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SUB2014-00022
JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: THE NATURE CONSERVANCY 1917 1ST AVE SEATTLE WA 98101-1010 DATE ISSUED: April 09, 2015 DATE EXPIRES: April 09, 2016 MLA NUMBER: MLA14-00106 PROJECT PLANNER: Anna Bausher PROJECT DESCRIPTION: PARCEL SEGREGATION TO CREATE TWO PARCELS LOT CERTIFICATION -SUBDIVISION EXEMPTION 18.35.040(1) PROJECT LOCATION: Parcel Number: 412 221 000; Section 22 -Township: 24N - Range: 12W; Site Address: located near the Queets River, WA CONDITIONS: 1.) Parcel numbers are assigned upon recording of Statement of Intent. 2.) The Lot Certification Statement of Intent legal descriptions shall be recorded with Jefferson County Auditor's office, 3.) To process this segregation, you will need to submit a written request and a copy of the recorded legal descriptions to the Jefferson County Assessor's Office to have additional parcel numbers assigned. A copy of this permit will be forwarded to the Assessor's Office. Please contact the Jefferson County Assessor's Office (360-385-9105) with any questions regarding this process. 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 January 26, 2015 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: fish and non-fish habitat stream, fish and wildlife conservation area for Spotted Owls and Marbled Murrlets, and aquifer recharge area. 3.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 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(6)(a). 5.) This approval is for a Lot Certification 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. 6.) The parcel has been designated as Rural Residential - 1 DU/20 Acres(RR1:20) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 7.) This determination does not guarantee an ability to develop the parcels. All development shall comply with the on-site sewage code, the building codes and local development regulations in effect at the time of application. 8.) Based on the findings, parcel number 412221000 can be considered two (2) separate parcel as described in the legal descriptions submitted with the application. 9.) RCW 58.17 requires regulation of the division of land and was passed in 1969. 10.) The administrator determined on January 7, 2009& September 14, 2010 that no survey is required when following existing section lines. 11.) The proposal is found to be an exemption under Jefferson County Code(JCC) Section 18.35.040(1): (1)Divisions of land into lots, tracts or parcels each one of which is one-sixteenth of a section of land or larger, or 40 acres or larger if the land is not capable of description as a fraction of a section of land; provided, that for purposes of computing the size of a lot that borders on a street or road, the lot size shall be expanded to include that area that would be bounded by the center line of the street or road and the side lot lines of the lot running perpendicular to such center line; and provided further, that within the commercial forest district (i.e., CF-80), each lot, tract or parcel shall be at least 80 acres in size; 12.) Contact the Jefferson county Environmental Health Department at(36Q) 379-9444 to determine potential limitations with regard to wells and on-site sewage requirements. 9 9 q 13.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. Portions of Jefferson County, including the marine environment, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from"taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 14.) As the Parcels are found exempt from RCW 58.17 and Jefferson County Code 18.35, a title report is not required. It is the property owners responsibility to identify and rectify any security interest conveyances, encumbrances, easements or restrictions affecting the subject properties involved in this county reviewed exemption. 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. )� • /7/26/S_' UDC Administrator MLA14-00106 \\tidemark\data Worms\F_MLT_IssuePermit_U.rpt 4/9/2015 Page 3 of 3 590543 PGS : 2 CERT 04/09/2015 09:56 AM $73.00 JEFF CO DEPT OF COMMUNITY DEVELOPMEN Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor VIII NrdillaliirlitiNdiC 1101NONWM/1 4 11111 AFTER RECORDING MAIL TO: Name: Jefferson County DCD,DRD Address: 621 Sheridan City/State: Port Townsend.WA 98368 All Situate in the County of Jefferson, State of Washington CO Lot Certification MLA Number: 14 "O 1 t)(a Parcel Number: 412221000 Section 22 Township 24N Range 12W Grantor(s): 1. The Nature Conservancy (1c kr*ems: The. (_onset(vctrrc,- I Legal Description:Parcel involved in the lot certification are cur( ntly legally described as follows(include Assessor's Property Tax Parcel Account Number): Parcel A: All of Section 22, Township 24 North, Range 12 West, W.M. , Jefferson County, State of Washington. TPN 412221000 . Parcel B: it%A Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: All of Section 22, Township 24 North, Range 12 West, W.M. , Jefferson County, State of Washington. Except; The South 1/2 of the Southeast 1/4 thereof. Revised Parcel B: The South 1/2 of the Southeast 1/4 of Section 22, Township 24 North, Range 12 West, W.M. , Jefferson County, Washington This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(1) or (4) for the purpose of assisting with the segregation of land into lots, tracts or parcels each one of which is one-sixteenth of a section of land or larger. (Proponents' signature) STATE OF WASHINGTON COUNTY OF On \x Lt'ni 6-er (. , 209 14,personally appeared i3 f; a n . "TD et A and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this So-fh day of — � JoONkri,, '','/ C e en k-e T , 20F'I . _ .' ssi°4 �s, \"% i Notary Public in and for the State of Washington, cn 4 01304' s Z. _s w�i � A // Op.�wASN Residing at del ley w ��,�-� This Lot Certification has been reviewed and approved by the Je erson County Treasurer Office and taxes have been paid in full for the year. Treasurer Office k This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. • Associate/Assis ' anner Date 0 • Assessor's Map SE 7/4 Section 24, Township 24 North, Range 12 West, W. M., Jefferson County, Washington 2 2 2 .3 41yu2'DOE .� 41223-V01 41,111000 '0 1/4(LC55 NE NW) BALANCE OF SECT,rye 412231004 SW 1/4 ALL Or SECTION J60.0G eE mom 412743p1 CT1"3 Wt 1 640.00 0 (NW SE) 41]]41000 40 OS a 000,LOTS 1.2.3 g�i 4,02:30-,1 41224<CD2 n tiw o:�3a ,`�M1 Iq J,`O``1 •a f il l 1 N ryfl, °a, 412271000 •12201001 - 412232020 4n --104,... ., sscnw, 14 1/2 NE N AIL a uctav 2 No No .F�3 �, I ,..,,� 6000 0 140.00 a 1VVJ 40.00 o M 5 _ / ,?`3 ual000 liSr 4 ,nov1 ♦ e Lot Z^ ' L'>. Lot d9i 04 Zany,.-. .3 n a , .--` 4 I y4a< / 4 133630W 6 • O }I-1'_ IV.}.'• 0.4 -- 49,., OF SE n1) � �. 1 /5��e war ect A.CE OE SECNW 1^ ` 1µ_ -- i r,4 2 � v4jn� ,t _K, w� a 2 5 � 5.1/2 SE +� 41x26,W'00 5 IIx SC q -,c....-' O' ,0` �412J<a00< Iy �,� _ �6hLn4iC f6 SEC„, !I \;43.'423V, SCC!IAY 5 (/( ' y 1 413361000 t`.L / 412354001 0PLAx10, SECIR,:.i R I S ' o0v't LOLS 0 00. 4T, w NE 1/4!LESS NN'XI 4t .yr'e (90. > SE I n o 00"'1 ;6 .\ $ •11wvn 4 ! -..1 020 a. Y 9 A 94 dyi4 s 1'I ���'4�44 O33RCOT „,."2„34,2°??, 412 001 l 494 A 9 CpVT L0,6 LO 1 N14$ :r N'N SN WSW �;em Od �:] -no., u'x”341 ut, ...' - '.. 4[,0., 4 4:]Y4K3 4 61,34.1 _ .}�.� 5C SE 4/3353002 4.l NI_ 4 , N irSi.L pi`,...9 JIB 0.'S y 4+.n..l ''Msra ��- 5 1/2[W — LO I n r4 __ la A,- 4...!4bu `l O'S .-..' y Jar _RSON`Tca __.. COUNTY ,N3LW1 J),Nwa- tyt'1&.'":2;*1 4 v- CRAYS HARBOR COON' .'' ` JEFFERSON COUNTY ASSESSOR I- Parcels—Before Segregation 0 3000 6000 SCALE IN FEET ��� NORTHWESTERN TERRITORIES, INC. ,.� Engineers - Land Surveyors - Geologists Construction Inspection - Materials Testing NTI 717 SOUTH PEABODY, PORT ANGELES, WASHINGTON 98362, (360) 452-8491 www.nti4u.com Lot Certification TPN 412221000 Section 22, Township 24 North, Range 72 West, W. M., Jefferson County, Washington Parcel A 560 Acres N Parcel B 80 Acres S1/2,SE1/4 Parcels—After Segregation 0 1000 2000 SCALE IN FEET fl NORTHWESTERN TERRITORIES, INC. Vet- Engineers - Land Surveyors - Geologists onstruction Inspection - Materials Testing NTI 717 SOUTH PEABODY, DORT ANGELES, WASHINGTON 98362, (360) 452-8491 www.nti4u.com 590543 PGS : 2 CERT ' 34/C912015 09:56 AM $73.00 JEFF CO DEPT OF COMMUNITY DEVn.oPMEN Jefferson County WA Auditor's Office - Rose Ann Carrell, Auditor 111111 KP ,tlOhlteltitkiCllfItiNl' Ptikii Mli VIII AFTER RECORDING MALL TO: Name: Jefferson County DCD,DRD Address: 621 Sheridan City/State:Port Townsend,WA 98368 All Situate in the County of Jefferson,State of Washin ton _._ Lot Certification 1 , MLA Number: 114 — )1M9 Parcel Number: 422221000 Section 22. Township 24N Range 12W ©Ns> Grator(s): /1___.7 I. The Nature Conservancy J C:it`cvrkee..' —11he_. Ma:Avt"e,(—or \S ' VCt i rLi i Legal Description:Parcel involved in the lot certtficalt'on-are,eurnjntly legally described as follows(include Assessor's Property Parcel Accouet (umber): Parcel A: All of Section 22, Townsh-' �4. .'o th, Range 12 West, W.M. , Jefferson County, State (o ,asnangton. TPN 412221000 . ' Parcel R: Y 1 N /A Lot certificaxip1des' lb as$ollows(new legal description in metes and bounds): I Revised Pat el l• - .4tir g?I ; All of S,gcti , Township 24 North, Range 12 West, W.M. , NE/ Aj &I 5 ib Jeffe Caun y, State of Washington. e,nf'Z- Exc-•C South 1/2 of the Southeast 1/9 thereof . R :: Newer 4-11 - , .,), L.-l00 . . 1�� — a e u� 1/2 of the Southeast 1/4 of Section 22, _ �� ow htp 24 North, Range 12 West, W.M. , Jefferson 4SCo nty, Washington hts to ertification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) }, The Nature The Nature Conservancy " 4245 North Fairfax Drive, Suite 100 " Arlington, VA 22203-1606 NO. � 804229 nservancY RrtcfYr neat Removing IiR' DATE: 30—MAR-15 CUs-r.ACCT.NO. 19OA63ACOC VENDOR NAME JEFFERSON COUNTY AUDIT VENDOR NO. 179229 INVOICE NO INVOICE DATE DESCRIPTION DISCOUNT AMOUNT NET AMOUNT 032615 26—MAR-15 3 LOT CERTIF RECORDING FEES 0 . 00 219 . 00 • • • • • • • • • • • PLEASE DETACH AND RETAIN THIS STATEMENT AS YOUR RECORD OF PAYMENT. 74Kak *cc 0 . 00 219 . 0 0 After reviewing the proposed Lot Certifications(MLA14-00106, MLA15-00005, and MLA15-00006),the following information is needed for the process to be completed: Before these Lot Certifications can be approved and recorded all property taxes on parcel numbers 412243001, 412221000, and 412232001 must be paid in full to the Jefferson County Treasurer's Office. A check made out to the Jefferson County Auditor's Office for$219.00 will be needed for the recording of the Statement of Intents.The breakdown of this cost is: MLA14-000106: $73.00($72.00 for recording a real estate document, each additional page beyond the first is $1.00) MLA15-00005: $73.00($72.00 for recording a real estate document,each additional page beyond the first is $1.00) MLA15-00006: $73.00 ($72.00 for recording a real estate document, each additional page beyond the first is $1.00) If you have any questions regarding this information please feel free to contact me. Sincerely, Anna Bausher Assistant Planner,Jefferson County Department of Community Development 621 Sheridan Street *Port Townsend,WA 98368 Phone 360-379-4454 *Fax 360-379-4451 abausher@co.jefferson.wa.us All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. e//3/5-- We,/ e c/sed • 7 3 Colleen Zmolek From: Colleen Zmolek Sent: Friday, April 10, 2015 10:57 AM To: 'Peter Scholes' Cc: Anna Bausher Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Attachments: SOI LOT CERT APN 412232001_04092015100614.pdf; SOI LOT CERT APN 412243001 04092015100536.pdf; SOI LOT CERT APN 412221000_04092015100452.pdf; MLA 15-00_006 _04102015103732.pdf; MLA 14-00106_04102015103647.pdf; MLA 15-00005_ 04102015103550.pdf Peter, I have attached the approved permits and the recorded Statement of Intent for the 3 lot certification applications. CoCCeen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(a�co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. MI c-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 4.2.5 RM. Our office is open to the public 9:0o a.m.-4:3o p.m. Monday to Thursday,closed Fridays. From: Peter Scholes [mailto:pscholes @TNC.ORG] Sent:Thursday, April 09, 2015 10:59 AM To: Colleen Zmolek Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Thank you! From: Colleen Zmolek [mailto:CZmolek(nilco.jefferson.wa.us] Sent: Thursday, April 09, 2015 8:14 AM To: Peter Scholes Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Peter, I have received the check. I will be recording the Statement of Intent (S01) today. A copy will be forwarded to the Assessor's office. The Assessor will assign the additional parcel numbers. I will send you a copy of the recorded SOI CoCCeen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekaco.iefferson.wa.us 1 Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 4.2.36 RCW. Our office is open to the public 9:00 a.m.-4:30 p.m. Monday to Thursday,closed Fridays. From: Peter Scholes [mailto:pscholes @TNC.ORGJ Sent:Wednesday, April 08, 2015 4:56 PM To: Colleen Zmolek Cc: Anna Bausher Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Colleen, Have you received The Nature Conservancy's check? Thanks Peter From: Colleen Zmolek [mai Ito:CZmolekCaco.jefferson.wa.us] Sent: Friday, April 03, 2015 8:10 AM To: Peter Scholes; Anna Bausher Cc: Mario Mytty Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Peter, Please send the check to: Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 Attention: Colleen I will record the statement of intent at the Auditor's office. The check for recording must be made out to the Jefferson County Auditor. Please call or email if you have additional questions. Thank you, Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekCaico.iefferson.wa.us Jefferson County DCD Mission.' To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received be the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. 2 • From: Peter Scholes [mailto:pscholes @TNC.ORG] Sent:Thursday, April 02, 2015 4:44 PM To: Anna Bausher; Colleen Zmolek Cc: Mario Mytty Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Colleen, We have sent the 2015 payment for the three tax parcels to the Treasurer. I'm not familiar with receipts for payment of property taxes. We just received the check to the Auditor for recording fees. Do we send that to your attention? Or, directly to the Auditor? If to the Auditor, how do we identify how it is to be credited? Thanks Peter From: Anna Bausher [mailto:ABausher @co.jefferson.wa.us] Sent: Friday, March 27, 2015 11:12 AM To: Peter Scholes Cc: Colleen Zmolek Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Hi Peter, Since these lot certifications are in their final stage of the process I figure that you will have the taxes paid and recording fees in order to complete them in the next couple of weeks. I wanted to inform you that I will be out of the office after today through Friday, April 10th. I have asked one of the other planners, Colleen,to issue and record the Statement of Intent if they reach that stage while I am gone. After today please know that she will be your contact while I am gone. Once the taxes have been paid please let her know,the quickest way for her to confirm this is to email her a copy of the receipts. Sincerely, Anna Bausher Assistant Planner- DCD Phone 360-379-4454 All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.5E and other state laws. From: Peter Scholes [mailto:pscholes@TNC.ORG] Sent:Wednesday, March 25, 2015 5:28 PM To: Anna Bausher; info @nti4u.com Subject: RE: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Anna, 3 Thanks.. I am ordering the checks. Peter From: Anna Bausher [m ailto:ABaushertaco.jefferson.wa.us] Sent: Wednesday, March 25, 2015 5:06 PM To: Peter Scholes; info(a nti4u.com Subject: Additional Information Needed MLA14-00106, MLA15-00005, MLA15-00006 Good afternoon Peter and Tom, After reviewing the proposed Lot Certifications (MLA14-00106, MLA15-00005, and MLA15-00006), the following information is needed for the process to be completed: Before these Lot Certifications can be approved and recorded all property taxes on parcel numbers 412243001, 412221000, and 412232001 must be paid in full to the Jefferson County Treasurer's Office. A check made out to the Jefferson County Auditor's Office for$219.00 will be needed for the recording of the Statement of Intents. The breakdown of this cost is: MLA14-000106: $73.00 ($72.00 for recording a real estate document, each additional page beyond the first is $1.00) MLA15-00005: $73.00 ($72.00 for recording a real estate document, each additional page beyond the first is $1.00) MLA15-00006: $73.00 ($72.00 for recording a real estate document, each additional page beyond the first is $1.00) If you have any questions regarding this information please feel free to contact me. Sincerely, Anna Bausher Assistant Planner, Jefferson County Department of Community Development 621 Sheridan Street. * Port Townsend, WA 98368 Phone 360-379-4454 * Fax 360-379-4451 abausherfcrco jefferson.wa.us All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.5t,.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this c-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. 4 Anna Bausher From: Sherrie Shold Sent: Tuesday, March 24, 2015 3:33 PM To: Anna Bausher Subject: MLA14-00106, MLA15-00005& MLA15-00006 Anna, I have completed my review of the above Lot Certifications and the following are my comments. MLA14-00106 The MLA number needs to be included on the document. This is comment is just a "pet peeve" of mine; I would rather see the Parcel Number at the beginning of the description or a separate line just before the description.Or, because it is already noted on the Parcel number line, removing it from the body of the description would also work. This concludes my comments/concerns for this Lot Certification. MLA15-00005 My only comment on this Lot Certification is the location and description of the parcel number; I would rather see the Parcel Number at the beginning of the description or a separate line just before the description. Or, because it is already noted on the Parcel number line, removing it from the body of the description would also work. This concludes my comments/concerns for this Lot Certification. MLA15-00006 The MLA number needs to be included on the document. Again,the same Parcel Number comment. This concludes my comments/concerns for this Lot Certification. Please let me know if you should have any questions with my comments. sherrte sherrte shold property aperatiows je f fersow eouwtj Assessor's O f fi.ce 36O-3 '59105 sskoLoi @co jef fersow.wa.us 1 Anna Bausher From: Sherrie Shold Sent: Wednesday, March 25, 2015 9:16 AM To: Anna Bausher Subject: RE: MLA14-00106, MLA15-00005& MLA15-00006 Anna, We are all good to move forward. Sherrie From:Anna Bausher Sent:Wednesday, March 25, 2015 9:08 AM To:Sherrie Shold Subject: RE: MLA14-00106, MLA15-00005& MLA15-00006 Okay,thank you for getting back to me and thank you for your comments. Now that I know you have a preference regarding the parcel number location I will watch for this on future permits. Unless I hear from you that you would like to see the 50I's again with my handwritten MLA numbers, I will move forward this these permits. Thank you! Anna Bausher Assistant Planner-DCD Phone 360-379-4454 All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. From:Sherrie Shold Sent:Wednesday, March 25, 2015 8:18 AM To:Anna Bausher Subject: RE: MLA14-00106, MLA15-00005& MLA15-00006 Anna, No I wouldn't have them change the location or remove the parcel number from the description and have to re-do the entire SO!. I would rather see it get approved and be another completed project. Thanks for considering my comment. Sherrie slerrie shold Property operati.ows jef fersow Couwt Assessor's Office 360-32519105 sshol tPco jeffr.rsow.wa.us 1 From:Anna Bausher Sent:Wednesday, March 25, 2015 8:11 AM To:Sherrie Shold Subject: RE: MLA14-00106, MLA15-00005& MLA15-00006 Hi Sherrie, I have wrote in the missing MLA numbers, I usually do but just had not done it yet. Because you mentioned that the comment regarding the location of the parcel numbers was more of a "pet peeve", I just wanted to verify that they do need to change this per your comment. It looks like they have used a type writer to type the Statement of Intent so I just want to check before I had them change it. Thanks! Anna Bausher Assistant Planner-DCD Phone 360-379-4454 All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. From:Sherrie Shold Sent:Tuesday, March 24, 2015 3:33 PM To:Anna Bausher Subject: MLA14-00106, MLA15-00005& MLA15-00006 Anna, I have completed my review of the above Lot Certifications and the following are my comments. MLA14-00106 The MLA number needs to be included on the document. This is comment is just a "pet peeve" of mine; I would rather see the Parcel Number at the beginning of the description or a separate line just before the description. Or, because it is already noted on the Parcel number line, removing it from the body of the description would also work. This concludes my comments/concerns for this Lot Certification. MLA15-00005 My only comment on this Lot Certification is the location and description of the parcel number; I would rather see the Parcel Number at the beginning of the description or a separate line just before the description. Or, because it is already noted on the Parcel number line, removing it from the body of the description would also work. This concludes my comments/concerns for this Lot Certification. MLA15-00006 The MLA number needs to be included on the document. 2 Again,the same Parcel Number comment. This concludes my comments/concerns for this Lot Certification. Please let me know if you should have any questions with my comments. sherrLe Sherrie shold Propertu operati.ows jef fersow Couwtj Assessor's office 3 ,O-35- 1O5 sshoLdPco je f fersow-Wa.ws 3 Anna Bausher From: Pat Perryman Sent: Wednesday, February 04, 2015 3:20 PM To: Anna Bausher Subject: RE: Lot Certification MLA14-00106 Anna, I have reviewed this proposed transaction and have no issues with it. Thank you, Pat From: Anna Bausher Sent:Tuesday, February 03, 2015 2:23 PM To:Sherrie Shold; Pat Perryman Subject: Lot Certification MLA14-00106 Hello Pat and Sherrie, Attached is a Lot Certification for your review. I will be sending you two more after this one.They are all for the nature conservancy and are located next to each other, you will see them all drawn on the same map that is attached. Please let me know if I can provide any additional information. Thank you! Anna Bausher Assistant Planner,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend, WA 98368 Phone 360-379-4454 * Fax 360-379-4451 abausher@cojefferson.wa.us All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. 1 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY �l �I DEVELOPMENT am. 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel: 360.379.4450 I Fax:360.379.4451 I Email:dcd co.iefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning February 3, 2015 THE NATURE CONSERVANCY 1917 1ST AVE SEATTLE WA98101-1010 RE: SITE ADDRESS: MLA#: MLA14-00106 Dear THE NATURE CONSERVANCY: Jefferson County Department of Community Development staff has reviewed the application materials for the above project proposal and has determined that the application is substantially complete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, Anna Bausher Department of Community Development Staff c: File NTI ENGINEERING 717 S PEABODY ST PORT ANGELES WA 98362 Li $ Z d- N J o N N Q n a o o W 0 rM u^) r 0OJ �i a �4, \ 2 �. I' I ~°J 0 0 n- s1 \ le �.N ; . \ r'10 CV p - �i09 a0 �!^'0). \O O ti 1 w O ZO �.. - °.-. • N L p N i U a vwi p 0 w �` iy`,�'+ ~ ~OJ ■ O N \ W �+ N O N U1 N Ya - \ ■Y O•Ul N 3 p N 3 y �+ O) .,,� O 1.0 Y V1 40 ....Y a z a to X00 O 7)U 2 V• O �1 �� N Jc V N Z ii N O Y•N J d 0 4�. 7°�Y°' a m 10) 9 & ` Q v N + .r ry 1 O) _ s I i.� p 700 /�O`�L r��� 1/ .5-• V /�� V CN •M �O 7 O N w O p \ 1° �. '$ 0 z a 0 . F o ° J r 1= O . ( �� "7 `'V) N J — O - I. ' /0N.1 W CO 4- J ° ti` . 1 , 1O w U �► . .aZ iiN nI N J N �� V I a ` ;� � Z ;1: m Q ,0) rl e _O z () 00 . P 4 f t l /fee. 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S a m l0) 1O Z m . 10 n n /yr h a / 1 2 ` f c,0 ) 2/. / ,, f'�0) gyp, 'ea 1 • . / 7 't-6, NORTHWESTERN TERRI IES, INC. ��_ 717 SOUTH PEABODY STREET,PORT ANGELES,WA 98362 Engineers Land Surveyors 0 Geologists ti Construction inspection 0 Materials Testing Y Port Angeles(360)4 ^ : ii n n E-Mail: intoCrDnt�4a c lT'''�� (�-� v NT/ fl h DEC 182014 JEFFERSON COUNTY f.OF COMMUNITY DEVELOPMENT PROJECT DESCRIPTION TO: JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT FROM: THE NATURE CONSERVANCY(TNC) SUBJECT: LOT SEGREGATION OF 3 PARCELS IN 3 ADJACENT SECTIONS DATE: DECEMBER 18,2014 AGENT: NORTHWESTERN TERRITORIES,INC.TOM ROORDA,PLS 360-452-8491 The purpose of this application is to segregate the following three parcels for the sole purpose of selling a portion of each to the State of Washington, Department of Natural Resources (DNR). P/N 412221000 - Section 22 T24N, R12W - 560 acres to DNR, 80 acres retained by TNC. P/N 412232001 - Section 23 - T24N, R12W— 200 acres to DNR, 160 acres retained by TNC. P/N 412243001 — Section 24 —T24N, R12W— 40 acres to DNR, 80 acres retained by TNC. Assessor's Land Use Code for all three parcels: Designated Forest Land. These lot segregations are compliant with Jefferson County Code 18.35.04 exemption (1 or 4) for the purpose or assisting with the segregation of land into parcels 40 acres or larger or divisions of land relating to the acquisition of a fee simple interest in land by public agencies. We request that this application be treated as one segregation, however, for the sake of clarity, we have prepared three Lot Certification forms. III • , RsON r kv °2 JEFFERSON COUNTY DEPARTMENT OF COMMUNIT VELOPMENT &,. oz 621 Sheridan Street I Pori Townsend,WA 98368 I Web:www.co.'effe-I C - '±R!..idol f'I"O Tel:360.379.4450 I Fax:360.379.4451 1 Email:dcd• o.efferson.wa.'- ' 1 V E • r— Building Permits&Inspections I Development Consistency Review I Long Range Planning I Waters aid-Stewardship�Resource Center Master Permit Application MLA: pp�E 1 2014 Project Description(include separate sheets as necessary): See Attached _ cam --� Tax Parcel Number: 412221000,x"1,& 43094.- Property Size: 640,360 & 120 k - ` '' '� `'''1 ::1i Site Address and/or Directions to Property: From intersection of Highway 101 and Queets River Road, north and east 1.5 miles to site, which lies north of road, Property Owner(s)of Record: The Nature Conservancy Telephone:(206)436-6202 Fax: email: pscholes @TNC.ORG Mailing Address: 1917 1st.Avenue,Seattle.WA 98101 Applicant/Agent(if different from owner): Northwestern Territories, Inc. Telephone:(360)452-8491 Fax: (360)452-8498 • email: info @nti4u.com Mailing Address: 717 South Peabody,Port Angeles,WA 98362 What kind of Permit?(Check each box that applies 11 Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CJ" ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment El Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** Cl Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference. ❑Tree Vegetation Request *"Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: Northwestern Territories, IncoDRgrraATION OF AGENT I hereby designate to act as my agent in matters relating to this app ication for permit(s). OWNER SIGNATURE � �� - Date: /Z 42 20/ By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry o Jeffers.• County and its employees,representatives or agents for the sole purpose of application review and any requir-.later'• ctions. Staff's - -- s and r•ht of entry will be assumed unless the applicant Inform-the Cou in writing at the time of the ap. r 1.. e - s pi: •once. 1 Signatu . ' �cfi� ��L Date: / The acti-.n or actions Applicant will unde ake 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 yo -re in •m.lien •with t -J,'_ • County development code.The Applicant acknowledges that he, he or it hold individual and non-trans -r.. : -:0(17•il or ..-:ri 1 to en• -.m.lying with the ESA. The Applicant has read this disclai er a d signs and ales i below. Signature v /� ' r ---A1T/ Dater /( 77 07/24/2013 • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: N/A Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ((206))136-6202 ( ) . MAILING ADDRESS: 1917 1st.Avenue,Seattle,WA 98101 EMAIL: pscholes @TNC.ORG CONTRACTORS LICENSE WAINS NUMBER; NUMBER ARCHITECT/ENGINEER: PHONE ((206))136.6202 FAX:( ) MAILING ADDRESS: 1917 1st.Avenue.Seattle,WA 98101 EMAIL pscholes@TNC.ORG Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: Sewer Addition Steel Proposed: Bank Community System Alteration/Remodel Concrete Total: Height: Individual System Repair Masonry SEP Permit Ii 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 Proiect vos 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 I No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP 1 knaT retaW toH i Is this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, Including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: 2""Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: r:- „^, t= f7 1 n r Heated Basement -- ... Plan Check fee: 10 • Unheated Basement State Surcharge fee: DEC 182014 Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL ,:17 I I,`;:ri nPMENT Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: n?/?4/2013 tv C°L, 1 rz Co et 1 C C°�T /J eye • (0 'A �*l _Z ? 2� Q. I $- 0 T CA 7"is. PI J iv c �\ T °j. / �›v OG �1 `� Off , mD N 9- // -4ZO f� KA Dw +s/ ° "° ° 7 D N m °A D N n N O O�—I \ oN r z o � in 09 '1 v S co ZA 1 ) c O b / L, f\ i N N P °� ° 11\3 \ C m IN) O z JN \' r / n/ 0 O / m C / PZ °° (% M z 0 � v • - - \ �o / N N m N e / �- 1 \ w io -o 1- '' c. Cr) (/) z A R " 1 zoo O Cow .•. a /. O —z A i ON �$ C i ' O N O \\N .• ids `�-' ayJt! NOVA y', e� Ai w o\ tA o m ��°o /, �� O A IM C D 03-A // 1 �/ / . 9 - . O - �/ tn Z >01 w D N c /� I 9 V J G° m '` - z•n 0 D 6i - O u ,�. • L, n m m nwo c O / - � - CO ' z Oc mO r °'� / ' . T O A TI O 4,7 y AI c_ Z f v n / /m C In . O 1 • i. -. �_./ . o O / ' , Vn / CO A Z Z �6 T 0 XI / n D N 1 6 1„ - •V H / N / D w 11\3) V O � / ( � o- \ N / O C P mDw Cn ( i M .‘3%).n Co AZ A °LT . , C°)` ° N co z to rri r%4444J 9 L - / O P °O .� -3o �pA ° zN / n ° ro .. 0 �N 7 m ° IV T�7 e Df,, \ / y ° Zo CO o0 �^ O U' A 0 lb A in m O m A N Z m o 0 �� • • 7 O O A Z o l ON o°L ? � f ' �� FE rs \ r ° �C°� - 0 o O c R/ __I O O L f�7 n W� rn T I I II y h1 N n pillillallasess...._o N _.r . o * j -P 580526 PGS : 6 IEE Je!ferso, Count $77 00 JEFFERSON TITLE CO INC 1111 k1�1M�Q Ida +Y 1a 4 li '�1��1�r,6�f11v 4f' lif', 1I II! PREPARED BY AND AFTER RECORDING RETURN TO: Rayonier Inc. Law Department P. O. Box 723 Fernandina Beach, FL 32035 11. DOCUMENT TITLE(s): 1. Bargain and Sale Deed REFERENCE NUMBER(s) OF DOCUMENTS ASSIGNED OR RELEASED GRANTER(s): 1. TerraPointe LLC GRANTEE(s): 1. The Nature Conservancy LEGAL DESCRIPTION (Abbreviated): (Full description on pages 5 and 6) PTNS TWP 24 NORTH, RANGE 12W Assessor's Tax Parcel Numbers: 412 104 001 412 143 000 412 151 000 412 221 000 412 232 001 412 243 001 412 252 000 412 261 001 412 271 000 412 124 001 - 1 - +_,32214 120322 :#:11/20/2013 1365175.00* BARGAIN AND SALE DEED The GRANTOR, TERRAPOINTE LLC, a Delaware limited liability company, authorized to do business in Washington and having an address of 3033 Ingram Street, Hoquiam, Washington 98550, for good and valuable consideration the sufficiency and receipt of which is hereby acknowledged, bargains, sells and conveys to THE NATURE CONSERVANCY, a District of Columbia nonprofit corporation, authorized to do business in Washington, and having an address of 1917 First Avenue, Seattle, Washington 98101 ("GRANTEE"), all interest in real estate situated in the County of Jefferson, State of Washington and described on Exhibit A which is attached hereto and incorporated herein ("LAND"). Grantor expressly saves, excepts, and reserves out of the grant, unto itself and its successors and assigns, a perpetual undivided royalty interest in all oil, gas, and other liquid or gaseous hydrocarbons, including, without limitation, all oil, gas, and other liquid or gaseous hydrocarbons from or within coal, lignite or shale seams, beds or formations; coal, lignite and peat; base and precious metals; ores and industrial minerals; helium; geothermal resources including, without limitation, hydropressured reservoirs, geopressured reservoirs, steam and other gases,hot water, hot brine, heat, natural gas dissolved in formation water and any associated energy found in such formation water; fissionable source materials; and minerals of any and every nature, kind and description whatsoever now or hereafter susceptible to commercial exploitation regardless of whether encompassed within the term "mineral" in legal or commercial usage on the date hereof(collectively, "Mineral Resources") in or upon said Land,not previously reserved by others,which may be recovered or consumed by Grantee or persons claiming under or through Grantee (collectively referred to as "the Resource Owners"), from said Land, in the amount of fifty percent (50%) of the Fair Market Value of the Mineral Resources at the time of their extraction from the Land. For purposes of this reservation, "Fair Market Value" shall mean the value which a willing buyer would pay for such Mineral Resources in place, assuming that: (1) removals could and would commence immediately and continue until such Mineral Resources were exhausted or no longer economic to extract, and (2) the buyer was prepared to extract such Mineral Resources and process the same into marketable forms. Where the Resource Owners have negotiated, on an arms-length basis, a mining lease or similar agreement with an independent non-affiliated third party in the business of acquiring and extracting Mineral Resources, and those parties have no other business dealings, the Fair Market Value of such Mineral Resources shall be presumed to equal the sum of all money (whether characterized as royalties, bonuses, rents, profit sharing, or other payments) and the value of all non-monetary things so received, directly or indirectly, by the Resource Owners and their affiliates as compensation for removal or consumption of such Mineral Resources. Where the Resource Owners, or persons acting in concert with them, remove such Mineral Resources for sale or further processing, the fair market value of the resources shall be the amount that an independent non-affiliated -2 - willing buyer would pay as compensation for such Mineral Resources under the assumptions stated above in the local market. The Resource Owners covenant and agree to (1) notify Grantor, or any successor or assigns of record, if they plan to remove or consume any Mineral Resources from the Land, and notify Grantor of the quantities of each type or grade of Mineral Resources removed or consumed within thirty (30) days after the end of each month in which any such removals or consumption occur; (2)maintain records reflecting the removal or consumption of all Mineral Resources from the Land,all consideration paid therefore, copies of agreements related to any such removal or consumption, and all other information necessary to determine the royalties due hereunder, such records shall be open for inspection, copying, and audit by Grantor, or its successors or assigns, at all reasonable times; and (3) negotiate with third parties in good faith as to the amount of royalties to be paid and pay the reserved royalties within thirty (30) days after the end of each month in which any Mineral Resources are removed or consumed. This covenant shall run with the land and be binding upon Grantee and Grantee's heirs, representatives, successor and assigns, forever. The Grantor does by these presents expressly limit the covenants of the deed to those herein expressed, and excludes all covenants arising or to arise by statutory or other implication, and does hereby covenant that against all persons whomsoever lawfully claiming or to claim by, through, or under said Grantor and not otherwise, it will forever warrant and defend the said described real estate. This conveyance is subject to covenants, conditions, restrictions, easements, reservations and encumbrances, if any, affecting title, which may appear in the public record, including those shown on any recorded plat or survey. [Remainder of Page Intentionally Left Blank] [Signatures on Following Page] -3 - IN WITNESS WHEREOF, Grantor has signed this deed to be executed under seal as of this day of November,2013. TERRAPOINTE LLC ;'� • / 1 -� 4 By: ALA& .�' Tra .Arthur its: Vice ' • iden STATE OF WASHINGTON ) ) ss. County of Thurston ) I certify that I know or have satisfactory evidence that Tracy K. Arthur is the person who appeared before me, and that said person acknowledged that she signed this instrument, on oath stated that she was authorized to execute this instrument and acknowledged it as the Vice President of TerraPointe LLC,to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. -01 Given under my hand and official seal this day of November, 2013. r A a >� 44. ,.,F.;w, ',. Michelle S. Verlander ','P,,- o s Notary Public in and for the as State of Washington�restc.l. r \'4 3iemoA-or1 1� sy °ue►� My Commission Expires:6/09/2016 '.i�'',,y,6•41"" pg.�6,r fie= -4- EXHIBIT A LEGAL DESCRIPTION Parcel A: The Southeast'/4 of the Southeast'A,all in Section 10,Township 24 North,Range 12 West,W.M. Situate in the County of Jefferson,State of Washington. Parcel B: The Southwest'A; the Northwest 'A of the Southeast'A,all in Section 14,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington Situate in the County of Jefferson,State of Washington. Parcel C: All of Section 15,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Parcel D: All of Section 22,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Parcel E: The Northwest 1/4 of the Northwest'A;the South% of the Northwest'''A;the Southwest 1/4;the South 1/2 of the Southeast'A,all in Section 23,Township 24 North,Range 12 West,W.M.,Jefferson County, Washington. Excepting therefrom a 60-foot strip of land conveyed to the State of Washington in Volume 1 of Road Waivers,page 18. Situate in the County of Jefferson, State of Washington. Parcel F: The South% of the Southwest 1/4;Northwest'A of the Southeast'A,all in Section 24,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Excepting therefrom a 60-foot strip of land conveyed to the State of Washington in Volume 1 of Road Waivers,page 24. -5- Situate in the County of Jefferson, State of Washington. Parcel G: The Northwest 1/4 of the Northwest 1/4,all in Section 25,Township 24 North,Range 12 West,W.M., Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Parcel H: The North V2 of the Northeast 1/4;North V2 of the Northwest 1/4,all in Section 26,Township 24 North, Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. Parcel I: The North 12 of the Northeast 1/4,all in Section 27,Township 24 North,Range 12 West,W.M., Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Parcel J: The Northeast''/4 of the Southeast''/4, all in Section 12,Township 24 North,Range 12 West,W.M., Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. -6- Map Output Page 1 of 1 ArcIMS HTML Viewer Ma il ' , ..4 ' I --. -, !may , i 1 j I � ri i _ , . us ._ 3•t`.- ' i . ' — - Legend i - l-- .�1 Selected Features r --- °1-"•"" ""' ` ` Township Lines es f` t - a-V , � A/ Major Roads ;I J I Parcels-11 1 2013 Aerial Photos i 1 ' L J iI f — " 4 . Maps mewled cry 4elkrsm Cu,-Cava Smrcn CIS 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 arrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. 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Data contained in this map is limited by the method and accuracy of its collection.Mon Jan 26 17:16:32 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 1/26/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map t �• y' •r Jti Legend Selected Features Township Lines NMajor Roads Parcels-H Critical Aquifer Recharge Areas SUSC=UNN n SARPA•Stl SC n SARPA SARPA•UNN ~lam s•�n FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Mon Jan 26 17:15:48 2015 http://gisserver/servl et/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 1/26/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map t i OF • Iti L , yyr] I I �R�� • Legend ---- Selected Features r _ / Township Lines .! Major Roads /"1 Parcels+l 24>112W . Marbled Murrelets aSpotted Owls i �' _� , — T yG I I i i _' .'`,,i, —l.— a Mao van.lea try.laas.m Carty rars sv,�aa eYS ' p 3ooeert '. FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jan 26 17:14:20 2015 I it http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 1/26/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map i" �1� ri' mss - gp A te, ---- rtF L., fr 1' , o ) .• } _ } 11110:41.. ' YAP FNF \.—/ CGS ` WSW 1 _ DoHe1W Features } fi 1 / '' _ i, 7~10p Linos n ti L( � (Ss, .,,v, Major Roads n Pamela-It i' "aF 6/ Ct r I—i sa+.a41 «N w ti %d '�� yti 4,__,,--;, f..--7 ,4 \ .� 7— .. N__•___-'~ .rte' OM% . IKC ,IQ` �y +r N -- 4G7 „a! i ' { Vas xm�db m'-�''s'=:a'�rox Cal:-.3.;c-:cc.GO } C "bEMMINII 30±'511 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jan 26 17:14:02 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 1/26/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map if Legend �^�-/ I Selected Features f Township Lines 1 Major Roads Parcels4t 24N12W 1 1 /f LFA-Fish �— 11 i -} j 11ys 7o.hd:r..e4r-.al Cora Ceer•1 .ccs CAS 1)=INNIONIM 300611 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jan 26 17:13:49 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 1/26/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map • 1 l �.i f''d (1s! I1 a r' .4, `T, _1 - Legend Selected Features r Township Lines i ,! Major Roads !� Parcels-H — 2ANt2W DNR water Bodies F - N r —j -- n No DasvIa..cn J — r^—, — -----1-- - • • i/ -_ — _ I 4✓ • _ e' a.V wcwd db'xbsal Cart',"ccRS Seroom GIS ----1 1--- . 44 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jan 26 17:13:40 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 1/26/2015 Map Output Page 1 of I ArcIMS HTML Viewer Ma. 1 -. 9 , • rill i f - 1 111111111ft.yez% /14 Selected Features i7, Township Lines I Major Roads L ,/,/ Parcels•H DNR LC Streams iv!!JJ Iy9 f - — Type. 3._ r �, `_4 I rJ type . '� _�— Type 1 . It \'(-.,1: 1---'::::,, ti..w Otep i J . 1 T Moro PUYleC br.0-C"“)I Cwt:Cc r..,.C.0-CAS a 3?:0611 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jan 26 17:13:27 2015 I http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 1/26/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 6 ` ---- II= "; 1_- _ 4 j Legend ) I 1 Selected Features 1-- � Township Lines j I .J Major Roads I /'? 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I II ill :: FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jan 26 17:12:47 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 1/26/2015 Z oz a a 1 i k\ N �a s s ddo 0 SW � � rs 3 � _ p W r� (C) 0 \N a yak "—U Z!^O i �°� 0 '°0tltltlXXX•1> 1 A U O w% w k az ry M g . 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N�'v� m { O J 1M :p A NOW w i$ / 7, 09 = a0z 8 "°' s {07 . 10/ 11Oj J , r M>v 0 -0° S 9" 1 -700 O Q o N 0 3 / i of ,:, .,0 z SON co DEPARTMENT OF COMMUNITY DEVELOPMENT 6-� 621 Sheridan Street,Port Townsend,WA 98368 Tel 360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/cotnmunitadevelopment E-mail:dal@co.jefferson.wa.us 14911 N rs tO PERMIT FEES WORKSHEET Name The Nature Conservani Parcel# 412221000, 32001,43001 Estimated Cost of Project Permit# lot seg. Building Base Fees Building Base Plan Check Review Land Use Review�_--- VE $304.00 Septic ReviewTE° \ D Potable Water DEC DEC 1 82014 Technology/Scan — $19.00 }fle��0.;;JUNELOPMENT State Fee p�.T.OECCPwMUNITYDE. Other Fees Shoreline Exemption Zoning Zoning New Address Public Works Total Fees $323.00 Office Use Only Receipt Number: Cash/Check/CC: Date: Initials: sle • 4 .sON c_ JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.uslcornmunitydevelopment yryl NGco Tel:360.379.44501 Fax:360.379.4451 I Email:dcd'^�,co.iefferson.wa.us SquareCNE Resource Center!Building Permits&Inspections I Development Consistency Review I Long Range Planning I Customer Assistance Meeting (CAM) Form Office Use Only Your Coach:Colleen Phone; Today's Date:06/26/2014 Email: Walk-1n: - Parcel Number(s): Time Tracking Zoning: Plat: Is Minutes Notes: Research In reviewing your proposal for segregating a portion of parcels 412221000, Meeting 412232001 and 412243001 the process of the segregation appears to meet the Start subdivision exemption in JCC 18.35.040(4): End Time 18.35.040 Exemptions. Tote Due This chapter does not apply to the following: Paid (1) Divisions of land into lots, tracts or parcels each one of which is one-sixteenth of a section of land or larger, or 40 acres or larger if the land is not capable of description as a fraction of a section of land; provided, that for purposes of computing the size of a lot that borders on a street or road, the lot size shall be expanded to include that area that would be bounded by the center line of the street or road and the side lot lines of the lot running perpendicular to such center line; and provided further, that within the commercial forest district (i.e., CF-80), each lot, tract or parcel shall be at least 80 acres in size; (2) Cemeteries and burial plots while used for that purpose; (3) Divisions of land made by testamentary provisions or the laws of descent; provided, that this exemption shall not be construed to permit inter vivos transfers, and provided further, that any structure or use on the property must comply with all other applicable county regulations; and (4) Divisions of land relating to the acquisition of a fee simple interest in land by public agencies, including, but not limited to, divisions made for road or public right-of-way conveyance or widening purposes. This exemption shall not be construed to include acquisitions of easements. [Ord. 8-06 § 1] The process to segregate the parcels is a lot certification. In this case you would apply for 3 lot certifications 1 for each parcel that requires a segregation. The #. application would consist of: • Master Permit application. A • Statement of Intent. • Survey—a survey is not required if following existing section lines. \ ,` • Brief description of the proposal. Include information regarding the public aaencv meetina the requirements of exemption number 4. PLEASE NOTE: information and guidance provided through Customer Assistance is advisory only and is based on information provided by the customer. If is impossible for the meeting to be an exhaustive review of all potential issues.Any discussion or information provided shall not bind or prohibit the County's future implementation or enforcement of all applicable laws and regulations.No statements or assurances made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consistent with all relevant requirements of County, state and federal codes,laws,regulations,land use plans.and other requirements. Wednesday,February 19,2014 Parcel Details Page 1 of 2 • • ' ,i iefferson County ,,,.. ,`blather"Station_ DatabaseTo�s ti EiapsT. ^Vielacam _- .__._.__. Home County Info Departments Search Parcel Number: 412221000 SEARCH Parcel Number: 412221000 Printer Friendly Owner Mailing Address: THE NATURE CONSERVANCY 1917 1ST AVE k LA I i I- _1 I /)J _ SEATTLE WA98101-1010 (�� Site Address: SUN y — Section: 22 School District: Queets - Clearwater (20) Qtr Section: NE1/4 Fire Dist: None Township: 24N Tax Status: Taxable Range: 12W Tax Code: 0502 Planning area: West Jefferson County (12) Sub Division: Assessor's Land Use Code: 8800 - Designated Forest Land Property Description: S22 T24 R12W ALL OF SECTION Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Surveys Septic Monitoring Info .. ., 4':7-" �, Je{16It0�1 C 0 iI� HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later OS Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 12/22/2014 Cases Associated with a Parcel Page 1 of 1 • • -. Jefferson County _ „,,,,,,,„,,,, lsiiii,or-,, , r Home County Info Departments Search Cases Associated with Parcel No: 412221000 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. *Parcel Tags Case Number CAM14-00380 Description Lot Certification Last Name THE NATURE CONSERVANCY Received Date 6/26/2014 1:49:55 PM No Images Case Number FPA2608564 Description 12 stream crossings, culverts Last Name RAYONIER TMBLND OPER CO L P Received Date 5/23/2007 No Images Case Number FPA2608207 Description 12 stream crossings. Last Name RAYONIER TMBLND OPER CO L P Received Date 1/2/2007 No Images Case Number FPA2608214 Description 14 stream crossings. Last Name RAYONIER TMBLND OPER CO L P Received Date 1/2/2007 No Images (,,,:' ',v HOME I COUNTY INFO I DEPARTMENTS I SEARCH Jefferson ` of ,....,.»_.. __... .�. . ._.. ..,._. n Best viewed with Microsoft Internet Explorer 6.0 or later iia Windows- Mac htt ://www.co.jefferson.wa.us/commdevelo ment/ ue /cm.as ?value=412221000 12/22/2014 P J P PPq �' P JEFFERSON COUNTY DEPARTMENT OF COMMUNITY iS e. </,:i1,67,"--t". DEVELOPMENT 4. 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.jefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning February 3, 2015 Dear Reviewer, RE: MLA14-00106 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: PARCEL SEGREGATION TO CREATE TWO PARCELS LOT CERTIFICATION -SUBDIVISION EXEMPTION 18.35.040(1) Location: Parcel Number: 412 221 000, Site Address: , Section 22, Township: 24N, Range: 12W, Located near the Queets River, WA Comments must be received within fourteen (14)calendar days or by February 17, 2015. If no written response has been received within fourteen (14)days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, Anna Bausher Anna Bausher cc:, 1l tidemark\data\forms\F_MLT_ReviewerLtr.rpt 2/3/2015 DEVEIVMENT REVIEW TIME WET THE NATURE CONSERVANCY MLA14-00106 Date Time Comments (A V c LGno(i -Fiat' vry ¶-c es ear c�tx \\tidemark\data\forms\R_MLT_Case_CRMLA.rpt January 26,2015 UDIOCONSISTENCY REVIEW Project Planner: Master#M LA14-00106 Review Type Project Description (�UI Lwt SUB14-00022 LOT SEGREGATE PARCEL#412221000 SECTION 22- T24N,R12W-560 ACRES TO DNR 80 ACRES RETAINED BY INC. Primary: THE NATURE CONSERVANCY Site Address: 1917 1ST AVE SEATTLE WA 98101-1010 WA, REP NTI ENGINEERING 717 S PEABODY ST PORT ANGELES WA 98362 Project Location: PARCEL#412-221-000 SECTION 22-T24N,R12W Parcel Number: 412221000 S-T-R: 22-24N-12W Total Acreage 640 Legal Description S22 T24 R12W ALL OF SECTION Land Use: 8800 Flood District: Fire District: 0 Planning Area: 12 Flood Map(FIRM)Panel No: ,chool D 20 Zoning: 47 1:z(_.; COMP PLAN DESIGNATION: • - 20 COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YE<S ) NO r-p4 - etc?)r-e_c✓ [ ] ESA's: Special Reports • e by YES [ ] Designated Ag YES NO rA [ ] Shoreline Designation: YES N [ ] Shoreline Slo•- tability: YES s,0 Stream Typ AI NO f uu7i- c f 2z,„,_ - ' • FWHCA: a311 . • ,. 4P • , 1 4 / , ,.. 4 Wetlands: YES r Rare Plants:YES Seismic: YES 0 Landslide: YES l Flood: YES AA Erosion: YES al Aquifer Rec, • !e Area a)NO S('S L - V ML SIPZ: none At Risk High Risk Coastal CMZ: w High Risk Moderate RiskDis onnected CMZ Stormwate a plan submitted: YesNo K1 A- [ ] Forest Lands: YES vo � °� Adjoining Forest Lands: ,J�_ Commercial/ �— a— J Rural/ Inholding [ ] Mineral Lands: YES l •, [ ] Agricultural Lands: ES a [ ] Archaeology: YES N [ ] No Shooting Zone: S /NZ➢► [tWilic Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 #5 Min Req#1 thru#10 Engineerin_ [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lane ell NO Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other I Building Height: 35' UBC Standard [(up Impervious Surface coverag centage: o Resource Lands&Public: 10% Rural Residential: 25% Rural Industniller UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES FX,�EMPT WA C 19 —7 —11 — 7' j((c)( C. [ ] Flood Certificate: " [ ] Existing Case(s)&C�udition(s): C.,�-c-` L -� �G-�¢!(,v Violations: Yes N ! C/ [ ] Recorded Date of Subdivision: N/2\ AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrict' - 1 ovenant YES submitted: YES NO [ ] UGA No Protest Agreement YE A& I submitted: YES NO [ ] Site Visit conducted YES I [ ] Require Final Zoning Approval YE [ ] ADMIN: Setbacks entered in Permit Plan ca N A YES New Parcel Tags entered ' it Plan ES Special Reports Scanned N/A YES Title Notes Updated Parcel tags found for parcel 412221000 1.) 6yr Mor.on FPA2608564 application for 5-23-2007. Moratorium expires 9/11/07 Non-Forest Permits 5-23-2013.JCC18.20.160(5)(b)"Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Associated CASES status issued finaled description 412221000 CAM14-00380 M 6/26/2014 Lot Certification FPA2608214 F 1/10/2007 1/12/2007 14 stream crossings. MLA14-00106 SUB14-00022 P LOT SEGREGATE PARCEL#412221000 SECTION 22- T24N,R12W-560 ACRES TO DNR 80 ACRES RETAINED BY TNC. CASES, F LADING, CONDITIONS, PERMISSIONS FOR Parcel -124.5 " ' - Printed: January 26, 2015 Cases Name Review Status Planner Type FPA2608564 RAYONIER TMBLND OPER CO I F Application Received: 5/23/2007 Permit Issued/Case closed: 6/21/2007 Case Finaled: 6/22/2007 12 stream crossings, culverts No findings, conditions, or permissions found. CAM14-00380 THE NATURE CONSERVANCY NA M Colleen Zmolek Application Received: 6/26/2014 Permit Issued/Case closed: 6/26/2014 Case Finaled: Lot Certification No findings, conditions, or permissions found. FPA2608207 RAYONIER TMBLND OPER CO I F Application Received: 1/2/2007 Permit Issued/Case closed: Case Finaled: 1/12/2007 12 stream crossings. No findings, conditions, or permissions found. FPA2608214 RAYONIER TMBLND OPER CO I F Application Received: 1/2/2007 Permit Issued/Case closed: 1/10/2007 Case Finaled: 1/12/2007 14 stream crossings. No findings, conditions, or permissions found. SUB14-00022 MLA14-00106 NATURE CONSERVANCY P Anna Bausher Application Received: 12/22/2014 Permit Issued/Case closed: Case Finaled: LOT SEGREGATE PARCEL#412221000 SECTION 22-T24N, R12W - 560 ACRES TO DNR 80 ACRES RETAINED BY TNC. No findings, conditions, or permissions found. \\tidemark\data\forms\R MLT Parcel Cond.rpt 1/26/2015 Page 1 of 1