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ZON2007-00046
JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: SHERI V O'CONNELL WILLIAM O'CONNELL 31 LOWER HADLOCK RD PORT HADLOCK WA 98339 DATE ISSUED:September 20,2007 DATE EXPIRES:September 20,2012 MLA NUMBER:MLA07-00383 PROJECT PLANNER:David Wayne Johnson PROJECT DESCRIPTION: SPAAD -Site Plan Approval Advanced Determination for Single Family Residential Development PROJECT LOCATION: Parcel Number 950 700 302 & 304, Evergreen Addition, Block 3, Lots 8 & 23, 24, 25, Section 9, Township 30, Range 1W, WM, Located on Lupine Road, in Port Townsed, WA 98368 CONDITIONS: 1.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer, which includes the proposed buffer averaging area as depicted on the approved site plan. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 2.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100)feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 3.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 4.) Duration of Approval - Several of the included findings shall become conditions upon the submittal of a building and septic permit. The duration of approval of the Site Plan shall be effective for five (5) years from the date of original approval by the Administrator. If a building permit has not been issued within the five (5)year period, the Site Plan Approval Advance Determination (SPAAD) cannot be revived or extended except by new application that must meet all the existing criteria and conditions listed in this Section. Knowledge of the expiration date shall be the responsibility of the applicant. The county will not provide notification prior to expiration. Limitations of Approval -Approval of the site plan shall not guarantee the performance of specific site features or improvements (e.g. wells, septic systems, stormwater drainage facilities, etc.) and shall not be immune from changes in state or federal law which are enacted or have an effective date after the date of the Site Plan Approval Advance Determination (SPAAD) and which may affect the performance and implementation of the site plan and associated use or activity. Any subsequent land division or boundary line adjustment of a parcel or lot which has received site plan approval advance determination under this Section 8.7 shall void such site plan approval and require a new site plan approval advance determination application. Approval of a site plan under this section does not constitute authority to comence any development or building activity until such time as final authorizing permits are issued (e.g., septic, wells, stormwater management, or building permit, etc.). • Modification to an approved site plan may be required by the applicant and approved by the Administrator subject to the provisions for Type I decisions. (Please request a copy of Section 8.7 of the UDC for criteria pertaining to modifications). 5.) At time of development or building permit application, the project applicant shall prepare a stormwater plan in compliance with the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction, to address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 6.) A wetland impact assessment and mitigation plan shall be submitted for review and approval for any utility line crossing the Category III Wetlands. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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 stred in a critical area. 9.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 10.) Maximum lot coverage is 25%. Lot coverage is defined as amount of impervious surface which includes rooftops, driveways, concrete, etc. 11.) Building Setback from Lupine St. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 12.) Maximum building height is 35 feet. 13.) Application for a street address will be required at time of building permit application. 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 application was reviewed by the Jefferson County Department of Community Development staff on August 24, 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: Category III Wetland (50 foot buffer). 3.) Wetland Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 4.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(b)(1)(i). 5.) The site plan as submitted with the SPAAD application on July 6, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated September 19, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for a SPAAD 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. 7.) The parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 8.) The proposal was reviewed against the site plan determination criteria of the Unified Development Code (Section JCC 18.40.410). The criteria for approval is as follows: 1. The proposed site plan conforms to all applicable county, state, and federal land use, environmental and health regulations and plans, including but not limited to the following: The Jefferson County Comprehensive Plan and the provisions of the Unified Development Code. Staff comment: The application was reviewed for consistency under the provisions of the Unified Development Code, Comprehensive Plan, and Shoreline Master Program. The application was found in compliance with all ordinances pertaining to the proposed development. 2. Adequate provisions for utilities and other public services necessary to serve the needs of the proposed site plan have been demonstrated, including open spaces, drainage ways, roads, and other public ways, potable water, sewerage disposal, fire flow and other improvements. Staff comment: The parcels total approximately 0.4 acres in size, and the site plan as submitted on April 16, 2007 and stamped approved on September 19, 2007 complies with JCC 18.30.050 Table 6-1: Density, Dimension and Open Space Standards. Jefferson County Department of Environmental Health approved and issued an on-site septic permit SEP07-00044 dated 5/1/2007. A potable water connection is available through the Port Townsend water system. Lupine Street (P372) is a private local access road. A road approach permit is not required. An application for an address must be submitted at time of building permit application. This application is for Site Plan Approval Advance Determination to eventually construct a single-family residence utilizing an individual on-site septic system. Sections 18.30.060 and 18.30.070 of the Jefferson County Code requires the project applicant prepare a stormwater plan in compliance with the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction, to address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. This SPAAD was not reviewed for fire flow due to the application as proposed identifies the parcel as utilizinc the City of Port Townsend Water System. This connection is required prior to building permit final sign off and would fulfill the requirements for potable water and fire flow. Jefferson County has no specific adopted fire flow requirements for utilization in permitting. Application of Coordinated Water System Plan (CWSP) fire flow requirements for individual projects is inappropriate since the primary purpose is for water system design to assure adequate pipe size, source and storage. 3. The probable significant adverse environmental impacts of the proposed site plan, together with any practical means of mitigating adverse impacts, have been considered such that the proposal will not have an unacceptable adverse effect upon the quality of the environment, in accordance with the State Environmental Policy Act(SEPA) implementing the provisions contained within Section 8 of this Code and Chapter 43.21C RCW. Staff comment: Single family residences are EXEMPT from the State Environmental Policy Act(SEPA). WAC 197-11-800(1)(b)(i) identifies the construction of any residential structure of four(4) dwelling units. A wetland delineation was conducted and documented a Category Ill wetland on-site which requires a 50 foot buffer. Buffer averaging is proposed to allow construction of an access driveway to the building site. 4. Approving the proposed site plan will serve the public use and interest and adequate provision has been made for the public health, safety and general welfare. Staff comment: The proposal will not affect the public health, safety, and general welfare. 9.) A Wetland Delineation prepared by Wiltermood Associates dated May 2, 2007 was submitted in conjunction with the application to address the Category Ill Wetland and averaging of the associated 50 buffer. 10.) This parcel is a legal nonconforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 11.) Lupine St(P372) is a private road. A road approach permit is not required. An address will be assigned at time of buiding permit application. Parcel 950 700 304 provides access via a driveway to the buildable area on Parcel 950 700 302. Should Parcel 950 700 304 be sold an access easement would be required to access Parcel 950 700 302. 12.) These parcels were created through the Evergreen Addition Long Plat Subdivision recorded May 19, 1890, Volume 2 Page 76 with the Jefferson County Auditor's office. 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. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of 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 hams, harassing,or damaging habitat for the listed species). In addition,the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline,freshwater shoreline,or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline,freshwater shoreline, orfloodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters (streams, rivers, lakes,marine waters),or at least 150 feet from the edge of the water -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 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 at(206)526-6613, or the U.S. Fish and Wildlife Service at(503)231-6121. APPEALS: Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one (21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. The Threshold Determination for this Type I Permit may not be appealed to the Hearing Examiner. For more information related to SEPA appeals see JCC 18.40.810. t I 9 �` 7 U Admi istrator 1 MLA07-00383 • Page 4 of4 a a 0 i (moo AN N = 7 c ms T m C v 0 ?m pp < O Q m N * r8n / 0 5 .--- 0 (1) ii) m ° r - N M ° r NO*26'16"W 22r).20 1•2 i z t. c Of g o 7 co a Jo fn m 82 W ao1 . Q N ' ,,�"" rn S0*25'29"E 110.10 m N c0 y CD N W Q O '/ (P. m ni - -O i v \ 13 m °x i a y z << v m co w o 1 Q o oo 0 ca N 1c'-J , P S0*24'03"E 110.10 r- J O F, m I a m m p m 4d i y ` • gr' dl $m co 411 ICu -v )--3 b 6111 N.„1, -�, ° m'V N I o - X NIL �z 4 < co D m co - m p -1 N Z 3 m m m m _1 W o (I) o m W n 0 N CO O co N DD ET 73 r n.W n W N 7 N (D N 7 �c v 0, It 7 K C0 Q 8 N 7 W p Vi K 17-CI CO J ? m W mW O D m' A ° _ °0Zmo T n cn --r, 7 CD Q 7 cD o D CD Q N m Q cz 7 Z o o CD C---3 0 tit i P , l�l ft /1,W %MAI Associates,Inc. 1 , May 2, 2007 REeEnfrn Bill O'Connell JUL - C► 2607 C/o Laura Anderson 4338 San Juan Avenue Port Townsend, WA 98368 fNJ a 4ui) Re: Wetland Delineation on Lots 8, 23, 24 and 25 of Block 3 of the Plat of Evergreen Addition in Jefferson County, Washington (Tax parcels 950-700-304 & -302) These parcels are located in the SW 1/4 of the SW 1/4 of Sec 9, T 30 N, R 1 W. WM. Dear Bill: The wetland delineation was conducted on March 22, 2007 to mark the wetland boundary on the above referenced parcel. The delineation was conducted using the Department of Ecology, Washington State Wetlands Identification and Delineation Manual (Publication #96-74), as required by the Jefferson County Code. This manual utilizes the three parameter methodology to determine the presence or absence of wetlands. The three parameters include wetland hydrology, hydric soil, and hydrophytic vegetation and positive indicators of all three wetland parameters must be present for an area under normal circumstances to be considered wetland. The use of this manual and the three wetland parameter methodology on this parcel revealed that the site is under normal circumstances so the Routine On-Site Determination Methodology was used to delineate the on-site wetland. Lots 8, 23, 24 and 25 are located in Block 3 of the Evergreen Addition, between Lupine Street (3rd) and the undeveloped 2nd Street Easement and will be accessed from Lupine off Jacob Miller Road. Lot 8 is located along Lupine Street with Lots 23-25 are situated to the south along the 2' Street Easement (See attached survey of lot lines). The four lots are currently undeveloped and forested with moderate westerly slopes on the western portions of the site that slope into a trough that runs NW to SE. A wetland drainage is located in the western trough that crossed the southwest corner of Lot 23 and has buffer that extends onto the west portions of the parcel. 1015 S.W.Harper Road, Port Orchard,Washington 98367 (360) 876-2403 Fax(360)876-2053 0 i • A O'Connell May 2, 2007 Page 2 The wetland meets the requirements of a Category III system that will require a 50 foot wetland buffer with a 5 foot building/impervious surface setback. The wetland extends off site toward Lupine Street and south into an undeveloped wooded area. An off site wetland is located approximately 200 feet to the east and appears to be a Category II wetland under the current Jefferson County regulations that will not have buffers that extend onto the site. Because a single family development is proposed within 75 feet of a Category III wetland, a wetland boundary delineation is required to comply with Jefferson County Critical Areas Ordinances. This letter has been prepared to document the conditions within the delineated wetland, the wetland category, and the required buffers. It includes.a description of the wetland and upland data collected in the field, the on-site soils as mapped by the Jefferson County soil survey, the National Wetlands Inventory (NWI), and regulatory issues associated with the wetland areas. The on-site soils are mapped as CmC Clallam gravelly sandy loam 0-15% slopes soils according to the Soil Conservation Service (now the National Resources Conservation Service), Soil Survey of Jefferson County Area, Washington, September 1975. Clallam soils are not listed as hydric and do not have hydric inclusions. See enclosed map for site located on the soil survey and enclosed soil descriptions for additional information on the mapped soils. The US Fish and Wildlife Service (USFWS), National Wetlands Inventory (NWI), Port Townsend South Washington Quadrangle, indicates a Palustrine Open Water Permanently flooded system (POWHd) than has been ditched to the north of the site, and a Palustrine Open Water system that is Permanently flooded and has been excavated (POWHx) to south. Both of the mapped wetlands do not appear to be within 250 feet of the site and will not have buffers that extend onto the site. Wetlands were observed across Lupine Street to the north that appear to continue north into an old farm pond which is likely the wetland ` t O'Connell May 2, 2007 Page 3 identified on the NWI. The onsite wetlands do not appear on the inventory and were probably missed due to the forested characteristic of the wetland. See enclosed map for site located on the NWI. There are no Washington State Priority 1, 2, or 3 plant or animal species known to exist on the parcel {Washington Natural Heritage Program, 1993/95 update) nor were any identified during our field survey. The presence of priority species was determined using the printed edition and a data base search was not completed at this time. Wetland A is delineated with 17 wetland boundary flags labeled WB-A (1- 17). The wetland boundary intersects with the western property line at flag 10. The delineation continues southeast with the wetland crossing only the very southwest corner Lot 23. The delineation ends on the south side of the 2nd Street easement. Four test holes were conducted in the wetland and surrounding uplands to verify the wetland boundary delineation and to record the wetland and upland conditions. Two test holes (1 and 4) are located in the upland and two test holes (2 and 3) are located in the wetland. At each test hole, a 16-inch soil pit was completed to document the presence or absence of hydric (wetland) soil conditions (dark soil colors with or without mottling) and the presence or absence of wetland hydrology indicators (indicators include standing water on surface or in test hole; surface scouring; water stained vegetation; drift lines; and/or oxidized root channels in the soil). In a 30-foot diameter circle around these test holes, the dominant vegetation was recorded in order to determine whether or not the hydrophytic vegetation criterion is met. If there is greater than 50% cover by plants having indicator status of FAC (34-66% of the time in wetlands-equally likely in wetlands and uplands); FACW (67- 99% of the time in wetlands); and/or OBL (greater than 99% of the time in wetlands), then the hydrophytic vegetation criteria is met. See attached drawing for approximate location of the test holes and Data Forms 1-4. .4 O'Connell May 2, 2007 Page 4 Test Hole 2 is located in Wetland A —20 feet north of the estimated intersection of the wetland and the west property line. Test Hole 3 is located in the wetland at the southwest corner marker. The forested vegetation is dominated by a tree layer of Scouler's willow (Salix scouleriana) FAC, pacific willow (Salix lucida ssp. lasiandra) FACW+, and western red cedar (Thuja plicata) FAC. The shrub layer contains a mix of salmonberry (Rubus spectabilis)FAC, Nootka rose (Rosa nutkana) FAC, swamp current (Ribes lacustre) FAC+ and black twinberry (Lonicera involucrata) FAC+ with Salal (Gaultheria shallon) FACU, red huckleberry (Vaccinium parvifolium) UPL and red elderberry (Sambucus racemosa) FACU overhanging and growing on hummocks in the wetland. The herbaceous layer in the wetland is sparse but low percentages of slough sedge (Carex obnupta) OBL and traces of water parsley (Oenanthe sarmentosa) OBL were observed in the wetland with overhanging sword fern (Polystichum munitum) FACU. The soil holes conducted at Test Hole 2 revealed a two layer hydric profile that consists of a five inch (0-5") gravelly sandy loam surface horizon that has a matrix chroma of 10 YR 2/1 and a subsurface horizon (5-16") of gravelly clay with a matrix chroma of 10 YR 5/2 with mottles at Test Hole 2. Test Hole 3 revealed a peraquic moisture regime, a condition in which hydric conditions are formed from inundation at or near the soil surface at a frequency sufficient to create reducing conditions. Peraquic moisture regime is an indicator of hydric soil. The source of hydrology for the wetland appears to be from seasonal runoff directed into the wetland from the surrounding forested uplands because no other sources of hydrology were observed. The wetland has seasonally ponded area within the bottom of the trough with hydrology wicking up through the soil causing a saturated fringe along both sides of the wetland. Hydrology exiting the system appears to flow north through a one way culvert under Lupine Street and into a separate wetland to the north. Test Holes 1 and 4 are located in the uplands. Test Hole 1 is located off site between the wetland and the northwest property corner along Lupine Street within the wetland buffer. O'Connell May 2, 2007 Page 5 The vegetation is typical of the forested wetland buffer and has a tree layer dominated by western red cedar (Thuja plicata) FAC with lower percentages of red alder (Alnus rubra) FAC, Scouler's willow (S. scouleriana) FAC and Douglas fir (Pseudotsuga menziesii) FACU. The shrub layer contains varying percentages of Ocean spray (Holodiscus discolor) UPL and Nootka rose (Rosa nutkana) FAC. The herbaceous layer is dominated by sword fern (P. munitum)FACU and trailing blackberry (Rubus ursinus) FAC. The soil hole at Test Hole 1 revealed a double layer sandy loam profile with a seven inch (0-7").surface horizon that has a matrix chroma of 10 YR 2/2 and no mottles and a subsurface horizon (7- 16") with a matrix chroma of 10 YR 3/2 and no mottles. This soil profile is not considered hydric because it has a high matrix chroma with mottles at a depth of 10 inches and below in the soils horizon. There was no hydrology or evidence of wetland hydrology at Test Hole 1. Test Hole 4 is located in the proposed home site. The area is composed of a young forest (15-20 yrs) that is dominated by western red cedar (T. plicata) FAC and Douglas fir (P. menziesii) FACU with lower percentages of Scouler's willow (S. scouleriana) FAC and wild cherry (Prunus emarginata) FACU. The shrub and herbaceous layers are sparse with Ocean spray (H. discolor) UPL dominating the shrub layer and low percentages of trailing blackberry (R. ursinus) FACU and Sword fern (P. munitum) FACU in the herbaceous layer. The soil hole at the proposed home site revealed a double layer profile that has a five inch sandy loam surface horizon (0-5") with a matrix chroma of 10 YR 2/2 and no mottles and a gravelly sandy loam subsurface horizon (5-16") that has a matrix chroma of 10 YR 4/3. This does not represent a hydric soil profile because the matrix chroma is too high. There was not hydrology or evidence of wetland hydrology present at or around the test hole. s ' O'Connell May 2, 2007 Page 6 Data collected and documented on the data forms revealed that positive indicators are present for all three of the wetland parameters in the areas sampled at Test Holes 2 and 3, so it was determined to be wetland. The areas sampled at Test Holes 1 and 4 do not test positive for any of the three wetland parameters and are therefore not considered wetland. The wetland is determined to be a Category III system according to the Department of Ecology's Wetland Rating System for Western Washington, Second Edition. Under this system, wetlands that do not meet the criteria for Category I or IV wetlands, which score below 22 points on the rating form are Category III wetlands. Wetlands that score 22 points and above are Category II wetlands. The on site wetland scores 15 points total because it is less than one acre, has one class of vegetation with moderate species diversity and has some significant habitat features such as downed woody debris, seasonal ponding, and standing snags. The wetland is not directly connected to any fishbearing streams and has forested (undisturbed) buffers that area wider than 100 feet for at least 50% of the circumference of the wetland. See attached wetland rating form labeled"Current Jefferson County Regulations". Category III wetlands require 50 foot buffers according to the Jefferson County Code with a 5 foot building/impervious surface setback required from the buffer edge. According to on site measurements, it appears that the proposed home site and septic system are located outside the 50 foot wetland buffer. The driveway off Lupine Street, however will not be located entirely outside the wetland buffer. The wetland buffer encompasses the south end of Lot 8, which is the only available access to the home. There is -12 feet left between the wetland buffer and the SE corner of Lot 8 for the driveway to pass through. Buffer averaging is proposed to compensate for a small buffer reduction at this corner for the driveway to pass through. A small strip of wetland buffer approximately 30 feet long and 10 feet wide will be traded through buffer averaging to create on aver buffer of 50 feet, so that there is no net loss of buffer area. See buffer averaging criteria below. O'Connell May 2, 2007 Page 7 Jefferson County allows buffer averaging in some cases when it can be demonstrated that buffer averaging will not adversely impact the wetland functional values, the total area contained within the wetland buffer after averaging is not less than that contained within the standard buffer prior to averaging and that the standard buffer not be reduced below 25 percent of the standard buffer. The buffer averaging plan appears to meet the criteria laid out in the Jefferson County Code because it should not cause adverse effects to the wetland if proper siltation control is used along the reduced buffer edge and that the area of buffer increase is marked with a permanent split rail fence or log fence that will allow water and wildlife to pass through without hindrance. There is adequate room to set aside an equal square footage of intact forested buffer, therefore the total area contained within the buffer will not be less than prior to averaging and there will be an average buffer of 50 feet. The buffer will not be reduced below 25 percent of the standard buffer. The proposed buffer reduction will locate the edge of the driveway 40 feet from the wetland at is closest point, so the buffer is not being reduced by greater than 25% of the standard buffer width. See attached diagram showing buffer averaging. See attached Jefferson County Code. It is not yet clear how utilities (excluding septic) will be brought to the home, although the shortest route appears to be off Jacob Miller Road to the west and through the undeveloped 2"d Street Easement. This route will have to cross the Category III wetland and wetland its 50 foot buffer in order to reach the proposed homesite. If this option is chosen, a restoration plan will likely be required that specifies how the utility path and associated disturbances will be fully restored using native vegetation following utility installation. A restoration plan can be developed if needed after the utility access is finalized. O'Connell May 2, 2007 Page 8 Under the future Jefferson County Critical Areas Ordinance (still under review), all wetlands will be rated using the revised 2004 Washington State Wetlands Rating System for Western Washington (Publication# 04-06-025-Updated 2006). It appears the wetland will still meet the requirements of a Category III wetland under the new system. The new buffer requirements are still under review, but it is clear that the buffers will be increasing in most circumstances. According to the draft Ordinance, Wetland A may require an 80 foot wetland buffer after the new ordinance is passed. It appears that an 80 foot buffer would encompass your entire property and a buffer reduction with a buffer mitigation plan would be necessary to develop your property. See attached future rating form labeled "future ordinance". In summary, this delineation was completed on Lots 8, 23, 24 and 25 of Block 3 of the Plat of Evergreen Addition in Jefferson County, Washington (Tax parcels 950-700-304 & -302) The lots are located between Lupine Street (3m) and the undeveloped 2nd Street Easement and are accessed off Jacob Miller Road. A Category III wetland is located to the west of the parcel and crosses the SW corner of Lot 23. A single family home is proposed on the undeveloped forested parcel that will be accessed via a gravel drive off Lupine Street to the north. The Category III wetland has a required 50 foot wetland buffer plus 5 foot building and impervious surface setback that is to me measured from the delineated wetland edge. The 50 foot wetland buffer extends onto the west side of the Lots 8 and 23 and 24 and will have art impact on available placement of the home, septic and driveway. The wetland is a palustrine forested system with seasonal flooding and soil saturation that sits in the bottom of a long narrow trough just west of the property. The vegetation within the wetland is dominated by a tree layer of Scouler's willow and western red cedar with a thick shrub layer of salmonberry, black twinberry and swamp currant. The herbaceous layer is sparse but contains low percentages of slough sedge and water parsley. The forested upland buffers and proposed home site contain a young forest (15-30 yrs old) O'Connell May 2, 2007 Page 9 dominated by western red cedar, and Scouler's willow with a shrub layer of Ocean spray and salmonberry. Wetland A extends off site northwest to Lupine Street and southeast into an undeveloped forested area. Wetland A was also rated using the rating system that will be required when Jefferson County passes its new Critical Areas Ordinance, which is scheduled for some time this year. Under the new system, Wetland A still rates as a Category III system and will have 80 foot critical area buffers according to the draft ordinance. If you do not apply for a building permit prior to the passage of the new ordinance, you will be required to use the new assigned buffers. It appears that the increased buffers will have a significant affect on the ability to develop the land and a variance along with wetland buffer mitigation will be required, so it is recommended that you apply for a building permit before the new ordinance is passed. There is room for a single family home and associated septic system outside the required wetland buffers on lots 24 and 25 where the home is proposed. Access to the home off Lupine will require a buffer reduction of approximately 300 square feet. Buffer averaging is proposed to meet the buffer width averaging criteria laid out in the Jefferson County code. There is adequate space available outside the wetland buffer to add same square footage to the outside of the standard wetland buffer approximately 40 -50 feet south of the proposed buffer reduction. It appears that the plan meets the criteria for buffer averaging because there will be no net loss of wetland buffer, the buffer will not be reduced below 25% of the standard buffer and it will not cause adverse affects to the functions of the wetland buffer if property erosion control is implemented and fencing is used to demarcate the increased and reduced buffer areas. Fencing should be split rail to allow passage of wildlife and surface hydrology (logs laid along the ground can also be used in place of a fence). O'Connell May 2, 2007 Page 10 Utilities (excluding septic) will have to be brought from nearby areas to service the proposed home. It appears that the nearest location in which water and electricity can be brought to the site is from Jacob Miller Road along the undeveloped 2"d Street Easement. If this utility route is chosen, crossing the wetland and wetland buffer will be necessary and a restoration plan be required that specifies how the utility path and associated disturbances within the wetland and wetland buffer will be fully restored using native vegetation. This plan can be developed if needed after the utility access is finalized. If you have any questions concerning this off-site delineation and categorization, please feel free to contact us at (360) 876-2403. Sincerely, / ) • Joanne Bartlett Mudra Bergan Professional Wetland Scientist Biologist Attachments ■ C 134 ° THIRD STREET o 40.52 O 588.00'39'Ee S 813°oo' 35-a o_ LOT 8 8 CC m m o u- 0 _ P O ,, EL W R o 4- LJ c TO a < 3 o EL Ea > 9 a,6 vi w Li r, I > 0 1 p a o 81.01 VV3 N n R 588'013'39'E A O 4E lit 133 17 N ❑' CONNELL 0 J 60 9 N W z X o,- JOB I 36 q SCALE' 1'= 30'P o ° A) W°° BLOCK 3 ° LOTS 23-25 en ■ J — O 121.44 588.00'39'E -- f • $ 2ND STREET f•°'°o / A °w 6 0 S.ST°.+a 124 .n AA.••• F0• 127 • 5114- •AC.9• — _ 129.90-0).— S-8-1700'39'EE —588 600'39'E 0 _ _ 121,37 S88.00'39'E 0 60 LOTS 12-8 VOL. 7 OF SURVEYS P.37 I ❑BERT JOB E96 W BLOCK 6 Li W BY F. T. FISCFIER ,,,".1,..; n° 0..■ H In° qi -o. LOTS ■ 3-1 c a' J LOTS 7-4 i W Er N o Q -J 161.75 . ® S88'00'39•E 1 I O 121.31 NOR'CO'39'V 8 O 30.14 2y.BD UI Z J r F N3 N 2 f M (.3 FIELD PROCEDURES: IN: SWI/4SW1/4, SECTION 9, T. 30 N. , R. 1W. , M. M. RECORD OF SURVEY OFI IRIS SuRYCY WAS PERFORMED BY FIELD TRAVERSE BASIS FOR BEARINGS: 588'00'39'E 2660.90 FEET FOR LOTS 8, 23,24 6 25 OF BLOCK 3 OF THE PLAT OF USING•50011A SERE 3 SECOND ELECIRRUE TOTAL THE SOUTH LINE OF THE SM1/4, SECTION 9 PER VOL. EVERGREEN ADDITION TO PORT TOWNSEND AS PER VOL. 2 STATION LI(040.ITE,wD STEEL TAPE. PRECISION KESS 12 OF SURVEYS PAGE 19, SEE ALSO VOL. 27 PAGE 53. OF PLATS PAGE 76, RECORDS OF JEFFERSON COUNTY, WA, OR EXCEEDS T10SE REWIRED BY RAC 332-13o-050 FOR SHERI 0'CONNELL AUDITOR' S CERTIFICATE SURVEYOR'S CERTIFICATE M WOOD SURVEYING INC." N0. 136 Y PORT TOWNSEND, WA. 98368 C r 2155 DISCOVER RD. THIS MAP CORRECTLY REPRESENTS A SURVEY V ■ IIIII„�, II , �'IIII 1yp 'u5125w7 AB RAGE unOEa nr SUPERVISION IN CONFORMANCE PHONE 360-385-5968 FAX 360-379-5659 Va IIIIIIIIIIIIIII iIlII11IVIIIIUIIIIIIIlI11IIPs .mw o1.r RECORDINGRNWIAT THE REQUEST THE SURVEY 999 , SHERI 0'CONNELL LEGEND 0 SET 5/8' REBAR AND CAP •A.WOOD PLS 23911 L) JUNE 9, 2006 //p, C4 © 7V 1 [al (/`�p.-..s • SET 5 1/2' STEEL FENCE POST ON PROPERTY LINE •Pte. '°'�O� ®FOUND 1/2' REBAR AND CAP 'FISCHER LS 21911' VUL.7 P.37 1l1 ,..t.3/., ❑FOUND 1/2' REBAR AND CAP 'BENNETT LS 12870' cr.) 6 DEPUTY JEFFERSON COUNTY AUDITOR a SET 3/8' REBAR OR PK NAIL FOR SURVEY CONTROL POINTS • . zAT o TI� a c� �CI- iZ r° f e• _ / L D D w {� • A rm0n 'y o ~ t'/ / n / =v,7 - �da r , ° - r o - '' .� o (Al .../N . �C4o • / t �' a O n NCI r1I O S T` .3 lc Y• ? ° N a w n A I< r N s a d' ..-5 s zzozo •/ iiiik s- .is ,.., \ 'N, 111011P' 4)--- ----laW116.- It 1 lik . / 110.10 / 011 -7\ ■ r 25 4 1 ■ - 64,-44e 4 v-11 po NNNNN: N/ ir.' - ,_ -, N / rci 4' - - -- - -- , i i I o a 1 C AS i,1 ,/ P 512G'arE { OL /"`1 3 ry- �i N 5 rt. T i o- 1 s $ ' t it 4:,,,, i V CI 1 n I A.r/ 7 o �. `° m gi r ai r t JD Py ^ /TE iiv e_71...I4VIJi5 PC)(Stide C 7Ec Yom. / 7 7 // / / 7/77 / / 77 / 7/ / / / 7 /7// , .. . Rfvfor", 13vrfev , y N 0 40' 8C/ _ Lupne St(Third).. MIME MIME , SCALE 1"=40 FEET a 202 4052 6-202 t o o" L N 16 G PNewap `, ho 51-3, w .4 WU surface water sabe<k �4end beesi50i ----■.. vc, •ai•% A/3OO S r-i-;$■ 0000 it*** ■ 199 4 i ;'00'39-E 91.01 6-203 o • *4 0 .s • ` Pppoxi +e nuking Env-�,• 4-- *4 Buff e iv.cret - ' e ....‘ Ns. ‘. , , . V-77-1_371°411,4 v s'0, m : ,,,r—, W ' 1 12 A. I . i ga / s�, g _ a 1.44 EL 1.99' wetland buffet(50) 1 \" .4+' 444 2d S4. (v>~dc<,..,lo f>rd) 1 --.1,wit, 717 / . ,-/ , ,.„,__ Ii •••' • • • Alga Wiltermood �'} �`` l�f e`-a,�eL�k�oK� s Associates, Inc. W(* s B✓fled �'" 1015 S W Harper Road Pon Orchard WA 98367-9306 (360)876-2403 Fax(360)8762033 - -- -,,ri•..•,-;....74;..t...7til • ...-. :::.•*.i.:;:o.• - -, ....,.. , ,,,,,. . :.:- .: t•.:,-'::-..): ..,:.,:.-:,:-•:•: .-';-.-..:-..,.-'. ::.ic., .-:•••.-,- ,,,•.. ..- : . .,.. '!--;'-'-- . -0$4•,.Ie.,- •,.. i* --...sr.-.-.7#7,=:" * .-..,-- ;44.-ti•-_---':: :,•::. ... .. 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Nif4-A., 'L------i --7A41- Wiltermood Associates, Inc. :;. ..1,.4:-.:..-.:',,-, ditIP.,..„:.A.:,.-.--'`g,,,,5.,-.:,-.,,,,-; . .:-.•,.-•-••,:•••::.;*44:..:44..:='..;;;,....:.:...-.....:•...,--.`:•... - -. :,::.- - - •• '•'.•; •..'%. fk..-'-'4wilVti*.:•-:-.....',<A'',-.:.: . .. .....-14';;'' -'.--,---;.- .,'''?'-'''k A • AW1 evvr WA 93367. :7.4iitAti::::Wi.,-4,:e.e.,&,•,::,;,.:4A'''. .'',;!‘t' (P1 30o61r05t)Orchard,S8 W7 6..112 4a or 3P :.i.,-,-.e:r.-'-'--4:.,,, ,:',:-..„ :.:fo,-- ...........,..:...,,yitt::„.■*....g....;7;. ,..., .::-.,..,..2,0 . :.:...,-:::,0I 4. .m,...:...1...... .: . --4;:,?„,...-...t: 4.-...:.1.E4-i.,-. :,:;.:,..;.,....t,;:,x,:,--3N:', 1:,.:-........,,,,,..-4 -:- -'::::',1::: . :. • •••-..-:-.„,5,-:-..,:2..K.w....,-;ic•.. 5'.--,?.. .4:6-,6, ...:...A. :,'..•;:,"&.:,,s,,e; -:. ,5t-,4t.- .‹• . - .nr"-:-:-- - .___ , Owtsil t • EM } 1 I\� • i , PEMF • 114111 i ..tiri,) 4 I i p I r. = • •� �� i6 4 \. •4 4 i ,,, _. • _ 4... • , r., 4L ., _ , i _ , AA/7( 10 I I 1 I lik.1 1 4 I I I II 4:.-------.-.-. ..".. ' IY i a i P c s1 1 \ �_ , (� / - ° NATIONAL WETLANDS l _ r,_ = = INVENTORY L _ ` _ r •• W'iltermood Associates, Inc. SW Harper Road I1015 Port Orchard, WA 98367 _ \ ra , (3601876-2403 JEFFERSON COUNTY SOIL SURVEY DESCRIPTION OF SOIL TYPES The soils described in this appendix are excerpts, considered applicable to urban development, taken from the Soil Conservation Service, Soil Survey of Jefferson County Area, Washington, August, 1975. CmC Clallam gravelly sandy loam, 0-15% slopes. This nearly lever to rolling soil is on terraces. Most slopes rand form 5 to 10 percent. This Clallam series consists of well drained soils that have a very slowly permeable cemented layer at a depth of 20 to 40 inches. They are on uplands. These soils formed in glacial till under a forest of mixed coniferous and deciduous trees. Native vegetation is mainly Douglas Fir, Cedar, Madrone and willow. Annual rainfall precipitation ranges form 18 to 25 inches. The soil profile contains a thin layer of organic litter with the upper 23 inches containing gravelly loam that is grayish brown in the upper 3 inches and dark brownish brown in the lower 20 inches. More than 60% of the acreage of Clallam soil has been cleared and is used for pasture, hay, silage, berries, orchards, small grains, and vegetable gardens. . %. adAtoitli owl 6 v" Wetlands Rating Field Data Form vi�.i,l ew E tl�t i tJ Sv opt 1,. t e f£s ' trr ( : Cif"' Background Information: 4 r ;g r f Name of Rater: lA, ! eft a Affiliation: w: r 34 x?O./OM( . `Date:.Wag/3- Name of wetland(if known): / (_0 ii ,./.1 i Government Jurisdiction of wetland: • Location: 1/4 Section: of 1/4 S: Section: Township: Range: Sources of Information: (Check all sources that apply) 1_ Site visit: V USGS Topo Map:fr- NWI map: t Aerial Photo: _Soils survey: / t Other: Describe: LA/e 4 t.f.4 m /I 6. i?/- : ;,,t e c4 1-lo Li P +s )When The Field Data form is complete enter Category here: (IC ID Q.1. High Quality Natural Wetland Circle Answers Answer this question if you have adequate information or experience to do so. If not find someone with the expertise to answer the questions. Then, if the answer to questions la, lb and lc are all NO,contact the Natural Heritage program of DNR. la.Human caused disturbances. Is there significant evidence of human-caused changes to topography or hydrology of the wetland as indicated by any of the following conditions? Consider only changes that may have taken place in the last 5 decades. The impacts of changes done earlier have probably been stabilized and the wetland ecosystem will be close to reaching some new equilibrium that may represent a high quality wetland. lal. Upstream watershed> 12% impervious. Yes: go to Q.2 go to Q.2 1 a2.Wetland is ditched and water flow is not obstructed. Yes: go to Q.2 1a3. Wetland has been graded, filled, logged. ._ 1 a4. Water in wetland is controlled by dikes,weirs, etc. Yes: go to Q.2 1 a5.Wetland is grazed. Yes: go to Q.2 1 a6. Other indicators of disturbance(list below) Yes: go to Q.2 No: go to lb. LT _ Wiltermood X ' Associates, Inc. Jai. 11sspor Rea Port Orchard WA 98367-9306 25 (360)876-2403 Fax(360)8762053 1. _f. 4 k 4 • t Y !k • r lb Are there populations of non-native plants which are currently present, YES: go to Q.2 cover more than 10%of the wetland, and appear to be invading native No: go to ic. populations? Briefly describe any non-native plant populations and Information source(s): lc. Is there evidence of human-caused disturbances which have visibly YES: go to Q.2 degraded water quality. Evidence of the degradation of water quality NO:Possible Cat. I include: direct(untreated)runoff from roads or parking lots; presence, contact DNR or historic evidence,of waste dumps;oily sheens; the smell of organic chemicals;or lifestock use. Briefly describe: Q.2. Irreplaceable Ecological Functions: Does the wetland: (NO to all:go to Q.3) 9 have at least 114 acre of organic soils deeper than 16 inches YES go to 2a and the wetland is relatively undisturbed; OR [IIf the answer is NO because the wetland is disturbed briefly describe: Indicators of disturbance may include: -Wetland has been graded, filled,logged; -Organic soils on the surface are dried-out for more than half of the year; -Wetland receives direct stormwater runoff from urban or agricultural areas.); OR 9 have a forested class greater than 1 acre; YES: Go to 2b OR 9 have characteristics of an estuarine system; YES: Go to 2c OR ® have eel grass, floating or non-floating kelp beds?. YES: Go to 2d 2a. Bugs and Fens Are any of the three following conditions met for the area of organic soil? 2a.I. Are Sphagnum mosses a common ground cover (>30%) and the cover of invasive species(see Table 3) is less than 10%? Is the area of sphagnum mosses and deep organic soils> 1/2 acre? YES: Category I Is the area of sphagnum mosses and deep organic soils 1/4-1/2 acre? YES: Category II NO: Go to 2a.3 2a.2. Is there an area of organic soil which has an emergent class with at least one species from Table 2, and cover of invasive species is< 10% (sec Table 3)? Is the area of herbaceous plants and deep organic soils > 1/2 acre? YES: Category I Is the area of herbaceous plants and deep organic mils 1/4-1/2 acre? YES: Category It • NQ (io to 2a.3 T`' 2a.3. Is the vegetation a mixture of only herbaceous plants and Sphagnum mosses with no scrub/shrub or forested classes? Is the area of herbaceous plants, Sphagnum, and deep organic soils> 1/2 acre? YES: Category I Is the area of herbaceous plants, Sphagnum, and deep organic YES: Category II soils 1/4-12 acre? NO: Go to Q.3. Q.2b. Mature forested wetland. 2b.1. Does 50%of the cover of upper forest canopy consist of evergreen YES: Category I trees older than 80 years or deciduous trees older than 50 years? c NO: Go tp 26 2 _ Note:The size of trees is often not a measure of age,and size cannot be used as a surrogate for age(see guidance). 2b.2. Does 50%of the cover of forest canopy consist of evergreen trees older YES co to NO: Go to2b. m than 50 years, AND is the structural diversity of the forest high as � Q characterized by an additional layer of trees 20'-49'tall,shrubs 6'-20', tall,and a herbaceous groundcover? 2b.3. Does <25% of the areal cover in the herhaceous/groundcover or YES: Category I the shrub layer consist of invasive/exotic plant species from the list on p. 19? NO: Go to Q.3 I _ Q.2c. Estuarine wetlands. 2e1. Is the wetland listed as National Wildlife Refuge,National Park, YES: Category I National Estuary Reserve, Natural Area Preserve,State Park,or NO: Go to 2c.2 Educational,Environmental or Scientific Reserves designated under WAC 332-30-151? 2c.2. Is the wetland>5 acres; YES: Category I Note: If an area contains patches of salt tolerant vegetation that are 1)less than 600 feet apart and that are separated by mudflats that go dry on a Mean Low Tide, or 2) separated by tidal channels that are less than 100 feet wide; all the vegetated areas are to be considered together in calculating the wetland area_ or is the wetland 1-5 acres; YES: Go to 2c.3 or is the wetland< 1 acre? YES: Go to 2c.4 27 2c.3. Does the wetland meet at least 3 of the following 4 criteria: . . YES:Category I NO: Category H - minimum existing evidence of human related disturbance such as diking,ditching, filling,cultivation, grazing or the presence of non- native plant species(see guidance for definition); -surface water connection with tidal saltwater or tidal freshwater; • - at least 75%of the wetland has a 100' buffer of ungrazed pasture, open water,shrub or forest; -has at least 3 of the following features: low marsh;high marsh;tidal channels; lagoon(s);woody debris; or contiguous freshwater wetland. 2c.4. Does the wetland meet all of the four criteria under 2c3. (above)?. . YES:Category II NO: Category III Q.Zd. Eel Grass and Kelp Beds. 2d.I. Are eel grass beds present? YES:Category I NO: go to 2d.2 2d.2. Are there floating or non-floating kelp bed(s)present with greater than YES:Category I 50% macro algal cover in the month of August or September?. . . . . . . . . NO:Category H Q.3. Category IV wetlands. 3a. Is the wetland: less than 1 acre and, hydrologically isolated, , comprised of one vegetated class that is dominated(> 80% areal cover) YES:Categog IV by one species from Table 3 (page 19)or Table 4 (page 20) . NO: go to 3t C) 3b. Is the wetland: less than two acres and,hydrologically isolated, with one vegetated class, and>90% of areal cover is any combination of YES: Cat ory IV species from Table 3(page 19) NO: go to 3c. 3c. Is the wetland excavated from upland and a pond smaller than 1 acre YES: Category IV without a surface water connection to streams,lakes,rivers,or other NO: go to Q.4'\ wetland, and has<0.I acre of vegetation. 2K Q.4. Significant habitat value. Answer all questions and enter data requested. Circle scores that qualify 4a Total wetland area asp points Estimate area, select from choices in the near-right column, and score in the >200 6 far column: 40- 200 5 10-40 4 Enter acreage of wetland here:.�acres, and source: 0°.= . L..- V:4.,.` , 5 - 10 3 l - 5 2 0.1 - 1 � � <0.1 0 , 4b. Wetland classes: Circle the wetland classes below that qualify: Open Water: if the area of open water is> 1/4 acre Aquatic Beds: if the area of aquatic beds> 1/4 acre, Emergent: if the area of emergent class is> 1/4 acre, It of class I. I ) Scrub-Shrub: if the area of scrub-shrub class is> 1/4 acre, ---2 3 3 6 Forested: if area of forested class is> 1/4 acre, 4 8 5 10 Add the number of wetland classes, above,that qualify,and then score according to the columns at right. e.g. If there are 4 classes(aquatic beds, open water,emergent& scrub-shrub), you would circle 8 points in the far right column. 4c. Plant species diversity. For each wetland class(at right) that qualifies in Class #species in class points 4b above,count the number of different plant species Aquatic Bed I 0 you can find that cover more than 5% of the ground. 2 1 You do not have to name them. 3 2 > 3 3 Score in column at far right: e.g. If a wetland has an aquatic bed class with 3 species, Emergent 1 0 an emergent class with 4 species and a scrub-shrub 2-3 1 class with 2 species you would circle 2,2, and I in the 4-5 2 far column. > 5 3 Note: Any plant species with a cover of>5% qualifies for points within a class, even those Scrub-Shrub 1 (1 that are not of that class. 2 1 3-4 2 >4 3 Forested t 0 2 1 3-4 2 >4 C3 29 4d. Structural diversity. If the wetland has a forested class,add 1 point if each of the following classes is present within the forested class and is larger than 1/4 acre: -trees>50' tall YES- 1 -trees 20'. 49' tall YES Cf`c) -shrubs YES -ri ) -herbaceous ground cover YES - 1✓,) Also add 1 point if there is any"open water"or"aquatic bed"class immediately next to the forested area(ie. there is no scrub/shrub or emergent vegetation between them). YES - I 4e. Decide from the diagrams below whether interspersion between High- 5 wetland classes is high,moderate,low or none? If you think the Moderate - 3 amount of interspersion falls in between the diagrams score accordingly Low - 1 (i.e. a moderately high amount of insterspersion would score a 4, None 0` while a moderately low amount would score a 2) rr Sd� - i : .. r..., ..._ ' ..:.."1 .;,: 0- Y ` , one low low JJ J J\J M1 T, J J '' ' \..\. • 1 / J J J r el .. .. , " J G C"T . •Y' • \ \ 11 1 \ • J 1 J J J • • • • \ w"mi \v J JJ rJ JT J l', l6 'N's"" 44 M1 \ 1 \ M1 \ �.? moderate moderate high 4f. Habitat features. Answer questions below,circle features that apply, and score to right: Is there evidence that the open or standing water was caused by beavers YES = 2 Is a heron rookery located within 300? YES = I Are raptor nests located within 300'? YES = I Are there at least 3 standing dead trees(snags)per acre greater than 10" in diameter at"breast height" (DBli)"?. YES 42 � Are there at least 3 downed logs per acre with la diameter •-, > 6" for at least 10' in length? YES (X11 Are there areas (vegetated or unvegetated) within the wetland that arc _/ pondcd for at least 4 months out of the year, and the wetland has not qualified as having an open water class in Question 4b. ? YES 2 30 4g. Connection to streams. (Score one answer only.) 4g.1. Does the wetland provide habitat for fish at any time of the year AND does it have a perennial surface water connection to a fish bearing stream. YES = 6 4g.2 Does the wetland provide fish habitat seasonally AND does it have a seasonal surface water connection to a fish bearing stream. N.YES=4 4g.3 Does the wetland function to export organic matter through a surface water connection at all times of the year to a perennial stream. YES =4 4g.4 Does the wetland function to export organic matter through a su>tfa, e, water connection to a stream on a seasonal basis? 1) YES =2 r) 4h.Buffers. / Score the existing buffers on a scale of 1-5 based on the following four descriptions. If the condition of the buffers do not exactly match the description,score either a point higher or lower depending on whether the buffers are less or more degraded. Forest,scrub, native grassland or open water buffers are present for more than 100'around 95%of the circumference. Score=5 Forest,scrub,native grassland, or open water buffers wider than 100' for more than 1/2 of the wetland circumference, or a forest, scrub, grasslands,or open water buffers for more than 50' around 95%of the circumference. Score_3 Forest,scrub,native grassland, or open water buffers wider than 100' for more than 1/4 of the wetland circumference, or a forest,scrub,native grassland,or open water buffers wider than 50' for more than 1/2 of the wetland circumference. Score=2 No roads, buildings or paved areas within 100' of the wetland for more than 95% of the wetland circumference. Score=2 No roads,buildings or paved areas within 25' of the wetland for more than 95% of the circumference, or No roads buildings or paved areas within 50' of the wetland for more than 1/2 of the wetland circumference. Score= 1 Paved areas, industrial areas or residential construction (with less than 50' between houses) are less than 25 feet from the wetland for more than 95% of the circumference of the wetland. Score= 0 • 4i. Connection to other habitat areas: Select the description which best matches the site being evaluated. -Is the wetland connected to,or part of, a riparian corridor at least 100' wide connecting two or more wetlands;or,is there an upland connection present>100' wide with good forest or shrub cover (>25% cover)connecting it with a Significant Habitat Area? YES=5 -Is the wetland connected to any other Habitat Area with either 1) a forested/shrub corridor < 100' wide,or 2) a a corridor that is> 100'wide, but has a low vegetative cover less than 6 feet in height? YES= 3 -Is the wetland connected to,or a part of, a riparian corridor between 50- 100' wide with scrub/shrub or forest cover connection to other wetlands? YES =3 -Is the wetland connected to any other Habitat Area with narrow corridor(<100') � of low vegetation(<6'in height)? z w:e�z YES� 1 •. - Is the wetland and its buffer(if the buffer is less than 50'wide) completely isolated by development(urban,residential with a density greater than 2/acre,or industrial)? YES=0 t Now add the scores circled (for Q.5a - Q.51 above)to get a total. t Is the Total greater than or equal to 22 points? YES =_ ategory_II tsio= Category III ') tt f, ')i,ve adI$ARL e Wetland name or number WETLAND RATING FORM—WESTERN WASHINGTON Version 2-Updated June 2006 to increase accuracy and reproducibility among users Name of wetland(if known): we-kl rov r* 14• Date of site visit: 30/0- Rated by t V 30010A V Trained by Ecology? Ye No Date of training i 4126—''0 6 SEC: TWNSHP: RNGE: Is S/T/R in Appendix D? Yes No Map of wetland unit: Figure Estimated size SUMMARY OF RATING Category based on FUNCTIONS provided by wetland I_ II_ III X IV Score for Water Quality Functions ( B Category I = Score >=70 Catego II = Score 51-69 Score for Hydrologic Functions 6 Category III — Score_ - Score for Habitat Functions , ateeory IV= Score < 30 ( I TOTAL score for Functions Category based on SPECIAL CHARACTERISTICS of wetland I II_ Does not Apply Final Category (choose the "highest" category from above) Summary of basic information about the wetland unit Via ' i�d?v Wetland Unit has Special Wetland HGM Class Characteristics used for Rating Estuarine Depressional Natural Heritage Wetland Riverine Bog Lake-fringe Mature Forest Slope '�( Old Growth Forest Flats ' \ Coastal Lagoon Freshwater Tidal Interdunal None of the above Check if unit has muol HGM classes present ` — . "iltermood Wetland Rating Form—western Washington I AA.,- t' 0 ssociates, Inc. version 2 1015 W Harper Road Port Orchard WA 98367-9306 (360)876-2403 Fax(360)876-2053 Wetland name or number Does the wetland unit being rated meet any of the criteria below? If you answer YES to any of the questions below you will need to protect the wetland according to the regulations regarding the special characteristics found in the wetland. Check List for Wetlands That May Need Additional Protection YES NO (in addition to the protection recommended for its category) SP 1.Has the wetland unit been documented as a habitat for any Federally listed Threatened or Endangered animal or plant species (T/E species)? / For the purposes of this rating system, "documented"means the wetland is on the appropriate state or federal database. SP2.Has the wetland unit been documented as habitat for any State listed Threatened or Endangered animal species? For the purposes of this rating system, "documented"means the wetland is on the appropriate state database. Note: Wetlands with State listed plant species are categorized as Category I Natural Heritage Wetlands(see p. 19 of data form). SP3. Does the wetland unit contain individuals of Priority species listed by the WDFW for the state? SP4. Does the wetland unit have a local significance in addition to its functions? For example,the wetland has been identified in the Shoreline Master Program,the Critical Areas Ordinance, or in a local management plan as having special significance. To complete the next part of the data sheet you will need to determine the Hydro geomorphic Class of the wetland being rated. The hydrogeomorphic classification groups wetlands into those that function in similar ways. This simplifies the questions needed to answer how well the wetland functions. The Hydrogeomorphic Class of a wetland can be determined using the key below. See p. 24 for more detailed instructions on classifying wetlands. Wetland Rating Form—western Washington 2 August 2004 version 2 Wetland name or number A Classification of Wetland Units in Western Washington If the hydrologic criteria listed in each question do not apply to the entire unit being rated,you probably have a unit with multiple HGM classes. In this case, identify which hydrologic criteria in questions 1-7 apply, and go to Question 8. 1. . - water levels in the entire unit usually controlled by tides(i.e.except during floods)? NO go to 2 YES—the wetland class is Tidal Fringe If yes,is the salinity of the water during periods of annual low flow below 0.5 ppt(parts per thousand)? YES—Freshwater Tidal Fringe NO—Saltwater Tidal Fringe (Estuarine) If your wetland can be classified as a Freshwater Tidal Fringe use the forms for Riverine wetlands. If it is Saltwater Tidal Fringe it is rated as an Estuarine wetland. Wetlands that were called estuarine in the first and second editions of the rating system are called Salt Water Tidal Fringe in the Hydrogeomorphic Classification. Estuarine wetlands were categorized separately in the earlier editions, and this separation is being kept in this revision. To maintain consistency between editions,the term"Estuarine"wetland is kept. Please note, however,that the characteristics that define Category I and II estuarine wetlands have changed(see p. ). 2.The entire wetland unit is flat and precipitation is the only source(>90%)of water to it. G oundwater and surface water runoff are NOT sources of water to the unit. —go to 3 YES—The wetland class is Flats '- _" If your wetland can be classified as a"Flats"wetland,use the form for Depressional wetlands. 3. Does the entire wetland unit meet both of the following criteria? _The vegetated part of the wetland is on the shores of a body of permanent open water (without any vegetation on the surface)at least 20 acres (8 ha)in size; At least 30%of the open water area is deeper than 6.6 ft(2 m)? —go to 4 YES—The wetland class is Lake-fringe (Lacustrine Fringe) 4.Does the entire wetland unit meet all of the following criteria? 1L The wetland is on a slope(slope can be very gradual), L.-- -The❑e water flows through the wetland in one direction(unidirectional)and usually comes from seeps. It may flow subsurface, as sheetflow,or in a swale without distinct banks. The water leaves the wetland without being impounded? NOTE: Surface water does not pond in these type of wetlands except occasionally in very small and shallow depressions or behind hummocks (depressions are usually <3ft diameter and less than I foot deep). NO - go to 5 YES—The wetland class is Slope Wetland Rating Form—western Washington 3 August 2004 version 2 Wetland name or number 5.Does the entire wetland unit meet all of the following criteria? The unit is in a valley,or stream channel, where it gets inundated by overbank flooding from that stream or river The overbank flooding occurs at least once every two years. NOTE: The riverine unit can contain depressions that are filled with water when the river is i,ot f looding. IO I go to 6 YES—The wetland class is Riverine 6.Isthe entire wetland unit in a topographic depression in which water ponds,or is saturated to the surface, at some time during the year. This means that any outlet, if present, is higher than the interior of the wetla NO—go to 7 YES The wetland class is-Depressional 7.Is the entire wetland unit located in a very flat area with no obvious depression and no overbank flooding. The unit does not pond surface water more than a few inches. The unit seems to be maintained by high groundwater in the area. The wetland may be ditched,but has no obvious natural outlet. NO—go to 8 YES—The wetland class is Depressional 8.Your wetland unit seems to be difficult to classify and probably contains several different HGM clases. For example, seeps at the base of a slope may grade into a riverine floodplain,or a small stream within a depressional wetland has a zone of flooding along its sides. GO BACK AND IDENTIFY WHICH OF THE HYDROLOGIC REGIMES DESCRIBED IN QUESTIONS 1-7 APPLY TO DIFFERENT AREAS IN THE UNIT(make a rough sketch to help you decide). Use the following table to identify the appropriate class to use for the rating system if you have several HGM classes present within your wetland. NOTE:Use this table only if the class that is recommended in the second column represents 10% or more of the total area of the wetland unit being rated. If the area of the class listed in column 2 is less than 10% of the unit; classify the wetland using the class that represents more than 90%of the total area. //GM Classes within the wetland unit being rated HGH Class to Use in Rating Slope+Riverine Riverine_ `~ Slope+Depressional 'ta De tstonal Slope +Lake-fringe ke-fring Depressional+Riverine along stream within boundary Depressional Depressional+Lake-fringe Depressional Salt Water Tidal Fringe and any other class of freshwater Treat as ESTUARINE under wetland wetlands with special characteristics If you are unable still to determine which of the above criteria apply to your wetland,or if you have more than 2 HGM classes within a wetland boundary,classify the wetland as Depressional for the rating. Wetland Rating Form—western Washington 4 August 2004 version 2 Wetland name or number D Depressional and Flats Wetlands Points WATER QUALITY FUNCTIONS - Indicators that the wetland unit functions to (only t score per box) improve water quality D D 1.Does the wetland unit have the potential to improve water quality? (see p.38) D 1.1 Characteristics of surface water flows out of the wetland: Figure—_ Unit is a depression with no surface wale,_ outlet) points= D Unit has : mtennittentl flown _ 0�485titt� entty flowing outlet points 2 Unit has an unconstricted,or slightly constricted,surface outlet (permanently flowing)points= Unit is a"flat"depression(Q.7 on key),or in the Flats class,with permanent surface outflow and no obvious natural outlet and/or outlet is a man-made ditch points= 1 (lf ditch is not permanently flowing treat unit as "intermittently flowing-) Provide photo or drawing S 1.2 The soil 2 inches below the surface(or duff layer)is clay or organic (use NRCS definitions) D YES points= p� NO poitits 9 V D 1.3 Characteristics of persistent vegetation(emergent,shrub,and/or forest Cowardin class) Figure Wetland has persistent,ungrazed,vegetation>=95%of area points D Wetland has persistent,ungrazed,vegetation>= 1/2 of area points 3 Wetland has persistent,ungrazed vegetation>= 1/10 of area points Wetland has persistent,ungrazed vegetation<1/10 of area points=0 Map of Cowardin vegetation classes DI.4 Characteristics of seasonal ponding or inundation. Figure This is the area of the wetland unit that is ponded for at least 2 months, but dries out D sometime during the year. Do not count the area that is permanently ponded. Estimate area as the average condition 5 out of 10 yrs. Area seasonally ponded is>'A total area of wetland points Area seasonally ponded is>''A total area of wetland points= 1 r_ Area seasonally ponded is<''A total area of wetland points=0 Map of Hydroperiods D Total for D 1 Add the points in the boxes above I I L.. .J D D 2.Does the wetland unit have the opportunity to improve water quality? (see p. 44) Answer YES if you know or believe there are pollutants in groundwater or surface water coming into the wetland that would otherwise reduce water quality in streams,lakes or groundwater downgradient from the wetland.Note which of the following conditions provide the sources of pollutants. A unit may have pollutants coming from several sources, but any single source would qualify as opportunity. — Grazing in the wetland or within 150 ft — Untreated stormwater discharges to wetland — Tilled fields or orchards within 150 ft of wetland — A stream or culvert discharges into wetland that drains developed areas,residential areas, farmed fields,roads,or clear-cut logging kol Residential,urban areas,golf courses are within 150 ft of wetland multiplier — Wetland is fed by groundwater high in phosphorus or nitrogen 41. Other multiplier is 2 NO multiplier is 1 D TOTAL-Water Quality Functions Multiply the score from D1 by D2 Add score to table on p. 1 l Wetland Rating Form-western Washington 5 August 2004 version 2 Wetland name or number I) Depressional and Flats Wetlands Points HYDROLOGIC FUNCTIONS - Indicators that the wetland unit functions to (Only'score per box) reduce flooding and stream degradation D 3.Does the wetland unit have the potential to reduce flooding and erosion? (see p.46) D D 3.1 Characteristics of surface water flows out of the wetland unit Unit is a depression with no surface water leaving it(no outlet) points=3 Unit has an intermittently flowing,OR highly constricted permanently flowing outlet points Unit is a"flat"depression(Q.7 on key),or in the Flats class,with permanent surface outflow no obvious natural outlet and/or outlet is a man-made ditch points=1 (If ditch is not permanently flowing treat unit as "intermittently flowing") Unit has an unconstricted,or slightly constricted,surface outlet (permanently flowing) points=0 D D 3.2 Depth of storage during wet periods Estimate the height of ponding above the bottom of the outlet. For units with no outlet measure from the surface of permanent water or deepest part(if dry). Marks of ponding are 3 ft or more above the surface or bottom of outlet points=7 The wetland is a"headwater"wetland" points=5 Marks of ponding between 2 ft to<3 ft from surface or bottom of outlet points= Marks are at least 0.5 ft to<2 ft from surface or bottom of outlet points Unit is flat(yes to Q.2 or Q. 7 on key)but has small depressions on the surface that trap water points= l J Marks of ponding less than 0.5 ft points=0 D D 3.3 Contribution of wetland unit to storage in the watershed Estimate the ratio of the area of upstream basin contributing surface water to the wetland to the area of the wetland unit itself. The area of the basin is less than 10 times the area of unit points The area of the basin is 10 to 100 times the area of the unit points 3 The area of the basin is more than 100 times the area of the unit points=0 Entire unit is in the FLATS class points=5 r-- D Total for D 3 Add the points in the boxes above a._ _- D D 4.Does the wetland unit have the opportunity to reduce flooding and erosion? (see p. 49) Answer YES if the unit is in a location in the watershed where the flood storage,or reduction in water velocity,it provides helps protect downstream property and aquatic resources from flooding or excessive and/or erosive flows. Answer NO if the water coming into the wetland is controlled by a structure such as flood gate, tide gate,flap valve,reservoir etc. OR you estimate that more than 90%of the water in the wetland is from groundwater in areas where damaging groundwater flooding does not occur. Note which of the following indicators of opportunity apply. — Wetland is in a headwater of a river or stream that has flooding problems — Wetland drains to a river or stream that has flooding problems — Wetland has no outlet and impounds surface runoff water that might otherwise multiplier flow into a river or stream that has flooding problems — Other YES multiplier is 2 (9 multiplier is 1 D TOTAL - Hydrologic Functions Multiply the score from D 3 by D 4 ( Add score to table on p. 1 yi Wetland Rating Form-western Washington 6 August 2004 version 2 Wetland name or number These glieSa04 apply to wetlands of all HGM classes. Po ilii (ply 1 gran HABITAT FUNCTIONS-Indicators that unit functions to provide important habitat per box,) H 1. Does the wetland unit have the potential to provide habitat for many species? H 1.1 Vegetation structure (see p. 72) Figure Check the types of vegetation classes present(as defined by Cowardin)-Size threshold for each class is '/4 acre or more than 10%of the area if unit is smaller than 2.5 acres. Aquatic bed Emergent plants Scrub/shrub(areas where shrubs have>30% cover) 7/Torested(areas where trees have>30% cover) If therunit has a forested class check if: The forested class has 3 out of 5 strata(canopy,sub-canopy,shrubs,herbaceous, moss/ground-cover)that each cover 20%within the forested polygon Add the number of vegetation structures that qualify. Ifyou have: 4 structures or more points=4 Map of Cowardin vegetation classes 3 structures points=2 I 2 structures points ijo 1 structure points=0 H 1.2.Hydroperiods (see p. 73) Figure _ Check the types of water regimes(hydroperiods)present within the wetland. The water regime has to cover more than 10%of the wetland or '/4 acre to count. (see text for descriptions of hydroperiods) Permanently flooded or inundated 4 or more types present points=3 \Seasonally flooded or inundated 3 types present points=2 Occasionally flooded or inundated 2 types present point= Saturated only 1 type present points 0 Permanently flowing stream or river in,or adjacent to,the wetland Seasonally flowing stream in,or adjacent to, the wetland Lake fringe wetland =2 points Freshwater tidal wetland=2 points Map of hydroperiods H 1.3. Richness of Plant Species(seep. 75) Count the number of plant species in the wetland that cover at least 10 ft2. (different patches of the same species can be combined to meet the size threshold) You do not have to name the species. Do not include Eurasian Milfoil, reed canarygrass,purple loosestrife, Canadian Thistle If you counted: > 19 species points= List species below if you want to: 5 - 19 species points 1) <5 species points— Total for page Wetland Rating Form—western Washington 13 August 2004 version 2 Wetland name or number H 1.4. Interspersion of habitats(seep. 76) Figure___ Decide from the diagrams below whether interspersion between Cowardin vegetation classes(described in H 1.1),or the classes and unvegetated areas(can include open water or mudflats)is high,medium,low,or none. CD 0 4r) 0 None=0 poits Low= 1 point Moderate=2 points / -- ) . s 'N'i's-....44&=. ,7-.= 1: [riparian braided channels] High =3 points NOTE: If you have four or more classes or three vegetation classes and open water O the rating is always"high". Use map of Cowardin vegetation classes H 1.5. Special Habitat Features: (see p. 77) Check the habitat features that are present in the wetland. The number of checks is the number of points you put into the next column. ✓ Large,downed,woody debris within the wetland(>4in.diameter and 6 ft long). JStanding snags(diameter at the bottom>4 inches)in the wetland _Undercut banks are present for at least 6.6 ft(2m)and/or overhanging vegetation extends at least 3.3 ft(1m)over a stream(or ditch)in,or contiguous with the unit,for at least 33 ft (10m) _Stable steep banks of fine material that might be used by beaver or muskrat for denning (>30degree slope)OR signs of recent beaver activity are present(cut shrubs or trees that have not yet turned grey/brown) _At least 1/4 acre of thin-stemmed persistent vegetation or woody branches are present in areas 'that are permanently or seasonally inundated.(structures for egg-laying by amphibians) V Invasive plants cover less than 25%of the wetland area in each stratum of plants I\ NOTE: The 20%stated in early printings of the manual on page 78 is an error. H 1.TOTAL Score - potential for providing habitat to Add the scores fromHl.1, H1.2, H1.3, H1.4, H1.5 L—_--j Comments Wetland Rating Form-western Washington 14 August 2004 version 2 • Wetland name or number H 2. Does the wetland unit have the opportunity to provide habitat for many species? H 2.1 Buffers (seep. 80) Figure Choose the description that best represents condition of buffer of wetland unit. The highest scoring criterion that applies to the wetland is to be used in the rating. See text for definition of "undisturbed." — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water >95% of circumference. No structures are within the undisturbed part of buffer. (relatively undisturbed also means no-grazing,no landscaping,no daily human use) Points=5 — 100 m(330 ft) of relatively undisturbed vegetated areas,rocky areas,or open water > 50% circumference. Points=4 — 50 m(170ft)of relatively undisturbed vegetated areas,rocky areas,or open water>95% circumference. Points=4 — 100 m(330ft)of relatively undisturbed vegetated areas,rocky areas,or open water>25% circumference, . Points=3 — 50 m(170ft) of relatively undisturbed vegetated areas, rocky areas,or open water for> 50% circumference. Points' E If buffer does not meet any of the criteria above — No paved areas(except paved trails)or buildings within 25 in(80ft)of wetland>95% circumference. Light to moderate grazing,or lawns are OK. Points=2 — No paved areas or buildings within 50m of wetland for>50%circumference. Light to moderate grazing,or lawns are OK. Points=2 — Heavy grazing in buffer. Points= 1 — Vegetated buffers are<2m wide(6.6ft)for more than 95%of the circumference(e.g.tilled fields,paving,basalt bedrock extend to edge of wetland Points=0. — Buffer does not meet any of the criteria above. Points= 1 Aerial photo showing buffers -� H 2.2 Corridors and Connections(seep. 81) - H 2.2.1 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 150 ft wide,has at least 30%cover of shrubs, forest or native undisturbed prairie,that connects to estuaries, other wetlands or undisturbed uplands that are at least 250 acres in size? (dams in riparian corridors,heavily used gravel roads,paved roads, are considered breaks in the corridor). YES=4 points (go to H 2.3) go to H 2.2.2 H 2.2.2 Is the wetland part of a relatively undisturbed and unbroken vegetated corridor (either riparian or upland)that is at least 50ft wide, has at least 30%cover of shrubs or forest, and connects to estuaries,other wetlands or undisturbed uplands that are at least 25 acres in size? OR a Lake-fringe wetland, if it does not have an undisturbed corridor as in the question above? YES=2 points (go to H 2.3) ( r/ H 2.2.3 1-1 2.2.3 Is the wetland: within 5 mi(8km) of a brackish or saltwater estuary OKw.. within 3 mi of a large field or pasture(>40 acres) OR within 1 mi of a lake greater than 20 acres? YES =_pint NO= 0 points Total for page Wetland Rating Form—western Washington 15 August 2004 version 2 Wetland name or number H 2.3 Near or adjacent to other priority habitats listed by WDFW(seep. 82) Which of the following priority habitats are within 330ft(100m)of the wetland unit?NOTE: the connections do not have to be relatively undisturbed. These are DFW definitions. Check with your local DFW biologist if there are any questions. Riparian: The area adjacent to aquatic systems with flowing water that contains elements of both aquatic and terrestrial ecosystems which mutually influence each other. _Aspen Stands: Pure or mixed stands of aspen occurring en greater below 0.8 ha(2 ft acres). and Greater than 7.6 m(25 ft)high _Old-growth forests:(Old-growth west of Cascade crest) Stands of at least 2 tree species, forming a'multi-layered canopy with occasional small openings;with at least 20 trees/ha(8 trees/acre)>81 cm(32 in)dbh or>200 years of age. _Mature forests: Stands with average diameters exceeding 53 cm(21 in)dbh;crown cover may be less that 100%;crown cover may be less that 100%;decay,decadence,numbers of snags,and quantity of large downed material is generally less than that found in old- growth;80-200 years old west of the Cascade crest. _Prairies: Relatively undisturbed areas(as indicated by dominance of native plants)where grasses and/or forbs form the natural climax plant community. Talus:Homogenous areas of rock rubble ranging in average size 0.15 -2.0 m(0.5 -6.5 ft), composed of basalt,andesite,and/or sedimentary rock,including riprap slides and mine tailings.May be associated with cliffs. _Caves: A naturally occurring cavity,recess,void,or system of interconnected passages Oregon white Oak: Woodlands Stands of pure oak or oak/conifer associations where canopy coverage of the oak component of the stand is 25%. _Urban Natural Open Space:A priority species resides within or is adjacent to the open space and uses it for breeding and/or regular feeding; and/or the open space functions as a corridor connecting other priority habitats,especially those that would otherwise be isolated;and/or the open space is an isolated remnant of natural habitat larger than 4 ha(10 acres)and is surrounded by urban development. Estuary/Estuary-like:Deepwater tidal habitats and adjacent tidal wetlands,usually semi- enclosed by land but with open,partly obstructed or sporadic access to the open ocean, and in which ocean water is at least occasionally diluted by freshwater runoff from the land. The salinity may be periodically increased above that of the open ocean by evaporation. Along some low-energy coastlines there is appreciable dilution of sea water.Estuarine habitat extends upstream and landward to where ocean-derived salts measure less than 0.5ppt.during the period of average annual low flow.Includes both estuaries and lagoons. Marine/Estuarine Shorelines: Shorelines include the intertidal and subtidal zones of beaches,and may also include the backshore and adjacent components of the terrestrial landscape(e.g., cliffs, snags,mature trees,dunes,meadows)that are important to shoreline associated fish and wildlife and that contribute to shoreline function(e.g.,sand/rock/log recruitment,nutrient contribution,erosion control). If wetland has 3 or more priority habitats=4 points If wetland has 2 priority habitats=3 points If wetland has 1 priority habitat=1 point No habitats=0 points Note:All vegetated wetlands are by definition a priority habitat but are not included in this list. Nearby wetlands are addressed in_question H 2.4) Wetland Rating Form—western Washington 16 August 2004 version 2 • • Wetland name or number H 2.4 Wetland Landscape (choose the one description of the landscape around the wetland that ;. J best fats) (see p. 84) G+''' .44 There are at least 3 other wetlands within 1/2 mile, and the connections between them are wy VA relatively undisturbed(light grazing between wetlands OK, as is lake shore with some boating,but connections should NOT be bisected by paved roads, fill, fields,or other \P"11\19} development. points=5 (/t L C7) The wetland is Lake-fringe on a lake with little disturbance and there are 3 other lake-fringe f, Citf wetlands within Y2 mile points=5 4 oci, There are at least 3 other wetlands within 1/2 mile, BUT the connections between them are rog • disturbed point 3 The wetland is Lake-fringe on a lake with disturbance and there are 3 other lake-fringe wetland within '/2 mile points=3 There is at least 1 wetland within V2 mile. points=2 There are no wetlands within '/2 mile. points=0 H 2. TOTAL Score- opportunity for providing habitat Add the scores from H2.1,112.2, H2.3, H2.4 TOTAL for H 1 from page 14 Total Score for Habitat Functions —add the points for H 1,H 2 and record the result on `�_ p. 1 2i Wetland Rating Form—western Washington 17 August 2004 version 2 Wetland name or number CATEGORIZATION BASED ON SPECIAL CHARACTERISTICS Please determine if the wetland meets the attributes described below and circle the appropriate answers and Category. Wetland Type Category Check off any criteria that apply to the wetland. Circle the Category when the appropriate criteria are met. SC 1.0 Estuarine wetlands (seep. 86) Does the wetland unit meet the following criteria for Estuarine wetlands? — The dominant water regime is tidal, — Vegetated,and — With a salinity greater than 0.5 ppt. YES= Go to SC 1.1 NO — SC 1.1 Is the wetland unit within a National Wildlife Refuge,National Park, Cat.I • National Estuary Reserve,Natural Area Preserve, State Park or Educational, Environmental,or Scientific Reserve designated under WAC 332-30-151? YES=Category I NO go to SC 1.2 SC 1.2 Is the wetland unit at least 1 acre in size and meets at least two of the Cat. I • following three conditions? YES = Category I NO =Category Ii —The wetland is relatively undisturbed(has no diking,ditching, filling, Cat. II cultivation, grazing,and has less than 10% cover of non-native plant species. If the non-native Spartina spp.are the only species that cover more than 10% of the wetland, then the wetland should be given a dual Dual rating (I/II). The area of Spartina would be rated a Category II while the rating relatively undisturbed upper marsh with native species would be a I/11 Category I. Do not,however,exclude the area of Spartina in determining the size threshold of 1 acre. —At least%of the landward edge of the wetland has a 100 ft buffer of shrub, forest,or un-grazed or un-mowed grassland. • —The wetland has at least 2 of the following features: tidal channels, depressions with open water, or contiguous freshwater wetlands. Wetland Rating Form-western Washington 18 August 2004 version 2 SECTION 3 • LAND USE DISTRICTS 3.6.9 Wetlands. (2) The dumping, discharging, or filling of • a. Classification/Designation. any material; (1) Classification. Wetlands shall be (3) The draining, flooding, or disturbing of classified using the Washington State the wetland water level or water table; Department of Ecology's Wetland (4) The driving of pilings; Rating System for Western Washing- (5) The placing of obstructions; ton, 2 Edition, 1993. Wetland (6) The construction, reconstruction, delineations shall be determined by demolition, or expansion of any using the Washington State Wetlands structure; Identification and Delineation Manual, March 1997,or as amended hereafter. (7) The destruction or alteration of wetland vegetation through clearing, (2) Designation. As determined using the harvesting, shading, intentional burn- Washington State Department of ing, application of herbicides or Ecology's Wetland Rating System for pesticides, or planting of vegetation Western Washington, 2nd Edition, that would alter the character of a 1993, all Category I wetlands, regulated wetland, provided that these Category 11 wetlands 2,500 square feet activities are not part of a forest or larger in size and Category 111 and practice governed under Chapter IV wetlands 10,000 square feet or 76.09 RCW(Forest Practices Act)and larger in size, shall be subject to the its rules;or standards of this section. (8) Activities that result in: (3) Sources Used for Identification. i A significant change of water Sources used to identify designated temperature; wetlands include,but are not limited to: i. United States Department of the .. ii. A significant change of physical Interior, Fish and Wildlife or chemical characteristics of Service, National Wetlands wetlands water sources, Inventory. including quantity;or ii. Areas identified as hydric soils, iii. The introduction of pollutants. soils with significant soil inclu- c. Exempt Activities. ::: 7 ' "W7: -.j••�••• •:::t'-:n t!"s ij rrelitlnu3. Tim ivuvmny uaca airarr vc United~ States Department of allowed within a regulated wetland Agriculture/Soil Conservation without having to meet the protection Service Soil Survey for Jefferson standards, or requirements for wetland County. studies or mitigation set forth in this iii. Washington State Department of section, if they are not prohibited by Natural Resources, Geographic any other law. However, forest prac- Information System: Hydro- tices.and conversions are governed by graphy and Soils Survey Layers. Chapter 76.09 RCW and its rules. (4) Wetland Maps. The wetland maps i. Normal maintenance, repair, or prepared by the County have been operation of existing structures, produced for informational purposes facilities, or improved areas, only and are not regulatory devices such as on-site septic systems, forming an integral part of this section. lawns, landscaping, orchards, b. Regulated Activities. Any land use or gardens, trails, and driveways. development activity shall be subject to the Maintenance and repair do not j provisions of this Section, including but not include any modification that I limited to the following activities which are changes the character, scope, or directly undertaken or originate in a regulated size of the original structure, wetland or its buffer,unless exempted: facility, or improved area, and do not include the construction of a (1) The removal, excavation, grading, or maintenance road. dredging of material of any kind, ii. Modification or expansion of including the construction of ponds and existing uses and structures, trails; ;pursuant to the requirements of Unified Development Code 3-33 Section 3 -Land Use Districts Amended by Ordinance No. 06-0510-04 4 SECTION 3 • LAND USE DISTRICTS the nonconforming use and section, provided that impacts to structure provisions of this Code. buffers are minimized and that iii. Outdoor recreational activities, disturbed areas are immediately including hunting and fishing restored except as specifically allowed (pursuant to state law), in subsection(2).i,below. birdwatching, hiking, bicycling, i. In association with a single boating,and swimming. family residence only, the iv. The harvesting of wild crops in a establishment and expansion of manner that is not injurious to lawns, landscaping, orchards, natural reproduction of such gardens, and fences, provided crops and provided the that: harvesting does not require tilling A. Lawns, landscaping, or- soil, planting crops, or changing chards, and gardens shall existing topography, water be allowed within the outer conditions, or water sources. 25 percent of the buffer v. Existing and ongoing agricultural width where no reasonable activities on lands enrolled in the alternative is available. No Open Space Tax Program for structure other than fences agriculture or on lands nor any impervious surface designated as Agricultural Lands shall be included in the of Long-Term Commercial above;and Significance on the official map B. Fences shall be designed to of Comprehensive Plan Land allow the unimpeded pas- Use Designations. For the sage of surface water purpose of this section, existing beneath them. and ongoing means that ii. Activities having minimal agricultural activities have been adverse impacts on buffers and conducted within the five-year no adverse impacts on regulated period leading up to the adoption wetlands. These include low of Ordinance No. 05-0428-03 on intensity, passive recreational April 28, 2003 activities, such as pervious trails, vi. Normal riaiiitenanu e, but iict iiciipei'manerit wildlife construction,of drainage ditches. blinds, scientific or educational vii. Use of existing nature trails. activities, and sports fishing or viii. Installation of navigation aids hunting. Trails within buffers shall be designed to minimize and boundary markers. impacts to the wetland, and shall ix. Site investigative work necessary not include any impervious for a project application surfaces. submittal, such as surveys, soil iii. Within the buffers of Category III logs, percolation tests, and other and IV wetlands only, vegetation- related activities. In every case, lined swales designed for wetland impacts shall be stormwater management or minimized and disturbed areas conveyance when topographic shall be immediately restored. restraints determine there are no x. Drilling or digging and main- other upland alternative loca- tenance of wells, provided that tions. Swales used for detention wetland impacts are minimized purposes may only be placed in and disturbed areas are immedi- the outer 25 percent of the ately restored. buffer. Conveyance swales may (2) Wetland Buffers. In addition to those be placed through the buffer, if activities allowed in regulated wetlands necessary. in this Section, the following activities d. Protection Standards. are allowed within wetland buffers (1) General. Application for a project on a without having to meet the protection parcel of real property containing a standards, or requirements for wetland designated wetland or its buffer shall studies or mitigation set forth in this 3-34 Unified Development Code Section 3 •Land Use Districts Amended by Ordinance No. 06-0510-04 SECTION 3 • LAND USE DISTRICTS adhere to the requirements set forth B. Subdivisions and Short below. Subdivisions. The require- (2) Delineation.An applicant submitting a ment for a wetland delinea- project application shall also submit, tion and special report will and have approved, a wetland be waived for subdivisions delineation report as specified in and short subdivisions of an Section 3.6.10(j). Additionally, the existing lot of record if field following provisions shall apply: investigation by County staff i. The location of the wetland and indicates the following: its boundary shall be determined 1. Sufficient information through the performance of a exists for staff to field investigation utilizing the estimate the boun- methodology contained in the daries of a wetland Washington State Wetlands without a delineation; • Identification and Delineation and Manual, March 1997, or as 2. Building envelopes or amended hereafter. building setback lines ii. If the wetland is located off of the are not proposed to property involved in the project be located within the application and is inaccessible, distances identified in the best available information Table 3-3, below, from shall be used to determine the the estimated wetland wetland boundary and class. boundary. iii. After approval of the delineation Table 3-3. Minimum Wetland Buffers Necessary report, the wetland boundary as part of Qualifying for a Waiver from shall be staked and flagged in Delineation and Special Report the field. Requirements'1''',3) iv. This requirement may be waived Required Distance from under the following circum- Wetland Estimated Wetland Boundary stances: Category (feet)14 G Single-Family Residences- 22° The requirement for a ll 150 wetland delineation and special report may be III 75 waived for construction of a IV 37 single-family residence on Notes: an existing lot of record if field investigation by County 1. These buffers are one part of the complete staff indicates the following: requirements necessary to qualify for a waiver. See Section 3.6.9.d.2 above. 1. Sufficient information 2 These are not standard wetland buffers: they are exists for staff to optional buffers for cases when a delineation is not estimate the boun- made. These minimum waiver buffers, shown in Table daries of a wetland 3-3, are 1.5 times the standard buffer widths identified without a delineation; in this section. If a single-family residence, building and envelope,or setback line in a subdivision is proposed to 2. The single-family resi- be closer to the wetland than the distance identified in the table, a wetland delineation report must be dence and all acces- performed. sory structures and 3. The same opportunities for exemption from delineation uses are not proposed shall apply to uncategorized wetlands. The Department to be located within of Community Development shall be responsible for the distances determining the wetland category. identified in Table 3-3, 4. The following shall not be located within the distances below, from the identified in the table: 1) single-family residences and estimated wetland all accessory structures and uses; 2) subdivision boundary. building envelopes and setback lines. Unified Development Code 3-35 Section 3 'Land Use Districts Amended by Ordinance No 06-0510-04 SECTION 3 • LAND USE DISTRICTS (3) Drainage and Erosion Control. An and the adjacent proposed applicant submitting a project project. application shall also submit, and have ii. The appropriate width of the approved, a drainage and erosion wetland buffer shall be control plan as specified in this determined by either: Section. The plan shall discuss, application of the standard buffer evaluate and recommend methods to widths set forth below in Table 3- minimize sedimentation of designated 4; or by variations to the wetlands during and alter construction. standard buffers as allowed in (4) Buffer Marking. Upon approval of the Sections 3.6.9(d)(6), 3.6.9(d)(7), delineation report the location of the or 3.6.9(d)(8),below. outer extent of the wetland buffer shall iii. Buffers shall remain naturally be marked in the field as follows: vegetated except where the i. A permanent physical separation vegetation has been disturbed, along the upland boundary of the invaded by highly undesirable wetland buffer area shalt be species (e.g., noxious weeds), or installed and permanently main- would substantially benefit from tained. Such separation may the increased diversity of consist of logs, a tree or hedge introduced species. Where buffer row, or other prominent physical disturbance has occurred during marking approved by the construction, replanting with Administrator. native vegetation shall be ii. Buffer perimeters shall be required. Minor pruning of marked with temporary signs at vegetation to enhance views and an interval of one per parcel or removal of undesirable species every one hundred (100) feet, (e.g., alders) may be permitted whichever is less. Signs shall by the Administrator on a case- remain in place prior to and by-case basis. during approved construction iv. All buffers shall be measured activities. The signs shall contain perpendicularly from the wetland the following statement: boundary as surveyed in the "Wetland & Buffer — Do Not field Remove or Alter Existing Native v. Standard wetland buffer widths Vegetation." shall be as established in Table iii. In the case of short plat, long 3-4. plat, binding site plan, and site Table 3-4. Standard Buffer Widths for Wetlands plan approvals under this Code, the applicant shall include on the Wetland Standard face of any such instrument the Category Buffer Width boundary of the wetland and its 150 ft buffer. II 100 A iv. The applicant may also choose III 50 ft to dedicate the buffer through a conservation easement or deed IV 25 R restriction that shall be recorded with the Jefferson County (6) Reducing Buffer Widths. The Auditor. Such easements or Administrator may reduce the standard restrictions shall, however, use wetland buffer widths, when the project the forms approved by the applicant demonstrates both of the Prosecuting Attorney. following to the satisfaction of the (5) Buffers – Standard Requirements. Administrator: The following buffer provisions shall i. Standard wetland buffer width apply: averaging as set forth in this i. Buffer areas shall be required to section is unfeasible. provide sufficient separation ii The project application includes between the designated wetland a buffer enhancement plan using 3-36 Unified Development Code Section 3 •Land Use Districts Amended by Ordinance No. 06-0510-04 • SECTION 3 • LAND USE DISTRICTS native vegetation which sub- iii. The standard buffer width has stantiates that an enhanced not been reduced by more than buffer will improve the functional twenty-five(25)percent. attributes of the buffer to provide e. Non-Compensatory Enhancement. Non- additional protection for functions compensatory enhancement are those and values. wetland enhancement projects which are (7) Increasing Buffer Widths. The conducted solely to increase the functions Administrator may increase the and values of an existing wetland and which standard wetland buffer widths when a are not required to be conducted pursuant to larger buffer is necessary to protect the mitigation requirements of Section wetland functions and values based on 3.6.9.f, below. There are two types of non- local conditions. This determination compensatory enhancement: shall be made only when the (1) Type 1 Non-Compensatory Department demonstrates any one of non- the following through appropriate compensatory Type 1 non- wpensatory enhaancement projects documentation: involve the filling, draining, or i. A larger buffer is necessary to excavating of a regulated wetland. All maintain viable populations of applications for Type 1 non- existing species. compensatory enhancement projects ii. The wetland is used by species shall be accompanied by an listed by the Washington State enhancement plan prepared in Department of Wildlife as accordance with subsections (1)i-.ii, endangered, threatened, or below, which demonstrates that the sensitive, or has documented proposed activities will result in an priority species or habitats or increase in wetland functions and essential or outstanding potential values. habitat for those species, or has i. The enhancement plan must be unusual nesting or resting sites submitted for review and (e.g., heron rookeries and raptor approval by the Administrator: nesting trees). ii. The enhancement plan must iii. The adjacent land is susceptible either be prepared by a qualified to bove,a landslide or orosi..i� wetlands consultant Jr accepted and erosion control measures in writing by the U.S. Fish and will not effectively prevent Wildlife Service, the Washington adverse wetland impacts. Department of Fish and Wildlife, iv. The adjacent land has minimal or the Washington Department vegetative cover or slopes of Ecology. greater than forty-five (45) (2) Type 2 Non-Compensatory percent. Enhancement. Type 2 non- (8) Averaging Buffer Widths. The compensatory enhancement projects Administrator may modify the standard involve wetland alterations that do not wetland buffer widths set forth in this include the filling, draining, or section by averaging. Buffer width excavating of a regulated wetland. averaging shall be allowed only when Such projects might involve the an individual or firm meeting the removal of non-native plant species or criteria of Subsection 3.6.10(j)(2) the planting of native plant species. All demonstrates all of the following to the applications for Type 2 non- satisfaction of the Administrator: compensatory enhancement projects Width averaging will not shall be accompanied by an adversely impact the wetland enhancement plan prepared in functional values. accordance with subsections (2)i-.iii, be/ow, which demonstrates that the i. The total area contained within proposed activities will result in an the wetland buffer after averag- increase in wetland functions and ing is not less than that values. contained within the standard buffer prior to averaging. Unified Development Code - 3-37 Section 3 •Land Use Districts Amended by Ordinance No. 06-0510-04 r n { SECTION 3 • LAND USE DISTRICTS private or public road expansion or vi. Where there is no reasonable construction which is proposed and alternative to providing a culvert, must cross streams classified within the culvert shall be the minimum this Section, shall comply with the length necessary to accom- following minimum development modate the permitted activity. standards: (2) All land divisions, as allowed by The design of stream crossings Section 7, or as a PRRD as regulated shall meet the requirements of in Section 3 of this Code, shall comply the Washington Department of with the following development Fish and Wildlife. Fish passage standards: shall be provided, if necessary to i. In order to avoid the creation of address man-made obstructions non-conforming lots, each new ensue. Other alternatives may be lot shall contain at least one allowed upon a showing that,for building site that meets the the site under review, the requirements of this Code, alternatives would be less including buffer requirements for disruptive to the habitat or that FWHAs. This site must also the necessary building foue- have access and a sewage dations were not feasible. disposal system location that are Submittal of a Habitat Manage- suitable for development and Plan which demonstrates does not adversely impact the that that the alternatives would not FWHA result in significant impacts to the Fish and Wildlife Habitat ii. After preliminary approval and Area(FWHA)may be required; prior to final land division ii. Crossings shall not occur in approval, the common boundary salmonid spawning areas unless between a required buffer and no other reasonable crossing the adjacent property shall be site exists. For new development identified using appropriate signs proposals, if existing crossings as specified in this Section. In are determined to adversely lieu of signs, alternative methods of buffer identification salmon spawning or tification may be passage areas, new or upgraded approved when such methods crossings shall be located as are determined by the determined necessary through Administrator to provide coordination with the adequate identification to the Washington State Department of buffer and the FWHA. Fish and Wildlife; iii. Buffer areas shall be dedicated iii. Bridge piers or abutments shall as permanent open space tracts, not be placed either within the functioning as sensitive areas floodway or between the ordi- buffers. nary, high water marks unless no (3) Utilities. Placement of utilities within other reasonable alternative designated Fish and Wildlife Habitat placement exists; Areas may be allowed pursuant to the iv. All stream crossings shall be following standards: required to pass 100-year i Construction of utilities may be projected flood flows, even in permitted in FWHAs or their non-fish bearing Type 4 and 5 buffers, only when no practicable streams. In addition, crossings or reasonable alternative for Type 1, 2 or 3 should allow location is available and the utility corridor meets the require- for downstream transport of large woody debris; ments for installation, replace- v. Crossings shall serve multiple ment of vegetation and properties whenever possible; maintenance outlined below. and Utilities are encouraged to follow existing or permitted roads where possible. 3-28 Unified Development Code Section 3 •Land Use Districts Amended by Ordinance No. 06-0510-04 SECTION 3 • LAND USE DISTRICTS ii. Construction of sewer lines or this purpose as those requiring a on-site sewage systems are not Building Permit pursuant to the permitted in FWHAs or their Uniform Building Code), public buffers, except that they may be improvements, unique natural permitted in a buffer area when resources, public health, safety or the applicant demonstrates it is welfare, or the only feasible access to necessary to meet state and/or property, and, in the case of streams, local health code requirements; when such stabilization results in there are no other practicable maintenance of fish habitat or alternatives available; and con- improved water quality. Bluff, bank and struction meets the requirement shoreline stabilization shall follow the of this Section. Joint use of the standards of the Jefferson County sewer utility corridor by other Shoreline Master Program, utilities may be allowed. Geologically Hazardous Areas iii. New Utility Corridors shall not be provision in this Section, and the allowed in FWHAs with known Floodplain Management Ordinance. locations of federal- or state- The Administrator may require that listed endangered, threatened or bank stabilization be designed by a sensitive species, except in professional engineer licensed in the those circumstances where an State of Washington with demon- , approved Habitat Management strated expertise in hydraulic actions of Plan is in place. shorelines. For bank stabilization iv. Utility corridor construction and projects within FWHAs, emphasis shall maintenance shall protect the be placed on bioengineering solutions environment of Fish and Wildlife (vegetation versus hard surfaces) Habitat Areas and their buffers. unless proved by the applicant to be A. New utility corridors shall be infeasible. Bank stabilization projects aligned when possible to may also require a Hydraulic Project avoid cutting trees greater Approval from the Washington than twelve (trees inches greater in Department of Fish and Wildlife which than wr at breast height will be determined after consultation with WDFW. (four and one-half feet) measured on the uphill side. (5) Gravel Mining. Gravel mining is B. New utility corridors shall be discouraged within FWHAs or their revegetated with appropriate buffers, and it shall not be permitted if native vegetation at not less it causes unmitigatable significant than pre-construction adverse impacts, but it may be allowed vegetation densities or following the review and approval of a greater, immediately upon Habitat Management Plan, including a completion of construction detailed mining and reclamation plan or as soon thereafter as pursuant to the applicable performance possible due to seasonal standards in Section 4 (Mineral growing constraints. The Extraction) or as otherwise required in utility shall ensure that such this Code. vegetation survives for a (6) Forest Practices, Class IV General. three-year period. Timber harvesting with associated v. Utility towers should be painted development activity involving land with brush, pad or roller and conversions from Forest Use, or should not be sandblasted or otherwise meeting the DNR definition spray-painted, nor shall lead- as a Class IV General application, base paints be used. shall comply with the provisions of this Section, including the maintenance of (4) Bank Stabilization. A stream channel buffers, where required. and bank, bluff, and shoreline may be (7) Road/Street Repair and stabilized when naturally occurring Construction. Any private or public earth movement threatens existing road or street expansion or con- legal structures (structure is defined for struction which is allowed in a Fish and Unified Development Code 3-29 Section 3 Land Use Districts Amended by Ordinance No. 06-0510-04 4 • DATA FORM MODIFIED ROUTINE ON SITE DETERMINATION METHOD Field Investigator: �■ �� 4 i Date: 3 -0 3 S - Project/Site: v• I ` i �� County:1 i4 vi®v, State: I/tin ApplicantlOwne . #7# !K '_ At Surveyor: 1 Describe current conditions of wet and . d surrounding ar-as: n1f r.• A__ , ..�4 . d IA.' 1 ' '— re _ .- , ,! u Has the v getati. , sods, and/or hydrology been significantly disturbed? Yes 'o , If yes,what are modifiers: 'I SOILS Mapped Series:.r G(&Lt t IAA rj4 L`C LI cc dci tat", i o- 5°lam -5 Hydric soils list.: Yes No X `, V HydrsdInclusion? Depth Horizon Color Texture Hydric Soil Indicators Yes No Depth ottle Histosol a-'7 ,a p yil / S': 1 Histic Epipedon Gleyed 7 3 _ Sulfidic odor Concretions Is the hydric soil criterion met? Yes No Rationale: wit E.a i lass• + >, i.Gvo . r�r,d'i, .w 1,.._a t77•-s 10'' HYDROLOGY General wetland type or characteristic: Emergent Scrub/Shrub Forested Permanently flooded Seasonally flooded Temporarily flooded Saturated Types of water bodies associated with the wetland: River Stream Seep/Spring Pond/Lake Tidal Drainage ditch/channel Other: Is the ground surface inundated? Ye NoY_Surface water depth: Is the soil saturated? YesNoepth to water in test hole: Field evidence of surface inundation or soil saturation: /ln Is the wetland hydrology criterion met? Yes No Rationale: Lh, �2v�®Lt&4(/ D'2 �vzGL�Cttle �ZLrM��L �! p1�11,99 . SUMMARY Hydric soil present? Yes No Hydrology present? Yes No X Hydrophytic vegetation present? Yes No-� Percent of FAC, FACW, and OBL species: S05 Is the site a wetland? Yes No Rationale: S 14 GttX. --t EA ¢sue s I fi,,.o C.— �t-'-�� 4_ c..,R.�—u/-c` t,„d_ fr1t.lu -eoi1 - q 7 TEST HOLE # ) OF __ LOCATION OF TEST HOLE UplittA� Wiltermood Associates, Inc. 0-a �,,�l.p ti jai Qks}� _ .F(4,,, 1015 SW.Harper Road GttptA L,v1 /10( Port Orchard, WA 98367 SEE 'REVERSE FOR VEGETATION (360) 876-2403 . . e COMMON WETLAND AND NON-WETLAND VEGETATION Dominant Tree Species Vo cover %cover _Pacific willow Salix lucida ssp.lasiandra FACW+ Sitka spruce Picea sitchensis FAC _Oregon ash Fraxinus Walla FACW 9-70 Western red cedar MO plicata FAC Quaking aspen Populus tremuloides FAC+ _Cascara buckthorn Frangula purshiana FAC- (,O Red alder Alnus rubra FAC _Bigleaf maple Acer macrophyllum FACU . Black cottonwood Populus balsamifera FAC Western hemlock Tsuga heterophylla FACU 10 Scouler's willow Salix scouleriana FAC S Douglas fir Pseudotsuga menziesii FACU Other tree species present: Dominant Shrub Species 1 Hardhack Spiraea douglasii FACW _Snowberry Symphoricarpos albus FACU Redosier Dogwood Corn us sericea FACW Scot's broom Cytisus scoparius FACU Western crabapple Malus fusee FACW California huckleberry Vaccinium ovatum FACU Black twinberry Lonicera involucrata FAC+ _Himalayan blackberry Rubus armeniacus FACU _Devil's club Oplopanax horridus FAC+ Salal Gaultheria shallon FACU Salmonberry Rubus spectabilis FAC Indian plum Oemleria cerasiformis FACU (C)Nootka rose Rosa nutkana FAC _Hazelnut Corylus cornuta FACU _Vine maple Acer circinatum FAC- Oregon grape Mahonia nervosa FACU _English ivy Hedera helix FACU Red huckleberry Vaccinium parvifolium UPL 15 Red elderberry Sambucus racemosa FACU it Oceanspray Holodiscus discolor ' UPL Other shrub species present: Dominant Forb Species • Skunkcabbage Lysichiton americanum OBL _Stinging nettle Urtica diocia FAC+ Cattail Typha lat/folia OBL _Velvet grass Holcus lanatus FAC Water parsley Oenanthe sarmentosa {� OBL Lady fern Athyrium frlix femina FAC 9 Slough sedge Carex obnupta-V„ alti" OBL _Horsetail Equisetum arvense FAC Small fruited bulrush Scirpus microcarpus OBL _Youth-on-age Tolmiea menziesii FAC owlfruit sedge Carer stipata OBL _Foam flower Tiarella trifoliate FAC- Tall manna grass Glyceria elate FACW+ Cat's ear Hypochaeris radicata FACU Soft rush Juncus effusus FACW+ IS Trailing blackberry Rubus ursinus FACU Rushes Juncus spp. FACW /�'Bracken fern Pteridium aquilinum FACU Creeping buttercup Ranunculus repens FACW 1t0 Sword fern Polystichum munitum FACU Reed canarygrass Phalaris arundinacea FACW _Bleeding heart Dicentra Formosa FACU Other forb species present: 0f Percent of dominant species FAC, FACW,OBL: 35 /t) UPLAND? WETLAND? Is the hydrophytic vegetation criterion met? Yes No - WETLAND TYPE: Palustrine Riverine R tronale: LqU'',v ('lt,ki_ e_ hv+, Lacustrine Estuarine -jV�tcsr_c�c It , Forested Scrub/Shrub Emergent Open Water Wet Meadow/Pasture DATA FORM MODIFIED ROUTINE ON SITE DETERMINATION METHOD Field Investigator: do A Date: Project/Site: County: State: Applicant/Owner: Surveyor: Describe current conditions of wetland and surrounding areas: 1 e- Co . -( 4 et-k UAcj 71 T/y,I)w4 Aztv-'t"1,..- 4e. „lc' Tc 51,w417 •ecos (,, -S-€4c,i4t��gg �ooC�d Has the vegetation, soils, a or hydrology bee sr ificantly disturlidd? Yes No If yes,what are modifiers -1 5-1-- a o J f �^ SOILS / Mapped Series: C— rn ( Ct s&I Li IA_ ive llti S6f.r:� 1 /04149 ( t eio S1 cp_vS Hydric soils list?: Yes No )( Hyddc Inclusi Depth Horizon Color Texture Hydric Soil Indicators Yes No De.th Matrix Mottle Histosol p S" (" it) Yeg-1 1 — irsci w Histic Epipedon c-I"4 13 to y--73... kkuv 9rci Gleyed Sulfidic odor Concretions Is the hydric soil criterion met? Yes A No Rationale: •c r y .h S innn.aAr, ,i et.))1v--- L- i eU 414 ri &ne✓ Soi tirvi zap. . HYDROLOGY ` / General wetland type or characteristic: Emergent Scrub/Shrub Forested x Permanently flooded Seasonally flooded )( Temporarily flooded Saturated Types of water bodies associated with the wetland: River Stream Seep/Spring__ Pond/Lake Tidal Drainage ditch/channel ',Other: !tih d�yy' Is the ground surface inundated? YesNoY_Surface water depth: 0 Is the soil saturated? Yes)( No Depth to water in test hole: S" Field evidence of surface inundation or soil saturation: • Is the wetland hydrology 'terion met? Yes J( No Ra io ale: Se' :.v �-L fo sw ' ll'' • , - • • • < E�ji e . e&- 2 9/.4 k. V SUMMARY Hydric soil present? Yes /� No Hydrology present? Yes No Hydrophytic vegetation present? Yes )( No • Percent of FAC,FACW, and OBL species: 06% Is the site a Yes Y nd?wet a No Rationale: Sj frys ,vci - r a C Cl'p i oAefJ TEST HOLE # OF 1 IA/die-act/1- LOCATION OF TEST HOLE v Wiltermood Associates, Inc. Ifit S�' e*cy GvPf L !- 1015 SW Harper Road SEE REVERSE FOR VEGETATION Port Orchard, WA 98367 1 (16O\ R76_240i ' ,, COMMON WETLAND AND NON-WETLAND VEGETATION 0 d 1 dv l'Ut(45,,1.5 Dominant Tree Species cover %cover _pacific willow Salix lucida ssp.lasiandra FACW+ Sitka spruce Picea sitchensis FAC _Oregon ash Fraxinus latifolia FACW Western red cedar Thuja plicata FAC Quaking aspen Populus tremuloides FAC+ Cascara buckthorn Frangula purshiana FAC- -Red alder Alnus rubra FAC Bigleaf maple Acer macrophyllum FACU _Black cottonwood Populus balsamijera FAC Western hemlock Tsuga heterophylla FACU Scouter's willow Salix scouleriana FAC -Douglas fir Pseudotsuga menziesii FACU Other tree species present: Dominant Shrub Species Hardback Spiraea douglasii FACW Snowberry Symphoricarpos albus FACU Redosier Dogwood Cornus sericea FACW Scot's broom Cytisus scoparius FACU _ Western crabapple Malus fusca FACW California huckleberry Vaccinium ovation FACU _ Black Iwinberry Lonicera imolucrala FAC+ Himalayan blackberry Rubus armeniacus FACU _ Devil's club Oplopanax horridus FAC+ Sala! Gaultheria shallon FACU Salmonberry Rubus spectabilis FAC _Indian plum Oemleria cerasiformis FACU tU Nootka rose Rosa nutkana FAC Hazelnut Carylus cornuta FACU Vine maple Acer circinatum FAG. Oregon grape Mahonia nervosa FACU English ivy Hedera helix FACU Red huckleberry Vaccinium parvifolium UPL Red elderberry Sambucus racemosa FACU / Oceanspray Holodiscus discolor UPL Other shrub species present: 1{) ctve(i.wpo (-111'4L4f C "Q 4 s lAevS<yC, hl–c--- I- Dominant Forb Species Skunkcabbage Ly.ichiton americanum OBL Stinging nettle Urtica diocia FAC+ Cattail Typha latifolia OBL Velvet grass Holcus lanatus FAC Water parsley Oenanthe sarmentosa OBL Lady fern Athyrium filrx femina FAC .-Slough sedge Carex obnupta OBL _r{orsetail Equisetum arvense FAC _Small fruited bulrush Scirpus microcarpus OBL Youth-on-age Tofmiea menziesii FAC owlfruit sedge Carex stipata OBL Foam flower Tiarella trifoliate FAC- Tall manna grass Glycerin elata FACW+ Cat's ear flypochaeris radicata FACU Soft rush Juncus effusus FACW+ 01-4 Trailing blackberry Rubus ursinus FACU Rushes Juncus app. FACW Bracken fern Pteridium aquilinum FACU Creeping buttercup Ranunculus repens FACW 04 Sword fern Polystichum munitum FACU Reed canarygrass Phalaris arundinacea FACW Bleeding heart D icentru formosa FACU Other fort)species present: r Of t'c✓v 14-AJJ C attACX d-41,v V Q.14.4:5 3 F v Percent of dominant species FAC, FACW, OBL: j '�i UPLAND? WETLAND? /�(\ Is the hydrophytic venetato9 criterion met? Yes No WETLAND TYPE: Palustrine X _ Riverine % J' j �j Lacustrine_ Estuarine Rationale: .7 c /e_ft 447 4 [, ,,ti - dCt telr �` Forested Scrub/Shruh Emergent_ __Open Water • " DATA FORM MODIFIED ROUTINE ON SITE DETERMINATION METHOD Field Investigator: ,Size I Date: Project/Site: County: State: Applicant/Owner: Surveyor: Describ- curr- t co i .itio s of wetland and urrounding areas: , ,L , !/ailnLj' A I J , grA '- ..•4. :L AL c, (, ... i _ �. Has the vegetation, soils, and/or hydrology :een signi antly disturbed? Yes No If yes,what are modifiers: (-IL SOILS f / Mapped Series:'q"c....„ JL i.ti Jr-'V7,LUUil, 5i..d(� (oak:), O -1 s% sir, S Hydric soils list?: es No K ,Mrdric In sion? Depth Horizon Color Texture Hydric Soil Indicators Yes No Depth Matrix Mottle Histosol pi v /ai ,s+ r4 IN-6,1144'. Histic Epipedon Gleyed 1 Sulfidic odor X Concretions Is the hydric soil criterion met? Yes V No Rationale: .- . ,, . .•, et, i a.. - i.t. • • ,.r 1 ' u l 6y Lam. . - s ` / HYDROLOGY General wetland type or characteristic: Emergent Scrub/Shrub Forested X Permanently flooded Seasonally flooded Temporarily flooded Saturated Types of water bodies associated with the wetland: River Stream `S,eep/Spring Pond/Lake Tidal Drainage ditch/channel Other: C-P4.Si .f" v '-i,t.f/c Is the ground surface inundated? Yes / No Surface water depth: lc" -p,, a" Is the soil saturated? Yes No Depth to water in test hole: Field evidence of surface inundation or soil saturation: Is the wetland hydrology criterion met? Yes K No i Rationale: c -j i k cat - -- cL + (o« 1-1! I ` GLw lir j o k t((, C SUMMARY Hydric soil present? Yes No Hydrology present? Yes )( No Hydrophytic vegetation present? Yes v-No Percent of FAC, FACW, and OBL species: (volt Is the site a wet and? Yes 'L No Rationale: ¶i-e {-Qi-1-c i 7-n~P �v- q// I-11 . 1,t &t 1 TGZ t4 TEST HOLE # 3 OF Li 7 r L ATION OF TEST HOLE r` Wiltermood Associates, Inc. S (�rn'1B� ' 1015 SW Harper Road SEE REVERSE FOR VEGETATION Port Orchard, WA 98367 (360) 876-2403 COMMON WETLAND AND NON-WETLAND VEGETATION Dominant Tree Species ti.I Q(MI/rkai ft�f 4ti cover V.cover 1-Pacific willow Salix lucida ssp.lasiandra FACW+ _Sitka spruce Picea sitchensis FAC Oregon ash Fraxinus latifolia FACW Ig,r Western red cedar Thuja plicata FAC Quaking aspen Populus tremuloides FAC+ _Cascara buckthorn Frangula purshiana FAC- _Red alder Alnus rubra FAC _Bigleaf maple Acer macrophyllum FACU _Black cottonwood Populus balsamifera FAC '+or Western hemlock Tsuga heterophylla FACU Scouler's willow Salix scouleriana FAC _Douglas fir Pseudotsuga menziesii FACU Other tree species present: Dominant Shrub Species _Hardback Spiraea douglasii FACW Snowberry Symphoricarpos albus FACU Redosier Dogwood Cornus sericea FACW _Scot's broom Cytisus scoparius FACU _Western crabapple Malus fusca FACW _California huckleberry Vaccinium ovatum FACU 0 Black twinberry Lonicera involucrata FAC+ `+ Himalayan blackberry Rubus armeniacus FACU _Devil's club Oplopanax horridus FAC+ 81t'Salal Gaultheria shallon FACU _Salmonherry Rubus spectabilis FAC _Indian plum Oemleria cerasiformis FACU —Nootka rose Rosa nutkana FAC _Hazelnut Corylus cornuta FACU _Vine maple Acer circinatum FAC- . F_Oregon grape Mahonia nervosa FACU 'Oft. English ivy Hedera helix FACU Ohl Red huckleberry Vaccinium parvifolium UPL 'Oil_Red elderberry Sambucus racemosa FACU Oceanspray Holodiscus discolor UPL Other shrub species present: Dominant Forb Species • Skunkcabbage Lysichiton americanum OBL Stinging nettle Urtica diocia FAC+ _Cattail Typha latifolia OBL Velvet grass Hakim lanatus FAC Water parsley Oenanthe sarmentosa OBL _Lady fern Athyriumfilix femina FAC TOSlough sedge Carex obnupta OBL Horsetail Equisetum arvense FAC _Small fruited bulrush Scirpus microcarpus OBL Youth-on-age Tolmiea menziesii FAC _owlfruit sedge Carex stipata OBL Foam flower Tiarella trifoliata FAC- Tall manna grass Glyceria elata FACW+ _Cat's ear Hypochaeris radicata FACU Soft rush Juncus effusus FACW+ Trailing blackberry Rubus ursinus FACU _Rushes Juncus spp. FACW Bracken fern Pteridium aquilinum FACU Creeping buttercup Ranunculus repens FACW 401Pword fern Polystichum munitum FACU Reed canarygrass Phalaris arundinacea FACW Bleeding heart Dicentrn formosa FACU Other fort species present: Percent of dominant species FAC,FACW,OBL: kelp UPLAND? WETIhQND? X. Is the hydrophytic vegetaItion criterion met? Yes X No WETLAND TYPE: Palustrine /J\ Riverrne Rationale:_ 5 0 IN/flit) elcj-1 l% ie'.. Lacustrine Estuarine .l_ r wn(4( t Forested_ Scrub/Shrub 1 Emergent Open Water Wet Meadow/Pasture , r.. " 0 DATA FORM MODIFIED ROUTINE ON SITE DETERMINATION METHOD Field Investigator: d 41 / • Date: Project/Site: County: State: Applicant/Owner: Surveyor: , Describe current conditions of wetland and surrounding areas: ����;,, A, L'�' ' ,' — • ' IU 1/. V_ _ ' . d- Laa.� C/ '.1; /. �' �; Has the vegetation, soils, and/or hydrology been significantly disturbed? Yes No If yes,what are modifiers: 1 SOILS Mapped Series: e . G C S ,e<.,r, �- S Hydric soils list?: Yes No • j ric Incl si, ? Depth Horizon Color Texture Hydric Soil dicators Yes No Depth Matrix Mottle Histosol n_5 Pt It NR 9• — `1-'1° Histic Epipedon s":-.1(/ 4 in WO 3 - I J'R.Sri. Gleyed Sulfidic odor oncretions Is the hydric soil criterion met? Yes No . Rationale: _ [ - 7C ,. , - . 7L J& • . ,- In i Lk.e.�h., (acv HYDROLOGY General wetland type or characteristic: Emergent Scrub/Shrub Forested Permanently flooded Seasonally flooded Temporarily flooded Saturated Types of water bodies associated with the wetland: River Stream Seep/Spring Pond/Lake Tidal Drainage ditch/channel Other: Is the ground surface inundated? Yes_No. Surface water depth: Is the soil saturated? Yes No_Depth to water in test hole: Field evidence of surface inundation or soil saturation: Is the wetland hydrology criterion met? Yes No X Rationale: /to c .aZo>� at 2 b tz-e ty.._4v--7-1*.4c1 bt ■64-b1 D SUMMARY Hydric soil present? Yes No ' Hydrology present? Yes No X Hydrophytic vegetation present? Yes No __ Percent of FAC,FACW, and OBL species: 5 LI, Is the site a e land? Yes No x_ . Rational,e: • ',. _. ,si 1,.,r 4' 4u, 1 A TEST HOLE/# ( OF q ___ .1. LOCATION OF T EST�OLE 4 G c� Wiltermood Associates , Inc. 6..,,d kwvt.Q sl ip qt r e s ct 1015 SW Harper Road JJ Port Orchard, WA 98367 SEE REVERSE FOR VEGETATION , (360) 876-2403 _ I „.. COMMON WETLAND AND NON-WETLAND VEGETATION Dominant Tree Species cover %cover _pacific willow Salk lucida ssp.lasiandra FACW+ Sitka spruce Picea sitchensis FAC _Oregon ash Fraxinus latifolia FACW X1.7 Western red cedar Thuja plicata FAC Quaking aspen Populus tremuloides FAC+ _Cascara buckthorn Frangula purshiana FAC- _Red alder Alnus rubra FAC _Bigleaf maple Acer macrophyllum FACU —Black cottonwood Populus balsamifera FAC Western hemlock Tsuga heterophylla FACU 1 Scouler's willow Salix scouleriana FAC 9f)Douglas fir Pseudotsuga menziesii U /F AC Other tree species present: 0 L, eir t i V 5 t r i -1-A FAU • Dominant Shrub Species _Hardback Spiraea douglasii FACW _Snowberry Symphoricarpos albus FACU _Redosier Dogwood Cornus sericea FACW _Scot's broom Cytisus scoparius FACU _Western crabapple Malus furca FACW T California huckleberry Vaccinium ovawn, FACU _Black twinberry Lonicera involucrata FAC+ _Himalayan blackberry Rubus armeniacus FACU _Devil's club Oplopanax horridus FAC+ _Salal Gaultheria shallon FACU Salmonher y Rubus spectabitis FAC Indian plum Oemleria cerasiformis FACU _Nootka rose Rosa nutkana FAC Hazelnut Corylus cornula FACU _Vine maple Acer circinatum FAC- ILOregon grape Mahonia nervosa FACU English ivy Hedera helix FACU Red huckleberry Vaccinium parvifolium UPL _Red elderberry Sambucus racemosa FACU w Oceanspray Holodiscus discolor UPL Other shrub species present: Dominant Forb Species Slmnkcabbage Lysichiton americanum OBL Stinging nettle Urtica diocia FAC+ Cattail Typha latifolia OBL Velvet grass Holcus lanatus FAC _Water parsley Oenanthe sarmentosa OBL Lady fern Athyrium flix femina FAC Slough sedge Carex obnupta OBL Horsetail Equisetum arvense FAC Small fruited bulrush Scirpus microcarpus OBL . Youth-on-age Tolmiea menziesii FAC owlfruit sedge Carex stipata OBL Foam flower Tiarella trifaliata FAC- Tall manna grass Glyceria elata FACW+ _Cat's ear Hypochaeris radicata FACU _ Soft rush Juncus effusus FACW+ . •E Trailing blackberry Rubus ursinus FACU Rushes Juncus spp. FACW Bracken fern Pleridium aquilinum FACU _Creeping buttercup Ranunculus repens FACW S Sword fern Polystichum muniturn FACU Reed canary grass Phalaris arundinacea FACW Bleeding heart Dicentro formosa FACU Other forb species present:_ O/ 2' Percent of dominant species FAC, FACW,OBL: '/fa UPLAND? X WETLAND? Is the hydrophytic veg�etaron criterion met? Yes No N( WETLAND TYPE: Palustrine Riverine Rationale: 57,6?o 414 r I .` e4_ .vi, Lacustrine Estuarine di . Km,1t� , Forested Scrub/Shrub G Emergent Open Water Wet Meadow/Pasture A Jefferson County Department-of Community Development 621 Sheridan St, Port Townsend WA 98368, (360)379-4450 APPLICATION FOR DETERMINATION OF ADEQUATE POTABLE WATER SUPPLY Resolution#99-90 requires building permit app applicants to provide evidence of an adequate potable water supply. Name (A,);IftitTm 13 , OCD,N�;v/� Phone -3C9V _v 3 Mailing p Address � ti 1c C/ I di k fC H � ( fin (Th Zip Code `/)c"' 5 1 Parcel c_ �] f ID# ��C? �IJC)' 3©a 304 Subdiv. V f1� Rye t�1 t,'Ck ,f(J"J d Block 3 Lot(s) Site Address � i 6\1 , l G� r1 d )h L recir,1 ? couaisy Zip Code G,Type of Structure sp d Check all that apply Note:Special conditions may apply within Seawater Intrusion Protection Zones.(SIPZ) Valid Water Right Permit(attach copy) Approved Public Water (Submit the attached Water Availability Notification form completed by your water purveyor stating the system is capable of and will supply water.) Individual Well-attach copy of: 1) Well logs (If no well log report is on file,a 1 hr stabilization test may be substituted) 2) Lab analysis for water quality parameters tested within 3 years of application: -Total coliform -Nitrate-N -Chloride 3) Plot plan showing location of well with distances from proposed sewage system, buildings, driveways and surrounding properties. Two-party Well-items above AND recorded Operation & Maintenance agreement and recorded Easement. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 purpose of application review and any required later inspections. Access and right of entry re$ f rupture shall be requested and shall occur during regular business hours. / I \� � I Signature (/�lrThk7, Date 7I )0 7 IJL -- 6 � FOR OFFICE USE ONLY 1) Water Right Permit# .. 2) Public Water Supply WS ID# In Compliance Yes No 3). Individual Well f * .Driller Name Date Drilled epth Production r ... — Meets Water Quality Standards Yes No SIPZ Yes Circle: Coastal Moderate High No Based upon information provided by the applicant, it appears that the potable water supply: l " : meets conditionally meets does not meet the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings. Application Reviewed by Date Date Fee Receipt# Check# Case#BLDt! Jefferson County Permit Center, 621 Sheridan St, Port Townsend WA 98368 WATER AVAILABILITY NOTIFICATION PUBLIC WATER SYSTEM TO: Jefferson County Environmental Health Department FROM: C,-\-r■ c?f Porzi aW ( Z (Water System Name) System Operator State ID Number Total connections for which system is approved Number of service connections existing (in use) Number of service connections committed Date and results of most recent water bacteriological analysis The water system is capable of and will supply potable water to the following location: Assessors Parcel ID# q Legal Descriptions ' IRF" ERT F'�� �' Site Address IN IPA i " 1,'" r 2007 JIJL_ - 6 2007 iiFht lli ,UUNIYiJCI� Operator Signatureiniso mN`flill Date EXPIRATION DATE OF THIS SERVICE COMMITMENT H:lhome\pIncntrlinfohlth\pubwater 8/95 Page 1 of 1 David W. Johnson From: Donna Frostholm Sent: Thursday, September 06, 2007 12:49 PM To: David W. Johnson Subject: O'Connell/Anderson Parcels 950700304 and -302 David: I have reviewed the Wetland Report prepared by Wiltermood Associates, Inc. (dated May 2, 2007) and I agree with the buffer averaging proposal. My only comment pertains to the utility lines, which are not addressed in the Wetland Report. The report acknowledges that bringing utility lines to the O'Connell/Anderson parcels would require crossing the wetland and wetland buffer, and that a restoration plan would be needed once the location of the utility line easement is determined. Unless the utility lines to the parcel were placed under an existing unimproved road (such as Lupine Street/Third Street), wetland and wetland buffer will be disturbed (much of which is beyond the O'Connell/Anderson property boundaries). Without knowing what the potential impacts would be for utility line installation, there are 2 options: 1. The applicant should identify the utility line easement to be used, and prepare a mitigation plan as part of the SPAAD; or 2. The SPAAD should be conditioned to require a wetland (and buffer) impact assessment and mitigation plan at the time the building permit application is taken in. Note that the impact assessment and mitigation plan must address disturbances any environmentally sensitive areas crossed during utility line installation (including impacts that would occur beyond the O'Connell/Anderson property boundaries). Let me know if you have any questions, Donna. 9/6/2007 r JEFFERSON COUNTY (# ONoQ DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street < , O� Port Townsend, WA 98368 September 14, 2007 Al Scaif, Director SHERI V O'CONNELL WILLIAM O'CONNELL 31 LOWER HADLOCK RD PORT HADLOCK WA 98339 RE: SITE ADDRESS: LUPINE ST CASE#: MLA07-00383 Dear SHERI V O'CONNELL: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. Please revise your site plan to re-orient the property lines for Parcels 950 700 304 & 950 700 302 as depicted on the attached map and add the Parcel Numbers to the plan. Please submit the above information to the Department of Community Development by December 13,2007. Pursuant to Unified Development Code Section 8.2.3.c and f., if the applicant refuses to submit the additional information or does not request additional time to submit the required information within the ninety(90)calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely„ .4541 ' 1 -pa 11 ' : t of l o nity Development Staff`. c: / Ile �-(l/. �1 d"� jeS-S 4".,.. asc( we 7O e)d$ C3 c u w L, CuA c ?`tL_ Building Permits/ Inspections Development Review Division Long Range Planning (360) 379-4450 FAX: (360) 379-4451 ,r Map Output Page 1 of 1 ArcIMS HTML Viewer Map I TLT T fir _ I i Legend C3 Selected Features I 99M00343 i I 950700310 `--_..1 Parcats-H f lundanes 050700305 '.-1 t r e∎ �n C(ur, n )` 990740302 i J CPts Corfias ---------] 95470(10805 95070450;3 ( 950700fXfa —_�-�L_-_ �" '960700806 t 95070BE09 95d1740W)2 9$070060- 1 . J j 990700403 0010930;A Maers wooded r a-stel Carry Carrara Stratus Q5 0 131dt 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 Sep 14 08:57:58 2007 Co _____---cle".?e- 61 ‘"--1-1/. ?C-E9. --- ct-? ( B 1 ecurce 41-- http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/14/2007 SEWAGE DISPOSAL PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 (800) 831-2678 PERMIT #: SEP07-00044 Date Received: 02/09/07 SITE ADDRESS: LUPINE ST Date Issued: 05/01/07 PORT TOWNSEND, WA 98368 Date Expires: 05/01/10 APPLICANT: LAURA JEAN ANDERSON PHONE: (360) 379-2989 4338 SAN JUAN AVE PORT TOWNSEND WA 98368-2607 SUBDIVISION: EVERGREEN ADDITION BLOCK: 3 LOT: 24&25 PARCEL#: 950700302 Section: 9 Township: 30N Range: 01 W DESIGNER: JESS GODSALVE PHONE: (360) 598-3505 MILLER BAY WATER CO PO BOX 138 SUQUAMISH WA 98392 DISCLAIMER- This approval is for an on-site sewage system that meets the state and county standards in effect on the date of application. This approval for an on-site sewage system DOES NOT assure you of any other County approvals. For example, it DOES NOT GUARANTEE that you will later obtain permission to build a permanent residence or other structure on this parcel. Any future application will be separately judged by the rules and laws in effect at that time. Permit issued to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN JEFFERSON COUNTY,WASHINGTON ThIs permit is issued for a period of three years (unl- sgtherwise stated above) in accordance with Jefferson County Rules and regulations for on-site sewage sp-ems, codified 8.15 amended per ordinance no. 08-0921-00. This permit may not be renewed. A GARDNE`, Jefferson County Environmental Health Specialist The property owner is responsible for the accurate location of all property lines.Any removal of or major disturbance of soil in the primary or reserve drainfield area may create site conditions that are unacceptable for the installation of a sewage disposal system.Any change in drainfield or tank location may invalidate this permit unless prior approval is obtained from the Jefferson County Environmental Health Division. If during excavation or development of the site an area of potential archeological significance is uncovered,all activity in the immediate area shall be halted,and the UDC Administrator shall be notified at once. HEALTH DEPARTMENT MUST BE CALLED FOR FINAL INSPECTION. SYSTEM DESCRIPTION: 175-DRIP IRRIGATION No. of Gallons per Day: 360 Type of work: NEW Drainfield Trench Septic Tank Length: 432 feet Width: feet Depth: 12 inches Size: 1,000 gallons SPECIAL CONDITIONS APPLY - SEE REVERSE ti/ ,�h�o� 1 h� ��7�ssocl j i c3 /Ii‘'/: X io vo 0-1 git ! ,,_:, g A 1 R. 5 ∎=b CD 1 r,4,,,, ,,,. 7 . qi, {-s q . * e s 4' -..E i *)-> N;C:411; - \r2 w e i1IIU 1t■-� o 4 c a J 1111 ''a 4.: -____ _ /C.' i \\1:\ 1 CS. a 5 TV m ` J 1 , J_ a 5 k M t 1 ._ -: /*N.,/ /NNN- ,.. , .8 - \ i � � ; ...,..,v,� /- -,oe / El , - .-er 1414 . O ..... M ,,. - - - - , /' , 1101,�.s�� N¢i OL OZ ' �� i ; J - O> ES it Jg Z db PJ' N.- / J H WO g y�- d\ \ � / S M W a o -� • — °o IF— z W ee _.- \ / .'. v p t� v0i� i 1 ..\sr" \--- .1- � co o N>s q :)\ Q O' W im / a. / V S .a lf) Z O ' ,../ q d j - N 0 �O Z - o NI- caw y s N Z tY N f d 3. J W U E. Gk/; 3sr Q t ONSITE SEWAGE DISPOSAL SYSTEM DESIGN r. 'shy 1/10/07 51 , 'R Date 1-10-07 [was 12/27/07 Property Owner Laura Anderson System Designer Jess Godsalve-MBH2O Legal Description: Section 9 Township 30N Range 1W Subdivision Name Evergreen Addition Division Block 3 Lot(s) 8,23-25 I. CALCULATIONS If for residential use: Number of Bedrooms: 3 x 120 G.P.D. = 360 total G.P.D. If for non-residential use, attach calculations used to determine G.P.D. • Soil texture waste water application rate 1.0 G.P.D./ft. squared (see page 214 of the EPA Design Manual) DRAINFIELD SIZING: Absorption area: ' 396 square feet (total G.P.D. 4G.P.D./ft. squared) Trench or bed width N/A feet Trench or bed length 432 lineal feet (sq. ft. :-trench or bed width) \jV ° II. APPURTENANCES Septic Tank Size 1000 gallons y Pump Requirements (If Necessary) ``„ �' )1 },���/ Elevation difference in feet see w/s �J Friction loss see w/s 1• Pump capacity should be 6 G.P.M. at 65 T.D.H. Number of doses per day min 12 Dosing volume 30 gallons Pump chamber size 1000 gallons SEWAGE D POSAL DESIGN Appr. d for Construction H:\homelpincntrlinfohlth\sawdsn : r $ .to X11 11 jairif" Ill. DRAINFIELD CROSS SECTION �P += 1/10/07 iy 510 tee. ..NA,1 i Jess 0 Godsale '�,'/1 rem ear r 1'1, [writs 12/27107 D VI/L M a" Dit R.ck NATIVE SOIL getc- 61\Vd A 5 7A-1 EZ C IMPERMEABLE MATERIAL/ SEASONAL SATURATION A. Trench Depth 12 inches B. N/A inches of drainrock below pipe C. 12 min inches of vertical separation from trench bottom to impermeable material/seasonal saturation D. 0 inches of fill (if needed) E. Trench width N/A inches NOTES: ATTACH DETAILED DESIGN OF SYSTEM SEWA, 'ISPOSAL DESIGN Ap. -,; for C•nstruction . `1 taff Is ate • Geoflow Subsurface Dripline Dispersal: Field Calculation Job Description: O'Connell Contact: _ Prepared by: JDG Date: 1/8/2007 Please fill rn the shaded areas and drop do-nor menus below: This program makes the assumption that all zones are equal in size. If not, run the program zone �� � s � 1 1AS Total uanti of effluent to be dis.osed .er da 360 :allons/da QO1 ll n . H draulic loadin_rat e L _a o s/s .ft./da ctt Total Dis ersal Field Area 360 eleini= �A\ Number of Zones I zones .. sa Dis.ersal area.er zone 360 (Choose s•acin_between WASTEFLOW lines Choose s.acin• between WASTEFLOW emitters t ft. ft. 'Total linear ft per zone(minimum required) 360 each ''total number of emitters per zone 360 each Select Wasteflow dripline Wasteflow PC 1/2gph " dripline Pressure at the beginning of the dripfield 20 psi I V psi 'Feet of Head at the beginning of the dripfield 46.2 ft. 'What is the flow rate.er emitter in_•.h? 0.53 :allons .er hour ITotal flow per zone-dosing 3.18 gallons per minute Note: A few States or Counties require additional flow for flushing. Please check your local regult Flush velocity in this spreadsheet below is for PC dripline only. Classic dripline requires far less fl If required,choose flush velocity QS ft/sec How many lines of WASTEFLOW? 6 lines Flush flow required at the end of each dripline 0.37 gpm Total Flow required to achieve flushing velocity 2.22 gpm Total System Flow-worst case scenario 5.40 gpm Select pipe diameters for manifolds and submains 1 inch Select Vortex Filter(item no.) AP4E-.75F Select Zone Valve(item no.) not applicable Maximum length of each WASTEFLOW line. 229 ft. For additional technical flow,pressure and flushing data please refer to Geoflow's Design Manual and WASTEFLOW hydraulics worksheet. Check below to choose quantity and length of catly doses Number of doses per day/zone do Pump run time per dose/zone(minutes): ( 9-• minutes Pump run time per day/zone(hours): 1.89 hours/day Number of doses per day/all zones 12 Pump run time per day/all zones(hours): 189 hours Geoflow,Inc. Wasteflow Design Spreadsheet V.2003H 2/9/2007 Geoflow Subsurface Dispersal: Pump Size Calculation Job Description: O'Connell Contact: 0 Prepared by: JDG Date: 1/8/2007 l'"��t?sg�rlf m tEp 3Altd�d;rxt'erxs be +k' � Y,< ., Y S A Info»naifcrd�tutamzrrtccrl.F...msetter!is frvm f ail pt zar mXt bk #' fed Note. This worksheet can be found in Geoflow's Design and Installation Manual st4itn thaw r ¢ Minimum pump capacity to dose field 5.40 gpm cf� Header pipe size from Worksheet 1 1 inch VA Pressure loss in 100 ft.of pipe 0.66 psi ` ` A� Friction head in 100 ft.of pipe 1.52 ft. ¶ Q e9 }� • �UU��yU�o Static head ���� i) Height from pump to tank outlet AE ft. ii) Elevation increase or decrease :: „:?........:.....: ft. Total static head 6 ft Friction head i) Equivalent length of fittings — ii) Distance from pump to field ft. iii) Total equivalent length of pipe 9 ft. iv) Total effective feet 0.137214 ft. v) Head required at dripfield 46.2 ft. Filter from Worksheet 1 AP4E-.75F vi) Headloss through filter or Headwork 9.24 ft. 4 psi Zone valve from Worksheet 1 not applicable vii;Head loss through zone valves 3.23 ft. 1.4 psi Total friction Head 58.81 ft. Total dynamic head 64.81 ft. Pump capacity 5.40 gpm 'F Note: Pump capacity flow assumes flow in dripline does not change during a dose cycle. For more accurate flows please see Geoflow's Hushing worksheet. If you need assistance designing for this additional flow,please a. See Geoflow flushing worksheet or b. Contact Geoflow at 800-828-3388. Geoflow,Inc. Pump Selection Worksheet,V.2003H 2/9/2007 SYSTEM INSTALLATION 1.INSTALLATION GUIDELINES DEB 4 9 5C1 All Geoflow drip systems require: 100 micron/ 150 mesh filter Filter flush valve Field flush valve and Air vent in each zone All Wasteflow Classic drip systems require pressure regulation Handle your dripline and components with care.ROOTGUARD®is temperature sensitive.To assure a long life store the drip line out of direct sunlight in a cool place.This should be a consideration when installing the system in very hot and sunny areas.Your system life span will be increased if it is buried an extra two or three inches below the soil surface,to avoid the warm temperature extremes. a) All dripfield construction shall be done in accordance with Local rules and regulations. b) No utilities,cable wire, drain tile,etc shall be located in dripfield. c) Fence off entire dripfield prior to any construction. d) System is not to be installed when ground is wet or frozen. e) Divert all downspouts and surface waters away from dripfield or into curtain drains. f) Excavation,filling and grading should have been finished before installation of the subsurface drip system. g) Be sure you have everything required for the installation before opening trenches.Pre-assemble as many sets of components as practical above ground and in a comfortable place. Compression or Lockslip adapters should be glued to PVC tees, riser units should be pre-assembled,the sub- main manifold with tees can be pre-assembled and used to mark the beginning and end of WASTEFLOW lines. h) For particularly tough soil conditions moisten the soil the day before opening trenches or installing WASTEFLOW. Remember it is much easier to install the system in moist soil.The soil should be moist but still should allow the proper operation of the installation equipment and not cause smearing in the trenches. The soil surface should be dry so that the installation equipment maintains traction. i) Mark the four corners of the field.The top two corners should be at the same elevation and the bottom two corners should be at a lower elevation. In freezing conditions the bottom dripline must be higher than the supply and return line elevation at the dosing tank. j) Install a watertight dosing tank. In freezing conditions the dosing tank should be at the lowest elevation of the entire system. Install a watertight riser on the dosing tank if necessary. k) Determine the proper size for the supply and return manifolds. See Worksheet line(L). I) Install the PVC supply line from the dosing tank, up hill through one lower and one upper corner stake of the dispersal field. Please refer to your State guidelines for depth of burial. m) Paint a line between the two remaining corner stakes. SEWA E ISPOSAL DESIGN A. !) • fo Construction � 1I _y__ h A' .drAgint 16 i .wr Geoflow Design and Installation Manual • n) Install the Geoflow WASTEFLOW dripline from the supply line trench to the painted line, approximately 6"to 10"deep as specified.Upon reaching the painted line, pull the plow out of the ground and cut the dripline 1'above the ground.Tape the end of the dripline to prevent debris from entering.Continue this process until the required footage of pipe is installed. Geoflow dripline must be spaced according to specification (2 ft. is standard). Depth of burial of dripline must be consistent throughout the field.Take care not to get dirt into the lines. o) Install the supply header with tees lined up at each Geoflow line. Hook up the Geoflow lines to the supply header. Do not glue WASTEFLOW dripline. Installing Lockslip fittings a) Hold the fitting in one hand and position the tubing with the other hand. b) Move the sleeve back,and push the tubing onto the exposed stem as far as possible. c) Push the sleeve out over the tubing and thread the sleeve onto tubing, as though tightening a nut to a bolt. Hand tighten. Do not use tools. p) Install the Vortex filter and filter flush valve,or install the pre-assembled Headworks between the field and the pump tank on the supply line. *Insulate the box in freezing conditions. q) If using a pressure regulator, install it downstream of the filter or Headworks,just ahead of the dispersal field,on the supply line.Although the pressure regulator can be buried directly into the soil, it is preferable to install it inside a small valve box for easy access. *Insulate the box in freezing conditions. r) Install the floats in the dosing tank and wire up to the timer control.The timer control should be set to pump no more than the design flow, do not set to match the treatment capacity. s) Install the pump.Fill the dosing tank with fresh water and turn on the pump. Check for flow out the ends of all of the Geoflow lines. Let the pump run for about five minutes to flush out any dirt. Shut off the pump and tape the ends of the lines. t) Dig the return header ditch along the line painted on the ground and back to the pre-treatment tank. Start the return header at the farthest end from the dosing tank.The return line must have slope back to the treatment tank or septic tank. u) Install the return header and connect all of the Geoflow lines.Care must be taken not to kink the dripline. v) Install air vacuum breakers at the highest points in the dispersal field. Use pipe dope or Teflon tape and hand tighten. w) Install a ball or solenoid field flush valve on the return line to the pretreatment or pump tank unless a pre-assembled Wasteflow Headworks is being used. If a Headworks was installed on the supply line,connect the return line back through the Headworks box. Open the field flush valve and turn on the pump to flush lines then close the valve and check the field and all piping and connections for leaks.Turn off the system x) Turn on the pump and check the pressure at the air vacuum breaker(s). It should be between 15 to 45 PSI.Check the pressure in the WASTEFLOW Headworks if used. It should be five psi or higher. If using a manual valve for field flushing, crack it open until at least one PSI is lost or design pressure is reached and leave in that position. y) Check the filter for construction debris and clean. z) Provide owner with final as-built diagrams, flow measurements and pressure readings at startup. OIC October 2003 A J C��\allSt\lb 17 • Valve Installation and Operation a) Wrap male adapters with 2 wraps of Teflon tape and thread the adapters into I and outlet 1 turn past hand tight. CAUTION: over tightening may cause dam The solenoid is located on the downstream side of the valve. b) Using watertight connectors, connect the valve common and an individual oui solenoid leads. c) Flush the laterals by opening the internal manual bleed lever on the downstrea solenoid. Turn the flow control stem fully open (counterclockwise)for flow cc d) Close the internal manual bleed after flushing the system. 20 N Pr in I irt 00°0 18 Geoflow Design and TABLE 3. SUBSURFACE DRIP INSTALLATION METHODS NOTE: Disturbing the soil may effect the pore structure of the soil and create hydraulic conductivity problems. Please consult with your soil scientist or professional engineer before making the installation technique decision. INSERTION METHOD ADVANTAGES DISADVANTAGES a) Hand Trenching • Handles severe slopes and • Slow confined areas • Labor intensive . • Uniform depth • Disrupts existing turf and ground • Back fill required b) Oscillating or vibrating • Fast in small to medium • Depth has to be monitored closely plow. Use the type that installations • Cannot be used on steeper inserts the dripline • Minimal ground disturbance slopes(>20% ) directly in place,not one • No need to back fill the trench • Requires practice to set and that pulls the dripline operate adequately through the soil. • Tends to"stretch"pipe. Shorter runs are required c) Trenching machine • Faster than hand trenching • Slower,requires labor • May use the 1"blade for • Disrupts surface of existing turf most installations • Back fill required • Uniform depth d) Tractor with dripline • Fast • The installation tool is designed insertion tool- see • Little damage to existing turf specifically for this purpose. diagram 2.below. because of the turf knife • Minimal ground disturbance • Does not stretch drip line • Adaptable to any tractor • e) Tractor mounted 3-point • Fastest. Up to four plow • Suitable for large installations only hitch insertion attachments with reels implement • A packer roller dumps back soil on top of the pipe Rt-zca - f ■ , ,, 1 , T„,„.,/, ___ ,._...., r .8 0 0 2t5 4/7, ,,. ,,,,,„ ,,„ iv , , f - \ , ,00),,hum,,vi‘., N cola. 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O Ni ON O T R1A EAT C JEFFERSON COUNTY ti DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 JUL - 6 2007 360/379-4450 . 360/379-4451 Fax ysp$ www.co.jefferson.wa.us/commdevelopment 1rrr #1, Its Master Permit Application MLA: (�V , Project Description (include separate sheets as necessary): I Tax Parcel 95 00 ._ 3 © .. 0� Property v Number: Size: o 0 (acres/square feet) Site Address and/or Directions to Property: 1), (� k 4<,(PV �� O f of" SOC& m,i)lk'(4 M. No G/106-t ,SS yd" Property Owner(s)of Record: S�er V,b(n N∎11.1) �r J c,.m f3. 0 Cn N i' ) / d Telephone: • - - tl Fax: _ AM email: Mailing Address: 2 w G► ` [A I •t l tia7riM A /A �I • Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d), or C]** ❑ Single Family ❑ Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address ❑ Road Approach ❑ Binding Site Plan** ❑ Home Business ❑ Cottagelndustry ❑ Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** $]Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑ Tree Vegetaion Request *May require a Pre-Application Conference **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 it's 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 t 1 he or she wants prior Signature: .t t?V &71* Date: ?/67/27. 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/re�ppnsibi forf�dr and lying with the ESA. The Applicant has read this disclaipleernd signs and dates it below. Signature: /,,egeO�1,.t l./ en J Date: .7//6 0 G:\PermitCen ter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc . Or 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 t e responsib j1y of he Gen ontractor for the proposed project. f Signature: 2y1!OY1� Lr/rh�G Date: �J(7/ 07 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: ❑ New ❑ Wood Existing: ❑ Sewer U Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# Li 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: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/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: Le S 2"°Floor Heated Consistency Review: 1C- Other Heated Base fee: Mezzanine Additional Section: Heated Basement IREC Iµ+ ���y UI �� A��� Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport 01.1i11II� I,UIINIr I1P SUBTOTAL Decks C, 1 11� 1 ttf 911/Rd Approach fee: Other TOTAL: $ 3a3 Receipt Number: C 1,9 j; Cash/Check Number: , food ESTIMATED COST(REQUIRED) Date: ll� /O� 'Fair market value of all labor and materials foundation to finish r Initials: et7 G:\PennttCenter\###FORMS###\DRD FORMS\Master Peanit Application 12-19-2000.duc s 3 ,9 n �} ' , IIIIIIIIIIIIIIIIIIII IIII II Ill.52257,633P Jefferson County Rud MBH20 COY 32.00 il \RFC � i N& le4& 1141 1 When recorded return to: Name: !18/si7 0 �! JUL 6 �ft(� 2 0 1 Address: /20/3010 IIB U - 6 LWJt City: 54CIA/1/j/-t • �,� gg Stets, Zip M-- , � ;UUNIy IICD 3E�EE�,UNI��UN�V oCO FFNU DECLARATION OF RESTRICTIVE COVENANT Grantor(s): LQ.ur&. A er5'ovl- Grantee(s): Jefferson County NOTICE IS HEREBY GIVEN TO ( 414A .4/fi4-1sav , his/her heirs and assigns, and the general public. This restrictive covenant shall bind and restrict the land, the Owner(s), their heirs, grantees, successors and assigns and shall "run" with the and into perpetuity. DESCRIPTION OF REAL PROPERTY AFFECTED: Lot(s) 8 i 23 ,a-I ta5 Block(s) 3 Div. - of EVErgYeeh AddiA}DYL_ Section 1 ,Township -3oN ,Range /41 WM ASSESSOR'S TAX PARCEL NUMBER(S): 150 —10O 3014 �-q50 - 100 3Oa NOTICE IS HEREBY GIVEN THAT the combination of the above referenced description of real property (lots, parcels, etc) is required to meet WAC 246-272 Minimum Land Area for issuance of an onsite sewage system permit. Sale, transfer or other segregation of only part of the property described in this Notice and in the onsite sewage permit will result in a violation of the terms and conditions of the onsite sewage permit. TYPE OF STRUCTURE: 5"//1461-e FAff/Gr/ .2E57&,(1 .. ADDRESS OF STRUCTURE: 4 .4 THIS THIS NOTICE may not be lifted or removed without the consent and written approval of the Jefferson County Health and Human Services Recording. Upon its execution, this Declaration shall be recorded with the Jefferson County Auditor. All contracts and deeds or other instruments of convenyance relating to the property or any part thereof shall contain reference to this covenant. Compliance with code requirements. This Declaration does not amend or modify, nor is it intended to amend or modify any requirements of the County's ordinances or any other law or regulation dealing with or affecting the use of land or construction of improvements upon lands. Warranty of Authority. The owner(s) signing below warrant that they are the sole Owners in fee of the real property described above and are authorized to make this Declaration and so bind the property. GRANTOR(S) 1 Acknowledgment: �q SUBSCR c -•e AND SWORN to before me this 30 day of santturuj ,20 01 °V/ H rest: pub lic i Pff fTvty JenUlf WaWashington, `♦�♦`co o\GP„NICy4s '' My •mmission expires: siap/')'3 QZARY Li =081281200s 7R Si N . J� 1$Vs�,1'G p C:1Doeuments and Settings\Jess\My Documents\mbh2o'Jefferson CountyVeffCo forms\RESTRICTIVE COVENANT LAND AREA 070901.doc Page, 1 of 1 IIIV III 111111 11 111 III 1 1111 I I III 524 345 411Mmn Cni,nry avl F16Ni nfnNNCI pm a9 cm AFTER RECORDING MAILL TO: /q p"�" "� Name Sher;II --a 1711` 0'00.61 Address 31 LOWr ' Naaloca .. Apt.a City,State,Zip Wit `Via I0Ck1 W h 98331 Filed for Record al Request of: • -2�t,rQUIT CLAIM DEED 4( THE GRANTOR(S) L agral Ahdef515r+-- coAd Alan 'Ea.. Avi 0-- for and in consideration of &i{t 't D S it fef' 11 J conveys and quit claims to Sod �oic, 0!C-flhhe tt Qv,iJ IS i'1 0 t Ca one 1 1 4 the following described real estate,situated in the County of S>?#'ersaY✓ , state of Washington, together with all after acquired title of the grantor(s)therein: '1("* 8 Iii is also p•■lUUrn as Wile- and Husb& Ltd;llia_rn- EVers reelA 13!k3 Lot -4-z3 =+-214.1- 25 L6,d,ed I 1n. Vo kr me ._ iip .--.7(o JeffrAoa, �Counnty Excise Tax Aff# Date Cr1(•d 47 Tax$ • oll'. Sales Amt$--Er r By , JA A- ..._ A _ Deputy Treasurer . rm 4-15o -7 C, 3014 iECIEIV1 r" Assessor's Property Tax ParceVAccount Number: 6.1 50 -7 0 D 30 r^... Dated: (o/I'/D`I •' ts'(ACYay. JUL — 6 2007 dellb. — SOTq,9Y 1 „ A, '- / ' , 4r.• 40 1kffk SUNI;UItielOCfi Itla W 11 I r " ... �BfIC �Or WASHIN STATE OF ) � �Q )pas COUNTY OF V,_ I F ' i , I r� ii �• �I�cyerttiify that I know or have satisfactory evidence that :}l,p /� D the person(sl who a.peured before me and said p (s) acknowledged that (h r'_r� signed this instrument and acknowled ed it too�b�re(h(hi JI .free and voluntary act tot •.nd purposes menti d in(his nstrumen Dated VlJ Y V f W / ��_,,•&,�I`_ •Sra s. ik,`T/ �a I Notary Public in and ,� 1 !A//�� �]`�{as My appointment expires: r➢V _# 0 LPB-12(i) 7197 l APN: t S 66 a 2 m L ft 67 - S8 3 D ' CortivQ Layers None visible Active Label Map not printed Map printed ✓ c Road System r _ a - Leave on for all or most maps r (c( Assessor Maps-H r {.. r _Parcels-H ✓ r Lots `)clniCA_ - A- ✓ r printed with Lidar Hillshade, no parcel Contours label ✓ r Property Transactions-H 7 t -.,a r r Parcel Taqs-H r r Permits-I-I r■ r 2000 Shore Photos-H t_/ ✓ r 1994-97 Shore Photos-H ✓ r Shorelines-Arcs ✓ r Shorelines-Polygons ✓ r DNR Streams ✓ r DNR Water Bodies i_.--'--- ✓ r Permit Categories TEST L/ ✓ r LFA-Fish �/ ✓ r Soils-H no parcel label ✓ r Soils - - ---, r C Marbled Murrelets ✓ C" . If mapped, change to i tool and Heritage Points ✓ write description on map or here r C` Spotted Owls ✓ ✓ r. Bald Eagle Nests ,✓ ✓ r. Bald Eagle Buffers (/ r f" Priority Habitats and Species 88/O6 L/ ✓ r Wetlands ✓ ✓ r Rare Plants-Ecosystems .✓ ✓ C Seismic Hazard ✓ r Landslide Hazard r! r FEMA FIRMS t ✓ ✓ r Erosion Hazard ,.✓ [; C Critical Aquifer Recharge Areas ✓ t^ •Wells-Chloride ✓ no parcel label ✓ r Mineral Lands ✓ no parcel label r. r. SIPZ r r • Shoreline Slope Stability ./ r'• t", Airport Overlays ✓ r County Zoning . in r County Zoning-UGA ✓ LIDAR Hillshade . Done with contours above ✓ USGS Topos ✓ 2005 Aerial Photos 7:77`" '-'77 no parcel label ✓ 2000 Aerial Photos x T.177_, r 1994 Aerial Photos F4;u ✓ PT Photo �, •°x° Geocode Index r i c . )6 t c. . v/ tn� C� c . (l I V ZI , : wo °' o $ 5 '� '� § 3 E a_ w o•- e ._` � E GCME Is 3 e° WI-Nor-s./1 3s) 81n to A �© IN 1211Erl 111•1 itfrg ON $rg OtNE o ©MIt� - e ¢ YtlKo ®� 8�2, rm.. od fir. r or. Y..n 'AMINO MITI. MIMIC 4‘E� .d �I IT 2 ©1113,T 0 NEMI .fd.� to MIA: A3© A MI MI Mt io r ya°° L V) o MINIMS MI 1332115 AAI °., L. °o �° v �©s� ! jjQQ L. O H S� S W _�� _� p �J LLJ g4n° 11:111111113�' i R �© i`� in. 4e OtiC! d. S !��yaca §3°a $^° a dl Milli S" '�jltt�� 8 - ' $ A .��0 NM NM °'- �® OSZI. U9 8 to -PIMA MI MIMI a » OMI CCI� {�� o�yg�° o £ PINE 8' A. -15 l3AM MTV, VI. n =Man v ar AAA af(� 'M35RS :r. PILE 08 i,° R lima= a 00 _a $sr a..� s 8° °p 3 eoWs %1._ d QV MIN W RCM ss ¢¢ g^ Bala `&'NV "2' a MF n.. 8 ��mo MI titQ.)Y�.. fin r4).- MI a o u BPM' B8 rter 8.. 0p^1•�nu _�,o 11a�i0 8$NO ��' m�~d Ell A©W mo %TYC I VIN© 0 84 El.se 1332115 n8d5 s. 133diS 30n2JdS � =C8 8 3 g &eam o °ago w as 00 Mal 4 S 0�! SOUTH JACOB MILLER RD. ONE NE 8-, — O dC3l7 ©_ nQf �a MILE g d B_a p; V N ©© p MI 0 x a 00 B Mil B it 8� O N 04.x. ammo B ^FI�.� BQ Ell 84: MINE O 8' ° imam= " ;: tritfiEti Iwo $;> bs d0 z B !!!R I A W4-NMI'-G WI X) m!�'° _ 888 N ; O _i`I rc { o P _ ,". ,: :< o le ry Z $ m Z W _ gg = o 88$ I !fli '•g ye�°'� • a� wrc S 3` ep° r< S Qos .. �PWi1£gY °8r pp; • ape B i V4§,ti'yi — eye. i�C�.i $ ,3`"` i gv... o--t xxi ilia g n .5 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell 001093023 001093024 K°'\I ............. I I, 950700303 j 950700310 Legend 950700306 950700305 950700304 Selected Features 950700301 ! Parcels-14 Houndanes 950700302 n Jee sa+Corty Wafer ',. O Otte Caritas � ___._ 1 f I - r 950700605 1 950700604 ! 950700607 950700609 iI 9503_X.696 1950700602 950700601 001093011 001093003 Mans[raided by Jelesan Canty Cenral Saxon GAS 0 ■ 1221t 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. Tue Jul 10 10:46:33 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell -1 )r i i I I I Legend 4 — , I 0 Selected Features Parcels Lots -H 1 i I ( Boundanes 1 .1.2 Ifarscr Corti -J----�j = _ i l 1 - 0 .0,... c>er ca.e. . 1 ) I I V ar sao cb]s;_d*no n Came Cara c e-..cc.Gt3 C.-'2211 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. Tue Jul 10 10:47:00 2007 http://gisserver/servlet/com.e sri.e srimap.Esrimap?ServiceName=ovmap&Cli entV ersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell 6 t 5�,)`5 \\\ Legend „ Selected Features PeroeW1 Contours l n.` 10Fm Csr 0 . 50 Fm e Cal m I Boundaries ..velersan carry E ❑ Cavbm • • • 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. Tue Jul 10 10:47:39 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell 0010930241 � r O 1116°7"334160700310 Legend 95700306. 950700305 < 0 Selected Features 954700301 T—1 Parceis-H L.. �MMSN� Parcel Tags4i 464700302: YJ -3 Rtra T:111 Sonc:314estr: ....._....__�-- I L Boundaries .etr.m Cam Wazr CMe Carnes 950700605 950700604 950704607 960700609 + 950700602 950740601 96070060E 950700606 j 041023011 1130:rasded .(c41a.m Carts Caws So-zces CIS 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. Tue Jul 10 10:48:03 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell ; , ..„„. - e 950700303 950700310 Legend 0 709399 950700306 950700344 $elected Features 950700301 Parcels-H ■ Permits-k 950700302 Boundaries ❑ .dbai Carr] Wact Sara Curren 950700605 9507006047 740607 950700609 950700602 950700601 950700609 001093011 001493003 Map podded by Jager-sal Carry Centa Strobes GtS FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its ollection. Tue Jul 10 10:48:21 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell ' `+ 1 ■ Legend N , sois d Features 1 _ I Parcels-H n 3e�s-ti Boundaries E J 1 Wse Ober Cause 1 WI r r''--~■ _1_ ' - Maps va+da7 m'Jas:sm Cary Carats&graces CIS omennommommo122ft 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. Tue Jul 10 10:49:19 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell 4 if ,, i ..0 llC f .1i a. ;.� � 1 110% VINI L 1 ■ –.4 Legend Ts1 ) 0 Selected Features E11 I I Parcels-H an ; USGS Tapos lawgigi—,..* INI111 'Boundaries O .eMesoi Cam, Mtry M� ti� w. .4m"IIIIII6 7 I I c Carntm "Me S 1 ii i iiiivii! %.1 J.., warded ey.elfasm Carty=acs Sa 'oes GS C 2211 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. Tue Jul 10 10:51:23 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell ' a .k, 81.. a.... x � rcv: r , i ' if r'r- ' > a� x� Legend ,.-- .,. Selected Features r k 4 -Ike e e 2005 Aenal Photos 9 c -. Boundaries - _ _ 4 4t -. _ ` J Canty e arson Cry 4 • T `an' YVaS Ro Ohs.Cam V #a '-rr, I, StirLi J��� `a_ � w e '�) - u+m r�..�aey.re�ca..vicen►a�s„n�tis - FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its ollection. Tue Jul 10 10:51:45 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/10/2007 Map Output Page 1 of 1 950700302 MLA07-383 O'Connell /.//:/// / rf/ //%/• /' j �/!./�f/LUPINE ST 2„." / / , ,//`/f /{ i •. ,� �// y / i /,///// //i// / '!l r/ // y ,....../,,.✓ ' / / /// ///,-' Legend / n Selected Features / , �� ��/%�fJ ��ff'i`f//�' /��/fit, •. 7...i �'SC.?rC��3':. V'r.i1X3C) ,/9595OR:0fi]�7 //' / Al Road System /,// � / //, .%i/ /� f `�' i•�, Parcels-11 • Boundaries // i// / /i ''.' r ,' ///�// ///// Water Service Areas l Y/Mfr ./f /i / /�`/ i/ . / /�/,7//////////// / SEP Zones _ . ' /////2/// //////// .:rim/ // 95011.X5 7 . // Y ?�4er �+vY_.d � :Y�1�_iU2! 9Y_4,:x..-, • may/C��6 r /m3x.rj &NI7..re n Coxre CGc J JC'.C.,.%(36 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. Tue Jul 10 10:45.27 2007 1 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/10/2007 / gyfrev A vevaAuevajiul Pvp . ii. L EN ._......_. 0 40 80 _ Lu sc (rn ) SCALE 1"=40 FEET E 202 40.52 a 2oz �4I I i.. ci r 16 Conway wal Nu. 1,‘2. X31 +' 4.-;4, `, %.‘\` • 100'suAace wale(setback • 1.,. Act —� 5v-Free- �,ed uG-a'-. A/300 S t r WAY*p . 14s a 21L7! t 39::'00' "E 16:4441,1 k 81 01 ppproxi +e Bullring i ,�� $t1it Iv■GreaSe J t ms`s\\u� `�� j r® _ -Iii, 5 -J SL-1 4111 r a • ',7/ Alp SL-2 _ .E • 1.44 a L99 \ -1.114144* rwilm Ell uXg l9J1 4. 2 d 54'• (v..8404.Ao,rcd) **** /\\, #*,, / 1 � ,_ ,, - Sit+. Roil or l09 ceLtte clok ■ / Wiltermood WC it n d ���eJ Associates, Inc. c. 1015 S.Warper Road Porc OrcharcL WA 98367-9306 (360) 876-2403 Fax(360)876=2053 SPAAD Category and Intake Requirements BETA version Rev. 12/12/2006 Cat A Cat B Cat C Cat D (low risk) Potential Probable Mitigation and site constraints site constraints State review reqd *Special reports are **Special reports **Pre-application optional at intake. if required at intake. required to reports are deemed Could request determine submittal required, the 30 day waiver from intake requirements timeline will not be requirements at pre- met. application. *Need to provide additional information on site plan >200 feet from (1)Shoreline (1)Shoreline parcel boundary depicted less than property, and (2) Shorelines 200 feet away from proposal doesn't parcel boundary, or meet standard (2)shoreline on site setbacks and/or proposing mitigation Streams . >155 feet from parcel (1)Stream depicted Development boundary off site and less.than proposed less than . Type 1 155'away from 155'from stream parcel boundary, or . (2)on site • >155 feet from parcel (1)Stream depicted Development . : boundary off site and less than proposed less than Type 2 1.55'away from' 155'from stream parcel boundary,or (2)on site . >105 feet from parcel (1)Stream depicted Development • boundary off site and less than proposed less than Type 3 105'away from 105'from stream parcel boundary, or (2)on site . . >105 feet from parcel (1)Stream depicted. Development boundary off site and less than . . proposed less than . Type 4 . 105'away from ' 105'from stream . . parcel boundary, or (2)on site >55 feet from parcel (1) Stream depicted Development boundary off site and less than proposed less than Type 5 55'away from parcel 55'from stream boundary, or(2)on. • site Fish a. none Depicted on site 1 Wildlife(other "*Include agency than Eagle) application with a lication . none . .Depicted Eagle(contact. on. p n site DCI) `*include agency detennirie) packet with application . . • Page4of5 CatA CatB CatC CatD (low risk) Potential Probable Mitigation and site constraints site constraints State review reqd *Special reports are **Special reports 'Pre-application optional at intake. If required at intake. required to reports'are deemed. Could request determine submittal required, the 30 day waiver from intake requirements timeline will not be requirements at pre- met. application. *Need to provide additional information on site plan >225 from parcel Wetlands depicted Depicted on site boundary off site and less than **Wetland Wetlands 225'away*Wetland delineation required delineation optional - Depicted off site .Depicted on site Seismic *Geotechnical report optional none Lower moderate (1) High landslide -hazard mapped on hazard depicted on site or within 30 feet site or within 100 Landslide from parcel feet of parcel hazard area boundary boundary, or(2) *Geotechnical report verified slides optional **Geotechnical • report required • none Intermediate on site • Unstable;unstable or within 30 feet from recent landslide, • parcel boundary unstable old Shoreline *Geotechnical report landslide depicted Slope Stability optional on'site or within 100 feet of parcel boundary , • : . Geotechnlcal report . required none Depicted on site _ Flood *Flood Elevation • Cert ficate;optional >30 feet from parcel (1) Depicted off site boundary and less than 30 feet . .Erosion away,or(2)on site *Geotechnical report optional . • Aquifer Any Recharge. Area (1) None, or(2) ' High Risk SIPZ High Risk SIPZ Seawater Coastal or At Risk depicted within 200 depicted on site • Intrusion SIPZ on site feet of parcel **Hydrogeologic . • Protection . boundary Assessment Zone *Hydrogeologic required Assessment optional . • • • Page 5 of 5 . • ` r ®. p- 1T 1# r� : A S>r ' c ` _tits s v r ' ii_ Lift - -i- . : . ` y P v r .-.z a , v .k. rf {(pi`,' ; } 5 �. L© allerlEr (+ may' f.; ' N o p > ,r , , • a •, r E c h'Ntt !. ., ti .,1 t,. r,. il,- f•. -;:-. -,. , = . N { f g S o c N. 1 It !„. r SPRf/CE ST; to- III s : Vir � � .. f e } . f;- w i ra -. ', 0- [..9:4 , s' , ;,, i ,If i [ F•ri CZ : ..Aik '1°IM t •0 tTMY - if 1� ..a r.e, • .3 jAC f , i i :,. fAP D R '�k I ". '71 a I CJ li + 'C , }}},,,, F C Y�, .. ., 0 .1 %10, k ` € ' '' ,0;,1, .• A 1 .:C ( +7j j Yl t'i4 • ! . ,, , A•[ y r ,. v 1444,e ��Y ST. r PI 4 rl' v 2 • a , v w r. y , y'rtp 1•p. h V N C r N wr y .'` o p t0 O-S r1' i- Ac , J `r f w v YY W; J ��1 �«,V411-1.1,V: '9T ,14".4 � ®� n 4 134 THIRD STREET •0.52 m SBB•00'39'E• 11.3-8.94 S 1580 QO'39•• ' O LOT 8 0 N O N - N O ce •I in 2 N I- W SO ce o a 3 z o Da `_ E > ° M O--- el.01 1441>- r SB8'00'39'E VNi 0: , 0 133 .1P N O' CONNELL o VI 0 15 30 60 90 m - JOB I 36 o w m° o SCALES 1'= 30' n at #.3TS 23-25 W° BLOCK 3 S138'00'39'E J , IL A 2ND STREET 1zA e o .--.•R -+ - I29.90 Iv 5.s.-e,.,¢ _ Me... Fon C p SBB•co'39'E 161.83 514• SEL.9 1lgl:. S88'00'39'E— • 121.37 6 p. LOTS 12-8 se8•00.39'E • 'Llil•VI VOL. 7 OF SURVEY I' !MI S P.37 I 60 ;I 17I OBERT BY F. T. FISCHER a BLOCK 6 JOB E96 '!I W La ~ G h e >, W ry il 2 IV L O LOTS 7-4 °:3. LOTS 3-1 No° �' I` ° ` W N w 161.75 Q. 3-88.00.39•E J I • 121.31 NB8.00'39'V Ij xi1. • J I m I-- S -I T I- i ' ,FIELD PROCEDURES: INN SW1/4SWI/4, SECTION 9, T. 30 N. , R, 1W, , W. M. u nos suRVrr ma rcREDaArD•emu,TRAVraiE BASIS FOR BEARINGS, 588'00'39'E 2660.90 FEET FOR RECOR➢ OF SURVEY OF1 US1NL A SDYK IA 3nx 3>T•r01D ELECTRDHlr TOTAL THE SOUTH LINE OF THE SWI/4, SECTION 9 PER VOL. LOTS 8, N3,D4 & ON TO BLOCK 3 NS TDE PLAT OF OR EXCEEDS TIME R QUI .IT rA•c PR0-oRl eras EVERGREEN ADDITION TO PORT TOWNSEND AS PER VOL. 2 °'acrros rNxC REWiREr IT RAC 3az-13D-oxi 12 OF SURVEYS PAGE 19, SEE ALSO VOL. 27 PAGE 53. OF PLATS PAGE 76, RECORDS OF JEFFERSON COUNTY, WA. AUDITpR''S CERTIFICATE ",,,,.. . F1.:1 SHERI O'CONNELL SURVEYOR'S CERTIFICATE WOOD SURVEYING THIS MAP CORRECTLY REPRESENTS A SURVEY INC.- '98368 136 512597 HALE UNDER NY SUPERVISION IN CONFORMANCE'I. �.>. 2155 DISCOVERY RD. PORT TUWNSEND, WA. 98368 G IIII�IInIIIInIIIII6IIIBIII�II I�IIII Iu„n;m a r BITN THE REQUIREMENTS OF THE SURVEY Y� PHONE 360-385-5968 Ii RECORDING ACT Al NNE REQUEST OFD .y' FAX 360-379-5659 0' .••� SHERI O'CONMiELL LEGEND O SET 5/B' REBAR AND CAP •A.WOOD PLO 2 0' Fn. t 8N JUNE 9, 2006 CT ® 3911' •MLV�� EJ I lot IAN.* • SET 5 F00i STEEL FENCE POST ON PROPERTY LINE ,•O DEPUTY JEFFERSON COIBV Y AUOiTp7 y(L 3/04 •FOUND 1/2' REBAR AND CAP 'FISCHER LS 21911' VOL.7 P.37 ''. ❑FOUND 1/2' REBAR AND CAP 'BENNETT LS 12870' C,J,I A SET 3/8' REBAR OR PK NAIL FOR SURVEY CONTROL POINTS 03 ,•,_ .,..:_;,,: ,,,,-,,t,_::.:,.,E.,:-.;:i,„„„i,;.,,,,,,s.,,,.-,-;-.:,-.4;,-- -,,,A..,v,-;,.'6-,,,ii,1-,„;.,..,-,,z,,-,..,:...:- -,,,,ii-iit\ili:4-,,,:4'...:. -4' '4':i4:1,',0:kli.:4-'.,t.i.i,-:::.=..„.''kV4-1,11,2.-g,:if.t.-;.,•:-..=..;,4i,,,,i,,- .4-i*A-4,i,:,.,mok,.-.,7.is,,,,,,,: ,,.......,_. --;,'...-':',J*4-iiif-3.•+.°"-)e-°''';'''.4-':: :',.;:-::.4q,;.e,.-:',,,,••::•P-40,veop„„,,,:i;:i•;;.,--alzi:ti-2•4,,,,,,i'vl,:-7P-..:;'n, -.,..:i'7.2.4!;77,,_•:::-4;:-.;-';;1i:-.47-iir'n1".':-:-.!:-tt2,;:i:=;17.-:':::7tiet"..:-.:V:vrat.';:::::::1;-i;e'?': "'„f!`;;;:t;:-..r:: :?;-:T,1'4-'741:•.':-:4-;;::',., ,,,,.,,,,,. , ,.',• ---,..1;41.c."JI.f.,:','47..'1."- ."•- •---L-:'•----,---.,,-!:::ti,o1,:if'z',,,mz',!:=1 -••• - • -,- -. - . -,-.-.-,.-.,v.,,,..i.i.,,,,. . , (dy- t.3, ' - 4 ,,.. . 1 '-- = . . ..,, . . , . .. .. OFFICE — ,-... . 1 , ---- , . ... .. . 1 z . .. t I ,t_i , ......._ 'A l• Cr) 1,---- - iii F_ Z < /- a I- -,, . - .. . >•-• Z (I) 0 - Y . Z 0 0 Lu 0 Lu CC 2 CC 0 , . , . m=. 'LL. , -.. --.="-;- - - 1 . . .. .... .-. ›- , .. - : - I- ;= Z ... 0 . . o ,-: ., Z o 0 cc >,- (I) il- ., . U- 0 LI U..I 0 U. > ■7 > - . LU w. . . _.. , I . , . , , . CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 95070039i 1\ Printed: July 10, 2007 Cases Name Review Type Status Planner ZON07-00046 MLA07-00383 O'CONNELL I P Application Received: 7/6/2007 Permit Issued/Case closed: Case Finaled: SPAAD No findings, conditions, or permissions found. SEP07-00044 ANDERSON I A Application Received: 2/9/2007 Permit Issued/Case closed: 5/1/2007 Case Finaled: 1.) ALL DEVELOPMENT AND CONSTRUCTION ACTIVITIES MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODES, AND RECOMMENDED STANDARDS AND GUIDANCE FOR THE SYSTEM BEING INSTALLED, THAT ARE IN EFFECT WHEN THE PERMIT IS ISSUED. 2.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) 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. 4.) H -All DRIPLINE MUST BE COLOR CODED PURPLE OR PANTONE OR OTHERWISE MARKED IN A MANNER ACCEPTABLE TO THE LOCAL HEALTH JURISDICTION TO IDENTIFY THE NON-POTABLE WATER SOURCE (RS&G 3.6.3).. 5.) H - ONLY ON-SITE SYSTEM INSTALLERS APPROVED BY THE LOCAL HEATLH JURISDICTION MAY INSTALL A SUBSURFACE DISTRIBUTION SYSTEM (SDS). THE INSTALLER MUST OBTAIN SPECIFIC TRAINING IN SDS INSTALLATION PRIOR TO INSTALLING THIS SYSTEM (RS&G 2.8.1). 6.) H -ALL COMPONENTS OF THE SYSTEM THAT ARE INSTALLED AT OR NEAR GRADE MUST BE INSULATED. 7.) H - AS PER WAC 246-272 AND JEFFERSON COUNTY CODE 8.15 ALL SYSTEMS REQUIRE MONITORING. THIS MONITORING IS PROVIDED BY AGREEMENT BETWEEN THE JEFFERSON COUNTY ENVIRONMENTAL HEALTH DIVISION AND THE JEFFERSON COUNTY PUBLIC UTILITY DISTRICT#1. THIS SEWAGE DISPOSAL SYSTEM WILL REQUIRE AN ACTIVE MONITORING CONTRACT WITH THE PUD#1 PRIOR TO FINAL APPROVAL OF THE SEWAGE DISPOSAL SYSTEM. While the County strongly recommends that the property owner allow inspectors to enter their property to inspect the system in order to insure that the system is functioning correctly, the property owner always has the right under the Fourth Amendment and our State Constitution, to refuse the inspectors access to their property. The property owner never loses the right to refuse access and can do so despite never having refused access before. 8.) H -This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots 8 and 23 of parcel 950700304 and lots 24 and 25 of parcel 950700302 of block 3, Evergreen Addition to meet the minimum land area required under WAC 246-272 Onsite Sewage Code. COVENANT recorded 522576. 9.) H - The signed Notice for Maintenance and Monitoring of an Onsite Sewage System shall be recorded to the property title prior to final approval. Non-compliance with the contract or maintenance requirements is a violation of this permit. 10.) H -This onsite sewage system is permitted using an aerobic treatment unit(ATU)with UV disinfection. All ATU systems must have a continuous and perpetual maintenance agreement in place for the life of the system. A signed contract with an approved entity, authorized by the product manufacturer, shall be required prior to final approval. 11.) 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 AT 6 MONTHS, AT ONE YEAR AND ANNUALLY THEREAFTER. A TIME OF SALE INSPECTION IS REQUIRED SHOULD THIS SCHEDULE HAVE NOT BEEN KEPT CURRENT. 12.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 13.) Designer must be contacted prior to start of construction and for inspections during installation. 14.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 15.) Before final approval is given, the designer shall provide an operations and maintenance manual to the property owner. The manual must instruct the owner of the on site sewage system on the ways to properly operate and maintain all components of the system. 16.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. 17.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 18.) Setback to surface waters- 100' required from drainfield and reserve areas. 50' required from tanks. 19.) MAXIMUM TRENCH DEPTH 12 INCHES 20.) When/if designated reserve area is utilized an alternative system providing an additional level of treatment may be required. Pace 1 of 2 Cases Name Review Type Status Planner 21.), A 30' setback shall be maintained from the disposal component and reserve area to any downslope footing, curtain or interceptor drain or drainage ditch. 22.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 23.) Drainlines are to be installed along the natural contours. 24.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 25.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. 26.) Pump chamber shall be water tight and a minimum capacity of 1,000 gallone. It shall be equipped with a control panel outside within line of sight of the pump chamber. The panel shall have an audio and visual alarm, a cycle counter and a riser to grade. It shall be UL listed and meet L&I requirements. 27.) A screen shall be provided either at the outlet of the septic tank or around the pump or at both locations. A pump shroud is required if only an outlet baffle filter is used. 28.) Dose counters are required in the control panel for all drainfield components. 29.) Risers are required to grade with secured lids over both compartments and over the outlet of the septic tank for inspection and maintenance/monitoring. Minimum 20" riser over inlet. 30.) Distribution boxes shall be fitted with a riser to grade, constructed of durable materials and a secured lid, adequately sized to allow visible inspection of the liquid level in the box. 31.) 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. 32.) 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. 33.) A maintenance and management contract is required with the manufacturers authorized representative. Maintenance of the system shall be completed by a manufacturers authorized representative at the frequency required by the manufacturer. That frequency may be increased to meet State requirements for Treatment Standard 1 systems. 34.) This site has been granted a waiver from WAC 246-272-09501. Reduction of surface water setback to 75 feet. Page 2 of 2 Parcel Print Page 1 of 1 Parcel Number: 950700304 05/14/2007 Owner Mailing Address: SHERI V O'CONNELL WILLIAM O'CONNELL • 31 LOWER HADLOCK RD PORT HADLOCK WA 98339 Site Address: Section: 9 School District: Port Townsend (50) Qtr Section: SW 1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 111 Planning area: Quimper(2) Sub Division: EVERGREEN ADDITION Land Use Code: 9100 - VACANT LAND Property Description: EVERGREEN ADDITION I BLK 3 LOTS 8 AND 23 I No Photo Available http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=950700304... 7/10/2007 Map Output Page 1 of 3 Features not surveyed / • t „447. ...-<YSZ111NPIPMIIIIIIIIMIRillr:9rlitll.MIR00060 997C70 4 ii ' el 001090006 LUPINE ST r-t 9up.y.:.K3 950700205 I 1.4bu 3'0 I 9507002' 94-4.,"-MAX 5.Y.Vi:930`, 950700204 4.4d 'e.S0+0:23C tja PT ' 950700207 11 tf , • 3 • kb% 950700703 9b0 t■DOV-4 ,.:501CXYDOS 95014:76-, %5070070i •±501::(.6Y3 "))5°B 950700705 0 001093003 J decl ..CS73.11 Coxr,Cc Ira Sc-em-s GO 0_____________23._11 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceNarne=ovmap&ClientVersion=4.... 7/10/2007 D -I X fi CU A CJ) -I i7 X -I -1 .0 co o -- -- 0) m co 0) x n. n r+ X d 0 -0 m 0 - -o -) -3 + O CL < 0_ CD 0) O CD 7" O CC -• CD CC CD CD - CD rl- O - CD - 7 7C CD -3 E -3 -. CD O O 7 # CC CO - - CD CD �1 O 7 CL O O CO CO - O o CO O CO O CD O - 01 C7 O O -1 O CO O �1 CO) CJl O C Cl) O - O r+ - 0) O -O CO X co n \ r+ - C7) m 0) C) - H S O -0 C C7 r C CD 73 r m 3 CD CO o 7C m 0 -I r r 73 v CO Z 73 O I-1 F-1 r CD -I Z OD O CD 7D 2 X D rn X m 73 CL 01 n D 01 3 < - I r r m D 3 to 01 r o rn co r- 0 r o o -I -I Z o o = - - D D CO o -0 0) co D C7 n O \ X CO D - 73 •• 7C O O O O D = OD O O C) I- Z Z O CO m o CD -0 Ill O Z z m r 77 D 1-1 CO m 7 co m m co 01 1--I z -I co no o- X 7C r r CO o 1•-1 no -I D r r o - -< X ao X N Z -• o F-1 Co - 3 7 CO Z D 0. OD o n r CO o Cu o � o -1 E CO M c 7 01 CO CL 73 CD o c CL CO CD CD CO 0 X.... o -I - c� 3 T -D -o r O T ` C O Z = C �2 �"�) D co co C7 D V �= 1 co 7- 7- 7• C - I D CO CO H + O., r z o 0 m 0 -I c o n 7 ...=..... N , co r+ 0_ mi 3 Q r -3 O O 1 -1 ,/ D C11 - C1 -b --' 00 Q D • CJ •• •• O o ` ' L W CIl O H O \ TI Z 1T N m so o c o F-1 ti 7J CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 950700302 Printed: July 10, 2007 Cases Name Review Type Status Planner ZON07-00046 MLA07-00383 O'CONNELL I P Application Received: 7/6/2007 Permit Issued/Case closed: Case Finaled: SPAAD No findings, conditions, or permissions found. SEP07-00044 ANDERSON I A Application Received: 2/9/2007 Permit Issued/Case closed: 5/1/2007 Case Finaled: 1.) ALL DEVELOPMENT AND CONSTRUCTION ACTIVITIES MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODES, AND RECOMMENDED STANDARDS AND GUIDANCE FOR THE SYSTEM BEING INSTALLED, THAT ARE IN EFFECT WHEN THE PERMIT IS ISSUED. 2.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) 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. 4.) H -All DRIPLINE MUST BE COLOR CODED PURPLE OR PANTONE OR OTHERWISE MARKED IN A MANNER ACCEPTABLE TO THE LOCAL HEALTH JURISDICTION TO IDENTIFY THE NON-POTABLE WATER SOURCE (RS&G 3.6.3).. 5.) H - ONLY ON-SITE SYSTEM INSTALLERS APPROVED BY THE LOCAL HEATLH JURISDICTION MAY INSTALL A SUBSURFACE DISTRIBUTION SYSTEM (SDS). THE INSTALLER MUST OBTAIN SPECIFIC TRAINING IN SDS INSTALLATION PRIOR TO INSTALLING THIS SYSTEM (RS&G 2.8.1). 6.) H -ALL COMPONENTS OF THE SYSTEM THAT ARE INSTALLED AT OR NEAR GRADE MUST BE INSULATED. 7.) H - AS PER WAC 246-272 AND JEFFERSON COUNTY CODE 8.15 ALL SYSTEMS REQUIRE MONITORING. THIS MONITORING IS PROVIDED BY AGREEMENT BETWEEN THE JEFFERSON COUNTY ENVIRONMENTAL HEALTH DIVISION AND THE JEFFERSON COUNTY PUBLIC UTILITY DISTRICT#1. THIS SEWAGE DISPOSAL SYSTEM WILL REQUIRE AN ACTIVE MONITORING CONTRACT WITH THE PUD#1 PRIOR TO FINAL APPROVAL OF THE SEWAGE DISPOSAL SYSTEM. While the County strongly recommends that the property owner allow inspectors to enter their property to inspect the system in order to insure that the system is functioning correctly, the property owner always has the right under the Fourth Amendment and our State Constitution, to refuse the inspectors access to their property. The property owner never loses the right to refuse access and can do so despite never having refused access before. 8.) H -This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots 8 and 23 of parcel 950700304 and lots 24 and 25 of parcel 950700302 of block 3, Evergreen Addition to meet the minimum land area required under WAC 246-272 Onsite Sewage Code. COVENANT recorded 522576. 9.) H -The signed Notice for Maintenance and Monitoring of an Onsite Sewage System shall be recorded to the property title prior to final approval. Non-compliance with the contract or maintenance requirements is a violation of this permit. 10.) H -This onsite sewage system is permitted using an aerobic treatment unit (ATU) with UV disinfection. All ATU systems must have a continuous and perpetual maintenance agreement in place for the life of the system. A signed contract with an approved entity, authorized by the product manufacturer, shall be required prior to final approval. 11.) 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 AT 6 MONTHS, AT ONE YEAR AND ANNUALLY THEREAFTER. A TIME OF SALE INSPECTION IS REQUIRED SHOULD THIS SCHEDULE HAVE NOT BEEN KEPT CURRENT. 12.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 13.) Designer must be contacted prior to start of construction and for inspections during installation. 14.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 15.) Before final approval is given, the designer shall provide an operations and maintenance manual to the property owner. The manual must instruct the owner of the on site sewage system on the ways to properly operate and maintain all components of the system. 16.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. 17.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 18.) Setback to surface waters- 100' required from drainfield and reserve areas. 50' required from tanks. 19.) MAXIMUM TRENCH DEPTH 12 INCHES 20.) When/if designated reserve area is utilized an alternative system providing an additional level of treatment may be required. Page 1 of 2 Cases Name Review Type Status Planner 21.) A 30' setback shall be maintained from the disposal component and reserve area to any downslope footing, curtain or interceptor drain or drainage ditch. 22.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 23.) Drainlines are to be installed along the natural contours. 24.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 25.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. 26.) Pump chamber shall be water tight and a minimum capacity of 1,000 gallone. It shall be equipped with a control panel outside within line of sight of the pump chamber. The panel shall have an audio and visual alarm, a cycle counter and a riser to grade. It shall be UL listed and meet L&I requirements. 27.) A screen shall be provided either at the outlet of the septic tank or around the pump or at both locations. A pump shroud is required if only an outlet baffle filter is used. 28.) Dose counters are required in the control panel for all drainfield components. 29.) Risers are required to grade with secured lids over both compartments and over the outlet of the septic tank for inspection and maintenance/monitoring. Minimum 20" riser over inlet. 30.) Distribution boxes shall be fitted with a riser to grade, constructed of durable materials and a secured lid, adequately sized to allow visible inspection of the liquid level in the box. 31.) 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. 32.) 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. 33.) A maintenance and management contract is required with the manufacturers authorized representative. Maintenance of the system shall be completed by a manufacturers authorized representative at the frequency required by the manufacturer. That frequency may be increased to meet State requirements for Treatment Standard 1 systems. 34.) This site has been granted a waiver from WAC 246-272-09501. Reduction of surface water setback to 75 feet. Page 2 of 2 Parcel Print Page 1 of 1 Parcel Number: 950700302 05/14/2007 Owner Mailing Address: SHERI V O'CONNELL WILLIAM O'CONNELL 31 LOWER HADLOCK RD PORT HADLOCK WA 98339 Site Address: Section: 9 School District: Port Townsend (50) Qtr Section: SW 1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 111 Planning area: Quimper(2) Sub Division: EVERGREEN ADDITION Land Use Code: 9100 - VACANT LAND Property Description: EVERGREEN ADDITION I BLK 3 LOTS 24 AND 25 I I I E No Photo Available http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=950700302... 7/10/2007 Map Output Page 1 of 3 Features not surveyed r , PI E ST �. 9'u�d(7(331D ._3c+5 9O)UC6ff3 954lGC4i01 yY_+,x(y�,• 9Y3!C'ti+SS[6 Max,1u:bsi u..Cut Crr;45c•rcr:GIS o-122ft http://gis server/servlet/com.esri.esrimap.Esrimap?Servi ceName=ovmap&C l Tent V ersion=4.... 7/10/2007 4- D ---I * )( -b CD CO -I -b x -I -I ' CD 0) -- -. 0) T co 0) X C7_ C') r+ X 0) .0 'I a 0) 0 - 73 '3 -3 . 0 01 < O_ CD 0) 0 CD S 0 CC -- CD (C CD CD - co ,+ o CD - D X c7 -7 E -5 -- CD o o D It CC C) - --• CD 0 -3 o -• z a o 0 UI CO 0 0 0) 0 CO O CO 0 - Cn C") 0 o -I 0 w (=I �7 w 01 0 C Cl) O F) O rF - CO O CO X C)) 0 ,-r - o m GI 0 -• I-I S O -D C C-) r C CD 77 r m 3 m co o 7C m 0 -I I- r 77 CO z 77 CD F-1 I-1 r CD -I z CO C) 0 77 2 f a m X m ID CZ m C) a m 3 C -I r r m a 3 0 77 m r CD m CO r O r O o -I - -I z 0 O S - - D a Cl) 0 07 C7 D C7 C) O X Cl) D - 77 •• 7C CD O O O D S N C7 O co r z z 7o m cn -p o CO m O z z m r 7C) I-1 0) m 7 C) m m co m hr D -I 0 70 CZ X 7C r r Cl) Z I-I rV -I D r r C O O - -< X 70 X z -• O H ry -+ 3 7 CD Z Cu a n CO o c-3 r CO O 0) O \ 0) -I E W C D m co C1 77 C7 O C C1 CO CD CD CD O O -I -I C) x T v r Ami O Z t"" D 0 C'] O lS D -I T C-. 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(-) R-1' Mitt illre t r m m 1 N , II Li, bi T M m Gi o m (.4.) w CO • m -0 2 / o hb . m a IP — C� G DEVELOPMENT REVIEW TIME SHEET SHERI V O'CONNELL MLA07-00383 Date Time Comments *E I:1R_MLT_Case_CRMLA.rpt July 10,2007 • UDC CONSISTENCY REVIEW Project Planner: Master#MLA07-00383 Review Type Project Description ZON07-00046 I SPAAD Primary: SHERI V O'CONNELL Site Address: WILLIAM O'CONNELL LUPINE ST 31 LOWER HADLOCK RD WA, PORT HADLOCK WA 98339 Project Location: Parcel Number 950 700 302 & 304, Evergreen Addition, Block 3, Lots 8 & 23 Section 9, Township 30, Range 1W, WM, Located on Lupine Road, in Port Townsed, WA 98368 Parcel Number: 950700302 S-T-R:9-30N-01W Total Acreage: 0 Legal Description EVERGREEN ADDITION BLK 3 LOTS 24 AND 25 Land Use: 9100 Flood District: Fire District: 1 Planning Area: 2 Flood Map(FIRM)Panel No: District: 50 Zoning: Parcel Number: 950700304 S-T-R:9-30N-01W Total Acreage: 0 Legal Description EVERGREEN ADDITION BLK 3 LOTS 8 AND 23 Land Use: 9100 Flood District: Fire District: 1 Planning Area: 2 Flood Map(FIRM)Panel No: District: 50 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: MPR: WATER SUPPLY UTILITY: Service Area PhD: [ 1 Plot plan states "property line" [ Assessor's Map(Property lines itted plot plan must match the property lines as identified on the Assessor's 1/4 map) [t Legal Access to Property NO [ Parcel Tags or Scanned ocumen ES NO G(/e [� ESA's: Special Reports Nea y ,• [ �-Designated Ag Lift [ FG]�/ Shoreline Designation: YE ' [ N Shoreline Slope Stabilit : YES �� 64(4- Stream Type:YES 0 Fish & Wildlife:Y.. s �� Wetlands: ♦l• etfill=1M ialkr� frOr Rare Plants:YES IS Seismic: YE'*a S Landslide: 4s • Flood: YE ,.tip Erosion: YES Q Aquifer Recha rea:YES +10 — SIPZ: At Risk High Ri Coastal tormwater site plan submitted: Ye is [ tii Forest Lands: YES a a [ / Adjoining Forest Lands: ercial/ Rural/ Inholding ,vj( Stormwater:New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's: Min Req#2 Min Req#I thru#5 Min Req#1 thru#10 Engineering [ Notice Provisions/Disclosure irport YES NO MRL YES NO Forest Lands yes NO [ Landscaping Required: Ye �� [� arking Spaces Re• -d !C►•- 2 Other [ VTuilding Height: UBC Standard [ kImpervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential:40 Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% el a o Buil4 ng Coverage:60%in Rural Industrial Lands only [ Total Building(s) Size: n� RVC:20,000 SF CC:5,000 SF NC:7,500 S GC: 10,000 SF All others:subject to septic 8 water constraints/Non ified [ tl Setbacks: Front: Left Side: Right Side: c Rear: Shoreline Setback: LSHA Setback: [V] Road Classification: '6 T7----- / Road Approach:EXISTING NOT REQ'D RAP [ 1V�1( EPA Required:vES EXEMPT_ [ [jJ-Flood Certificate: (V (74- [ V( Existing Case(s)& Condition(s): Violations: Yes No [ t/fr- Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [V Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO Site Visit conducted YE Ii, [ t,, -Require Final Zoning Approval YES 0 . [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES • Special Reports Scanned NIA YES Title Notes Updated Parcel tags found for parcel 950700302 1.) Custom Warning F Wetland mapped on property by Wiltermood Associates, 6/4/07 Inc. 3/22/2007. See SEP07-00044 for map. Parcel tags found for parcel 950700304 2.) Custom Warning F Wetland mapped on property by Wiltermood Associates, 6/4/07 Inc. 3/22/2007. See SEP07-00044 for map. Associated CASES status issued finaled description 950700302 MLA07-00383 ZON07-00046 P SPAAD SEP07-00044 A 5/1/2007