement area to construct,operate,maintain,repair,replace, improve,remove and enlarge one or more utility systems for purposes of transmission distribution and sale of water 8. PUD verification of guarantee and the terms and conditions thereof: Recorded: October 20,2006 Recording No.: 516748 9. Reservation of Easement, including terms and provisions contained therein: Recorded: March 28,2008 Recording No.: 532511 For: The placement, maintenance,construction,reconstruction, repair and upkeep of a reserve drainfield for septic tank and sewer line leading thereto 10. Conditions, notes,easements,provisions contained and/or delineated on the face of the survey recorded under Jefferson County Recording No. 535395 11. Hold Harmless Indemnification Covenant recorded on July 31,2008,under Recording No. 536102 12. Easement, including terms and provisions contained therein: Recorded: July 10,2008 Recording No.: 544756, being a re-recording of Recording No. 538361 For: An exclusive access to the beachfront Affects: 60 foot along the southern 259 feet of said premises Note: Said easement contains the following: This easement will cease to exist upon any sale of the Quit Claimed property 13. Restrictive Covenant regarding monitoring of on-site septic system and the terms and provisions contained therein recorded on September 29,2 009, under Recording No.546840 14. Deed of Trust and the terms and conditions thereof: Grantor: Kenneth Lawrence McMillen and Aimee Lorraine McMillen,husband and wife Trustee: First American Title Company of Jefferson County Beneficiary: Mortgage Electronic Registration Systems,Inc.,("MERS"), solely as nominee for Lender and Lender's successors and assigns; Lender is Alaska USA Mortgage Company,LLC Amount: $399,000.00 Dated: December 20,2010 Recorded: December 28, 2010 Recording No.: 556828 Affects: Parcel B Dated:June 05,2014 at 8:00 a.m. Your title officer for this transaction is Rochelle Lewis.If you have any questions concerning this title commitment,please do not hesitate to call me at(360)385-1322 or e-mail rlewis@fatcojc.com By:Rochelle Lewis,Title Officer, 5 546840 PGS : 2 CGV 09/29/2009 09:19 AM $09.00 AIMEE MCMILLEN Jefferson Guilty WA Auditor's Office - Donna Eldridge, Auditor When recorded return to: 1111 � ' ' 7' � �� ��L��ttil� ��� E Name; Jefferson County Public Health Address: 615 Sheridan St. City. Port Townsend State,Zip WA,98368 Restrictive Covenant Regarding (Monitoring of On-site Septic System THIS AGREEMENT is made this dated tS ,2001 by and between Aik,his/her heirs and assigns ("GRANTOR(S)") and Jefferson County Public Health("GRANTEE") WHEREAS,, Nl NICA 1((itifts/are the owner of a certain tract of land particularly described as follows: -121 1$ A O! I PARCEL No.where septic system is located: LEGAL DESCRIPTION(s):Section 5� ,Township Tact N,Range Kt e WM ray �3 ADDRESS OF RESIDENCE BEING SERVED(if assigned) 20151 r1l L�, and, WHEREAS,a sewage collection,treatment and disposal system,as described in case# a7 c 2Zel/has been installed thereon,and WHEREAS,the residence or facility at the above described property,including all parcels associated with said case, utilizes an onsite sewage system which requires regular maintenance and monitoring for the life of the system. Monitoring is required to be performed bya person authorized by the Public Health Department,and WHEREAS,the Owner is required byjefferson County Public Health Department,as per WAC 24&272A through Jefferson County Code 8.15 to implement a program for periodic monitoring to assure the continuous and satisfactory operation and maintenance of the sewage system,and NOW THEREFORE,in consideration of the premises and the mutual promises and covenants hereafter set forth,the parties hereto agree as follows: 1. Construction:The Owner has constructed and installed a sewage collection,treatment and disposal system together with appurtenant facilities whose capacityand design are satisfactory to the Jefferson County Public Health Department The plans and specifications for this construction have been approved by the Jefferson County Public Health Department prior to construction. 2. Owners responsibilities: a. Maintain all components as accessible and unobstructed to the surface.Non-accessible or obstructed components will not be serviced. b. Utilize the system consistent with producing residential waste strength effluent. c. Operate and maintain the system in accordance with conditions of the permit and Jefferson County Code 8.15. 3. Schedule:The Owner shall have their sewage system inspected bya person authorized by Jefferson County Public Health in accordance with the schedule set forth in Jefferson County Code as adopted Restrictive Covenant/Monitoring On-site Septic System 1 of 2 546840 Page 2 of 2 09129/200909:19 AM and hereinafter amended.For some proprietaryprod cts registered with the State Department of Health,the inspector must also be authorized by the device manufacturer. 4. Reminder The Jefferson County Public Health Department shall provide a reminder of requited monitoring.The lack of receipt of said reminder does not relieve the property owner from compliance with the monitoring schedule pursuant to Jefferson County Code. 5. Records:A report of each inspection conducted shall be submitted to the Jefferson County Public Health Department within 30 days of completion of the inspection.Such records shall be open to the inspection of the Owner. 6. Liability:The Grantor agrees to relieve Grantee,its agencies,divisions,officers,agents,and employees of any liability,damages,judgments,claims or other expenses that might arise as a result of the inspections required by this agreement. 7. Fees:A fee as set forth in the Jefferson County Fee schedule and adopted by the Board of County Commissioners shall be paid upon submittal of each inspection report. 8. Terms:This agreement shall remain in full force and effect until the date of notification to the Owner by the Jefferson County Public Health Department that the Owner's Sewer System has been intercepted and connected to a general sewer system. 9, Amendments:This agreement shall not be modified except with the express written approval of the Environmental Health Department of Jefferson County. 10. Penalties: Non-compliance with monitoring and inspection requirements is a violation of Jefferson County Code and shall be subject to enforcement as described in said codes.The County shall have the right to enforce and compel compliance with this covenant,including all remedies available at law and equity. The County shall have the right in any such proceeding to recover its attorney fees and costs. 11. Venues:Venue for any action hereunder shall be in Jefferson County,Washington. If any term or provision of this agreement is in whole or part held invalid or unenforceable by any court of competent jurisdiction,the remainder of this agreement shall continue in full force and effect. 12. Life of Covenants and Binding Effect:All of the promises,covenants,terms and conditions of this agreement shall bind the parties to this agreement and the successors and assigns of the respective parties hereto AND are deemed to run with the land. �a al All, ,I L �'.�J Owner ,Owner Ad// ,Owner ,Owner Acknowledgment: rt. SUBSCRIBED AND SWORN to before me this Jl'd y of Cir.ffn.L ,20 D 9 '���Ngr/M �OIfIy, • public in and or the State of Washington, y� L�Q:`��rry`�y ji�. siding in y1' Ly1ae k Washington. Z ,►�1fq� i M 1 r I My commission expires: ?—l— .2 ay/ r rs' •'•cfr THIS CONTRACT MUST BE SIGNED BY OWNER(S)OF RECORD++i11{ Nwo'• Restrictive Covenant/Monitoring On-site Septic System 2 of 2 556828 PGS : 19 DT 12128/2010 03:33 PM $81.00 FIRST AMERICAN 7171.E Jefferson County WA Auditor's Office - Donna Eldridge, Auditor Ill NP+tiKI4N I 'MO11IffilIr41+fok 11I11i After Recording Return To: Alaska USA Federal Credit Union P.O. Box 196613 Anchorage, Alaska 99519-6613 b (Space Above This Una For Recording Data) Loan Number: 49085 DEED OF TRUST MiN: 1002010-0000049085-9 Grantor(s)(Last name first, then first name and initials): i.McMillen, Kenneth Lawrence 3,McMillen, Aimee Lorraine 4. 5. 6. 0 Additional names on page of document. Grantee(s)(Last name first, then first name and initials): 1.MORTGAGE ELECTRONIC REGISTRATION SYSTEMS, INC. , (MERS) 3:TRUSTEE IS: FIRST AMERICAN TITLE COMPANY OF 4. JEFFERSON COUNTY 5. 6. ❑ Additional names on page of document. Legal Description(abbreviated: i.e., lot,block,plat or section, township, range): PTN GL 1 (TAX 37) 18-29-1E Full legal description on page 4 of document. Assessor's Property Tax Parcel(s)or Account Number(s): 921 182 011 Reference Number(s)Assigned or Released: ❑ Additional references on page of document. WASiiWt3TON-Si teFarmiy DocMagtc saa44P-ras7 Fannie Mee/Freddie TAac UN1FOitM MSTFit1MB�-M13i5 www.docynrgic.can Form 3048 1101 Page 1 of 17 556828 Page 2 of 19 12/28/201003:33 PM DEFINITIONS Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11, 13, 18,20 and 21. Certain rules regarding the usage of words used in this document are also provided in Section 16. (A) 'Security instrument"means this document,which is dated DECEMBER 20, 2010 , together with all Riders to this document. (B) "Borrower"is KENNETH LAWRENCE MCMILLEN AND AIMEE LORRAINE MCMILLEN, HUSBAND AND WIFE Borrower is the trustor under this Security Instrument. (C) 'Lender"is Alaska USA Mortgage Company, LLC Lender is a LIMITED LIABILITY COMPANY organized and existing under the laws of WASHINGTON Lenders address is 2401 4th Avenue 100, Seattle, Washington 98121 (0) 'Trustee"is First American Title Company of Jef ferson County (E) "MERS"is Mortgage Electronic Registration Systems, Inc. MFRS is a separate corporation that is acting solely as a nominee for Lender and Lender's successors and assigns. MERS is the beneficiary under this Security Instrument. MERS is organized and existing under the laws of Delaware,and has an address and telephone number of P.O. Box 2026, Flint, MI 48501.2026, tel. (888)679-MERS. (F) "Note"means the promissory note signed by Borrower and dated DECEMBER 20, 2010 . The Note states that Borrower owes Lender THREE HUNDRED NINETY-NINE THOUSAND AND 00/100 Dollars(U.S. 5 399, 000. 00 )plus interest. Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not later than JANUARY 1, 2041 (G) 'Property"means the property that is described below under the heading"Transfer of Rights in the Property." (H) "Loan"means the debt evidenced by the Note,plus interest,any prepayment charges and late charges due under the Note,and all sums due under this Security Instrument, plus interest. (i) "Riders"means all Riders to this Security Instrument that are executed by Borrower. The following Riders are to be executed by Borrower [check box as applicable]' ❑ Adjustable Rate Rider ❑ Planned Unit Development Rider ❑ Balloon Rider ❑ Biweekly Payment Rider ❑ 1-4 Family Rider O Second Home Rider p Condominium Rider Li Other(s)[specify] WASHINGTON—Single Family OoeMapie tante:ma o09-e+s-'se1 Fannie Mae/Freddie Msc UNIFORM INSTRUMENT-MFRS www.docenoplc.com Form 3048 1/01 Paget of 17 556828 Page 3 of 19 12128(201003:33 PM • (3) "Applicable Law" means all controlling applicable federal, state and local statutes, regulations, ordinances and administrative rules and orders(that have the effect of law)as well as all applicable final, non-appealable judicial opinions, (K) "Community Association Dues,Fees,and Assessments"means all dues,fees,assessments and other charges that are imposed on Borrower or the Property by a condominium association, homeowners association or similar organization. (L) "Electronic Funds Transfer"means any transfer of hinds, other than a transaction originated by check, draft, or similar paper instrument, which is initiated through an electronic terminal, telephonic instrument, computer,or magnetic tape so as to order, instruct, or authorize a financial institution to debit or credit an account. Such term includes, but is not limited to, point-of-sale transfers, automated teller machine transactions,transfers initiated by telephone,wire transfers,and automated clearinghouse transfers. (M) "Escrow Items"means those items that are described in Section 3. (N) "Miscellaneous Proceeds"means any compensation,settlement,award of damages,or proceeds paid by any third party(other than insurance proceeds paid under the coverages described in Section 5)for: (1) damage to, or destruction of, the Property; (ii) condemnation or other taking of all or any part of the Property; (iii) conveyance in lieu of condemnation; or(iv)misrepresentations of or omissions as to, the value and/or condition of the Property. (0) "Mortgage Insurance"means insurance protecting Lender against the nonpayment of,or default on, the Loan. (P) "Periodic Payment"means the regularly scheduled amount due for(i)principal and interest under the Note,plus(ii)any amounts under Section 3 of this Security Instrument. (Q) "RFSPA" means the Real Estate Settlement Procedures Act (12 U.S.C. §2601 et seq.) and its implementing regulation,Regulation X(24 CF—R_ Part 3500), as they might be amended from time to time,or any additional or successor legislation or regulation that governs the same subject matter. As used in this Security Instrument,"RESPA'refers to all requirements and restrictions that are imposed in regard to a"federally related mortgage loan"even if the Loan does not qualify as a"federally related mortgage ban" under RESPA. (R) "Successor to Interest of Borrower"means any party that has taken title to the Property,whether or not that party has assumed Borrower's obligations under the Note and/or this Security Instrument. TRANSFER OF RIGHTS IN THE PROP132TY The beneficiary of this Security Instrument is MERS(solely as nominee for Lender and Lender's successors and assigns)and the successors and assigns of MERS. This Security Instrument secures to Lender: (i)thc repayment of the Loan,and all renewals,extensions and modifications of the Note; and(ii)the performance of Borrower's covenants and agreements under this Security instrument and the Note. For this purpose, Borrower irrevocably grants and conveys to Trustee, in trust, with power of sale, the following described property located in the COUNTY of Jefferson (Type of Racarding Jurisdiction] [Name of Recording Jurisdiction WASHINGTON—Single Fornfly DocMagic P,tarpor¢cove49-1362 Fannie MeedFraddle Mac UNIFORM INSTRUMENT-WEIRS www.doanaytcom Form 3048 1/01 Page 3 of 17 556828 Page 4 of 19 121281201003:33 PM SfP.LB.AL FERN KIM:MD IEEE D Illy NICE A I;PRI'HIRST AS DEBUT "A'• APN.: 921 182 011 which currently has the address of 2007 Oak Bay Road [street] Port Hadlock , Washington 98339 ("Property Address"): I�nrl [Zip Cam] TOGETHER WITH all the improvements now or hereafter erected on the property,and all easements, appurtenances,and fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by this Security instrument. All of the foregoing is referred to in this Security Instrument as the "Property." Borrower understands and agrees that MERS holds only legal title to the interests granted by Borrower in this Security Instrument,but, if necessary to comply with law or custom, MERS(as nominee for Lender and Lender's successors and assigns) has the right: to exercise any or all of those interests, including, but not limited to, the right to foreclose and sell the Property; and to take any action required of Lender including, but not limited to, releasing and canceling this Security Instrument BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to grant and convey the Property and that the Property is unencumbered, except for encumbrances of record. Borrower warrants and will defend generally the title to the Property against all claims and demands, subject to any encumbrances of record. THIS SECURITY [NSTRUMENT combines uniform covenants for national use and non-uniform covenants with limited variations by jurisdiction to constitute a uniform security instrument covering real proPerty. UNIFORM COVENANTS. Borrower and Lender covenant and agree as follows: I, Payment of Principal, Interest, Escrow items, Prepayment Charges, and Late Charges. Borrower shall pay when due the principal of, and interest on, the debt evidenced by the Note and any prepayment charges and late charges due under the Note. Borrower shall also pay funds for Escrow Items pursuant to Section 3. Payments due under the Note and this Security Instrument shall be made in U.S. currency. However,if any check or other instrument received by Lender as payment under the Note or this Security Instrument is returned to Lender unpaid, Lender may require that any or all subsequent payments due under the Note and this Security Instrument be made in one or more of the following forms,as selected by Lender:(a)cash;(b)money order;(c)certified check,bank check, treasurer's check or cashier's check, provided any such check is drawn upon an institution whose deposits are insured by a federal agency, instrumentality,or entity;or(d)Electronic Funds Transfer. WASHINGTON—Sir-4e Family oaemaric eFaRall 800-04w1362 Fannie Mae/Freddie Mac UNIFORM INSTRUMENT-MStS www.docmaat&eom Form 3048 1701 Pape 4 of 17 556828 Page 16 of 19 12/28/201003:33 PM foes." *imam-used in this Security Instrument,shall include without limitation attorneys' fees incurred by Lender in any bankruptcy proceeding or on appal. ORAL AGREEMENTS OR ORAL COMMITMENTS TO LOAN MONEY, EXTEND CREDIT, OR TO FORBEAR FROM ENFORCING REPAYMENT OF A DEBT ARE NOT ENFORCEABLE UNDER WASHINGTON LAW. BY SIONINO BELOW, Borrower accepts and agrees to the terms and counts contained in thin Security Instrument and in any Rider executed by Borrower and recorded with it. /i) j, jA (mil) �j � (Seal) Kenneth Lawrence -Borrow AIMEE LORRAINE -Borrower McMillen MCMILLEN (Seal) (S -Borrower -Borrower (Seal) (Seal) -Borrower -Borrower Witness Witness WABt nerON-Door Feely_ pgyfc Munn ao744lr7a! M Farms aslFradd4 ac UNIF d OFi. I WSIRUM94r•' R nw w .dotaMpk.com en rb case iro Pop p le of 17 556828 Page 17 of 19 12/28/201003:33 PM Maas Below TH.Una For AcW owiudpmalt) State of Washington } County of.' Tei-u-) on this dry personalty appeased before me Kenneth Lawrence McMillen ANTI ATMF,F`Sd1RTMTNF,�r'MTIJ lmi to me known to be the individual or deacnbed in and who ex • the within and foregoing instrument,and acknowledged that feel igned the an a hi •- - and voluntary act and deed,for the uses and purposes therein men weed. j VCA Given under hand and official seal this •t of December O Notary Public in and far the state of Washington, Rotary Public t residing ai: at+roe,e, �� State of Millington "�' BRUCE 5 MURK My Appointment Espkta Jan S,2012 6 ��_ ^ (San!} r My commission v mission expi es: (�'(. wPanrAT reek la MFarJnN ar INSTRUMENT-MEA Ooeasyfc Maw*11040-1142 aes-:s1? www.docrwagt cum Form 3049 1101 Pape 17 of 17 II! 556828 Page 18 of 19 12/28/201003:33 PM That portion of the North 12%acres of even width of Government Lot I,Section 18,Township 29 North,Range I East,W.M.described as follows: Beginning at the Meander Corner between Sections 7 and 18 of Township 29 North,Range 1 East, W.M.; thence West on the common Section line,554 feet to the Northwest corner of Government Lot I of said Section 18; t6hence South 168 feet; Thence Easterly to the Meander Line at a point 225 feet,more or less,South of the Point of Beginning,and the Northerly limits of that property described In Jefferson County Auditor's File No. 114458; thence North along the Meander line to the Point of Beginning; TOGETHER WITH the South 100 feet of Government Lot 4,Section 7,Township 29 North,Range 1 East,Willamette Meridian; Lying Northerly and Westerly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North,Range I Easy,Willamette Meridian,from which the Meander Corner on the Northerly limits of said Section 18,Township 29 North,Range I East,Willamette Meridian,bears South 88°35'50"East,and lies 1,874.40 feet distant; thence South 88°35'50"East a distance of 1320.00 feet,to the Northwest corner of Government Lot 1,of said Section 18; thence South 01°22'29"West,along the Westerly limits of said Government Lot I,a distance 170.99 feet to a point on said Westerly limits of said Government Lot 1,which bears North 86°37' 56"West frun,the Westerly corner of an existing East-West fence line that lies Easterly of the Oak Bay County Road and True Point of Beginning; thence South 86°37'56"East,along the East-West extension of said fence line,a distance of 27.36 feet to the Easterly margin of the Oak Bay County Road; thence continuing South 86°37'56"East,along said East-West fence line,a distance of 344.05 feet; thence Nord/04° 15'03"West,a distance of 285.12 feet to a point on the Northerly limits of said South 100 feet said Government Lot 4 of said Section 7,from which the Northeast corner of said South 100 feet at the intersection with the Meander Line of said Section,bears South 88°35'50"East, and terminus of the described line. EXCEPTING THEREFROM that portion lying Westerly of the Easterly margin of the Oak Bay County Road and Old Oak Bay County Road. All Situate in the County of Jefferson,State of Washington. 556828 Page 19 of 19 12128/201003:33 PM Loan Number: 49085 Daze: DECEMBER 20, 2010 Property Address: 2007 Oak Bay Road Port Hadlock, Washington 98339 EXHIBIT "A" LEGAL DESCRIPTION A.P.N. # 921 182 011 OocMagle ectrOMnie 80044B-1162 www.docma¢ccom • F le £ _ ., lima RA i.dR „;t,4444t qx N e`I Oo,•t-, _,.._ ,\ !ro-— p!ka �na Aq• S S , �a a IPA 13$ q 11- $ °$�$ r !S Ili: XI Ag1/14 4 m c� I "fu N M,Si.ZS.fON=I['LS!— _� — i $ 3 • a r gin.: ,lest unr a'cave cot�' u°e' — sLta.AfaN e_ 1' :pia -- SI2Yn i emu. 6 ZisS• ltd Qd021 '�� �d8 J)d0 $ O 1,� ob9t r 111 NO , 8 pp FTr�.A0 a '" \. 3eSl,ZS1'OS n.•• iy 11 NOM,JSrs , ,re.cef MA9PppT y tl i S pN��,wAt°iJsn i$ y�$t MI & 4 ?a 5 g g co / !all 11 x&41k \ fl1Iui1\6 ha N L� `r l�y+� in _ H rri Ri at I zx a i :n �1f ill te F 1 4 e gill 1 \ ly Fat 4 " g iti tqY � lit id y -..... eJ I p a- 'Es ,, a te �4 �y? iC C i ` qk 1 .• a 8,f Ya„„., lb ell .nxl L1SBZ Y1 404x0.o®o�.sra N 11/ � rt, 4', lif e 41i; i 1 ?0-31 s. !‘.1. 1 1 iil R y FIV / ) �. p b ^,{$}y'•£� 45RJEYW �p Co . RRinp M1Ia O a, 'j /e, ip • S[CMrI l ei He, O N� LII 2 .13�' , g� 3F, tl� ' ae Y _ ^ 4/M aY�t Y� ILlul �GYewa11 m���sZZ7ii1 `�y i c3' 4 {p Fa n/'IJ y aj ..�' p {SF� 1 e fi-.q I I . pf II �g aria , f FA Er En AS DOMED 1� 8 0 8 _a to) — ,y y� r MR mane a OF xnrtTS 0} {JJV t "° k �"�,� -/ a yr . e P;`*" flIJId€RI $ ";°E Y �, v.,/ � 9 ett'> f�lS nto� is 0 401 os'ono U L it�p JEFFERSON OpJNTYNOTICE TO NAM IUNkA i x ill y � @% 7 g Current:a!N.aan Coolly GNI?eyq ln@aylon Swan)(GS)mob nemy the pmaanaa d an 2 S ha.,� J Y2 Emuonmenta,y Samna,Arai(ESN)NE N aL almtm.a!WM,Mal.N la Wn Nunn(vp eta ala:,p.,.lr I a/J oO if recnet4e srva.5t?Z ran nds L*nwaaT ammeMO.etc.h'e4.wn mWp aNrsumtm re.'nea➢ercab it — f� 0 �V ancarsuragmn So acta.a Aptatm.m papto any Nll autua,a acWiKaruaaaueaan 8 aca:atttaowne.faagcpntae nao alSI SCaunh DebmmtolLOm4:47.-ebWTemr am Kr h• i•zzji t R- UI �o �yyQ caamSso p.Mw.tutE npaIa*O+aea Cns*n,*a Law ppefld eta aoaa mayuaranNa nauancuiola >,i ;: SI Oam.4b.cA sap puup ganernenti Natal if aepemant o.*appweb of wwr,"''''''''.k." R q y � r.. � OYnsnYNlY Ulbsda,and ESAro uvervma. itQ t>Aai�% i(O1Q @�L!aK I !1„?? She fallevns notNa shall G PIN'b W IM!ul WAFT 444, rg 100 ,1�1SIO f� i� in JEFFERSON COUNTY NOTICE TO PUBLIC e � Ff 4. as Fne Eh I� fs ` As.csvnaEmkloundEry Una aapta.rr.(.dossnopa'YJea a wbabla NN nitn Iwo parettIn) SNm tpaj tt�JYy [[: 2 N141.I mA-.e.,NVnIaeOdaa.an5E1 A y pp lr` co t C .CatuItOa.a Jar aegN Snb/I tad pxm[a...a a.sr.ea stbme OF fuCMiN OI NSa' A A ytIYMmIrm�I Oslo and awry codas and w�vuncea. y I .� 1 OIO44m11 1.... a jTg1F c 9 Z- r-3 ' 011ie K LN La-ipa- i i MI 1 L., o I O s[Fw O "rw - ' "?a --`-_�-- S12229"W 170.99' y i 96£ o k flIll � PI ti n I �- � g tos9c pl m g �g 3 SI,LS.405 6£'8S5 ` • £4'L4Z t r-1, HI 1 1! (7Voldl1) 002r0 4 41 1 Aga a IA el y x Oa 'OO z o o n H .30 N1021VW 1513 �' y � • " n a y f') t 0. Ill tqi O a Mn2 P 4 .� W N PHI ;:t , ,.. 1 x., , 50122'29"W oval '00 {V9 WO - o o v �P N 76800' ^1 ern 2 ^c igi °• _ 7--�- 60000 �a�• — cam N / I �� o ZS'09S 3"Si,ZS405 , i o� . il 2 8 1&.q /��00 -1) O O 1. V A ! 0� � � o-" Q`0d� 0 0 2 ^~' V x '01 "9Y OT,80 I IP ffr�y ��� 4:. (N a r- a5$ P Co K3 a -"J . •Q "/ N -.<1; hi+ t x : u' WA'o in 00 o CJ �� � D to 1 1 $ Na ` _ C H col ni n �I �. a pl z -, z > ONd mr a 1 s ( z �vI (3Nn o o. da) yya ^2 a � c D r'l t3 � CI\\ ; S3OcF�i !(Ql tiro � !�t NI Y.�hN U r- ! a 1,4„10—'m (ICJ mt `5 p i' p � N �p�/�aJ V� �e g � z a + 6Z£QpS W' 3��ns 5,aa� o cG1$ a �"' 3 ! 1a3d0 mO zg, 1 $ $ .00'0°9 ® V Sd 0-1.. 8, - 3s 'v6:313:0 m W"gi # JQ s3�3j0 531adQNn v 3 N • Form No. 1 d c( G5Ys1 ' °C-Ci 1' Subdivision Certificate FIRST • AMERICAN ITLE COM ''' ofJefferson Coun I PO Box 598.2424 South Park Avenue,Port Townsci Phone:(360)385-1322 Fax:(360)385-18 Second Subdivision Certifies._ Prepared For: Order No.: 48413 Kenneth McMillen 11609 33rd Ct NE Lake Stevens, WA 98258-8741 ' In the matter of the Subdivision to be submitted for approval, this Company has examined the records of Jefferson County. This certificate is made for the purpose herein specified, and is not to be used as a basis for closing any transaction. Liability is limited to the charge made for this certificate. From such examination, the Company hereby certifies the title to the following described land, in said Jefferson County,to wit: Revised Parcel A: That portion of the following described property: That portion of the North 12 %acres of even width of Government Lot 1, Section 18,Township 29 North, Range 1 East, W.M.,described as follows: Beginning at the meander corner between Sections 7 and 18 of Township 29 North, Range 1 East, W.M.; Thence west on the common Section line, 554 feet to the Northwest corner of Government Lot 1 of said Section 18; Thence South 168 feet; Thence easterly to the meander line at a point 225 feet,more or less,south of the point of beginning, and the northerly limits of that property described in Jefferson County Recording No. 114458; Thence north along the meander line to the point of beginning; TOGETHER WITH the South 100 feet of Government Lot 4. Section 7,Township 29 North, Range 1 East,W.M., lying east of county road. Leine Northerly of the followine described line: Commencing at the Northwest corner of Section 18,Township 29 North, Range 1 East, W.M., from which the meander corner on the northerly limits of said Section 18,Township 29 North,Range 1 East, W.M.bears South 88°35' 50"East, and lies 1,874.40 feet distance; Thence South 88°35' 50"East,a distance of 1,320 feet,to the Northwest corner of Government Lot I,of said Section 18; I Thence South 01°22' 29"West,along the Westerly limits of said Government Lot I,a distance of 170.99 feet to a point on said Westerly limits of said Government Lot I,which bears North 86°37' 56"West from the Westerly corner of an I existing East-West fence line that lies Easterly of the Oak Bay County Road,and true point of beginning of said described line; Thence South 86°37' 56"East,along said East-West extension,a distance of 27.36 feet to the easterly margin of the Oak Bay County Road; i • r' Subdivision Certificate Guarantee No.:48413 Page No.:2 Thence continuing South 86° 37' 56"East,along said East-West fence line and the extension thereof,a distance of 603.04 feet to a point on the meander line and easterly seaward boundary of said property or as same may be alternately determined,and terminus of this described line; And lying easterly of the following described line: Commencing at the Northwest corner of Section 18,Township 29 North,Range 1 East, W.M.,from which the meander corner on the northerly limits of said Section 18,Township 29 North, Range 1 East, W.M.,bears South 88°35' 50"East, and lies 1,874.40 feet distance; Thence South 88° 35' 50"East, a distance of 1,320.00 feet to the Northwest corner of Government Lot 1, of said Section 18; Thence South 01°22' 29" West,along the westerly limits of said Government Lot 1,a distance of 170.99 feet to a point on said westerly limits of said Government Lot 1,which bears North 86°37' 56"West from the westerly corner of an existing East-West fence line that lies easterly of the Oak Bay County Road; Thence South 86°37' 56"East,along said East-West extension of said fence line,a distance of 27.36 feet to the easterly margin of the Oak Bay County Road; Thence continuing South 86°37' 56" East,along said East-West fence line,and the extension thereof,a distance of 344.05 feet to the true point of beginning of said described line; Thence North 04° 15' 03"West,a distance of 285.12 feet to a point on the northerly limits of said South 100 feet of said Government Lot 4 of said Section 7,from which the Northeast corner of said South 100 feet at the intersection with the meander line of said Section,bears South 88° 35' 50"East,and terminus of this described line. TOGETHER WITH tidelands of the second class adjoining the South 100 feet of said Government Lot 4, in said Section 7,Township 29 North, Range I East, W.M.,Jefferson County. Washington. All situate in the County of Jefferson,State of Washington. Is Vested in: The McMillen Family Revocable Trust, dated April 5, 2004, Kenneth Allen McMillen and Jeanne Marie McMillen, Trustees LPB Subdivision Certificate Guarantee Nn.:48413 Page No.:3 Special Exceptions: 1. General Taxes. The first portion$ 1,338.76 becomes delinquent after April 30"`.The second portion$ 1,338.15 bewmes delinquent after October 31'. Year: 2014 Amount Billed: $ 2,676.91 Amount Paid: $-0- Amount Due: $ 2,676.91, plus interest and penalty, if delinquent Tax Account No.: 921 182 006 Parcel ID No.: 23269 Assessed value: $ 256,734 2. Reservations contained in deed from the State of Washington recorded under Recording No. 31760 and 35579, reserving all oil,gases,coal,ores,minerals,fossils,etc.,and the right for opening,developing and working the same,together with any right to acquire easements or rights of way; Providing that all such rights shall not be exercised until provision has been made to compensate for damage sustained by reason of the exercise of such rights. 3. Reservations contained in deed from Jefferson County dated June 16, 1906,and recorded in Volume 59 of Deeds, page 109,for all public highways that may be constructed by the authority of the Board of Commissioners of Jefferson County, Washington 4. Easement, including terms and provisions contained therein: Recorded: September 27, 1946 Recording No.: 108273 In favor of: Puget Sound Power and Light Company,a Washington corporation For: Electric transmission and/or distribution system 5. Easement, including terms and provisions contained therein: Recorded: October 23, 1950 Recording No.: 124496 In favor of Puget Sound Power and Light Company,a Washington corporation For: Electric transmission and/or distribution system 6. Notice of Discontinuance of Permission and the Terms and Conditions thereof: Recorded: May 04, 1999 Recording No.: 422576 7. Easement, including terms and provisions contained therein: Recorded: October 03,2002 and November 7,2002 Recording No.: 460702 and 461977 In favor of: Public Utility District#1 of Jefferson County For: A non-exclusive perpetual easement over, under,along across and through the easement area to construct,operate,maintain,repair,replace,improve,remove and enlarge one or more utility systems for purposes of transmission distribution and sale of water 8. PUD verification of guarantee and the terms and conditions thereof: Recorded: October 20, 2006 Recording No.: 516748 LPB • Commitment No. 48413 Page 4 of 4 9. Reservation of Easement, including terms and provisions contained therein: Recorded: March 28,2008 Recording No.: 532511 For: The placement, maintenance,construction,reconstruction,repair and upkeep of a reserve drainfield for septic tank and sewer line Iradiotithereto 10. Conditions,notes,easements, provisions contained and/or delineated on the face of the survey recorded under Jefferson County Recording No. 535395 II. Hold Harmless Indemnification Covenant recorded on July 3 I,2008,under Recording No. 536102 12. Easement, including terms and provisions contained therein: Recorded: July 10,2008 Recording No.: 544756, being a re-recording of Recording No. 538361 For: An exclusive access to the beachfront Affects: 60 foot along the southern 259 feet of said premises Note: Said easement contains the following: This easement will cease to exist upon any sale of the Quit Claimed property Dated: April 02,2014 at 8:00 a.m. Your title officer for this transaction is Rochelle.Lewis. If you have any questions concerning this title commitment, please do not hesitate to call me at(360)385-1322 ore-mail rlewis @fatcojc.com By:Rochelle Lewis,Title Officer 4 Colleen Zmolek From: Kent Robinson <kent @nti4u.com> Sent: Wednesday, February 18, 2015 11:02 AM To: Colleen Zmolek Subject: RE: McMillian BLA MLA14-00010 Hi Colleen, The referenced volume and page is for the BLA map Record of Survey which has not as yet been recorded. It will be recorded simultaneously with the SOI. The volume and page for the survey will need to be written in by hand on the 501 at that time. Kent From: Colleen Zmolek [mailto:CZmolek @co.jefferson.wa.us] Sent: Saturday, February 14, 2015 10:19 AM To: kent @nti4u.com � Subject: McMillian BLA MLA14-00010 •C3:6 X1(1 Hi Ken, `,o1C d,(d)1(l �py.� This is regarding the statement of intent for the McMillian BLA. On page 2 of the statement of intent please fill in the volume , page_. I am hoping to record next week. If you email the revision to me in a PDF document I will print it out and replace in the signed notarized document. I have attached page two for you to review. Thank you, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekco.lefferson.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 12.56 RCN. Our office is open to the public 9:oo a.m.-4:3o p.m. Monday to Thursday,closed Fridays. This email has been checked for viruses by Avast antivirus software. www.avast.com 1 1 Colleen Zmolek From: Kent Robinson <kent @nti4u.com> Sent: Wednesday, February 18, 2015 11:22 AM To: Colleen Zmolek Cc: 'Tom Roorda'; 'Inc. Debra West of Northwestern Territories'; tami @nti4u.com Subject: RE: McMillian BLA MLA14-00010 Hi Colleen, Another issue on this project has come to my attention which needs to be taken care of on our end prior to recording. Please hold off on recording the documents until I get back to you. Thanks, Kent Robinson From: Colleen Zmolek [mailto:CZmolek @co.jefferson.wa.us] Sent: Saturday, February 14, 2015 10:19 AM To: kent @nti4u.com Subject: McMillian BLA MLA14-00010 Hi Ken, This is regarding the statement of intent for the McMillian BLA. On page 2 of the statement of intent please fill in the volume , page . I am hoping to record next week. If you email the revision to me in a PDF document I will print it out and replace in the signed notarized document. I have attached page two for you to review. Thank you, CoCCeen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek( co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 102.5E RC\V. Our office is open to the public 9:oo a.m.-4:3o p.m. Monday to Thursday,closed Fridays. This email has been checked for viruses by Avast antivirus software. www.avast.com 1 Colleen Zmolek From: Kent Robinson <kent @nti4u.com> Sent: Wednesday, February 18, 2015 11:02 AM To: Colleen Zmolek Subject: RE: McMillian BLA MLA14-00010 Hi Colleen, The referenced volume and page is for the BLA map Record of Survey which has not as yet been recorded. It will be recorded simultaneously with the SOl.The volume and page for the survey will need to be written in by hand on the S01 at that time. Kent From: Colleen Zmolek [mailto:CZmolek @co.jefferson.wa.us] Sent: Saturday, February 14, 2015 10:19 AM To: kent @nti4u.com Subject: McMillian BLA MLA14-00010 Hi Ken, This is regarding the statement of intent for the McMillian BLA. On page 2 of the statement of intent please fill in the volume , page . I am hoping to record next week. If you email the revision to me in a PDF document I will print it out and replace in the signed notarized document. I have attached page two for you to review. Thank you, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekCa�co.lefferson.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. 111 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 12.56 RCW. Our office is open to the public 9:00 a.m.-4:3o p.m. Monday to Thursday,closed Fridays. This email has been checked for viruses by Avast antivirus software. www.avast.com 1 NORTHWESTERN TERRITORIES, INC. 1116.' 717 SOUTH PEABODY STREET,PORT ANGELES,WA 98362 Engineers Land Surveyors Geologists Construction Inspection Materials Testing Phone(360)452-8491 1-800-654-5545 Fax 452-8498 E-Mail:infoCr!nti4u.com NT/ July 10, 2014 Jefferson County Dept. of Community Development 621 Sheridan Street Port Townsend, WA. 98368 Attn: Colleen Zmolek Re: McMillen BLA MLA 14-00010 OPMEM Dear Ms. Zmolek, Please find attached our draft Boundary Line Adjustment for the above named project revised as follows: Assessor's office comments (t� �° 1.) It is our Client's intention to attach the entire wetlan parcel to Parcel B as part of this BLA. 2.) We recognize the prior BLA that adjusted the south line of both parcels. The bearing of this line as shown on our prior submittal has now been corrected to reflect this. Community Development comments 1.) All easements have either been shown on the BLA map and/or notes with AFN references provided. 2.) The line of Mean High Tide and 150 ft. Setback has been added. 3.) The "Notice to Public" note has been added to Sheet 2. 4.) Same response as comment 4. 5.) An additional signature block and acknowledgement has been added to Sheet 2 for lien holders. 6.) The County case numbers have been added to both sheets. Additional items 1.) Parcel numbers are included on page 1 of the Statement of intent. 2.) Excise Tax Affidavits are enclosed. 3.) An up-dated Subdivision Certificate is enclosed. Sincerely, ent L. Robinson, P.L.S. Colleen Zmolek From: Colleen Zmolek Sent: Saturday, February 14, 2015 10:20 AM To: kent @nti4u.com Subject: McMillian BLA MLA14-00010 Attachments: [Untitled]_02142015110531.pdf Hi Ken, This is regarding the statement of intent for the McMillian BLA. On page 2 of the statement of intent please fill in the volume , page_. I am hoping to record next week. If you email the revision to me in a PDF document I will print it out and replace in the signed notarized document. I have attached page two for you to review. Thank you, CoCCeen ZrnoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek( co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,dosed Fridays. 1 Auditor - Recording Fee Schedule Page 1 of 2 . �' Jefferson Count Weather station- µrr ase-Tools IIIIft Maps . ..+w[ O Webtarn_ Horne County Info Departments Search Auditor Recording Fee Schedule quickiLinks Chapter 36.18.010 R.C.W. Fees of County o Document Search Offices 6-12-2014 lo Recording 'Elections r ►Mv Voting History RECORDING OF INSTRUMENTS �r ►Licensing First Page- Real Estate Related Docs $72.00 - tt .-1 .), 'y6 On-line Marriage First Page- For State, County or City $32.00 r Liens & Releases ov Application Each additional page -4 I.00 Renew Tabs On- Emergency Non-Standard Charge $50.00 Line Exceptions _76000 00 Report Your Vehicle Deed of Trust $73.00 Sale Each additional page $1.00 o Accounting Death $32.00 1 Passports Each additional page $1.00 i Budget Committee and Appt of Trustee, Substitution of ®Revenue Reports Trustee, Resignation & Appt of $14.00 Trustee; Assignment of Deed of Trust Each additional page $1.00 ADDRESS Fee Federal Tax Lien ( Includes Release $144.00 1820 Jefferson Street P.O. Box 563 Port Townsend, RECORDING SURVEYS $138.00 1 13$00 WA 98368 1) Each additional page SURVEYS , ) $5.00 5 °G 2) Each additional ow9er's namq $1.00 9 00 PHONE 3) Correction survey ° ' ) $138.00 Elections: 360.385.9117 Voter Reg: RECORDING PLATS $138.00 /ZIT 67 ° 360.385.9119 Recording: 360.385.9116 RECORDING CONDOMINIUMS $138.00 Accounting: 360.385.9121 LARGE LOT SUBDIVISION $138.00 Licensing:360.385.9115 Passports:360.385.9119 http://www.co.jefferson.wa.us/auditor/recording/RecordingFees.asp 2/14/2015 Auditor - Recording Fee Schedule Page 1 of 2 Jeffe son County Weather Station Database Tools Home County Info Departments ° Search Auditor '= Recording Fee Schedule QuickiLinks ► Document Search Chapter 36.18.010 R.C.W. Fees of County Offices S.H.B. 2048 Effective 9-1-2012 Recording P Elections RECORDING OF INSTRUMENTS w My Voting History First Page- Real Estate Related Docs $72.00 o Licensing First Page- Non-Real Estate Related Docs $32.00 Each additional page $1.00 On-line Marriage Emergency Non-Standard Charge $50.00 Application Exceptions i< Renew Tabs On-Line Deed of Trust $73.00 Report Your Vehicle Each additional page $1.00 Sale Death $32.00 Each additional page $1.00 o Accounting Appt of Trustee, Substitution of Trustee, i Passports Resignation & Appt of Trustee; $14.00 Assignment of Deed of Trust Each additional page $1.00 Federal Tax Lien ( Includes Release Fee ) $64.00 ADDRESS RECORDING SURVEYS $138.00 1820 Jefferson Street 1) Each additional page $5.00 P.O. Box 563 2) Each additional owner's name $1.00 Port Townsend, WA 98368 3) Correction survey $138.00 PHONE RECORDING PLATS $138.00 Elections: 360.385.9117 Voter Reg: 360.385.9119 RECORDING CONDOMINIUMS $138.00 Recording: 360.385.9116 Accounting: 360.385.9121 Licensing:360.385.9115 LARGE LOT SUBDIVISION $138.00 Passports:360.385.9119 Fax:! 360.385.9228 BINDING SITE PLAN $138.00 HOURS SHORT PLATS $138.00 Monday- Friday 8:30 to 4:30 LAND CORNER RECORD No Fee Weekends and Nationally Observed Holidays Closed CERTIFIED COPIES 1st page legal size or less $3.00 Each additional page $1.00 http://www.co.jefferson.wa.us/auditor/recording/RecordingFees.asp 9/16/2014 Auditor- Recording Fee Schedule Page 2 of 2 NON-CERTIFIED COPIES Each legal size page or less $1.00 UCC - FIXTURE FILINGS First Page $72.00 Each Additional Page $1.00 Termination Filings $72.00 UCC Search per hour $8.00 DISCHARGE PAPERS OR DOCUMENTS No fee PERTAINING TO U.S. SERVICE MARRIAGE LICENSES $49.00 Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH l Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.coj efferson.wa.us/auditor/recording/RecordingFees.asp 9/16/2014 Auditor - Recording Fee Schedule Page 1 of 2 Jefferson Count Weather Station .Database Took- de, Maps- .°- Web atn Home County Info Departments Search Auditor _ ...LR-ecording �Fee Schedule QuicklLinks ► Document Search Chapter 36.18.010 R.C.W. Fees of County Offices S.H.B. 2048 Effective 9-1-2012 ► Recording ► Elections RECORDING OF INSTRUMENTS ► My Voting History First Page- Real Estate Related Docs $72.00 Licensing First Page- Non-Real Estate Related Docs $32.00 Each additional page $1.00 ► On-line Marriage Emergency Non-Standard Charge $50.00 Application Exceptions ► Renew Tabs On-Line Deed of Trust $73.00 r Report Your Vehicle Each additional page $1.00 Sale Death $32.00 Each additional page $1.00 ► Accounting Appt of Trustee, Substitution of Trustee, ► Passports Resignation & Appt of Trustee; $14.00 Assignment of Deed of Trust Each additional page $1.00 Federal Tax Lien ( Includes Release Fee ) $64.00 ADDRESS RECORDING SURVEYS $138.00 1820 Jefferson Street 1) Each additional page $5.00 P.O. Box 563 Port Townsend, 2) Each additional owner's name $1.00 WA 98368 3) Correction survey $138.00 PHONE RECORDING PLATS $138.00 Elections: 360.385.9117 Voter Reg: 360.385.9119 RECORDING CONDOMINIUMS $138.00 Recording: 360.385.9116 Accounting: 360.385.9121 Licensing:360.385.9115 LARGE LOT SUBDIVISION $138.00 Passpo rts:360.385.9119 Fax:! 360.385.9228 BINDING SITE PLAN $138.00 HOURS SHORT PLATS $138.00 Monday- Friday 8:30 to 4:30 LAND CORNER RECORD No Fee Weekends and Nationally Observed Holidays Closed CERTIFIED COPIES 1st page legal size or less $3.00 Each additional page $1.00 http://www.co.jefferson.wa.us/auditor/recording/RecordingFees.asp 9/16/2014 Auditor - Recording Fee Schedule Page 2 of 2 NON-CERTIFIED COPIES Each legal size page or less $1.00 UCC - FIXTURE FILINGS First Page $72.00 Each Additional Page $1.00 Termination Filings $72.00 UCC Search per hour $8.00 DISCHARGE PAPERS OR DOCUMENTS No fee PERTAINING TO U.S. SERVICE MARRIAGE LICENSES $49.00 Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac III http://www.co.jefferson.wa.us/auditor/recording/RecordingFees.asp 9/16/2014 Jefferson County Assessor & Treasurer - Property Details - 69 M... Page 1 of 2 Jefferson County Assessor & Treasurer 23269 MC MILLEN REVOCABLE TRUST for Year 2014- 2015 Property Account Property ID: 23269 Legal Description: 518 T2 35TL1 (5100') TGTH 1 BLA41: Parcel Number: 921182006 Agent Code: Type: Real Tax Area: 0211-1-49F1E1H2L1 Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 29N Section: 18 Range: 1E Location Address: 291 YARR RD Mapsco: PORT HADLOCK,WA 98339 Neighborhood: 518&519 T29N R1E;SKYWATER LLS;OAK/HOG/FIN/DON/GLAV S,P.S Map ID: Neighborhood CD: 4650 Owner Name: MC MILLEN REVOCABLE TRUST Owner ID: 89983 Mailing Address: KENNETH MC MILLEN TRUSTEE %Ownership: 100.00 JEANNE MC MILLEN TRUSTEE 11609 33RD CT NE LAKE STEVENS,WA 98258-8741 Exemptions: Taxes and Assessment Details Property Tax Information as of 02/14/2015 Amount Due if Paid on: - NOTE:If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due Base Amt. Base Amt. 10 Statement Details 2015 13080 $1361.90 $1361.35 $0.00 $0.00 $0.00 $2723.25 'Statement Details 2014 13162 $1338.76 $1338.15 $0.00 $0.00 $2676.91 $0.00 Values Taxing Jurisdiction Improvement/Building Sketch Property Image Land Roll Value History Deed and Sales History http://trueweb.j effcowa.us/propertyaccess/Property.aspx?cid=0&y... 2/14/2015 Jefferson County Assessor & Treasurer - Property Details - 73 K... Page 1 of 2 Jefferson County Assessor &Treasurer 23273 KENNETH L MC MILLEN for Year 2014- 2015 Property Account Property ID: 23273 Legal Description: S18 T2' 37 BNL THRU BLA#1: Parcel Number: 921182011 Agent Code: Type: Real Tax Area: 0211-1-49F1E1H2L1 Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 29N Section: 18 Range: 1E Location Address: 2007 OAK BAY RD Mapsco: PORT HADLOCK,WA 98339 Neighborhood: S18&S19 T29N R1E;SKYWATER LLS;OAK/HOG/FIN/DON/GLAV S.P.S Map ID: Neighborhood CD: 4650 Owner Name: KENNETH L MC MILLEN Owner ID: 22249 Mailing Address: AIMEE LORRAINE MC MILLEN %Ownership: 100.00 2007 OAK BAY RD PORT HADLOCK,WA 98339-8736 Exemptions: Taxes and Assessment Details • Property Tax Information as of 02/14/2015 Amount Due if Paid on: NOTE:If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due Base Amt. Base Amt. Statement Details 2015 13084 $2318.65 $2318.05 $0.00 $0.00 $0.00 $4636.70 ►Statement Details 2014 13166 $2185.44 $2184.85 $0.00 $0.00 $4370.29 $0.00 Values Taxing Jurisdiction Improvement/ Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement http://trueweb.j e ffcowa.us/propertyaccess/Property.aspx?cid=0&y... 2/14/2015 Y `,LS°N Co JEFFERSON COUNTY 2_, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 I Web:www.co.Jefferson.wa.uslcommunitydevelopment ' $ Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd aA,co.jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center W June 6, 2014 e'� N� Kenneth McMillen omn r -• Aimee McMillen J `, 2007 Oak Bay Road Port Hadlock, WA 98339-8736 RE: Additional information request! McMillen BLA MLA 14-00010 Dear Kenneth & Aimee McMillen, After reviewing the proposed Boundary Line Adjustment survey, the following comments have been received: Assessor's office commented as follows: Sherrie Shold commented: 1). I would like to see the 501 to verify parcel numbers, etc . The following comments will mirror Pat's comments. 2). Was the intention of the parties to switch the tideland ownership in its entirety from Parcel A or was it to be only that portion fronting the N 10.74' of Parcel A? 3). It appears an earlier BLA adjusting the southerly line of both Parcel A& B was not recognized and should be corrected to do so. Pat Perryman commented: After reviewing this proposed action, I have the following comment(s): 1. The south boundary of Parcel A and Parcel B is radically different than the boundary adjusted between said parties as defined in the Boundary Line Adjustment done by McMillen's and Mauney/Rogerson in June of 2008. The North boundary was maintained but the south boundary was not. Whether the boundary between the two parties was incorrect or not it was adjusted by the parties. 2. Also, I just want to confirm that the applicant wants the tidelands to now switch to being included with Parcel B and not as was previously their Boundary Line Adjustment of attaching the tidelands with Parcel A. SURVEYORS PLEASE NOTE: This office tries to catch all errors and inconsistencies in the survey and legal descriptions submitted for our review but do not always find every issue. Please be sure to re-review you work so that we all have less frustration in trying to get these projects through to completion. httn://www.co.ieffers en.wa.us/treacnrer/RevenneRennrtc/21)14/Oi%20Mnv/rev%7ORFFT 6/F!71114 ��oi JEFFERSON COUNTY �/ % 00n e .- G% DEPARTMENT OF COMMUNITY DEVELOPMENT : • 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.cojefferson.wa.us/communitydevelooment & � Tel: 360.379.4450 Fax:360.379.4451 I Email:dcd nco.jefferson.wa.us 1'891 VGCO Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Department of Community Development commented as follows: • Place the following information on the survey as identified in JCC18.35.070: 1. The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; •oAl ote all easements on the survey. ■ Remove the note on the top left hand corner of the survey that identifies all easements may not be on the survey. 2. (I) The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas (FSA : • Identify the approximant location of nary High Water Mark n the survey. ctic,r4wr 3. ce the following notice on the survey: ailt, ok. ? JEFFERSON COUNTY NOTICE TO PUBLIC: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of • community development regarding compliance for such ESAs. Approval of this • Boundary Line Adjustment does not guarantee buildable site within said parcel(s4Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirement. 4. JCC 18.25.070(6) The following notice to public on the survey: JEFFERSON COUNTY NOTICE TO PUBLIC: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a VVV buildable site within said parcel(s). Such determination is dependent on approvals �of water, septic, bulk and dimensional setbacks, and ESA requirements. cA u��/ Owners signature blocks as required JCC18.25.070(7): (b) Those individuals or corporations holding an ownership interest and any security 17 interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; / • For one person or more than one person who own the real property that is the subject of the BLA free and clear. The following signature block shall be on the survey: DECLARATION: httn•//www en ieffprcnn An;a nchr"acnre/RavpnnpPennrtc/7x1I4/rhi0/-Mliviav/r'VOL.7f1T4r1TPT ( /F0111 d ��SO;,; �oG JEFFERSON COUNTY .. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street j Port Townsend, WA 98368 I Web:www.co.Jefferson.wa.us/communitydevelopment '; - . Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(aco.jefferson.wa.us Building Permits 8 Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Know all persons by these presents that the undersigned,title owner(s)of the land described herein, declare(s)this Boundary Line adjustment to be created by my/our own free will and consent(s)and approve(s)of its entry into the land records for Jefferson County through recordation of this survey with the Jefferson County Auditor. Name Owner Name Owner • The following signature block shall be used for a lien holder: DECLARATION: Know all persons by these presents that the undersigned holds a recorded interest or lien with respect to the land described herein, has been made aware of an application for a Boundary Line Adjustment impacting the boundary of said real property, and does voluntarily and knowingly consent and approve of its entry into the land records for Jefferson County through recordation of this survey with the Jefferson County Auditor. Name Job Title The county has assigned case numbers, MLA14-00010 /SUB14-00002. These numbers shall be referenced on the face of the final survey mylar. • Please ise the Statement of Intent to include: t • 1 Parcel numbers for the existing legal descriptions. `r_ Meet recording documents requirements pursuant to RCW's 65.04.45 & 65.04.47. -� See attadhed recording requirements. 6 2014 taxes must be paid, JCC 18.25.070(6): Pursuant to RCW 86.56.345, current year 0 and any delinquent taxes shall be paid before approval of any boundary line adjustment. • Complete and sign an Excise Tax Affidavit. Forms can be found on the Jefferson County Treasures website at http://dor.wa.gov/Docs/forms/RealEstExcsTx/RealEstExTxAffid blank.pdf 414 . If you have questions on completing the form contact the Treasurer's Office at 360-385-9150. • Please submit a Sub-Division certificate for both parcels. The certificate submitted was for parcel 921182006 (parcel A on survey). The certificate shall be required to be current within 30 day of the mylar creation. c Jefferson County Code 18.35.080(7)The application shall be accompanied by a current(i.e., 1 .�l! within 30 days)title company certification of the following: �N_,,,J,j (a)The legal description of the total parcels sought to be adjusted; � — L�'� (b) Those individuals or corporations holding an ownership interest and any security interest (t n 1 V(\ (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said ) _ O(�O parcels. Such individuals or corporations shall sign and approve the final survey prior to final Q(t � approval; /�, (c)Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) 4'- signing the dedication certificate: httn-//unnnn- on ipffprcnn wa nc/trpacnrpr/RwrnnPP Prinrf c/')(11 d/I S°/7n\Aav/rav0/7(11-4IITFT WW1 d : Ox c� JEFFERSON COUNTY ' • ,<`� DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street I Port Townsend, WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment ✓,iStiI Ndco- Tel:360.379.4450 I Fax:360.379.4451 i Email:dcd@co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review j Long Range Planning I Watershed Stewardship Resource Center o (d)Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and o (e) If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. [Ord. 8-06 § 1] Prior to issuing the permit fees must be paid for the filing of the excise tax affidavit, recording of the /� survey and statement of intent. Additional fees may be required for the review of the application. ✓ ..)Please revise the survey and the statement of intent. Submit 3 copies of each for review. Please call if you have questions. '� Sincerely, \¢¢0 Colleen Zmolek Associate Planner • 1- ,1 cc: Northwestern Territories, Kent Robinson 0 Vac.w3.1"5-c-•21z-D l attachments 0 i 1,0 No)t,(`11 - W� 1'``" ,. , ,:. 1 4 dgt Ab -- k.aA- Q-slAY . r Noiax-L 2x 4 __________-. httr,•//u.,m'. ,rn iaff Prcnn lava Ilc ItyPacllr-rIRPVPil11PR PIlnrtc l7f11 4/(lid/711Mav/oen%70fnnr1°Z,7 F/�/7111 4 Department of el Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This hum is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW CHAPTER 458-hl A WA(' when stamped by cashier. TIIIS AFFIDAVIT Will.NOT BE ACCEPTED UNLESS All.AREAS ON ALL PACES ARE FULLY COMPLETED ..c hack f as a for instructions) • 1. -. e.ls if iartial sale of t._•� �'.• r't; . - If multi idle sni, ,3isl percentage of ownership nest to name. ) Name McMillen Family Revocable Living Trust 1 Nark enneth Allen McMillen and Aimee Loraine.McMillen. err• _... _ . IKenneth nneth Allen McMillen and Jeanne Marie McMillen_Trustees _ 1 '+7 Mailing Address 2007 Oak :ay 'oa. -= Mailing Address 2007 Oak Bay Road.... t't Port Hadlods,WA 98339 El z City/State/tip Port Hadlock,WA 98339 �+ CilylSwttiZip - .. --- -- Phone No.(including area code)(360)385-0959 Phone No.(including area coder(360)385-0959 I -_- _-_� List all real and personal property tax parcel account List assessed valuoYsl Send all property Ins txnnynn)kixe la •Sang as Iluyer.Kiranlec numbers -check box if plasma(property Name _ _ _ _921182006(Parcel A) __. ❑ $256,734.00 Mailing Address __ 921182011(Parcel B) _-_ n $420,542.00 City/State/Zip .. -. --0 --. Phone No.tineluding area coda) - . — --- 0 IISired address of property: 2007 Oak Bay Road,Pod Hadlock,WA 98339 This property is located in Jefferson County G Cheek box if any of the listed parcels are being segregated from another parcel.are pan of hoomlary line adjustment or parcels being merged. Legal description of property{if more space is needed.you may attach a separate sheet to each page of the affidavit) SEE ATTACHED IIISelect Land Use Code(s): List all personal properly'tangible and intangible)included in selling it-nc Behold.snxlie raroly hoes I price. enter any additional codes: (See hack of last page for instructions) YES NO Was the seller receiving a property tax exemption or detemd under ❑ 17 chalpkrs s 136,54.?7,nrx4.F.Rt'\\"(nonprofit org nizatuut,senior (Minn,or diubted pest in,homeowner with limited income)? If claiming an exemption,list WAC number and reason for exemption: YES NO �•*� 'sthisprpertydes imwleda sWrest land per chapter 8-L-0RCW? ❑ l7 WAC No.(Section/Subsection.) '415g._"' WC11, `' LV�. ....__- Is this property classified ascumrn use(open space,faimand ❑ Reason f'orexemption_.3LPt _ agricultural.or timber)land per chapter x4..5.1 R('1\? Is this property arriving special valuation as historical pmpery 0 17 perchapter x1.2410..W? If any;nswelx are yes,contpletcas instructed below. Type of Document L Pe _. (I)NOTICEOFCONTINUANCE(RAREST LAND OR CURRENT USE) �^y NEW OWNER(S):To continue the current designation as forest land or Date of Document`Wek ft..V?\ 0 R_ '_, 1.—— classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the -- __ l andtransfirredcontinesaqualityandwi llindicatebysigningbelow.lithe *Personal Property(deduct) $ ______ land no longer qualifies or you do not wish to continue the designation or Exemption C'laimcd(deduct) $__- classification,it will be removed and the compensating or additional tuxes will he due and payable by the seller or transient'.at the time of sale.(Kt AV Taxable Selling Price S _0'00 s4.13.141)it R('1\ N4..44.f US).Prior to sliming(;)below,you may contact Excise Tax: State $ 0.00 your Iiseal county assessor for mure inhumation. I 0.0050 (Local b__ __ 0.00 This land fldoes [Hoes not qualify for continuance. *Delinquent Interest: State S Local $ DEPUTY ASSESSOR DATE •Delinquent Penally $_._.__.. .... (2)NOTICE OF COMPLIANCE(HISTDRICPROPERTY) Subtotal S 0.00 NEW OWNER(S):To continue special valuation as historic property, sign(3)below.If the new owner(s)does nut wish to continue,all *State'Technology Fee S_-_- 5.00 additional tax calculated pursuant to chapter 54.26 RC\A.shall be due and payable by the seller or transferor at the time of Kale. 'AlTidavit Processing ice $__ .._ (3) OWNER(S)SIGNATURE Total L)ue $ 10.00 PRINT NAME A MINIMUM OF 3tO.IM IS DUE IN FEES)AND/OR TAX SEE INSTRUCTIONS - 1111 I CERTIFY UNDER PENALTY OF PERJURY THAT•rHE FOREGOING IS TRITE AND CORRECT. _- Signature of Signature of Grantor or Grantor's Agent ____. Gr tee nr Grantee's Agent _.. Name(print) - -ai a(print) Dale&city of signing: _ __ .___. Date&city ol'signing _.__ __.. Perjury:Perjury is a class C Idony which is punishable by impriso i• nt in the state correctional institution fora maximum term of nut more than live years,or by a line in an amount fixed by the court of not more than fiv- isxod dollars($5.001.(101,or by both imprisonment and fine(lit AN-0.1'11.1]11 a l l'I) REV N4 o001a(6126,141 THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER \s bY1 «5 V42C6-14-.--P-.41-4 Department of Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This lirrm is your receipt PLEASE.TYPE OR PRINT CHAPTER S2.•15 RCW CHAPTER 458-61A 1YA(• when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED 'v:track f a. c for instructions) II ' . 4x if anal sale of , ••- _ sou .+, _ If multiple owners,list percentage of ownership next to name. 2 enneth Allen McMillen and Aimee Lorraine McMilbnr Name McMillen Family Revocable Living Trust Vann .-.CI%'I Kenneth_Allen McMillen end Jeanne.Marie McMillen-Trustees .' "' 2007 Oak Bay Road J j Marling Addles.2007 Oak bay 'oa• __ !. Mailing Address y la 2 U)°° C'ity/Statc2ip Port Hadlock,WA 98339____ iii z (int/Slaw/Zip Port Hadlock,WA 98339 v .. Plume No.(including area code)(360)385-0959 Phone No.(including area 31)dcl(380)385-0959 t --- �- ,- List all real and personal property lax parcel account Send all properly tax corrcspnndrncr to: 12 Same ax Buyer/Grantee list assessed 3'alu.9s1 numbers-check box if personal property Name 921182006(Parcel A) ❑ $256,734.00 Mailing Address _— 921182011 (Parcel B) n $420,542,00 City/Slate/Zip _. _. -- i --. Phone No.(including area code) — - - ❑ miStreet address of property: 2007 Oak Bay Road,Port Hadlock,WA 98339 This property is located in Jefferson County 17 Cheek bin if any of the listed parcels are bring segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(it'more space is needed,you may attach a separate sheet to each page of the affidavit) SEE ATTACHED Select Lund Use Code(s): List all personal property(tangible and intangible)included in selling I1-Ikwsel+pltl.an(fe Ixntly unrtx j price. enter any additional codes: (See hack of last page tier instructions) NES NO Was the seller receiving a pmpcny tax exemption or dell-mai under ❑ 17 chapters xt tr,,s4.t',or u?x R('l4 t noiipmfit organizturnL senior citizen,or disabled person,homeowner with limited income)? YES NO If claiming an exemption,list WAC number and reason for exemption: Is this pm, ily(1vtielwtcdasknesll:rkiPerchapterM-1114'W? ❑ 17 WAC No.(Section/Subsection) �- j '. __ Is this poverty classified ascurent t open apace,farm and ❑ Fl Reason for exemption L1-[ agricultural.o timber)Lind per chapter N-1..)-t R('W? - - k this pmpeny receiving special valuation as historical property ❑ n per chapter Sd-'r,RI \V? I iany answers arc yes,complete as instructed below. Type or Document _-_ 12.)s_A_ (I)NOIICEOFCONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current desibmalion as forest land or Date of Document CWC■i.,. VIN Q El,—_`a_Oa classification as current use(open spare,farm and agriculture,or timber)haul. Gross Selling Pain: you must sign on(3)below.-Elie county assessor must then determine tithe _-_. """_. land transtcrrid continues to qua)ity and will indicate by signing below.II'the *Personal Property(deduct) $ land no longer qualities or you do not wish to continue the dcsiymatinnor Exemption Claimed(deduct) S__ classification,it it will be removed and the compensating or additional taxes will be due and payable by the seller or transfemral the time of sale.(Rt'IV Taxable Selling Price $ 0.00 x.4-):.I JU or lit'N 54 44 I OP),Prior to signing(3)below,you may contact Excise Tax: State $ 0.00 your local county resscsun for more information. r 0.0050 I Local $_.__ _ 0.00 This land ❑does ❑does not qualify for continuance. •Delinquent Interest: State $ Local $ _-_- DliPUTY ASSESSOR DATE •Delinquent Penalty $___ _.. (2)NOTICE OF COMPLIANCE(HI$T•ORIC PROPERTY) NEW OWNER(S):To continue special valuation as historic property, Subtotal $ 0.00 sign(3)below. lithe new owners)dues not wish to continue.all *State Technology Fee S____ 5.00 additional tax calculated pursuant to chapter 5d.2r.ILL'‘‘,shall he due and payable by the seller or transferor at the lime ofsale. *Aflidavit Processing Fee $_ (3) OWNER(S)SIGNATURE Total Due $ _ 10.00 PRINT NAME A MINIMUM OF$19.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS II1 CERTIFY UNDER PENALTY OF PERJURY THAI rHE FOREGOING IS TRUE AND CORRECT. Signature of Signanrre al Grantor or Grantor's Agent __.. Cr tee or Grantee's Agent ...__ Name(print) -m c(print) sass_. Dale&city of suguing' - Date&city of sign in_: __... _ _ Perjury:Perjury is a class I'felony which is punishable by impriso , nt in the state correctional institution for a maximum term of not more than Live years,or by a fine in an amount fixed by the court of not mom than fiv isand dollars($5.000.10),or by both imprisonment and tine 111(Vi 04,20.101(I CD. REV x4o0ala)626/14) I'I IiS SPACE-TREASURER'S USE ONLY COUNTY TREASURER \i," .f.<1(-t cx4ru„re. -9,-fxr-'--c, Department ot Revenue • Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This Ibrm is yunr receipt PLI(ASE TYPE OR PRINT CHAPTER'2,4S RC'W C'IIAPTER 445)t-htA \\A( L, . when stamped by cashier. 1-Ills AFFIDAVIT'WILL NOT BE ACCEPTED UNLESS Ali.AREAS ON ALL PAGES ARE.FULLY COMPLETED •c hack f a• ,e tie•instruction:a • 1. •. •rx if urinal sale.of+y: —2,FA li. .. ___ II tnnit lc OWL. `-list eicent•-e f+f orncrship next to name_ I Mom McMillen family Revocable Living Trust ' N.uo.... enneth Allen McMillen and Aimee Lerrrame h1cMillen -I Kenneth Allen McMillen and Jeanne Marie McMillen Trustees 7 _ --- z-I Mailing S 2007 Oak Eta Road Mailing Address 2007 Oak :ay 'eel -__ �_ M:+dmt,AdAress Y -'c Port Hadlock.WA 98339 City/StatelZip Port Hadktck,WA 98339_ m City/State/Zip PMme No.Including area code)01385-0959 Phone No.(including area COLIC)06P085-0959 --- ��— List all real and personal pmpeny sax parcel aceaiut I iii axadssed valuelsl Send all property lux correspondence to: D Same as Uuycrt(iraniec numbers -check hot if personal prdperfy - Name _.- 921182006(Parcel A) ❑ $ 56 734_00 Mailing Address _ _._ 121182011 (Parcel B) 22 2..2 $420,542.00 C'ity•StatclZip .. .. --—0 - - Phone No.(including area code) - _. _. ❑ inSire et address of property: 2007 Oak Bay Road,Port Hadlock,WA 98339 This property is located in Jefferson County MI Check box if any of the listed lxim:ls an being segregated from another parcel,are part of boundary line adjustment of parcels being merged. Legal description of property(if more space is needed.you may attach a separate sheet to each page of the affidn(i0 SEE ATTACHED IIISelect Land Use Code(s):a� List all personal property(tangible and intangible)included in selling I -nwsw,au sett' tamay,x,as price. enter any additional codes: ,... .. (See hack of last page for instructions) YES NO Was the seller receiving a property tax exemption or deletral under ❑ 17 chapters tit;(,,x4.17.,or 54'5 Itt'W(uoopmfit organization,senior citizen,or disabled person,lamtanvner with limited income)? YES NO IFclaiming an exemption,list WAC number and reason for exemption: Lithe;property desigtabdas finest land per chapter 4-I.ttR('W7 ❑ 0 WAC No.(Scction/Subsection) ' (Pick..__. . L©C.V____ Is this poverty classifietl as current use(open space,farm and ❑ 51 Reason for exemption 13)LiA agricultural.or limber)land per chapter 54.14 R('\\? Is this pmperry receiving special valuation as historical property ❑ O per chapter s.1'6 Ill Ni 7 ('� If any:mswersare yes,ccmrpkrcasinsnuctedbelow. Type ofDucument l_ (I)N077CEOFCONT1NUANf4:(FORESTLANDORCURRENTUSE) � �����.� 7 NEW OWNER(S):To continue the current designation as forest lardor - Date of DocumentL>n—"Vs— C)E1__ �OI ) classification as currant use(open space-farm and apiculture,or limber)land, truss Selling Price $ _ __ you must sign on(3)below.The county assessor must then detetmtne if the "" land translcrred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) S ____— I-and no ltnngcrqtm]ifics or you do not wish in continue the desi.tnation or FxemptionC'laimed(deduct) $ __ _ classif-a ation,it will be removed and the compensating or additional taxes will D he due and payable by the seller or bansferur at the time of sale.(Ill\\ Taxable Selling Price S _ _ S4.:1.140 or It(1\ 5-4 34,I PS).Prior to sibming(3)below,you may contact Fxcise Tax : State $ ._ 0.00 your local county assessor for mote infinmalion. ( 0.0050 Local $ __ _._ 0.00 This land ❑dues ['does not qualify for continuance. *Delinquent Interest: State $ . Local S DuiPury ASSESSOR DA'rt •Delinquent Penally $�____ (2) NOTICE OF COMPLIANCE(HISTORIC PROPERTY) 0.00 NEW OWNER(S):To continue special valuation as historic property. Subtotal $ sign(3)below-If the new owner(s)does not wish to continue,all *State'Technology Fee 5__ 5.00 additional tax calculated pursuant to chapter 84.226 R('\\•shall be due and payable by the seller or transferor at the time of sale. •Affidavit Processing Fee $__ (3) OWNER(S)SIGNATURE Total Due $ 10,00 ... PRINT NAME A MINIMUM OF SIO.110 IS DUE IN FEE(S)AND/OR TAX SEE INSTRUCTIONS ® I CERTIFY UNDER PENALTY OF PERJURY THAT"rNF.FORECOINC IS TRUE AND CDR REC"I. Signature of Signature of Grantor or Grantor's Agent --..-... (:r• tee or Grantee's Agent _.. Name(print) ---- - -__-.._ at a(print ...... _- _.-. .. -_- Date&city ofsigning: -. _—_._._-__— Date&city of signing: _ _._-. ._____. Perjury:Perjury is a class C felony which is punishable by impriso * nt in the state correctional institution fora maximum term of not mute than live years,or by a line in an amnunt final by the court of not mm.than fiv -'sand dollars($5,000.00),or by both npit,onment and line I lot W 4,\'0020(I(')1- ---- -.-- REV x4°Pula(6/26/14) Tins SPACE-TREASURER'S USE ONLY COUNTY TREASURER \,° ; nc ,,1 fir' Department of Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This Iurm is your receipt PI.ItASF.'IYI+OR PRINT CHAPTER S2.45 RC•\V CHAPTER 155-M A\VA( when stamped by cashier. THIS AFFIUAyrr will.NOT BE ACCEPTED UNLESS Al,!.AREAS ON ALL PACES ARE FULLY COMPLF:FEn 'cc hack f as c for instructions) • ' •. ,is if rtial sale tlI ,,- 7+ If multi le owners,list ereenta re of ownership next to name. Name McMillen Family Revocable Living Trust N arc enneth Allen McMillen and Aimee Lorraine McMillen ' _ .1 Kenneth Allen McMillen and Jeanne Mane McMillen Trustees 7 Jr Mailing Address 2007 Oak :ay'oa• — Mailing Address 2007 Oak Bay Road _ City/State/Zip Port Hadlock,WA 98339 City/Statc2ip Port Hadlock,WA 98339 m z'- Phone Nu.(including area code)(360)385-0959 _ Phone No (including area cone){360)385-0959 I _.__... List all real and personal property um parcel account Send all property tax correspondence to ea Same as luyer.Cranlcc list assessed value(s) numbers -check box if personal property Name 921182006(Parcel A) ❑ $256,734.00 __ --- MailingAJdress _ 921182011 (Parcel 8) n $420,542.00 City/Statei'%rp .. - _—❑ Phone No.(including area code) _ - -- - ❑ 0 Street address of properly: 2007 Oak Bay Road,Port Hadlock,WA 98339 _ -_--- - This property is lueated in Jefferson County GI Clack boss deny of the listed parcels are being segregated from another parcel.are part ofa Is endary line adjustment or parcels being merged. Legal description or property(if more space is needed.you may attach a separate sheet to cuch page of the affidavit) SEE ATTACHED Select Land Use Code(s): List all personal property(tangible and intangible)included in selling n-ItunMwla.5in(lO tarnty coals I price. enter any additional codes: _. (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ chaplets s l..f,,S-1 17.or NJ.IS R(1\(nonprofit orp niration.senior citron,orrditoblecl person,homeowner with limited income)? --- YES NO If claiming an exemption,list WAC number and reason for exemption: Is this property desimatecl as kwest lend per chapter S44.:RCW? ❑ El WAC No.I Sect ion/Subsectiion)._ ,_"' 4}-Cl„ — ',CC _- Is this pmluety classified as aroma use(open sluice,farm and ❑ El Reason for exemption B. agacultmal.tXhnt)ter)land per deg1erX4 t-I lt('W.'Is this property rmhving special valuation as historical property ❑ 0 pct chapter sl.'r,R(AV? Il any answers are yes complete asinstnietedbelow. Type of Document -a_I-]__-... (I)NOTICEOFC(YYITNUANCE(F )RFSTLANDOR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document Gi,f t V("v_Q n. classification as current use(open space.farm and aviculture,or timber)land, Cross Selling Price you must sign on(3)below.Tlx must assessor mt then determine tribe --- .-- land transferred continues to qualify and will indicate by signing below.Il'the *Personal Property(deduct) $ _.__— land no longer qualilics or you do not wish to continue the designation or Exemption Claimed(dcduct) $ _ ,..-_. classification,it will be removed and the compensating or addrtiunal taxes will be due and payable by the seller or transferor at the time of sal.(R(W Taxable:Selling Price $ 0'00 54.111111 or lit N k-t.)_t.ItS).Prior to signing(;)below.you may contact Excise Tax .'Slate $ ._ 0.00 your local county assessor for mom inhumation. I 0.0050 I Local $__. ._ 0.00 This land ❑dues ['does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DArP *Delinquent Penally S (2)NOTICE OFCOMPLIANCE(HIS'FORIC PROPERTY) 0.00 NEW OWNER(S):To continue special valuation as historic properly, Subtotal S sign(3)below.If the new owner(s)does not wish to continue,all •State'Technology Fee S 00 additional tax calculated pursuant to chapter S4_2n RC W.shall be due and payable by the seller or transferor at the lime 0 r sale. •Affidavit Processing Fee $,_, (3) OWNER(S)SICNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX •SEC INSTRUCTIONS IIII CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent ,. . _ Cr, I tee or Grantee's Agent Name(print) at c(print, ------__ Date&city of signing __- __._._-__._ Dade&city of signin;;. Perjury:Perjury is a class C tclnny which is punishable by impriso , nt in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than lie 'sand dollars($5.000.00),or by both itnpnsonrnent and tine(Ed 1\ '4.,..20.1011 l(")). REV 54 OOnla tb26/14) lI[IS SPACE-TREASURER'S USE ONLY COUNTY TREASURER \e- bi-,e5,10L4k,,re5 -Rocti-A-A'ck Jefferson County Assessor& Treasurer- Property Details - 73 KENNETH L ... Page 1 of 1 Jefferson County Assessor &Treasurer 23273 KENNETH L MC MILLEN for Year 2013 - 2014 Property Account Property ID: 23273 Legal Description: 518 T29 R1E TAX 37 BNO TGTH THRU BIAf1111448 Parcel Number: 921182011 Agent Code: Type: Real Tax Area: 0211-1-49F1E1H211 Land Use Code 11 Open Space: N DR N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 2007 OAK BAY RD Mapsco: PORT HADLOCK,WA 98339 Neighborhood: 518&519 T29N R1E;SKYWATER LIS;OAK/HOG/FIN/DON/GLAV S.P.S Map ID: Neighborhood CD: 3250 Owner Name: KENNETH L MC MILLEN Owner ID: 22249 Mailing Address: AIMEE LORRAINE MC MILLEN %Ownership: 100.0000000000% 2007 OAK BAY RD PORT HADLOCK,WA 98339-8736 Exemptions: Taxes and Assessment Details Property Tax Information as not 09/15/2014 OTE Amount Due if Paid on .'}.*L'. N :If you plan to submit payment on a future date,make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. First Half Second Half Year Statement ID Penalty Interest Base Paid Amount Due Base Amt. Base Amt. k Statement Details 2014 13166 $2185.44 $2184.85 $0.00 $0.00 $2185.44 $2184.85 o Statement Details 2013 13231 $2150.51 $2149.92 $0.00 $0.00 $4300.43 $0.00 Values Taxing Jurisdiction Improvement/Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement ;.This website is under active development.Some functionality is not yet available and data is not guaranteed. Assessor Home Page Treasurer Home Page County Maps Disclaimer http://trueweb.j effeowa.us/propertyac ce s s/Property.aspx?cid=0&y ear=2013&pr... 9/15/2014 Jefferson County Assessor& Treasurer - Property Details - 69 MC MILLEN ... Page 1 of 2 Jefferson County Assessor &Treasurer 23269 MC MILLEN REVOCABLE TRUST for Year 2013 - 2014 Property Account Property ID: 23269 Legal Description: 518 T29 R1E TAX 35 TL TAX O (S100)IN S7 BND TGTH THRU BLA#111448 Parcel Number: 921182006 Agent Code: Type: Real Tax Area: 0211-1-4911E111211 Land Use Code 11 Open Space: N DEL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 291 YAM RD Mapsco: PORT HADLOCK,WA 98339 Neighborhood: 518&519 T29N R1E;SKYWATER L15;OAK/HOG/FIN/DON/GLAV S.P.S Map ID: Neighborhood CD: 3250 Owner Name: MC MILLEN REVOCABLE TRUST- Owner ID: 89983 Mailing Address: KENNETH MC MILLEN TRUSTEE %Ownership: 100.0000000000% JEANNE MC MILLEN TRUSTEE 11609 33RD CT NE LAKE STEVENS,WA 98258-8741 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/15/2014 Amount Due If Paid on NOTE'.If you plan to submit payment on a future date,make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due Base Amt. Base Amt. Statement Details 2014 13162 $1338.76 $1338.15 $80.29 $133.81 $0.00 $2891.01 o Statement Details 2013 13227 $1308.23 $1308.15 $0.00 $0.00 $2616.38 $0.00 Values Taxing Jurisdiction Improvement/Building Sketch Property Image Land - Roll Value History Deed and Sales History Payout Agreement ,This website is under active development.Some functionality is not yet available and data is not guaranteed. Assessor Home Page Treasurer Home Page County Maps Disclaimer http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&pr... 9/15/2014 Jefferson County Assessor & Treasurer- Property Details - 69 MC MILLEN ... Page 2 of 2 2014 True A Webs.te version:9.0.32.2200 atahsse last updatedon:9/15/20143.55 AM Automation,Inc.Ali Right;Reserved Privacy . Notice http://trueweb.j effcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&pr... 9/15/2014 Colleen Zmolek From: Pat Perryman Sent: Wednesday, July 23, 2014 8:55 AM To: Colleen Zmolek Subject: MLA14-00010 July 23,2014 RE: MLA 14-00010 McMillen Colleen, After reviewing the revisions submitted to us on July 21' I have no further comments concerning this proposed action. All of my previous concerns pertaining to the action have been addressed. If you have any questions or comments, please do not hesitate to contact me. Have a great vacation!m l! !T I I I I I U U I I Thanks, Pat 1 Department of Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑Check box if partial sale of property If multiple owners,list percentage of ownership next to name. IIIName McMillen Family Revocable Living Trust Name Kenneth Allen McMillen and Aimee Lorraine McMillen 0 Kenneth Allen McMillen and Jeanne Marie McMillen Trustees x a Mailing Address 2007 Oak Bay Road Mailing Address 2007 Oak Bay Road m 0 City/State/Zip Port Hadlock,WA 98339 ea City/State/Zip Port Hadlock,WA 98339 Phone No.(including area code)._060)385-0959 Phone No.(including area code) (360)385-0959 ® Send all property tax correspondence to:GI Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers—check box if personal property Name 921182006(Parcel A) n $256,734.00 Mailing Address 921182011 (Parcel B) n $420,542.00 City/State/Zip n Phone No.(including area code) _ n IIIStreet address of property: 2007 Oak Bay Road,Port Hadlock,WA 98339 This property is located in Jefferson County MI Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) SEE ATTACHED Select Land Use Code(s): ® List all personal property(tangible and intangible)included in selling 111-Household,single family units I price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ El chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? fl YES NO If claiming an exemption,list WAC number and reason for exemption: Is this property designated as forest land per chapter 84.33 RCW? ❑ p WAC No.(Section/Subsection) Is this property classified as current use(open space,farm and ❑ 0 agricultural,or timber)land per chapter 84.34? Reason for exemption Is this property receiving special valuation as historical property ❑ 12 per chapter 84.26 RCW'? If any answers are yes,complete as instructed below. Type of Document (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax: State $ 0.00 your local county assessor for more information. 0.0050 Local $ 0.00 This land CI does ❑does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 0.00 NEW OWNER(S):To continue special valuation as historic property, sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS ® I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent Name(print) - Name(print) Date&city of signing: Date&city of signing: Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.020(IC)). REV 84 000Ia(6/26/14) THIS SPACE-TREASURER'S USE ONLY COUNTY ASSESSOR Department of re, Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑Cheek box if partial sale of property If multiple owners,list percentage of ownership next to name. SName McMillen Family Revocable Living Trust a Name Kenneth Allen McMillen and Aimee Lorraine McMillen tlt Kenneth Allen McMillen and Jeanne Marie McMillen Trustees OF Mailing Address 2007 Oak Bay Road 1 Mailing Address 2007 Oak Bay Road w 0 City/State/Zip Port Hadlock,WA 98339 PI 04 City/State/Zip Port Hadlock,WA 98339 Phone No.(including area code) (360)385-0959 Phone No.(including area code) (360)385-0959 List all real and personal property tax parcel account ® Send all property tax correspondence to: List assessed value s Same as Buyer/Grantee numbers-check box if personal property () Name 921182006(Parcel A) n $256,734.00 Mailing Address 921182011 (Parcel B) n $420,542.00 City/State/Zip n Phone No.(including area code) n Street address of property: 2007 Oak Bay Road,Port Hadlock,WA 98339 This property is located in Jefferson County MI Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) SEE ATTACHED ® Select Land Use Code(s): ® List all personal property(tangible and intangible)included in selling 111-Household,single family units I price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ MI chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? YES NO If claiming an exemption,list WAC number and reason for exemption: Is this property designatedas forest land perchapters4.33 RCW? ❑ 0 WAC No.(Section/Subsection) Is this property classified as current use(open space,farm and ❑ Reason for exemption agricultural,or timber)land per chapter 84.34? Is this property receiving special valuation as historical property ❑ MI per chapter 84.26 RCW? If any answers are yes,complete as instructed below. Type of Document (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax : State $ 0.00 your local county assessor for more information. 0.0050 Local $ 0.00 This land does ❑does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 0.00 NEW OWNER(S):To continue special valuation as historic property, sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent Name(print) Name(print) Date&city of signing: Date&city of signing: Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than five thousand dollars(55,000.00),or by both imprisonment and fine(RCW 9A.20.020(1C)). REV 84 0001a(6/26/14) THIS SPACE-TREASURER'S USE ONLY DEPT.OF REVENUE it 1 1 ______ , ei° 1 ' ' ESTERN TERRITORIES, INC. lit 717 SOUTH PEABOD STREET,PORT ANGELES,WA 98362 ~" Letter of Transmittal JUL 60)4 F NT/ �Q14 491 i 1800-654-5545 FAX 452-8498 WWW.nti4u.com E-Meil:i nfoc,n[i 4u.corn TO: Jefferson County Dept. of Comm. Dev. DATE: 07/11/14 Attn: Colleen Smolek-Associate Planner ATTN: Ms. Zmolek 621 Sheridan Street Re: BLA for McMillen MLA 14-00010 response to original Port Townsend, WA 98368 Submittal questions with corrections needed WE ARE SENDING YOU El Attached ❑ Under separate cover via the following items: ❑ Drawing ❑ Prints ❑ Plans ❑ Specifications ❑ Copy of Letter ❑Change order ❑ COPIES DATE NO. DESCRIPTION 1 3/19/14 3 Sets One (1) Original Draft Boundary Line Adjustment Map. (Please return in 2pgs. ea. enclosed, postage paid envelope or the tube mailed in) 1 One (1) Boundary Line Adjustment Intent.(with additional) 1 One (1) Third Subdivision Certificate 1 One (1) Deed of Trust 1 One (1) Real Estate Excise Tax Affidavit THESE ARE TRANSMITTED as checked below: For Approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Reviewed by EFor review and comments ❑ REMARKS: If you have any questions or comments please call Kent Robinson, Project Surveyor at the number provided above or via email at kent®nti4u.com . -Sent Via: US Mail CC: SIGNED: Kent Robinson, Principal Surveyor By: Tami Brothers If enclosures are not as noted, kindly notify us at once. Page 1 of 1 4w�50N co JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368(Web:www.co.fefferson.wa.us/communitydevelopment -9s'HrNO�°$ Tel: 360.379.4450 I Fax:360.379.4451 I Email:dcda(�.co.iefferson.wa.us Building Permits(4 Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center June 6, 2014 Kenneth McMillen I Aimee McMillen 2007 Oak Bay Road Port Hadlock, WA 98339-8736 RE: Additional information request/ McMillen BLA MLA 14-00010 Dear Kenneth &Aimee McMillen, After reviewing the proposed Boundary Line Adjustment survey, the following comments have been received: Assessor's office commented as follows: Sherrie Shold commented: 1). I would like to see the SOI to verify parcel numbers, etc . The following comments will mirror Pat's comments. 2). Was the intention of the parties to switch the tideland ownership in its entirety from Parcel A or was it to be only that portion fronting the N 10.74'of Parcel A? 3). It appears an earlier BLA adjusting the southerly line of both Parcel A& B was not recognized and should be corrected to do so. Pat Perryman commented: After reviewing this proposed action, I have the following comment(s): 1. The south boundary of Parcel A and Parcel B is radically different than the boundary adjusted between said parties as defined in the Boundary Line Adjustment done by McMillen's and Mauney/Rogerson in June of 2008. The North boundary was maintained but the south boundary was not. Whether the boundary between the two parties was incorrect or not it was adjusted by the parties. 2. Also, I just want to confirm that the applicant wants the tidelands to now switch to being included with Parcel B and not as was previously their Boundary Line Adjustment of attaching the tidelands with Parcel A. SURVEYORS PLEASE NOTE: This office tries to catch all errors and inconsistencies in the survey and legal descriptions submitted for our review but do not always find every issue. Please be sure to re-review you work so that we all have less frustration in trying to get these projects through to completion. http://www.co.jefferson.wa.us/treasurer/RevenucRcports/2014/05%20May/rev%2OREET ... 6/6/2014 Page 1 of 1 C ON coGJEFFERSON COUNTY { DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment o Tel:360.379.4450 I Fax: 360.379.4451 I Email:dcd @co.iefferson.wa.us rNGC Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Department of Community Development commented as follows: • Place the following information on the survey as identified in JCC18.35.070: 1. The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; • Note all easements on the survey. • Remove the note on the top left hand corner of the survey that identifies all easements may not be on the survey. 2. (I) The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas (ESA): • Identify the approximant location of Ordinary High Water Mark on the survey. 3. Place the following notice on the survey: JEFFERSON COUNTY NOTICE TO PUBLIC: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirement. 4. JCC 18.25.070(6) The following notice to public on the survey: JEFFERSON COUNTY NOTICE TO PUBLIC: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 5. Owners signature blocks as required JCC18.25.070(7): (b) Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; • For one person or more than one person who own the real property that is the subject of the BLA free and clear. The following signature block shall be on the survey: DECLARATION: http://www.c o.j efferson.wa.us/treasurer/RevenueReports/2014/05%20May/rev%2OHOTEL... 6/6/2014 Page 1 of 1 SON �o JEFFERSON COUNTY y4w C3 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment l Tel:360.379.4450 Fax:360.379.4451 Email:dod(r�co.jefferson.wa.us gsAI N V co Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Know all persons by these presents that the undersigned,title owner(s)of the land described herein, declare(s)this Boundary Line adjustment to be created by my/our own free will and consent(s)and approve(s)of its entry into the land records for Jefferson County through recordation of this survey with the Jefferson County Auditor. Name Owner Name Owner • The following signature block shall be used for a lien holder: DECLARATION: Know all persons by these presents that the undersigned holds a recorded interest or lien with respect to the land described herein, has been made aware of an application for a Boundary Line Adjustment impacting the boundary of said real property,and does voluntarily and knowingly consent and approve of its entry into the land records for Jefferson County through recordation of this survey with the Jefferson County Auditor. Name Job Title 6. The county has assigned case numbers, MLA14-00010 / SUB14-00002. These numbers shall be referenced on the face of the final survey mylar. • Please revise the Statement of Intent to include: 1. Parcel numbers for the existing legal descriptions. 2. Meet recording documents requirements pursuant to RCW's 65.04.45 & 65.04.47. See attached recording requirements. • 2014 taxes must be paid, JCC 18.25.070(6): Pursuant to RCW 86.56.345, current year and any delinquent taxes shall be paid before approval of any boundary line adjustment. • Complete and sign an Excise Tax Affidavit. Forms can be found on the Jefferson County Treasures website at http://dor.wa.gov/Dots/forms/RealEstExcsTx/RealEstExTxAffid blank.pdf . If you have questions on completing the form contact the Treasurer's Office at 360-385-9150. • Please submit a Sub-Division certificate for both parcels. The certificate submitted was for parcel 921182006 (parcel A on survey). The certificate shall be required to be current within 30 day of the mylar creation. o Jefferson County Code 18.35.080(7)The application shall be accompanied by a current(i.e., within 30 days)title company certification of the following: o (a) The legal description of the total parcels sought to be adjusted; o (b) Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; o (c)Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; http://www.co.jefferson.wa.us/treasurer/RevenucReports/2014/05%20May/rev%2OHOTEL... 6/6/2014 Page 1 of 1 �5oN JEFFERSON COUNTY (2� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web: www.co.iefferson.wa.us/communitydevelopment �ysyo Tel:360.379.4450 I Fax:360.379.4451 ]Email:dcd@cojefferson.wa.us irto Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center o (d)Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and o (e) If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. [Ord. 8-06 § 1] Prior to issuing the permit fees must be paid for the filing of the excise tax affidavit, recording of the survey and statement of intent. Additional fees may be required for the review of the application. Please revise the survey and the statement of intent. Submit 3 copies of each for review. Please call if you have questions. Sincerely, a12A,, �� f Colleen Zmolek Associate Planner cc: Northwestern Territories, Kent Robinson attachments http://www.co.j efferson.wa.us/treasurer/RevenueReports/2014/05%20May/gen%20fund%2... 6/6/2014 .Auditor - Recording Document Requirements Page 1 of 2 0 T Jefferson County WASHINGTON Weather Station „'_ __ Database.Tools Itlti Maps — Q, Webcam Home : County Info Departments Search] Auditor Recording Document Requirements QuicklLinks Requirements pursuant to RCW's 65.04.45 & 65.04.47 ► Document Search 1 Recording First page of each document must have: Elections • A three-inch (3) margin at the top of the page ► My Voting History and a one-inch (1) margin on the sides and ►Voter Information bottom ► Licensing • The return address must be in the upper left- On-line Marriage hand corner of the page within the 3” top Application margin 1 Renew Tabs On-Line • The title or titles of the document to be 0 Report Your Vehicle recorded Sale Accounting • Reference number of documents assigned or released (if applicable) 1 Passports • The names of the grantors and grantees with reference to the page number where additional names can be found ADDRESS An abbreviated legal description of the •1820 Jefferson Street g p P.O. Box 563 property, (section/township/range or Port Townsend, Lot/block/plat) WA 98368 • Assessor's tax parcel number PHONE Elections: 360.385.9117 All subsequent Voter Reg: 360.385.9119 q ent pages must have a one-inch Recording: 360.385.9116 (1) margin on all sides. Accounting: 360.385.9121 Licensing:360.385.9115 Passports:360.385.9119 All pages of the document must be on Fax:I 360.385.9228 paper of weight and color capable of producing a legible image and must not be larger than 8 1/2" x 14". HOURS Monday- Friday ➢ The font size must be 8 point type or 8:30 to 4:30 larger. Weekends and Nationally Observed Holidays All documents must be prepared in ink Closed color capable of being imaged. All seals must be legible and capable of being http://www.co.jefferson.wa.us/auditor/recording/DocumentRequirements.asp 6/4/2014 -Auditor - Recording Document Requirements Page 2 of 2 imaged (pressure seams must be smudged). No attachments may be taped, staples, or glued to pages of the documents. • Documents that must be recorded immediately and do not meet margin and font size requirements may be recorded for an additional fee per RCW 65.04.48. An emergency recording cover sheet, including the signature acknowledging that parts of the text might be obscured by the recording process. The non-standard fee is an additional $50.00 and the cover sheet adds an additional page fee of $1.00, totaling $51.00. These fees are in addition to the regular recording fees. Non-standard documents are NOT EXEMPT from the requirement that they be fully legible. Blank non-standard emergency cover sheets are available from the County Auditor on our recording website. Non-Standard Coversheet • If required indexing information does not appear on the first page of the document, a cover sheet may be completed listing all the necessary information. Fee to record will increase by $1.00 if a cover sheet is needed. The cover sheet is available from the County Auditor or on our website. Coversheet Failure to meet these requirements of this stature will result in document(s) being returned without being recorded. You may access the complete text of RCW's on the Internet at www.leq.wa.gov. HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/auditor/recording/DocumentRequirements.asp 6/4/2014 NORTHWESTERN TERRITORIES, INC. 717 SOUTH PEABODY STREET, PORT ANGELES,WA 98362 (360)452-8491 1-800-654-5545 FAX 452-8498 Letter of Transmittal E-Mail:infoC?nti4u.com } TO: Jefferson County DCD DATE: 5/1/14 621 Sheridan Street ATTN: Kolleen Zmolek Port Townsend, WA 98368 RE: Boundary Line Adjustment for Ken £r Aimee McMillen WE ARE SENDING YOU ® Attached ❑ Under separate cover via the following items: ❑ Drawing ❑ Prints ❑ Plans ❑ Specifications ❑ Copy of Letter ❑ Change order ❑ Report as Requested (Additional) COPIES DATE NO. DESCRIPTION 3 Preliminary Boundary Line Adjustment maps for the above referenced project THESE ARE TRANSMITTED as checked below: ® For Approval ❑ Approved as submitted ❑ Resubmit copies for approval ® For your use ❑ Approved as noted ❑ Submit_ for distribution ® As requested ❑ Returned for corrections ❑ Reviewed by ❑ For review ❑ For Signature REMARKS: If you have any questions or comments, please contact Project Manager Tom Roorda. He can be reached by telephone at 360-452-8491 or email tomr®nti4u.com CC: File SENT VIA: USPS SIGNED: Tom Roorda, PLS by D West When recorded return to: Northwestern Territories, Inc. 717 South Peabody Port Angeles, Washington 98362 BOUNDARY LINE ADJUSTMENT Grantor(s) : Kenneth Allen McMillen and Aimee Lorraine McMillen Grantee(s) : Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust Grantor(s) : Kenneth Allen McMillen and Aimee Lorraine McMillen Grantee(s) : Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust Description of Property: Assessor's Parcel Numbers: 921 182 011, 921 182 006 EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT PARCEL A AddeBX CCQQ PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B SPatir(,a PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD CkFa-4. Mile BLA McMillen BLA (S0‘)\;-/s2c.2 ep Ainfoord BOUNDARY LINE ADJUSTMENT STATEMENT OF INTENT THIS RECORDING IS FOR THE PURPOSE OF ASSISTING WITH A BOUNDARY LINE ADJUSTMENT PURSUANT TO RCW 58.17.040 (6) . IT DOES NOT CREATE ANY ADDITIONAL LOTS, TRACTS, PARCELS, OR A DIVISION AS THE LAND DESCRIBED HEREON SHALL MERGE OR BE INTEGRATED INTO ABUTTING PROPERTY PRESENTLY OWNED BY THE PROPONENTS. NOR DOES THE BOUNDARY LINE ADJUSTMENT RESULT IN ANY LOTS, TRACTS, PARCELS OR DIVISION WHICH CONTAIN INSUFFICIENT AREA AND DIMENSION TO MEET MINIMUM COUNTY AND SANITATION REQUIREMENTS FOR WIDTH AND AREA FOR A BUILDING SITE. Boundary lines subject to adjustment are identified as follows: The Following legal descriptions are for adjustment of Parcels A AND B resulting in an equal exchange of land area and providing shoreline access to Parcel B together with tidelands. NEW LEGAL DESCRIPTIONS—AFTER ADJUSTMENT PARCEL A PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: AN EASEMENT FOR SEPTIC DRAINFIELD OVER, UNDER AND ACROSS THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: THE EAST 6.31 FEET OF PARCEL B EXCEPT THE NORTH 10.00 FEET THEREOF OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. SUBJECT TO: AN EXCLUSIVE EASEMENT FOR PLANTING AND HARVEST OF AN ORCHARD, INGRESS, AND EGRESS THROUGH, OVER AND ACROSS THE SOUTHERLY PORTION OF PARCEL A AS DEPICTED ON BOUNDARY LINE ADJUSTMENT RECORD OF SURVEY, RECORDED IN VOLUME , PAGE RECORDS OF JEFFERSON COUNTY, WA. TOGETHER WITH AND SUBJECT TO ANY OTHER EASEMENTS OF RECORD. PARCEL B PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE EAST 6.31 FEET EXCEPT THE NORTH 10 FEET THEREOF. TOGETHER WITH: THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. Page 2 of 5 McMillen BLA SUBJECT TO AN EASEMENT FOR SEPTIC DRAINFIED OVER, UNDER AND ACROSS THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: AN EXCLUSIVE EASEMENT FOR PLANTING AND HARVEST OF AN ORCHARD, INGRESS, AND EGRESS THROUGH, OVER AND ACROSS THE SOUTHERLY PORTION OF SAID PARCEL A AS DEPICTED ON BOUNDARY LINE ADJUSTMENT RECORD OF SURVEY, RECORDED IN VOLUME , PAGE RECORDS OF JEFFERSON COUNTY, WA. TOGETHER WITH AND SUBJECT TO ANY OTHER EASEMENTS OF RECORD. SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed this instrument as of the date written herein below. KENNETH ALLEN MCMILLEN DATE AIMEE LORAINE MCMILLEN DATE ACKNOWLEDGMENT STATE OF ss COUNTY OF ON THIS DAY personally appeared before me KENNETH ALLEN MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. GIVEN under my hand and official seal this day of , 20 NOTARY PUBLIC in and for the State of Residing at My Commission expires Page 3 of 5 McMillen BLA ACKNOWLEDGMENT STATE OF ) : ss COUNTY OF _) ON THIS DAY personally appeared before me AIMEE LORAINE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. GIVEN under my hand and official seal this day of , 20_ NOTARY PUBLIC in and for the State of (Please print Name of Notary on line above) Residing at My Commission expires SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed this instrument as of the date written herein below. KENNETH ALLEN MCMILLEN TRUSTEE DATE MCMILLEN FAMILY REVOCABLE LIVING TRUST JEANNE MARIE MCMILLEN TRUSTEE DATE MCMILLEN FAMILY REVOCABLE LIVING TRUST ACKNOWLEDGMENT STATE CF _ ) ) : ss COUNTY OF ON THIS DAY personally appeared before me KENNETH ALLEN MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. GIVEN under my hand and official seal this day of , 20 NOTARY PUBLIC in and for the State of Residing at My Commission expires Page 4 of 5 McMillen BLA ACKNOWLEDGMENT STATE OF ) : ss COUNTY OF ON THIS DAY personally appeared before me JEANNE MARIE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. GIVEN under my hand and official seal this day of , 20_ NOTARY PUBLIC in and for the State of (Please print Name of Notary on line above) Residing at THIS BOUNDARY LINE ADJUSTMENT HAS BEEN REVIEWED AND APPROVED BY THE JEFFERSON COUNTY WA. DEPARTMENT OF COMMUNITY DEVELOPMENT. BY: Date Page 5 of 5 McMillen BLA I �� .¢SON CO�� JEFFERSON COUNTY Crl 0-3 DEPARTMENT OF COMMUNITY DEVELOPMENT �L OS 621 Sheridan Street • Port Townsend • Washington 98368 1SNry2 360/379-4450 �- 360/379-4451 Fax Boundary Line Adjustments The Boundary Line Adjustment (BLA) application packet is designed to help you provide all the information necessary to facilitate a timely and well-informed decision on your application. In addition to filling in the blanks on the attached BLA application form, you will need to prepare and provide all the materials listed under the heading "Submittal Requirements" in order to complete your application. You will also submit a Master Permit Application Form with these materials. Purpose The purpose of the BLA is to provide a procedure by which changes in property lines may be made without resorting to the short or long subdivision process. BLAs are intended to: • Allow the enlargement of a parcel to improve or qualify as a buildable parcel; • Rectify defects in legal descriptions; • Achieve increased setbacks from property lines or environmentally sensitive areas; • Correct situations where a use is located across a lot line; • Allow any other boundary line modification that is consistent with state subdivision law. The BLA process cannot be used to: • Create an additional parcel; • Create a parcel that is not buildable; • Entirely relocate a parcel into another parcel; • An adjustment hat crosses zoning district boundaries other than Rural Residential densities; • Separate an Accessory Dwelling Unit from the primary use of the property; • Evade conditions of approval for a recorded short or long plat; or • Avoid compliance with short or long subdivision requirements. Process Step 1 — Pre-Application Conference (Optional): A pre-application conference is not required for a BLA, although they are strongly encouraged. Conceptual plans, county requirements, necessary permits, etc., and answers to related questions are discussed at the conference. Information provided by Department of Community Development staff helps the applicant to prepare a better application and potentially decreases code-related questions and time required for formal review. Step 2— Determination of Completeness: Following submittal of your application, county staff will make a determination within 28 days as to whether your application is complete. Step 3 — Formal Application Review and Decision: Following the determination of completeness, a final decision must be made by the county within 120 calendar days, though typically the timeframe is much shorter. Step 4 — Recording of Documents with the County Auditor: Upon approval of your BLA, a "record of survey" document must be prepared by a licensed land surveyor and recorded with the Jefferson County Auditor(see RCW 58.09 and WAC 332-130) within 90 days. Approval Criteria Your BLA application will be evaluated on the basis of the information you provide, the criteria listed in the relevant section of the Jefferson County Code (see Article II, Chapter 18.35 JCC), and in some instances, inspection of the property. All public improvements installed for any BLA must conform to the development standards contained in Chapters 18.20 and 18.30 JCC. G1PerrnitCenterl##4FORMS#N41DRD FORMSIBLA app form_07-2006.doc REV.9/18/2008 Page 1 I _ s f A BLA will be approved if not listed as a "prohibited boundary change" in the Chapter 18.35.060 (2), AND if it does not: • Create an additional parcel; • An adjustment that crosses zoning district boundaries except of those across different Rural Residential densities; • Separate an accessory dwelling unit from the primary use of the property; • Result in a parcel that contains increased density or inadequate area to meet the minimize parcel size requirements of the JCC, except for pre-existing sub-standard parcels; • Diminish or harm drainage, water supply, sewage disposal, and access or easement for vehicles, pedestrians, utilities and fire protection for any parcel; • Diminish or harm public or private utility easements or deprive a parcel of access or utilities; • Diminish or impair environmentally sensitive areas or create an unsafe or hazardous environmental condition; • Create an unreasonably restrictive or dangerous property access; • Increase the nonconforming aspects of a parcel; or • Replat or vacate a short or long plat, or revise or amend the conditions of approval for any short or long subdivision. Following approval by the administrator, a final record of survey document shall be prepared by a licensed land surveyor in accordance with RCW 58.09 and WAC 332-130. A BLA becomes effective once the required documents have been recorded with the county auditor, and the applicant has returned one copy of each recorded document bearing the county auditor's stamp verifying recording. No building or other site development permits will be granted until the applicant returns the copies of the recorded documents to the Department of Community Development. G:PermitCenterVAWFORMSASEMDRD FORMS1BLA app form_07-2006.doc REV.9/18/2008 Page 2 k4 Ox c° JEFFERSON COUNTY r I DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 y 360/379-4450 . 360/379-4451 Fax G www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): Tax Parcel Number: Property Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Telephone: Fax: email: Mailing Address: 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 Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** ❑ Sign •- • ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stomiwater Management ❑ Shoreline Master Program Exemption/Permit Revisions" ❑ Site Plan Approval Advance Determination(SPAAD) * ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants 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 are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: /�\T.....'.C. ..._.i1L.hrnfl A IC414Y\TTT P/\T•.r C fl r•�T. .•• , .. BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: U New ❑ Wood Existing: ❑ Sewer C Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: L l Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove 1 Other 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. ,-6 i R 1 , PI .: , *A 0 yea9'h 4:TA S4P•'"A t „ Square Footage ' e s 4 0 y Ahlo`atti c?,' Revtsi 4.. f Main Floor Heated , Ay ,-•":':' EH Bld App Review: 2"°Floor Heated , M. Consistency Review: sk 1'Eg7chm I, Other Heated " .:,.,4*..t .” Base fee: -,. :• . .:' j,.,:rTyC Mezzanine 3 r :a Additional Section: Heated Basement * Plan Check fee: Unheated Basement v,'" '14. State Surcharge fee: ,in 7" ai4fie� -Other Unheated , s w . Pot Water Review fee: Garage/Carport ACM 44z,Zr SUBTOTAL yC � Decks 911/Rd Approach fee: Other „ TOTAL: $ et�?q a Receipt Number: 41,,..1,--- ,,e../.fig Cash/Check Number: n ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 4 e°1%1 °4 JEFFERSON COUNTY ti 0.4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 IS NO,`S 360/379-4450 — 360/379-4451 Fax Boundary Line Adjustment (BLA) Supplemental Application MLA# PROJECT/APPLICANT NAME: Submittal Requirements A completed Master Permit Application. Representative authorization is required if application is not signed by owner. Boundary Line Adjustment application fee, as set forth in the Jefferson County Fee Ordinance, as amended. a. A single application may be submitted for multiple BLAs for adjacent parcels, lots,tracts or sites within a binding site plan. However, standard application fee(s) shall apply to each BLA after the first two per additional parcel, lot,tract or site b. In instances of lot consolidation, standard application fee (s)shall apply based on the number of resulting parcels or lots. Three(3) copies of a clean and legible drawing suitable for recording showing the following: a. The proposed lines for all affected lots,tracts or parcels, indicated by bold solid lines; b. The existing lot,tract or parcel lines proposed to be changed, indicated by light broken lines; c. The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; d. A north arrow indication and scale; e. All assessor's tax parcel numbers for the affected lots,tracts or parcels; f. The location of the property as to quarter/quarter section; g. The location and dimensions of any easements within or adjacent to any affected lots,tracts or parcels; h. The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots,tracts or parcels; i. The area and dimensions of each lot prior to and following the proposed adjustment; j. The existing onsite sewage system components and reserve areas and the proposed location for onsite sewage systems and soil test pits for all affected lots that are not currently served by an onsite sewage system or other approved wastewater treatment system; k. The location of all existing and proposed water and storm drainage facilities; and I. The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the Boundary Line Adjustment include, or are adjacent to, Environmentally Sensitive Areas (ESA): Notice to Public: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements; m. In cases where the requirement to provide written verification that the resultant lots can accommodate on-site sewage system from the Jefferson County department of environmental health has been waived, the following notice shall be recorded on the drawing: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. c 1PennitCenterVOWFORMS9#NIDRO FORMS\BlA app form_07-2008.doc REV,9/18/2008 Page 1 A copy of any Covenants, Conditions and Restrictions (CC&Rs), deed restrictions, or planned rural residential development (PRRD)agreements pertaining to or affecting the property. If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or municipal sewer system), the applicant shall provide written verification from the Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist after the boundary line adjustment, are adequate to accommodate an on-site sewage disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet environmental health requirements for each resultant lot, tract, or parcel that does not contain a dwelling. An applicant may choose to apply for a Site Plan Approval Advance Determination (SPAAD)to fulfill this requirement. This requirement shall be waived for resultant parcels that: a. Are larger than 2.5 acres; b. Have existing residential structures; or c. Have limited the use of the resultant parcel to agriculture,forestry,or open space through conservation easements, restrictive covenant, or similar legal arrangement. The Open Space Tax program shall not be used to fulfill this requirement. The application shall be accompanied by a current(i.e.,within 30 days)title company certification of the following: a. The legal description of the total parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s)signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and e. If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. 1. Please provide a brief description of the purpose of the proposed boundary line adjustment. 2. Please provide Existing Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets, if necessary.) Parcel A: Parcel B: Parcel C: Parcel D: G:\PermaCenter# FORMS#kN1\DRDFORMS\BlAappform_07-2006.doc REV.9/18/2008 Page 2 • 3. Please provide Proposed Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets if necessary.) Parcel A: Parcel B: Parcel C: Parcel D: 4. All owners of the subject properties must sign the application below to signify agreement to the proposed boundary line adjustment. The applicants hereby certify that all of the above statements are true and the plot plan provides an accurate representation of the proposed boundary line adjustment, and the applicants hereby acknowledge that any permit issued on this application may be revoked if any such statement is found to be false. a. Date: b Date: c. Date: d. Date: G.1Perrn Center\###FORMS###1DRD FORMS18LA app torn107-2006.doc REV.9/18/2008 Page 3 AFTER RECORDING MAIL TO: Name: Address: City/State: Boundary Line Adjustment Grantor(s): 2. Grantee(s): 2. Legal Description: Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A: Parcel B: Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): • The nature of the adjustment is described as follows: f STATEMENT OF INTENT: This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by the proponent. Nor does the boundary line adjustment result in any lots, tracts, parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and area for a building site. (Proponents' signature) STATE OF WASHINGTON COUNTY OF On , 200_, personally appeared and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this day of , 200 Notary Public in and for the State of Washington, Residing at This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. Associate Planner Date Jefferson County Assessor & Treasurer- Property Details - 23273 KENNETH... Page 1 of 1 Jefferson County Assessor & Treasurer Property Search Results>23273 KENNETH L MC MILLEN for Year 2013- 2014 Property Account Property ID: 23273 Legal Description: S18 T29 R1E TAX 37 BND TGTH THRU BLA4111448 Parcel Number: 921182011 Agent Code: Type: Real Tax Area: 0211-1-49F1E1H2 L1 Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 2007 OAK BAY RD Mapsco: PORT HADLOCK,WA Neighborhood: 518&S19 T29N R1E;SKYWATER LLS;OAK/HOG/FIN/DON/GLAV S.P.S Map ID: Neighborhood CD: 3250 Owner Name: KENNETH L MC MILLEN Owner ID: 22249 Mailing Address: AIMEE LORRAINE MC MILLEN %Ownership: 100.0000000000% 2007 OAK BAY RD PORT HADLOCK,WA 98339-8736 Exemptions: Taxes and Assessment Details Property Tax Information as of 06/03/2014 Amount Due if Paid on 8Q15:II you plan to submit payment on a future date,make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due Base Amt. Base Amt. ►Statement Details 2014 13166 $2185.44 $2184.85 $0.00 $0.00 $2185.44 $2184.85 ►Statement Details 2013 13231 $2150.51 $2149.92 $0.00 $0.00 $4300.43 $0.00 Values Taxing Jurisdiction Improvement/Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement 1 This website is under active development. Some functionality is not yet available and r „•- data is not guaranteed. Assessor Home Page Treasurer Home Page County Maps Disclaimer http://trueweb.j effc owa.us/propertyaccess/Property.aspx?c id=0&year=2 013&pro... 6/3/2014 Jefferson County Assessor& Treasurer - Property Details - 23269 MC MILLE... Page 1 of 1 Jefferson County Assessor & Treasurer Property Search Results> 23269 MC MILLEN REVOCABLE TRUST for Year 2013-2014 Property Account Property ID: 23269 Legal Description: S18 T29 R1E TAX 35 TL TAX 0 (5100')IN S7 BND TGTH THRU BLAx111448 Parcel Number: 921182006 Agent Code: Type: Real Tax Area: 0211-1-49F1E1H2L1 Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 291 YARR RD Mapsco: PORT HADLOCK,WA Neighborhood: 518&519 T29N R1E;SKYWATER LLS;OAK/HOG/FIN/DON/GLAV S.P.S Map ID: Neighborhood CD: 3250 Owner Name: MC MILLEN REVOCABLE TRUST Owner ID: 89983 Mailing Address: KENNETH MC MILLEN TRUSTEE %Ownership: 100.0000000000% JEANNE MC MILLEN TRUSTEE 11609 33RD CT NE LAKE STEVENS,WA 98258-8741 Exemptions: Taxes and Assessment Details Property Tax Information asso�of 06/03/2014 Amount Due if Paid on �-'e- NOTL:If you plan to submit payment on a future date,make sure you enter the date and click RECALCULATE to obtain the correct total amount due Click on"Statement Details"to expand or collapse a tax statement. Year Statement ID First Half Second Half Penalty Interest Base Paid Amount Due Base Amt. Base Amt. ►Statement Details 2014 13162 $1338.76 $1338.15 $80.29 $53.53 $0.00 $2810.73 ■Statement Details 2013 13227 $1308.23 $1308.15 $0.00 $0.00 $2616.38 $0.00 Values Taxing Jurisdiction Improvement/Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This website is under active development.Some functionality is not yet available and e-�.. data is not guaranteed. Assessor Home Page Treasurer Home Page County Maps Disclaimer http://trueweb.j effcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&pro... 6/3/2014 JEFFERSON COUNTY ^�vt-`0 =r\,� DEPARTMENT OF COMMUNITY .t wi DEVELOPMENT 4. ,,t ' 621 Sheridan Street, Port Townsend,WA 98368 I Web: www.co.iefferson.wa.us/communitydevelopment .1""'' Tel: 360.379.4450 I Fax:360.379.4451 I Email:dcd(@,co,iefferson.wa.us Square ONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning June 6, 2014 KENNETH L MC MILLEN AIMEE LORRAINE MC MILLEN 2007 OAK BAY RD PORT HADLOCK WA 983398736 RE: SITE ADDRESS: 271 OLD OAK BAY RD CASE#: MLA14-00010 Dear KENNETH L MC MILLEN: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. RE: Additional information request/ McMillen BLA MLA 14-00010 Dear Kenneth &Aimee McMillen, After reviewing the proposed Boundary Line Adjustment survey, the following comments have been received: Assessor's office commented as follows: Sherrie Shold commented: 1). I would like to see the SOI to verify parcel numbers, etc . The following comments will mirror Pat's comments. 2). Was the intention of the parties to switch the tideland ownership in its entirety from Parcel A or was it to be only that portion fronting the N 10.74' of Parcel A? 3). It appears an earlier BLA adjusting the southerly line of both Parcel A & B was not recognized and should be corrected to do so. Pat Perryman commented: After reviewing this proposed action, I have the following comment(s): 1. The south boundary of Parcel A and Parcel B is radically different than the boundary adjusted between said parties as defined in the Boundary Line Adjustment done by McMillen's and Mauney/Rogerson in June of 2008. The North boundary was maintained but the south boundary was not. Whether the boundary between the two parties was incorrect or not it was adjusted by the parties. 2. Also, I just want to confirm that the applicant wants the tidelands to now switch to being included with Parcel B and not as was previously their Boundary Line Adjustment of attaching the tidelands with Parcel A. SURVEYORS PLEASE NOTE: This office tries to catch all errors and inconsistencies in the survey and legal descriptions submitted for our review but do not always find every issue. Please be sure to re-review you work so that we all have less frustration in trying to get these projects through to completion. Department of Community Development commented as follows: • Place the following information on the survey as identified in JCC18.35.070: 1. The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; ? Note all easements on the survey. ? Remove the note on the top left hand corner of the survey that identifies all easements may not be on the survey. 2. (I) The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas (ESA): ? Identify the approximant location of Ordinary High Water Mark on the survey. 3. Place the following notice on the survey: JEFFERSON COUNTY NOTICE TO PUBLIC: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirement. 4. JCC 18.25.070(6) The following notice to public on the survey: JEFFERSON COUNTY NOTICE TO PUBLIC: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 5. Owners signature blocks as required JCC18.25.070(7): (b) Those individuals or corporations holding an ownership interest and any security interest(such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; ? For one person or more than one person who own the real property that is the subject of the BLA free and clear. The following signature block shall be on the survey: DECLARATION: Know all persons by these presents that the undersigned, title owner(s) of the land described herein, declare(s) this Boundary Line adjustment to be created by my/our own free will and consent(s) and approve(s) of its entry into the land records for Jefferson County through recordation of this survey with the Jefferson County Auditor. Name Owner Name Owner • The following signature block shall be used for a lien holder: DECLARATION: Know all persons by these presents that the undersigned holds a recorded interest or lien with respect to the land described herein, has been made aware of an application for a Boundary Line Adjustment impacting the boundary of said real property, and does voluntarily and knowingly consent and approve of its entry into the land records for Jefferson County through recordation of this survey with the Jefferson County Auditor. Name Job Title 6. The county has assigned case numbers, MLA14-00010 / SUB14-00002. These numbers shall be referenced on the face of the final survey mylar. • Please revise the Statement of Intent to include: 1. Parcel numbers for the existing legal descriptions. 2. Meet recording documents requirements pursuant to RCW's 65.04.45 & 65.04.47. See attached recording requirements. • 2014 taxes must be paid, JCC 18.25.070(6): Pursuant to RCW 86.56.345, current year and any delinquent taxes shall be paid before approval of any boundary line adjustment. • Complete and sign an Excise Tax Affidavit. Forms can be found on the Jefferson County Treasures website at http://dor.wa.govlDocs/forms/RealEstExcsTx/RealEstExTxAffid_blank.pdf . If you have questions on completing the form contact the Treasurer's Office at 360-385-9150. • Please submit a Sub-Division certificate for both parcels. The certificate submitted was for parcel 921182006 (parcel A on survey). The certificate shall be required to be current within 30 day of the mylar creation. o Jefferson County Code 18.35.080(7) The application shall be accompanied by a current (i.e., within 30 days) title company certification of the following: o (a) The legal description of the total parcels sought to be adjusted; o (b) Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; o (c) Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; o (d) Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number; and o (e) If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. [Ord. 8-06 § 1] Prior to issuing the permit fees must be paid for the filing of the excise tax affidavit, recording of the survey and statement of intent. Additional fees may be required for the review of the application. Please revise the survey and the statement of intent. Submit 3 copies of each for review. Please call if you have questions. Sincerely, Colleen Zmolek Please submit the above information to the Department of Community Development by September 4, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3) and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety (90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, ee ee Z/t/C k Department of Community Development Staff c: File KENT ROBINSON \\tidemark\data\forms\F_M LT_Add I nfo_Req ust.rpt 6/6/2014 Colleen Zmolek From: Sherrie Shold Sent: Wednesday, September 10, 2014 10:27 AM To: Colleen Zmolek Subject: McMillen MLA14-00010 Colleen, I have completed my review of the McMillen BLA and the following are my comments. 1). I believe it would be beneficial to everyone if the Mylar identified with either a contiguous indicator or brief statement indicating the Tidelands are to be attached with Parcel B. 2). My second comments pertains to the S01; the wording needs to be changed to read Grantors only on one line and Grantees only on the second line. And, each will need to identify which parcel they have ownership in. Grantor(s): Kenneth Allen McMillen and Aimee Lorraine McMillen—Parcel B Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust-Parcel A repeated for Grantee area. As it is typed now, it appears as though Kenneth A./Aimee L. McMillen is the grantors and Kenneth A./Jeannie McMillen is the grantees. This concludes my comments. sherri.e sherr%e shold PvopertJ operatiows _Jef fersow Cokwtj Assessors office 360-385:9105 sshots1Pcojeffevsow.wa.us 1 JEFFERSON COUNTY .� _ A DEPARTMENT OF COMMUNITY DEVELOPMENT 1-a4.,N;;:" 621 Sheridan Street, Port Townsend, WA 983681 Web:www.co.jefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdOco.jefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review(Long Range Planning May 8, 2014 /�, T� 1 (� Dear Rev�wer,-Par Z`�� �"' —'° RE: MLA14-00010 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: Boundary Line Adjustment between 921182011 and 921182006 Location: Parcel Number: 921 182 001, 921 182 006, Site Address: 2007 Oak Bay Road, Port Hadlock WA, S-T-R: 1 8-29N-1 E Comments must be received within fourteen (14)calendar days or by May 22, 2014. If no written response has been received within fourteen (14)days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, Colleen Zmolek Colleen Zmolek S Og 5tA4 5 -- TI \\tidemark\data\forms\F_MLT_ReviewerLtr.rpt 5/8/2014 Colleen Zmolek From: Sherrie Shold Sent: Tuesday, May 27, 2014 4:12 PM To: Colleen Zmolek Subject: McMillen BLA Colleen, The following are my comments for the above BLA. 1). I would like to see the SOI to verify parcel numbers, etc. The following comments will mirror Pat's comments. 2). Was the intention of the parties to switch the tideland ownership in its entirety from Parcel A or was it to be only that portion fronting the N 10.74' of Parcel A? 3). It appears an earlier BLA adjusting the southerly line of both Parcel A& B was not recognized and should be corrected to do so. FYI only, I noticed on the cover letter the parcel number under location is incorrect but above you have the correct one so a person can locate the property. Please let me know if you should have any questions pertaining to my comments. Skerr%e Sherrie shold Property operattows Je f fersow CourLy Assessor's office fi-ce 360-325=9105 sshad@cojefferscm..wa.us 1 Colleen Zmolek From: Pat Perryman Sent: Tuesday, May 27, 2014 12:59 PM To: Colleen Zmolek Cc: Sherrie Shold Subject: MLA14-00010 Attachments: McMillen-MLA14-00010.docx May 27,2014 RE: MLA14-00010 McMillen Colleen, Enclosed are my comments concerning this proposed Action. If you have any questions or comments, please do not hesitate to contact me. Thanks, Pat Pat Perryman P. 0. Box 1220 Port Townsend, WA 98368 (360)385-9365 or (360)385-9222 e-mail pperrvman @co.iefferson.wa.us 1 OFFICE OF THE JEFFERSON COUNTY ASSESSOR Jeff Chapman, Assessor May 23 , 2014 Colleen, RE: MLA14-000lo McMillen After reviewing this proposed action, I have the following comment(s): 1. The south boundary of Parcel A and Parcel B is radically different than the boundary adjusted between said parties as defined in the Boundary Line Adjustment done by McMillen's and Mauney/Rogerson in June of zoo8. The North boundary was maintained but the south boundary was not. Whether the boundary between the two parties was incorrect or not it was adjusted by the parties. 2. Also, I just want to confirm that the applicant wants the tidelands to now switch to being included with Parcel B and not as was previously their Boundary Line Adjustment of attaching the tidelands with Parcel A. SURVEYORS PLEASE NOTE: This office tries to catch all errors and inconsistencies in the survey and legal descriptions submitted for our review but do not always find every issue. Please be sure to re-review you work so that we all have less frustration in trying to get these projects through to completion. If you have any questions or comments, please do not hesitate to contact me. Thanks, Pat Pat Perryman (360)385-9222 (360)385-9365 pperryman@co.jefferson.wa.us JEFFERSON COUNTY `4,. t'i DEPARTMENT OF COMMUNITY ilit 1� `� DEVELOPMENT `' 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.jefferson.waus/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd a(�co.lefferson.wa.us S uareONE Resource Center I Building Permits&Inspections Development Review I Long Range Planning May , 2014 Dear Reviewer, RE: MLA14-00010 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: Boundary Line Adjustment between 921182011 and 921182006 Location: Parcel Number: 921 182 001, 921 182 006, Site Address: 2007 Oak Bay Road, Port Hadlock WA, S-T-R: 18-29N-1E Comments must be received within fourteen (14) calendar days or by May 29, 2014. If no written response has been received within fourteen (14) days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, Colleen Zmolek Colleen Zmolek cc:, \\tidemark\data\forms\F_MLT_ReviewerLtr.rpt 5/15/2014 ‘ ed So When recorded return to: Northwestern Territories, Inc. 717 South Peabody Port Angeles, Washington 98362 BOUNDARY LINE ADJUSTMENT LA-" c-R Grantor(s) : Kenneth AY3eit McMillen and Aimee Lorraine McMillen Grantee(s) : Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust LA-4204, Grantor(s) : Kenneth Allcn McMillen and Aimee Lorraine McMillen Grantee(s) : Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust Description of Property: Assessor's Parcel Numbers: 921 182 011, 921 182 006 EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT PARCEL A PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD Page 1 of 5 McMillen BLA BOUNDARY LINE ADJUSTMENT STATEMENT OF INTENT THIS RECORDING IS FOR THE PURPOSE OF ASSISTING WITH A BOUNDARY LINE ADJUSTMENT PURSUANT TO RCW 58.17.040 (6) . IT DOES NOT CREATE ANY ADDITIONAL LOTS, TRACTS, PARCELS, OR A DIVISION AS THE LAND DESCRIBED HEREON SHALL MERGE OR BE INTEGRATED INTO ABUTTING PROPERTY PRESENTLY OWNED BY THE PROPONENTS. NOR DOES THE BOUNDARY LINE ADJUSTMENT RESULT IN ANY LOTS, TRACTS, PARCELS OR DIVISION WHICH CONTAIN INSUFFICIENT AREA AND DIMENSION TO MEET MINIMUM COUNTY AND SANITATION REQUIREMENTS FOR WIDTH AND AREA FOR A BUILDING SITE. Boundary lines subject to adjustment are identified as follows: The Following legal descriptions are for adjustment of Parcels A AND B resulting in an equal exchange of land area and providing shoreline access to Parcel B together with tidelands. NEW LEGAL DESCRIPTIONS—AFTER ADJUSTMENT PARCEL A PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: AN EASEMENT FOR SEPTIC DRAINFIELD OVER, UNDER AND ACROSS THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: THE EAST 6. 31 FEET OF PARCEL B EXCEPT THE NORTH 10.00 FEET THEREOF OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD. PARCEL B PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE EAST 6.31 FEET EXCEPT THE NORTH 10 FEET THEREOF. TOGETHER WITH: THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. SUBJECT TO AN EASEMENT FOR SEPTIC DRAINFIED OVER, UNDER AND ACROSS THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD. Page 2 of 5 McMillen BLA NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT PARCEL A PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: AN EASEMENT FOR SEPTIC DRAINFIELD OVER, UNDER AND ACROSS THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: THE EAST 6.31 FEET OF PARCEL B EXCEPT THE NORTH 10.00 FEET THEREOF OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD. PARCEL B PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE EAST 6.31 FEET EXCEPT THE NORTH 10 FEET THEREOF. TOGETHER WITH: THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. SUBJECT TO AN EASEMENT FOR SEPTIC DRAINFIED OVER, UNDER AND ACROSS THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD. l SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed this instrument of the date written herein below. 1 OF 1-21 - 14 KENNETH Alr,bEN MCMILLEN DATE _'� 141_/ C I 1 - 27 — 11] / fir ;IM LORAINE MCMILLEN DATE ACKNOWLEDGMENT STATE OF 4445,4i'.y7 f d<✓ T ) : ss COUNTY OF GFPK Q 5 ) ON THIS DAY personally appeared before me KENNETH ALLEN MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. GIVEN under my hand and official seal this-?day of J,v✓g,a-, , 20/V. TXRY PUBLIC `‘\‘\\\ \1%1111 I // q' // �M. MC 1►� in and for the State of !�/�Spi 441 71e'v .,,"",,,,, Residing at 7 .1-41,40e4 5 `, .0144.,, :70 et ¢x _ My Commission expires - 7-a0/7 N7S Ali \C.., 2 , Al 0 = /49021`04‘j...�0 ..1�r 9 ACKNOWLEDGMENT/ / / / / 1/ 1 1,WAST`a••• STATE OF (�//�S/Jjpt7 ?"6 A/ ) / ) : ss COUNTY OF Jff z tSdN ) ON THIS DAY personally appeared before me AIMEE LORAINE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. Yc- GIV 8.er my hand and official seal this...27 day of �Awi,� +Ly , 20/v 1,10 '•Y PUBLIC ` ,stv`\R'\y'+1M1�t4, i/and for the State of 4/41411,77404-1 M. @��M' Q��// (Please print Name of Notary on line above) Vol► T 'i�em/4,6 CI r•L ••• Z . Residing at .�T {JDJetk i fA s • My Commission expires - 7- .O/7 i ���'b�s;10„`1�� -�02 ///�00�, � `NG4. of 5 ��� %V illen BLA SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed this instrument .s of the date written herein below. K. '1 ET' ALL N MCMILLEN TRUSTEE DATE MCM LLEN FAMILY REVOCABLE LIVING TRUST OP • /L.:...`d( 1' -0_ ' �af/6o/f -'ANNE MARIE MCMILLEN TRUSTEE D E MCMTTTFN FAMILY REVOCABLE LIVING TRUST ACKNOWLEDGMENT Notary Public State of Washington STATE OF LOCkShi Ito n ) DIANE L TANDY-GUERRERO ) : s s MY COMMISSION EXPIRES COUNTY OF .e ms V SO VI ) October 11,2016 ON THIS DAY personally appeared before me KENNETH ALLEN MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. GIVEN under my hand and official seal this grday of 04,(AO.V(i. , 201LI. �^ 1' £ /. .0i L-art . '" NOTARY PUBLIC in and for the State of 0 Residing at '��• t(la( 7CJ.- LLL..,CCVJJYYYQ My Commission expires to—U - aO I G Notary Public ACKNOWLEDGMENT State of Washington ,DIANE L TANDY-GUERRERO STATE OF (J) aSktV 34ON ) MY COMMISSION EXPIRES so✓l � : s s October 11,2016 COUNTY OF .��- ` . ^-na ' ON THIS DAY personally appeared before me JEANNE MARIE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. GIVEN under my hand and official seal this_day of JQ.lmcu'•( ) , 20114. NOTARY PUBLLIC in and for the State of V1 7 6 I o w e.T c W 4 L t ' CoG eXIr vo (Please prir14 Name of Notary on line above) Residing at ht W 1 , (6A- Page 4 of 5 McMillen BLA 016'_ NORTHWESTERN TERRITORIES, INC. ®R 717 SOUTH PEABODY STREET, PORT ANGELES,WA 98362 t Letter of Transmittal NTI (360)452-8491 1-800-654-5545 FAX 452-8498 www.nti4u.com E-Mail:infoWnti4u.com TO: Jefferson County Dept. of Comm. Dev. DATE: 04/10/14 Attn: Colleen Zmolek ATTN: Colleen Zmolek 621 Sheridan Street Re: Preliminary Boundary Line Adjustment with Additional Port Townsend, WA 98368 Information a Revisions per your comments for Ken a Aimee McMillan. WE ARE SENDING YOU E Attached ❑ Under separate cover via the following items: ❑ Drawing ❑ Prints ❑ Plans ❑ Specifications ❑ Copy of Letter ❑Change order ❑ COPIES DATE NO. DESCRIPTION 1 3/19/14 Paper One (1) Copy -Preliminary Boundary Line Adjustment Map. (with additional) Copy 1 5 pgs. One (1) Statement of Intent for the above mentioned 1 4/2/14 4 pgs. One (1) Plat Certificate THESE ARE TRANSMITTED as checked below: EFor Approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Reviewed by EFor review and comments ❑ REMARKS: If you have any questions or comments please call Kent Robinson, Project Surveyor at the number above or via email at kent @nti4u.com. Sent Via: US Mail CC: SIGNED: Kent Robinson, Project Surveyor By: Tami Brothers If enclosures are not as noted, kindly notify us at once. March 10, 2014 KENNETH L MC MILLEN AIMEE LORRAINE MC MILLEN 2007 OAK BAY RD PORT HADLOCK WA 983398736 RE: SITE ADDRESS: 271 OLD OAK BAY RD CASE#: MLA14-00010 Dear KENNETH L MC MILLEN: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. TC with owner submit Plat certificate CJZ 3'�j' Please submit the above information to the Department of Community Development by June 8, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3) and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety (90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, 1 Department of Co nity Development Staff c: File KENT ROBINSON .r • ©ori4e1 ArATAA, S IJ P v Jt Co hv.j00,3 o l p t o 1\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 3/10/2014 JEFFERSON COUNTY ti 4 DEPARTMENT OF COMMUNITY DEVELOPMENT Q4 621 Sheridan Street• Port Townsend • Washington 98368 srrG 360/379-4450 . 8001831-2678 . 360/379-4451 Fax Boundary Line Adjustment (BLA) Supplemental Application MLA# PROJECT/APPLICANT NAME: Kenneth X. & Aimee L. McMillen Submittal Requirements A completed Master Permit Application.Representative authorization is required if application is not signed by owner. Boundary Line Adjustment application fee, as set forth in the Jefferson County Fee Ordinance,as amended. a. A single application may be submitted for multiple BLAs for adjacent parcels,lots,tracts or sites within a binding site plan. However,standard application fee(s)shall apply to each BLA after the first two per additional parcel, lot,tract or site b. In instances of lot consolidation,standard application fee(s)shall apply based on the number of resulting parcels or lots. Three(3)copies of a clean and legible drawing suitable for recording showing the following: a. The proposed lines for all affected lots,tracts or parcels, indicated by bold solid lines; b. The existing lot,tract or parcel lines proposed to be changed,indicated by light broken lines; c. The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; d. A north arrow indication and scale; e. All assessor's tax parcel numbers for the affected lots,tracts or parcels; 1. The location of the property as to quarter/quarter section; g. The location and dimensions of any easements within or adjacent to any affected lots,tracts or parcels; h. The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private,and other public ways within or adjacent to the affected lots,tracts or parcels; i. The area and dimensions of each lot prior to and following the proposed adjustment; j. The existing onsite sewage system components and reserve areas and the proposed location for onsite sewage systems and soil test pits for all affected lots that are not currently served by an onsite sewage system or other approved wastewater treatment system; k. The location of all existing and proposed water and storm drainage facilities;and I. The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the Boundary Line Adjustment include, or are adjacent to, Environmentally Sensitive Areas (ESA): Notice to Public: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water,septic,bulk and dimensional setbacks, and ESA requirements; m. In cases where the requirement to provide written verification that the resultant lots can accommodate on-site sewage system from the Jefferson County department of environmental health has been waived, the following notice shall be recorded on the drawing: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. BLA APP.00C REV.6/4/2006 Page 1 1 . A copy of any Covenants, Conditions and Restrictions (CC&Rs), deed restrictions, or planned rural residential development (PRRD)agreements pertaining to or affecting the property. If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or municipal sewer system), the applicant shall provide written verification from the Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist after the boundary line adjustment, are adequate to accommodate an on-site sewage disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet environmental health requirements for each resultant lot, tract, or parcel that does not contain a dwelling. An applicant may choose to apply for a Site Plan Approval Advance Determination (SPAAD)to fulfill this requirement. This requirement shall be waived for resultant parcels that: a. Are larger than 2.5 acres; b. Have existing residential structures;or c. Have limited the use of the resultant parcel to agriculture,forestry, or open space through conservation easements, restrictive covenant, or similar legal arrangement. The Open Space Tax program shall not be used to fulfill this requirement. The application shall be accompanied by a current(i.e.,within 30 days)title company certification of the following: a. The legal description of the total parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s)signing the dedication certificate; d. Any ito easements or restrictions and/or affecting recording the number;properties and to be adjusted with a description of purpose and referenced by the auds number e. If lands are to be dedicated or conveyed to the county as part of the subdivision,an American Land Title Association (A.L.T.A.)policy may be required by the director of the department of public works. 1. Please provide a brief description of the purpose of the proposed boundary line adjustment. Adjust Parcels A&B as described below resulting in an equal exchange of land area and providing shoreline access to Parcel B together with tidelands of the second class . 2. Please provide Existing Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets, if necessary.) Parcel A: Parcel A of Boundary Line Adjustment per survey recorded in Volume 33, Page 161-162 records of Jefferson County, Washington. Together with: Tidelans of the second class adjoining the south 100 feet of Government Lot 4, Section 7, Township 29 North, Range 1 East,WM. Parcel B: Parcel B of Boundary Line Adjustment per survey recorded in Volume 33, Page 161-162 records of Jefferson County, Washington. Parcel C: Parcel D: BLA APP.DOC REV,8/4/2008 Page 2 3. Please provide Proposed Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets if necessary.) Parcel A: See Attached Parcel B: See Attached Parcel C: Parcel D: 4. All owners of the subject properties must sign the application below to signify agreement to the proposed boundary line adjustment. The applicants hereby certify that all of the above statements are true and the plot plan provides an accurate representation of the proposed boundary line adjustment, and the applicants hereby acknowledge that any permit issued on this application may be revoked if any such statement is found to be false.t a. 'A/V\ ( b. Date: - 19 Date: — L c. Date: d. Date: BLA APP.DOC REV.8/4/2006 Page 3 THIS BOUNDARY LINE ADJUSTMENT HAS BEEN REVIEWED AND APPROVED BY THE JEFFERSON COUNTY WA. DEPARTMENT OF COMMUNITY DEVELOPMENT. BY: Date Page 5 of 5 McMillen BLA ��eS°N `°o JEFFERSON COUNTS �< DEPARTMENT OF COMMUNITY DEVELOPMENT c� 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment Sir,NG4 Tel:360.3794450 I Fax:360.379.4451 1 Email:dcdtco.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: 1 — _ Project Description(include separate sheets as necessary): Boundary Line Adjustment Tax Parcel Number: 921182011 & 921182006 Property Size: 3.61 / 157,330 (acres/square feet) 2007 Oak Bay Road, Port Hadlock,WA 98339 Site Address and/or Directions to Property: Property Owner(s)of Record: Kenneth A.&Aimee L.McMillen and McMillen Family Revocable Living Trust il.com Telephone: 360 365-0959 Fax: email: Mailing Address: Applicant/Agent(If different from owner): Kent @n[itu.com Address:Telephone: (360)452-8491 Fax: (360)452-8498 email: Mailing ddreSS: Northwestern Territories,Inc.717 South Peabody,Port Angeles,WA.98362 Attn:Kent L.Robinson What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation Critical Areas Stewardship Plan ❑El Demolition ing ❑Variance(Minor, Major or Reasonable Economic Use) ❑ le Permit ❑Single Family ❑Garage Attached/Detached CI Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home Cl Modular ❑Special Use(Essential Public Facilities)*" ❑ Commercial* El Boundary Line Adjustment ❑ Address ❑Road Approach ❑ Change of Use ❑Short Plat** ❑Cottage Industry ❑Binding Site Plan** ❑Home Business 9 CI Long Plat** ❑Propane ane El Planned Rural Residential Development(PRRD)IAmendments** 111 Algn ❑Plat Vacation/Alteration** ❑Allowed ter Management Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑SiormwatA Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use 11 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices El Telecommunication* Jefferson County Shoreline Master Program Amendment ices Act/Release of Six-Year Moratorium CI❑Tree Vegetation Request May require a Pre—Application Conference *" getatio 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 Northwestern Territories, UIc. to act as my agent in matters relating to this application for permit(s). /6�,r l Date: I —a.�F —1'-4 OWNER SIGNATURE By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct tio 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 app 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 app lication 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 applicatign that he or sh wrior n'o Date: �_ 7"1 —t Signature: 1��lr/IV._.[ 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 ant that the actions hat welt deundaw knknown as the because this "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the app 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 l cppliApplicant has acknowledges that and hshe ns and holds individual and non-transferable responsibiliity for adherin to and lying with the ESA. The App Date: a' -dates Signature: 1t// 07/24/2013 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 respons' ity f the General Contractor for the proposed project. Signature: 011- Date. /— 78-13 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: Owner (360 )385-0959 ( ) MAILING ADDRESS: EMAIL: oakbaywash @gmail.com CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360 )385-0959 FAX:( ) MAILING ADDRESS: EMAIL oakbaywash@gmail.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New = Wood Existing: = Sewer Addition _ Steel Proposed: Bank ' Community System Alteration/Remodel Concrete Total: Height: Individual System Repair Masonry SEP Permit# Demolition Other: Bedrooms: Water Supply: Existing: Setback: Private well Two Party Type of Heat: Proposed: Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert reht0 I evotS telleP I knaT retaW toH 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: ' 2nd Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: g1 d__ (All Heated Basement Plan Check fee: t�T J_� c „�,1 1 a Unheated Basement State Surcharge fee: J�K]N l Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: )c----40,13 +_ , is- Receipt Number: /rl 5—ccU— _ VC)- Cash/Check Number: tt ZED 36---1( ' ESTIMATED COST(REQUIRED) Date: / /( .Fair market value of all labor and materials foundation to finish l l Initials: iYlit 1 u) Dcwr t11 A Go■irCLArc- P wrc_ /oral- Gv Arrig -g-- Jr-c l7.'J , 07/24/201 Jefferson Co Dept of Comm Dev WA - Online Payments Page 1 of 1 '- Jefferson County Community Development Dept Step 1:Select Payments Step 2:Review and Submit Step 3:Confirmation and Receipt Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 12638078 Your payment has been authorized successfully and payment will be processed. Jefferson County Department of Community Development thanks you for your payment.For questions about your account,please call 360-379-4452 Thank you for using our bill payment services. Please save or print a copy of this receipt for record keeping purposes. My Bills Description Amount Due Land Use Applications payment of$703.15 on Parcel Number 921182011 $703.15 Subtotal: $703.15 Customer Information Convenience Fee: $20.00 First Name: Kenneth Total Payment: $723.15 Last Name: McMillen Address Line 1: 2007 Oak Bay Rd Address Line 2: City: Port Hadlock State: Washington Zip Code: 98339 Phone Number: 360-385-0959 Email Address: amcmillen3©gmail.com Payment Information Card Number: TT'T"'"*""'4824 Expiration Date: "/" Print 4"51.- I n https://client.pointandpay.net/web/JeffersonCoDeptofCommDevWA 1/29/2014 ri ` NORTHWESTERN TERRITORIES, INC. 1 717 SOUTH PEABODY STREET, PORT ANGELES,WA 98362 �- - Letter of Transmittal NT! (360)4524491 1-800-654-5545 FAX 452-8498 www.nti4u.corn E-Mail:info®nti4u.com TO: Ken &t Aimee Mc Millen DATE: 01/23/14 2007 Oak Bay Rd. ATTN: Mr. Et Mrs. Mc Millen Port Hadlock, WA 98339 Re: Documentation to complete for Boundary Line Adjustment for Oak Bay Rd. Property. WE ARE SENDING YOU E1 Attached ❑ Under separate cover via the following items: ❑ Drawing ❑ Prints ❑ Plans ❑ Specifications ❑ Copy of Letter ❑Change order COPIES DATE NO. DESCRIPTION 1 Not dated 2 pgs. One (1) Original Master Permit Application for Boundary Line Adjustment. yet (Please review, sign Et date all areas indicated and return to NTI) 1 Not dated 5 pgs. One (1) Original Supplemental Boundary Line Adjustment Application. yet w/info. (Please review, sign It date all areas indicated and return to NTI) 1 One (1) Original Statement of Intent for Boundary Line Adjustment. 5 pgs. (Please sign, date Et have notarized. We have 2 notaries in our office if needed. Then return to NTI) 4 1/23/14 1 pg. ea. Four (4) Copies of the Preliminary Map for review. (Please review and let Kent know if you will need any changes made) THESE ARE TRANSMITTED as checked below: ❑ For Approval ❑ Approved as submitted ❑ Resubmit copies for approval El For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Reviewed by ❑ For review Et comments ❑ For your records I3 For review Et signatures REMARKS: If you have any questions, please contact your project manager, Kent Robinson by phone or via email at kent®nti4u.com. Sent Via: US Mail SIGNED: Kent Robinson, Project MQr. by: T. Brothers If enclosures are not as noted, kindly notify us at once. EXISTING LEGAL DESCRIPTIONS PARCEL A (TPN 921 182 006) PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B (TPN 921 182 011) PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD EXISTING LEGAL DESCRIPTIONS PARCEL A (TPN 921 182 006) PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B (TPN 921 182 011) PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD EXISTING LEGAL DESCRIPTIONS PARCEL A (TPN 921 182 006) PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B (TPN 921 182 011) PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD EXISTING LEGAL DESCRIPTIONS PARCEL A (TPN 921 182 006) PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B (TPN 921 182 011) PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD EXISTING LEGAL DESCRIPTIONS PARCEL A (TPN 921 182 006) PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B (TPN 921 182 011) PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD 1 EXISTING LEGAL DESCRIPTIONS PARCEL A (TPN 921 182 006) PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B (TPN 921 182 011) PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD r evenutof e Wdshmgton State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW-CHAPTER 458-61 A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑Check box if partial sale of property If multiple owners,list percentage of ownership next to name. SName McMillen Family Revocable Living Trust (Parcel A) a Nape Kenneth Lawrence McMillen and Aimee Lorraine McMillen of z Kenneth Allen McMillen and Jeanne Marie McMillen Trustees (Parcel B) to Z Mailing Address 2007 Oak Bay Road Y- Mailing Address 2007 Oak Bay Road w O City/State/Zip Port Hadlock,WA 98339 m a City/State/Zip Port Hadlock,WA 98339 Phone No.(including area code) (360)3854959 Phone No.(including area code) (360)385-0959 Send all property tax correspondence to:El Same as Buyer/Grantee List all reel and personal property tax parcel account numbers-check box if personal properly List assessed value(s) Name ------. 921182006(Parcel A) n $256,734.00 Mailing Address 921182011(Parcel 8) n $420,542.00 City/State/Zip n Phone No.(including area code) n Street address of property: 2007 Oak Bay Road,Port Hadlock,WA 98339 This property is located in Jefferson County +❑Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) SEE ATTACHED IIISelect Land Use Code(s): III List all personal property(tangible and intangible)included in selling I1-Househad.single family units I price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ +❑ chapters 84.36,8437,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? YES NO If claiming an exemption,list WAC number and reason for exemption: Is this pecpettydesignated as forest land per chapter 84.33 RCW? ❑ El WAC No.(Section/Subsection) 45841a-109 Is this property classified as amen use(open space.fans and ❑ Reason for exemption agricultund,or timber)land per chapter 84.34? BLA P Is this property receiving special valuation as historical property ❑ Q per chapter 84.26 RCW? If any answers are yes,complete as instructed below, Type of Document BLA (I)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document classification as current use(open space,farm and agriculture,or timber)land, you must sign on(3)below.The county assessor must then determine if the Gross Selling Price S land transferred continues to qualify and will indicate by signing below.If the 'Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax:State $ 0.00 your local county assessor for more information. I 0.0050 Local 5 0.00 This land ❑does ❑does not qualify for continuance. •Delinquent Interest:State $ Local $ DEPUTY ASSESSOR DATE 'Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) 0.00 NEW OWNER(S):To continue special valuation as historic property, Subtotal $ sign(3)below.If the new owner(s)does not wish to continue,all 'State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF 51900 IS DUE IN FEE(S)AND/OR TAX 'SEE INSTRUCTIONS • pg4//)� CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of 0-el'1 1 J TIFlNlrls•, i _�J���t Signature of Grantor or Grantor's Agent c�9.y-yYl(yL' }.}�sL�rantee or Grantee's Agent Name(print) - /I�'�\ Y t/'. / yy<„t.v ,/ Name(prim) Fes`- �• •'�Y"/I�L'U�� Date&city of signing: .0 70(a Date&city of signing: t171 Zn 20 I 7 Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by a free in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A20.020(IC)). REV 84 000m(b/26/l4) THIS SPACE-TREASURER'S USE ONLY DEPT.OF REVENUE When recorded return to: Northwestern Territories, Inc. 717 South Peabody Port Angeles, Washington 98362 BOUNDARY LINE ADJUSTMENT Grantor(s) : Kenneth Allen McMillen and Aimee Lorraine McMillen Grantee(s) : Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust Grantor(s) : Kenneth Allen McMillen and Aimee Lorraine McMillen Grantee (s) : Kenneth Allen McMillen and Jeanne Marie McMillen as Trustees of the McMillen Family Revocable Living Trust EXISTING LEGAL DESCRIPTIONS-BEFORE ADJUSTMENT PARCEL A Assessor's Parcel Number: 921 182 006 PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD PARCEL B Assessor's Parcel Number: 921 182 011 PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TEGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD Page 1 of 5 McMillen BLA BOUNDARY LINE ADJUSTMENT STATEMENT OF INTENT THIS RECORDING IS FOR THE PURPOSE OF ASSISTING WITH A BOUNDARY LINE ADJUSTMENT PURSUANT TO RCW 58.17.040 (6) . IT DOES NOT CREATE ANY ADDITIONAL LOTS, TRACTS, PARCELS, OR A DIVISION AS THE LAND DESCRIBED HEREON SHALL MERGE OR BE INTEGRATED INTO ABUTTING PROPERTY PRESENTLY OWNED BY THE PROPONENTS. NOR DOES THE BOUNDARY LINE ADJUSTMENT RESULT IN ANY LOTS, TRACTS, PARCELS OR DIVISION WHICH CONTAIN INSUFFICIENT AREA AND DIMENSION TO MEET MINIMUM COUNTY AND SANITATION REQUIREMENTS FOR WIDTH AND AREA FOR A BUILDING SITE. Boundary lines subject to adjustment are identified as follows: The Following legal descriptions are for adjustment of Parcels A AND B resulting in an equal exchange of land area and providing shoreline access to Parcel B together with tidelands. NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT PARCEL A PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: AN EASEMENT FOR SEPTIC DRAINFIELD OVER, UNDER AND ACROSS THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: THE EAST 6.31 FEET OF PARCEL B EXCEPT THE NORTH 10.00 FEET THEREOF OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. SUBJECT TO: AN EXCLUSIVE EASEMENT FOR PLANTING AND HARVEST OF AN ORCHARD, INGRESS, AND EGRESS THROUGH, OVER AND ACROSS THE SOUTHERLY PORTION OF PARCEL A AS DEPICTED ON BOUNDARY LINE ADJUSTMENT RECORD OF SURVEY, RECORDED IN VOLUME , PAGE RECORDS OF JEFFERSON COUNTY, WA. TOGETHER WITH AND SUBJECT TO ANY OTHER EASEMENTS OF RECORD. PARCEL B PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE EAST 6.31 FEET EXCEPT THE NORTH 10 FEET THEREOF. TOGETHER WITH: THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. Page 2 of 5 McMillen BLA SUBJECT TO AN EASEMENT FOR SEPTIC DRAINFIED OVER, UNDER AND ACROSS THE NORTH 10. 00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: AN EXCLUSIVE EASEMENT FOR PLANTING AND HARVEST OF AN ORCHARD, INGRESS, AND EGRESS THROUGH, OVER AND ACROSS THE SOUTHERLY PORTION OF SAID PARCEL A AS DEPICTED ON BOUNDARY LINE ADJUSTMENT RECORD OF SURVEY, RECORDED IN VOLUME , PAGE RECORDS OF JEFFERSON COUNTY, WA. TOGETHER WITH AND SUBJECT TO ANY OTHER EASEMENTS OF RECORD. SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed this instrument as of the date written herein below. KENNETH ALLEN MCMILLEN DATE AIMEE LORAINE MCMILLEN DATE ACKNOWLEDGMENT STATE OF ) : ss COUNTY OF ON THIS DAY personally appeared before me KENNETH ALLEN MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. GIVEN under my hand and official seal this day of , 20 NOTARY PUBLIC in and for the State of Residing at My Commission expires Page 3 of 5 McMillen BLA ACKNOWLEDGMENT STATE OF ) ) : ss COUNTY OF ON THIS DAY personally appeared before me AIMEE LORAINE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. GIVEN under my hand and official seal this day of , 20 NOTARY PUBLIC in and for the State of (Please print Name of Notary on line above) Residing at My Commission expires SIGNATURES IN WITNESS WHEREOF, the parties hereinabove named have executed this instrument as of the date written herein below. KENNETH ALLEN MCMILLEN TRUSTEE DATE MCMILLEN FAMILY REVOCABLE LIVING TRUST JEANNE MARIE MCMILLEN TRUSTEE DATE MCMILLEN FAMILY REVOCABLE LIVING TRUST ACKNOWLEDGMENT STATE OF ) : ss COUNTY OF ) ON THIS DAY personally appeared before me KENNETH ALLEN MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that HE signed the same as HIS free and voluntary act. GIVEN under my hand and official seal this day of , 20 NOTARY PUBLIC in and for the State of Residing at My Commission expires Page 4 of 5 McMillen BLA ACKNOWLEDGMENT STATE OF ) : ss COUNTY OF ON THIS DAY personally appeared before me JEANNE MARIE MCMILLEN, known to me to be the INDIVIDUAL described herein and who executed the foregoing document, and acknowledged that SHE signed the same as HER free and voluntary act. GIVEN under my hand and official seal this day of , 20 NOTARY PUBLIC in and for the State of (Please print Name of Notary on line above) Residing at THIS BOUNDARY LINE ADJUSTMENT HAS BEEN REVIEWED AND APPROVED BY THE JEFFERSON COUNTY WA. DEPARTMENT OF COMMUNITY DEVELOPMENT. BY: Date Page 5 of 5 McMillen BLA S � 5� NEW LEGAL DESCRIPTIONS-AFTER ADJUSTMENT PARCEL A PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE NORTH 10. 00 FEET THEREOF. TOGETHER WITH: AN EASEMENT FOR SEPTIC DRAINFIELD OVER, UNDER AND ACROSS THE NORTH 10.00 FEET THEREOF. TOGETHER WITH: THE EAST 6.31 FEET OF PARCEL B EXCEPT THE NORTH 10.00 FEET THEREOF OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD. PARCEL B PARCEL B OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. LESS: THE EAST 6.31 FEET EXCEPT THE NORTH 10 FEET THEREOF. TOGETHER WITH: THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH: TIDELANDS OF THE SECOND CLASS ADJOINING THE SOUTH 100 FEET OF GOVERNMENT LOT 4, SECTION 7, TOWNSHIP 29 NORTH, RANGE 1 EAST, WILLAMETTE MERIDIAN. ' SUBJECT TO AN EASEMENT FOR SEPTIC DRAINFIED OVER, UNDER AND ACROSS THE NORTH 10.00 FEET OF PARCEL A OF BOUNDARY LINE ADJUSTMENT PER SURVEY RECORDED IN VOLUME 33, PAGE 161-162 RECORDS OF JEFFERSON COUNTY, WASHINGTON. TOGETHER WITH AND SUBJECT TO: EASEMENTS OF RECORD. Map Output Page 1 of 1 ArcIMS HTML Viewer Map ` .: . 921013025 ,! 1: ............................ .t . --_ 9210730•• 91' /_,_" .,... i ■ 921073026 .` r y,k ...s. . V. II 921073412 921073006 II Legend 4 92107301 n Selected Features ... 1 4�i 000000260 :. ../ JC_Roads 921182011 d1i.`l�L1 P - ______ ..- - Parcels-H SMP_Shoreline ! 921182011 Cafi•7 Environmental Designations to F ne 921182003 c ! Conservancy ■ ll % Ibge Intensity 921182012 n 4sfuraf Se r}. v-orny Aquatic fShareI ne Rasgenl a! ii921182006 i 4 921182007 92118207 92/182007 Maps ota nded gJettasoi Carty Cams Saimaa CalS .. 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. Fri Mar 07 15:45:49 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 3/7/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map s , 921073007 '1 921073013111 921073013 1--- -- __\ 927073027 1927073027 j.- 921073028 y M1T--_--._.- 11 921073011. 9210)3;.2.. ' 921073026 ,) i.. '`J,``__—.1 r� \ 07 1 9210730169213016 ,'♦ — I II 9210730/2 fs►a 921073012 %.,..,,,. 921073005 1 II 921073014 .... Legend I Selected Features JC_Roads -- `S921782011 °g211gn�;.;- V Parcels-H 1 I 921182011 921182006. Landslide Hazard m ar Slates O IIpn 921182003 I Moderate li \I 5hgh1 921182012 0 as 921182005 a 92118200/ 94-620.2., '2'' )V iLar r✓.Jul:"..ecrlo 1Co.rr,'=n.CJ Sc".',es•a.a 0-25511 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. Fri Mar 07 15:46:23 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 3/7/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map . .\\\ \ 9210730131 1 92.10/ •- / 921073007 J_ 921 02 7 921073027 730 , , 9210730125 k .,„ 921073026 921073016 92107301;.. - - -- -__‘'------ F16.2rAi I I 921073c . ) I 921073012 'IS 1L \ ‘, 921073005 921073014 Legend C 73014 Selected Features li I 000000260 JC_Raads 46"7741rn.."- 921 8201 921182,y.x, i Parcels-H 16 Landslide Hazard 9211820.11 9211820 , 0 ildos me E I \ Hrgh Madt,Mc 921182033 E 1 I S Kiri 9211820/2 i 921182005 -.. - -L :. 921182007 92-8,'... • . -,..., 141415 MCIYAde 4 Cly..G.'0"...01001,tyCenrai9Ernceac.i.s 0■11025511 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. Fri Mar 07 15:46:23 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 3/7/2014 Jefferson County Assessor& Treasurer - Property Details - 23273 KENNETH L MC MI... Page 1 of 1 Jefferson County Assessor & Treasurer Property Search Results >23273 KENNETH L MC MILLEN for Year 2013 -2014 Property Account Property ID: 23273 Legal Description: S18 T29 R1 E TAX 37 BND TGTH THRU BLA#111448 Geographic ID: 921182011 Agent Code: Type: Real Tax Area: 0211 -1-49F1 E1 H2L1 Land Use Code 1100 Open Space: DFL Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 2007 OAK BAY RD Mapsco: PORT HADLOCK,WA Neighborhood: S18&S19 T29N R1E;SKYWATER LLS;OAK/HOG/FIN/DON/GLAV S.P.S Map ID: Neighborhood CD: 3250 Owner Name: KENNETH L MC MILLEN Owner ID: 22249 Mailing Address: AIMEE LORRAINE MC MILLEN %Ownership: 100.0000000000% 2007 OAK BAY RD PORT HADLOCK,WA 98339-8736 Exemptions: Taxes and Assessment Details Property Tax Information as of 03/07/2014 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due fr Statement Details 2014 13166 $2185.44 $2184.85 $0.00 $0.00 $0.00 $4370.29 fr Statement Details 2013 13231 $2150.51 $2149.92 $0.00 $0.00 $4300.43 $0.00 Values Taxing Jurisdiction Improvement/Building Property Image Land • Roll Value History Deed and Sales History Payout Agreement Website version:9.0.32.2200 Database last updated on:3/7/2014 4:52 AM ©2014 True Automation,Inc.All Rights Reserved.Privacy Notice http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&prop_id=23273 3/7/2014 Parcel Print Page 1 of 1 Parcel Number:921182011 06/24/2011 Owner Mailing Address: KENNETH LMC MILLEN AIMEE LORRAINE MC MILLEN 2007 OAK BAY RD PORT HADLOCK WA 983398736 Site Address: 2007 OAK BAY RD PORT HADLOCK 98339 Section: 18 School District: Chimacum (49) Qtr Section: NW 1/4 Fire Dist: Chimacum(1) Township: 29N Tax Status: Taxable Range: 1E Tax Code: 211 Planning area: Tri-Area(4) Sub Division: Land Use Code: 1100 - HOUSES (single units, non-farm) 113099 RERECORD Property Description: S18 T29 R1E I TAX 37 I BND TGTH THRU BLA#111448 y w http://wv.co.j efferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL_NO=921182011+... 3/7/2014 Jefferson County Assessor& Treasurer - Property Details - 23269 MC MILLEN REVOC... Page 1 of 1 Jefferson County Assessor&Treasurer Property Search Results > 23269 MC MILLEN REVOCABLE TRUST for Year 2013 -2014 Property Account Property ID: 23269 Legal Description: S18 T29 ME TAX 35TLTAXO (S100')IN S7 BND TGTH THRU BLA#111448 Geographic ID: 921182006 Agent Code: Type: Real Tax Area: 0211-1-49F1 E1 H2L1 Land Use Code 1100 Open Space: DFL Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 291 YARR RD Mapsco: PORT HADLOCK,WA Neighborhood: S18&S19 T29N R1 E;SKYWATER LLS;OAK/HOG/FIN/DON/GLAV S.P.S Map ID: Neighborhood CD: 3250 Owner Name: MC MILLEN REVOCABLE TRUST Owner ID: 89983 Mailing Address: KENNETH MC MILLEN TRUSTEE %Ownership: 100.0000000000% JEANNE MC MILLEN TRUSTEE 11609 33RD CT NE LAKE STEVENS,WA 98258-8741 Exemptions: Taxes and Assessment Details Property Tax Information as of 03/07/2014 Amount Due if Paid on: .7. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details"to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due I. Statement Details 2014 13162 $1338.76 $1338.15 $0.00 $0.00 $0.00 $2676.91 Statement Details 2013 13227 $1308.23 $1308.15 $0.00 $0.00 $2616.38 $0.00 Values Taxing Jurisdiction Improvement/Building Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version:9.0.32.2200 Database last updated on:3/7/2014 4:52 AM ©2014 True Automation,Inc.All Rights Reserved. Privacy Notice http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&prop_id=23269 3/7/2014 Parcel Details Page 1 of 2 Jefferson County Weather Station ` Database Tools EMINIIIII Home County Info ••Departments :• Search Parcel Number: 921182006 SEARCH Parcel Number: 921182006 Printer Friendly Owner Mailing Address: KENNETH MC MILLEN TRSTE JEANNE M MC MULLEN TRSTEE MC MILLEN REV TRUST 11609 233RD CT NE LAKE STEVENS WA982588741 Site Address: 291 YARR RD PORT HADLOCK 98339 Section: 18 School District: Chimacum (49) Qtr Section: NW1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: Taxable Range: 1E Tax Code: 211 Planning area: Tri-Area (4) Sub Division: Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: S18 T29 R1E I TAX 35 I TL TAX O(S100') IN S7 I BND TGTH THRU BLA#111448 I Click on photo for larger image. r Aiti?_ - , Permit Data Assessor Bldg Data Map Parcel Plats &Surveys Tax,A/V. Sales Info Septic Monitoring Info /4?ii. Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=921182006 3/7/2014 h. D -1 X X Iv O -I fi X -1 -1 CD C) -. -_ CD -0 C/) 0) X O_ CD r+ X 0) C) 7 -O 0) 0 - -O 7 -I C) 0) < O_ CD 0) C) CD S 3 cc -- (D CC CD CD C7 (D r+ O CD - 7 7C X -5 E -3 -- CD 3 0 7 tt (C co - N CD C7 -4 - - -5 o_ 0 0 N -1. O .r O O O CD 3 CD a, C") N 3 CO 0) N -4 O C CO 0 O r+ D) 3 N D 7C C7\ rF C) OD -1 CO Ci) Z D CD 73 0 X z X \\ CD CO 3 0 x CO 0 -1 -.J m 2 O \\CO 1--I 2 0 m m —m CD'. X I- C- -1 w -1 CI C-3 --.1 RI a 7D M D D r 2 -1 \ m -1 CO D 3 O X O m 2 2 N r o r 1— H m co co co 70 D D -i N Q) C7 D D 3 O X 7C 2 ni - -- 7C -< H C7 O D m X O S Z 2 m 7) co 1— Z co f1-1 3 m Z N m m m o 73 O. g 0 3 1- CO rn -1 I- -4 -1 D C7 r = D IV -< x in M tt 3 Z r-i r 0 3 7 Co f-i Z f D CL CO r o c, r co o co rn O or -P —i E co m x c 7 -4 m CO 2 O_ CO 7D I C3 OD o c O_ CO GJ CD CD CS) O C7 3 v -0 r O 73 O Z rn C7 CD 0 0- D C!) 7• 7' T C I CO CO H O_ r+ O O O rn N C O C7 7 Z m r+ o_ ao 3 CL 0 -5 0 0 r ca _ °- o m L C.0 f V CD- ID 0 H CA3 O H T Z O PO T D CC O c O H co 73 D —I X )E -b 0) co —I -b X —I —I O 0 -- -- 0) -0 CO O X C1 C7 rt X 0) CJ -5 "0 0) 0 - "0 -3 -5 O 0) < 0 CD 0) C) CD 7" X CC -- CD CC CD CD C) CD r+ O CD 7 7c * -3 E -. co 3 0 7 4 C w N CD C7 -P -r -3 0_ O O O O IV O 3 CD C7 CV 3 CO 03 N -A O O O C CO N 01 O r+ - 0) X 1— — 3 L 7c C) r+ co 0] -i H CO 07 D - C) rn rn O -0 C Z I- D -■ CD 7c D) D Z 3 0) CO 3 o x CO o m O X Z Z -o CO H H CD H Z rn r CD -I r -1 D C.+) -1 C3 x co r m —I m x r G) x CO no O_ m C7 —i no r x -1 m - CD D 3 m c) m 3 m Z x O no r o C 4) Z D -i ^ x CD rn MI 3 D D - -1 CO N 73 0) Z o 03 C) X 0 . DC x = f m f x .. CO rn C) 0 D CO 0 C O C) C X 03 07 ---1 C O Co M - C 3 m r m • ro rn 7 -1 r H co m _ a) `. O ao n M z ao r I— co r 41. � D m c m r 7C D H CV -< X u) z m "X rn 4 z —. -1 Z H Z O 3 7 CD -1 Z Z - O CO C1 Co 73 -1 0 C) r m o r co x O 0) -1 - -1 E Cn —I co M c 7 x 41. m o rn —I a co a3 I m rn C) D co o C y 0- CO CD CD 0 O -1 -1 C7 -0 v r 3 O Z 0 M C7 C7 O Cr D ti CO 7" 7- S C I CO f0 H d H- co r) Cl 0 H C Cl C) rn XI 3 7 Z CO I-1- n 0 0 CZ CI -) - I- CO - 0. 0 rn C v ro CD • 1) D - CO O O O H L T Z 0 N T D a o c H C) 03 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 921182006 Printed: February 7, 2014 Cases Name Review Status Planner Type SUB07-00011 MLA07-00188 MC MILLEN TRTEE I F Michelle Farfan Application Received: 4/18/2007 Permit Issued/Case closed: 10/24/2008 Case Finaled: 10/24/2008 Boundary Line Adjustment 1.) The proposal complies with JCC Title 18.35.060.1(a) in that the proposal is to create more suitable building lots. 2.) Consistent with JCC Title 18.35.060.2(a), the proposal will not create an additional lot, tract, or parcel. 3.) Consistent with JCC Title 18.35.060.2(b), the proposal is not within a binding site plan. 4.) Consistent with JCC Title 18.35.060.2(c), the proposal will not relocate an entire lot, tract, or parcel from one parent parcel into another parent parcel. 5.) Consistent with JCC Title 18.35.060.2(d), the proposal does not cross zoning district boundaries. 6.) Consistent with JCC Title 18.35.060.2 (e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. 7.) Consistent with JCC Title 18.35.060.2 (f), the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 8.) Consistent with JCC Title 18.35.060.6, the proposal does not involve more than two lots, tracts or parcels that have been subject to a boundary line adjustment process within the last five years. 9.) Approval of this Boundary Line Adjustment does not guarantee the approval of any future county permits and/or approvals. 10.) The following notice shall be placed on the final survey mylar. JEFFERSON COUNTY NOTICE TO PUBLIC Current Jefferson County Geographic Information System (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard area, erosion, aquifer recharge area, SIPZ, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County Department of Community Development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee issuance of a building permit within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 11.) The following notice shall be placed on the final survey mylar: JEFFERSON COUNTY NOTICE TO PUBLIC Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. Applications for septic and building permits will be reviewed at time of submittal of such application for consistency with current state and county codes and ordinances. 12.) CONSISTENT WITH RCW 84.56.345 CURRENT YEAR AND ALL DELINQUENT PROPERTY TAXES SHALL BE PAID PRIOR TO RECORDING THE STATEMENT OF INTENT. 13.) The final record of survey document shall contain the following signature blocks: (1) The Jefferson County Assessor's Office, to be signed by the Jefferson County assessor or his/her designee; and (2) The Department of Community Development, to be signed by the administrator. 14.) The following statement shall be placed on the face of the final survey mylar: For legal descriptions of Parcels A and B before and after Boundary Line Adjustment and the Statements of Intent see AFN 15.) Consistent with JCC Title 18.35.080 (3), the applicant/surveyor is responsible for recording the Statement of Intent with the Jefferson County Auditor and referencing said statement of Intent AFN on the face of the survey. 16.) The survey mylar and applicable recording fee($108 plus $5 per each additional page) payable to the Jefferson County Auditor shall be submitted to the Department of Community Development for department signatures and recording of said mylar. 17.) An Excise Tax Affidavit will need to be completed for the Statement of Intent. An Excise Tax Affidavit is also required for every document that will be recorded such as Quit Claim Deeds or Statutory Warranty Deeds. It is the applicants' responsibility to file these instruments with Jefferson County Auditor in order to convey the ownership of the adjusted land. 11tidemarkl data\forms\R_MLT_Parcel_Cond.rpt 2/7/2014 Page 1 of 3 Cases Name Review Status Planner Type 18.) The application was reviewed by the Jefferson County Department of Community Development staff on May 1, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: suburban shoreline designation; landslide hazard area 3; coastal SIPZ. 19.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 20.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 21.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 22.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 23.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(2)0). 24.) This approval is for a Boundary Line Adjustment only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 25.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 26.) Geologically HazardousAreas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. SUB14-00002 MLA14-00010 MC MILLEN P Application Received: 2/5/2014 Permit Issued/Case closed: Case Finaled: Boundary Line Adjustment between 921182011 and 921182006 No findings, conditions, or permissions found. RAP07-00045 MC MILLEN TRTEE F Application Received: 4/3/2007 Permit Issued/Case closed: 8/13/2008 Case Finaled: 2/24/2010 RAP & 911 -Oak Bay Rd 1.) The Applicant may install a private road approach to#2007 Oak Bay at mile post 2.00 left. 2.) An approach culvert is not necessary at this location at this time; however, if drainage becomes a problem here in the future the county reserves the right to require one. The approach shall have a 10 to 16 foot wide driveway with a minimum 25 foot approach radius. 3.) The applicant must place a minimum of 2 inches of crushed surfacing to the right- of-way line. 4.) This approval is for a road approach only and does not constitute approval of other activities within the right of way or on this parcel. 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.) The Applicant must contact the Public Works Department for a final inspection. 6.) The applicant shall be responsible for maintaining all vegetation on their property to maintain the minimum sight distance requirement for this location. PRJ10-00049 MC MILLEN TRTEE F Application Received: 2/18/2010 Permit Issued/Case closed: Case Finaled: parcel B of BLA completed 7/3/08 AFN 535052 AND 535395. No findings, conditions, or permissions found. SEP07-00284 MC MILLEN TRTEE F Application Received: 7/31/2007 Permit Issued/Case closed: 7/25/2008 Case Finaled: 9/29/2009 parcel B of BLA completed 7/3/08 AFN 535052 AND 535395. 11 tidemark\data\forms\R_MLTParcel Cond.rpt 2/7/2014 Page 2 of 3 Cases Name Review Status Planner Type 1.) Approval/issuance of a sewage disposal permit does not guarantee the approval of other development or a building permit on this site. Compliance with other Jefferson County and Washington State Codes is required. 2.) H - AS PER WAC 246-272AAND JEFFERSON COUNTY CODE 8.15 ALL SYSTEMS REQUIRE MONITORING. THIS SEWAGE DISPOSAL SYSTEM WILL REQUIRE AN ACTIVE MONITORING AGREEMENT RECORDED TO THE PROPERTY TITLE PRIOR TO FINAL APPROVAL OF THE SEWAGE DISPOSAL SYSTEM. 3.) As per Jefferson County Code 8.15 all onsite sewage systems require monitoring. Monitoring shall be provided by an approved entity. THIS SYSTEM IS REQUIRED TO BE INSPECTED PER JEFFERSON COUNTY CODE 8.15 AS ADOPTED OR AMENDED. 4.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 5.) Designer must be contacted prior to start of construction and for inspections during installation. DESIGNER IS REQUIRED TO DO A PRECOVER INSPECTION ON ALL TYPES OF SYSTEMS. 6.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 7.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 8.) Before final approval is given, the designer shall provide an operations and maintenance manual to the property owner and the Health Department. The manual must instruct the owner of the on site sewage system on the ways to properly operate and maintain all components of the system. 9.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. 10.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 11.) Setback to surface waters- 100' required from drainfield and reserve areas. 50' required from tanks. 12.) Dry season installation required. 13.) When/if designated reserve area is utilized an alternative system providing an additional level of treatment may be required. 14.) A 30' setback shall be maintained from the disposal component and reserve area to any downslope footing, curtain or interceptor drain or drainage ditch. 15.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 16.) H - Permanent barriers are required along/around primary and reserve drainfield areas to protect from parking, driving, and other land disturbing activities prior to final. 17.) Drainlines are to be installed along the natural contours. 18.) Contact designer prior to installation for staking of drainfield area. 19.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 20.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. 21.) Septic tank and pump chamber to be water tight. Extra protection (i.e. Bentonite) to be used around inlet, outlet, and risers due to high water table. 22.) Dose counter and elapsed time meter are required in the control panel for all system components. 23.) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Unified Development Code for other/future development on the site. 24.) This system as designed and approved is sized for only one single family residence. It is not sized for an Accessory Dwelling Unit(ADU). The minimum daily design flow per residence is 240 GPD. 25.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 26.) The application was reviewed by Jefferson County staff for the presence of Environmentally Sensitive Areas (ESAs) and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. Future proposals will be subject to a new ESA review and conditions may be added if ESAs are found on the property. SOM07-00284 MC MILLEN TRTEE FIN Application Received: 9/29/2009 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 2/7/2014 Page 3 of 3 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 921182006 Printed: February 7, 2014 Cases Name Review Status Planner Type SUB07-00011 MLA07-00188 MC MILLEN TRTEE I F Michelle Farfan Application Received: 4/18/2007 Permit Issued/Case closed: 10/24/2008 Case Finaled: 10/24/2008 Boundary Line Adjustment 1.) The proposal complies with JCC Title 18.35.060.1(a) in that the proposal is to create more suitable building lots. 2.) Consistent with JCC Title 18.35.060.2(a), the proposal will not create an additional lot, tract, or parcel. 3.) Consistent with JCC Title 18.35.060.2(b), the proposal is not within a binding site plan. 4.) Consistent with JCC Title 18.35.060.2(c), the proposal will not relocate an entire lot, tract, or parcel from one parent parcel into another parent parcel. 5.) Consistent with JCC Title 18.35.060.2(d), the proposal does not cross zoning district boundaries. 6.) Consistent with JCC Title 18.35.060.2 (e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. 7.) Consistent with JCC Title 18.35.060.2 (f), the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 8.) Consistent with JCC Title 18.35.060.6, the proposal does not involve more than two lots, tracts or parcels that have been subject to a boundary line adjustment process within the last five years. 9.) Approval of this Boundary Line Adjustment does not guarantee the approval of any future county permits and/or approvals. 10.) The following notice shall be placed on the final survey mylar: JEFFERSON COUNTY NOTICE TO PUBLIC Current Jefferson County Geographic Information System (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard area, erosion, aquifer recharge area, SIPZ, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County Department of Community Development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee issuance of a building permit within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 11.) The following notice shall be placed on the final survey mylar: JEFFERSON COUNTY NOTICE TO PUBLIC Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. Applications for septic and building permits will be reviewed at time of submittal of such application for consistency with current state and county codes and ordinances. 12.) CONSISTENT WITH RCW 84.56.345 CURRENT YEAR AND ALL DELINQUENT PROPERTY TAXES SHALL BE PAID PRIOR TO RECORDING THE STATEMENT OF INTENT. 13.) The final record of survey document shall contain the following signature blocks: (1) The Jefferson County Assessor's Office, to be signed by the Jefferson County assessor or his/her designee; and (2) The Department of Community Development, to be signed by the administrator. 14.) The following statement shall be placed on the face of the final survey mylar: For legal descriptions of Parcels A and B before and after Boundary Line Adjustment and the Statements of Intent see AFN 15.) Consistent with JCC Title 18.35.080 (3), the applicant/surveyor is responsible for recording the Statement of Intent with the Jefferson County Auditor and referencing said statement of Intent AFN on the face of the survey. 16.) The survey mylar and applicable recording fee($108 plus $5 per each additional page) payable to the Jefferson County Auditor shall be submitted to the Department of Community Development for department signatures and recording of said mylar. 17.) An Excise Tax Affidavit will need to be completed for the Statement of Intent. An Excise Tax Affidavit is also required for every document that will be recorded such as Quit Claim Deeds or Statutory Warranty Deeds. It is the applicants' responsibility to file these instruments with Jefferson County Auditor in order to convey the ownership of the adjusted land. 11 tidemark\data\forms\R_MLT_Parcel_Cond.rpt 2/7/2014 Page 1 of 4 Cases Name Review Status Planner Type 18.) The application was reviewed by the Jefferson County Department of Community Development staff on May 1, 2007 for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: suburban shoreline designation; landslide hazard area 3; coastal SIPZ. 19.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals(primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 20.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 21.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 22.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 23.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(2)(j). 24.) This approval is for a Boundary Line Adjustment only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 25.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 26.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. BLD08-00065 MLA08-00064 KEN MCMILLEN I F Michelle Farfan Application Received: 2/15/2008 Permit Issued/Case closed: 7/31/2008 Case Finaled: 2/22/2010 NEW SFR W/A/G 250 GAL PROPANE TANK REVISION 1/28/09 -CHANGE UNHTD TO HTD BASEMENT&ADD 600 SF UNHTD ATTIC STORAGE 1.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM KATE WADDELL, NTI STATING THAT THE STORMWATER FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE "DRAINAGE &EROSION CONTROL REPORT" DATED July 28, 2008 AS SIGNED BY KATE WADDELL OF NTI. 2.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT WRITTEN LETTER FROM THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT DATED JULY 3, 2007 BY NTI STATING THAT THE STRUCTURE AND/OR FACILITIES HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on May 27, 2008 for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: suburban shoreline designation; coastal SIPZ. 4.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals(primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 2/7/2014 Page 2 of 4 Cases Name Review Status Planner Type 5.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 7.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 8.) The applicant is proposing to create or add 3470 square feet of impervious surface and 2880 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements #1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9.) An Engineered Stormwater Site Plan prepared by NTI dated July 28, 2008 has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 10.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 11.) The revised site plan dated June 16, 2008 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 July 30, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a single family residence with 250 gallon above-ground propane tank 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. 13.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage)yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage)yards. In no case, shall any such junk motor vehicles be stored in a critical area. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) Minimum setback from Oak Bay Road right-of-way shall be 20 feet. Minimum north and south property setbacks shall be 5 feet. Minimum shoreline setback as identified on the submitted and approved site plan is 297 feet from the shoreline. 19.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 20.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 21.) The building height is not to exceed 35 feet. 22.) An address of 2007 Oak Bay Road, Port Hadlock has been assigned to the parcel. Oak Bay Road is a county major collecor(C569908). 23.) The parcel is served by the Quimper public water system. 24.) A septic permit(SEP07-0284)was issued on July 25, 2008. A boundary line adjustment(SUB07-0011)was finaled on July 3, 2008. 25.) A Geotechnical Report dated July 3, 2007 and an Addendum dated July 7, 2008 prepared by NTI was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. \\tidemark\data\forms\R MLT_Parcel_Cond.rpt 2/7/2014 Page 3 of 4 Cases Name Review Status Planner Type 26.) A Declaration of Restrictive Covenant has been recorded on July 23, 2008 under AFN 535878 for the purpose of restricting the septic capacity to a maximum three bedrooms. 27.) A Hold Harmless Indemnification Covenant has been recorded on July 31, 2008 under AFN 536102 due to the parcel being located within and/or near a large earth movement and slow downslope creep. SUB14-00002 MLA14-00010 MC MILLEN P Application Received: 2/5/2014 Permit Issued/Case closed: Case Finaled: Boundary Line Adjustment between 921182011 and 921182006 No findings, conditions, or permissions found. RAP07-00045 MC MILLEN TRTEE F Application Received: 4/3/2007 Permit Issued/Case closed: 8/13/2008 Case Finaled: 2/24/2010 RAP &911 - Oak Bay Rd 1.) The Applicant may install a private road approach to#2007 Oak Bay at mile post 2.00 left. 2.) An approach culvert is not necessary at this location at this time; however, if drainage becomes a problem here in the future the county reserves the right to require one. The approach shall have a 10 to 16 foot wide driveway with a minimum 25 foot approach radius. 3.) The applicant must place a minimum of 2 inches of crushed surfacing to the right-of-way line. 4.) This approval is for a road approach only and does not constitute approval of other activities within the right of way or on this parcel. 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.) The Applicant must contact the Public Works Department for a final inspection. 6.) The applicant shall be responsible for maintaining all vegetation on their property to maintain the minimum sight distance requirement for this location. SEP77-00161 MC MILLEN F Application Received: 2/9/1977 Permit Issued/Case closed: Case Finaled: 8/21/2007 parcel A of BLA completed 7-3-08 AFN535052 & 535395, reserve area designated on Parcel B #921073020 portions of this system are located on parcel#921073014 No findings, conditions, or permissions found. ICI 11tidemarkldata\forms\R MLT_Parcel_Cond.rpt 2/7/2014 Page 4 of 4 11131\11 iliiiiiiii P35052,9,, AFTER RECORDING MAR.TO: 4fierson County Excise ax Nom KENNETH MrMR1.EN Aff # +�1 4 c, Date �li.r,�i Tax$ ales Amt$ & Address t73'OA1 BAY ROAD f3' AIL ..._*L.. Deputy Treasurer C,ry/Sane: PORT AADLOCK,WA 98339-9726. Statement of intent-Boundary Line Adjustment �. r Grantor(s): - 1. Kiel hAlletlMcMi7lenand Jeanne Marie}k il1en,asTrustees ,, Revocable living Tnai,dated Apr15,2004,as owner of Parcels Aare B 2. Mare Mmateyand LyrneRowrson,Co-TnsbesoftheMarc Mauney., r�t�s3(L\� 35P l4i Revocable Living Trust,as owner ofPareel C. Grantee(s): 1. Kenneth Allan McMillen and Jearale Marie McMillen,as Times. n Family Revocable Living Trust,dated Apnl5,2004, as owner of ••, .' • : described. 2. MarcMa taryandLynneRogeson,Co-Tnateesof atldLynneRogerson Revocable Living Trust,asocvrlerof Parcel C. Legal Description:Parcels involved in the adjustment are cu ,•,. , .'bed as follows(include Assessor's Property Tax Parcel Account Numbers* PARCEL A(921-182-006): THAT PORTION OF GOVERNMENT LOT 1, • "SN 18,TOWNSHIP 29 NORTH, RANGE I EAST,WILLAMETTE MERID.• , DEN. Li:ED AS FOLLOWS: BEGINNING AT THE MEANDER CO' ' EN SECTIONS 7 AND 18 OF TOWNSHIP 29 NORTH,RANG ' . I NCE WEST ON THE COMMON SECTION LINE, 554 FEET TO ' t ,'`13wST CORNER OF GOVERNMENT LOT 1 OF SAID SECTION 18;THENCE Se.111 . 8 FEET;THENCE EASTERLY TO THE MEANDER LINE AT A POINT . ,MORE OR LESS,SOUTH OF THE POINT OF BEGINNING;AND THE NOR 1 •• ' L MITS OF THAT PROPERTY DESCRIBED IN JEFFERSON COUNTY/AiD .0' NUMBER 114458; THENCE NORTH ALONG THE MEANDER LI �0 t 'a 4i aF BEGINNING;SAID LAND BEING COMMONLY KNO � • • OF SAID SECTION 18,UPON THE ASSESSOR'S TAX ROLLS. EXCEPTING T:I y, r ;li,_) •T PORTION LYING WESTERLY OF THE EASTERLY MAR. • T I +AK BAY COUNTY ROAD. SITUATE IN T r• -5 OF JEFFERSON,STATE OF WASHINGTON. P•.�_ EL B i i t ___........ THE SO - t'1 'OF GOVERNMENT LOT 4,SECTION 7,TOWNSHIP 29 NORTH, RANGE ILLAMETTE MERIDIAN, LYING EAST OF COUNTY ROAD. OG' 8:1..' ` ' : TIDELANDS ADJOINING THERETO. 1•. 1•. a Y AND ALL COVENANTS,RESTRICTIONS,RESERVATIONS, EA vi S,LIABILITIES,AND ANY OTHER MAI 1ERS OF RECORD,INCLUDING :UT N s IMTIED TO,THOSE MAI 1 ERS CONTAINED IN AUDITOR'S FILE NO. 4 .. 0 SITUATE IN THE COUNTY OF JEFFERSON,STATE OF WASHINGTON. PARCEL C(921-182-012): McMILLEN REVOC.LIVING TRUST/MAUNEY-ROGERSON REVOC.LIVING TRUST-PAGE 1 OF 7 11111E1111111111 IN 111 1 X5,2 ea Page 2 THAT PORTION OF THE NORTH 12 3/4 THS ACRES OF EVEN WIDTH OF GOVERNMENT LOT 1, SECTION 18,TOWNSHIP 29 NORTH,RANGE 1 EAST, WILLAMETTE MERIDEIAN,DESCRIBED AS FOLLOWS; BEGINNING AT THE MEANDER CORNER BETWEEN SECTIONS 7 AND 18,IN SAID TOWNSHIP AND RANGE;THENCE WEST ON SECTION LINE,554 FEET TO THE NORTHWEST CORNER OF SAID GOVERNMENT LOT 1;THENCE SOUTH 168 FEET TO THE TRUE POINT OF BEGINNING;THENCE SOUTH 600 FEET;THENCE EAST 850 FEET TO THE MEANDER LINE;THENCE NORTH 22°WEST ALONG SAID MEANDER LINE 600 FEET;THENCE WESTERLY 620 FEET,MORE OR S,TO THE TRUE POINT OF BEGINNING; EXCEPT RIGHT OF WAY FOR OAK BAY ROAD AND OLD OAK B SITUATE IN THE COUNTY OF JEFFERSON,STATE OF WAS II ti• N. Boundary line subject to adjustment descn'bed as follows(new legal .. ' I tDtioul REVISED PARCEL B: THAT PORTION OF THE FOLLOWING DESCRIBED ' ' Z1' ': THAT PORTION OF THE NORTH 12 3/4 THS AC • E"Ii IsoTH OF GOVERNMENT LOT 1, SECTION 18,To II. 2• ORTH,RANGE I EAST, WILLAMETTE MERIDIAN DESCRIBED A. FOLL•W BEGINNING AT THE MEANDER CORNER BE • I'ONS 7 AND 18 OF TOWNSHIP 29 NORTH,RANGE 1 EAST,W.M.;T II - - -' ST ON THE COMMON SECTION LINE, 554 FEET TO THE NO• •-WEST CORNER OF GOVERNMENT LOT 1 OF SAID SECTION 18;THENCE SOUT• .. ". T; THENCE EASTERLY TO THE MEANDER LINE AT A POINT 225 FEET, a: a: LESS,SOUTH OF THE POINT OF BEGINNING;AND THE NORTHERLY • •• • •T PROPERTY DESCRIBED IN JEFFERSON COUNTY AUDITOR'S F I. :• 114458; THENCE NORTH ALONG THE MEANDER LINE TO THE I •• • �• ING; TOGETHER WITH THE SOUTI T • .•VERNMENT LOT 4,SECTION 7, TOWNSHIP 29 NORTH,RANGE I E LAMETTE MERIDIAN. LYING NORTHERLY AND ' 1,Y OF THE FOLLOWING DESCRIBED LINE: COMMENCING AT�-'I� •' CORNER OF SECTION 18,TOWNSHIP 29 NORTH,RANGE] T •; I MERIDIAN,FROM WHICH THE MEANDER CORNER ON THE O' .I • . I ITS OF SAID SECTION 18,TOWNSHIP 29 NORTH,RANG S , • L• I TTE MERIDIAN,BEARS SOUTH 88°35•50" EAST,AND LIE. 1,: '.41 E DISTANT;THENCE SOUTH 88°35'50"EAST,A DISTANCE OF 1 '0.01 1 ET, "O THE NORTHWEST CORNER OF GOVERNMENT LOT 1,OF SAID S •N ';THENCE SOUTH 01°22'29"WEST,ALONG THE WESTERLY L I'I TS a S• • GOVERNMENT LOT 1,A DISTANCE 170.99 FEET TO A POINT ON S'1 s ■RLY LIMITS OF SAID GOVERNMENT LOT 1,WHICH BEARS NOR 7219 5 WEST FROM THE WESTERLY CORNER OF AN EXISTING EAST-WEST • C THAT LIES EASTERLY OF THE OAK BAY COUNTY ROAD, • • '' POINT OF BEGINNING;THENCE SOUTH 86°37'56"EAST, ALON A r r - • .WEST EXTENTION OF SAID FENCE LINE,A DISTANCE OF 27.36 'ET∎ 0 1.1 E• TERLY MARGIN OF THE OAK BAY COUNTY ROAD;THENCE • r ■ I c-.OUTH 86°37'56"EAST,ALONG SAID EAST-WEST FENCE LINE,A ■ • 344.05,THENCE NORTH 04°15'03"WEST,A DISTANCE OF 285.12 FEET' • • POINT ON THE NORTHERLY LIMITS OF SAID SOUTH 100 FEET OF • • • 0I• I NT LOT 4 OF SAID SECTION 7,FROM WHICH THE NORTHEAST O'. ' •F SAID SOUTH 100 FEET AT THE INTERSECTION WITH THE MEANDER L e SAID SECTION,BEARS SOUTH 88°35'50"EAST,AND TERMINUS OF THIS DESCRIBED LINE. McMILLEN REVOC.LIVING TRUST/MAUNEY-ROGERSON REVOC.LIVING TRUST—PAGE 2 OF 7 1 IFIIUII 08/238008 10:tea i.,•..•.... -._...e.. rr,emru e,.cc ur., o n ee EXCEPTING THEREFROM,THAT PORTION LYING WESTERLY OF THE EASTERLY MARGIN OF THE OAK BAY COUNTY ROAD AND OLD OAK BAY COUNTY ROAD. SUBJECT TO ANY AND ALL COVENANTS,RESTRICTIONS,RESERVATIONS, EASEMENTS,LIABILITIES,AND ANY OTHER MATTERS OF RECORD,INCLUDING BUT NOT LIMTIED TO,THOSE MATTERS CONTAINED IN AUDITOR'S FILE NO. 426270. SITUATE IN THE COUNTY OF JEFFERSON,STATE OF WASHINGTON. REVISED PARCEL A: THAT PORTION QF THE FOLLOWING DESCRIBED PROPERTY: THAT PORTION OF THE NORTH 12 3/4 THS ACRES OF EVEN WID GOVERNMENT LOT 1, SECTION 18,TOWNSHIP 29 NORTH, ' • • •ST, WILLAME 1 fE MERIDIAN DESCRIBED AS FOLLOWS: BEGINNING AT THE MEANDER CORNER BETWEEN SECTI S 7 8 OF TOWNSHIP 29 NORTH,RANGE 1 EAST,W.M.;THENCE i •MMON SECTION LINE, 554 FEET TO THE NORTHWEST CO• y' • '��7 NT LOT 1 OF SAID SECTION 18;THENCE SOUTH 168 FEET; I %A.TERLY TO THE MEANDER LINE AT A POINT 225 FEET, MORE O: S S.." •F THE POINT OF BEGINNING;AND THE NORTHERLY LIMITS a F I •T P' : •TY DESCRIBED IN JEFFERSON COUNTY AUDITOR'S FILE M1: re 1144 :: I CE NORTH ALONG THE MEANDER LINE TO THE PO • BEG ' G; TOGETHER WITH THE SOUTH 100 FEET OFGO":I_ r..." LOT 4, SECTION 7, TOWNSHIP 29 NORTH,RANGE 1 EAST,WILLAME I RIDIAN,LYING EAST OF COUNTY ROAD. LYING NORTHERLY OF THE FOLLO CRIBED LINE: COMMENCING AT THE NORTHWE F SECTION 18,TOWNSHIP 29 NORTH,RANGE 1 EAST,WILLAME 444Ile • ,FROM WHICH THE MEANDER CORNER ON THE NOR I • tl■ h I 'S e SECTION 18,TOWNSHIP 29 NORTH,RANGE 1 EAST,WILL- a .� 44 STAN,BEARS SOUTH 88°35'50" EAST,AND LIES 1,874.40 FEET • 4.1h izI CE SOUTH 88°35'50"EAST,A DISTANCE OF 1320.00 FEET,elf ' i . •• ST CORNER OF GOVERNMENT LOT 1,OF SAID SECTION 18 Fit •OUTH 01°22'29"WEST,ALONG THE WESTERLY LIMITS OA, • II _i ,. .' I NT LOT 1,A DISTANCE 170.99 FEE f TO A POINT ON SAID •Fe .•F SAID GOVERNMENT LOT 1,WHICH BEARS NORTH 86'• • 'I' •OM THE WESTERLY CORNER OF AN EXISTING EAST-WEST FE I EASTERLY OF THE OAK BAY COUNTY ROAD,AND ' ;;li.I ••. BEGINNIN OF SAID DESCRIBED L I E;THENCE SOUTH 86°37'5: SAID EAST-WEST EXTENTION,A DISTANCE OF 27.36 FEET TO .' 4 • Y MARGIN OF THE OAK BAY COUNTY ROAD; THENCE CONT I''— I �" 86°37'56"EAST,ALONG SAID EAST-WEST FENCE LINE,AND T i . ION THEREOF,A DISTANCE OF 603.04 FEET TO A POINT ON THE I • P AND EASTERLY SEAWARD BOUNDARY OF SAID PROPERTY •' I MAY BE ALTERNATELY DETERMINED,AND TERMINUS OFTHISA:WS !: I LINE. 1 IYM EfERLY OF THE FOLLOWING DESCRIBED LINE: ■ I L CIN AT THE NORTHWEST CORNER OF SECTION 18,TOWNSHIP 29 NOR •.• GE 1 EAST,WILLAMETTE MERIDIAN,FROM WHICH THE MEANDER •• ON THE NORTHERLY LIMITS OF SAID SECTION 18,TOWNSHIP 29 •• r. • GE 1 EAST,WILLAMETTE MERIDIAN,BEARS SOUTH 88°35'50" •■ • LIES 1,874.40 FEET DISTANT;THENCE SOUTH 88°35'50"EAST,A DISTANCE OF 1320.00 FEET,TO THE NORTHWEST CORNER OF GOVERNMENT LOT 1,OF SAID SECTION 18;THENCE SOUTH 01°22'29"WEST,ALONG THE McMILLEN REVOC.LIVING TRUST/MAUNEY-ROGERSON REVOC.LIVING TRUST—PAGE 3 OF 7 111111111111111111E11114111 X3505'2 117 113A WESTERLY LIMITS OF SAID GOVERNMENT LOT 1,A DISTANCE 170.99 FEET TO A POINT ON SAID WESTERLY LIMITS OF SAID GOVERNMENT LOT 1,WHICH BEARS NORTH 86°37'56"WEST FROM THE WESTERLY CORNER OF AN EXISTING EAST-WEST FENCE LINE THAT LIES EASTERLY OF THE OAK BAY COUNTY ROAD;THENCE SOUTH 86°37'56"EAST,ALONG SAID EAST-WEST EXTENTION OF SAID FENCELINE,A DISTANCE OF 27.36 FEET TO THE EASTERLY MARGIN OF THE OAK BAY COUNTY ROAD;THENCE CONTINUING SOUTH 86°37'56"EAST, ALONG SAID EAST-WEST FENCE LINE,AND THE EXTENTION THEREOF,A DISTANCE OF 344.05 FEET,TO THE TRUE POINT OF BEGINNING OF SAID DESCRIBED LINE,THENCE NORTH 04°15'03"WEST,A DISTANCE OF 85.12 FEET TO A POINT ON THE NORTHERLY LIMITS OF SAID SOUTH 100 FEET •441/4)1 AID GOVERNMENT LOT 4 OF SAID SECTION 7,FROM WHICH THE NOR I" CORNER OF SAID SOUTH 100 FEET AT THE INTERSECTION I •ER LINE OF SAID SECTION,BEARS SOUTH 88°35'50"EAST,AND -�—•A I ILMILC\ :IS DESCRIBED LINE. • TOGETHER WITH TIDELANDS OF THE SECOND CLASS - s O i Ii.t i I SOUTH 100 FEET OF SAID GOVERNMENT LOT 4,IN SAID SECTION 7 a WNA I • 29 NORTH,RANGE 1 EAST,WILLAMETTE MERIDIAN. SUBJECT TO ANY AND ALL COVENANTS,RESTRI 0 l S RVATIONS, EASEMENTS,LIABILITIES,AND ANY OTHER • •F '4 SRD,INCLUDING BUT NOT LIMITED TO,THOSE MATTERS CO ' • ' ' D I • I D ITOR'S FILE NO. 426270. SITUATE IN THE COUNTY OF JEFFERSON,S • . ' II GTON. REVISED PARCEL C: THAT PORTION OF THE FOLLOWINIBED PROPERTY: THAT PORTION OF THE NORT. ' 4TH$ACRES OF EVEN WIDTH OF GOVERNMENT LOT 1, SEC .4 : • SHIP 29 NORTH,RANGE 1 EAST, WILLAMETTE MERIDI T,D •' -0• S FOLLOWS: BEGINNING AT THE MEA •y' "R BETWEEN SECTIONS 7 AND 18,IN SAID TOWNSHIP AND RANG • " I• ST ON SECTION LINE,554 FEET TO THE NORTHWEST CORNER •F • LOT 1; THENCE SOUTH 168 FEET TO THE TRUE PO OF B INNING;THENCE SOUTH 600 FEET; THENCE EAST 850 F ;3! 0 '� 1 DER LINE;THENCE NORTH 22°WEST ALONG S A I D M E A 'Q M. I I .i I ;THENCE WESTERLY 620 FEEL MORE OR LESS,T a '•INT OF BEGINNING; LYING SO $ : FOLLOWING DESCRIBEDLINE: COMMENCING A' ''4.I •RTHWEST CORNER OF SECTION 18,TOWNSHIP 29 NORTH,RANG' ■• , .' LAMETTE MERIDIAN,FROM WHICH THE MEANDER CORNER ON r •R'HERLY LIMITS OF SAID SECTION 18,TOWNSHIP 29 NORTH, ' • G, 1 • S ,WILLAMETTE MERIDIAN,BEARS SOUTH 88°35'50" EAST,AND L I S . .0 FEET DISTANT;THENCE SOUTH 88 035'50"EAST,A DISTAN' • 1 ':.10 FEET,TO THE NORTHWEST CORNER OF GOVERNMENT LOT 1, a. • I• .CTION 18;THENCE SOUTH 01°22'29"WEST,ALONG THE WES/it I S OF SAID GOVERNMENT LOT I,A DISTANCE 170.99 FEET TO A ,II T • II WESTERLY LIMITS OF SAID GOVERNMENT LOT 1,WHICH y�w O' I. 86°37'56"WEST FROM THE WESTERLY CORNER OF AN EXISTING EASA'r T FENCE LINE THAT LIES EASTERLY OF THE OAK BAY COUNTY •OAD, • IS TRUE POINT OF BEGINNING OF THIS DESCRIBED LINE;THENCE •.ru. :• 7'56"EAST,ALONG SAID EAST-WEST EXTENSION OF SAID FENCE 1 L`I : •ISTANCE OF 27.36 FEET TO THE EASTERLY MARGIN OF THE OAK BAY COUNTY ROAD;THENCE CONTINUING SOUTH 86°37'56"EAST,ALONG SAID EAST-WEST FENCE LINE,AND THE EXTENSION THEREOF,A DISTANCE OF 603.04 McMILLEN REVOC.LIVING TRUST/MAUNEY-ROGERSON REVOC.LIVING TRUST—PAGE 4 OF 7 11111 11111 111 I as Paso: 5 of 7 wr G. rnp,ICIV a o,Mre Ihrn• W o AA M FEET TO A POINT ON THE MEANDER LINE AND EASTERLY SEAWARD BOUNDARY OF SAID PROPERTY OR AS SAME MAY BE ALTERNATELY DETERMINED,AND TERMINUS OF THIS DESCRIBED LINE. EXCEPTING THEREFROM,ANY PORTION THEREOF LYING WITHIN THE RIGHT- OF-WAY OF THE OAK BAY COUNTY ROAD AND OLD OAK BAY COUNTY ROAD. SITUATE IN THE COUNTY OF JEFFERSON,STATE OF SHINGTON. O o � McMILLEN REVOC.LIVING TRUST/MAUNEY-ROGERSON REVOC.LIVING TRUST—PAGE 5 OF 7 111111111111111M11111 5 Per 3,,,5,1 0 5 L ;2 BR The nature of the adjustment is described as follows: The purpose of this Boundary Line Adjustment is to correct and establish in perpetuity the Mauney- Rogerson/McMillen property boundary as the EXISTING FENCELINE that marks their common boundary;and additionally,to re-orient the present McMillen Parcels to a North-South orientation to better utilize the property. STAT13v1E T OF INIE Tf: This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6).it does not create any additional lots,tracts,parcels,or division as the • •described herein shall merge or be integrated into abutting property presently owned by the proppn. Nor does the boundary line adjustment result in any lots,tracts,parcels,or division whir' .•lain insufficient area and dimension to meet minimum County and sanitation =la/ . . . r 'Mt and area for abuilding site. Signed: Q 11 11, 11� _ I.1( �. ��� a , 4I, . '/ Allen .t ' ) i01r:. en_ s: 0-8-o -2c6e1) Date fill.It -_ odd' Ow/ STATE Of WASHINGTON ) )ss• COUNTY Of ) On the v 6tk 1,Lf_tiAj day of 1!' �'. 20 OS personally appeared KENNETH ALLE '■ EN and JEANNE MARIE McMILLEN,TRUSTEES OF THE M I • • I Y REVOCABLE LIVING TRUST,DATED April 5.2004 and pro . • i • i n . - basis of satisfactory evidence to the person whose name is subscribed to' '.. =.joi,1 acknowledged that they executed it eV my ban. _,. icial = I_ o u.- X200 / . N is inaad 4 the State of ;. r '7 1��r`�M yq�?r Residing at (12, 4,--,, . ... NoT.4 •t 11/4'-pUBLICo0t• A1/44hIIIIIII �'n,OF W ASH�NG�e ',;, .. .:: adjustment has been reviewed and approved by the Jefferson B. , a.- -r..:,,- ,Review Division , A-s ►ct, -e. P(ctnn Date McMILLEN REVOC.LIVING TRUST/MAUNEY-ROGERSON REVOC.LIVING TRUST-PAGE 6 OF 7 III I aA .1.If• enn rniinly hnl rcuuFlu a erYrr Mr,lr GI O IG ma The nature of the adjustment is described as follows: The purpose of this Boundary Line Adjustment is to correct and establish in perpetuity the Mauney- Rogerson/McMillen property boundary as the EXISTING FENCELINE that marks their common boundary;and additionally,to re-orient the present McMillen Parcels to a North-South orientation to better utilize the property. STAT MENTOF INTENT: This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6).It does not create any additional lots,tracts,parcels,or division as the)arid described herein shall merge or be integrated into abutting property presently owned by the proanept Nor does the boundary line adjustment result in any lots,tracts,parcels,or divisionwhicb.coitain insufficient area and dimension to meet minimum County and sanitation re irennerlts•f • and area for a building site. Signed: i •U (Marc Mauney,Co-Trustee ) ' ( ' •.:: .n,�o- rustee) Date 4--.2../ - boas' Date �0'2: .-o2ao� i \ STATE Of WASHINGTON ) )ss. COUNTY 0Lk22# ) On the t/.� day of i.41■ '4 20 p8 , personally appeared MARC MAUNEY . LYNNE ROGERSON,CO-TRUSTEES OF THE MARC MAUNEY and LYN i a ROGERSON REVOCABLE LIVING TRUST and proved to me on the s o •:tj'sfactorly evidence to the person whose name is subscribed to this instrument,and a r ra tatTHEY executed it. WITNESS my hand and official sal tt s days ff of �j 22000''''P . L %{ Notary Public in and for thtate o� hin y� Residing at gh�1� '• i.. l✓_/a" ,,, 0144, 1.0.., 01 .: . li Volt 41P /"l his bo' adjustment has been reviewed and approved by the Jefferson t iNy�9pve opyient Review Division Assoc i ale Plan n e i Date McMILLEN REVOC.LIVING TRUST/MAUNEY-ROGERSON REVOC.LIVING TRUST-PAGE 7 OF 7 Case Review Time Tracking: DCD Review from 1/1/2014 to 2/15/2015 for SUB14-00002. (Hourly Rate = $76.00) SUB14-00002 MC MILLEN 03/05/2014 30 Review 2014-03-05 TC with applicant and surveyor on additional Colleen Zmolek information requried this was not an exhaustive list of additional info requirements. CJZ 03/10/2014 90 Review 2014-03-10 review of survey and draft info request letter. Waiting Colleen Zmolek on Plat Cert. CJZ 05/08/2014 45 Review 2014-05-08 routed to Assessor- started second review of survey Colleen Zmolek CJZ 06/02/2014 15 Review 2014-06-08 TC to applicant left message CJZ Colleen Zmolek 06/05/2014 90 Review 2014-06-04 review survey-additional info request on second Colleen Zmolek survey CJZ 06/05/2014 30 Review 2014-06-04 review survey- additional info request on second Colleen Zmolek survey CJZ 06/06/2014 60 Review 2014-06-06 review survey- send and final additional info request on Colleen Zmolek second survey CJZ 07/10/2014 60 Review 2014-07-10 T/C with applicant on 7-9 review application, additional Colleen Zmolek info not submitted t/c surveyor. addtl info almost ready to submit. CJZ 07/17/2014 30 Review 2014-07-17 routed application to Assessor for review. CJZ Colleen Zmolek 08/12/2014 30 Review 2014-08-12 T/C with applicant regarding process CJZ Colleen Zmolek 09/16/2014 90 Review 2014-09-15 review of survey- additional info request CJZ Colleen Zmolek 09/16/2014 60 Review 2014-09-15 review of survey- additional info request CJZ Colleen Zmolek 09/16/2014 90 Review 2014-09-16 Review application, prepare additional info request, Colleen Zmolek check with treasurer on affidavit for filingCJZ 09/16/2014 90 Review 2014-09-16 Add F & C CJZ Colleen Zmolek 09/16/2014 30 Review 2014-09-16 Add F & C CJZ Colleen Zmolek 09/16/2014 90 Review 2014-10 upon submittal of final survey - Final recording and issuing Colleen Zmolek permit CJZ 09/16/2014 90 Review 2014-10 upon submittal of final survey - issue permit. Final Colleen Zmolek recording at CH, file avadavit CJZ 09/16/2014 60 Review 2014-10 review final submittal of survey route to Assessor. CJZ Colleen Zmolek 09/17/2014 60 Review 2014-09-17 final addtional info request and mail. CJZ Colleen Zmolek 02/14/2015 60 Review 2015-02-14 sent additional info to surveyor, review of final survey, Colleen Zmolek sent additional fees required to applicant CJZ 1200 minutes (20.00 hours) $1,520.00 Total 1200 minutes (20.00 hours) $1520.00 . — . . c:\ ' 3 0 u-3 e 0 c oisa,sdpe",:),, Ito 1 2/14/2015 1\tidemark\data\forms\r_DC D � '' z CD 0 o A 0 o C 0 o c,-) ^ M W N r o 0 0 X n cn re co n y o 00 co CD b 00 O (y) ..'.. 1� ewe H U 1 Q C A A O C vii to �— � � 2 fD m Cr ii x oo . .:)."--94,..c.c=, cm ^ g w sn +1(w��o' o °o o ..■ i i ii y N `5 VD U..1 'C 011 o o y �® - n� V . w w n MS xt O o0 00 --V:'. J r�p r CO z et et O 0 a 2 n C C CO o M m '-e •-r R Co Co ti 0. w b 3 C A i 6` .v A ,- C 0 0 0 0 '^ H 'O. C C O O O z'< Case Review Time Tracking: DCD Review from 1/1/2014 to 9/16/2014 for SUB14-00002. (Hourly Rate = $76.00) SUB14-00002 MC MILLEN 03/05/2014 30 Review 2014-03-05 TC with applicant and surveyor on additional Colleen Zmolek information requried this was not an exhaustive list of additional info requirements. CJZ 03/10/2014 90 Review 2014-03-10 review of survey and draft info request letter. Waiting Colleen Zmolek on Plat Cert. CJZ 05/08/2014 45 Review 2014-05-08 routed to Assessor- started second review of survey Colleen Zmolek CJZ 06/02/2014 15 Review 2014-06-08 TC to applicant left message CJZ Colleen Zmolek 06/05/2014 90 Review 2014-06-04 review survey-additional info request on second Colleen Zmolek survey CJZ 06/05/2014 30 Review 2014-06-04 review survey-additional info request on second Colleen Zmolek survey CJZ 06/06/2014 60 Review 2014-06-06 review survey-send and final additional info request on Colleen Zmolek second survey CJZ 07/10/2014 60 Review 2014-07-10 T/C with applicant on 7-9 review application, additional Colleen Zmolek info not submitted t/c surveyor. addtl info almost ready to submit. CJZ 07/17/2014 30 Review 2014-07-17 routed application to Assessor for review. CJZ Colleen Zmolek 08/12/2014 30 Review 2014-08-12 TIC with applicant regarding process CJZ Colleen Zmolek 09/16/2014 90 Review 2014-09-15 review of survey-additional info request CJZ Colleen Zmolek 09/16/2014 60 Review 2014-09-15 review of survey- additional info request CJZ Colleen Zmolek 09/16/2014 90 Review 2014-09-16 Review application, prepare additional info request, Colleen Zmolek check with treasurer on affidavit for filingCJZ 09/16/2014 90 Review 2014-09-16 Add F & C CJZ Colleen Zmolek 09/16/2014 30 Review 2014-09-16 Add F & C CJZ Colleen Zmolek 09/16/2014 90 Review , 2014-10 upon submittal of final survey - Final recording and issuing Colleen Zmolek permit CJZ 09/16/2014 90 Review 0 2014-10 upon submittal of final survey - issue permit, Final Colleen Zmolek recording at CH, file avadavit CJZ 09/16/2014 60 Review • 2014-10 review final submittal of survey route to Assessor. CJZ Colleen Zmolek 1080 minutes (18.00 hours) $1,368.00 Total 1080 minutes (18.00 hours) $1368.00 G - -C.,(IA 4-%me. "CO r Lazidt btep 5 - Tc Act" 1 f l.to 11,54 clu.A.,0.‘1,le w Parrot i o Acid'-4- -k1 nN2 rr.0-4% xe „W l.a.st s e,��ppp , naxe- �ss�� ""'`ems - NX.D s �s5es cs r • emu. : �� 414ti. • 5t ,u-A14i..z en.Sw-JeD - Ass cs'oc StC`pMA1\1n,k,cd f °T(1..c,Gtd..Scl,L -t.,)cAe pc ' O-t\.Sc..n e mo d, Sw�-�e, `� - 1\01/4-1k3 J\ssec o 1 9/16/2014 \\tidemark\data\forms\r DCD UDC CONSISTENCY REVIEW • • Project Planner: Master#MLA14-00010 Review Type Project Description SUB14-00002 Boundary Line Adjustment between 921182011 and 921182006 Primary: KENNETH L MC MILLEN Site Address: AIMEE LORRAINE MC MILLEN 271 OLD OAK BAY RD 2007 OAK BAY RD PORT HADLOCK WA, 98339 PORT HADLOCK WA 983398736 AGT KENT ROBINSON NORTHWESTERN TERRITORIES, INC 717 S PEABODY PORT ANGELES WA 98362 Project Location: Parcel Number: 921 182 01, 921 182 006, Site Address: 2007 Oak Bay Road,Port Hadlock WA, S-T-R: 18-29N-1E Parcel Number: 921182006 S-T-R: 18-29N-01E Total Acreage 2 Legal Description S18 T29 R1E TAX 35 TL TAX O(S100')IN S7 BND TGTH Land Use: 1100 THRU BLA#111448 Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM)Panel No: chool D 49 Zoning: Parcel Number: 921182011 S-T-R: 18-29N-01E Total Acreage 2 Legal Description S18 T29 RIE TAX 37 BND TGTH THRU BLA#111448 Land Use: 1100 Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM)Panel No: chool D 49 Zoning: cizA21 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 poperty lines as identified on theAssessor's 1/4 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: t NO 5\w,�„w¢ `CLA4104n :14 1 ara-k [ ] Shoreline Slope Stability: ES NO '&\-4).5k, D Stream Type:YESG FWHCA: igga NO > 15b` L'Al.01'� �`�Vg4 —v Wetlands: YES (N O V 5`(\ae\eYlo Rare Plants:YES NO Seismic: YES Landslide:4MI 0 1A\ k..,0u.9e.{ C,ON_ Gj - Flood: YES Erosion: YES 0 Aquifer Recharg= . -a:YES SIPZ: none At Risk High Risk Coastal _ CMZ: no e High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES &70--) Adjoining Forest Lands: � Commercial/ Rural/ Inholding_ [ ] Mineral Lands: YES C'"(1) [ ] Agricultural Lands: YE NO [ ] Archaeology: YES -A No Shooting Zone: 'ES .�i�j�Vj ,�, � , .--,t_tulA 4 5t6�<-s [ ] Stonnwater: 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 Building Height: 35' UBC Standard [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage: 60%in Rural Industrial Lands only [ ] Total Building (s) Size: RVC:20,000 SF CC:5.000 SF NC: 7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s) & Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YE O, submitted: YES NO [ ] Site Visit conducted YES 0 [ ] 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 921182006 1.) UNSTABLE SOILS deep seated land slide. See Mike Ajax for further 3/22/00 information. Parcel tags found for parcel 921182006 2.) LANDSLIDE HAZAR 3/22/00 Parcel tags found for parcel 921182006 3.) Custom Warning Flag Hold Harmless Indemnification Covenant; See DRD files 12/8/09 MLA08-00064 or Laserfiche for full document Parcel tags found for parcel 921182006 4.) WSRC Coaching - 2012-12-06 landslide effects-hazard 4/18/13 CAO Parcel tags found for parcel 921182006 5.) WSRC Coaching - LID 2012-12-06 SW 4/18/13 Parcel tags found for parcel 921182006 6.) WSRC Coaching - 2012-10-18, CZ ` 8/27/13 Other ��eA Parcel tags found for parcel 921182006 C�� ,�11�'1/ 7.) WSRC Coaching - 2012-09-26, SG Q)Jv" 8/28/13 Other ( A \vL Parcel tags found for parcel 921182006 ‘CO �1 c 1 8.) WSRC Coaching - 10-22-13, CZ �yw� 10/28/13 Other Parcel tags found for parcel 921182011 9.) Custom Warning Flag Hold Harmless Indemnification Covenant; See DRD files 12/8/09 MLA08-00064 or Laserfiche for full document CISP( F I N scucd —ba-k gaw(c:). Associated CASES status issued finaled description 921182011 MLA14-00010 SUB14-00002 P Boundary Line Adjustment between 921182011 and 921182006 RAP07-00045 F 8/13/2008 2/24/2010 RAP&911 -Oak Bay Rd PRJ 10-00049 F parcel B of BLA completed 7/3/08 AFN 535052 AND 535395. SOM07-00284 FIN SEP07-00284 F 7/25/2008 9/29/2009 parcel B of BLA completed 7/3/08 AFN 535052 AND 535395. •